Patient's question:
Hello, I am a patient with pelvic inflammatory disease. I have visited many hospitals, but none have been able to cure my illness. I would like to ask if chronic pelvic inflammatory disease can be cured?Doctor's answer:
First, it is essential to establish confidence in the treatment of the disease. Chronic pelvic inflammatory disease (PID) is often a result of acute PID that was not properly treated or a prolonged course due to the patient's poor constitution. In some cases, chronic PID occurs without a history of acute PID. Chinese herbal medicine is effective in treating chronic PID, with damp-heat type being most common. Treatment should focus on clearing heat, resolving dampness, promoting blood circulation, and removing blood stasis. Medications such as Salvia miltiorrhiza, Radix Paeoniae Rubra, Muxiang, Persicae Semen, Lonicera japonica, Taraxacum mongolicum, Poria, Moutan Cortex, and Rehmannia glutinosa are commonly used. If the condition is of the cold congealing and qi stagnation type, treatment should prioritize warming the channels, dispelling cold, promoting qi circulation, and enhancing blood flow. Guizhi Fuling Decoction (Cinnamon Twig and Poria Decoction) is often used with modifications. Additionally, topical applications can be applied, such as 500 grams of roasted Indigo leaves or 500 grams of Kanli sand mixed with vinegar, wrapped in cloth and applied to the lower abdomen. Retention enemas with 100 milliliters of Polygonum multiflorum decoction can also be used. Acupuncture and auricular acupuncture are also effective in treating chronic PID.Closed-loop therapy can block harmful stimuli and improve tissue nutrition. Typically, 40 milliliters of 0.25% novocaine is used for anterior sacral angle block, administered once or twice a week, with 4-5 sessions constituting a course.
Physical therapies such as shortwave, ultrashortwave, laser, audiofrequency, iontophoresis, and paraffin therapy can promote pelvic circulation, improve tissue nutrition, enhance metabolism, and facilitate inflammation absorption and resolution.
Various antimicrobial drugs should also be selected based on bacterial sensitivity tests.