Identification and Treatment of Idiopathic Membranous Nephropathy Based on the Principle of "Treating Water Must be Preceded by Treating Qi"
10.13288/j.11-2166/r.2024.21.014
- VernacularTitle:基于“治水者必先治气”辨治特发性膜性肾病
- Author:
Haoyu LIU
1
;
Hao WANG
1
;
Jianing ZHANG
1
;
Aifeng LI
1
Author Information
1. Xiyuan Hospital，China Academy of Chinese Medical Sciences，Beijing，100091
- Publication Type:Journal Article
- Keywords:
idiopathic membranous nephropathy;
disorder of qi movement;
qi regulation;
edema
- From:
Journal of Traditional Chinese Medicine
2024;65(21):2259-2263
- CountryChina
- Language:Chinese
-
Abstract:
It is believed that the main mechanism of idiopathic membranous nephropathy is the stagnation of qi and water. The clinical practice is guided by the principle of "treating water must be preceded by treating qi"， and combined with the clinical characteristics of idiopathic membranous nephropathy， which advocated that qi regulation should be applied in the treatment of idiopathic membranous nephropathy. According to the different manifestations of disorder of qi movement in all zang-fu organs， different methods are adopted to strengthen the spleen to raise the clear， harmonise the stomach to reduce turbidity， lift the pot to uncover the lid， diffuse the lung and drain water， assist yang to transform qi， promote water retention and reduce edema， soothe the liver and resolve constraint， regulate qi movement， and promote the sanjiao to help the qi transformation， and prescribed such as Buzhong Yiqi Decoction （补中益气汤）， Shengyang Yiqi Decoction （升阳益胃汤）， Fangji Huangqi Decoction （防己黄芪汤）， Danggui Shaoyao Powder （当归芍药散）， Zhongman Fenxiao Pill （中满分消丸） are used flexibly to restore qi movement， and the edema will disappear by itself.
