Concept.
When inflammation occurs in the female internal genital organs (e.g., uterus, fallopian tubes, ovaries, pelvic peritoneum) and their surrounding connective tissues and pelvic peritoneum, it is called pelvic inflammatory disease. It is a common disease in gynecology and is divided into two types: acute and chronic. In Chinese medicine, it is called “abdominal pain”.
Symptoms and complications.
Acute pelvic inflammatory disease: history of acute infection (vaginitis, cervicitis, infection after IUI and other family planning procedures), vague pain, distension, pressure, abdominal distension in the lower abdomen, smelly yellow leucorrhea, fever, high fever, chills, nausea, vomiting, loss of appetite, diarrhea, or constipation, difficulty urinating, frequent urination, painful urination, etc. Acute inflammation may cause serious consequences such as diffuse peritonitis, sepsis and even infectious shock.
Chronic pelvic inflammatory disease: the systemic symptoms are sometimes low fever, easy fatigue, lower abdominal swelling, pain and lumbosacral pain, often intensified after exertion, sexual intercourse, before and after menstruation. It can come from incomplete treatment of acute pelvic inflammatory disease, or the patient’s poor health and weak virulence of pathogenic bacteria, which is chronic at the beginning. Chronic inflammation leads to pelvic blood stasis, causing dysmenorrhea, excessive menstruation, menstrual disorders, and infertility when the fallopian tubes are obstructed by adhesions. Chronic inflammation affects women’s normal work and life as well as their physical and mental health due to recurrent episodes of untreated inflammation.
Etiology.
The pathogenic bacteria invade before and after menstruation, after childbirth, abortion and reproductive tract surgery when the body’s resistance is weak. Sometimes it is caused by insufficient hygiene during menstruation or puerperium, and sometimes it is secondary to appendicitis. The common pathogenic bacteria are streptococcus, E. coli, staphylococcus, mycoplasma, chlamydia, gonorrhea, and anaerobic bacteria. Chinese medicine believes it is mostly caused by heat toxicity and damp-heat invasion.
Treatment.
Treatment of acute pelvic inflammatory disease:
In principle, the anti-inflammatory treatment is thorough to eliminate prolongation.
1, mainly with antibiotic treatment (including: broad-spectrum antibiotics and anti-anaerobic bacteria drugs).
2. Chinese herbal treatment: clearing heat, detoxifying and relieving dampness, moving Qi and blood to relieve pain. Prescriptions: Wu Wei Disinfectant Drink, Red Vine Defeat San, etc.
3.In severe cases, such as: pelvic abscess, surgical treatment is needed to cut open and drain the pus.
4.Rest and nutrition.
Chronic pelvic inflammatory disease treatment.
Chinese medicine treatment is the main treatment, combining Chinese and Western medicine, mostly using 2 to 5 methods of comprehensive treatment.
Chinese medicine diagnosis and treatment: the evil of dampness and heat, cold and dampness wrestle with qi and blood in the punching and uterus, qi stagnation, blood flow is not smooth, do not pass, then pain. For damp-heat and stagnant knots, the treatment is based on clearing heat and dampness and removing stagnant knots; for cold-damp and stagnant knots, the treatment is based on warming the meridians and dispersing cold, removing stagnant knots and dispersing dampness, etc. The doctor will apply the corresponding oral treatment with a variety of external treatment methods.
Traditional Chinese medicine external treatment methods
1.Chinese medicine retention enema: 100-200ml of concentrated decoction, one retention enema every night, stop using during menstruation. Chinese medicine enema is a concentrated decoction of Chinese medicine into the intestines before going to bed, the drug is absorbed through the intestines and acts on the pelvic cavity, which has the effect of clearing heat and reducing inflammation, activating blood circulation and removing blood stasis, regulating qi and relieving pain. It is used to treat chronic pelvic inflammatory disease, post-operative pelvic adhesions, endometriosis and other diseases.
2, Chinese herbal foot bath: medicinal Danshen, red peony, angelica, Chai Hu, rose, raw coix seed, ocimum, astragalus, cinnamon branch decoction, soak feet for 30 minutes. Chinese medicine foot bath therapy is: in the appropriate warm water, put the appropriate amount of Chinese medicine solution for foot fumigation so as to achieve the treatment of chronic pelvic inflammatory disease, insomnia, menopausal syndrome and other systemic diseases of an external treatment method.
3.Ear acupuncture point buried seed treatment:. Mostly using things such as vegetable seeds, Wang Bu Liuxing, magnetic beads, etc., with small squares of adhesive tape to stimulate ear points (internal genitalia, endocrine, bladder, San Jiao, spleen, kidney, liver), through meridian conduction, so as to achieve the purpose of disease prevention and treatment. It can treat chronic pelvic inflammatory disease, insomnia,, abdominal pain, menstrual disorders, dysmenorrhea, etc.
4. Physical therapy: such as short wave, ultra-short wave, infrared ray, drug iontophoresis, etc., which promotes pelvic blood circulation and facilitates the absorption of inflammation.
Western medicine treatment.
1, for more severe lower abdominal pain and gynecological examination of pelvic inflammatory disease, the application of broad-spectrum antibiotics such as macrolides, quinolones, anti-anaerobic bacteria static drip treatment, 7 days as a course of treatment.
2.Surgical treatment: For severe tubal effusion or tubo-ovarian cysts that have been treated ineffectively, surgical treatment such as laparoscopic exploration and dissection is feasible.
Prevention
1, eliminate all kinds of infection, keep the perineum clean and dry, wash the vulva with water every night, do the special basin, do not use your hands to pull out and wash the vagina, and do not use hot water, soap, etc. to wash the vulva. If you have a pelvic inflammatory disease, you need to change your underwear, not to wear tight, chemical fiber underwear, and take a sitz bath with Chinese medicine snake yellow lotion, once a night.
2. If you have vaginal bleeding during menstruation, after abortion and after gynecological surgery such as IUD removal, you must prohibit sexual intercourse, swimming, tub bathing and sanitary napkin bathing, and change sanitary napkins diligently, because the body’s resistance decreases and pathogenic bacteria can easily enter and cause infection.
The actual person who is diagnosed with acute or sub-acute pelvic inflammatory disease must follow the doctor’s instructions and actively cooperate with the treatment. The patient must rest in bed or take a semi-recumbent position to facilitate the confinement of inflammation and discharge of secretions. Patients with the sequelae of pelvic inflammatory disease should also not overexert themselves, combine work and rest, and abstain from sexual intercourse to avoid aggravation of symptoms.
4, fever patients generally sweat more when the fever is reduced, pay attention to warmth, keep the body dry, give change of clothing after sweating, avoid blowing air conditioning or direct convective wind.
5. Eat a light, nutritious diet and avoid spicy and oily products.
Misconceptions.
1, most people, especially young people take the disease lightly, by the treatment of abdominal pain relief, it is considered no big deal, often do not follow medical advice, do not continue treatment. In fact, if the disease is not treated thoroughly, it tends to recur before and after menstruation and after exertion, gradually aggravating, affecting the quality of life and easily forming a variety of complications such as menstrual disorders and infertility.
2, some patients after several treatments, the effect is not satisfactory or often seizures, they lose confidence, think that the disease can not be treated and refuse treatment and produce psychological depression. The clinical efficacy has confirmed that the comprehensive treatment of Chinese medicine is more effective and can achieve a complete cure by treating both the symptoms and the root cause.