PI Chiheng's Experience in Staged Treatment of Diabetic Nephropathy with the Method of Warming Yang， Nourishing Yin，and Invigorating Blood
10.13288/j.11-2166/r.2025.07.003
- VernacularTitle:皮持衡运用温阳育阴活血法分期论治糖尿病肾病经验
- Author:
Xinhe WANG
1
;
Yunsheng XU
2
;
Author Information
1. Shandong University of Traditional Chinese Medicine，Jinan，250355
2. The Second Affiliated Hospital of Shandong University of Traditional Chinese Medicine
- Publication Type:Journal Article
- Keywords:
diabetic nephropathy;
warming yang and nourishing yin;
invigorating blood;
experience of famous doctors;
PI Chiheng
- From:
Journal of Traditional Chinese Medicine
2025;66(7):669-673
- CountryChina
- Language:Chinese
-
Abstract:
This paper summarized Professor PI Chiheng's experience in treating diabetic nephropathy （DN） using the method of warming yang， nourishing yin， and invigorating blood by stages. It is believed that yang deficiency and yin depletion are the key pathological mechanisms of DN， with blood stasis running throughout the disease's progression. The general treatment principle is to warm yang， nourish yin， and invigorate blood， with different emphases at each stage. For early stage， the disease is characterized by spleen qi deficiency and insufficiency of qi and yin， which could be treated by modified Shenqi Dihuang Decoction （参芪地黄汤） to tonify qi and invigorate blood， strengthen yang and consolidate yin； for middle stage， the disease is marked by spleen and kidney yang deficiency with internal dampness accumulation， which could be treated by modified Zhenwu Decoction （真武汤） and Sanren Decoction （三仁汤） warming yang and to resolve dampness and unblock meridians； for the late stage， the disease is characterized by blood stasis and toxin accumulation with deficiency of both yin and yang， which could be treated by modified Jisheng Shenqi Pill （济生肾气丸） to eliminate pathological masses and remove toxins， warm yang and nourish yin. Additionally， traditional Chinese medicine therapies such as rubbing with ointment （Gao Mo therapy） are utilized as adjunct treatments， treating the root and branch simultaneously and combining internal and external approaches.
