Xiaowei, 21 years old, is a sophomore. She went to the hospital for a checkup because of excessive vaginal discharge with a peculiar smell. B-ultrasound revealed a mixed mass of 4.9cm×4.5cm×3.0cm in her left adnexa. She was initially diagnosed with ovarian cysts and was recommended to receive conservative treatment with traditional Chinese medicine. Through questioning, it was learned that Xiaowei had symptoms of dry stools, usually once every two days, yellow urine, and good sleep. Visual examination showed that her tongue was red, with a yellow and greasy coating, and her pulse was rapid. She was diagnosed with ovarian cysts, and the syndrome was blood and water intertwined, with damp heat beating downward. She was given Danggui Shaoyao San, one dose per day, decocted in water, and returned for a follow-up visit after taking it for 10 consecutive days. 10 days later, the B-ultrasound showed that Xiaowei had a mixed mass in the left adnexa area with a size of 1.9cm×1.7cm×1.3cm. The symptoms of excessive leucorrhea and odor were significantly improved. The bowel movements were normal. The tongue and pulse were the same as before. Therefore, loofah, dandruff, roasted astragalus, cat's claw, and fistula were added to Danggui Shaoyao San. One dose was taken daily, decocted in water, and the patient was re-examined after 10 days. 10 days later, during the second re-examination, the B-ultrasound showed that the left adnexa mass had disappeared, the leucorrhea was less with a slight fishy smell, and the bowel movements were normal. Visual examination showed that the tongue was light red and the tongue coating was thin and white. After 10 days of consolidation treatment according to the re-examination prescription, Xiaowei's condition was cured. Ovarian cysts are common gynecological diseases that can occur in young girls without sexual experience. They are often related to the lack of awareness of menstrual hygiene and health care, which allows dampness and turbidity to enter the body and affect blood circulation. Danggui Shaoyao San, which has the effect of promoting diuresis and removing dampness, is often used for treatment. In the formula, angelica, white peony root, 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 that blood is not harmonious when blood is not harmonious and water is not harmonious when water is not harmonious. In clinical application, it can also be added or subtracted according to the symptoms, and generally a good therapeutic effect can be achieved. |
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