Urinary tract infection is a common infectious disease of the urinary system and is a general term for inflammation caused by bacterial invasion of any part of the urinary tract. It is divided into upper urinary tract infection and lower urinary tract infection. It belongs to the category of gonorrhea in Chinese medicine, and the cause of the disease is always damp-heat based, and the disease is located in the kidney and bladder. Although the efficacy of modern medicine using antibacterial treatment is still satisfactory, but I have been in clinical practice for more than 20 years, the use of Chinese medicine dialectical identification treatment for acute urinary tract infections can be comparable to the effectiveness of modern medical treatment, and in the treatment of chronic urinary tract infections, Chinese medicine has unparalleled advantages of modern medicine. 1, the acute phase of urinary tract infection treatment awareness The acute phase includes acute urinary tract infection and chronic urinary tract infection acute attacks, to urinary frequency, urinary urgency, urinary pain, pain leads to the waist and abdomen, abdominal constriction, urine red burning, tongue red coating yellow greasy pulse slippery number of the main evidence, belongs to the Chinese medicine of the hot shower range, “Jing Yue Quanshu gonorrhea” cloud “gonorrhea of the first disease, it is not from the heat drama “. The treatment is based on clearing heat and dampness to promote gonorrhea, and the self-prepared clearing heat and gonorrhea drink is effective. The formula consists of: Bian Cao, Qu Mai, Shi Wei, Slippery Rock, Tong Cao, Pig Ling, Poria, Ze Di, Che Qian Zi, Huang Bai, Zhi Mu, Tu Fu Ling, and Temperate Bamboo Leaf. If the heat and toxicity is strong, add heat-clearing and detoxification products, such as Huang Lian, half a lotus, dandelion, through the heart of the lotus, forsythia, etc. 2, the chronic phase of urinary tract infection treatment awareness Chronic urinary tract infection refers to the acute phase of the symptoms have been alleviated, the symptoms have not completely disappeared, urinary symptoms are not very obvious, urethral discomfort from time to time, sometimes lumbar weakness, recurrent episodes, often triggered by exertion, cold, human resistance to decline. At this time, the evidence is that the damp-heat is not yet exhausted, the righteousness has been injured, belonging to the mixed symptoms of deficiency and reality, the disease is located in the kidney, because the righteousness is damaged, the inability to resist the evil, resulting in the damp-heat evil to stay, the condition is repeated, and it will not be cured. Treatment to support the righteousness and dispel the evil, according to the evidence, on the one hand, take the means to nourish Yin, strengthen the spleen, tonify the kidneys and other means to cultivate the righteousness, commonly used drugs: raw earth, dogwood, yam, poria, prunus seed, astragalus, atractylodes, mulberry cuttlebone, gold cherry, wolfberry, cuscuta, raspberry, bone marrow, cistanches, etc., on the other hand, continue to use the products to clear the damp-heat to search the damp-heat residual evil, in order to completely recover from the disease. 3, combined with the modern pharmacological understanding of disease identification treatment TCM treatment of disease, the combination of evidence and disease identification has been mentioned to a considerable degree. According to the urine culture drug sensitivity test, the selection of Chinese herbs that meet the drug sensitivity, in the treatment of urinary tract infection, plays a very important role in killing the pathogenic bacteria and shortening the course of the disease. E. coli is the most common pathogenic bacteria of urinary tract infections, accounting for about 80%-90% of the effective Chinese herbal medicines for E. coli, such as rhubarb, Huanglian, Huangpao, Zhimu, Baotou, Dandelion, Andrographis, Half of the Lotus, Half of the Lotus, Yin Chen, Tiger Balm, etc. For some chlamydia, mycoplasma infections, the drugs used to lactate Huangpao, Huanglian, rhubarb, Panax notoginseng, Geosyntheses, etc., antifungal infections such as Huangjing, Huojian, Zhimu, Shanshan, etc. The drug is used for some Chlamydia, Mycoplasma, Rhizoma, Radix et Rhizoma, Radix et Rhizoma, etc. According to the evidence, it can often receive twice the effect with half the effort. 4, urinary tract infection special problems of treatment awareness (1) complex urinary tract infection treatment awareness: complex urinary tract infection refers to recurrent urinary tract infection on the basis of the following: urinary tract organic or functional abnormalities, such as congenital narrowing of the ureter, causing long-term obstruction of the urinary tract, poor urinary flow, or a foreign body in the urinary tract such as stones, tumors, prostate hypertrophy, vesicoureteral reflux, etc., due to poor urinary flow, bacteria The disease is difficult to be cured because of the poor urinary flow and the easy growth of bacteria, as well as the increase of drug-resistant strains of bacteria due to the repeated use of antibiotics for a long time, and the prevalence of drug resistance. It is helpful to enhance the excretion of bacteria and to help the healing effect. (2) Treatment of urinary tract infection during pregnancy: urinary tract infection during pregnancy has its own characteristics, and attention should be paid to the fact that during pregnancy, as the qi and blood are injected into the ramus to nourish the fetus, it often shows the signs and symptoms of “Yang is always surplus and Yin is always deficient”, so treatment should be cautious with bitter and cold products that slip the fetus, such as rhubarb, mucuna pruriens, nux vomica, quercus, bai mao root, danpi, etc. The treatment should be cautious with bitter-cold products such as rhubarb, mucuna pruriens, nux vomica, quercus root, dandruff, etc. to prevent abortion. Considering the deficiency of Yin and Blood of pregnant women and the tendency of Yang energy to flourish, we should add products to nourish the kidneys and calm the fetus, such as Cuscuta, Eucommia, Radix et Rhizoma, Radix et Rhizoma, Radix et Rhizoma, Radix et Rhizoma, Radix et Rhizoma, Radix Angelicae Sinensis, Radix et Rhizoma, Radix et Rhizoma, Radix et Rhizoma, etc. to enhance immunity, kill bacteria and eliminate symptoms. Commonly used purging and detoxifying drugs include Huanglian, Scutellaria, forsythia, dandelion, etc. (3) Treatment of hematuria in urinary tract infection: urinary tract infection is always about the invasion of damp-heat and poisonous evil, which often injures the blood channels, resulting in blood not returning to the meridians and hematuria occurs, so in the treatment of urinary tract infection, on the basis of clearing heat and dampness, add some discretionary products to clear heat and cool blood, activate blood and stop bleeding, in order to eliminate symptoms, with medicines such as large and small thistle, Phellodendron leaf, white foxglove, raw panax ginseng and pu huang. It is important to note that the blood cooling medicine can not be used for a long time, otherwise it will have the disadvantage of retention of silt! 5, pay attention to the prevention of urinary tract infection urinary tract infection is in the deficiency of positive energy, immune deficiency, pathogenic bacteria to take advantage of the situation and the onset. So strengthen physical exercise, improve immunity, is the key to reduce recurrent urinary tract infections, as the so-called “positive energy within, evil can not dry”. During the treatment period, increase water consumption, eat more vitamin-rich food and fruits and vegetables, female patients should pay attention to perineal hygiene, avoid bad habits, and actively treat the triggering factors that cause urinary tract infection, such as stones, prostate disease, etc., can significantly reduce the occurrence of urinary sensation.