The Experience of WU Guowei,the Famous TCM Doctor of Zhejiang School in Treating IgA Nephropathy
10.16466/j.issn1005-5509.2025.01.011
- VernacularTitle:浙江省名中医吴国伟辨治IgA肾病经验
- Author:
Wenjun XU
1
;
Dehong WU
;
Tingyan CHENG
Author Information
1. 开化县中医院 浙江,开化 324300
- Publication Type:Journal Article
- Keywords:
IgA nephropathy;
pattern differentiation;
disease differentiation;
toxic pathogenic factor;
spleen and kidney deficiency;
obstruction of the kidney channels by blood stasis;
famous doctor's experience;
WU Guowei
- From:
Journal of Zhejiang Chinese Medical University
2025;49(1):65-68
- CountryChina
- Language:Chinese
-
Abstract:
[Objective]To summarize WU Guowei's clinical experience in treating IgA nephropathy.[Methods]Analyze WU Guowei's diagnosis and treatment of IgA nephropathy,summarize his syndrome differentiation and treatment of IgA nephropathy,and analyze one typical case for proof.[Results]WU Guowei believes that the core pathogenesis of IgA nephropathy is deficiency of origin and substance,which is closely related to"wind,poison,stasis and deficiency".In the early stage or the onset of the disease,the evil substance of wind and poison is the main factor,and according to the different characteristics of different concurrence and toxin,it adopts different syndrome differentiation and treatment rules,while removing the evil,but also does not forget to strengthen the body resistance;In the middle and late stages of this disease,the spleen-kidney deficiency is the main factor,so the treatment is mainly to strengthen the spleen and kidney,and according to the difference of Yin and Yang deficiency,different treatment methods and prescriptions are taken.Stasis of kidney collateral is accompanied by the whole pathological process of the disease,so"promoting blood circulation and removing blood stasis"runs through the whole treatment.The attached medical case was edema,which was a syndrome of lung invaded by wind-heat and damp toxin,treated with opening wind,clearing heat and detoxification,relieving cough,promoting water and blood circulation,and achieved good curative effect.[Conclusion]WU Guowei's treatment of IgA nephropathy starts from"wind,poison,stasis and deficiency",and the combination of syndrome differentiation and disease differentiation has achieved remarkable curative effect.His clinical experience is worth learning and promoting.