Acupuncture for Recurrent Uncomplicated Urinary Tract Infection in Women

摘要

Background: Urinary tract infection (UTI) is the most common bacterial infection in women, with 50%-60% having at least one episode of infection at some point of their lives. Recurrences are common (66%); Escherichia coli is the most common causative organism. Uncomplicated UTI, which is the focus of this article, responds well to short courses of antibiotics, but, after repeated use, emergence of antibiotic resistance is a major issue. Objective: The aim of this article is to discuss the development of a system of acupuncture that covers all aspects of UTI, including control of symptoms and prevention of recurrence. Methods: This article discusses the following: (1) a combination of points to control symptoms in all cases of UTI; and (2) a combination of points to address the possible Disharmony patterns that predispose patients to UTIs and thus reduce or prevent the chances of recurrence. The use of Extra Meridian Yin Qiao Mai (Yin Heel Vessel), which has the potential to treat symptoms of UTI and and neutralize the Disharmonies effectively-thus reducing chances of recurrence-is explained. Points with immune-stimulating functions that are used to combat infection are also covered. Conclusions: Use of the combination of points for symptom control; and selective use of points according to Disharmony patterns for each particular patient; and supportive use of Extra Meridian Yin Qiao Mai, which has beneficial effects on all aspects of UTI, can treat most patients with UTI effectively. In addition, control of symptoms and prevention of recurrence can be acheived.