2023-09-02 15:03:23
[손기정 일중한의원 원장] A few years ago, I conducted an interesting survey on patients with chronic cystitis. I wondered what the cause of recurrence was that patients thought of themselves while wondering ‘why does cystitis keep recurring’. The 273 patients who participated in the study were women suffering from representative intractable bladder diseases such as chronic cystitis, overactive bladder, and interstitial cystitis. Most of them suffered from chronic cystitis for more than 3 to 5 or 6 years and had repeated improvement and recurrence. Stress was the first factor cited by these people at 69.3%, followed by overwork at 43% and sexual intercourse at 23%.
As such, the main recurrent factors of cystitis are stress and fatigue, which are the main culprits in reducing immunity. Chronic recurrent cystitis is easy to recur if you are tired. Physical fatigue is also a problem, but
Son Kee-Jeong, director of Japanese-Chinese oriental medicine clinic, also said that exposure to stress for a long period of time causes physical and mental fatigue and weakens the body’s defenses as immunity decreases. Not just cystitis, but it can cause disease all over the body. However, living in a complex and busy modern society, it is almost impossible for anyone to completely avoid these two things. So, to get out of the bondage of chronic cystitis, it is important to take a fundamental treatment approach to prevent recurrence as much as possible. We recommend two important treatment principles for dealing with cystitis.
The first is the correct response to early acute cystitis that has not yet become chronic. Acute cystitis is usually caused by a bacterial infection such as Escherichia coli, and symptoms subside following taking antibiotics for 1 to 3 days. The important thing at this time is to actively take antibiotics at the beginning and continue treatment until the bacteria are destroyed. This is because it is common for people to stop taking the medicine or neglect taking the medicine because they think that the treatment has been completed when the symptoms improve following taking it for 2 to 3 days. Even if some symptoms seem to improve with this unfinished treatment, if the body’s immunity is weakened due to overwork, stress, or drinking, cystitis can quickly recur and lead to chronicity. If cystitis recurs repeatedly, it is almost impossible to treat it fundamentally with antibiotics alone.
Second, lower abdominal pain and urinary frequency symptoms that appear when urinating or holding back urine become a sad situation in which pain and urination symptoms appear complexly due to fibrosis of the inner wall of the bladder. At this time, it is essential to normalize the bladder function through treatment that helps regenerate and restore the damaged bladder mucosa as well as control the outward symptoms such as pain and urine symptoms.
In addition, multiple complex treatments that restore autonomic nerves and increase systemic immunity can prevent recurrence. Chunyo-tang, a natural medicine, has good clinical results as a fundamental treatment developed in line with modern disease aspects such as stress, dietary changes, and lifestyle, as well as women’s characteristics such as childbirth, childcare, and housework. In addition to basic medicines that restore kidney and bladder functions, wild herbs such as bokbunja and Schisandra, which improve urine, honeysuckle flowers called natural antibiotics, dandelion, persimmon tree, purslane, and dapssari seeds are widely used. In the case of interstitial cystitis, which is known to be the most difficult to treat among chronic recurrent cystitis, the result of a 60% reduction in the symptom index (ICSI) following 3 to 8 months of treatment was published in my thesis.
Even now, many chronic cystitis patients who visit the clinic complain of anxiety and fear that cystitis may recur at any time, even when there are no symptoms. Some people even suffer from depression or say that they carry a ticking time bomb in their bladder. It is emphasized that these two clear treatment principles are important points to end the long suffering of chronic cystitis.
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