TCM conditioning female chronic pelvic inflammatory disease
Chronic pelvic inflammatory disease refers to the chronic inflammation of the female genitalia and its surrounding connective tissue and pelvic peritoneum.
The main clinical manifestations are menstrual tension, excessive leucorrhea, waist and abdomen pain, and infertility. If chronic appendicitis has formed, the mass can be touched.
Types of chronic pelvic inflammatory disease The scope of pelvic inflammatory disease mainly lies in the fallopian tubes, ovaries, and pelvic connective tissue. The common types are: 1. Salpingitis: It is the most common in pelvic inflammatory disease.
The fallopian tube mucosa and interstitial tissue are damaged by inflammation, which makes the fallopian tube thicker, fibrosis, and becomes slender or slender to make the ovary. The fallopian tube adheres to the surrounding organs, forming a hard and fixed mass.
2. Hydrosalpinx and fallopian ovarian cysts: After the fallopian tube is inflamed, the umbrella end is stuck and locked, and the wall of the tube infiltrates the serous liquid, slipping in the lumen to form the hydrosalpinx.
After the absorption of the pus with the obvious tubal empyema, hydrosalpinx can also be formed.
If the ovary is involved at the same time, a fallopian tube ovarian cyst is formed.
3, chronic pelvic connective tissue inflammation: inflammation spread to connective tissue near the uterus and uterine diaphragm ligament most common.
The local tissue thickened and hardened, spreading fan-shaped to the pelvic wall, and the uterus was immobilized or pulled to the affected side.
Traditional Chinese medicine therapy for chronic pelvic inflammatory disease TCM believes that the pathogenesis of the disease includes damp-heat stasis and cold-coagulation qi stagnation.
1. Main symptoms of damp and hot stasis pelvic inflammatory disease: often low fever, backache, abdominal pain, aggravation during menstrual period or fatigue, less chest tightness and food, dry mouth, do not want to drink, advance menstruation, with multicolor yellow turbid smell, stool or dry or thin,The tongue is red, the moss is thin and yellow and greasy.
Treatment with heat and dampness, promoting blood circulation and removing blood stasis: 15 grams of dandelion, 10 grams of cork, 15 grams of houttuynia cordata, 15 grams of Poria cocos, 15 grams of mischievous grass, 10 grams of peach kernel, 8 grams of safflower, 10 grams of blood exhaustionAchyranthes m g, raw licorice 8 g, orally decoction.
Take one dose daily, 2-3 times per dose, and then use the medicine residue to fry and wash or sit in a bath.
Do not use during menstruation or pregnant women.
2, the main symptoms of cold condensing qi stagnation pelvic inflammatory disease: abdominal pain, cold feeling, menstrual period or fatigue, exacerbated after cold, temperature decreased.
Breast pain after menstruation, after menstrual period, the amount is small, the color is purple, the band is more thin, the tongue is pale, the fur is white and greasy, and the pulse is late.
Govern by warming and dispersing cold, qi and blood circulation: 10 grams of black medicine, 10 grams of incense, 10 grams of angelica, 10 grams of chuanxiong, 10 grams of cinnamon, 10 grams of cannon ginger, 10 grams of Wulingzhi, 6 grams of raw puhuang10 grams of red chrysanthemum, 5 grams of licorice, orally decocted in water.
Take one dose 2-3 times a day.
The final medicine residue can still be boiled in water for bathing or fumigation, but it should be washed hot. It should not be used after cooling down.
Avoid menstruation and pregnancy.
Chronic pelvic inflammatory disease, patients with abdominal mass using traditional Chinese medicine retention enema treatment, the effect is very good, it has the effect of promoting blood circulation and removing stasis, softening and solidifying, clearing heat and detoxifying or warming the palace and dispersing cold.
The method is as follows: preserve the enema recipe: red rattan, sagebrush, dandelion, osmanthus spp., Yarrow, 30 grams each, peach kernel 10 grams, safflower 10 grams, triangular ridge 10 grams, xuanhuso 10 grams, incense stick10 grams, add water to boil to 100 ml, use a 5th urinary catheter or pediatric anal canal, insert the anus more than 14 cm, and irrigate within 30 minutes, stay in bed for 30 minutes after irrigation, once a month, use 5-7The days are 1 course.
Preparation before operation: ①Prepare a dose of traditional Chinese medicine for looml.
② A disposable infusion set with a small amount of paraffin oil or lubricating oil.
③ Drain big and urinate before enema to reduce abdominal pressure and clean the intestines.
Operation method: Before going to bed every night, emptying large, and after urination, take the right side position, move the left side closer to the edge of the bed, connect the infusion set according to the method of intravenous infusion, discharge the gas, cut the needle off the infusion set, and apply a small amount on the endLubricating oil, slowly insert 15cm into the rectum from the anus, and slowly drip the medicinal solution.
The temperature of the medicinal solution is preferably 39 ° C to 41 ° C, the pressure should be low, and the liquid level should not exceed 30cm from the door. After the irrigation is completed, stay in bed as much as possible.
Traditional Chinese medicine hot compress: Aconitum.
10 grams, 12 grams of wormwood leaves, 30 grams of heliotrope, 20 grams of motherwort, 8 grams of safflower, 10 grams of white peony, 10 grams of Sichuan pepper, cricket, solitary, stretch vine, osteophytes, xuanhusuo each 12 gramsResearch details.
Usage: After spraying the wet powder, put it in a gauze bag, put it in a pot and steam it for 30 minutes, apply it to the pain or the mass while it is hot, remove it after the cold, and steam it again the next day, each bagUse for 1 week.
In summer, plastic bags can be used to store medicine bags in the refrigerator to avoid deterioration.
Acupoint injection (1) The main points of acupoints: Wei cell, Zhongji, return, Guan Yuan.
Acupoints: Zusanli, Sanyinjiao.
(2) Medicinal solution for treatment: placenta tissue fluid, angelica injection, vitamin B1 injection 100 mg / 2 ml plus 5 ml of physiological saline.
Each time one kind of medicinal solution is taken for injection, different medicinal solutions can be used for injection at different points.
Choose 2 main points, 1 matching point, and 0 for each point.
5 ml of liquid medicine.
Acupuncture points can be used round.When injecting, do not insert the needle too deep, and take the Qi as the degree, and slowly push in the liquid medicine.
Daily or every other day, 6?
10 times as a course of treatment.
Laser irradiation of acupoints (1) Main acupoints: uterus.
Matching points: divided into 3 groups.
1. Zhongji, Qihai, Guanyuan, Shenshu, Xuehai, Zusanli, Guanyuanyu, Sanyinjiao; 2. Baji; 3. Uterus, endocrine, pelvic cavity, ovary (place auricular points).
(2) The main acupuncture points must be taken every time. For attachment inflammation and fallopian tube embolism, add the first group of acupuncture points and irradiate a total of 4 points each time.
When the effect is not obvious, add the third group as appropriate.
He-Ne laser treatment instrument, wavelength 6328 angstroms.
The main point plus the first group of matching points, the output power is 3?
5 mW, the uterine point is irradiated for 10 minutes, and the matched points are irradiated for 5 minutes; the main point plus the second group of matched points, the output power is 25 mW, and the total irradiation is 20 minutes each time.
The auricular point uses light-guiding fibers to directly contact the skin, the output power is 7 milliwatts, the spot diameter is 4 mm, and the area is 12.
56 square millimeters.
Choose 2 each time?
3 points, each point is irradiated for 5 minutes.
Once a day, 15 times is a course of treatment.
Moxibustion (1) The main point of acupuncture: Qi Hai, Zhongji, return.
Acupoints: Dachangshu, Jixu.
(2) The main method is to treat the main points, and add points when the effect is not obvious.
Take 2 each time?
The operation can be divided into traditional moxibustion with ginger and moxibustion.
The traditional method is: take pure Ai casting diameter 1.
5 cm, height 1.
8 cm of Ai Yi, enter 0.
4 cm thick slices of fresh ginger are lit, and each point of moxibustion is 3 strong, each strong about 6?
The method of moxibustion is as follows: the meridian acupuncture device is used, the moxibustion head is fixed on the acupoint, and the acupuncture point is set to 0.
Fresh ginger slices with a thickness of 2 cm, each moxibustion takes 20 minutes, the temperature is based on the patient’s comfort.
The above statutory once a day, 10 times a course of treatment, the interval between treatments?
Body acupuncture (1) Main points for acupuncture: Guan Yuan, watercourse, Zusanli, Sanyinjiao, return, and ditch.
Acupoints: waist acid plus Shenshu, Ciliao, Venezuela; leucorrhea and more ground machines, Yinlingquan; irregular menstruation plus Zhaohai, between the lines; abdominal distension with veins, Qihai; inflammatory masses and houses.
(B) the main method of selecting acupuncture points 2?
3 points, add points as appropriate.
Guan acupoint needs to reach the vagina, watercourse, and return to the accessory part. The method requires light insertion and gentle twisting, combined with a small twist, to stimulate the vitality.
When the needle is stopped, the patient feels certain abdominal pains such as abdominal pain at the time of onset.
After the acupuncture points get qi, it is used for the method of leveling up and reducing diarrhea.
For 20 minutes, warm needles can be added when the needles are left in the abdominal points.
During acupuncture, it is not advisable to pierce the part and the mass area directly.
Menstrual periods do not need warm needles.
Once a day or every other day, 10 times is a course of treatment.
Treatment interval 3?
Cupping (1) The main points of acupuncture: Guan Yuan, Shenshu, Sanyinjiao, under the seventeenth vertebra.
Acupoints: Qi Hai, waist and eyes, large vertebra, Hachiman.
(2) The main acupuncture points are mainly used for treatment, and the acupuncture points are added or changed when the effect is not good.
Replace 2 each time?
3 points, first massage the acupuncture points, after the surrounding veins are exposed, use a triangular needle to puncture, determine the number and depth of puncture according to the severity of the condition, and then use the fire method or cupping method 5?
The amount of bleeding is as small as 3?
5 ml, up to tens of ml.
Take the cans a little bit and suck them out by flash fire, leaving the cans at 15?
After 20 minutes, use a triangular needle (also using a skin needle) to quickly puncture ten times.
Then moxa stick moxibustion for 15 minutes.
The method of acupuncture points is performed once a day or every other day, and the acupuncture points are alternately used, and 10 times is a course of treatment.
Acupoint application (1) Acupoints Main points: lower abdominal pain: return, waterways, low back pain: Mingmen, Shenshu, Qi Haishu, Yaoyangguan; back pain: Guan Yuanyu, bladder shu, epicondyle, second condyle, Inflammatory mass: A is a point.
A is acupoint location: the lesion.
(2) Preparation of treatment method: 30 grams of artichoke ginger, 24 grams of safflower, 15 grams of cinnamon, 18 grams of white mustard seed, 18 grams of bile star, ephedra, raw Pinellia ternata, 21 grams of aconite, red lady, red budEuphorbia 3 grams each.
Use 5 jins of sesame oil to fry and slag the medicine, add 240 grams of camphor per jin of oil, 1.
5 pounds of oil plus 4 grams of musk, 30 grams of vine yellow noodles, spread into a large plaster weighing 6 grams each, a small plaster weighing 3 grams each, spare.
When using, the selected acupoint area is washed and wiped dry, and the plaster is heated and baked to stick the acupoint. Except for Ashi, a large plaster is used, and the rest is a small plaster.
In the summer, the dressing is changed once every 12 hours, and in the winter, the dressing is changed once.
Menstrual period is interrupted, 12 times as a course of treatment.
Dialectical diet therapy: 1. Qi stagnation and blood stasis manifestations: tingling or bloating in the lower abdomen, pain radiating to the lumbosacral region, a mass in the lower abdomen, pain in pressure, a large amount of underbelly, irregular menstruation, and dark blocks.
There are petechiae on the dark side of the tongue, thin white fur and thin pulse strings.
Diet: ① 30 grams of hawthorn, 15 grams of bergamot, 60 grams of bitter amaranth, add water and fry, take 1 dose daily, and even take 7?
② 30 grams of misograss, 10 grams each of bergamot and rose, decoction.
1 dose per day, even 5 servings?
2, liver and kidney yin deficiency manifestations: the lower abdomen is faintly painful, with a lot of carry, the color is yellow and sticky.
With waist and knees tenderness, dizziness, or early menstruation, pale red.
The tongue is red and moss-less, and its veins are thin.
Food therapy: ① 30 grams of habitat, the previous rice 30?
Wash and slice the raw ground, and cook it twice with water. Take 100ml of juice.
Cook the previous rice porridge and add the medicinal sauce when the eight are mature.
Eat porridge for several days.
② 5 pigeon eggs and 30 grams of gelatin.
First put gelatin in a bowl, put in an appropriate amount of water, and bake on a non-smoky fire.
Take it 2 times in the morning and evening. It can be taken continuously until the disease is healed.
3, spleen and kidney yang deficiency manifestations: lower abdomen, swelling, pain, taking a lot of volume, thin.
With soft waist, cold chills, swollen face.
The tongue is pale and fat, with thin white fur and thin veins.
Diet: ① 50 grams of leeks root, 2 eggs, 50 grams of sugar, eat the same soup, even for several days.
② 20 grams of walnut kernels, 18 grams of coriander seeds, 18 grams of lotus seeds, 60 grams of previous rice, often eat porridge.