Chronic Primary Glomerular Diseases In Chinese Medicine Research Survey

Chronic primary glomerulopathy (CPG) belongs to edema or consumptive disease in TCM. Inherent innet deficiency (especially spleen and kidney weakness),with affection by external evils,such as Wind,Cold,Dampness,Heat and Toxin is the main etiological factor,which results in lung failing to disperse and descend. spleen failing to transport and transform,kidney failing to open and close respectively. The symptom and sign character is deficiency in root and excess in superficiality. The former is mainly spleen and kidney weakness,the later can be Wind,Cold,Dampness,Heat evils or Blood stasis. Most scholars think that Blood stasis and Dampness-Heat pass through the whole course of CPG. Therapeutic method frequently include invigorating Spleen and warming Kidney,supplementing Qi and nourishing Yin,replenishing Yin and supplementing Kidney,clearing away Heat-toxin and promoting Blood circulation to dissipate blood stasis. Some scholars adopt treatment based on differentiation,while some scholars use a certain prescription or drug.Both curative effect criterion of TCM and differentiation of syndrome and signs need to be improved. Clinical study should be strengthened to find new prescriptions or select more perfect herbs. Compound prescriptions with Caulis Tripterygi as primary ingredient may become the chief medicaments in future in virtue of its notable curative effect on proteinuria,lower price and fewer side effects.