According to the theory of traditional Chinese medicine, there are some patterns of syndrome that lead to chronic pyelonephritis.1. Pattern of Liver and Kidney Yin2. Pattern of Kidney Yang Deficiency3. pattern of Spleen and Kidney Deficiency4. Pattern of Qi and Blood DeficiencyIntegration of Chinese medicine and western medicine would be a good choice for this disease. When treating chronic pyelonephritis, Chinese doctors will take everything into consideration. In fact, various chronic pyelonephritis causes can be named. The most common one is recurring urinary tract infection or UTI that has not been successfully treated that resulted to this. As a type of UTI, the bacteria from the urethra reach the kidney which causing inflammation. It is important then to treat a mild UTI as early as possible to avoid becoming a chronic pyelonephritis. Treating urinary tract infection before it gets worse can prevent getting this kidney infection.