Pelvic Inflammatory Disease in Traditional Chinese Medicine

Diseases like pelvic inflammatory disease should be treated with traditional Chinese medicine as early as possible. Even if Western medicine is effective faster, it can only treat the symptoms and not the root cause. If you want to cure your disease from the root, you still have to undergo traditional Chinese medicine treatment. There are many methods that are suitable for treating pelvic inflammatory disease. As long as you persist, you may be able to achieve a complete cure, so patients should be confident in their treatment.

The main treatment is antibiotics, and surgery if necessary. Antibiotic treatment can eliminate pathogens, improve symptoms and signs, and reduce sequelae. With active treatment with appropriate antibiotics, most pelvic inflammatory disease can be completely cured. Principles of antibiotic treatment: empirical, broad-spectrum, timely and individualized. It is reasonable to select antibiotics based on susceptibility testing, but antibiotic treatment usually needs to be given before laboratory results are obtained. Therefore, initial treatment is often based on experience. Because the pathogens of pelvic inflammatory disease are mostly Neisseria gonorrhoeae, Chlamydia, and mixed infections of aerobic and anaerobic bacteria

Indications for surgery include:

1) Ineffective drug treatment: If the body temperature of a fallopian tube, ovarian abscess or pelvic abscess does not drop after 48 to 72 hours of drug treatment, or the patient's poisoning symptoms worsen or the mass increases, surgery should be performed promptly to avoid abscess rupture.

2) Persistent abscess: If the condition improves after drug treatment and the inflammation is controlled for several days (2 to 3 weeks), and the mass still does not disappear but has become localized, it should be surgically removed to avoid another acute attack in the future.

3) Abscess rupture: Sudden worsening of abdominal pain, chills, high fever, nausea, vomiting, abdominal distension, and resistance to pressure on the abdomen or signs of toxic shock should be suspected. If the abscess ruptures and is not diagnosed and treated in time, the mortality rate is high. Therefore, if abscess rupture is suspected, laparotomy should be performed immediately while also initiating antibiotic treatment.

Surgery can be performed through the abdomen or laparoscopy depending on the situation. The scope of surgery should be comprehensively considered based on the extent of the lesion, the patient's age, and general condition. The principle is to remove the lesion. Young women should try their best to preserve ovarian function, with conservative surgery as the main approach; for older women, those with bilateral adnexal involvement or repeated adnexal abscesses, total hysterectomy and bilateral salpingo-oophorectomy can be performed; the scope of surgery for extremely debilitated and critically ill patients must be determined based on specific circumstances.

If the pelvic abscess is located low and protrudes into the posterior fornix of the vagina, it can be drained through the vagina and antibiotics can be injected at the same time. For tubo-ovarian abscesses that are resistant to antibiotic treatment for 72 hours, percutaneous drainage technology can be used under ultrasound guidance or CT to achieve better treatment results. 3. Treatment with traditional Chinese medicine mainly includes drugs for promoting blood circulation, removing blood stasis, clearing away heat and detoxifying, such as Yinqiao Jiedu Decoction, Angong Niuhuang Pills or Zixuedan, etc.