Differentiation and treatment of IgA nephropathy based on the theory of ying-wei imbalance in the italicYellow Emperors Canon of Medicine/italic （黄帝内经）

Key Points

• The aim is to elucidate the pathogenesis of IgA nephropathy through the lens of the ying-wei imbalance theory and inform treatment strategies.
• Explained the relationship between ying-wei imbalance and IgA nephropathy etiology and mechanisms.
• Developed a treatment framework focused on harmonizing ying and wei.
• Utilized Gui Zhi Decoction, adapting it based on symptoms observed.
• Identified spleen-kidney deficiency and insufficient ying-wei as fundamental causes of IgA nephropathy.
• Outlined the key pathological products related to impaired ying-wei.
• Proposed a comprehensive treatment plan reconciled with modern immunological insights into the disease.