The treatment of acute pelvic inflammatory disease and chronic pelvic inflammatory disease is different. For the treatment of patients with acute pelvic inflammatory disease, it is mainly to rest more. If you can be hospitalized, you should also pay attention to eating more high-protein and nutritious food. In addition, you should pay attention to the balance of electrolyte and replenish water. The most important thing is to use some anti-inflammatory antibiotics. For the use of antibiotics, bacterial culture and drug sensitivity test of vaginal secretions should be done well before using antibiotics, and the most suitable drugs should be selected through drug sensitivity test. It should be noted that the dose must be large enough and the time must be long enough. Clinically, some patients will stop taking drugs after a few days, which may easily lead to recurrence or even chronic pelvic inflammatory disease, so the treatment must be thorough. In addition, Chinese medicine can choose the treatment methods of clearing away heat and toxic materials, resolving phlegm, promoting blood circulation and removing blood stasis according to the symptoms of patients, and it also has good curative effect with western medicine antibiotic treatment.
Chronic pelvic inflammatory disease is more complicated to treat than acute pelvic inflammatory disease because of its long course of disease. It is usually treated by comprehensive therapy of traditional Chinese medicine, including oral administration of traditional Chinese medicine, intravenous drip of traditional Chinese medicine, enema of traditional Chinese medicine, acupuncture and moxibustion, as well as hot compress and iontophoresis of traditional Chinese medicine. Let's look at the process of hot compress and iontophoresis. Traditional Chinese medicine enema is to put the traditional Chinese medicine for promoting blood circulation and removing blood stasis into a cloth bag, steam it in a steamer and put it into the abdomen of the patient. Through warming and drug penetration, it can achieve the functions of diminishing inflammation and eliminating pelvic adhesion. Iontophoresis of traditional Chinese medicine is to concentrate traditional Chinese medicine, and introduce traditional Chinese medicine ions into the affected part through iontophoresis instrument, and at the same time, it can release pelvic adhesion and eliminate pelvic inflammatory disease. Simple oral administration of traditional Chinese medicine is not as effective as comprehensive treatment. Generally speaking, iontophoresis of traditional Chinese medicine takes about 20 minutes, and hot compress treatment of traditional Chinese medicine can last about 2 hours. Usually a course of treatment takes three months, and menstruation is not treated until it is clean.
Health countermeasures: first of all, pay special attention to the cleanliness of vulva. We should clean vulva and change underwear every day. We advocate the use of warm water as a cleaning solution because it has been disinfected after boiling. In addition, we should pay attention to the choice of cleaning appliances. Every woman should have a special basin for washing her lower body to prevent other infections from entering the vagina. It is usually enough to wash your lower body once a day, and it is best to wash it once after defecation. In addition, choose sanitary napkins with good quality, and men and women should clean their lower bodies before sleeping together.
Treatment experience of pelvic inflammatory disease in April1916: 27;
Chinese medicine treatment of chronic pelvic inflammatory disease is divided into three steps:
1. Repair lesion stage: repair lesion tissue and eliminate chronic inflammation, tissue adhesion and hydrops. And restore the normal organizational structure of reproductive organs. This stage should be based on this treatment. Due to the damage of reproductive organs, reproductive function will inevitably be affected to varying degrees at the same time, thus affecting women's fertility and menstruation, causing many different degrees of discomfort. Therefore, while repairing the lesion, it is supplemented by the adjustment of reproductive function and the relief and elimination of symptoms. But this course of treatment must be followed, and the focus must be on repairing the lesion.
2. Function adjustment stage: After the pathological tissues are obviously improved after treatment, the function of reproductive system should be mainly adjusted, because the function of reproductive organs has been improved to a certain extent after repair, but because they are damaged tissues and organs, their functions cannot be completely adjusted, so it is very important to adjust their reproductive functions with treatment. The treatment at this stage is mainly functional adjustment, supplemented by continuous repair and consolidation of the lesion. And further relief and elimination of symptoms.
Third, the stage of consolidating curative effect: after focus treatment and functional adjustment, it was obviously improved and basically cured. At this stage, we must strengthen the curative effect from the above two aspects at the same time, so that the organizational structure and function of reproductive organs can completely return to normal. After the pelvic disease is completely cured, the clinical cure and long-term prognosis are very good.
Press: The above is Mr. Chen Lao's experience in long-term clinical treatment practice. In the treatment, the flexible use of the above methods will get twice the result with half the effort.
Symptoms of pelvic inflammatory disease
Welcome to Chen's ancestral infertility network.
pelvic inflammatio
Inflammation of female internal genitalia and its surrounding connective tissue and pelvic peritoneum is called pelvic inflammatory disease. Pelvic inflammatory disease is a common gynecological disease. According to its pathogenesis, it can be divided into acute pelvic inflammatory disease and chronic pelvic inflammatory disease.
【 Etiology 】: The main pathogens causing pelvic inflammatory disease are staphylococcus, Escherichia coli, anaerobic bacteria and sexually transmitted pathogens (such as gonorrhea, chlamydia trachomatis, mycoplasma and herpes virus). The main causes of acute pelvic inflammatory disease are postpartum or abortion infection, intrauterine infection, poor menstrual hygiene, inflammation directly affecting neighboring organs, chronic "lying" and so on.
【 Pathology 】: Acute pelvic inflammatory disease can cause acute endometritis, acute hysteromyositis, acute salpingitis, tubal abscess, acute pelvic connective tissue inflammation, acute pelvic peritonitis, septicemia and sepsis. Chronic pelvic inflammatory disease is often caused by acute pelvic inflammatory disease that has not been thoroughly treated, or the patient's physical condition is poor and the course of disease is prolonged. It can cause chronic salpingitis, hydrosalpinx, salpingovaritis, salpingovariocyst and chronic pelvic connective tissue inflammation.
【 Clinical manifestations 】: Acute pelvic inflammatory disease is characterized by acute illness, which can cause lower abdominal pain, fever, chills, headache and loss of appetite. During the examination, the patient was found to have acute symptoms, such as high body temperature, rapid heart rate, muscle tension, tenderness in the lower abdomen and rebound pain. Pelvic examination: there are a lot of purulent secretions in the vagina, the vault is obviously tender, the uterus and double appendages are tender and rebound, or one side of the appendix is thickened. Symptoms of chronic pelvic inflammatory disease are characterized by slow onset and long course of disease. Systemic symptoms are not obvious, such as low fever, fatigue and low back pain. During the examination, it was found that the uterus was often in the posterior position, with limited mobility or adhesion and fixation.
[Diagnosis]: Acute chronic pelvic inflammatory disease can be diagnosed according to the history, symptoms and signs. But we must make a differential diagnosis. The main differential diagnosis of acute pelvic inflammatory disease is acute appendicitis, ectopic pregnancy and torsion of ovarian cyst pedicle. The main differential diagnosis of chronic pelvic inflammatory disease is endometriosis and ovarian cancer.
Pelvic inflammatory disease can be divided into acute and chronic types.
Acute pelvic inflammatory disease has a history of acute infection, dull pain in the lower abdomen, muscle tension, tenderness and rebound pain, accompanied by increased heart rate and fever, and a large number of purulent vaginal settings. Health [6] scale What is the emblem? Shape? Xingding ⑿ "Transfer Foundation ⒀ Hire Foundation ⒀"? Do you want to play drums? Do you want to play drums? Take xing, for example? What's the point? Did you send a message to shoot cockroaches? Choose ⒛⒛⒛⒛⒛⒛⒛⒛⒛? What are you doing?
The systemic symptoms of chronic pelvic inflammatory disease are sometimes low fever and fatigue. Some patients have neurasthenia symptoms due to a long course of disease, such as insomnia, listlessness and general fatigue. Abdominal distension, pain and lumbosacral pain often worsen after fatigue, sexual intercourse and menstruation. Due to chronic inflammation, pelvic congestion, menorrhagia, menstrual disorder will occur when ovarian function is impaired, and infertility will occur when tubal adhesion is blocked.
Acute inflammation may lead to serious consequences, such as diffuse peritonitis, sepsis and even septic shock. Chronic inflammation caused by long-term treatment, hammering? Hey? 9 ぷ?? It's an important date, right? lt； /P & gt；
What are the symptoms of acute pelvic inflammatory disease?
The symptoms of acute pelvic inflammatory disease are usually 7- 14 days after infection. The patient may have a history of gynecological surgery before onset, such as whole uterus.
Excision or abortion, etc. Symptoms of onset: fever and chills, persistent lower abdominal pain, abdominal pain refused to press. Or have a waist
Sore. Physical examination: there is extensive tenderness and muscle tension in the lower abdomen. When inflammation involves pelvic peritoneum, abdominal pain is severe and rebound pain occurs. gynaecological examination
There is a feeling of thickening around the uterus with obvious tenderness. If the patient's condition begins after hysterectomy, it can be found that there are few vaginal ruptures.
Purulent or purulent exudate. Laboratory examination: both white blood cells and neutrophils are elevated.
Because pelvic connective tissue is connected with retroperitoneal connective tissue, it can reach around the kidney upwards, so if acute pelvic connective tissue
If left untreated, inflammation can not only spread to tubal, pelvic peritoneum and other tissues and organs, causing pelvic abscess, but also spread upward.
Delayed, leading to abscess around the kidney.
Three kinds of chronic pelvic inflammatory disease
Chronic pelvic inflammatory disease is a common gynecological disease, which is common in young and middle-aged women. Traditional Chinese medicine believes that the disease is caused by insufficient endowment, careless childbirth, unclean vulva or overwork. Common symptoms include pain in one or both lower abdomen, heaving, low back pain, excessive leucorrhea, menstrual disorder, sexual intercourse pain, menstrual fever and so on.
Chronic pelvic inflammatory disease includes endometritis, salpingitis, oophoritis, pelvic peritonitis and pelvic connective tissue inflammation. The disease can be confined to one part or several parts at the same time. Let's talk about the common sense of chronic pelvic inflammatory disease:
What is chronic pelvic inflammatory disease?
Inflammation of female internal genitalia and its surrounding connective tissue and pelvic peritoneum is called pelvic inflammatory disease.
What are the characteristics of acute and chronic pelvic inflammatory disease?
Pelvic inflammatory disease can be divided into acute and chronic types. Acute pelvic inflammatory disease is a serious gynecological disease, which is mostly caused by bacterial infection, careless menstrual hygiene and the spread of diseases in neighboring organs (appendicitis, etc.). ) After childbirth, surgery and abortion. Chronic pelvic inflammatory disease is mostly caused by acute pelvic inflammatory disease. Acute attack of chronic pelvic inflammatory disease can seriously develop into chronic peritonitis, septicemia and even toxic shock.
What are the clinical manifestations of acute and chronic pelvic inflammatory disease?
Their clinical manifestations are different. Acute pelvic inflammatory disease often has high fever, chills, severe pain in the lower abdomen and tenderness. There are many symptoms of chronic pelvic inflammatory disease, such as persistent abdominal pain, low back pain, menstrual disorder, increased leucorrhea, urgency, frequent urination, dysuria, loss of appetite, fever, headache and so on. There are cord-like tumors on both sides of the lower abdomen, accompanied by infertility.
What are the causes of acute pelvic inflammatory disease?
Acute pelvic inflammatory disease is mostly caused by mixed infection of aerobic and anaerobic bacteria. The main causes of acute pelvic inflammatory disease are: 1) infection after delivery or abortion, 2) infection after intrauterine operation, 3) poor menstrual hygiene, 4) inflammation directly affecting neighboring organs, and 5) acute attack of chronic pelvic inflammatory disease.
What are the causes of chronic pelvic inflammatory disease?
Chronic pelvic inflammatory disease is often caused by incomplete treatment of acute pelvic cavity, or patients with poor physique and long course of disease, but some women do not have the process of acute pelvic inflammatory disease, but directly show chronic pelvic inflammatory disease. Chronic pelvic inflammatory disease is stubborn, and it can be acute when the body's resistance is poor.
What are the main clinical manifestations of chronic pelvic inflammatory disease?
The main symptoms are: 1) The general symptoms are not obvious, sometimes there may be a low fever and fatigue. The course of disease is long, and some patients may have neurasthenia symptoms. 2) Scar adhesion and pelvic congestion caused by chronic inflammation can cause abdominal bulge, pain and lumbosacral pain, which are often aggravated before and after fatigue, sexual intercourse and menstruation. 3) Due to pelvic blood stasis, patients may have increased menstrual flow, ovarian dysfunction may cause menstrual disorder, and tubal adhesion and obstruction may cause infertility.
Why is the incidence of chronic pelvic inflammatory disease high?
Pelvic inflammatory disease, especially chronic pelvic inflammatory disease, is a very common gynecological disease. In China, the incidence of pelvic inflammatory disease is very high because of the limitation of personal hygiene and medical conditions, or the indifference of aseptic operation concept in gynecological minor surgery and family planning surgery, and the patients' inattention to personal hygiene when intrauterine devices are widely used. With the increasingly frequent foreign exchanges, the incidence of sexually transmitted diseases in China is increasing year by year, and the pelvic inflammatory disease caused by it is also increasing. This situation is more obvious in areas where sexual awareness is weak and sexual life is chaotic, which leads to high incidence of sexually transmitted diseases.
What are the common causes of pelvic inflammatory disease?
(1) Postpartum or post-abortion infection: The patient's constitution is weak after delivery or after delivery, and the cervix fails to close normally after dilatation. At this time, bacteria in vagina and cervix may infect pelvic cavity; If there are placenta and fetal membranes remaining in the uterine cavity, the chance of infection is greater.
(2) Infection after gynecological surgery: If sterilization is not strict or the original reproductive system is chronically inflamed, it may cause postoperative infection during induced abortion, IUD release or removal, fallopian tube drainage, salpingography, endometrial polypectomy, or submucous myomectomy. Some patients do not pay attention to personal hygiene after operation, or have sex after operation without following the doctor's advice, which can also cause bacterial infection and pelvic inflammatory disease.
(3) Inadvertent hygiene during menstruation: Endometrium shedding during menstruation, blood sinus opening in uterine cavity and blood clots are good conditions for bacterial growth. If you don't pay attention to hygiene during menstruation, use sanitary napkins or toilet paper that don't meet hygiene standards, or have sex, it will provide bacteria with opportunities for retrograde infection, leading to pelvic inflammatory disease.
(4) Inflammation and diffusion of adjacent organs: appendicitis and peritonitis are the most common. Because it is adjacent to female internal reproductive organs, inflammation can spread directly, causing female pelvic inflammatory disease. When suffering from chronic cervicitis, inflammation can also cause pelvic connective tissue inflammation through lymphatic circulation.
Pelvic inflammatory disease will affect women's physiology and psychology. Therefore, once the above symptoms are found, you should go to the hospital in time, and you must not take medicine indiscriminately to avoid delaying treatment and healing.
What is the relationship between chronic pelvic inflammatory disease and infertility?
Inflammation of uterus, fallopian tube, ovary or its surrounding tissues, including pelvic peritoneum, can be called pelvic inflammatory disease. Inflammation can be confined to one site, or several sites can be inflamed at the same time. Clinically, pelvic inflammatory disease in a narrow sense refers to salpingitis.
Pelvic inflammatory disease can be caused by inflammation of external genitalia, inflammation of adjacent organs or infection spreading in other parts of the body. Bacteria often enter the pelvic cavity during menstruation, abortion and childbirth, or enter the pelvic cavity through various surgical wounds in the reproductive tract to cause inflammation. Pelvic inflammatory disease can be divided into acute and chronic. The former is acute and usually has obvious etiology. If you get timely, thorough and effective treatment, it can often be cured. Acute inflammation can become chronic when the treatment is not thorough, but it is more because the onset is slow and the condition is mild, and the treatment is delayed to be chronic. This pelvic inflammatory disease often leads to female infertility.
Chronic pelvic inflammatory disease is mostly manifested as bilateral salpingitis, which makes the opening of the fallopian tube, especially the end receiving eggs (called umbrella end) partially or completely closed with time, and also makes the inner membrane of the fallopian tube adhere due to inflammation, making the lumen narrow or closed. In this way, the passage of eggs, sperm or fertilized eggs is blocked, leading to infertility. Severe pelvic inflammatory disease can spread to pelvic peritoneum, uterus and tissues around the cervix, which eventually leads to hardening of these organs and tissues, especially the fallopian tube loses its physiological performance of softness and peristalsis, becomes stiff and twisted, and the lumen is completely blocked, reaching an incurable level.
Why can you get pelvic inflammatory disease or salpingitis without having children?
On the one hand, due to the neglect of menstrual hygiene, working or swimming in paddy fields during menstruation, a small number of bacteria continue to invade for a long time, which can cause chronic pelvic inflammatory disease over time; Partly due to other diseases, pelvic tuberculosis leads to endometrium and tubal tuberculosis and tubal nowhere; A few of them are due to sexual disorder and salpingitis caused by sexually transmitted diseases, which leads to tubal nowhere; Very few people suffer from vaginal inflammation such as trichomonal vaginitis or fungal vaginitis for a long time before marriage. Bacteria can infect fallopian tubes and cause salpingitis. Therefore, girls should pay attention to the cleanliness of vulva from an early age. After puberty, when you have lower abdominal pain or obvious dysmenorrhea, abnormal menstruation or abnormal leucorrhea, you should go to the hospital for examination. Early mild salpingitis or pelvic inflammatory disease can be cured.
What is the relationship between chronic pelvic inflammatory disease and adnexitis?
In female internal reproductive organs, fallopian tubes and ovaries are called uterine appendages. So strictly speaking, adnexitis refers to inflammation of fallopian tubes and ovaries. However, inflammation of fallopian tube and ovary is often complicated with parathyroid connective tissue inflammation and pelvic peritonitis, which is difficult to distinguish in diagnosis. Thus, pelvic peritonitis and parathyroid connective tissue inflammation are also classified as adnexitis.
Chronic salpingitis and pelvic peritonitis are mostly caused by incomplete treatment or neglect of treatment when suffering from acute salpingitis and pelvic peritonitis. Chronic inflammation recurs and persists for a long time, causing pelvic congestion, connective tissue fibrosis and pelvic organ adhesion. Abdominal distension and pain are the most common symptoms of patients, which are often aggravated during menstruation or after fatigue. At the same time, leucorrhea increases, menstrual flow may increase, lumbosacral pain, and some patients may also have sexual pain. Gynecological examination showed that the uterus was retroflexion with poor mobility, and the thickened fallopian tube could be felt beside the uterus with tenderness. If there is an inflammatory mass, the mass can be felt beside or behind the uterus during the examination, with poor mobility and tenderness.
Chronic salpingitis, if not cured for a long time, can cause adhesion of fallopian tube mucosa, obstruction of fallopian tube, secondary infertility, or incomplete obstruction of fallopian tube lumen, increasing the chance of ectopic pregnancy. When the umbrella-shaped end of fallopian tube is adhered due to inflammation, hydrosalpinx may also occur, but the patient may have no obvious symptoms.
Relationship between pelvic inflammatory disease and infertility
Inflammation of uterus, fallopian tube, ovary or its surrounding tissues, including pelvic peritoneum, can be called pelvic inflammatory disease. Inflammation can be confined to one site, or it can occur in several sites at the same time. Clinically, pelvic inflammatory disease in a narrow sense refers to salpingitis.
Pelvic inflammatory disease can be caused by inflammation of external genitalia, inflammation of adjacent organs or infection spreading in other parts of the body. Bacteria often enter the pelvic cavity during menstruation, abortion and childbirth, or enter the pelvic cavity through various surgical wounds in the reproductive tract to cause inflammation. Pelvic inflammatory disease can be divided into acute and chronic. The former is acute and usually has obvious etiology. If you get timely, thorough and effective treatment, it can often be cured. Acute inflammation can become chronic when the treatment is not thorough, but it is more because the onset is slow and the condition is mild, and the treatment is delayed to be chronic. This pelvic inflammatory disease often leads to female infertility.
Chronic pelvic inflammatory disease is mostly manifested as bilateral salpingitis, which makes the opening of the fallopian tube, especially the end receiving eggs (called umbrella end) partially or completely closed with time, and also makes the inner membrane of the fallopian tube adhere due to inflammation, making the lumen narrow or closed. In this way, the passage of eggs, sperm or fertilized eggs is blocked, leading to infertility. Severe pelvic inflammatory disease can spread to pelvic peritoneum, uterus and tissues around the cervix, which eventually leads to hardening of these organs and tissues, especially the fallopian tube loses its physiological performance of softness and peristalsis, becomes stiff and twisted, and the lumen is completely blocked, reaching an incurable level.
Why can you get pelvic inflammatory disease or salpingitis without having children? On the one hand, due to the lack of hygiene during menstruation, working or swimming in paddy fields during menstruation, a small number of bacteria continue to invade for a long time, which can cause chronic pelvic inflammatory disease over time; Partly due to other diseases, pelvic tuberculosis leads to endometrial tuberculosis and tubal nowhere; A small part of them are exudative vasculitis caused by sexual disorder and the spread of sexually transmitted diseases, leading to tubal nowhere; Very few people suffer from vaginal inflammation such as trichomonal vaginitis or fungal vaginitis for a long time before marriage. Bacteria can infect fallopian tubes and cause salpingitis. Therefore, girls should pay attention to the cleanliness of vulva from an early age. After puberty, when you have lower abdominal pain or obvious dysmenorrhea, abnormal menstruation or abnormal leucorrhea, you should go to the hospital for examination. Early mild salpingitis or pelvic inflammatory disease can be cured, and Chinese medicine treatment is particularly effective. Generally, oral pelvic inflammatory prescription combined with abdominal external application of pelvic inflammatory bag can be effective, and consolidation treatment can be completely cured. It is difficult to cure with antibiotics alone. pelvic inflammatio
Treatment of chronic pelvic inflammatory disease with traditional Chinese medicine
There is no record of pelvic inflammatory disease in TCM, but according to its clinical manifestations, it can be summarized as "heat entering blood chamber", "leukorrhagia", "damp heat in lower jiao" and "female abdominal mass". Diseases such as irregular menstruation, dysmenorrhea and infertility. Its pathology is caused by damp-heat toxin accumulated in the lower jiao, exogenous uterine and pelvic meridian blockage, stagnation of qi and blood, imbalance of ying and Wei, and the influence of chong and ren with the pulse. Therefore, clearing away heat and toxic materials, promoting diuresis and promoting blood circulation, removing blood stasis and softening hard mass, dredging collaterals and regulating qi, regulating menstruation and tonifying kidney, and regulating chong and ren are the effective ways to treat pelvic inflammatory disease. Hot and humid bets, standing up with the pulse, hot and humid with yellow thick heat, stinking; Damp-heat and blood stasis block qi movement, leading to pain in the lower abdomen and lumbosacral region, prolonged course of disease, menstrual disorder caused by uterine blood stasis, and even infertility. If you don't accumulate it, it will become a lump. For example, it is contained in "Women's Recipe". Female menstrual cramps are blocked. Or postpartum, so take the wind to enjoy the cool, take the cold, cold blood is also congestion. Blood stasis is included, the body is always hot and yellow. Silt will accumulate if it does not disappear for a long time. This article describes the etiology, symptoms and formation of pelvic inflammatory disease. Therefore, although there is no record of pelvic inflammatory disease in traditional Chinese medicine, good therapeutic effect can be achieved if pelvic inflammatory disease is treated with traditional Chinese medicine according to its clinical manifestations.
Chronic pelvic inflammatory disease is mostly caused by improper treatment of acute pelvic inflammatory disease, but it is not obvious in the acute stage, and now it is chronic. Most patients were transferred to various hospitals for infusion and medication, but Chinese medicine has a very good therapeutic effect on chronic pelvic inflammatory disease. Chen's traditional Chinese medicine has been passed down for three generations and has a very good therapeutic effect on gynecological inflammation such as leukorrhagia. On the basis of summarizing the secret recipe handed down from generation to generation, Chen Lao applied oral pelvic inflammatory prescription combined with external application of abdominal pelvic inflammatory disease to treat chronic pelvic inflammatory disease, and achieved good results. Generally, most patients can be cured after 3-4 courses of treatment. We observed and treated 65,438+0,597 patients with chronic pelvic inflammatory disease, and the effective rate was 100%.
Special prescription for gynecological treatment of pelvic inflammatory disease in traditional Chinese medicine;
Pelvic inflammatory prescription (heat-clearing, detoxicating, blood-activating and stasis-removing, qi-regulating and stone-regulating three-way jinghuatong prescription)
Main ingredients: Angelica sinensis, Sanguis Draxonis, Rhizoma Smilacis Glabrae, Rhizoma Cyperi, Semen Persicae, Cortex Phellodendri, Radix Salviae Miltiorrhizae, etc.
Indications: clearing away heat and toxic materials, promoting blood circulation and removing blood stasis, regulating qi and eliminating dampness, dredging menstruation and relieving pain. Can be used for treating various chronic pelvic inflammatory diseases. Symptoms include low fever, abdominal pain, lumbosacral pain, aggravated after menstruation or fatigue; Prolonged menstrual period, or menstrual blood, increased leucorrhea, yellow color, foul smell; Dry mouth, no desire to drink, constipation, yellow urine and short urine. Or abdominal pain, cold feeling, warm is comfortable; Lumbosacral pain, aggravated during menstruation or postpartum; Abdominal distension and abdominal pain, late menstruation, less mass; Leucorrhea is numerous and sparse. The tongue is red, the coating is yellow and greasy, and the pulse is string or moist. Gynecological examination: limited uterine activity, tenderness, thickening or mass in the adnexal area.
Most of the patients treated by Chen Lao can be cured after stopping taking medicine after the above treatment. If patients from other places can't come for treatment, they can mail treatment.
Typical case introduction
Zhang xx, female, 32 years old, married. The patient began to have lower abdominal pain seven years ago, which was characterized by persistent dull pain, sometimes aggravated, aggravated when pressed, more leucorrhea, yellow color and smelly taste. Good mental diet, good sleep and normal defecation. Red tongue, yellow greasy fur and thready pulse. Gynecological examination: the uterus is in the middle position, with limited uterine activity, tenderness in the adnexal area, thickening of the left adnexal, 3cm×3cm mass in the right adnexal, poor mobility and tenderness. B-ultrasound showed an inflammatory mass in the right adnexal area. Diagnosis: chronic pelvic inflammatory disease. After taking the traditional Chinese medicine "Pelvic Inflammation Formula", the abdominal pain was relieved in 10 day, and the lower abdominal pain completely disappeared after two courses of follow-up. During menstruation, there is no discomfort except a little pain in the lower abdomen. Gynecological examination showed that the left appendix was normal, the right adnexal masses disappeared, and the disease was cured.
Clinical observation on six kinds of pelvic inflammatory prescriptions and pelvic inflammatory bag for oral administration and external application in the treatment of chronic pelvic inflammatory disease
Chronic pelvic inflammatory disease is often caused by incomplete cure of acute pelvic inflammatory disease or poor condition of patients or no acute history. According to the symptoms and characteristics of chronic pelvic inflammatory disease, it belongs to the category of abdominal pain, leukorrhagia, abdominal pain, infertility, dysmenorrhea and other diseases in traditional Chinese medicine. 1980 to 2006, Chen Lao treated chronic pelvic inflammatory disease 1805 cases with oral and external application of traditional Chinese medicine. The results are as follows.
Clinical data of 1
All the patients in this group 1805 are married outpatients, of whom the oldest is 55 years old and the youngest is 2 1 year old. The course of disease is 0.5~ 1 year in 308 cases, 2~3 years in 487 cases, and 4~5 years in 46 1 case. Abortion history 1 case, lower abdominal surgery history in 3 cases, salpingitis in 380 cases, pelvic connective tissue inflammation in 76 cases and endometritis in 90 cases. All of them have varying degrees of pain on one or both sides of the lower abdomen, heaving, excessive leucorrhea, irregular menstruation and lumbosacral pain.
2 treatment methods
Basic prescription: 1) Pelvic inflammatory prescription contains more than 30 herbs, such as angelica, salvia miltiorrhiza, Nianqiao, honeysuckle, safflower and Cyperus tuber, 15g, Chuanxiong 9g, Coicis Semen, Smilax glabra 20g, Rhizoma Atractylodis, Rhizoma Corydalis, Pericarpium Citri Reticulatae Viride, etc. Radix Codonopsis and Rhizoma Smilacis Glabrae are added for patients with qi deficiency. Colla Corii Asini is added to patients with blood deficiency, and Angelica sinensis is reused; Rhizoma Anemarrhenae and Cortex Phellodendri are added for patients with yin deficiency and internal heat.
2) The pelvic inflammatory disease bag is mixed with hot medicinal vinegar, wine and ginger juice, stir-fried in sand, and put into a medicine bag. Apply hot compress to the lower abdomen every night for 30-60 minutes each time. 10 day is 1 course of treatment. During the treatment, avoid spicy food, be careful about sexual intercourse, pay attention to hygiene and rest.
3 Observation of curative effect
3. 1 curative effect standard: judging curative effect according to gynecology of traditional Chinese medicine.
1 recovery: all clinical symptoms and signs disappeared, there was no mass in the adnexal area and pelvic effusion by B-ultrasound, and there was no recurrence after stopping taking medicine for half a year;
The effect is remarkable: the clinical symptoms and signs are basically normal, the maximum diameter of the mass in the adnexal area is reduced by more than 1/2, and the pelvic effusion is reduced by 2/3;
3 improvement: clinical symptoms and signs have been improved, and the maximum diameter of the mass in the adnexal area has been reduced by B-ultrasound, and the pelvic effusion has decreased1/2;
4 Ineffective: Clinical symptoms, signs and B-ultrasound examination have not improved.
3.2 Therapeutic results: After three courses of treatment, 408 cases were cured 1, 24 cases were markedly effective 1, and all cases were effective. No side effects occurred.
4 discussion
This disease is mostly caused by poor disinfection during childbirth, abortion and curettage, or infection during menstruation and puerperium, or the spread of inflammation in other organs in abdominal cavity, which leads to reproductive organs and is not completely cured. The pathological manifestations of chronic pelvic inflammatory disease are as follows: ① Chronic salpingitis and hydrosalpinx. The inflammation is mostly bilateral and often adheres to surrounding tissues. (2) salpingitis can often accumulate ovaries, causing adhesion to form inflammatory masses. If tubal effusion penetrates the ovary, tubal cyst can be formed. ③ Inflammation spreading to uterosacral ligament can make fibrous tissue proliferate and thicken. Syndrome differentiation in traditional Chinese medicine mostly belongs to damp-heat betting and qi stagnation and blood stasis. The lower jiao is the place where the liver, kidney, viscera and chong and ren meridians reside. Due to damp heat and blood stasis, qi stagnation and blood stasis, it leads to liver failure and excretion, renal failure and hydration, unfavorable ren and ren meridians, and unstable chong and ren meridians. Therefore, it is necessary to promote blood circulation and remove blood stasis, promote qi and eliminate dampness, and promote digestion and relieve pain. Radix Angelicae Sinensis, Radix Salviae Miltiorrhizae and Flos Carthami in the prescription promote blood circulation and remove blood stasis; Rhizoma Chuanxiong, Rhizoma Cyperi, Pericarpium Citri Reticulatae Viride and Rhizoma Corydalis have the functions of soothing the liver, regulating qi, removing blood stasis and relieving pain. Atractylodes macrocephala and Coicis Semen strengthen spleen and dry dampness; Smilacis Glabrae, Flos Lonicerae and Fructus Forsythiae can clear away damp-heat and detoxify. Its pelvic inflammatory bag is mixed with vinegar, wine and ginger juice. Hot compress can improve local blood circulation and promote inflammation dissipation. The combination of all the medicines has the effects of promoting blood circulation, removing blood stasis, regulating qi and eliminating dampness, clearing away heat and toxic materials, dredging menstruation and relieving pain. Modern pharmacological research shows that Flos Lonicerae, Fructus Forsythiae and Rhizoma Smilacis Glabrae in this prescription have inhibitory effects on a variety of bacteria, and they are clinically effective antibacterial and anti-inflammatory drugs. Radix Angelicae Sinensis, Radix Salviae Miltiorrhizae, Flos Carthami and Rhizoma Chuanxiong can improve blood circulation and promote the absorption of abdominal and pelvic exudates and lumps. Combined with Rhizoma Cyperi, Pericarpium Citri Reticulatae Viride, Rhizoma Atractylodis and Yuanhutong, it can dilate blood vessels, accelerate blood circulation and enhance the efficacy of promoting blood circulation and removing blood stasis. Atractylodes rhizome and coix seed contain various nutrients, which can enhance the body's resistance, regulate menstruation and relieve pain. Therefore, this prescription combined with abdominal external application of pelvic inflammatory bag has a good therapeutic effect on chronic pelvic inflammatory disease.
Medical records:
Hu, 38, is married.
The patient had triplets and miscarried twice. After the second delivery in February 2004, she continued to have fever for more than four months, and it was ineffective to inject antibiotics in the hospital. It is engraved with chest tightness, hot flashes, backache and limb pain, mental fatigue, purulent discharge, foul smell and sometimes redness. It was diagnosed as pelvic inflammatory disease by gynecological examination.
First visit: June 28th. The pulse is thready and the tongue coating is thin and yellow. According to the report, contraception was carried out immediately after delivery. After about 3 months of menstruation, the abdomen was dull, the vagina had purulent secretions with a foul smell, and the urine was bloodshot, dry mouth and fever. Syndrome belongs to damp-heat connotation, mainly yin deficiency. Treating yin, clearing away heat and promoting diuresis. 30g of fresh rehmannia root, 9g of Chuanbai15g, 9g of Anemarrhena asphodeloides, 9g of licorice root tip, 4g of yam, 9g of peony bark, 9g of poria cocos, 9g of Cornus officinalis, 9g of Chinese liquor peel12g, etc. , addition and subtraction, pelvic inflammatory disease bag external application to the abdomen.
Follow-up visit: from the end of September to June 10, 15. After taking it for half a month, the hot flashes disappeared, the dirty zone decreased, urination stopped, and the abdomen felt light, but the spirit was exhausted and the stool was dry and unsmooth. It is intended to strengthen the spleen and tonify the kidney, and also has the effect of eliminating the remaining evil.
Astragalus 9 g Atractylodes macrocephala 6 g Xinhui skin 6 g Radix Rehmanniae 9 g Toast 9 g Cornus officinalis 9 g Herba Cistanches 9 g Cortex Phellodendri 9 g Poria 9 g Hibiscus 9 g Radix Glycyrrhizae 4.5 g, etc., and continue to apply pelvic inflammatory disease bags on the abdomen.
Press: This case suffered from postpartum weakness, reinfection, weak disease resistance, damp-heat accumulation, abdominal pain and purulent secretion, which lasted for more than half a year and was physically and mentally involved, and could not be recovered for a long time. This syndrome is due to yin deficiency and excessive fire, so it is added and subtracted from the top, with Radix Rehmanniae clearing heat and nourishing yin, Rhizoma Dioscoreae nourishing spleen and kidney, Fructus Corni warming liver and consolidating pulse, Cortex Moutan clearing fire, cooling blood and removing steaming; Poria cocos strengthens the spleen and eliminates dampness, Alisma orientalis promotes diuresis of bladder, and Anemarrhena asphodeloides is added to clear away heat and eliminate dampness, so as to eliminate lower energizer deficiency fire; Honeysuckle can clear away heat and toxic materials, treat leucorrhea and stop leucorrhea. Glycyrrhiza uralensis Fisch has the efficacy of clearing away heat and toxic materials, and is effective for frequent micturition and sepsis.
As for Sargentodoxa, also known as Sargentodoxa, Compendium of Materia Medica is attached to the appendix of madder, which is called Sargentodoxa. In order to clear away heat and toxic materials, dissipate stagnation and reduce swelling, the so-called "blood vine" in the compendium of materia medica is used in this case, which is also a red vine used to treat abdominal pain caused by yang carbuncle in clinic. Gynecology is often used for adnexitis of uterus, especially salpingitis. The dosage is generally 12 ~ 15g.
This syndrome is extremely stubborn, and patients need to adjust patiently. Therefore, after the symptoms gradually disappear, it is advisable to continue to adjust for a period of time, otherwise it is easy to relapse. Drugs for invigorating qi and blood should be supplemented with herbs such as Chuanlian and Huangbai for clearing heat and drying dampness. First, strengthen physical strength and make it resistant to diseases; The other is to eliminate the remnants and avoid future troubles.