| 1. Goal:Observation Chinese medicine diagnosis and treatment treatment primary IgA nephrosis clinical curative effect. Discusses the IgA nephrosis the Chinese medicine card essence and the change rule, thus instructs clinical diagnosing and treating well.2. Material and method:Observed a case of Wuhan Hospital of Integrated Traditional and Western Medicine in July 2009 October 2009 between the renal outpatient and ward patients were admitted, were confirmed as IgA nephropathy by renal biopsy, based on inclusion and exclusion criteria,60 cases of qualified。The case of the syndrome differentiation of TCM prescriptions to be in the Differential Diagnosis and Treatment, treatment for 3 months. Before and after treatment level of clinical symptoms and signs, relevant laboratory parameters, clinical symptoms points, analysis of disease effects, treatment of IgA nephropathy instructor summarized the experience. And IgA Nephropathy Syndrome and pathological classification in this syndrome and the correlation between the standard license and analysis to guide clinical treatment and prognosis.3. Finally:3.1 This research observation case's treatment is always effective for (78.3%), around the treatment patient's red blood cell number, urine protein targets and so on quota, blood myo-bitter wine, blood urea nitrogen, Ccr have the distinct improvement, and around treats the value difference to have statistics significance (P<0.05)。3.2 Cases of Qi and Yin deficiency observed in this study, lung and kidney qi deficiency, liver and kidney, spleen and kidney yang patients with effective rates were 86.1%,72.7%,66.7%, 50%. No significant difference between the efficient (P> 0.05)3.3 Around this research observation case's treatment the Chinese medicine symptom integral comparison indicated after the treatment, before treats, has the distinct improvement (P<0.01)。3.4 In this research observation process two group of patients have not presented the obvious untoward effect, the treatment first and last groups routine blood test and the liver function target are quite even do not have statistics difference (P> 0.05).3.5 The study found that the efficacy and the correlation between histological grade, pathological type degradation of the IgA nephropathy patients, the treatment effect was correspondingly reduced.3.6 This study was the main evidence Syndrome cases to Qi and Yin deficiency, Qi-based, and evidence of Zeyi blood stasis and damp is the most common3.7 The study found that the evidence, the correlation between the standard license, easy to spleen and kidney qi deficiency and exogenous syndrome, liver kidney yin easy to both damp; Yi Qi and Yin deficiency blood stasis syndrome by both; spleen and kidney yang Permit easy to both turbid damp3.8 The study found that the evidence, the correlation between histological grade, with the spleen and kidney deficiency type, liver-kidney one of a spleen and kidney yang Qi and Yin Deficiency type, tumor grade are gradually increasing trend.4. conclusion:After this research observation case treats, in the improvement Chinese medicine symptom integral, reduces in the urine the red blood cell and the urine protein, aspects and so on improvement kidney function has the remarkable curative effect, takes the period discovery obvious poisonous side effect, has achieved the medication highly effective, the safe goal. The prompt Chinese medicine diagnosis and treatment treatment primary IgA nephrosis has certain curative effect, and this card, the sign card, the pathology graduation has the relevance, provides the reference and the mentality for clinical diagnosing and treating. |