One day in early September, an elegant woman came to the outpatient clinic. She is a flight attendant of an airline company. She complained of frequent urination, painful and astringent urination, and yellowish red urine. The test results showed positive for Ureaplasma urealyticum. The patient had taken multiple antibiotics and Chinese patent medicines, but his symptoms did not improve. The patient is very distressed. As a flight attendant, when serving passengers in the small cabin, I am often distracted by the urge to urinate, making frequent mistakes and being very embarrassed. The patient has yellow and greasy tongue coating and slippery and rapid pulse, which is a typical case of "heat stranguria". Traditional Chinese medicine believes that this is caused by damp-heat in the bladder and should be treated by clearing away heat, promoting dampness and relieving stranguria. A typical prescription is Ba Zheng San, which uses drugs such as Plantago seed, Polygonum multiflorum, Dianthus superbus, and Gardenia jasminoides. When talking about taking Chinese medicine, the patient looked hesitant, saying that because of work, he had to fly back and forth, and it was very inconvenient to decoct and take the medicine. Since the patient couldn't take the compound medicine, I had to settle for the next best thing. I prescribed 50 grams of plantain for the patient and told him to drink 10 grams as tea every day. When the patient returned for a follow-up visit, he reported that the frequency of urination had slightly decreased, but the stinging sensation remained the same. Still give 50 grams of plantain and use as before. At the third visit, the symptoms had resolved and the ureaplasma urealyticum test result was negative. Plantain was known and used by our ancestors very early. There is a chapter called "Plantain" in the Book of Songs, which describes the scene of vegetable plantain. Plantain looks like animal ears, so it has other names such as "pig ear grass" and "donkey ear grass". Plantain has a relatively high medicinal value and is widely used. It has the functions of clearing away heat, promoting diuresis, and detoxifying. It can be used for red and swollen eyes, stranguria, leucorrhea, nosebleeds, carbuncles, sores, etc. There are many records in Chinese herbal books on the use of Plantain to treat stranguria. "Famous Doctors' Records" states: "It is used to treat wounds...red urine..." "Medical Properties" states: "It is good for urination and relieves stranguria." Zhu Danxi, one of the four famous doctors in the Jin and Yuan dynasties, once used the juice of fresh plantain to treat "heat in the small intestine and acute pain in stranguria caused by blood." It should be pointed out that the use of plantain alone to treat urinary tract infections is better for those with yellow or red urine than for those with clear and long urine. The effect of synergistic combination of multiple Chinese medicines is better than that of single-flavor plantain. Therefore, if conditions permit, you should receive systematic treatment from traditional Chinese medicine. Finally, let’s talk about ureaplasma positivity. Many people get scared when they hear this word, but there is no need to be. There are many microorganisms in the human body, including mycoplasma and chlamydia. If there are no symptoms, no treatment is needed even if the test result is positive for Ureaplasma urealyticum. Patients should pay attention when seeing a doctor. If you hear language that exaggerates the dangers of mycoplasma positivity, you should be alert. |
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