Ms. Liu is 44 years old and has had recurrent urinary tract infections for the past three years. During the attacks, she had dribbling and painful urination, cold hands and feet, insomnia, and normal bowel movements. She had taken symptomatic anti-infection treatment with Western medicine, which alleviated her condition, but it still recurred. Recently, due to work fatigue, she had lower abdominal cold pain, which worsened when exposed to cold, and her menstrual period was delayed, with less menstruation and blood clots. So she sought treatment from a traditional Chinese doctor. Diagnosed as pelvic inflammatory disease by traditional Chinese medicine Physical examination: The vaginal discharge is clear, thin, and has a large amount of white or fishy smell. The tongue is pale or has petechiae. The tongue coating is thin and slippery or white and greasy. The pulse is deep, thin and stringy or deep and slow. The diagnosis is pelvic inflammatory disease. The treatment should be to strengthen the spleen, clear away heat and dampness, and nourish the liver and kidney. Sijunzi Decoction and Erzhi Pills are given for treatment. Prescription: Astragalus, Atractylodes macrocephala, Poria, Plantago, Phellodendron, Radix Dioscoreae, Fructus Forsythiae, Fructus Ligustri Lucidi, Herba Ecliptae, Herba Hedyotis diffusae, Semen Ziziphi Spinosae, Bamboo Leaf. Decoction in water, 1 dose per day, divided into morning and evening. After taking 18 doses of Chinese medicine, the patient recovered After taking the above prescription for 6 doses, Ms. Liu was re-examined: symptoms were alleviated, sleep improved, but there was still mild urinary pain. Physical examination: tongue was pale and tender, tongue coating was thin and white, pulse was fine and smooth. Chinese medicine believes that this is a manifestation of insufficient kidney qi, so cooked rehmannia and wolfberry were added to the original prescription, 1 dose per day, decocted in water, to increase the effect of tonifying the kidney. After taking 12 doses again, the third visit showed: leucorrhea was normal, the pain of urination disappeared, and the patient was clinically cured. |
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