40:2169 Professor And Clinical Experience And Academic Thought

ObjectivAdopting retrospective investigation and study, the paper collected and observed23idiopathic membranous nephropathy (IMN) patients treated in Prof. Lv Renhe outpatient service department and compared the pre-and post-treatment situations, so as to analyze and summarize the clinical experience and train of thought of Prof. Lv Renhe for treating IMN, and provide safe and effective Chinese medical herbal therapies and experience reference for treating IMN.MethodCollection of patients’information:such as general information:name, gender, age, etc.; detailed history of present illness (western medicine diagnosis and treatment as well as medication history), past medical history, allergic history, personal history, and particularly marriage and procreation as well as menstruation situation for women; symptom, physical sign, coated tongue condition, pulse condition; Laboratory indexes:including blood routine examination result, routine urine examination result,24hpro, TP, ALB, liver function, renal function, blood fat, blood clotting index, pathological report under needling biopsy of kidney, etc.; Based on symptom, physical sign, physicochemical information and explicit pathological stage, patients were analyzed on a full and accurate basis, trying to analyze the syndrome differentiation train of thought and medication experience of Prof. Lv.SummaryIMN is a kind of nephritic syndrome, characterized by edema, heave proteinuria, hypoproteinemia, and hyperlipemia, which shall be classified as "ShenShui" within in TCM range. Prof. Lv thinks that, IMN is caused by deficiency of vital energy, decline in resistant organisms, pathogen invasion into kidney, resulting in kidney damage, deficiency in kidney functions, imbalance of kidney and malfunction, causing the occurrence of syndromes such as proteinuria, HT and edema. Deficiency in origin is the root cause of the illness, that is, malfunction of viscera arising from various reasons, especially for kidney, spleen, and lung; excessive in superficial is the pathological products caused by pathogen invasion into organisms or generated by organisms.Typing of syndrome differentiation and prescription medication.The deficiency in origin syndrome is divided into four types:deficiency of the spleen causing weakness of Qi,which shall be treated by tonifying Qi and spleen;spleen-and kidney-Qi deficiency syndrome, which shall be treated by nourishing kidney and spleen;Qi and Yang deficiency syndrome, which shall be treated by nourishing Yin and nourishing Qi; liver and kidney deficiency syndrome, which shall be treated by nourishing liver and kidney.The excessive in superficial syndrome shall be divided into seven types:ind-cold syndrome shall be treated by dispelling wind-cold and relieving exterior syndrome, on which Jingfang Antipyretic Powder shall be used; wind-heat syndrome shall be treated by dispelling wind-heat, on which Yinqiao Powder shall be used; water-dampness syndrome shall be treated by dispelling water and dampness, on which Wuling Powder shall be used; damp-heat syndrome shall be treated by dispelling heat and dampness; heat-toxicity syndrome shall be treated by clearing heat and purging fire as well as removing toxin and relieving sore-throat; blood stasis syndrome shall be treated by activating blood and dissipating stasis as well as dredging blood vessels; Qi depression syndrome shall be treated by regulating Qi and soothing liver-Qi stagnation.