[Chinese medicine beyond the line]frequent urination, abdominal pain, backache, middle-aged and elderly people, high-risk overwork-induced chronic urethritis

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Text Qiu Yufeng (Chinese Medicine Physician)

Frequent urination, urgency, and dysuria are typical symptoms of urethritis. If the urethritis is only a single episode, most of it is related to infection.

Traditional Chinese medicine understands it as excess syndrome, which belongs to the invasion of pathogenic factors, and can be completely cured by traditional Chinese medicine to eliminate pathogenic factors or western medicine antibiotic treatment.

(Hong Kong News) Frequent and recurrent chronic urinary tract infections are not only related to pathogens, but also may be related to poor immune/endocrine function and urinary tract flora imbalance. Chinese medicine therapy can exert the effect of adjusting the functions of the whole body, help to correct imbalances and overcome repeated discomfort.

According to Chinese medicine, chronic urinary tract infection belongs to “drench stranguria”. According to “On the Causes and Symptoms of Various Diseases”, “drench stranguria caused by labor means that the kidney qi is injured by labor, and stranguria is caused by heat generation.” Symptoms include continuous dribbling of urination, mild astringent pain, and sudden onset of exertion, which can be seen in both men and women, especially middle-aged and elderly people.

Overwork is prone to generate internal heat and dissipate true yin

Clinically, patients often experience frequent urination, difficulty in holding back urine, poor urination or mild pain, cloudy or smelly urine, unclear residual drops after urination, and even dull pain in the lower abdomen, burning sensation in the urethra, backache, etc. Infection-related indications can be found during urine testing. Bacterial culture can show the presence of bacterial infection. However, there are also many patients with chronic urethritis. The results of urine testing and urine bacteria are all normal.

Western medicine treats bacterial infections with antibiotics. However, even after several weeks or even months of continuous medication, some patients still cannot overcome the infection, causing physical and mental distress. In this case, TCM therapy intervention can help improve the patient’s physical condition, thereby enhancing the curative effect.

Traditional Chinese medicine believes that the pathogenesis of stranguria involves depletion,

In “Yi Sui”, there are mental fatigue (too much thinking),

Spleen fatigue (excessive physical strength) and kidney fatigue (room fatigue).

Excessive physical or mental exhaustion, excessive worry, depression and anger,

Or over-consumption of cold and cold, chronic illness and physical weakness, indulgence in lust, can all consume righteousness.

Insufficient righteousness, easy to provoke diseases,

Once attacked by pathogenic factors, the condition is likely to deteriorate, recovery is difficult, and sequelae are likely to remain.

“Medical Hearts in Chinese and Western Records” pointed out that overworked people are prone to internal heat and dissipate true yin. When yin deficiency internal heat is fumigated in the bladder, over time it will form overworked stranguria. In terms of treatment, it is necessary to clear away heat, nourish yin, diuresis and relieve stranguria, and Shaozuo replenishes qi and strengthens the body.

The treatment directions of clearing heat, nourishing yin, and diuresis in traditional Chinese medicine are commonly used in the clinical treatment of chronic urinary tract infections.

Clinically, kidney yin deficiency is the most common, and middle-aged and elderly women are more likely to suffer from it. This is related to traditional Chinese medicine that people tend to lose yin and blood after middle age, and women are prone to yin deficiency and internal heat after menopause. Specifically, it involves immunity/endocrine Changes in the system can easily induce inflammation and microbial ecological imbalance in the body.

Kidney yin deficiency is common in middle-aged and elderly women

Deficiency of kidney yin leads to yin deficiency and internal heat, and heat accumulation in the bladder can cause short red urination, frequent urination, incontinent urination, backache, etc. In addition, the patient may experience dry mouth, upset, hot flashes, dreaminess, tinnitus and other symptoms of kidney yin deficiency and fire inflammation due to deficiency. Tongue examination shows reddish tongue, dry tongue and less fluid.

In terms of treatment, patients with stranguria due to kidney yin deficiency should nourish yin and reduce fire. The commonly used traditional Chinese medicine prescription is Zhibai Dihuang Wan, which can be compatible with traditional Chinese medicines that have the functions of clearing heat, diuresis, and dampness, such as atractylodes atractylodes, plantago, and akebia. Etc., helps fight recurrent infection.

Deficiency of spleen and stomach qi leads to the inability of righteousness to fight against pathogenic factors, causing dampness and heat to accumulate in the bladder, and pathogenic factors cannot dissipate. It is also a common cause of stranguria. Specifically, the body’s ability to resist diseases is not good enough, which makes the infection persist and weakens the resistance to infection The efficacy of the drug.

Such patients are generally chronically ill and weak, or suffer from long-term labor to cause qi deficiency and qi depression, or often eat raw and cold food and cause weakness of the spleen and stomach. Swelling, etc.

For the stranguria caused by weak temper, TCM treatment should invigorate Qi and strengthen the body. The commonly used Chinese medicine prescription is Buzhong Yiqi Decoction, which can be combined with traditional Chinese medicines such as Alisma, Coix Seed, Chixiaodou, etc. Eliminating evil is a two-pronged approach.

Deficiency of Kidney Yang, Strengthening Qi and Dispelling Diseases and Evils

Insufficient kidney yang is also one of the reasons why urinary tract infection has not been cured after repeated treatment and has evolved into stranguria. Kidney deficiency due to old age, or congenital deficiency, or prolonged illness damages the kidney, or irregular sex life, resulting in deficiency of kidney essence, damp and hot bladder lingering, resulting in overworked stranguria.

Common symptoms of patients include cold pain and discomfort in the lower abdomen, frequent urination, urge to urinate immediately after drinking water, sore waist and knees, swollen limbs, chills and fatigue, and lack of energy. of weakness.

The treatment of stranguria caused by deficiency of kidney yang needs to be based on warming and tonifying kidney yang and supporting righteous qi. The commonly used traditional Chinese medicine prescriptions are Jinkuishenqi pill and Yougui pill, which are combined with traditional Chinese medicines that are beneficial to dampness and clear away heat, such as 萹益, Qumai, Smilax, etc., to get rid of the pathogenic factors of nostalgia and restore the normal gasification function of the bladder.

Soup helps to clear away dampness and heat

Eat less hot and stimulating food

Patients with stranguria should avoid overwork, including excessive physical and mental exhaustion, as well as abstain from sex life, maintain adequate sleep, and not be overly worried or pessimistic about the condition of stranguria.

In terms of diet, eat less hot and stimulating foods such as spicy and fried foods, as well as sweet and greasy foods, drink more water and eat more moisturizing vegetables and fruits to keep the urine smooth.

Need to be completely cured to avoid future troubles

To prevent overworked stranguria, it should be noted that once acute urinary tract infection (sprain syndrome) occurs, no matter whether you choose pure western medicine, pure traditional Chinese medicine or a combination of traditional Chinese and western medicine, you must seize the opportunity and strive for a complete cure to avoid future troubles. During the infection period, a light diet and adequate rest should be maintained to maintain the body’s righteousness and help resist pathogenic factors.

On a hot and humid day, the body is prone to heat and humidity. If combined with improper diet, such as eating fat, sweet and thick flavors, spicy fried food, it will cause damp and heat to accumulate in the body, and it is easy to promote infection.

Keep hygienic, don’t get wet in the rain

Damp-heat betting on the bladder is prone to “hot showers”. Symptoms include turbid urination, frequent urination, urgency, painful urination, and burning sensation in the urethra. In terms of treatment, it is necessary to clear away heat, remove dampness, and diuresis. To reduce the accumulation of dampness and heat in the body and avoid hot showers caused by dampness and heat betting, in addition to paying attention to daily diet, avoiding rain and heat, and maintaining hygiene, drinking Chinese yam lentils and soil Fuling lean meat soup can help clear away dampness and heat.

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