Study on the Treatment of Children With Purpura Nephritis With Huaiqihuang Granules
Study on the Treatment of Children With Purpura Nephritis With Huaiqihuang Granules
About 20% children with allergic purpura develop nephritis syndrome or nephrotic syndrome, 1%
 to 7% to kidney failure or end-stage renal disease. Children with serious damage to health,
 significantly reduced quality of life and caused heavy economic burden to the family . As the
 pathogenesis of HSPN is complex, it is difficult to formulate an exact individualized
 treatment plan.
Children of Purpura nephritis with moderate protenuria(24 hours urinary protein quantitative
 0.5 ~ 1.0 1.73 g/m2 and 24 hours urinary protein amount of not more than 1.0 g) in this study
 was choosed as participatant, plan randomly into the group of 10 cases, treated with
 huaiqihuang particles and valsartan for 24 weeks to analyze the curative effect and clinical
 value of single drug therapy for children with purpura nephritis in reducing proteinuria,
 protecting renal function and promoting rehabilitation.
Inclusion Criteria:

 1. For children diagnosed with purpura nephritis, the diagnostic criteria for purpura
 nephritis shall refer to the 2016 edition of Evidence-based Guideline for diagnosis
 and Treatment of Purpura Nephritis published by the Nephrology Group of The Chinese
 Medical Association Pediatrics Branch, specifically as follows: Hematuria and/or
 proteinuria occur within 6 months of the course of allergic purpura. The diagnostic
 criteria for hematuria and proteinuria are as follows: A. Hematuria: gross hematuria
 or ≥3 RBC/high-power field (HP) under 3 times of microscope within 1 week. B.
 Proteinuria: if meeting any of the following conditions: 3 routine urine tests within
 1 week qualitatively indicate positive urine protein; 24h quantitative urine protein
 >150 mg or urine protein/creatinine (mg/mg)>0.2; Urinary microalbumin was higher than
 normal for 3 times within 1 week. Very few children in the acute course of allergic
 purpura 6 months later, recurrent purpura, hematuria and/or proteinuria for the first
 time, should be sought for renal biopsy, such as IgA mesangial mesangial proliferative
 glomerulonephritis, can still be diagnosed as purpura nephritis.

 2. 24-hour urinary protein quantification of 0.5 to 1.0g/1.73m2, and the total amount
 does not exceed 1.0g (to be quantified in non-infectious conditions);

 3. Age: 6-14 years old;

 4. Normal renal function: eGFR≥90ml/min/1.73m2;

 5. Other manifestations of allergic purpura: skin purpura, abdominal pain, blood stool
 and joint swelling and pain have been relieved, and the use of hormone or
 immunosuppressive agents has been stopped for 2 weeks.

 Exclusion Criteria:

 1. Abnormal ophthalmic examination (fundus, visual field, photosensitivity);

 2. Combined with gross hematuria;

 3. Serious diseases of the heart, liver and other important organs, as well as diseases
 of the blood and endocrine system;

 4. Patients who are known to be allergic to any component of Locust and wolfberry yellow
 or ACEI/ARB;

 5. Patients who have participated in other clinical trials within three months before
 enrollment;

 6. The investigator judged that the patient was not fit to participate in the study;(7)
 renal purpura nephritis wear results indicate Ⅲ magnitude or hints chronic purpura
 nephritis.