Pyelonephritis can be treated with Chinese herbal tonics based on the main formula with additions and subtractions, such as Bazheng San and Xiao Ji Drinking Zi, depending on the identification of the disease. Pyelonephritis is categorized as “gonorrhea (increased frequency of urination, dripping and astringent pain)” in Chinese medicine. It is characterized by frequent urination, astringent and painful dribbling, wanting to go out but not yet finished, constriction of the abdomen (body spasm and convulsion due to wind-cold sensation), or pain leading to the waist and abdomen. Gonorrhea is caused by external dampness and heat, or dietary disorders, emotional disorders and other factors, resulting in dampness-heat accumulation (dampness and heat in the body of each other) in the lower Jiao, the kidney and bladder qi unfavorable and the onset of the disease. The general treatment is suitable for the actual Qingli, deficiency is tonic. Gonorrhea can be divided into heat drench (burning and stinging pain during urination, accompanied by frequent urination and urgency, and discomfort of traction in the abdomen), stone drench (discharge of gravel during urination, or sudden interruption of urination, pain in the urethra, and intolerable pain in the lower back and abdomen), and blood drench (the appearance of blood in the urine accompanied by a painful sensation), and so on. Heat drenching: frequent and short urination, burning heat and red pain, yellowish-red urine, constriction and pain in the abdomen, bitter taste in the mouth, and dryness of stools, etc. The treatment should be to clear away the heat and dampness (to remove the heat and dampness in the body) to clear the drenching, and the Bazheng San is given with additions and subtractions. Hemorrhagic drenching: hot, astringent and stinging pain in urine, dark red urine, or with blood clots, increasing pain in fullness and urgency, heartburn, etc. The treatment should be clearing heat and promoting drenching, cooling blood and stopping hemorrhage (making blood cool and moist, preventing hemorrhage), and Xiao-Ji Drinking Zi is given with additions and subtractions. The adverse effects of the above drugs are not clear. Chinese medicine treatment for pyelonephritis should be carried out under the guidance of a professional Chinese medicine practitioner for accurate diagnosis, and should not be used on its own to avoid delaying the condition.