Will repeated abortions in women cause ectopic pregnancy? TCM syndrome differentiation and classification to treat ectopic pregnancy

Ectopic pregnancy is a common disease in modern gynecology. For some reasons, the fertilized egg goes wrong during the migration process and does not reach the uterus, but stays somewhere else, which becomes an ectopic pregnancy. So what are the reasons for women's ectopic pregnancy?

Causes of ectopic pregnancy:

1. Repeated abortion

As traditional concepts continue to change, abortions due to premarital sex are becoming more common, and repeated abortions can easily lead to ectopic pregnancy. The current incidence of ectopic pregnancy has increased 5 to 6 times compared to the 1980s. The more abortions you have, the greater the chance of ectopic pregnancy. Therefore, whether you have children or not, women should take good contraceptive measures to prevent ectopic pregnancy.

2. Chronic pelvic inflammatory disease

Chronic pelvic inflammatory disease, especially salpingitis, is another important factor in the development of ectopic pregnancy. Women must not ignore this common gynecological disease. Because salpingitis can narrow the lumen of the tube, it is difficult for the fertilized egg to enter the uterine cavity, so it has to "set up camp" in the fallopian tube or ovary.

TCM Syndrome Differentiation and Treatment of Two Types of Ectopic Pregnancy

Undamaged

It refers to tubal pregnancy that has not yet resulted in abortion or rupture. There is a history of amenorrhea, early pregnancy reactions, or vaginal bleeding, dull pain on one side of the lower abdomen, and a soft mass on one side of the adnexa during pelvic examination, which is tender; urine pregnancy tests are mostly positive, and B-ultrasound examination shows cystic masses in the adnexa, or no gestational sac in the uterus but a gestational sac outside the uterus; the pulse is stringy and slippery.

Treatment principles: Promote blood circulation, remove blood stasis, eliminate lumps and kill embryos.

Prescription: Prescription No. 2 for ectopic pregnancy. Main ingredients: Danshen, red peony root, peach kernel, three-edged sword, and curcuma.

Massive

The tubal pregnancy has been ruptured for a long time, and the blood in the abdominal cavity has formed a hematoma, which is a chronic ectopic pregnancy. The tubal pregnancy has been ruptured for a long time, and a hematoma has formed in the pelvic cavity. The abdominal pain is relieved or gradually disappears; there may be a feeling of heaviness in the lower abdomen or the urge to defecate, and the vaginal bleeding gradually stops. Pelvic examination can touch an irregular mass that is adhered to the surrounding tissues; the pulse is thin and wiry.

Treatment principles: Promote blood circulation, remove blood stasis, eliminate symptoms and disperse nodules.

Prescription: Prescription II for ectopic pregnancy. If the lump is hard, add pangolin and Achyranthes bidentata to strengthen the function of eliminating symptoms and dispersing nodules; if the body is weak, add Astragalus and Codonopsis pilosula to strengthen the body and eliminate evil; if blood stasis and heat are transformed into low fever, add Peony Root, Tortoise Shell, and Lycium bark to dissolve blood stasis and clear heat.