Abstract
Paients with recurrent urinary tract infection are difficult to be cured completely. It is said that a large number of those patients have congenital abnormalities of urinary tract. The most frequent abnormality of the patients accompanied with recurrent urinary tract infection is vesico-ureteric reflux. Twenty one patients with acute pyelonephritis were admitted to the department of pediatrics of this hospital during these four years. Among them, seven cases had abnormal figure on intravenous pyelography (IVP). Three of them had vesico-ureteric ref lux on retrograde cystourethrography. Those three patients had more frequently recurred acute pyelonephritis and their calix demonstrated some abnormal deformities on IVP. Two of those three patients with vesico-ureteric ref lux were treated with antibiotics together with Kanpo medicine. One patient with atonic ureter and three patients without particular abnormalities on urinary tract were also treated with antibiotics as ordinary method, together with Kanpo medicine. Kanpo medicine is Japanese traditional medicine which is composed by plural herbs. The selection of Kanpo medicine was made according to the each patient's constitutional state and symptomes. The extract of Kanpo medicine made by Tsumura Co. was used 0.1g/kg orally. The frequency of urinary tract infection reduced in one of the two patients with vesico-ureteric ref lux who were treated together with Kanpo medicine and at the same time the patient's appetite improved. Her color in cheek became better and her weight increased. Another patient did not get well despite Kanpo treatment. The rest of the patients who received together with Kanpo medicine all showed excellent weight gain during the treatment in-cluding one patient who had prolonged abnormal findings of urinalysis such as more than one hundred of red cells per one field and frequent cylinders. Kanpo medicines espe-cially Hachimigan which is a recipe traditionally used for the patients with disturbed renal function were thought to be effective to improve the patient's general condition and the findings of urinalysis in the cases of urinary tract infection.
