盆腔炎性疾病后遗症的中医治疗体会
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摘要
盆腔炎性疾病特别是盆腔炎性疾病后遗症属于妇科难治之证,因湿性黏滞,蕴蒸不化,胶着难解,故起病缓慢隐袭,病程较长,往往反复发作或缠绵难愈。笔者临证用药必用三七粉,对于因瘀血内阻、血不归经所致的妇科出血证尤为适宜。对于盆腔粘连的患者,加用走窜之品,如穿山甲、路路通、王不留行、皂角刺等,还常常选用破血逐瘀之品如土鳖虫、蜈蚣、水蛭等。同时采用中医特色疗法,如中药保留灌肠、中药封包热敷、超声电导仪等,临床疗效显著。
Pelvic inflammatory disease,especially sequelae of pelvic inflammatory disease,is a gynecological refractory syndrome.Because of wet viscous,it does not evaporate,and it is sticking.Therefore,the onset is slow and insidious,and the course of disease is long,often repeated or lingering.The author always uses sanqi powder for clinical medication,which is especially suitable for gynecological hemorrhage syndrome caused by blood stasis and failing in channel tropism of blood.For patients with pelvic adhesions,Chinese medicine such as pangolin,Fructus Liquidambaris,Wang Buliuxing and Zaojiao thorn should be added.Chinese medicine such as woodlouse worms,centipede and leeches are often used to activate blood circulation and dissipate blood stasis.At the same time,the Chinese medicine characteristic therapy,such as retention enema of Chinese medicine,hot compress of Chinese medicine encapsulation,ultrasonic conductometer,etc.has a remarkable clinical effect.
Pelvic inflammatory disease,especially sequelae of pelvic inflammatory disease,is a gynecological refractory syndrome.Because of wet viscous,it does not evaporate,and it is sticking.Therefore,the onset is slow and insidious,and the course of disease is long,often repeated or lingering.The author always uses sanqi powder for clinical medication,which is especially suitable for gynecological hemorrhage syndrome caused by blood stasis and failing in channel tropism of blood.For patients with pelvic adhesions,Chinese medicine such as pangolin,Fructus Liquidambaris,Wang Buliuxing and Zaojiao thorn should be added.Chinese medicine such as woodlouse worms,centipede and leeches are often used to activate blood circulation and dissipate blood stasis.At the same time,the Chinese medicine characteristic therapy,such as retention enema of Chinese medicine,hot compress of Chinese medicine encapsulation,ultrasonic conductometer,etc.has a remarkable clinical effect.
引文
[1]刘克玲,张德英,王临虹,等.中国部分城市已婚妇女妇科常见病流行病学调查[J].中国妇幼保健杂志,2001,16(2):298-301.
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[3]任凤兰.三联疗法治疗湿热瘀结型盆腔炎性疾病后遗症70例[J].中国中医药现代远程教育,2015,13(6):59-60.
[4]孙广仁,郑洪新.中医基础理论[M].北京:中国中医药出版社,2012:209.
[5]吴克明,张庆文,魏绍斌,等.中西医临床妇产科学[M].北京:中国医药科技出版社,2001:208-210.
[6]黄兆胜.中药学[M].北京:人民卫生出版社,2002:284.
[7]于勤永.中药内服加灌肠结合西药治疗慢性盆腔炎的临床研究[J].中国现代药物应用,2018,12(7):147-148.
[8]任朝泽.中医灌肠疗法治疗慢性盆腔炎的可行性分析[J].中外女性健康,2018,26(4):34-36.
[9]李葵琴.红藤汤保留灌肠治疗慢性盆腔炎的临床疗效及安全性[J].临床合理用药杂志,2018,11(9):83-85.
[10]由利.红藤汤保留灌肠法结合物理疗法治疗慢性盆腔炎的疗效与分析[J].航空航天医学杂志,2018,29(3):346-347.
[11]耿盼盼,张鑫.红藤灌肠汤保留灌肠及药渣外敷对慢性盆腔炎患者的疗效观察[J].国际医药卫生导报,2018,24(5):692-695.
[12]张小英,伊细红,何翠云,等.中药封包(双柏散)敷下腹部治疗盆腔炎的临床效果[J].中西医结合研究,2015,28(2):76-77.
[13]张艳玲,张宗波,张照宇,等.中药封包双柏散加味敷下腹部用于盆腔炎患者治疗中的临床有效性[J].中国医药指南,2017,15(25):193-194.
[14]宁琼连.中药封包外敷联合中药灌肠加热电治疗盆腔炎性疾病的护理效果观察[J].中国医疗设备,2017,32(1):283-284.
[15]陈同芳.黄连解毒汤内服结合中药封包治疗急性盆腔炎的临床疗效分析[J].世界最新医学信息文摘,2016,8(1):145-159.
[2]廖秦平,刘朝晖.中国女性生殖道及性传播感染研究的现状及展望[J].中华妇产科杂志,2007,42(2):361-363.
[3]任凤兰.三联疗法治疗湿热瘀结型盆腔炎性疾病后遗症70例[J].中国中医药现代远程教育,2015,13(6):59-60.
[4]孙广仁,郑洪新.中医基础理论[M].北京:中国中医药出版社,2012:209.
[5]吴克明,张庆文,魏绍斌,等.中西医临床妇产科学[M].北京:中国医药科技出版社,2001:208-210.
[6]黄兆胜.中药学[M].北京:人民卫生出版社,2002:284.
[7]于勤永.中药内服加灌肠结合西药治疗慢性盆腔炎的临床研究[J].中国现代药物应用,2018,12(7):147-148.
[8]任朝泽.中医灌肠疗法治疗慢性盆腔炎的可行性分析[J].中外女性健康,2018,26(4):34-36.
[9]李葵琴.红藤汤保留灌肠治疗慢性盆腔炎的临床疗效及安全性[J].临床合理用药杂志,2018,11(9):83-85.
[10]由利.红藤汤保留灌肠法结合物理疗法治疗慢性盆腔炎的疗效与分析[J].航空航天医学杂志,2018,29(3):346-347.
[11]耿盼盼,张鑫.红藤灌肠汤保留灌肠及药渣外敷对慢性盆腔炎患者的疗效观察[J].国际医药卫生导报,2018,24(5):692-695.
[12]张小英,伊细红,何翠云,等.中药封包(双柏散)敷下腹部治疗盆腔炎的临床效果[J].中西医结合研究,2015,28(2):76-77.
[13]张艳玲,张宗波,张照宇,等.中药封包双柏散加味敷下腹部用于盆腔炎患者治疗中的临床有效性[J].中国医药指南,2017,15(25):193-194.
[14]宁琼连.中药封包外敷联合中药灌肠加热电治疗盆腔炎性疾病的护理效果观察[J].中国医疗设备,2017,32(1):283-284.
[15]陈同芳.黄连解毒汤内服结合中药封包治疗急性盆腔炎的临床疗效分析[J].世界最新医学信息文摘,2016,8(1):145-159.