A medical case of urinary tract infection (gonorrhea) based on TCM syndrome differentiation, damp-heat bet and deficiency of both spleen and kidney

Zhan X, female, 60 years old, said that in the past 15 years, due to fatigue, lack of drinking water, and spicy food Urethral discomfort after greasy products, intermittent use of antibiotics such as co-trimoxazole, cephalexin, roxithromycin, the initial effect is acceptable, but easy to repeat, protracted and difficult to heal, so seek Chinese medicine treatment.

Symptoms include urgency, frequent urination, less frequent urination, painful urination, mild urination Discomfort, abdominal pain, backache and fatigue, dry mouth and throat, nausea, loss of appetite, difficulty falling asleep, urination at night 2 to 3 times, normal stool, one line a day, slightly red tongue, especially at the tip, yellow thick and greasy fur, Deep and slippery pulse. Urinalysis: white blood cells (+++), red blood cells (+).


Initial diagnosis: Traditional Chinese medicine diagnosis: stranguria syndrome (damp-heat injection and spleen and kidney deficiency); prescription As follows: Cucumber, Qumai, Gardenia, Talc, Forsythia, Wild Chrysanthemum, Shiwei, Poria, Plantain, Zhuru, Honeysuckle, Smilax, Reed, Dandelion, Licorice. Decoction in water, one dose per day.

Second visit: take the above 7 doses, urgency, dysuria, and discomfort during urination are relieved, accept it , I still feel dull pain in the lower abdomen, dry mouth and throat, backache, fatigue, irritability, dry stool recently, slightly red tongue, thick yellow and greasy coating, deep and slippery pulse. Urinalysis: white blood cells (++), red blood cells (+). Anemarrhena and Cortex Phellodendri are added above. Decoction in water, one dose per day.


Third visit: After taking the above 10 doses, frequent urination, urgency, and abdominal discomfort were relieved, Still dry mouth and throat, backache and fatigue, sweating, unable to sleep after waking up, pale red tongue, thick yellow coating, deep thready pulse. Urinalysis not checked. Keep the top, add Radix Pseudostellariae, Morinda officinalis, decoct in water, one dose per day.


Fourth diagnosis: After taking the above 10 doses, frequent urination, urgency, and discomfort during urination improved significantly, The dry mouth and throat were alleviated, the sleep was slightly improved, but the backache was still weak, the tongue was light red, the fur was thin and yellow, and the pulse was thready. Urinalysis: white blood cells (+), red blood cells (±). Continue to use the above 7 doses, decoct in water. The patient did not return for follow-up visits. This disease belongs to the “category of stranguria syndrome” in traditional Chinese medicine, the acute phase mostly belongs to “hot stranguria”, and the chronic phase mostly belongs to “labor stranguria”.

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