Urinary tract infection (UTI) refers to pathogens that directly invade the urinary tract, grow and multiply in the urine, and invade the urinary tract mucosa or tissues to cause damage. According to the different parts of the pathogen's invasion, it is divided into pyelonephritis, cystitis, and urethritis. Pyelonephritis is also called upper urinary tract infection, and cystitis and urethritis are collectively called lower urinary tract infection. Because the infection is limited to a certain part of the urinary tract during childhood, and it is difficult to accurately locate it clinically, it is often referred to as UTI without distinction. According to the clinical symptoms, it can be divided into symptomatic urinary tract infection (UTI) and asymptomatic bacteriuria. Relapse means that bacteriuria becomes negative temporarily after treatment, and the original pathogenic bacteria reappears within a short period of time (6 weeks) after stopping the drug, and the symptoms reappear. Re-infection refers to an infection that has been cured after treatment and is caused by another pathogen invading the urinary tract for a long time (6 weeks) after stopping the drug. Therefore, it has become clinically repeated urinary tract infections. This disease has a high recurrence in clinic, and it is more common in female patients in elderly patients. Therefore, the treatment method of integrated traditional Chinese and western medicine is regarded as a very important form of treatment by the two medical systems of traditional Chinese and western medicine. With regard to the clinical treatment of urinary tract infection, the author treats urinary tract infection step by step, and treats it according to different stages. Achieve clinically better therapeutic effects. The report is as follows: please criticize and guide colleagues. 1 Check, including checking urine routine, checking urine culture, checking related examinations of urology, gynecology and anorectal department. For urinary tract infections, we need to clarify the site of infection and the types of infectious bacteria in the clinic. Generally, we need to exclude the possibility of secondary urinary tract infections in gynecology, anorectal, and respiratory infections. For example: urinary stones, gynecological inflammation, hemorrhoids, pneumonia, upper respiratory tract infection and other diseases. Elderly men are more common with prostate hypertrophy inflammation, and older women are more common with urethral syndrome with reduced estrogen. If there is an infection in this area, we must first remove the infection. The results of the urine culture can tell the doctor and the patient clearly that the patient's urinary tract infection comes from what kind of bacterial infection, and at the same time is sensitive to that antibiotic. Targeted treatment based on the results of drug sensitivity. Targeted treatment can be achieved. 2. Kill, kill means to carry out targeted treatment according to examination and treatment, and wipe out the cause and germs. When there is a urine culture result, we must follow the drug sensitivity result and carry out a regular and sufficient course of antibacterial treatment. Remove the germs in one go. Only in this way can the goal of disease control be truly achieved. At the same time, gynecological inflammation should be cleared of gynecological infections, hemorrhoids should be treated, and the treatment time and timing should not be delayed. Kidney stones should be treated with stone removal. Kidney tuberculosis needs anti-tuberculosis treatment and so on. Don't use antibiotics, arbitrarily perform empirical treatment, this method has actually increased the resistance of the bacteria. The patient's delay in the treatment of some secondary diseases will also make the disease more protracted and difficult to heal. 3. Tune, Tune means to use traditional Chinese medicine for treatment. 3.1 Western medicine's antibiotics to kill bacteria actually embodies the aspects of Chinese medicine in combating and exorcising evil. However, Western medicine has neglected the side of strengthening the body in the treatment of this disease. Patients with chronic and repeated urinary tract infections have different degrees of righteousness after using antibiotics intermittently for a long period of time. Therefore, in treatment, it is necessary to give full play to the strengths of Chinese medicine. . The dialectical treatment of Chinese medicine is also very important. 3.2 TCM classification argumentation: 3.2.1 Syndrome of stagnation, dysfunction, and dysphagia: the following symptoms of abdominal distension and pain and frequent urination are the main symptoms, which may be accompanied by painful urination. Every time the condition worsens after fatigue, painful mouth, dry throat, chest Waiting for proof. The tongue is reddish, the tongue coating is thin and yellow, and the pulse is thin. Treatment: Soothing the liver and regulating qi, and invigorating blood serum. Recipe: Chaihu Shugan Powder and Chenxiang Powder plus 10 grams of Chaihu, 10 grams of Citrus aurantium, 10 grams of Citrus aurantium, 10 grams of Red White Peony, 10 grams of Cyperus rotundus, Shiwei 30 grams, 10 grams of orange core, 10 grams of litchi core, 3 grams of agarwood powder (red). 3.2.2 Syndrome of spleen deficiency and dampness obstructing exertion: frequent urination, or repeated occurrence of urinary incontinence, abdominal distension and less appetite, often accompanied by loose stools, fatigue, abdominal distension, and recurrence after fatigue. . The tongue is fat, the tongue coating is white and greasy, and the pulse is heavy and slippery. Treatment method: invigorating the spleen, replenishing qi, clearing the surplus of evil prescriptions: Shenling Amber Decoction and Achyranthes Bidentata Decoction combined with 15 grams of Radix Ginseng, 15 grams of Poria, 10 grams of Dianthus, 15 grams of Alisma, 10 grams of mallow seeds, 10 grams of Angelica, 10 grams of Achyranthes, 30 grams of Shiwei, 30 grams of Smilax, 6 grams of Tongcao. 3.2.3 Deficiency of both qi and yin and damp-heat accumulation syndrome: Symptoms: frequent urination, heavy body, spontaneous sweating, night sweats, pale complexion and tender red cheeks, fever, shortness of breath and more phlegm, white tongue coating, weak pulse and slippery strings. Treatment: Replenishing Qi, Nourishing Yin, Clearing Dampness and Heat Recipe: Shenqimaiwei Dihuang Decoction and Sanren Decoction with Codonopsis 10g, Astragalus 30g, Raw and Prepared Rehmannia 10g, Shanmu 10g, Yam 10g, Dan Bark 10g, Alisma 10g, Poria 10g , Ophiopogon 10g, Schisandra 6g, Corydalis 20g, Magnolia officinalis 6g, Pinellia 10g, Bamboo leaf 5g, Talc 10g.3.2.4 Yin Deficiency and Fire Excessive Syndrome: Syndrome: frequent urination, increased nocturia, dry eyes and pain, bitter mouth and dry stool, or dry cough and little phlegm, or bony steaming and hot flashes, zygomatic redness and fire, male spermatorrhea, even strong yang Easy. Pulse string. Treatment: nourishing yin, lowering fire, clearing away heat and removing dampness. Recipe: Zhibai Dihuang Decoction ("Yi Zong Jin Jian") plus or minus 20g of rehmannia, 10g of sclerosus, 10g of yam, 10g of paeonol, 10g of Alisma, 10g of Poria Anemarrhena 10, Phellodendron amurense 10, Aria seed 20g, Talc 10g. 4. Nurturing, nurturing means to use traditional Chinese medicine methods for physical fitness. The author found that it is more common in patients with congenital spleen and kidney weakness, qi deficiency, and yin deficiency. It is the main force of chronic and repeated urinary tract infections in clinical practice. After dialectical treatment, dialectical treatment is taken. In order to fundamentally reduce the number of illnesses and gradually eliminate chronic diseases. Physique differentiation guides the selection of prescriptions and medications. The different characteristics of the affected population determine the differences in medications between each other. Gonorrhea in the elderly is more deficient and should be supplemented, or both attack and supplement. It has been reported that the use of Buzhong Yiqi Decoction and Shenqi Pills to cure the elderly drenching syndrome. Treatment of female gonorrhea pays attention to the relationship with the heart meridian, liver meridian, and kidney meridian, and uses drugs for clearing the heart, calming the liver and invigorating the kidney according to the syndrome. Young female patients should use less medicine to clear away the heat. Antidote and urinary medicine. The prevention and treatment of male gonorrhea must pay attention to the influence of lifestyle and eating habits, and combine prevention and treatment.
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