Best treatment for chronic pelvic inflammatory disease

What is the best treatment for chronic pelvic inflammatory disease? Chronic pelvic inflammatory disease has a long course, which often makes patients suffer and worry. They don’t know how to treat it. In fact, chronic pelvic inflammatory disease is often caused by incomplete treatment of the acute phase. The condition is relatively stubborn, so it needs to be treated. Let’s take a look at the best treatment for chronic pelvic inflammatory disease.

Damp-heat type: Common symptoms are low fever, burning pain in the lower abdomen, dry mouth and loss of appetite, heavy vaginal discharge with yellow and thick texture, or red and yellow alternating, red tongue, yellow and greasy tongue coating, and slippery and rapid pulse. To treat this syndrome, it is necessary to clear away heat and dampness. Use modified Guizhi Fuling Decoction: 9 grams each of cinnamon twig, Fuling, moutan bark, peony root, and peach kernel, and 6 grams of licorice. Take the decoction once in the morning and evening. One course of treatment is 6 days.

Heat toxicity type: Common symptoms include high fever, chills, headache, lower abdominal pain, vaginal discharge with a lot of pus and foul odor, yellow urine and constipation, yellow tongue coating, and slippery or stringy pulse. To treat this syndrome, it is necessary to clear away heat and detoxify. The prescription is Yinhua Gongying Decoction with modifications: 60 grams each of honeysuckle, dandelion, and isatis root, 30 grams of raw licorice, decocted in water, and taken twice a day.

Qi stagnation and blood stasis type: Common symptoms include lower abdominal hypotension, lumbar and sacral pain, excessive leucorrhea, irregular menstruation, heavy menstruation, dizziness and fatigue, dark purple tongue with ecchymosis, stringy or astringent pulse. Treatment of this syndrome requires promoting blood circulation and removing blood stasis, promoting qi and relieving pain, clearing away heat and removing dampness. The prescription is Xuefu Zhuyu Decoction with modifications, including 10 grams each of Angelica sinensis, Ligusticum chuanxiong, Peach Kernel, Safflower, Citrus aurantium, and Ligusticum chuanxiong, 12 grams each of Cortex Moutan, Salvia miltiorrhiza, and Paeonia lactiflora, 6 grams each of frankincense and myrrh. Decoction in water, one dose per day.

Damp-heat accumulation type: Common symptoms include lower abdominal distension and pain, heaviness in the genitals, prolonged menstruation, increased menstrual discharge, or dysmenorrhea, abnormal leucorrhea, fatigue, poor appetite, yellow urine, yellow and greasy tongue coating, and a weak and rapid pulse. The treatment of this syndrome requires clearing away heat and detoxification, removing heat and removing blood stasis. The prescription is Jiedu Zhidai Decoction with modifications, including 12-15 grams each of Erhua, Forsythia, Artemisia capillaris, and Scutellaria baicalensis, 10 grams each of Toon bark, Phellodendron chinense, Achyranthes bidentata, Guanzhong, Moutan bark, and Sanguisorba officinalis, and 5 grams of Coptis chinensis. Decoction in water, one dose per day.

Except for acute attacks of chronic pelvic inflammatory disease, antibiotics are generally not used for treatment. If necessary, antibiotic lateral fornix blockade or intrauterine fallopian tube injection can be selected. Hyaluronidase can be injected intramuscularly at the same time as anti-inflammatory drugs, once every other day, 5-10 times as a course of treatment. If abnormal reactions occur, use should be discontinued.