IgA nephropathy is the most common primary glomerular disease worldwide, is also one of the most important reason leading to chronic renal failure. About20%of the patients will progress to end-stage renal disease in10to20years, to the society and medical resources caused a heavy burden. In terms of western medicine treatment, due to the pathogenesis of IgA nephropathy is not clear, there is no specific treatment, just mainly symptomatic treatment, to avoid and delay the onset of renal failure. The curative effect of traditional Chinese medicine (TCM)to treat IgA nephropathy is approved by the majority of physicians and patients. From the overall view of traditional Chinese medicine, treats dialectical, using the many kinds of therapy, TCM has obtained the good curative effect.The author writing this article through to normal practice, collect records, consult mentor’s books and manuscripts, accept teach by precept and example. This article mainly includes two parts:literature review and experience summary.From the Angle of western medicine.literature review mainly summarizes the pathogenesis of IgA nephropathy, pathological type and classification, clinical manifestation and classification, and the current treatment strategies, from the perspective of Chinese medicine.diagnosis of IgA nephropathy are summarized also as the etiology and pathogenesis. clinical classification and treatment method, systematically reviews the IgA nephropathy, to control the Angle of the exploration from understanding their advantages and disadvantages, to provide a new way of combining traditional Chinese and western medicine treatment in IgA nephropathy.Experience summary is professor Du’s treatment of IgA nephropathy and points from the etiology and pathogenesis, syndrome differentiation and treatment based on syndrome differentiation, the search basis analysis, etc. Professor Du thinks that the main pathogenesis of IgA nephropathy is deficiency,which mainly including qi deficiency, Yang deficiency, Yin deficiency or both deficiency of Yin and Yang, the real main for the exogenous, damp and hot, or blood stasis, in the early stage of the Disease, mainly evil real until illnesses out, the more performance for the virtual to real, to see more factors. Clinical claims and combination of disease and syndrome differentiation treatment on symptomatic treatment in stages, with the emphasis on promoting blood circulation to remove blood stasis, attaches great importance to the western medicine laboratory tests results, using traditional Chinese medicine and western medicine, do not blindly rejection, coherent for use, advocated the combination of Chinese and western ideas and methods. Professor Du Jinhang has unique insights in the treatment of proteinuria, hematuria, flexible medicine using, the clinical curative effect is distinct. |