Patient's question:
Painful, around the navel circumference, uncertain about the past treatment and effectiveness: During a thorough physical examination, the doctor said there was a bit of pelvic inflammation, it's okay if it doesn't hurt, and when it does, you can take some medicine, but I don't vaguely remember what medicine was bought. What kind of assistance is desired: Want to know what medicine can be used for treatment, no need to queue at the hospital.Doctor's answer:
The main causes of pelvic inflammatory disease (PID) are postpartum or miscarriage infection, postoperative infection after intrauterine surgery, poor menstrual hygiene, and direct spread from adjacent organ inflammation.Recommendations:
Treatment:
1. General care – Alleviate patients' concerns, boost confidence in treatment, enhance nutrition, exercise regularly, maintain a balance between rest and activity, and reduce the body's resistance.
2. Chinese herbal medicine treatment – Chronic PID is often characterized by damp-heat, with the primary treatment principles being clearing heat, resolving dampness, promoting blood circulation, and removing blood stasis. The herbal formula includes:
- Panax notoginseng 18g,
- Radix Paeoniae Rubra 15g,
- Radix Aquilari 12g,
- Persicae Semen 9g,
- Flos Lonicerae Japonicae 30g,
- Taraxaci Radix 30g,
- Poria 12g,
- Moutan Radix 9g,
- Rehmanniae Radix 9g.
- When pain is severe, add Corydalis Tuber 9g.
Some patients may have a cold congealing and qi stagnation type, with the treatment principle being warming the meridians, dispelling cold, and promoting qi circulation and blood flow. A modified Guizhi Fuling Decoction is commonly used. For qi deficiency, add Codonopsis 15g, Atractylodes Macrocephala 9g, and Astragalus 15g.