Treatment of idiopathic membranous nephropathy by warming yang according to the theory of"yang deficiency and yin stagnation"
Membranous nephropathy is one of the common pathological types of adult nephrotic syndrome,and those with unknown causes are called idiopathic membranous nephropathy(IMN).In Chinese medicine,it is classified under the category of"edema".The theory of"yang deficiency and yin stagnation"originates from"Yang is transformed into qi,and yin becomes tangible."in the chapter of"Correspondence between Yin and Yang"in the Plain Questions(Su Wen).The insufficient yang to transform qi and the excessive yin formation lead to the accumulation of tangible things such as phlegm-fluid retention,water-retention,and static blood,resulting in a pathological state of"yang deficiency and yin stagnation",and manifesting as IMN.Based on these,Professor ZHANG Lin put forward the method and practical experience of warming yang to treat IMN,emphasizing warming kidney yang to transform qi and drain water retention.The method of warming yang has been regarded as the general outline of treating IMN,that is,"nourishing kidney yang to restrict excessive yin",paying attention to regulating and tonifying the spleen and kidney,warming yang,dispelling cold,and dredging collaterals,while taking into account tangible pathogens by warming yang and removing dampness,warming yang and removing static blood.A case has been attached for clinical reference.
idiopathic membranous nephropathyedemayang deficiency and yin stagnationspleen and kidney defi-ciencywarming yang to transform qi