Patient's question:
Detailed medical condition and consultation purpose: How to treat chronic pelvic inflammatory disease? How to take medication?Duration and persistence of the current illness: Over a month
Current general condition: Some pain
Doctor's answer:
When inflammation occurs in the female internal reproductive organs and the surrounding connective tissues, as well as the pelvic peritoneum, it is referred to as pelvic inflammatory disease (PID). Acute PID is often caused by a mixed infection of aerobic and anaerobic bacteria. The main causes of acute PID include: 1) Infection after childbirth or miscarriage 2) Infection after intrauterine surgical procedures 3) Poor menstrual hygiene 4) Direct spread of inflammation from adjacent organs 5) Acute exacerbation of chronic PID, etc. Chronic PID is usually a result of inadequate treatment of acute PID or poor patient constitution, leading to prolonged duration. However, it can also occur without a history of acute inflammation. The condition is relatively stubborn, and it may flare up when the body's resistance is weakened. The clinical manifestations of chronic PID mainly include: 1) General symptoms are often not prominent, with occasional low-grade fever and increased fatigue. The course of the disease is prolonged, and some patients may experience neurotic symptoms. 2) Scar adhesions and pelvic congestion caused by chronic inflammation can lead to lower abdominal heaviness, pain, and lower back pain, often worsening during exertion, sexual intercourse, or around the menstrual period. 3) Due to pelvic congestion, patients may experience increased menstrual flow. Damage to ovarian function can result in menstrual disorders, and tubal adhesion or obstruction can lead to infertility.The following recipes can be referenced:
Recipe 1: Five-Flower Disinfection Decoction: 30g of honeysuckle, 30g of Forsythia, 30g of dandelion, 30g of purple cornflower, and 15g of toadroot. Add 300ml of water, concentrate to 100ml, and retain enemas. Use once daily, with a 7-day course. If necessary, it can be continued for 2–3 courses. Effect: Clear heat, resolve stagnation, and alleviate pain.
Recipe 2: Angelica and Curcuma Dispersing Accumulation Decoction: 9g of Angelica, 9g of Curcuma, and 9g of Salvia.