Professor LI Jianying's experience in treating refractory nephrotic syndrome of the spleen-kidney Qi deficiency and damp-heat syndrome with the Shengyang Yiwei decoction
Refractory nephrotic syndrome is recurrent and refractory to treatment,has a high risk of complications,and progressively worsens renal damage.Long-term proteinuria is a risk factor for end-stage renal disease.Professor LI Jianying as a doctor of medicine,a famous TCM expert in Shandong Province,and a leading talent in Qilu,has been engaged in TCM nephrology for nearly 30 years,and has accumulated rich clinical experience.Based on LI Gao's theory of internal injury to the spleen and stomach,Professor LI Jianying believes that spleen and kidney Qi(气)deficiency and lack of vitality are the root causes of refractory proteinuria for a long time,and the long-term accumulation of damp-heat and the endogenous generation of Yin(阴)and fire are the main factors for the lingering course of the disease.Patients with refractory nephrotic syndrome have been ill for a long time and have weak body,with insufficient Qi in the spleen and stomach,turbidity Yin descends and oppresses the kidneys,resulting in kidney Qi deficiency,and vitality cannot be replenished.In addition,the patient's congenital Qi is insufficient,and the body is unable to fix and raise,and the nutrient substance flows downward,resulting in insufficient biochemistry of vitality.The spleen and kidney Qi is deficient,the Qingyang(清阳)does not rise,the evil essence of dampness and heat is steaming,and the Yin fire are reckless,buming the kidney and meridians for a long time,and damaging the vitality.If the Yin fire rushes upward,the vitality will be more injured,aggravating the spleen and kidney Qi deficiency,and the three causes of deficiency,fire and dampness will intersect,and the cycle will be repeated,depleting the vitality,resulting in edema and proteinuria.The Shengyang Yiwei decoction(升阳益胃汤)was used clinically to treat refractory nephrotic syndrome,starting from the solid protection of the spleen and kidney,promoting Yang and dehumidification,and the dissipation of Yin fire,in order to restore the cardinal of spleen and stomach gasification,so that the Qingyang can be raised,the water valley can be turned into nutrient substance to nourish the kidneys,the kidney Qi can be restored,the damp-heat can be dispelled,the Yin fire is difficult to grow,the nutrient substances can be transmitted normally,and edema and proteinuria can be alleviated.The clinical satisfactory effect has been achieved.
Refractory nephrotic syndromeThe Shengyang Yiwei decoctionSpleen and kidneyDamp-heatYin fire
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