米杰治疗再发性尿路感染经验

MI Jie’s Clinical Experience in Treating Recurrent Urinary Tract Infection

再发性尿路感染是肾病科常见疾病，目前西医治疗多采用长程低剂量抑菌疗法，患者依从性差。米杰教授认为本病发作期多肝胆湿热下注，缓解期多气阴两虚兼有湿热，根据患者临床症状，急则治其标，缓则治其本，以发作期清湿热、缓解期补脾肾为原则，辨证施治，并喜用自拟外洗方缓解患者发作期尿路刺激症状，疗效显著。

Recurrent urinary tract infection is a common disease of nephrology. At present,those paUents were treated with long-term low doses of antimicrobial therapy which resulting in low dependency in western medicine. Professor MI Jie believes that damp-heat from liver and gallbladder is common in onset period,qi and yin deficiency combined with damp-heat is common in remission period. According to the patient＇s clinical symptoms,in urgent conditions,treat the branch while in moderate conditions,treat the root. In onset period,eliminating dampness and heat is the principle while reinforcing the kidney and spleen in remission period is the principle according to treatment based on syndrome differentiation. Professor MI Jie prefers to use prescriptions for external bathing to release urinary irritation in period of onset with significant effects.