Chronic pelvic inflammatory disease refers to the chronic inflammation of the pelvic genital organs and surrounding connective tissue, and the pelvic peritoneum. It is usually caused by acute pelvic inflammatory disease that is not completely cured, or by poor health, low resistance, lingering disease or repeated infections. This disease is a common cause of infertility. The organism develops chronic tubal inflammation with hydrosalpinx, tubo-ovarian inflammation and tubo-ovarian cysts, and chronic pelvic connective tissue inflammation. Clinical manifestations The symptoms of chronic pelvic inflammatory disease are characterized by its slow onset and long duration. The systemic symptoms are not obvious, but may include low fever, fatigue, and lower abdominal pain. On examination, the uterus is often found to be posterior, with restricted movement or fixed in adhesions. Symptoms: (1) Systemic symptoms are not obvious, sometimes there may be low fever, easy to feel fatigue. For longer duration of disease, some patients may have symptoms of neurasthenia, such as mental discomfort, peripheral discomfort, insomnia, etc. When the patient’s resistance is poor, it is easy to have acute or subacute attacks. (2) The scar adhesions formed by chronic inflammation and pelvic congestion can cause lower abdominal swelling, pain and lumbosacral soreness. It often intensifies after exertion, sexual intercourse and before and after menstruation. (3) Due to pelvic blood stasis, patients may have increased menstruation; when ovarian function is impaired, menstrual disorders may occur; when tubal adhesions are obstructed, infertility may result. Signs: The uterus is often posteriorly positioned, with limited movement or fixed adhesions. In case of tubal inflammation, thickened fallopian tubes are palpated on one or both sides of the uterus in the form of cords with mild pressure pain. In case of hydrosalpinx or tubo-ovarian cyst, cystic masses are palpated on one or both sides of the pelvic cavity with restricted movement. In the case of pelvic connective tissue infection, there is lamellar thickening and pressure pain on one or both sides of the uterus, and the uterosacral ligaments are thickened, hardened and have pressure pain. Treatment: 1. General treatment. Relieve the patient’s ideological concerns, enhance confidence in treatment, increase nutrition, exercise, pay attention to the combination of work and rest, and improve the body’s resistance. 2, Chinese medicine treatment. Chronic pelvic inflammatory disease is mostly of the damp-heat type, and the treatment is based on clearing heat and dampness, activating blood circulation and removing blood stasis. 3.Physical therapy. Warm and benign stimulation can promote local blood circulation in the pelvic cavity. The actual physique of the pelvic area is a lot more than just the pelvic area. Commonly used are short wave, ultra-short wave, iontophoresis, etc. 4.Surgical treatment. Surgery is feasible for masses such as hydrocele or tubo-ovarian cysts; surgery is also advisable for small foci of infection that repeatedly cause inflammation. Surgery is based on the principle of complete cure, to avoid the chance of recurrence of the lesions left behind, unilateral adnexal resection or total hysterectomy plus bilateral adnexal resection. In young women, ovarian function should be preserved as much as possible. Chronic pelvic inflammatory disease is poorly treated with monotherapy, and comprehensive treatment is appropriate.