米杰辨治特发性膜性肾病经验

Experience by Professor MI Jie in Treating Idiopathic Membranous Nephropathy

特发性膜性肾病是临床上常见的肾小球疾病,具有病情反复、慢性迁延的特点,目前尚未形成公认的最佳治疗方案。米杰教授从事肾脏病专业30余年,中西医结合治疗特发性膜性肾病疗效确切。特发性膜性肾病总属本虚标实,其病机为脾肾亏虚、湿瘀互结。水、湿、热、瘀为其基本病理因素,采用补肾健脾、祛湿化瘀之法,标本兼治,随症加减,收效颇著。

Idiopathic membranous nephropathy(IMN)is a common clinical glomerular disease with the characteristics of repeated recurrence and prolonged course,and there is no optimal treatment protocol with consensus.Professor MI Jie has engaged in nephrology for more than 30 years,and treats IMN with integrated Chinese and western medicine effectively.Professor MI Jie believes that IMN pertains to deficient root and excessive branch,and the disease mechanism involves deficiency of spleen and kidney,intermingled dampness and stasis.Water,dampness,heat and stasis are the primary pathological factors.Methods of tonifying kidney and invigorating spleen,removing dampness and resolving stasis are applied to treat both the branch and root with modification according to the symptoms to achieve obvious effect.