Urinary stones are a common and frequent disease, and the incidence rate is increasing year by year, especially in our Yibin area. The high recurrence rate of urinary stones after cure, 4 to 5 years after about 50% of the patients at least one recurrence, the reason is that the cause of urinary stones is still not very clear, the lack of effective preventive and curative measures and methods. Science has proved that the ancient cloud “disease enters by the mouth” is not nonsense, the same is true for stones, as long as we manage to use our mouth, will greatly reduce the incidence of urinary calculi and recurrence rate, we can start from the following aspects. Increase water intake Increase water intake is the cheapest and most effective way to reduce stone formation, water intake directly determines the amount of urination and urine saturation, and urinary stone formation is closely related. Insufficient drinking water, can make the relative volume of urine mass and the concentration of uroliths are increased, and increase the amount of drinking water, not only the relative volume of urine mass, the concentration of uroliths decreased, and promote uroliths formation of the factors are also diluted, so that uroliths formed to play a double protective effect. Drinking water is preferred to keep the daily urine volume at 2000-3000 mL. Because the urine is most likely to be concentrated at night, you should drink moderately before going to bed each night to prevent the concentration of urine and increase the risk of urinary stone formation. Adjustment of drinking water composition of urinary calculi is closely related to the composition of drinking water, epidemiological investigations have confirmed that the incidence of urinary calculi is lower when drinking pure water, the use of magnetization of drinking water to prevent and control urinary calculi has also achieved good results, because of the magnetization of the water after the increase in calcium oxalate, calcium phosphate and other stone-forming substances such as the solubility of the stone to reduce the occurrence of stones, and continue to grow the opportunity. In addition drinking citrated beverages can reduce the incidence of urinary stones, while drinking phosphorylated sodium bicarbonate-based beverages is the opposite. These adjustments are achievable in our average household. Adjustment of diet In the past, due to economic backwardness, people had fewer opportunities to eat meat dishes, and children had a higher incidence of bladder stones because they did not have enough nutrition. With the improvement of economy in recent decades, the rare incidence of bladder stones fully illustrates the close relationship between stones and changes in people’s dietary structure. Epidemiological investigations have found that excessive intake of protein, fat and phosphorus, insufficient intake of carbohydrates, dietary fiber and vitamin C, the incidence of urinary tract stones is significantly higher, excessive animal protein and animal offal, raising the urinary content of calcium and uric acid, and restricting the intake of protein can significantly reduce the incidence of renal stones. High lipoprotein metabolism can increase renal reabsorption of citrate, which reduces urinary citrate concentration, thus increasing the risk of calcium crystal formation, which is the etiology of urinary tract stones. High lipoproteins can also contribute to the precipitation of oxalate in the urine, leading to or accelerating the formation of calcium oxalate stones. Malnutritional bladder stones can be prevented by ensuring breastfeeding and strengthening the diet. Phytic acid in bran combines with calcium in the intestines to form calcium phytate that is not absorbed by the intestines, which can reduce the urinary calcium level, thus preventing the recurrence of stones, and refined sugar can increase urinary calcium excretion, which should be controlled by patients with urinary stones. It can be seen that eating more coarse grains can reduce the occurrence of stones. We Sichuan people like to eat sauerkraut, by sauerkraut as the main ingredient or auxiliary ingredients composed of numerous dishes, but sauerkraut contains a large amount of oxalic acid and calcium, so calcium oxalate stone patients should eat less. Spinach is rich in oxalic acid and is best avoided, especially with calcium-containing tofu. You should also avoid strong tea and drink less strong alcohol. If there is no endocrine disease so that calcium in the intestinal tract over-absorption or calcium discharge abnormalities, appropriate calcium supplementation does not increase the occurrence of urinary calculi, because most of the developed countries and developing countries intake of calcium content does not reach the recommended standard intake of calcium intake, calcium intake of calcium, calcium and intestinal oxalic acid combined with fecal excretion, so that the intestinal oxalic acid absorption is reduced. When calcium intake is low, intestinal absorption of oxalate increases, causing an increase in urinary oxalate, which forms stones with urinary calcium. Just a small increase in urinary oxalate can accelerate the increase in calcium oxalate stone formation. Research data from the World Health Organization also suggests that a high-calcium diet reduces the incidence of kidney stones. The incidence of urinary stones is directly proportional to sodium intake when a high salt diet is compared to a low salt diet, so patients with urinary stones must be on a low salt diet. Correct endocrine disorders Some of the development of urinary calculi is related to endocrine, clinical observation shows that the incidence of men is significantly higher than that of women, and it has been confirmed that androgen is one of the causes. Animal experiments have shown that the incidence of stones is significantly higher in females after removal of the ovaries than in those who have not been removed. The prevention and treatment of urinary calculi triggered by primary diseases such as hyperparathyroidism and gout is based on the treatment of primary diseases. Reduce the concentration of stone-forming substances in the urine Elevated concentrations of calcium and oxalic acid in the urine are important mechanisms for the formation and recurrence of calcium-containing uroliths. Reducing the concentration of urinary calcium and oxalic acid can effectively prevent and control calcium-containing uroliths. Vitamin B6 and plantain core extract both have the effect of reducing oxalic acid content in renal tissues of mice with hyperoxaluria and inhibiting the formation of calcium oxalate crystals in renal tissues. Moneywort can protect the tissue cells of the kidney, reduce renal urinary calcium and oxalic acid excretion and achieve the purpose of stone prevention. Thiazide diuretics can increase urine volume and reduce urinary calcium, and are widely used in clinic to prevent and control urinary stone, but its side effects are also more. Low-salt diet can also effectively reduce urinary calcium. Improve the activity and concentration of urolith inhibitors The human urine is often in a saturated state, the reason why there is no formation of crystals, and the activity and concentration of inhibitors of urolith formation are closely related to the reduction of urolith inhibitors. Appropriate application of vitamin K3 can increase the amount of urinary stone inhibitors in the kidney and urine, and may play a preventive role in urinary stones. Citrate is a highly active inhibitor of urinary stone formation in urine, which can combine with calcium in urine to form soluble calcium citrate that is not easily decomposed and excreted from the body to reduce the concentration of urinary calcium, which is why we advocate the consumption of citrate-containing beverages earlier and oppose the frequent consumption of carbonated beverages. Reduce the concentration and activity of urolith formation promoters Urolith formation is the result of the joint action of inhibitors and promoters. Therefore, reducing the concentration and activity of promoters is an important measure to prevent the recurrence and growth of urolithiasis, but unfortunately we still know relatively little about this. Chinese medicine stone prevention Chinese medicine prevention and treatment effect is better is the use of diuretic agent prevention and treatment of urinary stone, such as the addition of eight Zhengshan can prevent the shape of calcium oxalate stones, Wu Ling San can inhibit calcium oxalate crystals and try to prevent and treat urinary stones, Chinese medicine Zelda can also inhibit the formation of calcium oxalate crystals, and used to prevent the recurrence of stones. In addition, benefiting the kidneys, strengthening the spleen and the kidneys, clearing away blood stasis, warming the kidneys, clearing away blood stasis all have the effect of preventing the recurrence of urinary stone formation.