TCM differentiation of pelvic effusion

There are many treatments for pelvic effusion. Pelvic effusion is mostly caused by pelvic inflammatory disease, which is divided into acute pelvic inflammatory disease and chronic pelvic inflammatory disease. Acute pelvic inflammatory disease should be treated with some Western medicine in time. For chronic pelvic inflammatory disease, because the treatment is relatively complicated, it can be treated with certain Chinese medicine, which has a good therapeutic effect. The effect of Chinese medicine syndrome differentiation and treatment is good.

TCM differentiation of pelvic effusion

1. Traditional Chinese medicine treats pelvic effusion with sweet and warm whole angelica, pungent and warm Corydalis yanhusuo and Curcuma zedoaria, bitter and slightly cold Salvia miltiorrhiza and red peony root to nourish blood, activate blood circulation, remove blood stasis and relieve pain; pungent and warm Amomum villosum and bitter, pungent and slightly cold Citrus aurantium to eliminate dampness, break up qi and eliminate accumulation; Alisma orientalis and raw Coix seeds to promote diuresis and eliminate dampness, and guide the effusion to be discharged from below.

2. Prescription: Salvia miltiorrhiza 18g, Red Peony Root 15g, Costusroot 12g, Peach Kernel 9g, Honeysuckle 30g, Taraxacum Mulberry 30g, Poria 12g, Moutan Bark 9g, Rehmannia Glutinosa 9g. If the pain is severe, add 9g of Corydalis yanhusuo. Some patients are of the cold stagnation and qi stagnation type, and the treatment principle is to warm the meridians and dispel the cold, promote qi and activate blood circulation. Guizhi Fuling Decoction is often used with modifications. For those with qi deficiency, add 15g of Codonopsis pilosula, 9g of Atractylodes macrocephala, and 15g of Astragalus membranaceus.

3. Chronic pelvic inflammatory disease is mostly of damp-heat type, and the treatment principle is to clear away heat and dampness. The main function of the prescription is to promote blood circulation and remove blood stasis. The prescription uses: Salvia miltiorrhiza 18g, Red Peony Root 15g, Costus Root 12g, Peach Kernel 9g, Honeysuckle 30g, Taraxacum Mulberry 30g, Poria 12g, Moutan Bark 9g, and Rehmannia Glutinosa 9g. If the pain is severe, add 9g of Corydalis yanhusuo. Some patients are of the cold stagnation and qi stagnation type, and the treatment principle is to warm the meridians and dispel the cold, promote qi and activate blood circulation. For those with qi deficiency, add 15g of Codonopsis pilosula, 9g of Atractylodes macrocephala, and 15g of Astragalus membranaceus.

Clinical manifestations of pelvic effusion

1. Feeling of falling, pain in the lower abdomen and lumbar sacral region

The main symptoms are a feeling of heaviness, pain on one or both sides of the lower abdomen, scar adhesions caused by chronic inflammation, and pelvic congestion, which lead to heaviness and pain in the lower abdomen and soreness in the lumbar region. It is often more severe after fatigue, sexual intercourse, and before and after menstruation.

2. Decreased immunity

The systemic symptoms of pelvic effusion are mostly not obvious, and sometimes there may be low fever and fatigue. Some patients with a long course of illness may have symptoms of neurasthenia, such as lack of energy, general discomfort, insomnia, etc. When the patient's resistance is poor, acute or subacute attacks are likely to occur.

3. Menstrual disorders

Patients with concurrent pelvic congestion may have increased menstruation; when ovarian function is damaged, there may be menstrual disorders; when the fallopian tubes are blocked by adhesions, it may cause female infertility.

How does traditional Chinese medicine treat pelvic effusion? How does traditional Chinese medicine treat pelvic effusion based on syndrome differentiation? How does traditional Chinese medicine treat pelvic effusion?

4. Infertility

If pelvic inflammatory disease causes blockage of the fallopian tubes, infertility will occur. Clinical examination will reveal that the patient's uterus is retroverted, uterine activity is restricted, or adhesions have occurred.