I - Ii Common Type Of Syndrome And Idiopathic Membranous Nephropathy Zhang Shengrong Teacher Treatment Experience

Membranous nephropathy characterized by immune complex cumulating under epithelial,and it can be classified as idiopathic membranous nephropathy and secondary membranous nephropathy.Idiopathic membranous nephropathy is the more common type,it accounts for about two-thirds of the membranous nephropathy,is common pathological type of adult primary nephritic syndrome.The pathogenesis of idiopathic membranous nephropathy is still not clear,modern research studies that its occurrence is the result of an autoimmune,but the existing immunosuppressive regimen is not yet ideal.Subsequently,some scholars think that it has a tendency to heal itself,advocates early with observation is given priority to,without treatment,but even of IMN there is the possibility to alleviate,but there is also great risk of progression of kidney damage.So for the timing of treatment of IMN has been problem that clinicians need to resolve and grobe.Many domestic scholars had did research into using traditional Chinese medicine to treat IMN,and achieved good results.Doctor Shengrong Zhang engaged in kidney disease clinical and research.She summed up that IMN has three common syndrome types of traditional Chinese memdicine(pi shen qi xu zheng,gan shen yin xu zheng,qi yin liang xu zheng)and three concurrently types(shi zhuo zheng,xue yu zheng,shi re zheng).She summed up the prescription that commonly used for each type.Objective:To observe the traditional Chinese memdicine distribution and the clinical characteristics of Ⅰ-Ⅱ stage idiopathic membranous nephropathy.To summe up the clinical experience of doctor Shengrong Zhang in the treatmen of idiopathic membranous nephropathy.To explore the clinical effects of using traditional Chinese memdicine to treat idiopathic membranous nephropathy,and to provide some certain reference for using traditional Chinese memdicine to treat idiopathic membranous nephropathy.Methods:To collect patients who seed a doctor in Beijing Chinese medicine hosipital during January2011to March2012.All the patients had been diagnosed specificly that Ⅰ-Ⅱ stage idiopathic membranous nephropathy,totally31cases.Results:The study selected cases of men slightly more than women,mainly middle-aged and old.Patient’s courses were majorily less than two years,and their pathological stage majorily Ⅰ-Ⅱ stages.All above is consistent with most current clinical studies.Through the observation,we found that the syndrome type distribution of Ⅰ-Ⅱ stage idiopathic membranous nephropathy are as follow:qi yin liang xu zheng is the most commonly type,occupy41.92%,and the follow in order is qi yin liang xu zheng and gan shen yin xu zheng;in the concurrently types,xue yu zheng ccupy70.97%,ane then is the shi zhuo zheng and shi re zheng.Through the treatment,patients’ symptom and laboratory indicators can be obviously improve.And the31patients according to the western medicine curative effect judgment standard,there are27cases have partial remission,accounting for87.1%.According to the curative effect of traditional Chinese medicine standard67.74%effectively.Conclusion:Qi yin liang xu zheng is the most common syndrome in the Ⅰ-Ⅱ stage idiopathic membranous nephropathy,and the second order is pi shen qi xu zheng,then is the gan shen yin xu zheng;in the concurrently types,the most common syndrome is xue yu zhen,the follow in order is shi zhuo zheng and shi re zheng.The therapeutic schedule of idiopathic membranous nephropathy in Ⅰ-Ⅱ stage that established by doctor ShengRong Zhang director of Ⅰ-Ⅱ has certain curative effect in inproving patients’clinical syndrome and laboratory index.