Uterine prolapse
Uterine prolapse is called “uterine prolapse” when the uterus is displaced downward from its normal position or even completely prolapsed outside the vaginal opening, also known as “pubic prolapse”, “pubic epilepsy”, “pubic fungus”, “pubic erection” and “uterine prolapse”. It is also known as “pubic prolapse”, “pubic epilepsy”, “pubic fungus”, “pubic erection”, “uterine prolapse” and so on. This disease often occurs in working women, and postpartum injury is the most common.
The main mechanism is the lack of consolidation of the punching point and the inability to lift and take in. The common subtypes are qi deficiency: kidney deficiency.
I. Qi deficiency
Weakness of the body, lack of Qi, too much force during childbirth, or after childbirth, or long coughing, or old age, constipation, constipation and blame, damage to the middle qi, the middle qi sinks, no power to consolidate, the cell is weak, resulting in the prolapse of the uterus.
Second, kidney deficiency
Congenital deficiency, or room labor and multiple births, or old age and weakness, deficiency of kidney qi, lack of consolidation of punching, and weakness of tethered cells, resulting in prolapse of the uterus.
[Identification and treatment]
If the uterus moves down, the abdomen drops, the limbs are weak, and the spirit is tired, it belongs to Qi deficiency; if the uterus is prolapsed, the waist is sore and the legs are weak, dizziness and tinnitus, and the urine is frequent, it belongs to kidney deficiency. The treatment should be based on the principle of “the deficient is tonified, the trapped is lifted” in the Nei Jing, to benefit the qi to lift and tonify the kidneys to fix the prolapse. Severe prolapse of the uterus is more harmful to women, is a difficult disease, it is appropriate to combine Chinese and Western medicine treatment.
I. Qi deficiency type
Main symptoms: Uterus moving down or prolapsing out of the vaginal opening, aggravated by labor, small abdominal drop, tiredness, lazy speech, frequent urination, or excessive amount of hypochondrium, white color and thin quality, less florid face, light tongue, thin coating, slow and weak pulse.
Analysis of the symptoms: The spleen is responsible for the middle qi. Pale tongue, thin coating, slow and weak pulse are signs of Qi deficiency.
Treatment: tonifying Qi and raising it up.
Example of formula: Tonifying Zhong Yi Qi Tang with Citrus Aurantium.
If the amount of band is large and white in color and thin in quality, add yam, gorgonian and mulberry cuttlebone as appropriate to stop the band and fix it.
Kidney deficiency type
Main symptoms: Uterus migrating downward or prolapsing out of the vaginal opening, lower abdomen, frequent urination, lumbar soreness and weakness, dizziness and tinnitus, pale tongue, thin coating, sunken pulse.
Analysis of the symptoms: Kidney deficiency, lack of consolidation of the punching point, loss of appointment of the belt vein, inability to tie the cell, hence prolapse of the uterus and drop of the abdomen; Kidney deficiency, lack of consolidation of the lower jiao, loss of appointment of the bladder, hence frequent urination; Kidney deficiency, lack of essence and blood, loss of nourishment of the outer mansion and medulla, hence lumbar soreness and weakness, dizziness and tinnitus. Pale tongue, thin coating and sunken pulse are signs of kidney deficiency.
Treatment: tonifying the kidney and fixing the deficiency.
Example of formula: Tai tonic yuan decoction with deer horn gum, hemp, hedgehog.
If the uterus is prolapsed outside the vaginal opening, frictional damage, secondary damp-heat symptoms, local redness, swelling and ulceration, yellow water dripping, with large amount of belt, yellow like pus, with foul odor, regardless of qi deficiency or kidney deficiency, in light cases, the original formula can be added with Phellodendron, Atractylodes, Poria, Plantago, etc. to clear heat and dampness, while in heavy cases, Gentian Diarrhea Liver Soup can be added and reduced.
Section 4: Abdominal pain in women
Women who do not have pain in the small abdomen or less abdomen during menstruation, pregnancy and postpartum, or even pain even in the lumbosacral region, are called “women’s abdominal pain”, also called “women’s abdominal pain”.
This disease is equivalent to the abdominal pain caused by pelvic inflammatory disease, cervicitis, uterine hypertrophy and pelvic stasis in Western medicine.
[Etiology and mechanism]
The main mechanism is the deficiency of the ramifications and the loss of nourishment of the uterine veins, which causes “pain if not glorified”, and the blockage of the ramifications and the loss of smoothness of the uterine veins, which causes “pain if not passed”.
The common clinical types are deficiency of kidney yang, blood deficiency, blood stagnation, damp-heat and cold-damp stagnation.
Deficiency of kidney yang
Insufficient endowment of kidney qi, or excessive intercourse, failure of vital fire, or carelessness of menstrual regimen, feeling wind and cold, cold evil in people, damage to kidney yang, loss of warmth in the flush, deficiency of cold in the cellular veins, blood flow retardation, resulting in abdominal pain.
Second, blood deficiency loss of glory
The deficiency of the body, the weakness of blood and qi, or too much worry, or poor diet, excessive labor, damage to the spleen and stomach, lack of chemical sources, or a long illness, depletion of blood and qi, resulting in the deficiency of blood in the ramus, the loss of nourishment of the blood vessels and pain; and the weakness of blood and qi, weakness in the operation of the blood, blood stagnation can also cause abdominal pain.
Qi stagnation and blood stasis
Depression, or excessive anger, loss of hepatic control, adverse qi flow, stagnation of qi and blood stasis, obstruction of the ramifications, and poor blood flow in the vasculature, resulting in abdominal pain.
Damp-heat stasis
Persistent damp-heat is embedded in the lower jiao, blocking qi and blood, stasis of the ramifications, or after menstruation and childbirth, the remaining blood is not exhausted, feeling the evil of damp-heat, damp-heat and blood wrestling knot, stasis blocking the ramifications, blood flow of the uterine vessels is not smooth, not pass then pain, resulting in abdominal pain.
Five, cold and damp stagnation
After menstruation and childbirth, the remaining blood is not yet exhausted, and the blood is not smoothly flowing and painful, resulting in abdominal pain, because of the cold and dampness, or living in a cold and damp place for a long time, the cold and dampness injures the cellular vasculature, the blood is condensed by the cold and dampness, and the ramus is blocked and the blood does not flow smoothly.
[Identification and treatment]
Firstly, identify the location, nature, degree and duration of pain, combine with the systemic symptoms, menstruation and the situation of bringing down, in order to examine the cold, heat, deficiency and reality. Chronic abdominal pain is the most common clinical condition, therefore, this disease is mostly a deficiency with actual evidence. The principle of treatment is to regulate the Qi and blood of the flush. For those with acute and severe onset, combined traditional Chinese and Western medicine treatment can be used if necessary.
I. Kidney Yang deficiency type
Main symptoms: cold and painful drop in the abdomen, warmth and pressure, lumbar soreness and knee weakness, dizziness and tinnitus, cold in the extremities, frequent urination, nocturnal urination, insubstantial stool, pale tongue, white smooth coating, sunken and weak pulse.
Analysis of the symptoms: deficiency of kidney yang, loss of warmth in the flush, deficiency of coldness in the cellular veins, so that the abdomen is cold and painful, like warmth and pressure; yang deficiency can not reach outside, so the form is cold and limbs are cold; deficiency of the kidney marrow sea, the outer office is not glorified, then dizziness and tinnitus, lumbar soreness and knee weakness; deficiency of kidney yang, bladder gasification is not normal, then frequent urination, excessive night urination; fire does not warm the earth, then the stool is not real. Pale tongue, white slippery coating, sunken and weak pulse are signs of deficiency of kidney yang.
Treatment: Warming the kidney and helping Yang, warming the uterus and relieving pain.
Example of formula: warming cell drink.
Blood deficiency and loss of glory
Main symptoms: vague pain in the abdomen with tendency to press, dizziness and dizziness, palpitations with little sleep, dry stools, withered face, pale tongue, little coating, thin and weak pulse.
Analysis of the symptoms: Blood deficiency and weakness of Qi, loss of moistening of the Punch and Cellular Vessels, weakness of Qi to transport Blood, hence vague pain in the abdomen and tendency to press; Blood deficiency does not promote the clear orifices, hence dizziness and dizziness; Blood deficiency does not promote the heart, hence palpitation and less sleep; Blood deficiency and deficiency of fluid, loss of moistening of the intestines, hence dry stools. Pale tongue, little coating, thin and weak pulse are signs of Blood deficiency.
Treatment: Nourishing the blood and nourishing the camp, harmonizing the middle and relieving pain.
Example of formula: Angelicae Jianzhong Tang (Thousand Gold Wing Formula).
Angelica sinensis, Gui Zhi, Paeonia lactiflora, Glycyrrhiza glabra, ginger, jujube, syrup
Radix Angelicae Sinensis and Radix Paeoniae Alba nourish Blood and harmonize the middle, slowing down the pain; Gui Zhi and Radix Ginger warm the middle, clearing menstruation and relieving pain; Radix Glycyrrhiza Uralensis, Jujube and Caramel Sugar nourish Blood and nourish Ying. The whole formula works together to nourish Blood and nourish the Ying, harmonize the middle and relieve pain.
Qi stagnation and blood stasis type
Main symptoms: distension and pain in the small or small abdomen, refusal to press, distension and pain in the chest and breasts, fullness in the abdomen, poor appetite, irritability and irritability, occasional desire to rest, dull purple tongue or purple dots, stringent and astringent pulse.
Analysis of the symptoms: liver is not well regulated, qi stagnates and blood stasis, blood flow is not smooth, impediment to the flow of Qi, and if it does not pass, it is painful, so the small abdomen or less abdomen is distended and painful, refusing to press; liver veins are not relieved, qi is not conducive, then the chest and breasts are distended and painful, irritability and irritability, and the appetite is poor. Purple dull tongue or purple dots and stringent pulse are signs of qi stagnation and blood stasis.
Treatment: Promote Qi and Blood circulation, resolve blood stasis and relieve pain.
Example of prescription: Mudan San (Women’s Complete Good Recipe)
Mudanpi, Guixin, Radix Angelicae Sinensis, Yanhuoso, Curcuma longa, Niubizi, Radix Paeoniae Alba, Jing Sanling
In this formula, Radix Angelicae Sinensis, Radix Paeoniae Alba, Radix Achyranthes Bidentatae and Peony Bark nourish the blood and activate blood circulation to resolve blood stasis; Sanliao, Curcuma longa and Yanhuzo move Qi and activate blood circulation to relieve pain; Guixin warms the meridians and opens the channels. The whole formula moves Qi and invigorates Blood, resolves blood stasis and relieves pain, so that the pain is relieved when the Qi and blood stasis are removed.
Damp-heat stasis type
Main symptoms: pain in the abdomen refusing to be pressed, burning sensation, or accumulation of lumps, accompanied by lumbosacral distension and pain, low-grade fever, heavy, yellowish and thick, with foul odor, short yellow urine, red tongue, yellowish and greasy coating, smooth and counted pulse.
Analysis of the symptoms: The evil of damp-heat wrestles with the blood, stasis blocks the ramifications of the stroke, the blood does not flow smoothly, so the abdomen is painful and refuses to be pressed, there is a burning sensation, or there is a lump; the stagnation of the uterine vessels, which are tied to the kidneys, is accompanied by lumbosacral distension and pain; the damp-heat stalks the uterine vessels, so the low fever fluctuates; the evil of damp-heat injures the capillary band and the uterus, so there is a large amount of discharge, yellow and thick, with a smell; the damp-heat congests the lower jiao, so the urine is short and yellow. The red tongue, yellowish greasy coating and slippery pulse are signs of damp-heat stagnation in the interior.
Treatment: Clearing heat and removing dampness, resolving stasis and relieving pain.
Example of formula: clearing heat and regulating blood by adding Fructus sanguinis, Coix seeds and Tu Fu Ling.
If the heat stagnation and blood stasis is very serious, the symptoms include high fever that does not subside, delirium, abdominal pain and refusal to press, it is advisable to remove heat, resolve stasis and disperse the knots.
V. Cold and damp stagnation type
Main symptoms: cold pain in the abdomen, the pain does not move, the pain decreases with warmth, with a large amount of discharge, white in color and thin in quality, cold in form and limbs, blue and white in color, with a pale tongue, white and greasy coating, and a sunken and tight pulse.
Analysis of the symptoms: The evil of cold and dampness, heavy and stagnant, is present in the ramus and the uterus, battling with blood, stagnating the meridians, and the blood does not flow smoothly, so the abdomen is cold and painful, and the pain does not move; when warmth is obtained, the stagnation is slightly cleared, so the pain is reduced when warmth is obtained; the cold and dampness produces turbidity, injects down into the ramus and the uterus, and the belt and veins are out of order, so the belt and veins are in large quantity, white in color and thin in quality; the evil of cold and dampness easily injures Yang Qi, so the form is cold and limbs are cold, and the face is blue and white. Pale tongue, white and greasy moss, and sunken and tight pulse are signs of cold and damp stagnation.
Treatment: Dispersing cold and removing dampness, resolving blood stasis and relieving pain.
Example of formula: Shao Abdominal Stasis Removal Soup with Atractylodes and Poria.