Acupuncture for chronic pelvic inflammatory disease
The current trend of pelvic inflammatory disease (PID) is getting higher and higher, and there are many different treatment methods. The author has been using acupuncture and moxibustion with Chinese herbal medicine to treat this disease clinically for many years, achieving significant results and gaining a lot of experience, the following are a few aspects to discuss with colleagues.
A modern medical understanding of the mechanism of pelvic inflammatory diseases.
Pelvic inflammatory disease (PID) is a generic term for inflammatory diseases that occur in the upper female reproductive tract, including any combination of endometritis, tubal inflammation, tubo-ovarian abscess and pelvic peritonitis. It is often delayed due to the complexity and insidiousness of the disease, which can lead to pelvic inflammatory sequelae. The latest foreign studies suggest that most of the causative organisms are caused by gonococci and Chlamydia trachomatis, in addition to human mycoplasma, Mycoplasma genitalium and Mycoplasma urealyticum, and that at least 60% of patients with pelvic inflammatory disease (PID) are associated with STDs.
However, because the clinical manifestations of pelvic inflammatory disease (PID) vary in severity, more than 60% are subclinical, plus the clinical diagnosis of pelvic inflammatory disease (PID) is neither sensitive nor specific, so the failure to treat, mis-treatment, missed treatment and pelvic inflammatory disease sequelae (CPID)
The mechanism of traditional Chinese medicine’s understanding of pelvic inflammatory disease
The recognition of pelvic inflammatory diseases in traditional Chinese medicine is scattered in such conditions as menstruation, dysmenorrhea, collapse, and infertility. For example, Li Muyan in the Ming Dynasty wrote in “Introduction to Medicine”: “menstruation and postpartum in general, if its time a little bit of residual blood is not exhausted, or by wind-cold, wind-damp cold, summer-heat evil, or internal injuries, raw cold, the seven emotions depressed, for phlegm for stasis; condensation in the middle.” Chen Yan of the Song Dynasty, “three causes of extreme – disease evidence formula” pointed out that “the meridians lost in the will of the reason, the puerperium is not good care, internal for the seven emotions, external feeling of the six sexes, yin and Yang labor and leisure, food and cold, so that the Ying and Wei does not lose, the new Chen dry disobedience, with the defeat of the Hao, the dew condensation, for the disease as a problem .” Jing Yue Quan Shu? Women’s rule” also contains: “blood stagnation, only women have it, the evidence is from the living period or by the postpartum, where internal injury or cold or external wind and cold, or depression and anger injury to the liver, gas reversal and blood flow, or worry and thought injury to the spleen, gas deficiency and blood stagnation, or accumulation of labor and weakness, gas weakness does not work, and gradually become a disease.”
In summary, the disease is caused by postpartum or improper blood regulation, external wind and cold, damp and cold, summer heat or internal injury to Qi stagnation, liver depression, and Qi and blood fight.
The Chinese medicine treatment methods include traditional Chinese medicine, acupuncture, physiotherapy and enema. From the clinical literature, the herbal remedies used are: tonifying Yang and Returning Five Soup, Huangqi Jianzhong Tang, and Jiawei coix seeds and sorghum. The main methods of external treatment include herbal enemas, herbal suppositories, homemade ointments and powders applied to the masses or painful areas. Acupuncture therapy includes milli-needle treatment, with acupuncture points mainly in the abdomen and back, together with acupuncture points in the extremities. Most of the abdominal acupuncture points are Zhongji, Qihai, Guanyuan, Guilai, and uterus; the back acupuncture points are Kidney Yu, Guanyuan Yu, secondary s, middle s, and lumbar eye; the extremities acupuncture points are Sanyinjiao, Feelsanli, Yanglingquan, etc.; acupuncture point injections are made with angelica injection, placental tissue solution, vitamin K3, etc. for abdominal acupuncture points and secondary s points. Acupuncture points are mainly taken from the uterus, Guilai, the eight s points and the painful masses, and the drugs used are homemade menstrual regulating powder, Qianjin gynecological inflammatory cream, etc. The drugs used are Chuanxiong, Angelica, Boswellia, Myrrh, Trigonella, Thistle, Red Vine, and Severance. Moxibustion is commonly used for Zhongji, Guanyuan, Sanyinjiao, and Feosanli, and moxibustion with short wave treatment.
In summary, whether it is acupuncture or external application of Chinese medicine, the selected area is mainly the abdominal Ren meridian with the bladder meridian of the waist and back. The external medicine is mainly to invigorate blood circulation and remove blood stasis, clear heat and detoxification, and the dosage form is soup, powder made into cream or medicine bag, etc.
Third, the clinical diagnosis heart understanding
1.Treatment methods
(1) Sky Moxibustion
I believe that the modern environment and conditions are very different from the ancient times, PID is mostly due to young women do not know the relevant medical knowledge, often drink cold products during menstruation, do not pay attention to hygiene, improper sexual life, frequent abortions, weakness after abortion in the summer vulnerable to the evil of cold. The evil of cold and damp invade the uterus, and the blood and Qi wrestling, stagnation, and plain weakness every time the recurrence and more antibiotic treatment, the body Yang more weak, and to deficiency more weak, stasis more stasis, forming a vicious circle, resulting in PID lingering difficult to heal. Therefore, the key to treat PID is to break this vicious circle in order to achieve the best results. Considering the mechanism of this disease, the key is “deficiency” and “stasis”. The deficiency is the root cause, and the stasis is the symptom. Therefore, the treatment is to treat the deficiency when it is not yet developed and to treat the stasis when it is developed. The combination of the two will definitely yield good results.
Accordingly, on the basis of my clinical practice for many years, I have created the use of traditional Chinese medicine ground into powder to be applied to the lumbosacral region during the three volt days, and the use of acupuncture points in the lumbosacral region to treat PID during normal times, with good effect, which is deeply liked by patients.
Specific method: grind the traditional Chinese medicine such as dried ginger into powder, take honey juice to make a paste, open 1 inch from the middle of the first lumbar vertebra to the lumbosacral region, disinfect with 75% alcohol, spread the paste directly onto the surface skin with a thickness of about 2.5px, and then put on musk pain relief cream to fix it, and it will be more effective if lingcat fragrance or musk is used as an elicitor. From the first volt to the last volt every 7-10 days with medicine, a total of four times treatment, generally each lay 1-2 hours, to the extent that the patient can tolerate, generally not more than 2 hours. Note that the patient has a sense of warmth after half an hour during the moxibustion treatment, its heat penetrates directly into the less abdomen, to 1 hour after the local skin has a burning sensation, which is a normal reaction, can not persist in taking off. After moxibustion local skin flushing burning sensation, the next day will disappear, such as the phenomenon of blistering, feeling itchy, without treatment or use white jade cream can be applied to the affected area, both to stop itching, and to prevent infection of blistering; treatment period do not eat cold things, forbidden to have intercourse within a month.
(2) Acupuncture
The acupuncture points are mainly abdominal and lumbar points, such as Guan Yuan, Qi Hai, Zhong Ji, Zi Gong, and Kidney Yu, and the acupuncture technique depends on the patient’s specific condition. If there is a deficiency, it should be tonified; if there is a deficiency, it should be diarrhea; if it is mild, it should be treated unilaterally; if it is severe, it should be treated bilaterally.
2.Mechanism of treatment
The principle of this treatment method is to invigorate Yang and disperse cold, to open the channels and dissolve stasis, and to cultivate the root and consolidate the original elements, so as to fundamentally break the vicious cycle of deficiency and stasis, to improve the body’s resistance, to reduce the frequency of recurrence, and to reduce the degree of the disease. 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 energy converges, while the applied Chinese herbal medicine, white mustard seed and dry ginger, are pungent and hot, which can make all Yang merge together, so that the meridians can be opened, blood stasis can be removed and vital energy can be solidified, and all evil can be removed and the disease can be cured.
The pelvic nerve distribution is mainly composed of sympathetic and sympathetic innervation branches, such as sacral plexus, ovarian plexus, pelvic plexus and other plexuses, and the sympathetic nerves in these plexuses are mainly from sacral nerve II, III, IV lumbar nerve I-II. Western medicine believes that the root cause of this disease is easy to recur and difficult to heal is the obstruction of blood circulation in the pelvic cavity. The area where the medicine is applied is the area where the I, II, III, IV, V lumbar nerve branches and sacral nerve and its branches and corresponding arterioles are distributed. Therefore, the drug penetrates directly from the local skin, and the medicinal force reaches the whole pelvic cavity, which not only stimulates the nerves but also affects the arteries and veins in the area, accelerating their blood flow, taking away metabolites, improving inflammation, eliminating pain, and achieving the purpose of cure.
3.Heart enlightenment
(1) Integrity
In the process of consultation, we encounter many patients who are not only suffering from pelvic inflammatory disease, but also from complications such as anxiety, insomnia, indigestion, loss of weight, diarrhea, depression, secondary infertility, etc., which seriously affect the quality of life. Good results
(2) Vertigo phenomenon
In the process of acupuncture treatment, the author once encountered two cases of patients, the beginning of treatment, the patient has a good direction of development, but once the acupuncture needle feeling stronger, no pain, about two hours after treatment or the next day the patient felt pain throughout the abdomen, can not walk, there is a tendency to aggravate the disease, the patient thought the needle out of the problem, rushed to the hospital to check, the results did not find abnormal, the third day the patient completely symptom-free, and Normal people, the effect is very good, just a false alarm. There are similar situations in the treatment of other diseases. According to the literature, this term was first proposed by a Japanese doctor, and in our ancient book “Book of Books”, it is mentioned that “if the medicine does not close the dizzying disease,” it means that the medicine that can really remove the root cause of the disease should start the dizzying phenomenon.
Another situation is that the disease gradually heals during the treatment process, but suddenly worsens, and then sharply turns towards healing, often encountered in the process of treatment of chronic diseases. This is also a case of dizziness. If the doctor and the patient do not understand this, they will often be greatly distressed and terminate the treatment, but in fact it is nothing to worry about.
Four, prevention and diet
1, daily life pay attention to the lower body to keep clean, diligent change of underwear, diligent bathing, waist abdomen foot soles pay attention to keep warm, do not take cold baths during the summer period, especially after abortion and childbirth. Not to be overly fatigued during treatment, dress appropriately in cold and warm clothes, and not to overdo intercourse; exercise appropriately.
2, the diet should be mild, raw and cold should be moderate, do not eat icy things in summer, winter can take Agaricus cream, usually often take ten whole tonic soup.