Professor Dong Zhigang Treated From Liver Experience Recurrent Urinary Tract Infections

Recurrent urinary tract infection is a common disease, frequentlyoccurring. The recurrent disease brings a great deal of mental stressto patients,and results in decreased quality of life of patients.At the same time, the disease is also one of the important causesof chronic renal insufficiency ultimately.The Traditional ChineseMedicine accounts recurrent urinary tract infections belongs to the“stranguria due to overstrain”. The pathogenesis isdeficiency ofkidney and dampness-heat of bladder, and the principle of treatmentis clearing heat and promoting diuresis.Modern medicine points out that gram-negative bacilli is the mostcommon pathogens of urinary tract infections, especially escherichiacoli. The routes of infection include ascending infection, bloodinfection, direct infection of the lymph node infection. When immunedefense of the body declines, virus can not be cleared soon,so thedisease occurd. Recurrent urinary tract infections occurd in women mostly,especially Middle-aged women who is in menopause. The reasonis degenerative changes of the urethral mucosa, reducing of Immuneglobulin and acid secretions and hypofunction of Mucosal’s defense.Especially the hypofunction of the ovarian leads to estrogen levelsdecline, it changes the structure and function of the part of theurinary tract.Professor Dong Zhigang has engaged in clinical treatment,research, teaching more than thirty years, and accumulated a wealthof experience in the treatment of recurrent urinary tract infections,and with unique insights and significant clinical effect. ProfessorDong believes that long lasting, highly recurrent urinary tractinfections can be treated from the liver. In the etiology andpathogenesis,the disease can be analyzed from the line of livermeridian, liver controlling conveyance and dispersion, and liverstoring blood. According to the clinical manifestations and thepathological stage of the patients,Professor Dong divides therecurrent urinary tract infections into six specieses,as syndrome of stagnation of liver qi, syndrome of exuberance of liver fire，syndrome of dampness-heat of liver and gallbladder，syndrome ofdeficiency of liver blood，syndrome of yin deficiency of liver andkidney, and syndrome of upper hyperactivity of liver yang.Thetreatment methods are dispersing stagnated liver qi for relievingqi stagnation, clearing liver-fire, clearing heat and promotingdiuresis, replenishing blood and nourishing liver, nourishing liverand kidney,and suppressing hyperactive liver and subsidingyang.Professor Dong considers that dampness pathogen exsists in thewhole Course of the disease,so we should add some traditional Chinesemedicine to eliminate dampness.Some traditional Chinese medicinealso be needed to strengthen body resistance and romote bloodcirculation for removing blood stasis. According to the patient’surine culture susceptibility testing, sensitive antibiotic be usedto remission acute exacerbation of symptoms. The treatment achievesa satisfactory clinical efficacy,and recurrence rate issignificantly lower.