For the treatment of adenomyosis, how many years do I have to drink herbs and how long do I have to keep doing moxibustion?

  Chinese medicine has been in our country for thousands of years, and it can be said that our ancestors have relied on this to prevent and treat diseases, and also to achieve the purpose of health care. Although the modern society, Chinese medicine has been affected by the impact of Western medicine, but Chinese medicine in the hearts of the country, but still has a certain status. Especially now, the country has been promoting the treatment of Chinese medicine, and it is also our valuable cultural heritage (the Koreans are still thinking about the “Chinese medicine inscription”). As a child, we may have been exposed to the kind of medicine jars, boiling medicine to drink, the taste is very bitter, smoky, you can smell a bitter smell from a distance. Nowadays, this method is gradually becoming less common, everyone is using pills, capsules and so on. In short, Chinese medicine has a very important role in clinical practice.  Western medicine came to China in large numbers at the end of the Qing Dynasty and has developed rapidly in less than 200 years since then. The medical concepts of TCM and Western medicine are very different, and the research directions are also different. The theoretical thinking of Chinese medicine is based on the five elements of yin and yang, a macroscopic research direction that focuses on the theoretical overview of the human body’s life activities and disease changes. Western medicine, on the other hand, focuses more on microscopic research and tries to simplify complex conditions through microscopic units such as molecules and atoms. Although I am a Western doctor, I still believe that Western medicine and Chinese medicine each have their own advantages but also their own limitations.  Chinese medicine is still very useful for other diseases, such as irregular menstruation, lack of qi and blood, etc. But for adenomyosis, according to my clinical observations over the years, the effect of Chinese medicine is not ideal, but limited to pain relief and discomfort. I’m not saying this because I’m from a Western medical background and have a mentality of rejecting Chinese medicine. The pain that adenomyosis brings to patients and their families is obvious to all of us, and we all have to be responsible in the face of such a major issue as saving lives, and we have to be truthful. Many herbal medicines have a certain effect on relieving the symptoms of menstrual pain in patients with adenomyosis, which is a good thing, but at the same time it is also a bad thing. It’s good because some patients have reduced dysmenorrhea after using Chinese medicine, and their bodies are temporarily more comfortable; it’s bad because this feeling of no pain can give the illusion that adenomyosis has been cured, which in turn hides the continued development of the disease. The diseased tissue will continue to spread, and the uterus will not shrink as a result.  I have met a patient who is the hardest “TCM fan”. She has adenomyosis and has been treated with Chinese herbs for 8 years, so she is very persistent. Later, when she came to me for the Uterus Preservation U surgery, I asked her why she didn’t insist on drinking Chinese herbs anymore, and she said she insisted on drinking it at first because the menstrual pain was not so bad after drinking it and she could tolerate it, so she wanted to drag it out until menopause. But now she thought that it would take about 10 years for menopause to occur, and that it was too horrible to live like this every day in a medicine jar. I’ve been to the hospital and my uterus is still growing, so I don’t dare to delay any longer. In fact, not only Chinese medicine can not cure adenomyosis, Western medicine is also “unable to help”, I have talked about before, drug treatment of adenomyosis, can only play a temporary relief effect, can not achieve the purpose of the root cause of the cure.  There are also claims that moxibustion can cure adenomyosis, and many adenomyosis patients believe in it. It is true that some patients with adenomyosis have experienced a reduction in symptoms after having moxibustion, but this does not cure the disease completely. I have contact with patients who have done moxibustion, I am impressed by a patient in Shenzhen, she has to do moxibustion treatment for 6 hours a day, during which nothing can be done, for several months in a row, although some feeling of improvement, but the disease is still haunting the body, can not be removed.  So I don’t recommend using herbs and moxibustion, which are common methods of Chinese medicine to treat adenomyosis, because they really don’t mean much to cure it. On the contrary, it may delay the control and treatment of the condition. Of course, if you are really convinced of these Chinese medicine methods, you may as well try, but for some patients with more serious adenomyosis, I still recommend that you choose surgery as soon as possible, one to reduce some detours, the second condition really can not afford to delay.  Although I have repeatedly stressed that Chinese medicine cannot cure adenomyosis, but it does not mean that adenomyosis patients cannot take Chinese medicine, Chinese medicine naturally has its role and value. For example, some post-operative adenomyosis patients also have chronic pelvic inflammatory disease, pelvic effusion and other diseases, at this time I usually recommend her to use Chinese medicine to assist in the later stage of treatment, probably only 1-2 months of the course of medicine. However, what and how to use the medication after surgery are all advised by the doctor in advance, and the patient should follow the doctor’s advice and not take the initiative. In fact, if there is no common inflammation as mentioned above, I basically will not recommend any herbal supplemental treatment after the uterus-preserving U surgery, it is really unnecessary.