Can nephritis be “cured”? This is a question that nephrologists are often asked, and I honestly don’t know how to answer it. First of all, there is no such concept as a cure in medicine. What do you mean by “cure”? Can we call it “cure” when the symptoms and signs disappear and the urine tests are normal? Of course, this cannot be called “cure”. Kidney disease is prone to recurrence, now that you are well, the hematuria and proteinuria are gone, can you guarantee that it will not recur in the future? No one can guarantee this. Even if all the urine test indicators are normal, will there be no kidney failure for the rest of your life? No one can guarantee this. Even for people with normal kidneys now, who can guarantee that there will be no kidney disease in the future, and who can guarantee that there will be no problems with kidney function in the future. There is no permanent solution in the world, as long as you live, you will have problems with old age, illness and death. Therefore, the claim of “cure” is not scientific. Do not listen to the so-called “cure”. Secondly, to judge the effect of kidney disease treatment, there are several types of medical treatment: complete remission (or clinical cure), partial remission and ineffective. The treatment of kidney disease is more important to focus on the long-term goal, that is, to reduce the risk of kidney failure and various other complications. Patients in complete remission have a very low risk of renal failure and various complications, with simple descending hematuria and 24-hour proteinuria less than 0.3 grams, while patients with normal renal function have a very low risk of renal failure. For such patients, it is more important not to be overly nervous or even worry about nothing. As a doctor, you certainly hope that every patient can be cured, but it is practically impossible. For people who already have kidney disease, the main goal is to minimize the risk of kidney failure and, at the same time, not to develop various other complications. The prevention and control of complications is also very important. A significant proportion of patients with kidney disease, who do not develop kidney failure, develop damage to other organs, such as heart failure, stroke and liver damage, and the prevention of these diseases is also very important. For some patients with kidney disease, you can not spare no effort in the pursuit of the so-called “cure” for kidney disease, so that the money spent will not have much benefit, and even hurt other organs.