In urology clinics, we often see patients with test results anxiously asking doctors, “Why is there no abnormality in the test and so much medicine, but the frequency and pain of urination still do not improve? Is it some kind of incurable disease?” At this point, experienced specialists will suggest that they do a cystoscopy and, if necessary, take a biopsy for pathological examination. In this way, a significant number of patients can be diagnosed with a specific type of bladder inflammation – adenocystitis. Adenoid cystitis occurs in the bladder triangle and neck, the normal human bladder mucosa consists of migratory epithelium, but under the chronic stimulation of various physicochemical factors inflammation, obstruction, local mucosal tissue evolves into adenoid epithelium, which leads to adenoid cystitis. Adenoid cystitis is often misdiagnosed as a “urinary tract infection” and is often treated in internal medicine. We believe that if a longer period of medication for “urinary tract infection” does not heal or is recurrent, cystoscopy should be performed to clarify the diagnosis. The diagnosis of adenocystitis is based on pathology and cystoscopy is an important reference in the diagnosis. Adenoid cystitis has the following characteristics on cystoscopy: 1. lesions are mainly located in the triangle and neck; 2. lesions are polycentric, often present in scattered patches or clusters; 3. they are polymorphic, with a mixture of papillary, lobulated, and follicular forms. There is no satisfactory treatment for adenoid cystitis. Transurethral electrocautery (TUR) or laser treatment is the main surgical method and has some effect, but its indications are limited lesions or lesions in the cyst neck that affect urination; for a wide range of lesions, the effect of electrocautery is not satisfactory, there is a possibility that the lesions may not be cut and remain, and extensive electrocautery can aggravate bladder irritation and increase the patient’s pain; generally, radical cystectomy should be performed Radical cystectomy should be performed, but it will seriously affect the patient’s quality of life. According to Chinese medicine, the location of gonorrhea is in the kidney and bladder, and it is related to the liver and spleen. The pathogenesis is mainly due to kidney deficiency, bladder dampness and heat, and loss of qi-transformation. The kidney and the bladder are in close proximity to each other, and the strength and weakness of the kidney qi directly affects the qi-transformation and opening and closing of the bladder. If gonorrhea is not cured for a long time, heat will hurt yin and dampness will hurt yang, which will easily lead to kidney deficiency; if kidney deficiency is prolonged, dampness, heat and filth will easily invade the bladder and cause recurrent attacks of gonorrhea. There are deficiency and actual gonorrhea, the first disease is more actual, the long disease is more deficiency, the first disease is weak and the long disease patient, can also see both deficiency and actual. The solid evidence is mostly in the bladder and liver, and the deficiency evidence is mostly in the kidney and spleen. The basic principle of treating gonorrhea is to clear up the deficiencies and tonify the deficiencies. When Xu Lingtai commented on the Clinical Guide to Medical Cases? The method of treating gonorrhea, there are passages and plugs, which should be separated. On the basis of the ancient practice, the author found that “qi stagnation, phlegm blockage and blood stasis in the meridians” play an important role in the pathogenesis of adenoid cystitis, and the idea of “resolving phlegm and relieving depression, regulating qi and activating blood” can significantly improve the clinical symptoms of patients. There is no definite evidence on the relationship between adenocystitis and carcinoma, but previous reports have shown that the rate of carcinoma is significantly higher than that of nonspecific inflammatory bladder disease. Although there is no consensus among scholars that adenocystitis is a precancerous lesion, aggressive treatment and thorough follow-up are well recognized and advocated. Adenoid cystitis is prone to recurrence, so regular review is important, usually every 3 months during the first year and every 6 months thereafter, and should continue for about 2-3 years to detect suspicious lesions for early management.