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Gynecology and Obstetrics

Chronic pelvic inflammatory disease’s main symptoms include lower abdomen durative pain, aching pain in lumbar region, menstruation disorder, large amount of leucorrhea, urgency of urination, frequency of urination, dysuria, poor appetite, fever, headache etc, cord-like masses with scleroma can be found on both sides of lower abdomen, there is concomitant infertility. The syndrome differentiation is spleen-kidney deficiency cold, damp-heat in lower jiao, stasis obstructing in collaterals. As for treatment, we should reinforce spleen-kidney, clear damp-heat, invigorate blood and promote collaterals. Following the prescription meaning of Wu Mei Wan in “Shanghan Lun”, leaning the method of treating cold and heat synchronously, reinforcing and draining in the same time. The prescription includes roast Fu Zi, Gan Jiang, Dang Shen, fry Bai Zhu (or fry Cang Zhu), Jiao Huang Bai, Yi Yi Ren, Huai Niu Xi, San Leng, E Zhu, Bai Jiang Cao, Hong Teng, Tu Fu Ling, Jin Yin Hua, Ku Shen, Shi Wei, Gan Cao, Da Zao, Wu Mei. Modification: adding Du Zhong, Sang Ji Sheng, Gou Ji if there are lumbar pain, lumbar soreness and heavy sensation; adding fry Chuan Lian Zi, fry Yan Hu Suo, Wu Yao, prepared Ru Xiang, prepared Mo Yao if there is lower abdomen pain; adding Chuan Shan Jia, Zao Jiao Ci if there is oviducts atresia; adding Ze Xie, Che Qian Zi if there is cavitas pelvis effusion; adding Mang Chong, Shui Zhi, Di Bie Chong etc if there is amenorrhea. The pathogenesis of this disease generally is deficiency of “root” and excess of “branch”, coldheat complex, however, as for how much deficiency, excess, cold and heat, we should decide the herbal dosage according to degree of the cold-heat-deficiency-excess of the patients.

Key words: herbal treatment, Chronic Pelvic Inflammatory Disease, experience

Writer: Li Ma
TCM department, Shanghai city Nan Hui district central hospital (201300)


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