Effect of voltaic pavement moxibustion on the recent complementation of patients with chronic pelvic inflammatory disease
OBJECTIVE: Observation of the efficacy of external application of Chinese medicine in the treatment of chronic pelvic inflammatory disease METHODS: A total of 60 patients with chronic pelvic inflammatory disease were randomly divided into 2 groups, a total of 30 patients in the group treated with external application of Chinese medicine at lumbosacral points and 30 patients in the group treated with acupuncture. RESULTS: It was found that the C1 and C3 contents of patients in the dressing group and the acupuncture group were significantly changed (P<0.01, P<0.05), but the IgA, IgM and IgG contents were not affected by the therapy in both groups. Conclusion: Dressing therapy and acupuncture therapy have certain therapeutic effects on this disease, which can change the content of C1 and C3 of the body and play a role in regulating immune function, and this treatment method is simpler and more convenient than acupuncture therapy, painless and non-paying, short, and easily accepted by the majority of patients.
Chronic pelvic inflammatory disease is one of the most common diseases in obstetrics and gynecology. In order to explore a more effective and simple method, the author has systematically observed 60 patients with chronic pelvic inflammatory disease since 1999 and compared them with the lumbosacral acupuncture method, and also observed the effect on some immune indexes and made a preliminary discussion on its mechanism, which is reported as follows.
Clinical data
1.Inclusion criteria
According to the diagnostic criteria of chronic pelvic inflammatory disease in the Diagnostic Criteria for Gynecological Diseases [1
①, history of lower abdominal pain and lower abdominal pressure pain (may have rebound pain)
②, painful cervical lifting or uterine tenderness
③, pressure pain in the adnexal region
④, history of fever (T>38°C) with inflammatory masses confirmed by negative ultrasound scan. All patients who met the above criteria were between 20-50 years old and had a disease duration of 1 month to 10 years.
2. General information
The selected cases were outpatient cases of acupuncture and moxibustion department and cases referred to this clinic after the acute attack of acute or chronic pelvic inflammatory disease was controlled by western medicine to normal temperature, age between 20-50 years old, history of disease from 1 month to 10 years, 30 cases with history of miscarriage, 10 cases with history of caesarean section or lower abdominal surgery, a total of 30 cases in the compress group and 30 cases in the acupuncture group, the average disease age, disease duration and condition of the groups were The average age, duration and condition of the groups are comparable.
3.Testing index
Before and after the treatment, fasting venous blood was collected for IgA, IgM, IgG, C1 and C3 tests in the morning from patients in the dressing and acupuncture groups.
Treatment methods
1.Moxibustion group
Moxibustion materials: white mustard seeds, dry ginger and other traditional Chinese medicine ground into powder and appropriate amount of clean water or fresh ginger juice to make a paste; moxibustion site: the first lumbar vertebrae right in the left and right side of 1 inch to the lumbosacral area; moxibustion method: the upper part of the sterilization with 75% alcohol, the paste has been mixed directly on the surface of the skin, about 0.1 cm thick, and then paste the musk pain relief cream fixed, better if the use of Lingcai incense or musk as an elicitor. Moxibustion time: from the first volt to the last volt every 7-10 days with medicine, a total of four times, generally 1-2 hours each time to lay the patient can tolerate, generally not more than 2 hours; precautions; moxibustion treatment process after half an hour the patient has a sense of warmth, the heat directly through the abdomen, to 1 hour after the local skin burning sensation, belongs to the normal reaction, can not persist in taking off; local skin flushing burning sensation after moxibustion, the next day will disappear. The next day will disappear, such as the phenomenon of blistering, feeling itchy, do not need to deal with or use white jade cream coated with the affected area can be, both to stop itching, and to prevent infection of the blister broken; treatment period do not eat cold things, for a month, forbidden to have intercourse.
2.Acupuncture group
Take kidney Yu, lumbar eye, large intestine Yu, secondary s, middle s plus TDP divine light for 30 minutes and electric acupuncture for 30 minutes at the same time, once a day for severe cases, once every other day after abdominal pain stops or body temperature is normal, 10 times a course of treatment, the results were counted after three courses of treatment.
Treatment results
1.The effect of laying medicine group on the immune function of the body
2.The effect of acupuncture group on the immune function of the body
Preliminary investigation of the mechanism
1, we observed from clinical observation, the etiology of chronic pelvic inflammatory disease patients are mostly in the abortion period or menstrual period with a history of unclean life, such as eating cold, excessive cold, local cold, living in a wet place, overwork, etc., which leads to the coalescence of local cold, Yang Qi paralysis, Qi stagnation and blood stasis, long-term disease is blocked Yang Qi, loss of warming meridians function, resulting in stasis more stasis, deficiency more deficiency, forming a vicious circle, the longer the time, the more often the onset, the more serious the disease. The longer the disease, the more frequent it occurs, the more serious the disease becomes, and the more deficient the patient is, the less able he is to resist the disease. Therefore, the principle of this treatment method is to invigorate Yang and disperse cold, pass through the channels and dissolve stasis, and cultivate the capital to break the vicious cycle, improve the body’s resistance, reduce the frequency of recurrence, and reduce the degree of the disease, and use Chinese herbal medicine externally on the lumbosacral region of the Governor’s Vessel and the bladder during the hot summer months of volcanoes. As we all know, the Governor Vessel is the sea of Yang Vessel, which supervises all Yang, and the back is the place where Yang Qi converges, while the applied herbal medicine, white mustard seed and dry ginger, are pungent and hot, so that all Yang will be combined, the meridians will be opened, the blood stasis will be removed, the vital energy will be solidified, and all the evil will be removed and the disease will be cured.
2, from the anatomical analysis of the site selected for paving and acupuncture [2], the distribution of nerves in the pelvic cavity mainly has sympathetic and sympathetic nerve innervation branches, such as the sacral plexus, ovarian plexus, pelvic plexus and other plexus crosses, all over the pelvis, and the sympathetic nerves in these plexuses are mainly from the sacral nerve II, III, IV lumbar nerve I-II. Western medicine believes that the root cause of the disease is easy to recur and difficult to heal is the pelvic cavity The root cause of this disease is the obstruction of blood circulation in the pelvis. Stasis of blood and adhesions caused by inflammation in the pelvic cavity constantly stimulate the pelvic nerve plexus, so long-term recurrence of different degrees and nature of lower abdominal pain, swelling and other symptoms, and Chinese medicine compresses and acupuncture site is the first I, II, III, IV, V lumbar nerve branches and sacral nerve and its branches and the corresponding arteriovenous distribution of the region. Therefore, the drug penetrates directly from the local skin, and the medicinal power reaches the whole pelvis, which not only stimulates the nerves but also affects the arteries and veins in the area, while acupuncture can directly stimulate the local nerves and blood vessels to accelerate their blood flow, take away metabolites, improve inflammation and eliminate pain, and achieve the purpose of cure.
3, the experiment initially observed the effect of dressing and acupuncture on some immune indexes of patients, and found that the content of C1 and C3 of patients in the dressing group increased from the original deficiency to the normal range, especially for C1, there was a significant difference of P<0.01 before and after treatment, and the content of C1 and C3 in the acupuncture group also had an effect, and also increased from the lower state to the normal range. It indicates that while the disease was cured or improved, the resistance of their organism also improved significantly. This fully confirms that the pavement method can change the immune function of the body. Both practically and theoretically, it proves the existence value of this therapy.