Experience of Professor ZHAN Yongli in the Treatment of Idiopathic Membranous Nephropathy by the Methods of Supplementing Qi for Warming Yang and Activating Blood for Diuresis
According to the pathogenesis characteristics of idiopathic membranous nephropathy(IMN),which lied in deficiency of lung,spleen and kidney as the root,and blood stasis and water retention as the branch,professor ZHAN Yongli established the basic treating ideas by supplementing qi for warming yang and activating blood circulation for promoting diuresis,which can be divided into the following 3 types:for patients with deficiency of lung qi,and blood stasis and water retention syndrome,the suitable treatment should be benefiting lung to consolidate superficies,promoting the circulation of blood and increasing water excretion,and the combination prescription of Fangji Huangqi Decoction and Danggui Shaoyao Powder can be used; as for deficiency of spleen yang,and blood stasis and water retention syndrome,treatment of strengthening spleen to warm spleen yang,and promoting the circulation of blood and increasing water excretion can be used.The suitable prescription can be the combination of modified Shipi Drink and Buyang Huanwu Decoction; the combination of Zhenwu Decoction and Taohong Siwu Decoction can be used for patients with kidney yang deficiency,and blood stasis and water retention syndrome in order to warm kidney and tonify kidney Yang.