Orthosiphon staminate (Kidney tea) leaves 1.5 g x20

How to protect your immune system and recover from COVID-19?

Kamila Tuychieva

Head of the reception department of the K+31 clinic, general practitioner

– In the spring, many people notice a loss of strength and fatigue. As a rule, this is due to sun deficiency after the winter months and a lack of vitamins. As a rule, proper nutrition, vitamin complexes according to indications, breathing practices, moderate physical activity and good sleep help strengthen the immune system in this case.

It is more difficult for those who have recently suffered a coronavirus infection, which affects many vital organs and systems. Unfortunately, these are not only the lungs, but also the brain, cardiovascular, central nervous system, etc. Therefore, doctors often identify post-Covid symptoms such as asthenia, anxiety, muscle pain, muscle weakness, hair loss and others .

In each individual case, these symptoms vary in duration and severity. It all depends on how the disease progressed, how the person eats, what kind of immunity he has, and whether he leads an active or passive lifestyle. Each specific patient who has recovered from COVID-19 and has post-Covid symptoms is given certain recommendations from doctors for rehabilitation after coronavirus. The doctor will also recommend vitamins after Covid. Recovery from coronavirus occurs individually, but there are several universal recommendations on how to recover from coronavirus as an adult.

Recommendations for recovery from COVID-19

Asthenia

COVID-19, affecting the central nervous system, also causes asthenia, a condition accompanied by weakness, lethargy, and general malaise. Those who have recovered from coronavirus infection in severe and moderate form require mandatory comprehensive rehabilitation under the supervision of experienced specialists. One of the components of this rehabilitation is therapeutic exercises, which help with muscle pain, muscle weakness, and also stimulate respiratory function.

Anxiety and irritability

After treatment, feelings of anxiety, irritability, aggression or depression may persist. In this case, you should seek the help of a qualified psychologist, especially if the changes affect the quality of life and interaction with others.

Hair loss

The transferred coronavirus can also provoke the occurrence of so-called diffuse alopecia - this is when uniform hair loss is observed. In severe cases, rapid loss occurs, and in milder cases, with greater frequency than usual. The exact data still varies, but, according to some experts, hair follicles do not die, but only fall asleep, so it is possible to restore hair thickness if you consult a qualified doctor who will prescribe the correct treatment.

How to boost immunity after coronavirus?

COVID-19 is far from the only viral disease that requires long-term recovery. For example, rehabilitation after infectious mononucleosis, herpes viral infections takes a long time, even severe forms of habitual sore throat, influenza or ARVI sometimes leave unpleasant consequences. Moreover, long-term recovery after coronavirus is usually associated not only with the virus itself, but also with the individual immunological characteristics of the body.

To strengthen the immune system in the spring, we can recommend measures that are aimed at the general rehabilitation of the body. But before doing anything, it is advisable to consult with your doctor.

For those who have recently suffered from coronavirus, such a consultation is necessary, because a specialist will select an individual rehabilitation program and tell you what vitamins to take after Covid. If the coronavirus infection is severe, comprehensive medical care may be required with the involvement of highly specialized specialists - a cardiologist, pulmonologist and others.

Balanced diet

• It is advisable to exclude sweets, confectionery, and yeast products. Replace baked goods made from premium flour with bread made from durum wheat and whole grains.
• It is useful to eat sprouted grains - they are a storehouse of nutrients.
• It is recommended to replace dairy products (milk and cottage cheese) with lactose-free products during the recovery period; you can drink plant-based milk. This is explained by the fact that coronavirus infection usually affects older people. As you age, your body has a harder time digesting dairy products because the older you are, the less enzymes you can produce that are needed to digest lactose. In addition, after an illness, the human body is weakened, so it does not need extra stress on the digestive system.

7 myths about milk and which of them are true? Read HERE

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• Meat, poultry, fish. Remember that white meats (rabbit, turkey breast) are better digestible than red ones. If you are not allergic, eat fish. Use green vegetables as a side dish.
• Vegetables. Limit vegetables from the nightshade family (potatoes, eggplants, tomatoes).
• Include foods rich in vitamins C and D in your menu. Vitamin D during coronavirus is a powerful immunoregulator, and C can strengthen the barrier function of the respiratory system. Oranges, black currants, and cranberries are rich in vitamin C. Vitamin D can be obtained from appropriate dietary supplements - up to 50 micrograms of vitamin D per day is required. Vitamins are a good way to restore the body after a mild form of coronavirus.

How to take vitamin D correctly - HERE

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• Coffee can cause an allergic reaction; it is recommended to replace it with chicory, fireweed, green or black tea.

The main principle of nutrition during the recovery period after Covid is to leave the table with a slight feeling of hunger. In addition, try to eat often (5-6 times a day) and in small portions. Don't eat at night! The fact is that the intestinal immunity “switches on” in the evening and at night, and digestive enzymes are most active in the morning.

Take care of restoring intestinal microflora. Antibiotics can also be used in the treatment of coronavirus infection; the intestinal microflora suffers from this. Therefore, it is important to correct intestinal dysbiosis with probiotics and prebiotics (plant fibers).

Physical activity

The simplest and most accessible type of physical activity for most is daily walks. Start with half-hour leisurely walks. Then gradually increase the time and pace of walking. It also wouldn’t hurt to ask your doctor to choose a set of exercises for you that you can do at home if the weather outside is not very good.

DESCRIPTION. An annual cultivated herbaceous plant 30-40 cm high. Stems are tetrahedral, branched, woody at the base, dark purple. The leaves are opposite, oblong-ovate or rhombic, with a wedge-shaped base and a pointed apex. The flowers are monosymmetrical, collected several in opposite half-whorls, forming an intermittent racemose inflorescence at the top of the stem. The calyx is bell-shaped, two-lipped; The upper lip is rounded, the lower lip has 4 subulate teeth. The corolla is two-lipped, tubular at the base, pale purple. There are 4 stamens, protruding far from the corolla tube; style longer than stamens. The fruit consists of 1-4 nuts enclosed in the remaining calyx. The nuts are irregularly ovoid with a bumpy surface. Blooms in July-August; seeds are rarely formed under cultural conditions.

RAW MATERIALS. Medicinal raw materials are dried apical leafy shoots (flesh), which are the upper part of the stem, up to 2 cm long, with an apical bud and 2 pairs of young leaves. Leaves are 2-5 cm long, 1.5-2 cm wide, oblong, short-petioled, coarsely toothed. The lateral veins merge with each other in arcs running parallel to the edge of the leaf. The color is grayish-green, the smell is weak, peculiar, the taste is bitter, slightly astringent.

The raw material is dried quickly, spread out in a thin layer in the sun and in dryers at 30-35°C, but first it is left in the shade for drying and fermentation for 24-36 hours. The raw material of kidney tea is hygroscopic, so it should be stored in a dry room.

DISTRIBUTION AND CULTIVATION. It is especially widespread in the Caucasus. Propagated by cuttings.

CHEMICAL COMPOSITION. The bitter glycoside orthosiphonin, later identified as mesoinositol, was isolated from the leaves of kidney tea, as well as triterpene saponins, tannins, beta-sitosterol, up to 2.7% fatty oil, a small amount of essential oil, organic acids: tartaric, dimonic, phenolcarbonic and rosmarinic.

APPLICATION. Kidney tea has pronounced diuretic properties. It promotes increased excretion of urea, uric acid and chlorides from the body. In addition, kidney tea increases the secretion of gastric juice and enhances bile secretion. Thanks to these properties, kidney tea has found wide use for acute and chronic kidney diseases accompanied by edema. It is especially often prescribed for kidney stones, cystitis, cholecystitis and cholelithiasis.

The combined use of kidney tea with cardiac glycosides is effective for cardiovascular failure. Prescribed in the form of an infusion prepared hot and cold in a ratio of 3.5:200. Long-term use of kidney tea does not cause side effects. No contraindications have been identified.

RECIPE

Infusion:

Pour 1 teaspoon of leaves into 1 glass of boiling water, leave for 30 minutes - 1 hour, strain. Take half a glass to one glass warm before meals. The course of treatment is several months. The infusion can be consumed for a long time, as it does not have any toxic effect.

Diseases of the bile and hepatic ducts and their manifestations

Causes of diseases of the bile ducts:

• parasites;
• tumors of the mucous membrane and submucosal layer;
• heterogeneous consistency of bile;
• damage to the duct by calcifications.

The main risk group is women, because they are more likely than men to experience hormonal problems and suffer from excess weight.

Blocked ducts

Most often, the ducts become blocked due to cholelithiasis. Obstruction can also be caused by a tumor, inflammation of the walls of the ducts, a cyst, helminthic infestation, or a bacterial infection. Narrowing of the ducts (strictures)

The main reason for this pathology is a previous operation to remove the gallbladder or tumor, cyst in the duct. Inflammation persists for a long time after surgery, which leads to narrowing. The patient loses appetite, experiences pain in the right side, and his body temperature rises.

Screeds and scars

The walls of the duct are replaced by scar tissue due to inflammation caused by sclerosing cholangitis. As a result, the outflow of bile is disrupted, it is absorbed into the blood and stagnates in the gallbladder. There are no symptoms, but as the disease progresses, liver cells die.

Swelling

The walls of the bile ducts become denser due to catarrhal inflammation. In this case, overcrowding of the blood vessels occurs, the mucous membrane of the duct swells, leukocytes accumulate on the walls, and the epithelium exfoliates. Often this disease becomes chronic. At the same time, he constantly experiences discomfort in the right side, he is tormented by nausea, and vomiting occurs.

Cholelithiasis

Stones in the biliary system are formed due to stagnation of bile in the gallbladder and disruption of cholesterol metabolism. For treatment, medications are prescribed, under the influence of which the stones leave the gallbladder through the ducts. The patient feels a stabbing, cutting pain in the right side. A large stone may partially or completely block the duct. This is called gallbladder spasm. Its symptoms are pain, nausea, vomiting.

Tumors and metastases in cancer

Klatskin tumor is often found in older patients with biliary problems. In 50% of cases, a malignant tumor forms in the common bile duct. If left untreated, metastases appear, affecting regional lymph nodes, pancreas, and liver. The disease can be detected at an early stage if the symptoms are not ignored: pain in the right hypochondrium, which radiates to the neck and shoulder blade.

Parasites

Trematodes, Giardia, and flukes may appear in the gallbladder and ducts. They cause chronic inflammation of the walls of the gallbladder and disrupt the contractile function of the ducts.

Free or paid treatment?

Dyskinesia

With this disease, the consistency of contraction of the walls of the gallbladder and its ducts is disrupted. As a result, bile enters the duodenum in deficiency or excess, which disrupts the process of digestion and absorption of nutrients.

Cholangitis

Inflammation of the bile ducts occurs when they become blocked or liver secretions become infected with bacteria. There are three types of inflammation:

• acute, occurring unexpectedly - a person has a headache, the skin turns yellow, a stabbing pain appears in the right hypochondrium, which radiates to the shoulder and neck;
• chronic – mild pain on the right side, increased body temperature, bloating of the upper abdomen;
• sclerosing - there are no symptoms, and if left untreated, liver failure develops, which cannot be cured.

Extension

Most often it occurs due to increased contractility of the walls of the gallbladder. There are other reasons - blockage of the common duct with a tumor or stone, improper functioning of the sphincters. As a result, the pressure in the biliary system increases and the ducts expand.

Biliary atresia

This is a blockage or absence of the bile ducts. The disease is found in newborns. The child's skin becomes yellow-green, the urine darkens, and the feces become white-gray. If the pathology is not treated, the child will not live more than one and a half years.

Treatment methods

Therapy is expected to be comprehensive - diet and medication, and in difficult cases surgery is indicated.

Conservative therapy

Patients are prescribed table No. 5 according to Pevzner. Fried, fatty, alcohol, carbonated drinks and foods that cause gas formation are excluded from the diet. The main goal of this diet is to reduce the load on the biliary system and prevent a sharp outflow of bile. If there is no severe pain, you can eat as usual, but without harmful foods. Food should be varied and nutritious. You need to eat 4-6 times a day in small portions. The diet should be combined with taking B vitamins, as well as E, K, A, C.

• Choleretic drugs.
• Broad spectrum antibiotics.
• Antispasmodics.
• Quitting smoking and active lifestyle.

Surgery

The operation is carried out when there is some kind of obstruction that needs to be removed. It could be a cyst, tumor, scar. Different methods are used for different diseases:

• Praderi drainage - is carried out when forming an artificial connection between the small intestine and the bile duct so that there is no narrowing of the operated area. Also performed after removal of the gallbladder to maintain normal pressure in the common bile duct.
• Stenting - when the duct narrows, an expanding stent is installed into it - a thin tube made of metal or plastic. The stent restores patency.
• Endoscopic papillosphincterotomy is a gentle operation to remove stones from the ducts using a special probe.

Urinary tract infection and the role of herbal remedies in its complex therapy

Urinary tract infection (UTI; synonyms: urinary system infection, urinary tract infection) is a collective term denoting an infectious-inflammatory process in the urinary system without indicating its location and nature of the course. Based on localization, infections of the lower urinary tract (cystitis, urethritis) and upper urinary tract (pyelonephritis, abscess and carbuncle of the kidney, apostematous pyelonephritis) are distinguished.

Based on the nature of the course, UTIs are divided into uncomplicated and complicated. Uncomplicated UTI usually develops in people without obstructive uropathy and structural changes in the kidneys and urinary tract, in the absence of underlying diseases. Complicated infections occur in patients with obstructive uropathy, urolithiasis, polycystic kidney disease, benign prostatic hyperplasia (BPH), against the background of bladder catheterization and/or instrumental (invasive) research methods, as well as in patients with concomitant diseases such as diabetes diabetes, gout, other metabolic disorders.

Based on their occurrence, they distinguish between community-acquired (occurring in an outpatient setting) and nosocomial (developing after 48 hours of the patient’s hospital stay) UTIs. At least 40% of all nosocomial infections are caused by UTIs, caused in most cases by bladder catheterization [1–3].

Based on the severity of clinical manifestations, UTIs are often classified as afebrile (predominantly lower urinary tract infection), febrile (predominantly upper urinary tract infection), and asymptomatic bacteriuria (AB). BD is a bacteriological diagnosis that is established by examining urine collected with maximum sterility and delivered to the laboratory in the shortest possible time. According to the Infectious Diseases Society of America (IDSA), BD is isolated bacteriuria in a urine sample obtained under conditions that exclude contamination and in the absence of symptoms of urinary infection [4]. The diagnosis of BD can be made:

• if in two consecutive urine tests in women without clinical signs of UTI, the same strain of microorganisms was isolated in an amount of ≥ 105 CFU/ml;
• if in a urine test in men without UTI symptoms a bacterial strain was isolated once in an amount of ≥ 105 CFU/ml;
• if in a urine test obtained during catheterization, in both men and women, a bacterial strain was isolated in an amount of ≥ 102 CFU/ml.

In the structure of infectious morbidity, UTI ranks second, second only to respiratory infections. Among the adult population, women are 30–50 times more likely than men to suffer from a UTI, and up to 60% of women will experience an episode of a UTI during their lifetime. In every fourth patient in this age group, UTI recurs within a year [5]. In elderly and senile age, the frequency of UTIs in women and men is gradually becoming equal, which is due to the development of BPH in almost 100% of cases, which disrupts urodynamics. In general, UTIs, including pyelonephritis, are reported significantly more often in women than in men. The prevalence of UTI in the pediatric population is 20–22 cases per 1000 children and, over the age of one year, occurs in girls tens of times more often than in boys.

In the structure of nosocomial infections, the share of UTIs can reach 40%.

Etiology

The main causative agents of UTIs are gram-negative bacteria from the Enterobacteriaceae family, and of them predominantly Escherichia coli (E. coli). In uncomplicated UTIs, E. coli and other representatives of the Enterobacteriaceae family account for up to 90–95% of all cases, while in complicated UTIs, the share of E. coli in the etiological structure decreases to 30–50% and Proteus spp., Pseudomonas spp. are much more common. , Klebsiella spp., mushrooms (mainly Candida albicans). A feature of complicated UTIs is a large proportion of microbial associations in the etiological structure (Table 1).

UTI treatment

The mainstay of treatment for UTI is antibiotic therapy. As with other bacterial infections, the sensitivity of pathogens to antibiotics is critical when choosing a drug for empirical treatment of UTI. Uncomplicated UTIs are most treatable.

One of the most commonly used drugs for the treatment of UTIs are fluoroquinolones (levofloxacin, norfloxacin, ofloxacin, pefloxacin, etc.), which are indicated in many international guidelines as the drugs of choice in the treatment of UTIs. However, there is currently a rapid increase in the resistance of uropathogenic E. coli to drugs in this group. It is believed that when the level of resistance in the population is more than 10%, restrictions on the use of drugs are introduced. In Russia, the level of resistance of uropathogenic E. coli to fluoroquinolones, according to various studies, ranges from 4.3% to 12.9%, averaging about 7–8% [1, 2, 6, 7].

For the treatment of UTIs in pregnant women and children, as well as in other categories of patients with intolerance to fluoroquinolones, the drugs of choice are amoxicillin/clavulanate, cephalosporins of the second and third generations, fosfomycin trometamol, nitrofurantoin [8]. The advantage of using amoxicillin/clavulanate is not only its high activity against E. coli (the level of resistance is lower than for fluoroquinolones), but also the absence of teratogenic effects, which makes its use possible in the first trimester of pregnancy [9, 10].

The effectiveness and safety of the use of third generation cephalosporins in children and pregnant women in the treatment of uncomplicated and complicated UTIs has been proven [7]. A distinctive feature of third generation cephalosporins is their high activity against microorganisms of the Enterobacteriaceae family, resistance to the action of beta-lactamases, and a long half-life [11].

The use of nalidixic acid and nitrofurantoins has certain disadvantages due to the need to use these drugs 3–4 times a day, as well as the weak activity of nitrofurantoin against Proteus spp., and nalidixic acid against S. saprophyticus [12].

The duration of antibiotic therapy depends on the characteristics of the UTI. As a rule, in the absence of risk factors, antibiotic therapy is prescribed for 3–5 days for acute lower urinary tract infection, and for 10–14 days for upper urinary tract infection. For acute complicated UTI or in the presence of risk factors, the same antimicrobial drugs are used as for uncomplicated UTI, but the duration of therapy is increased to 7–14 days or more [13].

A feature of the treatment of UTIs in childhood is longer antibacterial therapy compared to adults with a mandatory course of anti-relapse treatment.

An important problem in the treatment of both complicated and uncomplicated UTI is antibiotic resistance. Thus, there is a high frequency of resistance of community-acquired E. coli strains to ampicillin (uncomplicated infections - 37%, complicated - 46%) and co-trimoxazole (uncomplicated infections - 21%, complicated - 30%), therefore these drugs are not recommended for use as drugs of choice for the treatment of UTIs [8]. In addition, microorganisms that have colonized the uroepithelium are capable of producing polymeric substances, creating a biofilm, into which the entry of antibiotics and mucosal protective factors is difficult. This allows them to “escape” the immune response and largely determines resistance to antibacterial drugs [14, 15].

Therefore, despite the successes in the creation of new antibacterial drugs, the treatment of UTIs, especially complicated and recurrent ones, remains an urgent task, often requiring the prescription of a combination of drugs or their sequential change, long-term anti-relapse courses. This inevitably leads to an increase in the incidence of adverse drug reactions of therapy, and also forms a vicious circle, since frequent and long-term use of antibiotics leads to an increase in the population of microflora resistant to them.

In recent decades, there has been a significant revival of interest in herbal medicine as a component of complex therapy for UTIs. The medicinal properties of plants were well known to ancient doctors; traditional medicine of almost all nations and countries uses them to treat various diseases. The effect of herbal medicines in the framework of modern research appears to us in a new light, primarily from the point of view of overcoming antibiotic resistance and the ability to destroy microbial biofilm on the mucous membrane of the urinary tract.

In the complex therapy of UTIs, herbal medicines are used that have anti-inflammatory, diuretic, and hemostatic effects, which is important in the development of hematuria.

Herbal preparations can be used as separate infusions or herbal preparations. Components of various plants are also included in the composition of industrial medicines.

The most widely used medicinal plants for UTI are presented in Table. 2, and are also described below [16, 17].

Goldenrod (life-giving herb, heartwood) is widely used in folk medicine in various countries. In Germany, goldenrod infusion is recommended primarily for chronic inflammatory diseases of the kidneys and urinary tract, crystalluria and urolithiasis, as a diuretic. Goldenrod herb preparations have a hypoazotemic effect. Goldenrod grass contains flavonoids, saponins, organic acids and essential oils that contribute to the destruction of bacterial cell membranes, carotene, ascorbic and nicotinic acids.

Bearberry (bear ears) - contains arbutin, which is broken down in the body into hydroquinone (an antiseptic that has an antibacterial effect in the urinary tract) and glucose. Used in the form of decoctions (30 g per 500 ml) 2 tablespoons 5-6 times a day. Bearberry exhibits its effect in an alkaline environment, so taking the decoction should be combined with ingesting alkaline mineral waters (Borjomi) and soda solutions. To alkalize urine, use apples, pears, and raspberries.

Horsetail - has anti-inflammatory, diuretic and hemostatic effects. Used for UTI, crystalluria and urolithiasis. Due to the high content of silicon compounds, decoctions, infusions and extracts of horsetail have a pronounced healing and vascular strengthening effect, promote the dissolution of salt crystals in the urine, and accelerate the removal of lead from the body.

Lingonberry leaves have antimicrobial and diuretic effects. The latter is due to the presence of hydroquinone in lingonberry leaves. Used as a decoction (2 tablespoons per 1.5 cups of water). Prescribed 2 tablespoons 5-6 times a day. Just like bearberry, it works better in an alkaline environment.

Knotweed (knotweed) - contains avicularin glycoside, tannins, essential oil, carotene, ascorbic acid. Used as a diuretic, hemostatic and astringent. Has an antispasmodic effect on the urinary tract. Widely used in folk medicine and is part of various herbs.

Garden parsley is rich in flavonoids and essential oils. It has a direct effect on the renal tubules, thereby achieving a diuretic effect. It has an antispasmodic effect on the smooth muscles of the urinary tract and blood vessels.

Lovage officinalis (love potion) - mainly the roots of the plant are used for medical purposes. Contains essential oils, organic acids, coumarin, tannins. It has a pronounced diuretic and antibacterial effect. Used for inflammation of the urinary tract, gastrointestinal disorders. As a rule, it is part of combination drugs and fees.

Creeping wheatgrass contains essential oils, saponins, inulin, ascorbic acid, carotene. It has a diuretic effect due to inulin, essential oil provides antiseptic and anti-inflammatory effects.

Cranberry juice, fruit drink (contains sodium benzoate) - has an antiseptic effect (synthesis in the liver from benzoate of hippuric acid increases, which, when excreted in the urine, causes a bacteriostatic effect). Take 2–4 glasses per day.

Forest pine - essential (turpentine) pine oil has a pronounced bactericidal, anti-inflammatory and diuretic effect.

For chronic and recurrent urinary tract infections, various herbal mixtures are used. They are prescribed, as a rule, for a long period, alternating mainly bactericidal and diuretic preparations. However, self-treatment with medicinal plants is fraught with some dangers. Components of many medicinal plants in large dosages can be potentially toxic and have a pathological effect on the functioning of individual organs. Therefore, from a safety point of view, in the complex treatment of UTIs, preference is given to factory-produced drugs, the correct dosage of which ensures high efficiency while maintaining complete safety.

One of the most widely used herbal medicines for the treatment of UTIs is Phytolysin. Phytolysin contains an extract of a mixture of plants (goldenrod, horsetail, wheatgrass, knotweed, birch leaves, lovage, wheatgrass, parsley, sage oil, mint, pine and orange, fenugreek seeds), due to which it has a diuretic, anti-inflammatory, antispasmodic effect, reduces crystal formation , promotes the dissolution of crystals and stones and their excretion in the urine.

The drug is in the form of a paste for preparing a suspension, which makes it easy to dosage and use. Adults are prescribed 1 teaspoon of paste orally, dissolved in 1/2 glass of warm sweet water, 3-4 times a day after meals. Phytolysin can be used in the complex treatment of UTIs together with antibiotics or after their use at the stage of anti-relapse therapy. The drug is widely used as a prophylactic for chronic inflammation of the urinary tract. The course of therapy with Phytolysin is 2–6 weeks and can be extended if necessary.

The effectiveness of medicinal plants in the treatment of UTIs has been proven by centuries of experience among the peoples of the world. Modern combined herbal medicines, such as Fitolysin, occupy an important place in the complex therapy of UTIs and make it possible to increase the effectiveness of antibacterial therapy by overcoming the pathogen's resistance to antibiotics, shorten courses of antibiotic therapy, and reduce the frequency of adverse drug reactions of their use.

Literature

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2. Mazzuli T. Resistance trends in urinary tract pathogens and impact on management // J Urol. 2002; 168:1720–1722.
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14. Bondarenko V. M. The role of opportunistic bacteria in chronic inflammatory processes of various localizations. Tver: Triad, 2011.
15. Erman M.V. Herbal medicine in the treatment of urinary system infections in children // Effective pharmacotherapy. 2014, no. 2 (16), p. 18–22.
16. Okorokov A. N. Treatment of diseases of internal organs: A practical guide. Volume 2. Minsk, 1997, 360 p.
17. Lavrenova G.V., Lavrenov V.K., Onipko V.D. For all diseases (medicinal plants of fields and forests). Directory. Donetsk: MP "Fatherland", 1994, 523 p.

A. V. Malkoch1, Candidate of Medical Sciences N. N. Filatova, Candidate of Medical Sciences

GBOU DPO RMAPO Ministry of Health of the Russian Federation, Moscow

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