Guest guest Posted August 5, 2004 Report Share Posted August 5, 2004 Hello Does anyone have an idea what chinese herb we can use for glomerulonephritis? I have a patient with the said condition and despire being on steroid, his condition is deteriorating Thanks a lot. This group has helped me a lot Quote Link to comment Share on other sites More sharing options...
Guest guest Posted August 5, 2004 Report Share Posted August 5, 2004 Hi xyberdoc > Does anyone have an idea what chinese herb we can use for > glomerulonephritis? I have a patient with the said condition and > despire being on steroid, his condition is deteriorating Medline has many hits, covering many different herbs and formulas, for herbal treatment of glomerulonephritis. Selection of the best one may be a problem: Bo S, Ju J, Chu D.|[Clinical study on Shenning Mixture in treating IgA nephropathy] [Article in Chinese]| Zhongguo Zhong Xi Yi Jie He Za Zhi. 2000 Oct;20(10):729-30. |Yuhuangding Hospital, Yantai City, Shandong 264000.|OBJECTIVE: To study the clinical therapeutic effect of Shenning Mixture (SNM) in treating IgA nephropathy. METHODS: Patients were treated separately with SNM or prednisone by randomized grouping. The criteria, including clinical symptoms, signs, hematuria, albuminuria and immune globulin were observed. RESULTS: The total effective rate and the complete remission rate in the SNM group were 97.1% and 45.7% respectively, while in the control group, they were 37.1% and 8.6% respectively. Comparison of the two groups showed that the therapeutic effect in the former was better than that in the latter significantly, P < 0.01. The hematuria and albuminuria extenuated and serum IgA lowered more significantly in the SNM group than those in the control group (P < 0.05, P < 0.01). CONCLUSION: SNM has obvious therapeutic effect on the hematuria and albuminuria in treating IgA nephropathy.|Publication Types: Clinical Trial Randomized Controlled Trial PMID: 11938804 [PubMed - indexed for MEDLINE] Chen XM, Cheng QL.|[Treatment of rapid progressive glomerulonephritis (RPGN) with pulse methylprednisolone (MP) and urokinase (UK): a renal rebiopsy study] [Article in Chinese]| Zhonghua Nei Ke Za Zhi. 1993 Sep;32(9):607-9. |Department of Nephrology, General Hospital of Chinese PLA, Beijing.|We have performed a case controlled study on the morphological and immunopathological alterations which can be induced by pulse MP combined with UK in RPGN by means of before and post therapy renal biopsies. The results showed renal function and histologic patterns improved. The histopathological (endothelium and mesangial cell proliferation, crescent and interstitial infiltration) and immunopathological (deposition of IgG, C3, Collegen type III, IV, Laminin and FN.) changes improved in all the patients after treatment with pulse MP and UK. The results indicated that pulse MP and UK therapy seems to be useful in treatment of RPGN in early stage and renal rebiopsy could lead to a better understanding of RPGN outcome.|PMID: 8112145 [PubMed - indexed for MEDLINE] Chu F, Wei M, Wang Q.|[Effect of inflammatory factor and yishen huoxue xiezhuo decoction on growth of glomerular mesangial cells in rats] [Article in Chinese]| Zhongguo Zhong Xi Yi Jie He Za Zhi. 2000 Feb;20(2):132-5. |Beijing Medical University, Beijing (100083).|OBJECTIVE: To explore the part of inflammatory factors (cytokines) and Yishen Huoxue Xiezhuo (YSHXXZ) Decoction on the proliferation of extracorporeal cultured mesangial cells (MCs) in rats. METHODS: The effects of lipopolysaccharide (LPS) and interleukin-6 (IL-6) as stimulating factors, its action on the proliferation of rat MCs were investigated by using the technique of 3H-TdR incorporation. Meanwhile, adopting serum pharmacology assay, the medicated serum of rat, containing YSHXXZ decoction was extracted and its effects on the growth of MCs were also studied. RESULTS: LPS and IL-6, in a dose-dependent and time- dependent manner, could markedly stimulate the MCS proliferation, while this stimulatory effects could be strongly antagonized by the serum containing YSHXXZ decoction. CONCLUSION: Mesangial cell is the main target cell of the action of YSHXXZ decoction, and the inhibition on MCs might be one of the mechanisms of the YSHXXZ decoction in preventing the progression of chronic glomerulonephritis.|PMID: 11783317 [PubMed - indexed for MEDLINE] Guo D, Yu J.|[Clinical study on the effect of TCM treatment in decreasing frequency of peritoneal dialysis] [Article in Chinese]| Zhongguo Zhong Xi Yi Jie He Za Zhi. 1996 Feb;16(2):67-9. |First Affiliated Hospital of Nanjing TCM University.|Traditional Chinese herbal medicine was used in combination with peritoneal dialysis (PD) in order to improve the renal function and reduce the frequency of PD. The results indicated that, after 3 months of PD+TCM, the serum BUN, creatinine and mean arterial pressure of therapeutic group lowered and the hemoglobin elevated as compared with those after 1 month of PD (P < 0.01), the difference of above-mentioned criteria between PD+TCM group and less frequent PD (LEPD) group was significant too, while there was no obvious difference in comparison of the PD+TCM group with regular PD group (P > 0.05). The effective rate and the edema cure rate of TCM+PD group were superior to the LFPD group, but had no evident difference as compared with the regular PD group. The results revealed that PD combined with TCM treatment might reduce the frequency of PD for the uremia patient deserved long- term PD therapy.|Publication Types: Clinical Trial Randomized Controlled Trial PMID: 8762415 [PubMed - indexed for MEDLINE] Han MX, Wang YP.|[Effect of fushen decoction on thyroid hormone in chronic glomerulonephritis of both spleen and kidney-yang deficiency patients] [Article in Chinese]| Zhongguo Zhong Xi Yi Jie He Za Zhi. 1993 Mar;13(3):155-7, 133. |Affiliated Hospital of Anhui College of TCM, Hefei.|Changes of thyroid hormone level before and after treatment in 45 patients with chronic glomerulo-nephritis were observed. Of which, 23 cases were treated with Fushen Decoction and the other with Shenyan Siwei tablet as control. The results showed: (1) The level of serum T3 and T4 of 45 patients were significantly reduced (P < 0.001-0.01). (2) The level of serum T3 and T4 were significantly negative correlated with the value of BUN and Scr and the score of both Spleen and Kidney-Yang Deficiency Syndrome (P < 0.01-0.05), but there existed no significant negative correlation with urinary protein excretion in 24 hours (P > 0.05). (3) After treatment with Fushen Decoction, the level of serum T3 and T4 significantly increased (P < 0.01-0.05), but no significant change was recorded in control group (P > 0.05). (4) Although the level of serum T3 and T4 were raised, they were still lower than those of normal people.|PMID: 8339034 [PubMed - indexed for MEDLINE] Hattori T, Fujitsuka N, Kurogi A, Shindo S.|[sairei-to may inhibit the synthesis of endothelin-1 in nephritic glomeruli] [Article in Japanese]| Nippon Jinzo Gakkai Shi. 1997 Mar;39(2):121-8. |TSUMURA & Co. Central Laboratories, New Drug Research Department 1.|In order to clarify the antinephritic mechanisms of Sairei-to (TJ-114), its effects on the synthesis and expression of endothelin-1 were evaluated in rats with anti-glomerular basement membrane (GBM) nephritis. TJ-114 was administered orally once daily from the 20th day after anti-GBM serum injection and was continued throughout the experiment. TJ-114 prevented proteinuria and histopathological changes in the glomeruli of nephritic rats. TJ- 114 inhibited elevation of the endothelin-1 concentration in the supernatant from cultured glomeruli of nephritic rats and the endothelin-1 positive area in the glomeruli. TJ-114 inhibited the elevation of systolic blood pressure and the number of proliferating cell nuclear antigen (PCNA)-positive cells per glomeruli. We also found that the constitutive Kampo medicine in TJ-114, Gorei-san (TJ-17), inhibited the synthesis and expression of endothelin-1. In addition, the constitutive herbs TJ-17, alismatis rhizoma (Japanese name " Takusha " ) and hoelen (Japanese name " Bukuryou " ) inhibited the synthesis and expression of endothelin-1. These results indicate that the antinephritic actions of TJ-114 may be due partially to the inhibition of endothelin-1 synthesis in the glomeruli.|PMID: 9134828 [PubMed - indexed for MEDLINE] Hattori T, Ito M, Nagamatsu T, Suzuki Y.|Studies on antinephritic effect of TJ-8014, a new Japanese herbal medicine (3): Effects on crescentic-type anti-GBM nephritis in rats.| Jpn J Pharmacol. 1990 Jan;52(1):131-40. |Department of Pharmacology, Faculty of Pharmacy, Meijo University, Nagoya, Japan.|We investigated the antinephritic effects of TJ-8014 (Syo-Saiko-To-Kyo-Shyokyo- Ka- Ouren-Bukuryou), in comparison to dipyridamole, on crescentic- type anti-GBM nephritis in rats. When administration of test drugs was started from the heterologous phase (from the day after the anti-GBM serum injection), TJ-8014 at 2.0 g/kg/day, p.o., markedly inhibited the urinary protein excretion and elevations of plasma cholesterol and urea nitrogen levels as well as glomerular histopathological changes (i.e., crescent formation, adhesion and fibrinoid necrosis) throughout the 40-day observation period. TJ- 8014 at 0.1 and 0.5 g/kg/day, p.o., and dipyridamole at 0.4 g/day, p.o., inhibited only the histopathological changes. When treatment was started from the autologous phase (from the 22nd day after the anti-GBM serum injection) after the disease had been established, only the high dose of 5.0 g/kg/day of TJ-8014, p.o., was effective in improving the histopathological changes of the established nephritis, as assessed on the 53rd day. The low doses of TJ-8014 and dipyridamole were ineffective. These results suggest that TJ- 8014 may be a useful Japanese herbal medicine against rapidly progressive glomerulonephritis, which is characterized by severe glomerular lesions with the extensive formation of crescents. Furthermore, the mechanisms of action of this medicine will be discussed.|PMID: 2308233 [PubMed - indexed for MEDLINE] Hattori T, Ito M, Suzuki Y.|Studies on antinephritic effect of TJ- 8014, a new Japanese herbal medicine (4): Effects on accelerated passive Heymann nephritis in rats.| Jpn J Pharmacol. 1990 Nov;54(3):265-75. |Department of Pharmacology, Faculty of Pharmacy, Meijo University, Nagoya, Japan.|We investigated the antinephritic effect of TJ-8014 (Syo-Saiko-To-Kyo-Shyokyo- Ka- Ouren-Bukuryou), in comparison to dipyridamole, on accelerated passive Heymann nephritis in rats. TJ-8014 (4.0 g/kg/day, p.o.) given from the heterologous phase (from the day of injection of the antiserum against Fx1A) markedly inhibited the urinary protein excretion and the elevation of plasma cholesterol levels as well as glomerular histopathological changes. When the treatment was started from the autologous phase (from the 22nd day) after proteinuria was fully developed, TJ-8014 also showed a beneficial effect. Dipyridamole (0.4 g/kg/day, p.o.) had no effect when the treatment was started either from the heterologous or autologous phase. TJ-8014 decreased glomerular rat IgG and rat C3 deposits, although it affected neither the plasma antibody titer against rabbit gamma-globulin nor the plasma complement level. TJ-8014 markedly prevented the reduction of plasma and adrenal corticosterone level as well as the reduction of renal blood flow of rats with nephritis. These results suggest that TJ-8014 may be a useful drug against idiopathic membranous nephropathy and the beneficial effect of this drug may be caused by the elimination of glomerular immune deposits and C3 through the increase in renal blood flow related to the enhanced release of adrenal corticosterone.|PMID: 1708836 [PubMed - indexed for MEDLINE] Hattori T, Nishimura H, Makino B, Shindo S, Kawamura H.|[sairei- to inhibits the production of endothelin-1 by nephritic glomeruli(2): alisols, possible candidates as active compounds] [Article in Japanese]| Nippon Jinzo Gakkai Shi. 1998 Feb;40(2):33-41. |New Drug Research Department, TSUMURA & Co. Central Laboratories, Ibaragi, Japan.|We have previously reported that Sairei-to (TJ-114), a Japanese herbal medicine, prevented the production of endothelin-1 in anti-GBM nephritic rats, and that Alismatis Rhizoma (Takusha in Japanese), one of the twelve herbs composing TJ-114, might be responsible for the action. In order to further clarify the antinephritic components of TJ-114, we investigated the effects of Takusha extracts on various parameters, including endothelin-1 production of glomeruli in vitro and in vivo using anti-GBM nephritic rats. MeOH-100% MeOH and MeOH-50% MeOH fractions (31.3 microgram/ml or higher) strongly inhibited an increase in endothelin-1 concentration in culture medium when they were added to a culture of glomerular cells derived from nephritic rats. In addition, oral administration of the MeOH-100% MeOH fraction (30 mg/kg) ameliorated the proteinuria, increase in systolic blood pressure and changes in histopathological parameters in nephritic rats. Oral administration of the MeOH- 100% MeOH fraction inhibited increase in endothelin-1 expression in the glomeruli of nephritic rats and in endothelin-1 production by a culture of glomerular cells derived from the nephritic rats. Alisols A and B, the main constituents of the MeOH-100% MeOH fraction, inhibited in vitro endothelin-1 production by glomerular cells derived from the nephritic rats. Oral administration of alisol B (30 mg/kg) prevented the endothelin-1 expression by glomeruli and the increase in endothelin-1 production by cultured nephritic glomerular cells. Oral administration of alisol B also ameliorated the proteinuria, the increase in systolic blood pressure and the changes in histopathological parameters in the nephritic rats. These results indicate that the antinephritic action of TJ-114, resulting from the inhibition of endothelin-1 production, may be attributed to the alisols in Takusha.|PMID: 9567069 [PubMed - indexed for MEDLINE] Hattori T, Shindo S, Hisada T, Fujitsuka N, Hibino T, Terazono Y, Maruno M.|[Effects of Onpi-to (TJ-8117) on mesangial injury induced by anti Thy-1 antibody] [Article in Japanese]| Nippon Yakurigaku Zasshi. 1995 Feb;105(2):63-75. |Tsumura Central Laboratories, Ibaraki, Japan.|We investigated the effect of Onpi-to (TJ-8117) on the mesangial injury induced by anti-Thy-1 antibody. TJ-8117 (400 mg/kg/day, p.o.) given from the 1st day (from the day of injection of the anti-thymocyte serum) or 4th day (after mesangial proliferation), markedly inhibited the mesangial proliferation and hypercellularity in glomeruli. TJ-8117 prevented the increase in the number of PCNA or ED-1 positive cells in glomeruli. These results suggest that TJ-8117 is effective against glomerular disease with mesangial injury.|PMID: 7737594 [PubMed - indexed for MEDLINE] Hattori T, Shindo S.|[Effects of sairei-to (TJ-114) on the expression of adhesion molecule in anti-GBM nephritic rats] [Article in Japanese]| Nippon Jinzo Gakkai Shi. 1995 Jul;37(7):373-83. |Tsumura & Co. Tsumura Central Laboratories, New Drug Research Department 1, Ibaragi, Japan.|In order to clarify the antinephritic mechanisms of Sairei-to (TJ-114), the effects of TJ-114 on the expression of adhesion molecules were evaluated in rats with anti- GBM nephritis. TJ-114 was administered orally once a day from the day (1st day) after anti-GBM serum injection throughout the experiment. TJ-114 inhibited crescent formation in glomeruli at the 10th day compared to control rats with anti-GBM nephritis. The ICAM-1- or VCAM-1-positive area in the glomeruli was increased in the nephritic control rats at the 10th day. In contrast, TJ-114 prevented increase in the ICAM-1- or VCAM-1-positive area in the glomeruli of nephritic rats. TJ-114 inhibited increase in the number of LFA-1- or VLA-4-positive cells in the glomeruli. One of the constituent components of TJ-114, Syo-saiko-to (TJ-9) at the dose of 750 mg/kg, also significantly inhibited increase in the ICAM-1- or VCAM-1-positive area in the glomeruli. Gorei-san (TJ-17), another component of TJ-114, inhibited increase in the ELAM-1-positive area and increase in the number of VLA-4-positive cells in the glomeruli. Prednisolone markedly inhibited increase in the positive area of those adhesion molecules and increase in the number of ligand-molecule-positive cells in the glomeruli. These results indicate that the antinephritic action of TJ-114 may be partially due to inhibition of adhesion molecule expression in the glomeruli.|PMID: 7543621 [PubMed - indexed for MEDLINE] Hattori T, Yamada S, Furuta K, Nagamatsu T, Ito M, Suzuki Y.|[studies on anti-nephritic effects of plant components (5). Effects of pherodendrin on original and crescentic-type anti-GBM nephritis in rats] [Article in Japanese]| Nippon Yakurigaku Zasshi. 1992 Jun;99(6):391-9. |Department of Pharmacology, Faculty of Pharmacy, Meijo University, Nagoya, Japan.|Effects of pherodendrin (OB-5) on anti-GBM nephritis were investigated. OB-5 (50 mg/kg/day, i.p.) prevented the urinary protein excretion in original and crescentic-type anti-GBM nephritis in rats. In addition, OB-5 also inhibited the elevation of serum creatinine, urea nitrogen and cholesterol contents in both models of nephritis. Histopathological observations indicated that OB-5 prevented the hypercellularity, crescent formation, adhesion and fibrinoid necrosis in the glomeruli of nephritic rats. OB-5 and cyclosporine A, a positive control drug, prevented the increase in the number of OX-1, CD8 and ED-1 positive cells in the glomeruli. These results indicated that OB-5 may be effective in human glomerulonephritis, and anti-nephritic mechanisms of OB-5 may be due to its inhibition of the activation of macrophages or cytotoxic T cells.|PMID: 1398338 [PubMed - indexed for MEDLINE] Hu Z, Tang L, Chen Y.|[Experimental study of influence of yiqi huoxue (Nourish Qi Move Blood) serial recipes on basement membrane in membranous nephritis in rabbits] [Article in Chinese]| Zhongguo Zhong Xi Yi Jie He Za Zhi. 1999 Feb;19(2):96-9. |Department of Nephrology, Longhua Hospital, Shanghai University of TCM, Shanghai (200032).|OBJECTIVE: To clucidate the mechanism of the therapeutic effect of Yiqi Huoxue (YQHX) serial recipes on membranous nephritis. METHODS: Forty-nine New Zealand male rabbits were made to menbranous nephritis model by cation bovine serum albumin and divided into 5 groups, the group A (treated by Qingre Moshen granule), B (treated by Bushen Moshen granule), C (treated by steroid), D (the control group) and E (the normal group). Twenty-four hours' urinary protein content of the animals was determined every week, and plasma albumin, blood lipid, renal function and prostaglandins were tested by the end of experiment. And pathological changes of basement membrane were observed by using light, electronic and immunofluorescent microscopy with polyethylene imine stain. RESULTS: The 24 hours urinary protein content, plasma albumin and blood lipid in the group A and B were lower than those in the control group significantly, P < 0.01 or 0.05, while those in the group C and the D were similar, P > 0.05. In comparing the group A and B with the group C, the difference was also significant, P < 0.05. Light, electronic and immunofluorescent microscopic examination all showed that the pathologic changes in the group A, B and C were lesser than that of the control, the effect was in the order A > B > C. CONCLUSION: YQHX serial recipes can reduce urinary protein content, elevate plasma albumin level, restore the charge barrier effect of and attenuate the immune complex deposition on the basement membrane of glomeruli.|PMID: 11783306 [PubMed - indexed for MEDLINE] Hu ZY, Chen YP, Zha P.|[Analysis of the treatment with traditional Chinese medicine in chronic glomerulonephritis based on histopathologic type] [Article in Chinese]| Zhongguo Zhong Xi Yi Jie He Za Zhi. 1992 Aug;12(8):455-7, 451. |Long Hua Hospital, Shanghai College of TCM.|The histopathologic type of 189 cases of chronic glomerulonephritis (GN) were confirmed by renal biopsies, they were subdivided into 3 groups. 77 patients of Western medicine (WM) group was treated by conventional WM (prednison or CTX), and after treatment the total effective rate was 55.8%. The TCM-WM group was treated by the same WM plus treatment according to Syndrome Differentiation with Chinese medicinal herbs, and the total effective rate was 86% in 50 patients. The TCM group was treated by Chinese medicinal herbs, and the total effective rate was 67.3% in 62 cases. There was very significant difference (P < 0.01) between the WM and the TCM-WM group. Among the patients of TCM-WM and TCM groups, 67% of 112 cases were manifested as Dampness-Heat Syndrome, so it suggested that one of the important method for GN treatment is clearing away Dampness-Heat. The effects of TCM-WM group is much better than the WM group in treating mesangio-proliferative GN and membranous GN. It was difficult for WM in treating IgA nephropathy, membrano-proliferative GN and focal glomerulosclerosis, but Chinese medicinal herbs were effective with replenishing Qi and strengthening the Spleen, clearing away Dampness-Heat, promoting blood circulation and relieving Stasis, etc.|PMID: 1477498 [PubMed - indexed for MEDLINE] Huang L, Shi P, Wang X.|[The effect of the extract from Radix Paeoniae alba on IgA Glomerulonephritis in mice] [Article in Chinese]| Zhong Yao Cai. 2003 Feb;26(2):109-11. |No. 451 Hospital of PLA, Xi'an 710054.|OBJECTIVE: To observe the effect of the extract from Radix Paeoniae Alba on IgA glomerulonephritis in mice. METHODS: IgA glomerulonephritis was induced by injection of dextran and sephadex-150. After administrating the extract, the contents of urinary protein, BUN and Cr in serum were determined. RESULTS: The extract could inhibit the decline of mouse weight, and decrease urinary protein content and BUN content in serum. While, the extract had no effect on Cr in serum. CONCLUSION: The extract from Radix Paeoniae Alba had therapeutical effect on IgA glomerulonephritis.|PMID: 12795222 [PubMed - indexed for MEDLINE] Jin YP, Yang XL, Wu H.|[Effect of baoyuantang on level of serum lipid peroxide and vitamin E in chronic glomerulonephritis] [Article in Chinese]| Zhongguo Zhong Xi Yi Jie He Za Zhi. 1993 Mar;13(3):158-9, 161, 133. |2nd Affiliated Hospital of Hunan Medical University, Changsha.|Serum lipid peroxide (LPO) and vitamin E (VE) were determined in 18 patients with chronic glomerulonephritis (CGN) before and after treatment with Baoyuantang (BYT). It was found that before treatment the level of serum LPO (4.89 +/- 1.85 mumol/L) was higher, while the content of serum VE (4.27 +/- 1.84 micrograms/ml) was lower than those of normal controls (3.36 +/- 0.59 mumol/L, P < 0.001; 7.03 +/- 0.69 microgram/ml, P < 0.05). After treatment with BYT, the level of LPO lowered to 3.76 +/- 1.49 mumol/L, P < 0.05, as compared with the value before treatment, while the content of VE was increased to 5.33 +/- 2.45 micrograms/ml, but without statistical significance. A negative correlation was found between LPO level and VE content both before and after treatment (r = -0.495,P < 0.05; r = -0.522, P < 0.05). The results indicated chronic deficiency of VE in association with an increase in the level of LPO in the kidney in CGN patients and inhibition of LPO by BYT. After treatment complete remission was observed in 5 cases, basic remission in 3, and partial remission in 7.|PMID: 8339035 [PubMed - indexed for MEDLINE] Ju J, Guo Y, Liang Y, Sun S, Yang J, Yang S.|Clinical study on treatment of chronic renal failure with shenshuailing.| J Tradit Chin Med. 2001 Jun;21(2):93-5. |Yuhuangding Hospital, Yantai City 264000, Shandong Province.|The therapeutic effects of Shenshuailing Kou Fu Ye (SKFY [symbol: see text], the Oral Liquid for Renal Failure) and Shenshuailing Guan Chang Ye (SGCY [symbol: see text], the Enema for Renal Failure) were evaluated in treatment of chronic renal failure, with coateg aldehyde oxystarch as the controls. The changes in the clinical symptoms, serum creatinine, blood urea nitrogen and creatinine clearance rate were observed. The total effective rate in the former was 90.46%, and the latter 60.43%.|Publication Types: Clinical Trial Randomized Controlled Trial PMID: 11498911 [PubMed - indexed for MEDLINE] Kang Z, Bi Z, Ji W, Zhao C, Xie Y.|Observation of therapeutic effect in 50 cases of chronic renal failure treated with rhubarb and adjuvant drugs.| J Tradit Chin Med. 1993 Dec;13(4):249-52. |Department of Internal Medicine, Union Hospital, Beijing.|Treatment of chronic renal failure with rhubarb and adjuvant drugs combined with other appropriate measures alleviates the suffering of the patients and improves the quality of their survival. Most patients can take care of themselves after treatment, and some can engage in half-day work. The treatment prolongs the life of the patient, and reduces medical expenses. It is of definite social and economic benefit, and conforms with China's conditions. Except for very severe cases whose blood creatinine exceeds 884 mumol/L, it can be given to all patients. It can also be used as a transitional measure before more radical therapies may be instituted.|PMID: 8139271 [PubMed - indexed for MEDLINE] Kimura K, Nanba S, Tojo A, Matsuoka H, Sugimoto T.|Effects of sairei-to on the relapse of steroid-dependent nephrotic syndrome.| Am J Chin Med. 1990;18(1-2):45-50. |Second Department of Internal Medicine, Faculty of Medicine, University of Tokyo, Japan.|Sairei-To (Chai-Ling-Tang) was administered to four patients with steroid-dependent relapsing nephrotic syndrome. It was associated with prednisolone and immunosuppressive agents. Histological diagnosis was minimal change in three patients and mild focal glomerulonephritis in one patient. After the start of Sairei- To administration the relapse was markedly suppressed in three patients but not at all in the other. Although we could consider Sairei-To effective for steroid-dependent nephrotic syndrome in the present study, a larger study is necessary to confirm its efficacy.|Publication Types: Case Reports PMID: 2239814 [PubMed - indexed for MEDLINE] Kuo YC, Tsai WJ, Meng HC, Chen WP, Yang LY, Lin CY.|Immune reponses in human mesangial cells regulated by emodin from Polygonum hypoleucum Ohwi.| Life Sci. 2001 Feb 2;68(11):1271- 86. |Laboratory of Immunology, National Research Institute of , Taipei, Taiwan. Kuo9111|In the hope of identifying agents of therapeutic value in glomerulonephritis from Chinese herbs, we found that methanolic extracts of Polygonum hypoleucum Ohwi (P. hypoleucum Ohwi) inhibit human mesangial cells proliferation activated with interleukin-1beta (IL-1beta) and interleukin-6 (IL-6) previously. This study was designed to identify bioactive components from P. hypoleucum Ohwi and elucidate their action mechanisms. We tested four anthraquinones emodin, emodin 1-O- beta-D-glucoside (49A), physcion (62A), and physcion 1-O-beta-D- glucoside (50A) purified from P. hypoleucum Ohwi for their effects on human mesangial cell proliferation and cytokines production in vitro. On a percentage basis, emodin had the highest suppressing activity on the human mesangial cells proliferation activated by IL- 1beta and IL-6. The IC50 of emodin on human mesangial cells proliferation were 17.9+/-1.2 microM. In contrast to 49A, 50A, and 62A, emodin also decreased IL-1beta, IL-6 and tumor necrosis factor-alpha (TNF-alpha) production in human mesangial cells activated with IL-1beta and IL-6. The IC50 of emodin on IL-1beta, IL- 6 and TNF-alpha production in activated human mesangial cells were 16.6+/-1.8 microM, 8.2+/-1.3 microM, and 9.5+/-1.6 microM, respectively. Moreover, IL-1beta and TNF-alpha mRNA expression in activated human mesangial cells was impaired by emodin. The intracellular free Ca2+ concentration ([Ca2+]i) in IL-1beta and IL-6 activated human mesangial cells was decreased by emodin. It is unlikely that cytotoxicity was involved because no cell deaths were observable. We hypothesize that the inhibitory mechanisms of emodin on activated human mesangial cells proliferation may be related to the impairments of gene expression and production of cytokines and [Ca2+]i in the cells.|PMID: 11233994 [PubMed - indexed for MEDLINE] Li P, Fujio S.|Effects of chai ling tang on proteinuria in rat models.| J Tradit Chin Med. 1995 Mar;15(1):48-52. |Graduate School, China Academy of Traditional , Beijing.|Effects of Chai Ling Tang (a decoction of medicinal herbs) on passive Heymann nephritis (PHN) in rats, a model similar to human membranous nephropathy, were examined. Four hundred mg/kg (body weight) of Chai Ling Tang, or 240 mg/kg B.W. of Xiao Chai Hu Tang, or 130 mg/kg B.W. of Chai Hu (Radix Bupleuri), Ban Xia (Rhizoma Pinelliae) and Sheng Jiang (Rhizoma Zingiberis Recens) were intraperitoneally injected respectively into three groups of female Wistar rats once a day starting from 5 days before intravenous injection of anti-FxlA antibody to the end of the experiment. Another group of rats intraperitoneally injected with phosphate buffered saline (PBS) was used as the control. It was found that the excretion of urinary protein was significantly suppressed in the Chai Ling Tang treated group (52.2 +/- 46.9 mg/day) as compared to that in the PBS control group (276.5 +/- 127.0 mg/day) 15 days after anti-FxlA antibody injection (P < 0.01). The decrease of serum albumin and total protein, and the increase of serum total cholesterol were significantly inhibited in the Chai Ling Tang treated group as compared to that in the control group (P < 0.05, P < 0.05 and P < 0.01 respectively). It is therefore concluded that proteinuria in PHN can be significantly suppressed by Chai Ling Tang.|PMID: 7783463 [PubMed - indexed for MEDLINE] Li P, Kawachi H, Morioka T, Orikasa M, Oite T, Shi ZS, Shimizu F.|Suppressive effects of sairei-to on monoclonal antibody 1-22-3- induced glomerulonephritis: analysis of effective components.| Pathol Int. 1997 Jul;47(7):430-5. |Department of Cell Biology, Niigata University School of Medicine, Japan.|The effects of traditional Chinese medicine (Sairei-to) on experimental glomerulonephritis induced in rats by monoclonal antibody (mAb) 1- 22-3 injection was examined. The level of proteinuria in the Sairei-to- treated group was significantly lower than that in the PBS treated group. This suppressive effect was caused by the major component of Sairei-to, Syo-saiko-to but not by another component, Gorel-san. The suppressive effect of Syo-saiko-to was identified in its components (Bupleuri radix, Pinelliae tuber and Zingiberis rhizoma), but not in the other combined components (Ginseng radix and Zizyphi fructus). Further study revealed that the suppressive effects of the combined components were mainly derived from Bupleuri radix. It was demonstrated that the actual active ingredient is probably Saikosaponin-d. Light microscopy revealed that Sairei-to and its effective components suppressed the proliferation of mesangial cells and mesangial matrix expansion. Semiquantitative morphological studies of glomerular lesions on the eighth day showed that Syo-saiko-to and its combined components (Bupleuri radix, Zingiberis rhizoma and Pinelliae tuber) suppressed mesangial matrix expansion significantly compared with phosphate-buffered saline control groups (matrix score: 28.0 +/- 19.1 vs 102.3 +/- 14.1; 30.9 +/- 30.1 vs 102.3 +/- 14.1, P < 0.005, respectively). It was concluded that Saikosaponin-d, as well as Bupleuri radix, Syo-saiko-to and Sairei-to can suppress proteinuria and morphological changes in the rat glomerulonephritis model induced by mAb 1-22-3.|PMID: 9234380 [PubMed - indexed for MEDLINE] Li QF, Ma QY, Zhu CF.|[Effect of combination of bushen jianpi recipe and erythropoietin on serum tumor necrosis factor alpha in patients with anemia] [Article in Chinese]| Zhongguo Zhong Xi Yi Jie He Za Zhi. 2004 Feb;24(2):106-8. |Department of Nephrology, Hangzhou Hospital of TCM, Hangzhou 310000.|OBJECTIVE: To study the effect of treatment of renal anemia by combination of Bushen Jianpi Recipe (BJR, a Chinese experience recipe for supplementing Shen and supporting Pi) and low dosage erythropoietin (EPO), and the influence of treatment on change of serum tumor necrosis factor alpha (TNF-alpha) so as to explore the possible mechanism of integrative Chinese and western medicine (ICWM) in treating renal anemia. METHODS: Patients with renal anemia were randomly divided into two groups, the ICWM group and the control group, symptomatic and supporting treatment such as dialysis, supplementing of ferrous, foliac acid and vitamin B12, was given to both groups. Additionally, to the ICWM group, 50 IU/kg of EPO subcutaneous injection for twice every week, and oral intake of BJR, one dose per day taken in two parts, were given, and to the control group, EPO alone, 50 IU/kg by subcutaneous injecting, 3 times per week, was given. The therapeutic course for two groups was 3 months. Blood levels of hemoglobin (Hb), hematocrit (Hct), TNF-alpha were measured before treatment and the therapeutic effect was observed. RESULTS: After treatment, the levels of Hb and Hct increased significantly in both groups (P < 0.01), comparison between the two groups in Hb and Hct after being treated for 3 months showed significant difference (P < 0.05). The serum level of TNF-alpha was markedly higher than normal range in both groups before treatment, it significantly lowered after treatment in the ICWM group (P < 0.05), but unchanged in the control group. CONCLUSION: Combination of BJR and EPO could significantly inhibit the production of TNF-alpha, this may be an important factor for ICWM in effectively improving sensitivity to EPO.|Publication Types: Clinical Trial Randomized Controlled Trial PMID: 15015438 [PubMed - indexed for MEDLINE] Lin CY, Ku FM, Kuo YC, Chen CF, Chen WP, Chen A, Shiao MS.|Inhibition of activated human mesangial cell proliferation by the natural product of Cordyceps sinensis (H1-A): an implication for treatment of IgA mesangial nephropathy.| J Lab Clin Med. 1999 Jan;133(1):55-63. |Department of Pediatrics and Medical Research, Veterans General Hospital-Taipei, Taiwan, Republic of China.|Cordyceps sinensis (CS) is a parasitic fungus that has been used as a Chinese medicine for a long time in the treatment of nephritis. Today, the hypothesis about the pathogenesis of immunoglobulin A nephropathy (IgAN) is that nephritogenic IgA immune complexes (IgAIC) go to the kidney to stimulate resting mesangial cells to release cytokines and growth factors. These cytokines and growth factors cause mesangial cell proliferation and release matrix, chemical mediators that lead to the glomerular injury. However, nephritogenic IgAIC in humans is still unknown. To solve this problem previously, we established an in vitro model that showed that cultured human mesangial cells (HMC) stimulated with interleukin-1 (IL-1) plus IL-6 can cause mesangial cell proliferation, increasing production of chemical mediators and superoxide anion. An in vivo model also proved that this culture medium may lead to renal injury with hematuria and proteinuria. Therefore, to fractionate the crude components that can be used in the treatment of patients with IgAN, we cultured HMC, and then an HMC activating model with HMC incubated with IL-1 and IL-6 was established. We fractionated the crude methanolic extracts from fruiting bodies of CS with the use of this in vitro inhibition of HMC activation model as our assay method. In brief, the fruiting bodies were extracted by silica gel column chromatography. One out of 6 column fractions, F-2, significantly inhibited the HMC activation by IL-1 plus IL-6. The acute toxicity test with male Institute of Cancer Research mice showed no liver toxicity or mutagenicity. Then we established an IgAN animal model with R36A (Pneumococcal C- polysaccharide purified from Streptococcus pneumoniae) as antigen and anti-R36A IgA monoclonal antibody to form nephritogenic IgA-IC, which can induce hematuria and proteinuria in mice with IgA deposition in the mesangial area. The mice in the IgAN model fed with 1% F-2 in diet had significant reduction of hematuria and proteinuria together with histopathologic improvement. Therefore this fraction was then purified by silica gel column chromatography and high-performance liquid chromatography, which got a purified compound H1-A, which can suppress the activated HMC and alleviate IgAN (Berger's disease) with clinical and histologic improvement. These results give us a new regimen for the treatment of patients with IgAN in the future.|PMID: 10385482 [PubMed - indexed for MEDLINE] Liu F, Liu Y, Li J.|[Effects of danshen on solute transport by peritoneal dialysis] [Article in Chinese]| Hunan Yi Ke Da Xue Xue Bao. 1997;22(3):237-9. |Department of Nephrology, Second Affiliated Hosiptal, Hunan Medical University, Changsha.|Danshen injection was added in peritoneal dialysate with concentration of 6/1000. The D/P value of BUN, Cr and total protein and the D/Do value of glucose and the drained volume were observed. The results showed that the D/P value of BUN and Cr increased from the 2nd day of Danshen addition; the D/Do value of glucose increased from the 1st day of Danshen addition and then came to the original value from the 2nd day of Danshen addition; the D/P value of protein increased continuously from the 1st day of Danshen addition; the drained volume had no change.|PMID: 9868123 [PubMed - indexed for MEDLINE] Liu X, Tao Y, Zhang X, Fan J, Li X.|[An experimental study combined on traditional Chinese medicine with immunosuppressant for treatment and prevention of tubular interstitial nephritis] [Article in Chinese]| Hua Xi Yi Ke Da Xue Xue Bao. 2000 Jun;31(2):211-3, 225. |Department of Nephrology, First Affiliated Hospital, WCUMS, Chengdu 610041.|The objective of this study was to determine the effect of Chinese herbs and immune inhibitors on diffuse proliferative glomerulonephritis. The tubular- interstitial infiltration of cell, TGF-beta expression and interstitial fibrosis were investigated, and the relationship between clinical data and pathological changes was analysed. The results showed the infiltration of cells was inhibited in the " Chinese herbs combined with prednisone " group, the infiltration of cells, TGF-beta expression and interstitial fibrosis were all inhibited in the cyclophosphamide and prednisone " group. But in the prednisone group, interstitial fibrosis was not inhibited. These data suggest that the combined use of Chinese herbs, immunosuppressant and prednisone can inhibit the interstitial cell infiltration and prevent the interstitial fibrosis in diffuse proliferative glomerulonephritis.|PMID: 12515139 [PubMed - indexed for MEDLINE] Makino T, Ito M, Kiuchiu F, Ono T, Muso E, Honda G.|Inhibitory effect of decoction of Perilla frutescens on cultured murine mesangial cell proliferation and quantitative analysis of its active constituents.| Planta Med. 2001 Feb;67(1):24-8. |Department of Pharmacognosy, Graduate School of Pharmaceutical Sciences, Kyoto University, Japan.|The leaves of Perilla frutescens (perilla) are a common herb used in Japan for garnishing raw seafood. Previously, we reported that a decoction of perilla leaves had suppressive effects on the progression of glomerulonephritis in an animal model of spontaneous IgA nephropathy. The objective of the present study was to isolate anti-nephritic constituents in the perilla decoction under the guidance of its in vitro anti-proliferative activity on cultured murine mesangial cells, and to measure the contents of the active constituents in decoctions prepared from various perilla chemotypes, which differ in their composition of essential oils and/or pigments. DNA synthesis of cultured mesangial cells induced by 1% fetal calf serum was significantly inhibited by the perilla decoction (IC50 values, 8.8 microg/ml). Caffeic acid, luteolin 7-O-[beta-glucuronosyl(1-->2)beta- glucuronide], apigenin 7-O-[beta-glucuronosyl(1-->2)beta- glucuronide], scutellarin, and rosmarinic acid were isolated as active constituents. The contents of these phenolic compounds were not significantly different among chemotypes of P. frutescens. Considering the relation between the contents in the perilla decoction and the activities of these compounds, rosmarinic acid represents the in vitro anti-proliferative effect of perilla decoction.|PMID: 11270716 [PubMed - indexed for MEDLINE] Makino T, Nakamura T, Ono T, Muso E, Honda G.|Suppressive effects of Perilla frutescens on mesangioproliferative glomerulonephritis in rats.| Biol Pharm Bull. 2001 Feb;24(2):172-5. |Department of Pharmacognosy, Graduate School of Pharmaceutical Sciences, Kyoto University, Japan.|Leaves of Perilla frutescens var. crispa DECNE. (perilla, Labiatae) are used as a garnishing vegetable in East Asian countries as well as an herbal medicine prescribed in Kampo medicines such as Saiboku- to. A previous in vitro study revealed that a decoction of perilla leaves inhibits the proliferation of murine-cultured mesangial cells. In the present study, we evaluated the in vivo anti-proliferative effects of a perilla decoction using rat mesangio-proliferative glomerulonephritis induced by an intravenous injection of rabbit anti- rat thymocyte serum (ATS). Leaves of perilla were boiled, and the decoction was orally administered to the rats as drinking water at doses of 100 and 500 mg/kg/d from the day of ATS-injection (day 0) to day 8, when rats were sacrificed. In the histological evaluation, the total number of glomerular cells, proliferating cell nuclear antigen (PCNA) positive cells, and macrophage/monocyte antigen-positive cells in the glomerulus, was significantly decreased in perilla-treated rats. A significantly lower level of proliferation was induced by the serum of the perilla-treated rats than by that of the controls. These results suggest that the perilla decoction suppresses the proliferation of mesangial cells in vivo by an inhibition of the glomerular infiltration of macrophage/monocytes and of the production of circulating growth factors.|PMID: 11217087 [PubMed - indexed for MEDLINE] Makino T, Ono T, Liu N, Nakamura T, Muso E, Honda G.|Suppressive effects of rosmarinic acid on mesangioproliferative glomerulonephritis in rats.| Nephron. 2002 Dec;92(4):898-904. |Department of Pharmacognosy, Graduate School of Pharmaceutical Sciences, Kyoto University, Kyoto, Japan.|BACKGROUND: Rosmarinic acid is known to be a natural phenolic compound widely distributed in Labiatae herbs such as rosemary, sweet basil, and perilla. In the present study, we evaluated the suppressive effects of rosmarinic acid on mesangioproliferative glomerulonephritis in vivo, which was induced by intravenous injection of rabbit anti-rat thymocyte serum (ATS) to rats. METHODS: Rosmarinic acid was orally administered to the rats at a dose of 100 mg/kg/day from the day of ATS injection (day 0) to day 8 when rats were sacrificed. The degree of mesangial cell proliferation and matrix accumulation were evaluated by trichrome staining and by immunostaining for proliferating cell nuclear antigen (PCNA), fibronectin, type IV collagen and fibrin. Superoxide dismutase (SOD)-activity in the homogenate of renal cortex was also evaluated. RESULTS: The number of PCNA-positive cells, staining areas of trichrome, fibronectin, collagen IV and fibrin in the glomerulus were significantly decreased, and SOD-activity of renal cortex homogenate was significantly augmented in rosmarinic acid- treated group. CONCLUSION: Rosmarinic acid would suppress the proliferation of mesangial cells and glomerular matrix expansion in vivo by its fibrinolytic and anti-oxidative activity. Copyright 2002 S. Karger AG, Basel|PMID: 12399637 [PubMed - indexed for MEDLINE] Makino T, Ono T, Matsuyama K, Nogaki F, Miyawaki S, Honda G, Muso E.|Suppressive effects of Perilla frutescens on IgA nephropathy in HIGA mice.| Nephrol Dial Transplant. 2003 Mar;18(3):484-90. |Department of Pharmacognosy, Graduate School of Pharmaceutical Sciences, Kyoto University, Japan.|BACKGROUND: Perilla frutescens (perilla) is a herbal medicine used in Japanese traditional Kampo medicine. The present study was conducted to evaluate the anti-nephritic effects of perilla in HIGA mice that spontaneously develop high levels of serum immunoglobulin A (IgA) along with mesangial IgA deposition. METHODS: A perilla decoction and its major active constituent, rosmarinic acid (RsA), were orally administrated to 10- week-old HIGA mice for 16 weeks. At study completion, we measured proteinuria and serum IgA levels and generated histological scores from kidney specimens. In addition, we measured concentrations of IgA in culture media of intestinal Peyer's patch cells and spleen cells obtained from the HIGA mice. RESULTS: Perilla suppressed proteinuria, proliferation of glomerular cells, serum levels of IgA, glomerular IgA and IgG depositions in HIGA mice. Cultured Peyer's patch cells and spleen cells from perilla-treated mice produced significantly less IgA than controls. Rosmarinic acid, by itself, suppressed serum IgA levels and glomerular IgA deposition in HIGA mice. Cultured spleen cells from RsA-treated mice produced less IgA than controls. CONCLUSIONS: The perilla decoction may suppress IgA nephropathy, in part, through modulation of the intestinal mucosal immune system. These effects were caused by RsA acting synergistically with other constituents.|PMID: 12584268 [PubMed - indexed for MEDLINE] Makino T, Ono T, Muso E, Honda G, Sasayama S.|Suppressive effects of Perilla frutescens on spontaneous IgA nephropathy in ddY mice.| Nephron. 1999 Sep;83(1):40-6. |Department of Pharmacognosy, Graduate School of Pharmaceutical Sciences, Graduate School of Medicine, Kyoto University, Kyoto, Japan.|Perilla frutescens (perilla) is a common herb used in Japan for garnishing raw seafood to protect the alimentary tract from inflammatory diseases. The present study was performed to investigate whether or not perilla prevents the development of lesions of IgA nephropathy in ddY mice which spontaneously develop this disease. After orally administering perilla extract to ddY mice from 8 to 42 weeks of age, the changes in urine, serum, and kidneys were evaluated. Perilla extract significantly suppressed proteinuria and glomerular IgA deposition (p < 0.01 and p < 0.05, respectively). The decreased serum IgA concentration in perilla-treated mice showed a significant correlation with glomerular IgA deposition. Such findings suggest that perilla reduced glomerular IgA deposition via suppression of IgA production in the serum. On the other hand, the nitric oxide concentration in the serum of perilla-treated mice was significantly higher than that observed in the controls. The addition of the sera of perilla-treated mice to quiescent cultured murine mesangial cells resulted in a cell proliferation which was less than in controls, suggesting that perilla might either directly prevent mesangial cell proliferation or prevent proliferation by regulating circulating cytokines. Such results indicate that perilla should prevent IgA nephropathy, thus representing a promising herbal medicine for glomerulonephritis.|PMID: 10461034 [PubMed - indexed for MEDLINE] Mitsuma T, Yokozawa T, Oura H, Terasawa K, Narita M.|[Clinical evaluation of kampo medication, mainly with wen-pi-tang, on the progression of chronic renal failure] [Article in Japanese]| Nippon Jinzo Gakkai Shi. 1999 Dec;41(8):769-77. |Department of Japanese Oriental (Kampo) Medicine, Iizuka Hospital, Fukuoka, Japan.|Previous studies have shown that Kampo (traditional Chinese) prescriptions, mainly Wen-Pi-Tang (Onpi-to, [symbol see: text]), have a useful effect in patients with chronic renal failure (CRF). We aimed to examine the long-term effect of Kampo prescriptions on serum creatinine (Cr) among patients with CRF. Patients with serum Cr levels of 2 mg/dl more were enrolled if they had at least 4 recordings of serum Cr in the previous 6 months or more, and were followed-up until the start of dialysis. Eight patients aged 24-59 years with serum Cr 4.5 mg/dl were enrolled in the study for 40 to 402 weeks (mean; 228.1 +/- 118.8 weeks). The cause of CRF was chronic glomerulonephritis in 7 patients and systemic lupus erythematosus in 1 patient. The end points of the study were the slope of the reciprocal of the serum Cr concentration plot against time using Mitch's method, and the predicted period of pre-dialysis. The predicted pre-dialysis period was defined as an increase in serum Cr by 10 mg/dl. As a result, the individual slopes were improved in 6 of 8 cases, in particular, in 4 of 5 Wen-Pi Tang-treated cases. The average slope was improved significantly (p < 0.01) in Wen-Pi-Tang-treated cases, although it showed only a tendency to improve in all 8 cases. The predicted pre-dialysis period was prolonged from 79.2 +/- 74.8 weeks to 389.5 +/- 355.4 weeks and 55.6 +/- 37.0 weeks to 262.4 +/- 145.8 weeks in all 8 cases and Wen-Pi-Tang-treated cases, respectively. The observed pre-dialysis period was 228.1 +/- 118.8 weeks, which showed that Kampo prescriptions prolonged the predicted period for 186 additional weeks. In conclusion, this study demonstrated that the Kampo prescriptions, consisting mainly of Wen-Pi-Tang, retarded the progression of CRF.|Publication Types: Clinical Trial PMID: 10655725 [PubMed - indexed for MEDLINE] Mo R, Wei M, Xu WZ.|[Effects of shenyan yiqiye on experimental membranous glomerulonephritis in rabbits] [Article in Chinese]| Zhongguo Zhong Xi Yi Jie He Za Zhi. 1994 May;14(5):295-7, 262. |Beijing University of TCM.|The cationic bovine serum albumin (C- BSA) was used for duplicating experimental animal model of membranous glomerulonephritis with chronic renal failure. Shenyan Yiqiye (SYYQY) was adopted for treatment. The results showed that, in the therapeutic group, the urine protein and serum creatinine were reduced as compared with those in pathological group, P < 0.01. The parameter of morphometric analysis of glomeruli such as mean diameter, mean perimeter, mean surface area, mean volume, mean cross sectional area were all decreased, P < 0.01, the number of glomerular proliferative cells and thickness of glomerular capillary wall were all attenuated, P < 0.01, as compared with those in the pathological group. It suggested that SYYQY might alleviate the glomeruli lesions and benefit the renal functions.|PMID: 7950217 [PubMed - indexed for MEDLINE] Nagata M, Kawaguchi H, Komatsu Y, Hattori M, Itoh K.|[The effects of sairei-to on nephrotoxic serum nephritis in rats--possible effects on intraglomerular cell mediated immunity] [Article in Japanese]| Nippon Jinzo Gakkai Shi. 1989 Jul;31(7):713-21. ||Sairei- to, one of the herb drugs, has been demonstrated to have several effects. Clinically, evidence have been accumulated showing that sairei-to has been able to reduce the frequency of relapse in minimal change nephrotic syndrome. It has also found that sairei-to has improved proteinurial in minimal change nephrotic syndrome as well as chronic glomerulonephritis in man. Although the mechanism of such effects is still unclear, it is supposed that its immune modulating actions that has been reported. In this study, we quantitated the number of intrarenal Ia positive cells and T cells in nephrotoxic nephritis in rats in order to clarify the intrarenal immune actions of sairei-to on immune mediated glomerulonephritis. Four groups of rats with nephrotoxic nephritis were experimented on. The first group was the controlled group, had no treatment whatsoever. The second group was administered with MPSL (solu-medrol 20 mg/kg, alternate day). The fourth group with both sairei-to and MPSL. The level of proteinuria in three groups treated was almost the same, that is, less than that of controlled group. On light microscopy, sairei-to suppressed glomerular inflammation such as endocapillary proliferative lesions and mesangial expansion, which were shown in controlled group. The histological improvement was almost the found in rats treated with MPSL and both. Sairei-to suppressed infiltrations of intraglomerular Ia positive cells (P less than 0.01) and T cells (P less than 0.01) on the 7th day and 14th day as well. Remarkable suppression of T cells infiltration was noted in rats treated with MPSL along with sairei-to on the 14th day (P less than 0.01).(ABSTRACT TRUNCATED AT 250 WORDS)|PMID: 2585824 [PubMed - indexed for MEDLINE] Nakai S, Kawakita T, Himeno K, Nomoto K.|Combined treatments with Ninjin-youei-to (Ren-shen-yang-rong-tang) plus a suboptimal dose of prednisolone on autoimmune nephritis in MRL/lpr mice.| Int J Immunopharmacol. 1998 Jun;20(6):275-84. |Kampo (Traditional ) Research Laboratories, Kanebo Ltd, Osaka, Japan.|MRL/lpr mice suffer from a systemic lupus erythematosus- like autoimmune disease. We studied the effects of oral treatments with Ninjin-youei-to (NYT, Ren-shen-yang-rong-tang, 1000 mg/kg/day), a suboptimal dose (2 mg/kg/day) of prednisolone(PSL) and their combination on nephritis in MRL/lpr mice. Treatments with NYT or PSL alone inhibited the development of proteinuria and prolonged survival. The combined treatment reduced the incidence of proteinuria and prolonged survival. In histological analysis, NYT treatments decreased the degree of mesangial proliferative glomerulonephritis and infiltration of mononuclear cells in the kidneys. PSL treatment was effective in reducing periglomerular nephritis and vasculitis in addition to such effects as NYT and NYT plus PSL treatment was more effective than PSL alone. The active form of TGF-beta was reduced in NYT and PSL-treated mouse serum, and the combined treatments further suppressed it. However, the treatment with NYT alone did not induce a decrease in the latent form of TGF-beta. The effect of NYT can be assumed to be different from an immunosuppressive effect of PSL. Therefore, the combined treatment with NYT and PSL can be expected to be more useful for the therapy of autoimmune disease such as nephritis, compared with NYT or PSL alone treatments.|PMID: 9754675 [PubMed - indexed for MEDLINE] Nie L, Yu R, Lin X.|[Effect of Yiqi Zishen granule on ultrastructure of glomeruli of IgA nephropathy in mice] [Article in Chinese]| Zhongguo Zhong Xi Yi Jie He Za Zhi. 1999 Dec;19(12):737-9. |Xiyuan Hospital, China Academy of TCM, Beijing (100091).|OBJECTIVE: To study the effect and therapeutical mechanism of Yiqi Zishen granule (YQZSG) in treating IgA nephropathy. METHODS: One hundred and fifty mice were divided into 5 groups randomly, in every treatment group, the relevant drugs were given. Their kidney tissues were observed with light microscope and electron microscope in batches at the 3rd, 6th, 9th and 12th week. RESULTS: The glomerular mesangial cells and mesangial matrix were proliferative in the model group at the 6th, 9th and 12th week. The light density of glomeruli, the mesangial area, the numeral density of mesangial cells and the light density of mesangial matrix in the model group were obviously higher, the change of large and small dosage YQZSG group and positive Chinese drug group were similar, but milder in pathological degree. The light density of glomerulus area, the mesangial area, the numeral density of mesangial cells and the light density of mesangial matrix in large dosage YQZSG group were significantly lower than those in the model group (P < 0.05 or P < 0.01). CONCLUSION: YQZSG could inhibit the proliferation of mesangial cells and the mesangial matrix in IgA nephropathy.|PMID: 11783147 [PubMed - indexed for MEDLINE] Nykuda TD, Voznesens'kyi SO.|[An informational and statistical validation of plant compounds for the treatment of patients with chronic glomerulonephritis] [Article in Ukrainian]| Lik Sprava. 1994 Feb;(2):35-9. ||Chronic glomerulonephritis (ChGN) is a grave poorly controlled disease for which no efficient method of pathogenetic therapy is available. In looking for efficient methods of treatment plants were of traditional (folk) medicine. The present investigation involves an approach based on the concepts of informational content of complicated prescriptions which form the basis of traditional medicine. Methods have been worked out of informational screening of structure of composite multicomponent herbal remedies, on the basis of the information theory using statistical methods. Computer the analysis has been performed of 176 phytotherapeutic formulae for the treatment of ChGN, based on the folk medicine experience. Phytocompositions have been selected to be used for a target-oriented action on human organism in ChGN, being characterized by duplication of components of unidirectional action. Herbs plants were singled out, incompatible in the treatment of ChGN.|PMID: 8073716 [PubMed - indexed for MEDLINE] Sharma M, Li JZ, Sharma R, Artero M, Ge X, McCarthy ET, Wang HY, Savin V.|Inhibitory effect of Tripterygium wilfordii multiglycoside on increased glomerular albumin permeability in vitro.| Nephrol Dial Transplant. 1997 Oct;12(10):2064-8. |Department of Medicine, Medical College of Wisconsin, Milwaukee, USA.|BACKGROUND: Tripterygium wilfordii Hook F is a medicinal plant used for the treatment of glomerulonephritis in China. We studied the effect of Tripterygium wilfordii multiglycoside (TWG) on glomerular albumin permeability (Palbumin) in vitro. METHODS: Isolated rat glomeruli were incubated with protamine (600 micrograms/ml) for 30 min, or with human recombinant tumour necrosis factor (TNF-alpha 0.4 ng/ml), superoxide (10 units/ml), or serum from a focal segmental glomerular sclerosis (FSGS) patient for 10 min at 37 degrees C. TWG, 1 mg/ml, was added in parallel tubes to study the effect on Palbumin. Control glomeruli were incubated under identical conditions. The albumin reflection coefficient (sigma albumin) was calculated from the change in glomerular volume in response to an applied oncotic gradient. Convectional permeability (Palbumin) was calculated as (1 - sigma albumin). RESULTS: Compared with controls, protamine increased the Palbumin of glomeruli (0.83 +/- 0.05, n = 25, vs 0.18 +/- 0.03, n = 20); pretreatment with TWG blocked this effect (0.13 +/- 0.04, n = 25). TNF-alpha also increased the Palbumin (0.79 +/- 0.04, n = 24 vs 0.04 +/- 0.07, n = 19); preincubation with TWG blocked this effect (0.03 +/- 0.09, n = 24). Palbumin of glomeruli incubated with xanthine and xanthine oxidase, resulting in the production of superoxide, also increased as compared to controls (0.85 +/- 0.04, n = 15 vs 0.08 +/- 0.05, n = 14); TWG blocked this effect as well (0.21 +/- 0.08, n = 14). FSGS serum also increased Palbumin of glomeruli significantly (0.88 +/- 0.02, n = 49 vs 0.00 +/- 0.02, n = 49); preincubation with TWG blocked this effect (0.05 +/- 0.07, n = 30). TWG by itself had no effect on Palbumin (0.19 +/- 0.10, n = 15). CONCLUSIONS: Our results show that TWG blocks protamine, TNF-alpha, superoxide, and FSGS serum-mediated increase in glomerular albumin permeability in vitro. We conclude that reduction of proteinuria by Tripterygium wilfordii multiglycoside in various kinds of glomerular diseases in vivo might be due to protection of the glomerular filtration barrier.|PMID: 9351066 [PubMed - indexed for MEDLINE] Song Y, Ma J, Li CL.|[Mechanical research on effects of yishenqing on membranous nephropathy] [Article in Chinese]| Zhongguo Zhong Yao Za Zhi. 2002 Jul;27(7):537-40. |Department of Molecular and Cellular Pharmacology, School of Pharmaceutical Science, Peking University 100083, Beijing, China.|OBJECTIVE: To investigate the therapeutic effect and mechanism of Yishenqing on rabbit membranous nephropathy. METHOD: The rabbit membranous nephropathy model was induced by cationic bovine serum albumin, and the immunity of mice together with urine volume and haemorheological property of rats were also estimated. RESULT: Yishenqing could significantly reduce the urinary protein content, preserve the renal function and pathologically restore the glomeruli. Moreover, its effects also include immunity enhancement, diuretic property and blood stasis amelioration. CONCLUSION: Yishenqing has good effects on the rabbit membranous nephropathy, which is probably due to the effects of diuretic property, immunity enhancement and blood stasis amelioration.|PMID: 12776520 [PubMed - indexed for MEDLINE] Sugimoto K, Fujise Y, Shibata K, Komori Y, Nikai T, Sugihara H, Sakurai N.|Effects of a prescription of Chinese herbal medicine on snake venom-induced nephropathy in mice.| Biol Pharm Bull. 1996 Apr;19(4):587-92. |Department of Hygiene, Hamamatsu University School of Medicine, Japan.|A prescription of Chinese herbal medicine, tentatively named P-19, was examined for its inhibitory effect and its mechanism using an experimental model of nephropathy induced by purified snake venom proteinase, Ac(1)- proteinase (Ac(1)-P). The treated mice were injected with 0.1 ml of crude extract of P-19 intraperitoneally every other day beginning 2 d before to 1 week after the injection of Ac(1)-P. The non-treated mice were injected with saline instead of the medicine P-19. The physiological condition and histopathological observation of the mice at one week after Ac(1)-P injection were better in the treated group than in the non-treated group. This indicates that P-19 inhibited the production of glomerular lesions induced in mice by Ac(1)-P. The physiological condition and histopathological changes in the mice were better with P-19 treatment than with P-3 treatment. Differences in the mechanism of action between the crude extract of P-3 and P-19 are not only in diuretic action but also in the changes in the glomerular basement membrane. On the basis of spectrophotometric studies, phenolic carboxylates were confirmed to be contained in the crude extract of P-19, having a different chemical structure of caffeic acid, which is the effective component in P-3. Immunohistochemical observation revealed a difference between the groups. In the non-treated mice, deposits of the venom were clearly observed in the glomerular tuft and Bowman's capsule, corresponding to the histopathological changes, within 2.5 min after the injection of Ac(1)-P. In the treated mice, the deposits were indistinct in the Bowman's capsule. The difference was considered to be caused by changes in the glomerular basement membrane after P-19 treatment.|PMID: 8860964 [PubMed - indexed for MEDLINE] Sun SL, Yi HP, Wang QL, Huang SZ, Liu XC.|Experimental studies on immune-complex in situ type glomerulonephritis in rabbits treated with mai-luo-tong and natural indigo.| J Tongji Med Univ. 1994;14(3):153-7. |Department of Nephrology, Tongji Hospital, Tongji Medical University, Wuhan.|By injection of C-BSA, immune- complex in situ type glomerulonephritis was duplicated in rabbits and treated with Mai-Luo-Tong and natural Indigo. The results showed that proteinuria in the treated groups M and Q was decreased. The difference between group M and control group is statistically significant (P < 0.05). Under light and electron microscope, although glomerular basement membrane was irregularly thickened and subepithelial dense electron deposited in the treated group, but microthrombus, erythrocytes and platelets aggregation and leukocytes impaction were not seen within glomerular capillaries. Also in groups C, Q, M, mesenteric cell count was 99.40 +/- 18.53, 92.87 +/- 17.89, 66.55 +/- 7.75 respectively, the M. Q groups are compared with group C, the result is of statistical significance (P < 0.05) and there is no apparent glomerular fibrosis in the treated groups.|PMID: 7807600 [PubMed - indexed for MEDLINE] Sun Y, Chen B, Jia Q.|[Clinical effect of Xinqingning combined low dose continuous gastrointestinal dialysis in treating uremia] [Article in Chinese]| Zhongguo Zhong Xi Yi Jie He Za Zhi. 2000 Sep;20(9):660-3. |Department of Nephrology, Xuanwu Hospital, Capital University of Medical Sciences, Beijing (100053).|OBJECTIVE: To investigate the clinical effect of Xinqingning (XQN), a preparation of rhubarb, combined with low dose continuous gastrointestinal dialysis in treating uremia. METHODS: Patients of uremia were divided into three groups at random, eighteen patients in the group A were treated with 1000 ml gastrointestinal dialysate (non-absorbed mannitol solution) orally 2- 3 times a day, twenty patients in the group B treated with the same therapy as that in the group A, but combined with XQN 5-10 tablets 3 times per day and 19 patients in the group C treated by orally taken coated aldehyde oxystarch 5-10 g, 3 times a day. The therapeutic course for the three groups were 11 months. The changes in clinical manifestation, renal function, nutritional condition, and electrolytes before and after treatment were observed. RESULTS: After treatment, significant improvement was revealed in aspects of uremic symptoms, quality of life, nutritional condition, serum creatinine, urea nitrogen, serum phosphate, uric acid, CO2 combining power, creatine clearance, body weight and arm muscular circumference in the group A and B, as compared with those in the group C. In comparison of the group A and B, the group B showed a lower serum triglyceride and slower progression of chronic renal failure (CRF). All the criteria were not improved in the group C and with serum creatinine raised significantly. CONCLUSION: XQN combined low dose continuous gastrointestinal dialysis therapy was effective in definitely treating uremia, it provides a new therapeutic means of non-replacement therapy for CRF with uremia.|Publication Types: Clinical Trial Randomized Controlled Trial PMID: 11789169 [PubMed - indexed for MEDLINE] Wang G, Li C, Jin L.|[Experimental study on treatment of chronic renal failure with yishen qudu capsule] [Article in Chinese]| Zhongguo Zhong Xi Yi Jie He Za Zhi. 2000 Oct;20(10):761-3. |Postgraduate School of China Academy of TCM, Beijing 100700.|OBJECTIVE: To study the mechanism of action of Yishen Qudu capsule (YSQDC) in experimental rat model of chronic renal failure (CRF). METHODS: Membranous nephropathy model was induced by cationized bovine serum albumin intravenous administration in rats for 7 weeks and developed to CRF. The model was then treated with YSQDC of large or small dose by gastrogavage for 5 weeks. Oxidated starch was used in the control group. RESULTS: YSQDC could reduce proteinuria, serum creatinine, blood urea nitrogen, total cholesterol, triglyceride and serum circulating immune complex (P < 0.01 or P < 0.05), it also reduced the kidney coefficient, glomerular cells and tubular protein cast significantly (all P < 0.01). The strength of immune fluorescence weakened remarkably (P < 0.01). The pathological lesions improved significantly after treatment under light and electron-microscopic examination. CONCLUSION: YSQDC could improve renal function significantly and inhibit the progression of CRF.|PMID: 11938814 [PubMed - indexed for MEDLINE] Wang QL, Huang SZ, Sun SL.|[Research on immune complex in situ type glomerulonephritis treated with mai-luo-tong in rabbits] [Article in Chinese]| Zhongguo Zhong Xi Yi Jie He Za Zhi. 1993 Jan;13(1):30-2, 5-6. |Tongji Hospital, Tongji Medical University, Wuhan.|Applying c-BSA to duplicate immune complex in situ type glomerulonephritis in rabbits and treating it with Blood Circulation Promoting and Stasis-Removing Drugs Mai-Luo-Tong, the results showed that proteinuria in the treated group was decreased significantly, as compared to the control group (P < 0.01). Under light and electron microscope, although glomerular basement membrane was irregularly thickened and subepithelial dense electron deposits were found in both groups, but histopathologic damage in the treated group less than that of control one. In the treated group micro-thrombus, erythrocytes and platelets aggregation, leukocytes impaction were not seen within glomerular capillary. Also in the treated group mesangial cell proliferation and granulocyte infiltration were decreased significantly (P < 0.01) and there was no apparent glomerular fibrosis in former group.|PMID: 8499732 [PubMed - indexed for MEDLINE] Wang SQ, Du XR, Lu HW, Wang TL, Li H.|Experimental and clinical studies of " Shen Yan Ling " in treatment of chronic glomerulonephritis.| J Tradit Chin Med. 1989 Jun;9(2):132-4. || " Shen Yan Ling " (SYL) is a compound herbal preparation consisting of 16 ingredients: Herba Ecliptae, Radix Rhemanniae, Rhizoma Cibotii, Radix Angelica Sinensis, Rhizoma Ligustici Chuanxiong, Radix Paeoniae Rubra, Rhizoma Diosocoreae, Poria, Radix Sanguisorbae, Radix Rubiae, Herba Portulacae, Fructus Gardeniae, Herba Cirsii Japonici, Herba Cephalanoploris, etc. In animal experiments, SYL was shown to have therapeutic effect for Masugi's nephritis models. It has also been used with satisfactory results in the treatment of 314 cases of chronic glomerulonephritis of the common type with manifestations of Yin deficiency and endogenous heat.|PMID: 2779276 [PubMed - indexed for MEDLINE] Watanabe H, Takahashi Y, Fujioka T, Kanmatsuse K.|Effect of Saireitoh on rabbit smooth muscle cell proliferation and experimental atherosclerosis.| J Atheroscler Thromb. 2000;6(2):33- 41. |Second Department of Internal Medicine, Nihon University School of Medicine, Tokyo, Japan.|Saireitoh is a traditional Chinese medicine that is often given to patients with nephrotic syndrome or glomerulonephritis. Studies have reported that Saireitoh stimulates intrinsic steroid secretion in rats and suppresses the proliferation of fibroblasts in vitro. We examined the effects of Saireitoh on vascular smooth muscle cell proliferation and migration in vitro and experimental atherosclerosis in vivo. Saireitoh rabbit serum obtained from New Zealand White rabbits which were given a diet containing 2% Saireitoh for 3 days significantly inhibited [3H]-thymidine incorporation by smooth muscle cells, which were isolated from thoracic aorta explants of rabbits. The addition of 10% Saireitoh rabbit serum to a culture medium containing smooth muscle cells inhibited DNA synthesis by 50% as compared with a control culture to which 10% normal rabbit serum was added. We also found that the number of smooth muscle cells in the culture containing Saireitoh rabbit serum was decreased. When PDGF was used as a chemoattractant, we demonstrated that Saireitoh rabbit serum slightly inhibits the migration of smooth muscle cells. In in vivo experiments, Saireitoh did not suppress the development of atherosclerosis but tended to reduce the damage. We concluded that although Saireitoh inhibited the proliferation of smooth muscle cells, the effect of prevention on the development of atherosclerosis is weak in the in vivo condition.|PMID: 10872612 [PubMed - indexed for MEDLINE] Wei BH.|[Clinical and experimental study on the prescription of jianpi yipi] [Article in Chinese]| Zhong Xi Yi Jie He Za Zhi. 1989 Sep;9(9):537-9, 516. ||According to " Spleen-Stomach " theory, the effect of Jianpi Yiqi prescription (JPYQ) was observed clinically and studied experimentally. 168 cases manifested as Spleen-Qi deficiency including chronic gastritis and peptic ulcer (84 cases), chronic glomerulonephritis (44 cases) and vomitus gravidarum- edema of pregnancy (40 cases) were treated with JPYQ. Estimation were made based on their clinical conditions. Serum gastrin, serum cholyglycine, blood acetylcholine and cholinesterase, blood 5-HT and histamine were measured before and after treatment. The overall effective rate was 92.9% in gastritis and peptic ulcer group, 86.3% in nephritis group and 100% in pregnancy group respectively. A marked increase of serum glycocholic acid level was shown in gastritis and peptic ulcer and vomitus gravidarum groups. That was considered as the result of the secretion of cholic acid by this prescription. Clinical improvement was also obtained in nephritis group accompanying disappearance of albuminuria in 36.4%. Blood level of 5-HT and histamine lowered to some extent and tended to be normal. Besides, this prescription markedly inhibited electric stimulated excitement on isolated longitudinal muscle strip of guinea pig's ileum. The mechanism could be the inhibition of release of acetylcholine from Auerbach's plexus by this prescription.|PMID: 2598359 [PubMed - indexed for MEDLINE] Wei CY, Chen XM, Zhang YP.|[Clinical observation on effect of shenle capsule in treating mesangial proliferating glomerulonephritis] [Article in Chinese]| Zhongguo Zhong Xi Yi Jie He Za Zhi. 2002 May;22(5):341-5. |Department of Nephrology, General Hospital of PLA, Beijing 100853.|OBJECTIVE: To study the therapeutic effect of Shenle capsule (SLC) in treating mesangial proliferating glomerulonephritis (MsPGN) and to explore its therapeutic mechanism and clinical indication. METHODS: Adopting case control method, taking angiotensin-converting enzyme inhibitor (benazepril) as control agent, the 142 cases of MsPGN were randomly divided into 3 groups, treated with SLC (Group A, n = 36), SLC plus benazepril (Group B, n = 68) and benazepril alone (Group C, n = 38) respectively. Changes of fibrinogen, lipids, renal function and urinary protein were observed. RESULTS: The total effective rate in Group A was higher than that in Group C, but with insignificant difference. The total effective rate in Group B after 3 courses of treatment was 89.74%, which was higher than that in Group C and Group A (P < 0.05). Levels of cholesterol (CH), triglyceride (TG), serum creatinine, fibrinogen and urinary protein (UP) were significantly lowered in Group A after treatment, with the levels of CH, TG and UP lower than those in Group C, while CH, TG and fibrinogen were unchanged in Group C after treatment. CONCLUSION: SLC is superior in higher efficacy and less side-effects in treating MsPGN, its effect is related with the degree of kidney pathological changes, it is more effective in treating patients with mild pathological change than in those with severe change. The outcome of combined use of SLC and angiotensin-converting enzyme inhibitor would be better.|Publication Types: Clinical Trial Randomized Controlled Trial PMID: 12584830 [PubMed - indexed for MEDLINE] Wei J, Ni L, Yao J.|[Experimental treatment of rhubarb on mesangio-proliferative glomerulonephritis in rats] [Article in Chinese]| Zhonghua Nei Ke Za Zhi. 1997;36(2):87-9. |Department of Nephrology, Drum Tower Hospital, Nanjing.|Accumulation of extracellular matrix is a prominent feature of progressive glomerulonephritis (GN). Previously, we have shown that Emodin, an important component of Rhubarb, inhibits the fibronectin (FN) production of cultured mesangial cells. We now provide evidence of the same effect of Rhubarb in immune complex GN induced in rats by injection of anti-thymocyte serum (ATS). Rhubarb ameliorated mesangial matrix expansion on day 7 after ATS administration. Decreased FN level and IL-1 activity were found in the supernatant of cultured glomeruli from Rhubarb-treated animal at the 7th day. Glomerular tissue FN fluorescence staining was also much weaker than that of the untreated rats. These studies demonstrated that Rhubarb-treated anti-Thy-1 animal model should develop significantly less matrix expansion. Rhubarb also inhibited synthesis and secretion of fibronectin, an important component of mesangial extracellular matrix. Decreased IL-1 activity might be involved in the therapeutic effect of Rhubarb on mesangioproliferative glomerulonephritis.|PMID: 9812565 [PubMed - indexed for MEDLINE] Wei J, Yan XC, Wang JA.|[Clinical and experimental study on effects of ji shen mixture for infantile acute glomerulonephritis] [Article in Chinese]| Zhongguo Zhong Xi Yi Jie He Za Zhi. 1993 Dec;13(12):733-5, 709. |First Affiliated Hospital, Xi'an Medical University.|33 cases of acute glomerulonephritis treated with Ji Shen Mixture (JSM) were studied with 31 cases treated with Western medical therapy (WM) for comparison and 34 healthy subjects as controls. The levels of lipo-peroxide (LPO), glutathione peroxidase (GSH-Px), superoxide dismutase (SOD), theromboxane B2 (TXB2), 6-keto-PGF1 alpha and TXB2/6-keto-PGF1 alpha ratio were examined before and after treatment. Compared with healthy controls, the levels of LPO, TXB2, TXB2/6-keto-PGF1 alpha of patients increased and that of GSH-Px, 6-keto-PGF1 alpha decreased significantly, whereas SOD activity had no significant difference. After treatment, the level of LPO reduced and GSH-Px activities raised significantly, but the effect of JSM group was better than that of WM group. It indicated that JSM was more effective in clearing the free radicals. The TXB2, TXB2/6-keto-PGF1 alpha dropped and 6-keto-PGF1 alpha elevated significantly after treatment, the effects of JSM were markedly better than those of WM. Furthermore, JSM was more potent in raising the clearing rate of hematuria and proteinuria.|PMID: 8136648 [PubMed - indexed for MEDLINE] Wu X, Li J, Liu B.|[Clinical study on dan shao tang in treating IgA nephropathy of deficiency of yin with damp-heat symptom] [Article in Chinese]| Zhong Yao Cai. 2003 Nov;26(11):844-6. |First Affiliated Hospital of Sun Yat-sen University, Guangzhou 510080.|OBJECTIVE: To explore the effect of Dan Shao Tang(DST) in treating IgA nephropathy(IgAN) of deficiency of Yin with damp- heat symptom. METHODS: 90 patients with IgAN of deficiency of Yin with damp-heat symptom were randomly divided into two groups. 50 patients in treatment group were treated with DST and western medicine and 40 patients in control group were treated only with western medicine. The effects and changes of the indexes including renal function, hematuria, proteinuria, blood IgA before and after treatment were observed. RESULTS: After six months treatment, the general effective rate in treatment group was 70.00%, which was markedly higher than that in control group(37.50%, P < 0.01). Treatment group is obviously better than control group on decreasing hematuria, proteinuria, blood IgA and improving renal function(P < 0.05). CONCLUSION: DST is effective on IgAN of deficiency of Yin with damp-heat symptom.|Publication Types: Clinical Trial Randomized Controlled Trial PMID: 14989068 [PubMed - indexed for MEDLINE] Wu X, Li J, Mo S, Zhou Y, Shen W.|[Clinical study on treatment 82 cases of chronic primary glomerulopathy with deficiency of yin with damp-heat symptom with dan shao tang] [Article in Chinese]| Zhong Yao Cai. 2001 Jun;24(6):465-7. |First Affiliated Hospital, Sun Yat-sen University of Medical Sciences, Guangzhou 510080.|OBJECTIVE: To investigate the treatment effect of Dan Shao Tang on chronic primary glomerulopathy with deficiency of Yin with damp-heat symptom. METHODS: 132 cases of chronic glomerulopathy with deficiency of Yin with damp-heat symptom, which divided into two groups at random, the 82 cases which were the therapy group using Dan Shao Tang and west medicine, and the other 50 cases which treated only by west medicine. We observed the effect and indexes change including renal function, proteinuria, hematuria. RESULTS: The effective rate of the therapy group is 90.24%, and the effective rate of the control group is 66% (P < 0.05), The therapy group is superior to the control group in improving renal function, decreasing proteinuria and hematuria in evidence(P < 0.05). CONCLUSION: Dan Shao Tang is effective to treatment on chronic primary glomerulopathy with deficiency of Yin with damp-heat symptom.|Publication Types: Clinical Trial Randomized Controlled Trial PMID: 11563193 [PubMed - indexed for MEDLINE] Xie T, Zhang L.|TCM differential treatment of 30 cases of IgA nephropathy.| J Tradit Chin Med. 1997 Dec;17(4):243-6. |Department of TCM, Chinese PLA General Hospital, Beijing.|Thirty cases of IgA nephropathy having been diagnosed by biopsy with kidney puncture were selected. The treatment was based on the differentiation of syndromes in traditional Chinese medicine (TCM). The disease was divided into 4 stages: the initial stage with the lesion in the lung and kidney, the stable stage with the lesion in the spleen and kidney, the late stage with the lesion in the liver and kidney, and the recurrent stage. They were treated by TCM. Of them, 10 cases were completely alleviated, 13 markedly alleviated, 4 improved, and 3 ineffective, the total effective rate being 90%.|PMID: 10437203 [PubMed - indexed for MEDLINE] Xiong YL, Wang JH, Zong GZ, Tu GR, Feng QR, He W, Cai HB, Yu JG, Hui LQ.|[Effects of guifu dihuang pills extract on rabbit IgG accelerated mouse nephritis induced by nephrotoxic serum] [Article in Chinese]| Zhongguo Zhong Yao Za Zhi. 1994 May;19(5):302-4, inside backcover. |Institute of Chinese Materia Medica, China Academy of Traditional , Beijing.|The effects of Guifu Dihuang Pills extract were observed in rabbit IgG accelerated mouse nephritis model induced by nephrotoxic serum. The results showed that this preparation could increase serum albumin, reduce urine protein, serum urea nitrogen and total cholesterol in serum, and improve the histological lesions in kidneys. The effects of Guifu Dihuang Pills extract in dosages of 0.3g/kg and 1.2g/kg were similar to those of cyclophosphamide 0.015g/kg.|PMID: 7945874 [PubMed - indexed for MEDLINE] Ye RG.|[Treatment of IgA nephropathy by integrated traditional and Western medicine] [Article in Chinese]| Zhongguo Zhong Xi Yi Jie He Za Zhi. 1992 Jan;12(1):17-9, 4. |Renal Institute, Sun Yat-Sen University of Medical Sciences, Guangzhou.|45 cases of IgA nephropathy were confirmed by renal biopsy and were divided into 2 groups, the integrated traditional and western medicine (TCM- WM) therapeutic group and the western medicine (WM) therapeutic group. The WM group was treated by conventional western medicine (persantin, vitamin B co.), and the TCM-WM group was treated by the same western medicine plus differential symptomatic treatment with decoction of Chinese crude herbs. In this paper, most patients (30 cases) were present as deficiency of Yin of the Liver and Kidney type, and were treated by Qiju Dihuang pill plus Erzhi pill. All types in TCM-WM group were also used herbs of promoting blood circulation and remove blood stasis in almost every case. After 6 months of such treatment, the total effective rate of TCM-WM group and the WM group were 86.4% and 13.0% respectively. There was very significant difference (P less than 0.01) between them. The results showed that the curative effect of the TCM-WM group was much superior than WM alone for the treatment of IgA nephropathy.|PMID: 1627942 [PubMed - indexed for MEDLINE] Yoshikawa N, Ito H, Sakai T, Takekoshi Y, Honda M, Awazu M, Ito K, Iitaka K, Koitabashi Y, Yamaoka K, Nakagawa K, Nakamura H, Matsuyama S, Seino Y, Takeda N, Hattori S, Ninomiya M.|[A prospective controlled study of sairei-to in childhood IgA nephropathy with focal/minimal mesangial proliferation. Japanese Pediatric IgA Nephropathy Treatment Study Group] [Article in Japanese]| Nippon Jinzo Gakkai Shi. 1997 Jul;39(5):503-6. |Faculty of Health Science, Kobe University School of Medicine.|To determine the effect of the Chinese herbal medicine, Sairei-to (TJ- 114) in children with newly diagnosed IgA nephropathy showing focal/minimal mesangial proliferation, we undertook a prospective controlled study. One hundred and one patients were randomly assigned to receive Sairei-to for 2 years (group 1) or no drug for 2 years (group 2). Forty-six of the 50 patients in group 1 and 48 of the 51 patients in group 2 completed their trial. At entry, the two groups of patients did not differ in the clinical, laboratory and pathologic findings. At the end of the trial, urinary protein excretion and hematuria were significantly reduced in group 1, but were unchanged in group 2. Twenty-one group 1 patients (46%) had normal urine, but only 5 group 2 patients (10%) had normal urine at the end of the trial (p < 0.001). Blood pressure and creatinine clearance were normal at the end of the trial in all but one group 2 patient, who developed chronic renal failure. The present study demonstrates that 2-year Sairei-to treatment early in the course of disease is effective in children with IgA nephropathy showing focal/minimal mesangial proliferation.|Publication Types: Clinical Trial Multicenter Study Randomized Controlled Trial PMID: 9283216 [PubMed - indexed for MEDLINE] Yu EK.|[Anti-free radical damage of chronic glomerulonephritis with febrifugal and diuretic medicinal herbs] [Article in Chinese]| Zhongguo Zhong Xi Yi Jie He Za Zhi. 1993 Aug;13(8):464-6, 452. |Heilongjiang Institute of TCM, Harbin.|A clinical trial to evaluate the method of removing Heat and eliminating Dampness (RHED) with febrifugal and diuretic medicinal herbs in treating chronic glomerulonephritis (CGN) patients was conducted. 45 cases of CGN were compared with 42 cases of healthy persons as control. The results showed that CGN patient's serum levels of lipid peroxide (LPO) increased, superoxide dismutase (SOD) and trace elements such as Zn, Cu, Se dropped down. After treatment with RHED the activity of LPO, SOD, catalase (CAT) revealed significant improvement. Serum levels of Zn, Cu, Se increased. It was considered that free radical damage was a general mechanisms of CGN and anti-free radical damage with RHED might play an important role in treatment.|Publication Types: Clinical Trial PMID: 8111197 [PubMed - indexed for MEDLINE] Yu JY, Xiong NN.|[Pathogenic factor (Dampness-heat) of glomerulopathy] [Article in Chinese]| Zhongguo Zhong Xi Yi Jie He Za Zhi. 1992 Aug;12(8):458-60, 451. |Affiliated Hospital of Nanjing College of TCM.|Mesangial proliferative glomerulonephritis (MsPGN) induced by chronic serum sickness in rabbits coincide with the human chronic progressive glomerulonephritis resulted from repeated infection, which is similar to pathologic changes of Dampness-Heat Syndrome. The experimental model of MsPGN was treated by Abelmoschus manihot. which could remove the Dampness-Heat. The amount of proteinuria in treating and control group were 62.68mg/24hr and 121.94mg/24hr respectively (P < 0.05), the number of cells in glomeruli were 61.54 and 80.39 respectively (P < 0.01), and diameters of glomeruli were 102.43 microns and 121.13 microns respectively (P < 0.01). It suggested that the drug could alleviate circulating immune complex (CIC) mediated renal injury.|PMID: 1477499 [PubMed - indexed for MEDLINE] Yu Y, Cui J, Zhang F.|[Chinese drugs for invigorating spleen to remove dampness, activating blood circulation to eliminate turbid in retarding progression of chronic renal failure] [Article in Chinese]| Zhongguo Zhong Xi Yi Jie He Za Zhi. 2000 Oct;20(10):727-8. |Department of Nephrology, General Hospital of Chengdu Military Region, Chengdu 610083.|OBJECTIVE: To investigate the effect of Chinese drugs (CD) for invigorating Spleen to remove dampness, activating blood circulation to eliminate Turbid in retarding progression of chronic renal failure (CRF). METHODS: Thirty-nine patients with CRF were divided into two groups randomly, 18 patients in the control group were treated with low protein diet and controlling blood pressure and 21 patients in the CD group were treated similarly with that of the control group but with additional CD. Levels of serum creatinine (SCr), blood urea nitrogen (BUN), blood albumin (Alb), cholesterol (CH), triglyceride (TG), high-density lipoprotein (HDL) and hemoglobin (Hb) were checked every 2 months, and the rate of progression of CRF was estimated by slope of the creatinine reciprocal (1/SCr) with time (month). RESULTS: Levels of SCr and BUN in the CD group were significantly lower and HDL markedly higher than those in the control group, P < 0.05. Mean slopes of the creatinine reciprocal with time in the two groups was significantly different, P < 0.01. CONCLUSION: Additional CD treatment based upon the protein diet and controlling blood pressure could retard the progression process of CRF evidently.|Publication Types: Clinical Trial Randomized Controlled Trial PMID: 11938803 [PubMed - indexed for MEDLINE] Yuan W.|[Changes in renal cortical thromboxane A2, prostaglandin F1 alpha and effects of dazoxiben, chuan xiong on in situ immune complex glomerulonephritis in rats] [Article in Chinese]| Zhonghua Yi Xue Za Zhi. 1993 Sep;73(9):528-31, 574. |Department of Nephrology, Changhai Hospital, Second Military Medical University, Shanghai.|We investigated the relation between the changes of TXA2-PG1 alpha balance and glomerular injury, and the effects of Dazoxiben, Chuan Xiong on in situ immune complex glomerulonephritis (ISICGN) produecd by C-BSA in rats. After two weeks of immunization, the level of renal cortical TXB2 and urine protein was increased, while that of 6-keto-PGF1 alpha was decreased. Four weeks later, the changes as mentioned above were more significant, and platelet aggregation revealed an increase of maximal aggregation. Positive correlation was seen between urine protein and renal cortical TXA2, and negative correlation between urine protein and 6-keto-PGF1 alpha. Histological examination showed morphological changes. Two treated-groups showed significant reduction of urine protein and renal cortical TXB2, but increase of 6-keto-PGF1 alpha. Besides the changes like worm-eaten in electron-dense deposits, foot process fusion disappeared. The thickened GBM and mesangial proliferation were lessened, especially in Dazoxiben group. These results suggests that there is a TXA2-PG1 alpha imbalance in ISICGN, and TXA2 plays an important pathogenetic role in the onset and progression of glomerulonephritis. Dazoxiben and Chuan Xiong might improve TXA2-PG1 alpha imbalance and attenuate glomerular injury to some extent in ISICGN.|PMID: 8313194 [PubMed - indexed for MEDLINE] Zhang W, Li J.|[Clinical study of treating infantile acute nephritis with antipyretic and detoxication, cooling blood and diuretic principle] [Article in Chinese]| Zhongguo Zhong Xi Yi Jie He Za Zhi. 1999 Mar;19(3):141-3. |Nanjing Municipal Hospital of Children, Nanjing (210008).|OBJECTIVE: To find out the relationship between nitric oxide and onset of infantile acute nephritis, and the effect of traditional Chinese medicine (TCM) and Western medicine (WM) combination therapy. METHODS: Dividing 44 infantile acute nephritis patients into two groups. Group 1 was treated with cooling blood and diuretic principle, together with WM, Group 2 was treated with antipyretic and detoxication, cooling blood and diuretic principle, together with WM. The content of nitrite/nitrate iron (Fe NO2/NO3) in blood before and after treatment were determined through Griess nitrate reduction method, then compared with that of 28 healthy children. RESULTS: The content of Fe NO2/NO3 being in acute nephritis period was obvious higher than that of control group and reconvalecent period, P < 0.01. The macroscopic hematuria was higher than that of microscopic hematuria, P < 0.01. Urinary alexin third element (C3) and alpha 2-macroglobulin (alpha 2-M) positive patients Fe NO2/NO3 was higher than that of negative ones, P < 0.01. Those complicated with infection Fe NO2/NO3 was higher than that without infection P < 0.01. Short term cure rate of group 2 was higher than that of group 1, P < 0.05. Nitric oxide may participate the onset and pathogenesis of infantile acute nephritis. CONCLUSION: TCM-WM combination therapy, especially antipyretic and detoxication, cooling blood and diuretic principle, could restrain nitric oxide from damaging tissue and remitting disease.|PMID: 11783279 [PubMed - indexed for MEDLINE] Zheng JF, Chen SY.|Observations on therapeutic effects of huangdan decoction and Tripterygium Wilfordii compound tablet on membranous glomerulonephritis in rats.| J Tongji Med Univ. 1995;15(1):31-4. |Department of Traditional Chinese Medicine, Xiehe Hospital, Tongji Medical University, Wuhan.|The model of membranous glomerulonephritis (MGN) in rats was successfully established using self-made cationic bovine serum albumin (C-BSA) and treated with Huangdan Decoction (HDD) and Tripterygium Wilfordii Co. tablet (TW). Results indicated that the levels of urinary protein, blood urea nitrogen (BUN) and serum creatinine (Scr) in treated groups (groups A, B and C) were significantly decreased as compared with the control group (group D) (P < 0.01). By light and electron microscope and immunofluorescent technique, the damage to kidney in groups A, B and C was found much milder than that in group D with lesion in group A being slightest. These findings suggest that HDD and TW may alleviate the pathological lesions of MGN, prevent or retard its progression, and have remarkable therapeutic effects on MGN.|PMID: 7783260 [PubMed - indexed for MEDLINE] Zhu P, Wei X, Zhao W.|[Effect of Baoyuan Qiangshen capsule no. II on tubular interstitial injury in chronic renal failure patients] [Article in Chinese]| Zhongguo Zhong Xi Yi Jie He Za Zhi. 1999 Dec;19(12):721-4. |Jiangsu Provincial TCM-WM Center of Nephropathy, Zhenjiang, Jiangsu (212002).|OBJECTIVE: To investigate the protective effect and mechanism of Baoyuan Qiangshen Capsule No. II (BYQS) in treating chronic renal failure (CRF). METHODS: Sixty patients of CRF were divided into 2 groups randomly, the tested group treated with BYQS combined with Lotensin and the control group treated with essential amino acid combined with Lotensin. Changes of renal function and tubular marked proteins were observed. RESULTS: The markedly effective rate and total effective rate of the tested group were 63.3% and 93.3% respectively and those of the control group were 30.0% and 56.7% respectively, the effect of the tested group was markedly better than that of the control group (P < 0.01). In the tested group after treatment, BUN, SCr and CCr were improved significantly, urine retinol binding protein and beta 2-microglobulin and N-acetyl-beta-D-glucosamindase decreased significantly (P < 0.01), while Tamm-Horfau protein increased significantly (P < 0.05). CONCLUSION: BYQS could alleviate tubular interstitial injury significantly so as to improve the renal function and enhance the effective rate in treating CRF.|Publication Types: Clinical Trial Randomized Controlled Trial PMID: 11783142 [PubMed - indexed for MEDLINE] Zou Y.|[Effect of baoshen wan on serum lipid peroxide levels in nephritis treated based on the differentiation-syndromes] [Article in Chinese]| Zhong Xi Yi Jie He Za Zhi. 1990 Jul;10(7):404-5, 388. |Affiliated Hospital of Nanjing College of TCM.|This paper deals with the treatment of 22 cases of chronic nephritis with Baoshen Wan (protecting kidney pills) according to the differentiation of syndromes; the results showed that 3 cases had got perfect remission, 6 cases fundamental remission, and 10 cases partial remission; thus its effective rate reached to 86.4%. Before treatment, the mean value of serum LPO of the 22 patients was 4.44 +/- 0.099 (means +/- S means, mumol/L), which compare with the normal value (3.69 +/- 0.075), P less than 0.05. After treatment, the serum LPO level was lowered to 3.95 +/- 0.11, P less than 0.05. It suggested that Baoshen Wan could disperse the free radical and lower the serum LPO level in the patients with chronic nephritis.|PMID: 2208418 [PubMed - indexed for MEDLINE] SEE ALSO: Bi ZQ, Zheng FL, Kang ZQ.|Treatment of chronic renal failure by retention-enema with rhizoma rhei compound decoction.| J Tradit Chin Med. 1982 Sep;2(3):211-4. |||Publication Types: Case Reports PMID: 6765716 [PubMed - indexed for MEDLINE] Chu W.|[summary on the clinical uses and study of Tripterygium wilfordii] [Article in Chinese]| Zhong Xi Yi Jie He Za Zhi. 1988 Jul;8(7):443-5. |||Publication Types: Review Review, Tutorial PMID: 3061673 [PubMed - indexed for MEDLINE] Dong DC, Zhou LF, Chen JX.|[Changes in proteinuria, renal function and immunity after treatment with injections of a solution of Astragalus membranaceus] [Article in Chinese]| Zhong Xi Yi Jie He Za Zhi. 1987 Jul;7(7):403-4, 388. |||PMID: 3690764 [PubMed - indexed for MEDLINE] Guo L, Liu Y, Wang H.|Prof. Ye Chuanhui's experience in treating nephritic proteinuria.| J Tradit Chin Med. 2002 Sep;22(3):163-9. |Nanjing University of Traditional , Nanjing 210029.||Publication Types: Case Reports PMID: 12400416 [PubMed - indexed for MEDLINE] Hammerschmidt DE.|Xanthium strumarium.| J Lab Clin Med. 1998 Jul;132(1):86. |||PMID: 9665377 [PubMed - indexed for MEDLINE] He XP, Gu GL, Zhu QX.|[Effect of compound xiancao capsule on serum transforming growth factor beta 1 level in patients with primary chronic glomerulonephritis] [Article in Chinese]| Zhongguo Zhong Xi Yi Jie He Za Zhi. 2004 Feb;24(2):156-7. |hexpin||Publication Types: Clinical Trial Randomized Controlled Trial PMID: 15015455 [PubMed - indexed for MEDLINE] Ju J, Lian Y, Bo S.|Differential treatment for membranoproliferative glomerulonephritis with TCM prescriptions plus triptoryph tablets--a report of 30 cases.| J Tradit Chin Med. 2003 Sep;23(3):177-9. |Yuhuangding Hospital, Yanta, 264000, Shandong Province.||PMID: 14535177 [PubMed - indexed for MEDLINE] Li RL.|[summary of second national symposium of Tripterygium wilfordii] [Article in Chinese]| Zhong Xi Yi Jie He Za Zhi. 1991 Dec;11(12):758-60, 732. |||Publication Types: Congresses PMID: 1687966 [PubMed - indexed for MEDLINE] Lin CY.|Treatment of IgA nephropathy.| Springer Semin Immunopathol. 1994;16(1):121-7. |Department of Medical Research and Pediatrics, Veterans General Hospital-Taipei, Taiwan, Republic of China.||Publication Types: Review Review, Tutorial PMID: 7997942 [PubMed - indexed for MEDLINE] Lin S.|Nephrological research.| Chin Med J (Engl). 1996 Jan;109(1):37-9. |Huashan Hospital, Shanghai Medical University.||Publication Types: Review Review, Tutorial PMID: 8758360 [PubMed - indexed for MEDLINE] Shi SZ.|[Progress in research on urologic diseases with traditional Chinese medicine and traditional Chinese medicine and Western medicine treatment] [Article in Chinese]| Zhong Xi Yi Jie He Za Zhi. 1989 Sep;9(9):571-3. |||Publication Types: Review Review, Tutorial PMID: 2688941 [PubMed - indexed for MEDLINE] Wang J, Zhang DS.|[Effect of shenqiwan on immunological function in the nephrotic syndrome of chronic glomerulonephritis patients] [Article in Chinese]| Zhong Xi Yi Jie He Za Zhi. 1987 Dec;7(12):731-3, 709. |||PMID: 3502398 [PubMed - indexed for MEDLINE] Wei M, Huang QF, Zeng SP, Lang ZW.|Studies on treatment of glomerulonephritis by TCM yi-qi huo-xue (Nourish Qi Move Blood) methods.| J Tradit Chin Med. 1988 Mar;8(1):55-60. |||PMID: 3393020 [PubMed - indexed for MEDLINE] Wei M, Zhu L, Huang Q, Xu W, Li B.|Study on the therapeutic effects of traditional Chinese drugs in experimental glomerulonephritis.| J Tradit Chin Med. 1993 Dec;13(4):287-93. |Department of Pathology, Beijing College of TCM.||PMID: 8139280 [PubMed - indexed for MEDLINE] Xiong NN, Zou YQ, Huang XW, Gong LJ, Yu CH, Zou YX.|Effects of TCM therapy on the progression of chronic renal failure caused by primary glomerulonephritis.| J Tradit Chin Med. 1988 Jun;8(2):107-11. |||PMID: 3412003 [PubMed - indexed for MEDLINE] Ye L.|[Experiences of Doctor Ye Shaoli in the treatment of children's diseases] [Article in Chinese]| Zhongguo Zhong Xi Yi Jie He Za Zhi. 2000 Nov;20(11):856-7. |||PMID: 11938836 [PubMed - indexed for MEDLINE] Zhao GH.|Modified five herb decoction [?Modified Wu Wu Tang] in treating infantile acute nephritis.| J Tradit Chin Med. 1988 Sep;8(3):216. |||PMID: 3216668 [PubMed - indexed for MEDLINE] Zhou E.|Professor Wang Gang's experience in treating chronic glomerulonephritis.| J Tradit Chin Med. 2003 Jun;23(2):90-5. |National Center of Nephroses, Jiangsu Provincial Hospital of Taditional , Nanjing 210029.||PMID: 12875061 [PubMed - indexed for MEDLINE] Best regards, Email: < WORK : Teagasc Research Management, Sandymount Ave., Dublin 4, Ireland Mobile: 353-; [in the Republic: 0] HOME : 1 Esker Lawns, Lucan, Dublin, Ireland Tel : 353-; [in the Republic: 0] WWW : http://homepage.eircom.net/~progers/searchap.htm Chinese Proverb: " Man who says it can't be done, should not interrupt man doing it " Quote Link to comment Share on other sites More sharing options...
Guest guest Posted August 5, 2004 Report Share Posted August 5, 2004 A very good and safe choice used in mainland China is dong chong xia cao/cordyceps. On Aug 4, 2004, at 9:27 PM, xyberdoc wrote: > Hello > > Does anyone have an idea what chinese herb we can use for > glomerulonephritis? I have a patient with the said condition and > despire being on steroid, his condition is deteriorating > > Thanks a lot. This group has helped me a lot > > > > Quote Link to comment Share on other sites More sharing options...
Recommended Posts
Join the conversation
You are posting as a guest. If you have an account, sign in now to post with your account.
Note: Your post will require moderator approval before it will be visible.