. Pelvic inflammatory disease, also known as female genital pelvic inflammation, is one of common gynecological diseases. Mostly in the ######ually active, menstruating women. There are two types of acute and chronic inflammation may be confined to one area, can also involve several parts , the most common is salpingitis and tubal ovarian inflammation, endometritis, or simply rare ovarian inflammation. Pathogens causing pelvic inflammatory disease mainly from the former dwelling in the vaginal flora, including aerobic and anaerobic bacteria; and pathogens from the outside world, such as gonorrhea Chennai coli, Chlamydia trachomatis, Mycobacterium tuberculosis, Pseudomonas aeruginosa and so on. Can be spread through the lymphatic system and spread up the genital mucosa; blood circulating; and other abdominal organs after infection spread to the genitals directly.
Section
acute pelvic inflammatory disease incidence of acute pelvic inflammatory disease usually in the post-natal or post-abortion infection after surgical procedures, and intrauterine infection, in addition to poor menstrual hygiene, ######ually transmitted disease pathogens invasion, adjacent organ spread of inflammation, intrauterine devices and acute episodes of chronic pelvic inflammatory disease can cause the disease.
Chinese often these diseases belong to the More than a shade in the hot and humid cult poison intrusion, off in the uterus , cellular network, block cellular connections, the impact caused by red blood; or liver, spleen and tired by the heat cult poison, followed by down, off in the uterus, cellular network, any impairment caused by impulse. Common type of infection cult poison, heat blood stasis.
Western part of the
[diagnosis]
1. Uterine endometritis and acute myositis:
(1) patients with gynecological, obstetric history of infection and incomplete abortion, intrauterine surgical procedures, such as a history of ######ual intercourse during menstruation.
(2) abdominal pain, increased vaginal discharge, purulent or bloody, smelly, with malaise, fever , aversion to cold. Such as occurred in the postpartum, the lochia volume, dirty, smelly.
(3) Check the lower abdomen with tenderness, rebound tenderness and muscle tension but not obvious.
(4) gynecological examination showed the cervix with purulent or bloody discharge cloudy outflow; cervical pain with lifting, slightly larger than the Palace, tenderness, or with accessories thickening, tenderness.
(5) leukocytes and neutrophils increased .
(6) examination and culture of cervical secretions can be found in the corresponding pathogen.
2. Acute salpingitis, tubal tubal ovarian abscess and empyema:
(1 ) occur in women of childbearing age, 25 to 35 years the highest incidence in patients with recent abortion or delivery, intrauterine surgical procedures, ######ual intercourse during menstruation other medical history.
(2) lower abdominal pain, increased bowel movements, mostly bilateral, but also on one side than the other side is heavy, accompanied by chills, fever, purulent vaginal discharge.
(3) Physical examination shows bilateral lower abdominal tenderness with rebound tenderness and muscle tension.
(4) gynecological examination showed a purulent vaginal discharge or bloody, more have varying degrees of cervical swelling, pain with lifting the cervix, significant uterine tenderness on one side or both sides, or touching package block.
(5) white blood cell count and neutrophils.
(6) smear or culture of cervical secretions with pathogens; dome puncture after removing a little ascites, ascites and serum amylase of the same ratio <1.5 .
(7) B-mode ultrasound visible inflammation or inflammatory mass.
3. Acute pelvic node tissue inflammation:
(1) is generally 7 to 14 days after infection symptoms.
(2) the beginning of fever, chills, headache, abdominal pain, inflammation involving the pelvic peritoneum, the pain increased, and can radiate to the buttocks and lower limbs, lower back pain. Inflammatory lesions when the ureter pressure may lead to voiding dysfunction. In addition, the often painful bowel movements, stool with mucus surface, or diarrhea, tenesmus.
(3) examination showed lesions in patients with acute, facial flushing, diffuse abdominal tenderness, lower abdominal muscle tension.
(4) gynecological examination showed the uterus and surrounding tissue edema, thickening of a sense of tenderness, but no obvious pelvic mass in touch. If abscess has formed or consolidated adnexitis is in the uterus to the side or rear palpable mass, and tenderness. In the case of the disease after hysterectomy, then stitching the vagina can sometimes see a little purulent discharge, suggesting that infection has occurred tissues around the vagina.
4. Acute pelvic peritonitis:
(1) before the onset of more acute inflammation of the history of pelvic organs.
(2) patients with high fever, chills, body temperature can reach 40 degrees or more. A severe spasm-like lower abdominal pain, persistent, often nausea, vomiting, increased activity, urination, pain during bowel movements, diarrhea or constipation from time to time. Patients like to take horizontal legs buckling to relieve abdominal pain and tension.
(3) examination showed the abdominal wall tension, stiffness, abdominal plate, severe tenderness and rebound tenderness, the patient refused to press, especially in the lower abdomen staggering.
( 4) several gynecological examination is not possible, doctors should not be forced to make bimanual examination.
(5) white blood cell count and neutrophil counts were significantly increased, ESR obvious growth.
5 . Sepsis and sepsis:
(1) more common in severe puerperal infection, abortion, have also been reported in recent years, IUD insertion, tubal ligation organ damage caused by sepsis. If not controlled in time, often soon septic shock and even death.
(2) infection, if the rest of the body found in inflammatory lesions or multiple abscesses, should consider the presence of sepsis, blood culture confirmed.
(3 ) patients presented as irritability, systemic failure, even confusion, delirium, and coma.
(4) examination shows shock, blood pressure, looking pale, tongue dry, cold sweats, etc., occurred after the collapse, heart failure, pulmonary edema.
based on history, symptoms and signs can make the initial diagnosis, the need for the necessary tests, such as blood, urine, cervical secretions and biopsy material inspection after the dome. Clinical diagnostic criteria need to meet the following three items: (1) lower abdominal tenderness associated with or without rebound tenderness; (2) or the Palace of cervical pain or give credit to pain; (3) Annex tenderness.
In addition, cervical secretions culture or Gram stain of smear-positive bacteria Nyquist gonorrhea or Chlamydia trachomatis positive; temperature over 38 degrees; blood WBC elevated; dome puncture after purulent fluid.
bimanual or B-mode ultrasound examination revealed pelvic abscess or inflammatory mass can increase the specificity of diagnosis.
laparoscopy can increase the rate of diagnosis of acute salpingitis, laparoscopic visual diagnostic criteria: (1) tubal surface congestion; (2) tubal wall edema; (3) or serosal tubal fimbria purulent exudate.
[differential diagnosis]
1. Acute appendicitis: acute pelvic inflammatory disease are fever, abdominal pain, leukocytosis. Lower abdominal pain on both sides of acute pelvic inflammatory disease, disease-bit low, often accompanied by menstrual abnormalities; acute appendicitis was restricted to the right lower abdomen, with Michael's point tenderness and rebound tenderness.
2. Ectopic pregnancy: tubal pregnancy, miscarriage, rupture, intra -abdominal hemorrhage, clinical manifestations were abdominal pain, vaginal bleeding, or syncope, and acute pelvic inflammatory disease similar. Pelvic inflammatory disease are high fever, white blood cells increased significantly. Ectopic pregnancy with HCG (+). After the dome puncture, ectopic pregnancy can be sucked out the blood is not clotting, pelvic inflammatory disease, compared with pus, can be identified.
3. Ovarian cyst torsion: often sudden abdominal pain, gradually increase, and even nausea and vomiting, general body temperature is not high. B-ultrasound or gynecological pelvic examination can be identified.
4. Ruptured corpus luteum: the menstrual cycle after ovulation, after the dome puncture blood pregnancy test negative.
[prevention]
do menstruation, pregnancy and postpartum health promotion. Rigorous preoperative preparation,
Louis Vuitton Shoes, intraoperative and postoperative care when aseptic, including delivery, abortion, IUD insertion and other commonly used diagnostic curettage surgery, in particular, sterile medical staff to strengthen the concept. Completely cured of acute pelvic inflammatory disease, so as not to become chronic. Attention to ######ual health and reduce ######ually transmitted diseases, menstrual prohibit ######ual intercourse.
[therapy]
1. Support treatment: bed rest, semi-recumbent position; given high-calorie, high protein, high fiber liquid diet or semi-liquid food, fluids; heat used physical cooling; avoid unnecessary gynecological examination in order to avoid the spread of inflammation , if abdominal distension decompression should be performed.
2. Drug treatment: the choice of antibiotics based on susceptibility testing is more reasonable, but the test results obtained before, be based on history, clinical features presumed to what pathogens , and with reference to what antibiotics used after the onset of drug selection. Due to acute pelvic inflammatory disease pathogens, mostly aerobic, anaerobic and mixed infections of chlamydia, another aerobic and anaerobic gram-negative and positive points, therefore, clinical use of combination therapy. Commonly used antibiotics for acute pelvic inflammatory disease compatibility program are as follows:
(1) and aminoglycoside-penicillin or erythromycin and metronidazole: penicillin 3.2 million per day to 960 million U intravenously, divided into 3 4 times by adding a small amount of liquid for rapid intermittent infusion; erythromycin daily 1 ~ 2g, three to four times intravenously, gentamicin 1 80mg, 2 to 3 times a day intravenous infusion or intramuscular injection; amikacin daily 200 ~ 400mg, 2 times, intramuscular injection, treatment is usually not more than 10 days; metronidazole and glucose injection 250ml (containing metronidazole 500mg), intravenous infusion every 8 hours. The drug lactating women with caution.
(2) generation cephalosporins and metronidazole: Cephradine daily 2 ~ 4g, four intravenous infusion of cefazolin sodium for each 0.5 ~ 1g, 2 to 4 times a day, intravenous infusion.
(3) clindamycin or lincomycin and aminoglycosides (gentamicin or E Kami Star) joint: clindamycin 600mg, every 8 hours, intravenous infusion, oral body temperature to normal after the change, every time 250 ~ 500mg, 3 to 4 times a day; lincomycin per 300 ~ 600mg, 3 times a day, intramuscular injection or intravenous drip. These drugs and erythromycin antagonism, not with medication; long-term use can cause pseudomembranous colitis, the pioneer of the symptoms of diarrhea, in case the symptoms should be immediately discontinued. (4) second-generation cephalosporins, or equivalent to second-generation cephalosporin drugs: cefuroxime 0.75 ~ 1.5g each time, intramuscular or intravenous injection; cephalosporin Meng and more: or intravenous infusion, each 0.5 ~ 1g, 4 times a day, a heavier infection each 1g, 6 times a day; cefotiam: day 1 ~ 2g, 2 to 4 times a given, serious infection can be used to daily 4g; cefoxitin sodium: each 1 ~ 2g, 3 to 4 times a day, if they consider there is chlamydia infection, should also be given doxycycline: 100mg orally every 12 hours.
(5) third-generation cephalosporin or equivalent third-generation cephalosporin drugs: cefotaxime sodium intramuscular or intravenous injection, 1 0.5 ~ 1g, 1, 2 or 4; ceftriaxone 1g,
Louis Vuitton Outlet, once daily intravenous injection for general infection, if a serious infection, daily 2g, 2 times to give; Ceftizoxime daily 0.5 ~ 2g, severe 4g, 2 to 4 times to give; cephalosporins for Tan disodium daily 2g, points 1 to 2 intravenous injection or intravenous drip. If you consider chlamydia or mycoplasma infection,
Louis Vuitton Belts, should be added with doxycycline 100mg orally every 12 hours, the condition improved after the medication should be continued 10 to 14 days. Can not tolerate doxycycline, the available alternative to azithromycin, each 500mg, once daily, once every 3 days. Nyquist gonorrhea infection caused by pelvic inflammatory disease, preferred this solution.
(6) piperacillin sodium daily 4 ~ 12g, 3 to 4 intravenous injection or intravenous infusion, severe infection, available daily 10 ~ 24g .
(7) quinolones and metronidazole: ciprofloxacin every 100 ~ 200mg, twice daily, intravenous drip; ofloxacin per 400mg, every 12 hours, intravenous infusion.
3. Surgery
(1) the indications for surgery: drug therapy, pelvic abscess formation after drug treatment 48 to 72 hours, continuing down the body temperature, increased in patients with symptoms of poisoning or mass increase, shall be timely surgery, avoid abscess rupture. Tubal tubal ovarian abscess or empyema, after drug treatment condition had improved, continue to control inflammation for several days, the mass has not disappeared but has been localized, surgical resection should be so acute in future still need surgery. Abscess rupture, such as sudden abdominal pain increased, chills, fever, nausea, vomiting, abdominal distension, abdominal examination, see or refused according to the performance of toxic shock cases, should be suspected abscess rupture, requiring immediate laparotomy.
(2) surgical procedures: can be chosen according to abdominal surgery or laparoscopic surgery.
(3) the extent of surgery: should be based on the patient's age, general condition and other conditions fully into account, in principle, the removal of the lesion based. Young women should try to retain ovarian function, mainly to conservative surgery; older, with bilateral involvement or attachment accessories abscess repeated, hysterectomy and double-oophorectomy; extreme weakness in critically ill patients on the extent of surgery required to specific circumstances . If the connective tissue of the pelvic abscess or pelvic abscess (retroperitoneal abscess), according to the location of abscess through the vagina or lower abdominal incision drainage; if the abscess on low, protruding into the vaginal fornix, the vaginal incision can be, while injection of antibiotics; if the abscess higher position, and relatively superficial, such as pelvic abscess extended upward beyond the pelvic who, in the iliac cavity palpable mass, the top of the line in the extraperitoneal inguinal ligament abscess incision and drainage.
4. Such as the intrauterine placenta, fetal membranes residue should be curettage, together with antibiotic treatment.
Chinese part
Syndromes
infection cult poison type
[main symptom] refused by severe abdominal pain, vaginal discharge volume, the color yellow or white, or Chibai phase and quality thick like pus, foul smell, or more menstrual flow or dripping; high fever with chills, fever or chills, headache, irritability, restlessness, thirst hi drink, nausea, anorexia, urine deficient yellow red, dry stool guitar, or pond and unhappy. Red tongue, yellow greasy moss, pulse a few slip or flood.
[pathogenesis] of patients as menstruation, childbirth, abortion, surgical injury, cell pulse emptiness, lack of blood, ######ual intercourse is not festival, cult poison Cheng Xu intrusion, toxic heat accumulation under the coke off the cell in, the stagnation in the Chong and Ren, Competing with blood, the heat pyogenes, which occurs in this disease.
[treatment law] detoxification, blood drainage and pain.
[prescriptions] Yin Qiao Jie Du Decoction
red sauce 30g honeysuckle 15g forsythia Patrinia SFAS 30g 30g 12g red peony gardenia paeonol 10g peach kernel 10g 12g 6g myrrh frankincense 6g 6g Corydalis 10g Toosendan 10g dandelion 15g rhubarb licorice 6g.
if vaginal discharge foul smell, plus piles capillaris root bark Treats 10g 10g 10g; distention, add citrus aurantium Magnolia 9g 9g; tenesmus, plus betel nut 10g Fructus 10g; menstrual flow more than, plus Burnet 15g purslane 10g; pelvic abscess formation, plus herb 10g Angelica 10g; abdominal pain were evident, plus Corydalis 15g Toosendan 10g; fever subsided,
Louis Vuitton Wallet, add Bupleurum 10g.
damp heat junction
[main symptom] refusal by abdominal pain, a burning sensation, or the plot pieces, accompanied by lumbar pain, undulating fever, vaginal discharge volume, yellow thick with the smell, yellow urine deficient. Red tongue, yellow greasy moss.
[pathogenesis] patients because of the line, postpartum, more than blood deficiencies, damp, evil Cheng Xu intrusion, Competing with more than blood, red block any context, poor blood stasis, the stasis and heat formed within the focus, the stagnation in the lower abdomen, off in the cell in which the disease occurred.
[treatment law] heat and dampness, circulation and pain relief
[prescriptions] heat transfer
Blood Decoction Radix Angelica sinensis Chuan Xiong 10g 10g 10g 10g peach kernel 10g red paeonol Health Puhuang spend 10g 10g 10g Wulingzhi SFAS Corydalis 10g 15g 15g Patrinia Coix 12g Houttuynia 15g.
External
1. SFAS soup enema, SFAS 30g dandelion 30g Patrinia Commelina 30g 30g 30g Viola Corydalis 30g, fry 100ml concentrated on the drug retention enema, 1 day, 10 times for one course of treatment.
2. Salvia mountain edge 15g 50g 15g Radix Curcuma Dan 20g peach kernel 25g 20g 50g honeysuckle 50g Patrinia Corydalis 15g Toosendan 15g, decoction was concentrated to 100ml, retention enema, day 1. Po Yu Qi, detoxification for acute gynecological inflammation.
3. Phellodendron, Coptis, Polygonum each 30g, 10g rhubarb decoction was concentrated to 100ml, retention enema, day 1. Detoxification, circulation and pain relief for various gynecological acute inflammation.
after-party prescription
1. Houttuynia: 30 ~ 60g (fresh double), Shuijianbi, detoxification, for gynecological acute inflammation.
2. 30g dandelion 30g Caulis Lonicerae purslane 30g, decoction, detoxification, for hot drug Yun Sheng.
3. Acute pelvic inflammatory disease side: Bupleurum Toosendan 10g 10g 10g skullcap Patrinia Citrus 10g honeysuckle 30g red peony root 15g 30g 10g rhubarb Corydalis Gardenia 10g Frankincense 10g 6g, Qingrejiedu dampness, decoction, early, middle, orally 3 times a night.
4. Herb fried:: herb 30g 10g jujube little rice, herb, jujube fry concoction, about 800ml, to the residue Garmisch, boiled thin porridge, three times a day orally, pregnant women hanged.
5. Antelope horn powder: antelope horn 1.5g (red ) 15g Dan turtle habitat 9g 15g white peony root 10g Chai Hu 10g mint chrysanthemum 5g 6g 6g oneself abalone 20g. Decoction, 1, 1, 2 oral dose.
Section
chronic pelvic inflammatory disease with chronic pelvic inflammatory disease often inappropriate treatment of acute pelvic inflammatory disease, or incomplete, or patients with poor physical fitness, caused by prolonged course, but also no acute pelvic inflammatory disease history, such as infections caused by Chlamydia trachomatis salpingitis. More intractable chronic pelvic inflammatory disease, when body resistance is low, may have acute episodes.
TCM belong to the More than that through the line post, cell doors are not closed,
Louis Vuitton Outlet, cold damp heat evil, or insect poison Cheng Xu intrusion , Competing with the red blood knot, simmers in the uterus, repeated advance and retreat, Hao Shang blood, actual situation jumbled, lingering refractory and the disease. Common type of blood stasis, damp heat knot, alpine stagnate, Qi and Blood.
Western part of the
[diagnosis]
1. Obvious symptoms of patients with systemic inflammation, sometimes with only fever, susceptible to fatigue. Chronic inflammation of the formation of scar adhesions and pelvic congestion, often causing lower abdominal bulge, pain, and lumbosacral pain, often tired, aggravated ######ual intercourse before and after menstruation. Chronic inflammation leads to pelvic congestion, patients often have increased by the amount; ovarian dysfunction may cause menstrual disorders; tubal adhesions can cause obstruction infertility. Acute pelvic inflammatory disease, with obvious signs and symptoms, diagnosis, and more in time.
2. Gynecological examination showed the uterus often has after backward flexion, limited mobility or adhesion fixed. For salpingitis, then hit one or both in the womb of the cable strip tubal thickening, and mild tenderness. For hydrosalpinx or tubal ovarian cysts, then hit one or both pelvic cystic mass, activities and more limited. If the pelvic connective tissue inflammation, uterus one or both of a sheet thickening, tenderness, and uterosacral ligaments often thickening, hardening, and tenderness.
3. No obvious signs of pelvic inflammatory disease and positive person, B-ultrasound can help diagnose. Sometimes varicose veins of pelvic congestion or the broad ligament can produce similar symptoms of chronic pelvic inflammatory disease.
[differential diagnosis]
1. Endometriosis: endometriosis a progressive history of dysmenorrhea and infertility history, dysmenorrhea was secondary,
Louis Vuitton Handbags, progressive increase. Gynecological examination revealed the uterus backward fixed, uterine wall, uterosacral ligaments and depression after a typical tender palpable nodules, difficult to distinguish when laparoscopy.
2. Pelvic congestion syndrome: a history of non- inflammatory, and low abdominal pain with history. Gynecological examination no positive signs. Can be diagnosed with pelvic blood flow map.
3. Hydrosalpinx or tubal ovarian cysts and ovarian cysts be differentiated: ovarian cysts tubal addition to pelvic inflammatory disease, the tumor showed a sausage-type, thin wall, surrounded by adhesions; and ovarian cysts are generally more round or oval, no adhesion around, easily.
4. Inflammatory masses and ovarian cancer attachments differentiated: Annex inflammatory mass with the surrounding adhesions, do not, sometimes easy to be confused with ovarian cancer. However, the inflammatory mass is cystic and solid ovarian carcinoma, B-mode ultrasound examination can help identify.
[therapy]
monotherapy poor results, the use of Chinese and western medicine in order to shorten the course.
1. General treatment: remove ideological concerns of patients and enhance patient confidence in treatment. Note increase in nutrition , exercise and rest, increase body resistance.
2. Drug treatment: antibiotics at the same time, or can be a-chymotrypsin 5mg sodium hyaluronate 1500u, intramuscular injection every other day 1, 7 to 10 times for a course, such as allergic reactions immediately discontinued. In some cases, while application of antibiotics and dexamethasone, dexamethasone 0.75mg, 3 times a day, stopping first pay attention to the gradual reduction of dexamethasone.
3. Physical therapy : physical therapy can promote pelvic circulation, improve the nutritional status of the organization, improve metabolism to facilitate absorption and inflammation subsided. Commonly used short-wave, ultrasonic, microwave, laser, iontophoresis (can be added to a variety of drugs such as penicillin , streptomycin, etc.) and other methods.
4. Surgery: a tumor, such as hydrosalpinx or tubal ovarian cysts should be treated surgically; small foci, inflammation caused by repeated acute hair should be surgery. Surgery to completely cure the principle of avoiding a recurrence of left lesions opportunity unilateral oophorectomy or hysterectomy and bilateral oophorectomy, young women should be kept on ovarian function.
[Prevention] reproductive age women to adhere to personal hygiene care; acute pelvic inflammatory disease, vaginitis, gonorrhea patients should be timely and thorough cure, prevent chronic inflammation; active exercise to enhance physical fitness; lift the ideological concerns, the correct understanding of disease, and enhance confidence in the treatment.
Chinese part
blood stasis syndrome type type
[main symptom] lower abdomen tingling or pain, sometimes pain in the waist cited sacral, pain aggravated by the waist line, more than the amount of vaginal discharge, infertility, marriage for a long time, the blood more than a block, block discharge of the pain by stasis; by antecedent Chi depression, irritability, breast tenderness; dark tongue or blood spots, thin greasy moss, pulse string or thin string.
[pathogenesis] of patients as impassioned internal injuries, dirty air is not declared, liver qi stagnation, or heat cult poison or infection, illness not entirely evil, either in the red cell stasis in which the function of organs disorders, blood disorders, blood stasis, Chong and Ren blocked context barrier and the disease.
[treatment law] blood stasis, qi pain.
[prescriptions] Taohongsiwu Tonga flavor
angelica 10g peach kernel 10g safflower 10g mountain habitat edges 10g 10g 12g Corydalis Curcuma Achyranthes 10g Toosendan 10g 10g 10g turmeric 10g red Cyperus rotundus Shao Houttuynia 15g dandelion 12g licorice 6g 15g.
Ruoyin exogenous heat retention, Chong and Ren uterus loss of smooth air into the sky, Zheng Jian fever and downs, Zhuojia Patrinia 15g, Poria 12g Bupleurum soil Cork 10g 10g; fatigue eat less, discretion Canadian Ginseng Atractylodes 9g 9g 10g Hawthorn coke Gallus gallus domesticus 10g; inflammation caking, add herb Curcuma 10g Tri 10g 10g; vaginal discharge volume, plus Yiyiren 10g Angelica 10g.
damp heat junction
[main symptom] refused to press the lower abdomen pain or pain, pain with lumbosacral, undulating fever, aggravated by the line or when tired, vaginal discharge volume, the color yellow, quality thick; or with dysmenorrhea, menstruation, or increased by the amount; chest tightness, poor appetite, dry mouth and do not want to drink, loose stools, or secret, yellow urine red; red, yellow greasy moss, pulse a few strings or slide number.
[pathogenesis] in patients with damp heat evil intrusion, inadequate treatment, not entirely evil, righteousness is not complex, blocking blood, blood stasis and heat within the junction, off in the cell, the cellular network, Competing walls with blood. Or menstruation, postpartum, blood chamber is open, heat blood stasis, accumulation in the next coke, off in the uterus, cellular network, Competing with the blood and the disease.
[treatment law] heat and dampness pain.
[prescriptions] Ginko Tonga taste
raw turtle shell 10g honeysuckle 15g 12g Cimicifuga 6g SFAS forsythia 15g 15g dandelion 15g violet root bark piles Health Puhuang 10g 10g Folium bellflower 10g 10g 12g Herba amber end 3g.
if wet Xie Sheng, add 10g Poria 12g Magnolia Taifu Pi 10g; loose stools, plus Atractylodes 10g rugosa 10g.
alpine stagnate type
[main symptom] lower abdomen, sore embedded, abdominal pain, aggravated by the line, heat-loving aversion to cold, temperature and pain was reduced, the line wrong, after blood small, dark color, taken off the volume, color white matter, thin; cold limbs, plainer, frequent urination, infertility, marriage for a long time; pale tongue , greasy moss, pulse was tight.
[pathogenesis] of patients ferrite Yang, the next focus lost in the warmth, moisture is not based, cold inside the knot, or feel the cold dampness of the evil, muddy stagnant, any passenger in the red, the cell in the, with more than intrauterine blood cell Competing cloud liquid, condensation stasis and the disease.
[treatment law] cold and dampness, circulation and pain relief.
[prescriptions] Shaofuzhuyu Decoction
cumin 10g ginger 10g 6g Corydalis Radix angelica 10g Chuan Xiong 10g 10g 6g cinnamon, myrrh 10g 10g Puhuang Wulingzhi 10g.
if the belly caking, add Gallus gallus domesticus 10g peach kernel 10g Curcuma 10g; four at the end is not warm, plus Sunburn tuber 6g; urine short number of persons, plus treating diabetes 10g aggregata 10g; amount taken and more, plus herb Poria 12g 10g; lumbar pain who Ghassan parasitic Dipsacus 10g 10g Achyranthes 10g.
qi deficiency blood stasis
[main symptom] in the lower abdomen lump endless ache, lack of healing, pain with lumbosacral, the line increased by more than a block of blood, with more knee soft; lack of energy, dizziness, fatigue, poor appetite eat less; dark tongue or with petechia, thin white fur, weak pulse astringent.
[pathogenesis] of ferrite endowment weakness , or lack of righteousness, invasion of exogenous pathogens, keep the Chong and Ren, poor blood, stop bleeding together; or long illness, bleeding within the knot, Hao Shang course of time, lack of righteousness loss, caused by blood stasis and the occurrence of the disease.
[treatment law] replenishing liver and kidney, qi and business
[prescriptions] Li Chong Tang
15g Codonopsis Astragalus Atractylodes 10g Chinese yam 12g 12g 10g Zhimu 10g TCS Curcuma mountain edge 10g 10g 10g
Health Gallus gallus domesticus, if abdominal pain diminished, plus dl 12g white peony root 15g; Hot outstanding, plus habitat 12g aspartic 10g.
Chinese medicine treatment
1. Houttuynia injection 100ml, intravenous infusion, day 1, once every 2 weeks.
2. Xiangdan injection 20ml 5% glucose injection 500ml intravenous infusion, day 1, once every 2
Pelvic inflammatory disease refers to the female i
Linear Mode
