本文对临床以蛋白尿和镜下血尿为主要表现的IgAN 患者,采用雷公藤汤剂、总萜片夫对照组分别治疗。发现雷公藤能显著减少尿蛋白定量,升高血浆蛋白(P<0.01或P<0.05)。汤剂组远期有效率为71.7%,总萜片组为61.5%,均明显高于对照组的25.0%。雷公藤长期治疗副作用轻散。 In this paper, clinically proteinuria and microscopic hematuria as the main manifestation of IgAN patients, the use of Tripterygium wilfordii, total terpene Fu husband control group were treated. Tripterygium wilfordii was found to significantly reduce urine protein and increase plasma protein (P <0.01 or P <0.05). The long-term effective rate was 71.7% in the decoction group and 61.5% in the total terpene group, which were significantly higher than 25.0% of the control group. Tripterygium long-term treatment of side effects lightly scattered.