TANG Huayan, SU Xiao, YANG Xuming, et al. Clinical Observation on Jinquegen Decoction for 34 Cases of Lupus Nephritis[J]. Journal of Traditional Chinese Medicine2014, 55(20): 1754-1756.
TANG Huayan, SU Xiao, YANG Xuming, et al. Clinical Observation on Jinquegen Decoction for 34 Cases of Lupus Nephritis[J]. Journal of Traditional Chinese Medicine2014, 55(20): 1754-1756.DOI: 10.13288/j.11-2166/r.2014.20.012.
Objective To observe the efficacy of Jinquegen Decoction [decoction of caragana( Caraganae Sinicae Radix) ]for lupus nephritis( LN). Methods Totally 68 cases of LN were randomized into the treatment group and control group
with 34 in each. The patients in the control group were orally taken prednisone 10 mg daily or less and 1. 0 g of cyclophosphamide( CTX) once a month intravenously. The treatment group was added with Jinquegen Decoction one dose daily. The treatment lasted for 6 months. The levels of urinary protein( UPR)
anti-dsDNA antibody
IgG
C3
C4 and erythrocyte sedimentation rate( ESR) were detected before and after treatment. The traditional Chinese medicine( TCM) symptom scores in both groups were compared before and after treatment. The adverse reactions were observed and recorded. The efficacy was evaluated after treatment. Results The level of UPR was significantly decreased after treatment in both groups( P < 0. 01). The level of anti-ds-DNA antibody in the treatment group was significantly decreased after treatment( P < 0. 05). There was no significant difference between groups in the levels of UPR
anti-ds-DNA and ESR after treatment( P > 0. 05). The TCM symptom scores for symptoms such as edema
palpitations
fatigue
dry mouth
shortness of breath and chills were significantly decreased in both groups after treatment( P < 0. 01). The total effective rate of the treatment group and control group were 74%and 82% respectively
with no significant difference between groups( P > 0. 05). Adverse reactions occurred in 2cases in the treatment group and 8 cases of adverse reactions in the control group. Conclusion Jinquegen Decoction is effective for LN. It can replace CTX to some extent with a fewer side effect and better tolerance.