CHRONIC PELVIC INFLAMMATORY DISEASE

Clinical Manifestations
  • Patients with chronic pelvic inflammation often have a history of childbirth, abortion, gynecological surgery or acute pelvic inflammation.
  • In the early stages the emphasis of treatment is to eliminate the exogenous pathogenic evil.
  • In the later stages the emphasis shifts to restoring or augmenting genuine Qi.
  • In addition to herbal formulas, the physician may wish to apply medicinal douches or enemas, medicinal poultices or physical therapy to enhance therapeutic effects
Treatment Principle
Herb Formulas
Points
Clinical Manifestations
  • Irritability
  • Short temper
  • Restlessness
  • Fever or tidal fever
  • Red eyes
  • Dry mouth and throat
  • Palpitations
  • Lower abdominal pain
  • Difficult urination
  • Painful urination
  • Increased menstrual flow
  • Uterine bleeding
  • Early menstruation
  • Aching in limbs
  • Dizziness
  • Mental instability
  • Red face
  • Thirst
  • Turbid urine
  • Alternating chills and fever
  • Red cheeks
  • Wheezing
  • Nervousness
  • Headache
  • Red eyes
  • Dry mouth
  • Anorexia
  • Infertility
  • Abdominal pain
  • Anxiety
  • Spontaneous sweating or night sweats with fever
  • Dry eyes
  • Hypochondriac pain
  • Anorexia
  • Somnolence
  • Insomnia
  • Aching shoulders
  • Five sole Heat
  • Earache
  • Premenstrual tension
  • Hot flashes
  • Fatigue
  • Lassitude
  • Depression
  • Restlessness
  • Constipation with flushing up
  • Pale complexion
  • Bitter taste in mouth
  • Vertigo
  • Abdominal distention near the umbilicus
  • Epistaxis
  • Irregular menstruation
  • Heaviness in the lower abdomen
  • T:Red or Red edges
  • C: Thin and yellow
  • P: Thready, rapid and wiry or Wiry and tight and rapid
Treatment Principle
  • PacifY the Liver
  • Spread Liver Qi
  • Strengthen the Spleen
  • Nourish Blood and Yin
  • Regulate menstruation
  • Clear Heat
Herb Formulas
Points
Clinical Manifestations
  • Cold pain in the lower abdomen, with preference for warmth and pressure.
  • Aching weakness in the waist and knees
  • Dizziness
  • Tinnitus
  • Aversion to Cold
  • Cold limbs
  • Polyuria
  • Nocturia
  • Loose stools
  • T: Pale
  • C: White and smooth
  • P: Deep and feeble
Treatment Principle
  • Warm the Kidneys
  • Support Yang
  • Eliminate Stasis
  • Stop pain
Herb Formulas
Points
Clinical Manifestations
  • Distending pain in the lower abdomen, with guarding
  • May be distending pain in the chest and breasts
  • Epigastric distention
  • Anorexia
  • Restlessness
  • Irascibility
  • Frequent sighing
  • T: Cyanotic or Speckled with purpuric spots
  • C: White
  • P: Taut and impeded
Treatment Principle
  • Mobilize Qi
  • Invigorate the Blood
  • Eliminate Stasis
  • Stop pain
Herb Formulas
Points
Clinical Manifestations
  • Vague lower abdominal pain with preference for pressure
  • Dizziness
  • Blurred vision
  • Heart palpitations
  • Insomnia
  • Dry constipation
  • A sallow complexion
  • T: Pale
  • C: Scanty
  • P: Thready and forceless
Treatment Principle
  • Generate Blood
  • Nourish the Nutritive Level
  • Eliminate Stasis
  • Stop pain
Herb Formulas
Points
Clinical Manifestations
  • Pain with guarding in the lower abdomen
  • Often a burning quality
  • May be masses
  • The pain often extends to the low back and sacrum
  • Recurrent low-grade fever
  • Yellow, viscid and malodorous vaginal discharge
  • Dark oliguria
  • T: Pale or Red
  • C: Yellow and greasy
  • P: Taut, slippery and rapid
Treatment Principle
  • Cool Heat
  • Eliminate Dampness
  • Release Stasis
  • Stop pain
Herb Formulas
Points
Clinical Manifestations
  • Cold pain in the lower abdomen in fixed location
  • The pain is ameliorated by warmth
  • Copious, white and thin vaginal discharge
  • Cold body and limbs
  • Pale complexion
  • T: Pale
  • C: White and greasy
  • P: Deep and tight
Treatment Principle
  • Dispel Cold
  • Eliminate Dampness
  • Eliminate Stasis
  • Stop pain
Herb Formulas
Points