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Effects of “Modified Bushen Huoxue Decoction” on curative and immunological condition in patients with different types of lupus nephritis
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DOI   10.11656/j.issn.1673-9043.2016.06.06
Key Words   "Modified Bushen Huoxue Decoction";lupus nephritis;immunology
Author NameAffiliation
YUE Ying 天津中医药大学, 天津 300193
天津市公安医院, 天津 300042 
JI Yan-wen 天津医科大学总医院, 天津 300052 
RUAN Ying-xin 天津医科大学总医院, 天津 300052 
ZHANG Mian-zhi 天津市公安医院, 天津 300042 
LIU Wei 天津中医药大学第一附属医院, 天津 300193 
CHEN Jing 天津市公安医院, 天津 300042 
Abstract
    [Objective] To observe the clinical curative efects of "Modified Bushen Huoxue Decoction" on immunological condition in patients with lupus nephritis (LN).[Methods] 102 LN patients were randomly divided into foundation treatment group (n=51) and combined treatment group (n=51);steroids and cyclophosphamide (CTX) or steroids and Mycophenolate Mofeil (MMF) were administered to all patients,while "Modified Bushen Huoxue Decoction" were only administered to patients in the mixed treatment group.After 4-months later,SLE disease activity index score (SLEDAI Score),C3,C4,24 h urine protein quantity,endogenous creatinine clearance rate (Ccr),T lymphocytes subsets (CD3+、CD4+、CD8+) were detected in both groups.[Results] Compaired with foundation treatment group, combined treatment group could significantly elevate Ccr and down-regulate the level of CD8+ T cell (P<0.05). Proliferative LN with combined treatment could significantly elevate Ccr and decrease 24 h urine protein(P<0.05),whereas mixed pathological types of LN elevate Ccr with mixed treatment(P<0.05).[Conclusion] "Modified Bushen Huoxue Decoction" could significantly ameliorate kidney filtration function of LN patients,especially proliferative and mixed pathological types.It also could reduce the applied dose of steroids and immunosuppressants by correcting immune dysfunction.

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