The Experience Generalization Of Professor Cao Tianmei To Treat Chronic Pyelonephritis Clinical

Chronic Pyelonephritis(CPN) is renal injury caused by persistent or recurrent infection of the kidney.It often has happened in those patients of with the abnormal anatomy urinary system.The most cause of CPN are the harm to the structure and function of the,kidney which caused by many repeated or persistent infections and the important feature is the formation of scar in the kidney and renal pelvis and calyx.Patients often have hypoimmunity,renal anatomical anomalies and other factors and the main treatment in Western Medicine is antibiotic.The most category of CPN is "Dysuria Caused by Overstrain" by the attribution of traditional Chinese medicine.Dysuria Caused by Overstrain is a common recurrent disease.The main symptom is about urination with dribbling lingering urinea and exacerbation after overwork and usually refractory kreatment.Dysuria Caused by Overstrain occurs mainly companying with difficulty in frequent acute pain urination and waist& abdomen pain.The panegyric of Professor Cao Tianmei in pathogenesis is the generalization of " the deficiency Kidney and then bladder hot" pointed by Cao Yuanfang in "The Theory of the Source and Symptom for All Diseases" which reflects that the essence of the disease is the deficiency kidney and the superficies is the heat and humid for the characteristics of pathogenesis.Meanwhile, Professor Cao also proposed the pathogenesis of Dysuria Caused by Overstrain:"Dysuria Caused by Overstrain caused by the Labor kidney air which bring heat." That is the total pathogenesis of Dysuria Caused by Overstrain.Combined with CPM modern experience, the specific can be divided into four parts:damp-heat blocking in the body,stagnated heat of liver channel,deficiency of kidney, spleen and kidney deficiency.The pathogenesis of CPN in western medicine is recognized to look for easy-infection factors and pay more attention on the role of low immune function in the pathogenesis.Professor Cao,through more than twenty years clinical experience,absorbed and drew upon the achievement of ancient and modern medical treatment of Dysuria Caused by Overstrain with the appropriate reference of modern pharmacology research and summed up a number of good reproducibility and efficient prescription.The prescriptions are used in clinical treatment gaining repeated effect and long-term effect is also good according to follow-up pbservation.Professor Cao thinks chronic pyelonephritis shouldbe treated through different stage:In acute stage,medicine "clearing Heat aad eliminating Dampness" should be used to alleviate the symptoms and also urine test must be negative.It is the advantage of TCM to lay special emphasis on the treatment in paracmastic stage.TCM holds that "dampness" and "weakness" are mainly manifestated in paracmastic stage,so "nourishing kidney and enriching qi " should be mainly used as well as "invigorating the spleen and eliminating dampness",which can "resolve dampness and recover vital-qi" Therefore recurrence rate can be decreased.This dissertation explains the origins and the development of Dysuria Caused by Overstrain.The mechanism of CPN and characteristics treatment prescriptions bring forward by Professor Cao Tianmei is highlighted in this dissertation and the treatment status of CPN is introduced and the new opinion of the diagnosis and treatment of disease and efficacy evaluation suggested by the author is presented.