Treatment of IgA nephropathy with traditional Chinese Medicine

summary

IgA nephropathy is one of the most common primary glomerular diseases. It refers to the primary glomerular disease with IgA or IgA deposition in the glomerular mesangial area, with or without other immunoglobulin deposition in the glomerular mesangial area. Let's share the relevant knowledge of traditional Chinese medicine in the treatment of IgA nephropathy.

Treatment of IgA nephropathy with traditional Chinese Medicine

Method 1: Yin deficiency of liver and kidney, damp and heat: hematuria or albuminuria is light and heavy, backache and backache, five heart trouble and heat, dry mouth and throat, dry stool, red or dark red tongue, less moss, pulse or pulse string. Treatment: clearing heat, cooling blood, stopping bleeding, nourishing liver and kidney. Prescription: Erzhi Pill and Zhibai Dihuang pill. It is composed of Cortex Phellodendri, Rhizoma Anemarrhenae, Fructus Ligustri Lucidi, Herba Ecliptae, Rhizoma rehmanniae, Rhizoma Dioscoreae, Poria cocos, Rhizoma alismatis, Cortex Moutan, Radix sanguisorbae, Herba agrimoniae, etc.

Method 2: deficiency of lung and spleen qi, rheumatism and heat toxin disturbing kidney syndrome: lack of Qi, lazy speech, fatigue, fatigue, exogenous feeling, or fever, sore throat, gross hematuria or microscopic hematuria, or proteinuria of different degrees, edema, dry mouth, red tongue, thin white or yellow fur, floating or fine pulse. Treatment: tonifying qi and strengthening exterior, detoxifying and eliminating dampness. Prescription: Yupingfeng, yinqiao powder and Wuwei Xiaodu decoction. The main components are: Astragalus, Saposhnikovia, Atractylodes macrocephala, Viola, dandelion, snakeberry, Hedyotis diffusa, honeysuckle, forsythia, angelica, Dioscorea nipponica, etc. it is mainly suitable for patients with proteinuria, especially for patients with IgA nephropathy caused by cold.

Method 3: rational use of tonics: IgA nephropathy is the syndrome of deficiency and excess, with more deficiency and excess mixed. Yang deficiency of spleen and kidney alone is rare, with more dampness and blood stasis. Therefore, those with Yang deficiency should not use hot tonics, such as cinnamon, aconite and pilose antler, but should use Cuscuta chinensis, Xianling spleen, deer horn cream and Chuanduan. In addition, hematuria of chronic IgA nephropathy is mostly due to Qi deficiency and blood stasis. The treatment should be based on Supplementing Qi and nourishing blood, promoting blood circulation and hemostasis. It is not suitable to use the medicine of cooling blood and hemostasis for a long time, otherwise it will aggravate the syndrome of qi deficiency and blood stasis, which will make hematuria difficult to treat.

matters needing attention

The treatment of IgA nephropathy should focus on inhibiting the progressive development of kidney disease factors, rather than on the relief of low back pain, edema and other syndromes. For the patients with hematuria as the clinical manifestation, the focus of treatment should be to adjust Qi and blood Yin and Yang, remove rheumatic heat evil, do not blindly pursue the complete disappearance of hematuria; for the patients with proteinuria as the clinical manifestation, the excretion of urinary protein should be controlled as much as possible, and the goal should be less than 0.3g urinary protein per day. The ultimate goal of treatment is to protect renal function and delay the occurrence and progression of renal failure to end-stage renal failure.