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盆腔炎 1. Overview and Causes 2. Symptoms 3. TCM Effectiveness and Evaluation 4. Common Syndromes and Treatments in TCM   a. Damp-heat excess in interior   b. Accumulation of stagnant toxin-heat in interior   c. Blood stasis due to accumulation of cold   d. Blood stasis due to stagnancy of qi 5. Healing by Other Therapies   a. Qigong and other   b. Medicated diet   c. Life style 　 1. Overview and Causes 　 Pelvic inflammatory disease is an infection in the upper reproductive tract-usually in the uterus, fallopian tubes, or ovaries. The infection may be sexually transmitted and is usually secondary to gonorrhea, chlamydia, or use of an intrauterine contraceptive device but it also may develop without obvious cause. Pelvic infections can be acute or chronic. The disorder, while not common in general, is most common in young, sexually active women, and least common in women who have reached menopause. If the infection is not treated, an abscess (collection of pus) may form in a fallopian tube or ovary, which can cause scarring, and may result in damage to the fallopian tubes and prevent conception. Rarely the infection spreads quickly and causes peritonitis (inflammation of the abdominal cavity) or blood poisoning. This disease in TCM pertains to the categories "re ru xue shi", "dai xia", "zheng jia", etc. 　 Return To Top 2. Symptoms 　 (a) lower abdominal pain (b) pain during intercourse (c) nausea, vomiting, and fever (d) menstrual periods that are painful and/or lengthy (e) abnormal vaginal discharge (f) pain between menstrual periods (g) painful urination (h) spotting between menstrual periods (possible) (i) cervical discharge; tenderness of the tubes, ovaries, and cervix on pelvic examination; cervical infection with gonorrhea or chlamydia; abscess of the tube or ovary shown through ultrasound test. Return To Top 3. TCM Effectiveness and Evaluation 　 TCM can help to control some symptoms. Return To Top 4. Common Syndromes and Treatments in TCM This ailment, according to TCM, has different syndromes. The treatment for these syndromes using herbal medicine and acupuncture is shown below. 　 Syndrome (a) Damp-heat excess in interior High fever, headache, pain and tenderness in the lower abdomen, profuse and foul leukorrhea (vaginal discharge) which is yellow or red and white, nausea and anorexia, dry mouth and desire for drink, red tongue with yellow and greasy fur, slippery and rapid pulse. To treat by Herbal medicine Therapeutic principle: Clearing away the pathogenic (disease producing) heat and toxic materials and promoting diuresis (loss of water from the body by increased urination) and pus discharge. Prescription/Formula: Modified anti-infective decoction of honeysuckle, forsythia, sargentgloryvine and partrinia. Honeysuckle flower (Yin Hua)30g, forsythia fruit (Lian Qiao)20g, sargentgloryvine (Hong Teng)30g, coix seed (Bai Jiang Cao)30g, capejasmine fruit (Yi Yi Ren)30g, montan bark (Zhi Zi)10g, moutan bark (Dan Pi)10g, red peony root (Chi Shao)12g, Sichuan chinaberry (Chuan Lian Zi)10g, corydalis tuber (Yuan Hu)9g, peach kernel (Tao Ren)9g, prepared myrrh (Zhi Ru Xiang)4g, prepared frankincense (Zhi Mo Yao)4g. 　    To treat by Acupuncture and Moxibustion    Return to Top Syndrome (b) Accumulation of stagnant toxin-heat in interior Persistant fever or undulating low fever, fatigue and weakness of limbs, distending pain and tenderness in the lower abdomen, yellow, profuse, sticky, thick and foul leukorrhea, red tongue with yellow or greasy fur, rapid pulse. To treat by Herbal medicine Therapeutic principle: Removing blood stasis and lumps and dissipating the accumulation of stagnant toxin -heat. Prescription/Formula: Burreed and zedoary decoction for removing stagnancy Burreed tuber (San Leng)9g, zedoary (E Zhu)9g, red sage root (Dan Shen)15g, corydalis tuber (Yuan Hu)9g, red peony root (Chi Shao)9g, moutan bark (Dan Pi)9g, peach kernel (Tao Ren)9g, coix seed (Yi Yi Ren)15g, sargentgloryvine (Hong Teng)30g, partinia (Bai Jiang)30g.    To treat by Acupuncture and Moxibustion    Return to Top Syndrome (c) Blood stasis due to accumulation of cold Distending and dragging pain in the lower abdomen and lumbosacral (loin and lower backbone areas) region aggravated by cold, clear and cold leukorrhagia, red tongue with thin white fur, deep and thready or deep and uneven pulse. To treat by Herbal medicine Therapeutic principle: Promoting blood circulation to remove blood stasis and dispersing cold to relieve pain. Prescription/Formula: Modified cinnamon twig and poria pill. Cinnamon twig (Gui Zhi)9g, poria ( Fu Ling)9g, peach kernel (Tao Ren)9g, moutan bark (Dan Pi)9g, nutgrass flatsedge (Xiang Fu)9g, red sage (Dan Shen) 15g, red peony (Chi Shao)9g, white peony root (Bai Shao)9g, corydalis tuber (Yuan Hu)9g, forsythia fruit (Lian Qiao)9g, myrrh (Mo Yao)9g, chicken's gizzard-membrane (Ji Nei Jin)9g.    To treat by Acupuncture and Moxibustion    Return to Top Syndrome (d) Blood stasis due to stagnancy of qi Distending and dragging pain in the lower abdomen, pain in the lumbosacral region, dragging and distending sensation in the anus, aggravated by sexual intercourse, defecation and overwork, continuous leukorrhagia, purplish red tongue with thin and greasy fur, taut and thready pulse. 　 To treat by Herbal medicine Therapeutic principle: Promoting blood circulation, removing blood stasis and regulating the flow of qi to alleviate pain. Prescription/Formula: Modified decoction for chronic pelvic inflammation Safflower (Hong Hua)9g, red sage root (Dan Shen)15g, red peony root (Chi Shao)12g, pueraria root (Ge Gen)12g, prepared nutgrass flatsedge rhizome (Zhi Xiang Fu)12g, lindera root (Wu Yao)6g, aucklandia root (Mu Xiang)6g, corydalis (Yuan Hu)12g, common fennel fruit (Xiao Hui Xiang)3g, cinnamon twig (Gui Zhi)9g, moutan bark (Dan Pi)9g, alismatis rhizome (Ze Xie)9g. Simple Prescription: Bo-Yun Tui-Yi Wan one time a pill, twice a day.    To treat by Acupuncture and Moxibustion Therapeutic principle: Regulating the Circulation of Qi, resolving blood stasis and relieving blocked area of the eye by using points mainly from Extra meridian point and the Urine Bladder meridian of Food Tai-Yang and the Liver meridian of Food Jue-Yin and Stomach meridian of Foot Yang-Ming points. Prescription: Zusanli (St36), Yu-Yao (Extra3), Tai-Yang (Extra2), Shen-Shu (UB23) and Xing-Jian (Li2). Acupuncture 10-20 minutes or with Moxibustion at each point 1-2 minutes.    Return to Top 5. Healing by Other Therapies (a) Qigong and other therapies For effect of Qigong on the Nervous System Function, click here. Generally speaking, Qigong is good for healing effect of this specific ailment, however individual results may vary. It improves the flow of the qi and the circulation of the blood, so you'll experience more energy, but, you won't see/ feel any immediate effects, as with many exercises and therapies, it takes a few weeks or even months of practice before you'll see any significant improvements. The following types of Qigong may help: Static Qigong: Relaxation Qigong Inner-Nourishing Qigong Relaxing Quiescent Qigong 　 Dynamic Qigong: Fifteen Sets of Taiji-Qigong Exercise Baduanjing of Internal Exercise 　 For the information of different types of Qigong ,just click a link above. This information is for education purpose only. We strongly advise you seek a licensed Qigong master to learn the correct ways to conduct these exercises before attempting them. (b) Medicated diet 1) Avoid pungent and stimulant food. (c) Life style 1) Take a good rest. 2) Pay attention to personal hygiene. Keep the genital organs clean. Return to Top Acknowledgments: Healthphone.com greatly acknowledges the support and dedication of our Healing Centre Panel, without whom this section would not be possible. We also greatly acknowedge Ms. Najaf Munir, MBBS, for her editorial support. Ms. Munir simplified the highly technical medical documents into easy-to-read documents, for the enjoyment and education of our numerous visitors.