Pelvic effusion refers to the presence of inflammatory exudate in the pelvic cavity. The main causes of pelvic effusion are acute and chronic pelvic inflammatory disease and adnexitis. Pelvic effusion has a great impact on women's reproductive health, accompanied by symptoms such as lower abdominal pain (bilateral or unilateral) and lumbar pain. So how to treat gynecological pelvic effusion? 1. Traditional Chinese Medicine1: 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. 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. 2: In addition to decoctions, Chinese medicine also includes external plasters. Black plaster is one of the four major dosage forms of traditional Chinese medicine and has a history of more than 1,600 years. 1. Each pack has two patches, one patch applied to the "Guan Yuan Point" (below the navel), and the other patch applied to the "Ming Men Point" (lower back). 2. Before using the medicine, wipe the skin of the corresponding application area with ginger. Each set can be applied for three days, and ten sets constitute a course of treatment. 3: [Note] If you feel slight itching on your skin during medication, you can temporarily remove the plaster, clean your skin with pepper water and then reapply it. 【Source】: Ancient prescriptions for women's medicine from Zhulin Temple 2. Physical therapy1: The benign stimulation of warmth can promote local blood circulation in the pelvic cavity. Improve the nutritional status of tissues and enhance metabolism to facilitate the absorption and disappearance of inflammation. Commonly used ones are shortwave, ultrashort wave, iontophoresis (various drugs such as penicillin, streptomycin, etc. can be added), wax therapy, etc. Three: surgical treatment1: Surgery is recommended for patients with lumps such as hydrosalpinx or tubo-ovarian cysts; surgery is also recommended for patients with small foci of infection and repeated inflammation. The principle of surgery is complete cure to avoid recurrence of residual lesions. Unilateral oophorectomy or radical hysterectomy plus bilateral oophorectomy is performed. For young women, ovarian function should be preserved as much as possible. The effect of single therapy for chronic pelvic inflammatory disease is poor, and comprehensive treatment is appropriate. IV. Other drug treatments1: When using anti-inflammatory drugs, you can also use 5 mg of α-chymotrypsin or 1500 U of hyaluronidase at the same time, intramuscular injection once every other day, 5 to 10 times as a course of treatment, to facilitate the absorption of adhesion and inflammation. The medication should be discontinued if local or systemic allergic reactions occur in individual patients. In some cases, antibiotics are used simultaneously with dexamethasone, 0.75 mg of dexamethasone is taken orally 3 times a day, and the dose should be gradually reduced when the drug is discontinued. Five: In addition, the patient needs to be relieved of his thoughtsConsider, enhance confidence in treatment, increase nutrition, exercise, pay attention to the combination of work and rest, and improve the body's resistance. |
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