Chinese medicine rectal administration for pelvic inflammatory disease has been clinically effective, and many patients have experienced significant improvement in symptoms such as back pain and abdominal pain after receiving two or three courses of treatment, with remarkable efficacy. The actual fact is that there is no history of acute pelvic inflammatory disease in chronic pelvic inflammatory disease. The systemic symptoms of chronic pelvic inflammatory disease are not obvious. Sometimes there may be a low fever, easy fatigue, mental discomfort, peripheral discomfort, lumbago, lower abdomen and insomnia. When the patient’s resistance decreases, acute attacks can occur. Due to the scarring, adhesions, and pelvic congestion formed by chronic inflammation, it can cause lower abdominal cramps, pains and lumbar aches. It is often aggravated by exertion, after sexual intercourse, during defecation and around the menstrual period. Due to pelvic stasis, the patient may experience increased menstruation and leucorrhea; menstrual disorders may occur when ovarian function is compromised; obstruction of the fallopian tubes may cause infertility. On examination, the uterus is positioned posteriorly, with restricted movement or adhesions fixed. Striated thickened fallopian tubes can be felt on one or both sides of the uterus, with mild pressure pain. Chinese medicine rectal administration, the drug through the rectum to the pelvic cavity has three ways: one is the drug through the rectal mucosa absorption to the liver, metabolism into the circulation; the second is the rectum absorbed 50% of the drug, bypassing the liver, from the lower abdominal vein directly into the large circulation; the third is the drug through the rectal mucosa, intestinal wall, and the pelvic communication of the lymphatic vessels, capillaries directly seized for the pelvic cavity. The above three routes can make rectal drugs reach the pelvis, prostate and other places to play the drug effect. The advantages of rectal drug delivery: first, not through the upper gastrointestinal tract, can avoid the influence of gastric acid and enzymes on the drug, but also to avoid the stimulation of the gastrointestinal; second, 50% of the drug to avoid the first pass of the liver, reducing the side effects on the liver; third, part of the drug directly to the pelvic cavity, so that the disease drug concentration is high, strong effect. The effect of the same dose of drugs administered rectally is greater than the effect of oral drugs. According to the study, Chinese medicine enema in the absorption rate, the speed of effect than pills, tablets, suppositories, tonics are faster, peak concentration is high, peak time is short. For the treatment of chronic pelvic inflammatory disease, rectal drug delivery is the first of its kind in China, as far back as the Han Dynasty there are records of rectal drug delivery, and now it has been widely used in clinical practice. The rectum of adults is 15-20cm in length and is very rich in blood circulation. Although the rectum does not actively absorb drugs like the small intestine, it can absorb drugs through passive diffusion. Contraindications to the rectal drip of Chinese medicine are: 1, where the anus, rectum, colon after surgery; 2, serious diarrhea anal disease; 3, acute abdomen, suspected intestinal necrosis and intestinal perforation; 4, female menstrual period puerperium, etc.