WANG Xinhe,XU Yunsheng.PI Chiheng's Experience in Staged Treatment of Diabetic Nephropathy with the Method of Warming Yang, Nourishing Yin,and Invigorating Blood[J].Journal of Traditional Chinese Medicine,2025,66(07):669-673.
WANG Xinhe,XU Yunsheng.PI Chiheng's Experience in Staged Treatment of Diabetic Nephropathy with the Method of Warming Yang, Nourishing Yin,and Invigorating Blood[J].Journal of Traditional Chinese Medicine,2025,66(07):669-673.DOI: 10.13288/j.11-2166/r.2025.07.003.
PI Chiheng's Experience in Staged Treatment of Diabetic Nephropathy with the Method of Warming Yang, Nourishing Yin,and Invigorating Blood
This paper summarized Professor PI Chiheng's experience in treating diabetic nephropathy (DN) using the method of warming
yang
, nourishing
yin
, and invigorating blood by stages. It is believed that
yang
deficiency and
yin
depletion are the key pathological mechanisms of DN, with blood stasis running throughout the disease's progression. The general treatment principle is to warm
yang
, nourish
yin
, and invigorate blood, with different emphases at each stage. For early stage, the disease is characterized by spleen
qi
deficiency and insufficiency of
qi
and
yin
, which could be treated by modified
Shenqi Dihuang Decoction
(参芪地黄汤) to tonify
qi
and invigorate blood, strengthen
yang
and consolidate
yin
; for middle stage, the disease is marked by spleen and kidney
yang
deficiency with internal dampness accumulation, which could be treated by modified
Zhenwu Decoction
(真武汤) and
Sanren Decoction
(三仁汤) warming
yang
and to resolve dampness and unblock meridians; for the late stage, the disease is characterized by blood stasis and toxin accumulation with deficiency of both
yin
and
yang
, which could be treated by modified
Jisheng Shenqi Pill
(济生肾气丸) to eliminate pathological masses and remove toxins, warm
yang
and nourish
yin.
Additionally, traditional Chinese medicine therapies such as rubbing with ointment (Gao Mo therapy) are utilized as adjunct treatments, treating the root and branch simultaneously and combining internal and external approaches.
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Related Author
DING Yingge
CHEN Shilong
WANG Shurui
WANG Lihui
CHEN Qian
崔应麟
ZHU Lihong
PAN Junjie
Related Institution
The Second Clinical Medical College,Henan University of Chinese Medicine
Henan Provincial Hospital of Traditional Chinese Medicine/The Second Affiliated Hospital of Henan University of Chinese Medicine
Hangzhou Hospital of Traditional Chinese Medicine Affiliated to Zhejiang Chinese Medical University