Liu Female 55 years old
Complaint: Recurrent episodes of urinary urgency, frequency and painful urination for 10 years, aggravated for 6 months.
The patient was diagnosed with “pyelonephritis” at that time and improved after treatment with antibiotics. After that, it recurred 1-2 times a year almost every year, and the symptoms were relieved by antibiotic treatment. In the past six months, the attacks have been frequent, about once every two months, and after exertion 10 days ago, urinary urgency and frequency occurred again, and treatment with oral haloperidol and cefradine was not effective.
Now he has back pain, frequent urination, burning sensation in the urethra, tiredness and fatigue, dry mouth without desire to drink, heat in the hands and feet, light red tongue, thin and weak pulse. Routine urine examination: leukocytes >50/Hp, mid-stage urine culture: bacterial count >100000/ml.
Diagnosis: chronic pyelonephritis, laboratorium
Identification: Qi and Yin deficiency, dampness and heat accumulation
Treatment: Benefit Qi and nourish Yin, clear heat and dampness
Formula: Qingxinlianzi Drink plus reduction
Astragalus membranaceus 20g Radix Codonopsis pilosulae 20g Lotus seeds 15g Poria cocos 20g
Mai Dong 15g Psyllium 15g Radix Rehmanniae 15g Quai Mai 20g
Q Cun 15g Dandelion 20g Licorice 10g
5 doses, decoction with water, taken twice daily.
February 16, 2009 Follow-up Consultation
The frequency of urination and burning sensation in the urethra were reduced after taking the first dose. The effect does not change the formula, adding 30g of Cyperus alba to the above.
February 23, 2009, follow-up consultation
All symptoms disappeared except lumbago and weakness, with light red tongue and thin white fur. Urine test showed 10-20 leukocytes/Hp.
The patient was advised to continue to take the first 14 doses.
March 9, 2009 follow-up
Urinalysis with 1-3 leukocytes/Hp and negative mid-stage urine culture. The patient was advised to take 10 more doses to consolidate the treatment effect.
Qingxinlianzi Drink is from the “Bureau Formula”, which is said to treat “white turbid urine, nighttime leakage, astringent pain, red stool like blood, men’s five gonorrhea, gas does not converge, Yang floating outside, five heart annoying heat.” This formula is used to treat the upper and lower deficiencies, inflammation of the heart, bitterness of the mouth and dryness of the throat, irritation and thirst with slight heat, red and astringent urine, or those who want to become gonorrhea. This formula is also used in the “World’s Most Effective Medicine? Thirst? General treatment” said this formula can cure: “the treatment of heat in the heart, often irritable, so thinking about the labor of mind, worry and depression, is the cause of the urine white cloudy, or sandy film, night dreams go, leaking astringent pain, the stool red as blood. Or because of excessive alcohol, the upper Shengxia deficiency, the heart fire inflammation, lung gold by the gram, dry mouth and tongue, gradually become thirsty, sleep and sleep restlessness, limbs tiredness. Men’s five gonorrhea, women bring down red and white. After the disease, the Qi does not converge, Yang floats outside, and the five hearts are hot and bothered. The medicine is warm and calm, not cold and not hot. It is often taken to clear the mind and nourish the spirit, secret essence and replenish the deficiency, nourish the intestines and stomach, and regulate the blood.” Puji Fang? This formula is also contained in “The Gate of Thirst”.
This formula is a combination of warming, clearing, tonic and beneficial. The author has also studied the application of this formula, which is often used to treat elderly women with chronic urinary tract infections due to deficiency of both qi and yin. In elderly women, due to the decrease in estrogen level, vaginal secretion decreases and the self-purification function is inadequate, causing infections in the lower urinary tract and vagina. Recurrent burning sensation in the perineum, or even inability to sit, is common, along with irritating symptoms such as urinary frequency, urgency, and painful urination, which are more prolonged when combined with diabetes. Infections can aggravate the condition of diabetes and cause blood sugar to rise, which is difficult to control. The long-term application of antibiotics in western medicine cannot eradicate the disease, but the application of Qingxin Lianzi Drink plus reduction, clearing heat and tonifying qi, and nurturing yin and promoting water, can achieve long-term and stable results.