基于"正虚邪恋"探讨复发性尿路感染的中西医病机共性与临床辨治OA

The core pathogenesis of recurrent urinary tract infections(rUTI)is"healthy qi deficiency and pathogenic qi retention".The fundamental cause of recurrence is deficiency of the liver,spleen,and kidneys and insufficiency of healthy qi.The key to recurrence is the accumulation and persistence of pathogenic damp-heat,stasis and toxins.The key pathogenesis of lingering pathogenic factors is the retention of latent pathogenic factors and their readiness to attack.This understanding of pathogenesis is similar to that of modern medicine in the aspects of the weakening of the urethral mucosal defense,the invasion and colonization of pathogens,as well as the latency and reactivation of bacteria.The shared understanding of rUTI pathogenesis between traditional Chinese medicine(TCM)and Western medicine provides a theoretical basis for integrated TCM and Western medicine treatment based on syndrome differentiation of rUTI.Guided by the pathogenesis perspective of"healthy qi deficiency and pathogenic qi retention",the clinical treatment of rUTI should attach importance to simultaneously implementing the strengthening of vital qi and promotion of mucosal repair,jointly implementing the elimination of excess pathogenic factors and clearance of pathogenic flora,identifying and addressing predisposing factors to eliminate the hiding places of latent pathogens,and focusing on daily life regulation,so as to establish the integrated TCM and Western medicine treatment plans.