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 the invasion of damp-heat evil toxins into the pelvic cavity and stagnation of qi and blood. The main cause of this disease is that after the evil toxins invade the cell pulse, they fight with septic blood and further develop. Due to the strong evil qi, stagnation of heat inside, and the fierce struggle between the positive and the evil, severe abdominal pain, high fever and chills occur. When stagnation of heat blocks the intestines, it can cause internal qi obstruction, heat accumulation and bypass, vomiting, diarrhea, etc.

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 dirty, dry mouth and cold drinks, short and yellow urine, constipation or diarrhea, red tongue, yellow and greasy coating, slippery and rapid pulse. Clear away heat and detoxify. Add Rhizoma Coptidis, Phellodendron, Poria, and Silver Chen to Yinqiao Hongjiang Detoxification Decoction.

2. Uterine damp-heat syndrome: low-grade fever fluctuates, lower abdominal distension and pain, back pain, yellow vaginal discharge, thick and smelly, 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. Stagnation of cell pulse syndrome: abdominal distension, stabbing pain, refusal to press, lumbar pain, poor function, blood clots, abdominal or palpable masses, dark or spotted tongue, stringy pulse. Promote blood circulation and gas circulation. Shaofuyu Decoction plus Patrinia scabra, Leonurus japonicus, etc.

4. Symptoms of deficiency of body qi and retention of pathogenic factors: dull pain in the lower abdomen, swelling, lumbar and sacral pain, fatigue, worsening during sexual intercourse, defecation, and after surgery, heavy vaginal discharge, low-grade fever, palpable mass in the lower abdomen, pale and dark tongue, greasy coating, and stringy pulse. Strengthen the body qi and eliminate pathogenic factors. Manpen Decoction plus Patrinia chinensis and Leonurus japonicus.