How to Treat Pelvic Inflammatory Disease Based on Syndrome Differentiation in Traditional Chinese Medicine

According to traditional Chinese medicine, pelvic inflammatory disease is mostly caused by damp-heat evil toxins invading the pelvic cavity and causing blood stasis. The cause of this disease is mainly due to the invasion of evil toxins into the uterine vessels and the further development of septicemia. Due to the strong evil qi, internal stasis and heat, and the fierce struggle between the righteous and evil, the abdominal pain is severe, and there are high fever and chills. When the stasis and heat are blocked in the intestines, it can cause visceral qi obstruction and heat accumulation, resulting in vomiting, diarrhea, etc.

The method of syndrome differentiation and treatment is as follows:

1. Uterine heat accumulation syndrome: fever and headache, lower abdominal pain that refuses to be pressed, excessive vaginal discharge, yellow or red and white, thick and foul-smelling, dry mouth and cold drinks, short and yellow urine, constipation or loose stools, red tongue, yellow and greasy coating, and slippery and rapid pulse. Clear away heat and detoxify. Yinqiao Hongjiang Jiedu Decoction plus rhubarb, phellodendron, tuckahoe, capillaris, etc.

2. Uterine damp-heat syndrome: low-grade fever fluctuates, lower abdominal distension and pain, backache and poor appetite, yellow leucorrhea, thick and foul smell, short and yellow urine, red tongue, yellow and greasy coating, slippery or moist pulse. Clear away heat and eliminate dampness. Ermiao Powder combined with Longdan Xiegan Decoction with modifications.

3. Blood stasis and stasis in the lower abdomen: lower abdominal distension, stabbing pain, resistance to pressure, lumbar pain, menstrual irregularity, blood clots, palpable masses in the lower abdomen, dark or spotted tongue, stringy and astringent pulse. Activate blood circulation and promote qi. Shaofu Zhuyu Decoction plus Patrinia chinensis, Leonurus japonicus, etc.

4. Symptom of deficiency of body qi and retention of pathogenic factors: dull pain and heaviness in the lower abdomen, soreness in the lumbar sacrum, aggravated by fatigue, sexual intercourse, defecation and menstruation, heavy vaginal discharge, low fever, palpable mass in the lower abdomen, pale dark tongue, greasy coating, stringy pulse. Strengthen the body qi and eliminate pathogenic factors. Manpen Decoction plus Patrinia chinensis, Leonurus japonicus, etc.