| The chronic glomerulus nephritis (CGN) is a common disease, frequently-occurring disease, which is caused by many kinds of primary renal glomerulus diseases and can continue from one to dozens of years, takes dropsy, the albuminuria, hematuria, hypertension as main clinical manifestation, the partial patients still had the varying degree kidney function harm. The synthesis present domestic and foreign literature materials, was still difficult to this sickness prevention satisfyingly, and it severely jeopardize general populace's health. The Chinese medicine has certain superiority and the curative effect to CGN.The summary part explains CGN in ancient literature, which belonges to"the kidney wind","the geomancy","dropsy","the lumbago","the hematuria"and so on. In ancient times the medicine thought that CGN caused by common cold raiding the kidney, the spleen and kidney empty is a basical reason, the wet and ecchymosis moreover was a sickness. The modern Chinese medicine thought that CGN pathogenesis is complex, the wind, the cold, the hot, the wet, the poisonous external injuries, lung, spleen, kidney is weak, five viscera function being out of balance, the triple warmer, bladder's gasification loses the department, as well as the blood stasis, wet muddy and so on pathology product formations, has certain influence to this sickness. There are three kind of morbidity viewpoints : asthenia in origin and asthenia in superficiality, sthenia pathogenic factors, sthenia pathogenic factors. Next, I elaborate the chronic nephritis's methods of treatment.In clinic, common methods conclude differentiation of symptoms and signs according to five viscera, stages, cause of a disease,the six meridians,exclusive prescription,Chinese traditional patent medicine,symptomatic treatment,single medicine,drink and food,kinetotherapy,acupuncture and external treatment.The textual material first explains lung's in water fluid metabolism physiological pathology significance, proclaims that the lung sends water fluid upward, outward circulation to spread the whole body, outside to reach the superficial fur, after the metabolism, draining by the perspiration form by the pore; the lung falls the water fluid downward, transports inward, becomes source of the urine production, therefore has"the lung runs water","the lung upper reaches of for the water"saying. Chronic nephritis's morbidity frequently takes dropsy as first symptom and cardinal symptoms, therefore, we discuss lung's in water fluid metabolism physiological pathology significance for us to provide the theory basis when we begin from the lung to discuss treats CGN.Next I elaborate the relations between lung and CGN morbidity: Lung Wei suffers evil, proclaims and austeres abnormally, the poker canal to be disadvantageous as well as the pulmonasthenia suffers evil, all above have the close relation with the chronic nephritis's morbidity, the development, the extension turns over to, the prognosis.â‘ CGN initiates lung wei suffering evil.The external injuries influences often first violates the lung, CGN morbidity often take the chain coccus infection as a forerunner, the latter 1~4 weeks morbidity in the upper respiratory tract infection or the acute amygdalitis.The wind,hot,fire, the internal poisoning caused by damp belongs to the lung spleen evilly from the superficial fur, gets down the kidney, thus causes the lung to obstruct to steam outside, the superficial fur. Wet cannot change into the sweat, drains from the superficial fur; the triple warmer gasification to be disadvantageous, is in flood the flesh to become dropsy wet. The external injuries influences the spleen and kidney, spleen loses absorbs firmly, the kidney loses the pickling, releases the albuminuria outside.â‘¡CGN dropsy has close relations with lung adjusting the canal. The lung charges gas, upper reaches of the water, the lung sends to vivo body fluids circulation, the movement and the excretion has the opening and the control action.â‘¢CGN procrastinates because of pulmonasthenia suffering evil. pulmonasthenia is the primary cause that the patient easily to suffer the external injuries influences.Then I summarize literature basis discussed from the lung to treat CGN both the ancient times and the modern. Ancient people proposed ventilates the lung hydragogue"opening pores"to treat dropsy's method and pointed out"the cause of edema being fundamentally in the kidney and incidentally in the lung"in Suwen. Especially from Eastern Han Dynasty Zhang Zhongjing added yuebijiazhu tang to treat edema caused by wind-evil, discusses treat the acute nephritis from the lung theory instructed the clinical care effectively.The modern traditional Chinese medicine thought that treat CGN from lung have various significances, that seemed to be adjustment body fluid metabolism, the anti-allergy, the prevention and the control infection, as well as enhancement organism disease-resistant ability to urge the pathological change internal to restore and so on many kinds of functions.Finally I summarize the main method treat CGN from the lung, expelling wind open the inhibited lung-energy, the clear lung to neutralize poison, to fall the lung to regulate the flow of qi, invigorating qi for strengthening superficies, to raise the lung to incite the kidney, invigorate qi to run water. In addition there are many other methods, such as the benefit lung and spleen to discuss from the lung to treat nephritis's theory. And I enumerate the typical medical records to analyze the explanation quoting cases of the particular disease from Zhao Shaoqin, Yue meizhong, Liu Duzhou, Zou Yanqin, Qiu peiran et al.In brief, treatment of CGN from the lung can scatter the external injuries influences, open the inhibited lung qi , promote it to adjust the canal, get down loses duty of the urinary bladder to restore normally, and the triple warmer canal is unobstructed, helpful to dropsy's retrogression; Simultaneously it may strengthen the lung function, cause it gasified function to be normal, spread wei-energy to superficial fur , defend the external injuries influences effectively; Moreover, if the lung function is normal, it helps mounting function in the kidney, reduces the nutrient substance to excrete, protects the kidney function.In the discusses about treatment of CGN from the lung, according to distinguishes the sickness union dialectical request, according to the different symptoms, we should adopt each kind to govern the law specifically separately. The successful application experience during the clinical care provides a new mentality and the method to us, we should perform to develop the application and the experimental study. |