Keywords:中西医结合, 学术思想, 临床经验, 方法论, 2.肾炎
Section Index
2. Nephritis
Traditional Chinese medicine holds that the treatment of this disease should focus on warming yang to transform water and strengthening the spleen to promote diuresis, using formulas such as Jin Gui Shen Qi, Bu Zhong Yi Qi, Wu Ling, and Wu Pi. The emphasis of these medications remains on the qi level. Since the introduction of integrated traditional Chinese and Western medicine, given that the pathological changes in nephritis involve the glomerular vascular bas
<!-- translated-chunk:16/57 -->Based on the proliferation of the basement membrane, this change also falls under the category of "blood stasis" in Traditional Chinese Medicine. The Shanxi Institute of Traditional Chinese Medicine, based on this view, formulated the Yishen Decoction (Dang Gui, Chi Shao, Chuan Xiong, Tao Ren, Hong Hua, Yi Mu Cao, Dan Shen, Yin Hua, Gong Ying, Di Ding, Ban Lan Gen, Bai Mao Gen) with the main principle of activating blood circulation and removing blood stasis, to treat 181 cases of various types of nephritis. Among them, there were 37 cases of acute nephritis, 125 cases of chronic nephritis, and 19 cases of azotemia and uremia. Treatment results: the cure rate for acute nephritis was 64.86%, and the remarkable effectiveness rate was 86.48%; the complete remission rate for chronic nephritis was 45.6%, the basic remission rate was 24.8%, and the remarkable effectiveness rate was 70.4%; however, the therapeutic effect on uremia was not obvious. The author believes that treating various types of nephritis primarily by activating blood circulation and removing blood stasis has good effects in eliminating proteinuria and restoring renal function. The First Affiliated Hospital of Beijing Medical College used the Nephritis Removing Blood Stasis Decoction (Dang Gui, Chi Shao, Chuan Xiong, Tao Ren, Hong Hua, Yi Mu Cao) to treat 33 cases of refractory chronic nephritis (patients who had not responded to Western medical treatment), and achieved good therapeutic effects after 2–12 months of medication.
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