(Disclaimer: This article is for scientific purposes only. In order to protect the patient’s privacy, the relevant information in the following content has been processed) Abstract: The patient, Ms. Chen, recently had premature coitus after miscarriage, and experienced symptoms such as increased vaginal discharge, severe pain in the left lower abdomen, frequent urination, urinary urgency, and painful urination, accompanied by fever. Based on the symptoms, medical history and examination results, combined with gynecological internal examination, the outpatient doctor made a preliminary diagnosis of acute salpingitis. She was hospitalized and given anti-inflammatory treatment with a combination of traditional Chinese and Western medicine. Symptoms were relieved after 1 week of treatment, and the results of review showed that everything was normal. 【Basic information】 Female, 28 years old 【Disease type】 Acute salpingitis 【Hospitalization】 Jinan Combined Traditional Chinese and Western Medicine Hospital 【Date of consultation】 April 2022 【Treatment plan】 Western medicine treatment (Levofloxacin Hydrochloride Injection, Azithromycin for Injection) + Chinese patent medicine treatment (Gynecological Qianjin Tablets) + Chinese medicine enema formula (Fritillariae Cordatae, Taraxacum officinale, Paeoniae Lactiflorae, Eriocactus, Job’s tear grains, Ziqiaodicin, Honeysuckle, Forsythia, sepsis, frankincense, cypress retained enema) + umbilical moxibustion treatment + improve lifestyle habits (bed rest, prohibit coitus, high-protein diet) 【Treatment cycle】 7 days 【Results】 1 week of treatment to alleviate the symptoms of the body gradually returned to normal I. Initial Consultation The patient, Ms. Chen, said that she had no obvious discomfort, half a month ago, after pregnancy and abortion, after the operation, the vaginal bleeding stops that is, after having sex, after intercourse, after which symptoms of increased discharge appeared After the coitus, there was an increase in discharge, which was thin and purulent, accompanied by severe pain in the left lower abdomen and a fever of 38.5℃, so she came to the gynecology clinic of our hospital for consultation. The gynecologist did a gynecological double examination and found that there was a large amount of purulent vaginal discharge, and palpation detected a striated mass in the left lower abdomen, with pressure pain and rebound pain. Ultrasound suggests: consider the left side of the fallopian tube accumulation. Combined with the patient’s symptoms, medical history and examination results, it was initially considered that she had acute salpingitis, and it was recommended that she be hospitalized for systematic examination and treatment, so she was admitted to the hospital with “acute salpingitis”. After hospitalization, the patient was admitted with “acute tubulitis”. After completing the tests of blood sedimentation, pathogen detection and drug sensitivity test, the patient was selected to receive more sensitive antibiotics such as levofloxacin hydrochloride injection and azithromycin for intravenous treatment of infection, and at the same time, the patient was given oral gynecological medicine Chienjin tablets and Chinese herbal medicine enema formula (Fritillariae Crispus, Dandelion, Paeoniae Lactiflora, Motherwort, Job’s tear plant, Ziuhua Diedei, Honeysuckle, Lianxiao, Forsythia, Lactuca sativa, Phellodendron Bark), and combined with umbilical moxibustion for treatment. The patient was treated with navel moxibustion for 1 week. During the treatment period, the patient was advised to improve her living habits, including bed rest, prohibition of coitus, and high protein diet. After the patient was admitted to the hospital, antibiotics were given to the patient in a timely manner, so as to limit the inflammation site; Chinese medicine enema therapy to make the effect of drugs directly to the pelvic lesion site; umbilical moxibustion therapy to gradually reduce the inflammatory exudate and absorption. After 1 week of treatment with medication, the patient had no fever, stable vital signs, normal vaginal discharge, and the symptoms of urinary frequency, urgency, and pain disappeared. Considering that the treatment was effective and the patient had no discomfort, she was discharged from the hospital. Fourth, precautions The patient recovered well, very happy for her, but daily life should also pay attention to the following points: 1, the patient in the inflammation period and menstruation, do not cohabitate, to maintain vulvar hygiene and sanitation, wash the vulva with warm boiled water every night; 2, usually wear loose cotton breathable underwear, change underwear, it is recommended that underwear every day, underwear should be replaced once a day, underwear to be separated from family members to wash, wash and put in the direct sunlight; 3, usually wear loose cotton breathable panties, change panties, recommend that underwear to separate from family members to wash, put in the 3, usually reduce the number of abortion, scraping and uterine operation, check or surgery should not be premature coitus; 4, usually light, nutritious diet, do not frequently eat spicy and stimulating food, avoid fire, regular work and rest, exercise, strengthen the body, increase resistance to disease; 5, once the symptoms of discomfort, feel free to consult a doctor. V. Personal perception Acute tubalitis belongs to a kind of pelvic inflammatory disease, gynecological clinic is also more common, mainly due to the low resistance in the body, such as after abortion, postpartum, menstruation is more likely to appear, or frequent gynecological surgery, such as tubal fluids or angiography, release the ring to remove the ring, diagnostic scraping, etc., are prone to acute tubalitis. Therefore, it is recommended that female friends, if there is no requirement to prepare for pregnancy, to do a good job of contraception, reduce the number of abortions and scraping, do gynecological surgery operations, follow the doctor’s advice, do not premature coitus, can avoid this disease. Like this case patient is after abortion premature coitus lead to this disease, take warning. If there are symptoms of discomfort, early diagnosis and early treatment, follow the doctor’s instructions for care.