How to treat pyelonephritis in women?

Pyelonephritis can be acute or chronic. It is most common in women. The most typical symptoms are bladder irritation and low back pain. Fever symptoms will appear in the acute phase. Traditional Chinese medicine can be used to treat female pyelonephritis. Good care should be taken on a daily basis and attention should be paid to the hygiene of the private parts.

1. TCM treatment of pyelonephritis:

1. Heat in the stomach and intestines (dampness is heavier than heat): Symptoms include chills and high fever, sweating without relief of fever, chest and abdominal distension, heaviness of the head and lower back pain, turbid urine, painful and astringent urination, weak and rapid pulse, and yellow and greasy tongue coating. The treatment should be bitter and cold to clear heat, mild to penetrate and remove dampness, the prescription can be Sanren Decoction or Xingren Huashi Decoction with modifications. Medicinal almonds, processed pinellia, grass, atractylodes, scutellaria, phellodendron, poria, 15 grams each, talcum powder (wrapped and decocted), coix seed, dandelion, 30 grams each, Magnolia officinalis, 10 grams, and 6 grams of tongcao. Take it in decoction, 1 dose per day.

2. Heat accumulation in the lungs and stomach (heat is more serious than dampness): Symptoms include high fever, sweating, thirst, difficult urination, stinging pain during urination, a strong or weak pulse, and a dry yellow tongue coating. The treatment should be to clear away heat and detoxify, invigorate Qi and promote the production of body fluid. The prescription can be Wuwei Xiaodu Yin combined with Huanglian Jiedu Tang with modifications. The medicinal ingredients include 10 grams each of Coptis chinensis, Phellodendron amurense, Gardenia jasminoides, 15 grams each of Scutellaria baicalensis, Lonicera japonica, fresh bamboo leaves, 30 grams each of Taraxacum mongolicum, Viola yedoensis, Liuyi powder (wrapped and decocted), Scrophularia ningpoensis, 6 grams each of Akebia trifoliata and Licorice. Decoction in water.

3. Stagnation of heat in the liver and gallbladder (evil invades Shaoyang): Symptoms include alternating chills and fever, irritability and nausea, bitter and dry mouth, loss of appetite, pain in the waist and lower abdomen, frequent and urgent urination, stringy and rapid pulse, and yellow tongue coating. The treatment should be to harmonize Shaoyang, promote diuresis and relieve stranguria. The prescription can be Xiao Chaihu Decoction combined with Zhuling Decoction with modifications. The medicinal ingredients include 30 grams each of bupleurum, grass, dandelion, plantain, and stone reed, 15 grams each of scutellaria, umbellate, and poria, 10 grams of coptis, and 30 grams of Liuyi powder (wrapped decoction). Take it in decoction, one dose per day.

2. How should female patients with pyelonephritis provide good home care?

1. Pay attention to the cleanliness of the genitals. Female patients with pyelonephritis should keep their vulva clean and use tub baths with caution to reduce urethral bacterial infection. They should pay special attention to hygiene during menstruation and pregnancy to prevent ascending infection. Contraception should be used within one year after treatment to avoid aggravating the condition due to pregnancy.

2. Pay attention to whether there is fever and urinary tract irritation symptoms. In the later stages of chronic pyelonephritis, pay attention to symptoms of kidney damage, such as hypertension, anemia, uremia, etc.

3. When taking medication, pay attention to its side effects.