Chronic adnexitis caused by exposure to rain during menstruation

Ms. Wang, 35 years old, developed chills and fever after being caught in the rain during her menstrual period 2 years ago. The symptoms were relieved after active treatment, but she has since suffered from lower abdominal pain, especially during her menstrual period. The pain is more obvious and her vaginal discharge has increased compared to before. She has not taken it seriously for two years. In the past two months, the pain in her lower abdomen has gradually worsened, and she has felt soreness and discomfort in the lumbar sacral area. Two days after her menstrual period, dark purple blood clots were discharged. Her tongue is pale with white fur and her pulse is deep and sluggish. Gynecological examination showed that the shape and size of the uterus were normal. B-ultrasound examination showed a 2.0cm×1.5cm low-echo area in the left adnexa with clear boundaries and thick walls, indicating an inflammatory mass. The right adnexa thickened by 2cm, and a cord-like low-echo area can be seen inside. Chinese medicine syndrome differentiation: cold stagnation in the meridians, blood stasis

Shaofu Zhuyu Decoction is composed of fennel, roasted ginger, Corydalis, processed myrrh, angelica, Chuanxiong, cinnamon, red peony root, pollen, aconiti lobata, litchi seed, citrus seed, zedoaria, coix seed, etc. All these drugs are used together to warm the meridians and relieve pain, and dissipate blood stasis and resolve nodules. Ampicillin and metronidazole have strong antibacterial effects, especially metronidazole has a strong inhibitory effect on anaerobic bacteria. Western medicine is effective quickly, while Chinese medicine treats the root cause. The combination of Chinese and Western medicine has made adnexitis disappear.