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Endometriosis diagnosis and treatment technology

2012年09月18日

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Endometriosis diagnosis and treatment technology

 

 

China's traditional Chinese medicine to

 

 

 

        Has the activity of endometrial tissue (glands and stroma) appeared in areas other than the uterus, the condition is known as endometriosis, referred to as "inside different disease. Ectopic endometrial can infringe any part of the body, such as umbilical, bladder, kidney, ureter, lung, pleura, breast, and even the place such as arms, thighs, but most is located in pelvic cavity within the ovarian and palace sacral ligament is the most popular, followed by uterus, rectouterine pouch, peritoneal dirty layer, vaginal rectal ke and other parts, reason has pelvic endometriosis said. The doctor of traditional Chinese medicine without the disease name record, but the symptoms and signs of "dysmenorrhea", "remove lump", "irregular menstruation", "infertility" category.

 

        Syndrome differentiation and treatment

 

        The pathogenesis of the disease is blood stasis in stop, therefore, treatment principle in promoting blood circulation to remove blood stasis is given priority to. Because the disease occurrence and menstrual cycle related, treatment should be combined with the menstrual cycle different physical treatment respectively. General premenstrual with adjustable air remove stasis is given priority to, Menstrual blood to remove stasis, facilitating analgesic give priority to; After the replenishing qi and kidney, promoting blood circulation to remove blood stasis is given priority to.

 

        1. The stagnancy of qi and blood stasis

 

        [syndrome] before and after the fall line abdomen pain and rejected by. Menstruation more or less, purple dull have block, block to pain reduction, belly product block, fixed don't move, with chest distress milk expansion. Tongue purple dull have petechiae, vein string or acerbity.

 

        [treatment agent] qi invigorate the circulation of blood, pain and eliminating stasis. Under the diaphragm by stasis soup.

 

        2. Blood stasis haemorrheological nature

 

        [syndrome] before or after the line the lower abdomen colic, cold pain, fell pain, refuse to, like WenWei cold. The quantity is little, the color purple dull, or blood tube drain not clean, or see menstruation later period, infertility, form cold limbs cold, or shit is not real, pale face. Tongue purple dull moss thin white, vein sink tightly.

 

        [treatment agent] by the temperature scattered cold, remove blood stasis. The lower abdomen by stasis tonga minus.

 

        3. Hot and humid stasis"

 

        [syndrome] abdomen agglomeration, usually the lower abdomen dull pain, menstrual aggravating, burning pain bear hard, according to refuse, increase thermal pain. Menstrual quantity many, the color red or scarlet, mass sticky, carry capacity is much, the color yellow sticky taste smelly, bitter taste, dry throat, be agitated restless. Tongue mass purple dull, tongue edge point have ecchymosis, petechiae, moss yellow greasy, vein and moist number or sliding number.

 

        [treatment agent] concretion run smoothly, remove blood stasis. Heat adjustment blood tonga minus.

 

        4. With phlegm and blood stasis mutual"

 

        [syndrome] abdomen agglomeration, the wedding long infertility, premenstrual period the lower abdomen catch pain, the pain was severe, refuse to. Body fat, giddy heavy, bosom is frowsty nano stay, vomiting much sputum, carry capacity is much, the color white matter sticky, tasteless. Tongue dull, or tongue edge point have ecchymosis, petechiae, moss white slip or white greasy, vein fine.

 

        [treatment agent] [phlegm, blood stasis by. Dan creek phlegmy wet party together pink siwu tonga minus.

 

        5. Blood stasis

 

        [syndrome] before or after the by abdominal pain, xi by thermophilic. Classics quantity is more or less, the color light, mass dilute or clamp blood clot, or wedding long infertility, complexion ShaoHua, god fatigue strength, shit is not real. Tongue pale dull edge toothed mark, moss thin white or white greasy, vein fine weakness.

 

        [treatment agent] replenishing qi and eliminating stasis. Richard impact tonga minus.

 

        6. Blood stasis due to kidney deficiency

 

        [syndrome] the line or after the abdominal pain, pain lead lumbar sacral, menstruation has not regular, the line quantity is little, the color light dull mass dilute, or a blood clot, infertility or easy abortion, with dizziness tinnitus, lumbar debility. Tongue dull hysteresis or petechiae, moss thin white, vein heavy fine and acerbity.

 

        [treatment agent] and benefiting kidney regulate the menstrual function, remove blood stasis. To renal pill and pink siwu tonga minus.

 

        Experience party

 

        1. The dragon's blood change epilepsy soup

 

        [drug composition] dragon's blood, system milk didn't, born licorice each 5 grams, angelica, Fried radix paeoniae rubra, Fried radix paeoniae alba, wine fumaric, Fried toosendan fruit, coke hawthorn each 10 grams, cooked army 9 grams, rhizoma zedoariae 12 grams, peach kernel 6 grams.

 

        [indication] endometriosis dysmenorrhea.

 

        [usage and dosage] water Fried points clothing, daily dose.

 

        2. Ectopic powder

 

        [drug composition] earthworm, centipede, leech, gadfly, insect each equal parts.

 

        [indication] blood stasis remove lump sexual pain syndrome.

 

        [usage and dosage] irrigation porphyrization end, swallow 3 grams, twice daily, or bag every time Fried with 6 grams.

 

        3. Sun-style dysmenorrhea party

 

        [drug composition] peach seed 12 grams, red 12 grams, salvia miltiorrhiza 12 grams, kudzuvine root 12 grams, yanhusuo 12 grams, system sweet with 12 grams, radix aucklandiae 9 grams, hawthorn 12 grams, five spirit grease 12 grams, gun naze powder (packet swallow) 6 grams, insect 10 grams, leech 9 grams, cinnamon powder (another swallow) 6 grams.

 

        [indication] blood stasis remove lump sexual pain syndrome.

 

        [usage and dosage] water Fried points clothing, menstrual cramps before 5 day clothing, menstrual even served five days advisable.

 

        Appropriate technology

 

        1. Chinese medicine retention enema

 

        (1) 30 grams of flos lonicerae, fructus forsythiae 15 grams, dandelion 30 grams, violet edge 15 grams, rhizoma zedoariae 15 grams, kelp 15 grams, seaweed 15 grams. Amount of water for an hour, Fried two times, each time an hour, merge two solution and concentration to 200 ml, sleep in the evening before emptying urine, repose 15 minutes, take the left decubitus, the buttocks pad with high. 16 catheter as anal, 100 ml syringe slow injection, after the treatment the knee chest position for 30 minutes. Then take the right decubitus, the buttocks also block up, after the treatment repose for several hours. At the same time cooperate with Chinese native medicine oral. Suitable for blood stasis block type endometriosis infertility.

 

        (2) ectopic dysmenorrhea irrigation intestinal juice: salvia miltiorrhiza 30 grams, angelica 10 grams, triangular 15 grams, rhizoma zedoariae 15 grams, leech 10 grams, red paeony root 15 grams, system frankincense 10 grams, system myrrh 10 grams, algae 15 grams, cassia twig 10 grams. Strong Fried 100 ml, every night, retention enema.

 

        2. Chinese medicine sitz bath method

 

        Radix aucklandiae, peach kernel each 10 grams, red paeony root 20 grams, cortex moutan 15 grams, triangular, rhizoma zedoariae, angelica, chuanxiong every 12 grams. Above formulae with gauze loose package, buy in the basin is Fried take 5000 ml, wait for temperature was right sitz bath, every time 15 ~ 20 minutes, one time in the morning. After the start to use before next time menstruation, menstrual discontinued.

 

        3. Vaginal nano drug method

 

        (1) caulis spatholobi, safflower, notoginseng, bombyx batryticatus, radix arnebiae seu lithospermi root, soap stab each equal parts. Above formulae were porphyrization end, with yellow rice wine move into mushy, put on cotton ball, stuck on the dome nodules place. Alternate days time, period out of service, during the course of medication forbidden sexual intercourse.

 

        (2) the Chinese angelica, frankincense, notoginseng, bug, aloes each equal parts. Above formulae were mortar powder, with yellow rice wine adjustable paste, or add a few musk, dip in on cotton ball stick after in the dome nodules place. Alternate days time, period out of service, a month for one period of treatment.

 

        4. Acupuncture and moxibustion

 

        (1) acupoint selection: the first group: rn6, most, uterus (double), blood (double); The second group: "ba liao", three Yin chiao (double).

 

        Methods: close yuan, most, uterus are straight thorn 1.5 ~ 2.5 inch, twisting catharsis, retaining needle 15 ~ 20 minutes, every 5 minutes running a minute. After the needle with large temperature moxibustion box cover in rn6, most, uterine cavity area, with clear moxa stick moxibustion and mild 20 ~ 30 minutes. Blood upward inclined thorn 1.5 ~ 2 inches, lift plug twisting catharsis, gas wave needle handle, make the pinhole expanded, the disease a needle, not by the pinhole. The second group baliao points, first with the warm moxibustion box cover in the hole area moxibustion 20 ~ 30 minutes, following with plum needle medium strength point rapping hole area, make local skin pinhole bleed a small amount; Three Yin chiao straight thorn 1.5 ~ 2 inches, ping filling-in diarrhea, retaining needle 15 ~ 20 minutes, every 5 minutes running a minute. To the above methods, with customs menstrual cycle, in menstrual clean every month, choose a group of acupuncture point acupuncture, two groups of acupoint used alternately, continuous acupuncture 10, interval 5, followed by acupuncture, to menstruate so far, menstrual stop acupuncture.

 

        (2) take off yuan, most, uterus, channel, bladder shenshu point. With moxa stick moxibustion suspension, each hole 10 to 20 minutes to local tepid feeling and hole area surrounding skin ruddy for degrees, once a day.

 

        Take the hidden white, sp9, machine hole. Option 1 ~ 2 hole, with moxa stick moxibustion, every time moxibustion 10 ~ 15 minutes. Abdomen pain is cold in moxibustion with body acupuncture at the same time.

 

        Drug moxibustion: ripe radix aconiti lateralis preparata and cornu cervi degelatinatum, cinnamon, frankincense, five spirit grease to 5:2:1:1:1 proportion pressure face, with rice wine harmonic, make thick 0.4 cm, diameter 2 centimeters of medicine bread, pad gauze, in close yuan nest. The next day moxibustion once, two months for a period of treatment, the general treatment of three treatment.

 

        5. Massage therapy

 

        Take air sea, rn6, most, uterus sp10, sp9, three Yin chiao, shen shu, baliao points. The patient took supine position, first using one finger zen push method push air sea, rn6, uterus, with middle finger after with massage gas sea, rn6, most, uterus. The method with clockwise rubbing abdomen, with palm fibrillation method tremor abdomen. Using one finger zen push method push blood, three Yin chiao, thumb massage blood, sp9, three Yin chiao. Let the patient take prone position, using one finger zen push method in back to the first lateral line up and down along the bladder and operating two, after thumb knead ke shu, liver shu, shen shu, "ba liao". To hypothenar brush method straight across his back on both sides of the small of the first lateral line to diathermy for degrees to hypothenar brush method horizontal brush "ba liao", in order to warm is preferred.