Yu Guo-Yong, Tian Zhe-Jing, Sun Yue, Yang Han-Wen, Han Shuai-Jie, Miao Run-Pei, Fu Xin-Wen, Xiong Min, Wang Yao-Xian, Tian Jun-Jian
Dongzhimen Hospital, Beijing University of Chinese Medicine, Beijing 100700, China.
Beijing University of Chinese Medicine, Beijing 100029, China.
Zhongguo Zhong Yao Za Zhi. 2017 Apr;42(8):1439-1448. doi: 10.19540/j.cnki.cjcmm.2017.0040.
Urinary tract infection (UTI) in traditional Chinese medicine (TCM) belongs to the category of stranguria. This article describes the unsatisfactory situations in clinical practice such as antibiotics abuse, increasing of drug-resistant bacteria, high recurrence rate, etc. According to evidence-based medicine, literatures as evidence are collected for summarizing and analyzing and the result shows the advantages of TCM of relieving symptoms, reducing the dosage of antibiotics, less side effects, lower recurrence rate, etc. In the field of fundamental research, literatures associated with UTI are also summarized and analysed from several perspectives, such as causes, pathogenesis, syndrome differentiation, pharmacological effects of Chinese herbal medicine, working mechanism of non-drug therapy, etc and the result presents that integrated treatment of TCM in UTI has significant advangtages and its own characteristic.
尿路感染在中医中属于淋证范畴。本文描述了临床实践中存在的一些不尽人意的情况，如抗生素滥用、耐药菌增加、复发率高等。依据循证医学，收集以文献为证据进行总结分析，结果显示中医在缓解症状、减少抗生素用量、副作用少、复发率低等方面具有优势。在基础研究领域，也从病因、发病机制、辨证论治、中药药理作用、非药物疗法作用机制等多个角度对与尿路感染相关的文献进行了总结分析，结果表明中医对尿路感染的综合治疗具有显著优势及自身特色。
