The treatment of ovarian cysts is based on breaking up blood stasis, dispersing nodules, regulating qi and resolving phlegm. 1. For the treatment of ovarian cysts, most contemporary doctors use the methods of removing blood stasis and dispersing nodules, regulating qi and resolving phlegm, mainly using methods such as Wenjing Decoction, Guizhi Fuling Pills, and Shaofu Zhuyu Decoction. These three methods are suitable for uterine fibroids and gynecological malignancies, but Wenjing Decoction is often used for malignant tumors with a mixture of cold and heat; Guizhi Fuling Pills are mostly used for uterine fibroids with both cold and heat; Shaofu Zhuyu Decoction treats uterine fibroids, and blood stasis symptoms are obvious. Patients with ovarian cysts are mostly blood and water, so Danggui Mudan Powder is more suitable for their condition. 2. Danggui Mudan Powder. From the Golden Chamber Essentials: Women's Miscellaneous Diseases, Pulse Symptoms and Treatments: "Danggui abdominal pain, Danggui Shaoyao Powder is the main treatment." It is used to treat various abdominal pain evidences of women's blood imbalance. In Danggui Shaoyao Powder, angelica, peony, and Chuanxiong promote blood circulation, while Atractylodes macrocephala, Poria cocos, and Alisma orientalis promote diuresis. They complement each other and can effectively reverse the pathological state of blood imbalance turning into water and water imbalance turning into blood disharmony. On the basis of this main prescription, Wang Sanhu often adds products such as Ze Lan, Leonurus japonicus, and Polygonum multiflorum to promote blood circulation and diuresis, or uses softening and dispersing drugs such as Gleditsia sinensis, pangolin, and cat's claw. 3. For patients with enlarged tongue and severe dampness, use Qumai, Plantago and Verbena to promote diuresis and eliminate dampness; for patients with dark tongue, cold discomfort and obvious symptoms of cold and dampness, add Wuyao, Evodia rutaecarpa and Fennel to warm the yang and dispel cold; for patients with yellow and greasy tongue coating, constipation, yellow urine and obvious damp-heat, use Phellodendron chinense, Gardenia jasminoides and Coix seeds to clear away heat and promote dampness; Forsythia suspensa, Taraxacum mongolicum, Angelica dahurica, Patrinia scabra and Polygonum multiflorum to clear heat and promote dampness, reduce swelling and disperse nodules; for patients with threatening abdominal distension, add Bupleurum chinense, Cyperus rotundus, Luffa loofah, Dalbergia odorifera and Rhizoma Lushugan to regulate qi and dredge collaterals; for patients with obvious blood stasis, add Trillium, Atractylodes macrocephala, Semen persica, Safflower and Hirudo to promote blood circulation and remove blood stasis. |
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