The gynecology of Yunnan Provincial Hospital of Traditional Chinese Medicine is characterized by integrated treatment of gynecological diseases with traditional Chinese and Western medicine，Insist on the combination of dialectics and disease，The use of special diseases, special prescriptions, special drugs to treat such as: infertility, reproductive tract infection, endometriosis, menopause syndrome, habitual abortion, breast diseases and other gynecological intractable diseases，I'm in the clinic，Highlight the characteristics and advantages of traditional Chinese medicine，The main treatment is traditional Chinese medicine，Start from a holistic perspective，Focus on the overall regulation，A gynecological treatment room with TCM characteristics has been established，Focus on the advantages of traditional Chinese medicine treatment，A variety of specialty treatments have been carried out，That is, oral Chinese medicine, hot compress, acupoint application, Chinese medicine retention enema, abdominal acupuncture, Chinese medicine ion penetration and other treatment of various gynecological difficult miscellaneous diseases，Achieve remarkable curative effect。
I'm in the clinic，Highlight the characteristics and advantages of traditional Chinese medicine，The main treatment is traditional Chinese medicine，Start from a holistic perspective，Focus on the overall regulation，A gynecological treatment room with TCM characteristics has been established，Focus on the advantages of traditional Chinese medicine treatment，A variety of specialty treatments have been carried out，That is, oral Chinese medicine, hot compress, acupoint application, Chinese medicine retention enema, abdominal acupuncture, Chinese medicine ion penetration and other treatment of various gynecological diseases，Achieve remarkable curative effect。
First, the woman abdominal pain, fallopian tube obstructive infertility
(1) Taking Chinese medicine internally:
According to the patient's four diagnoses and medical records, the specialist gives treatment according to the syndrome differentiation, selects and matches the drugs according to the sex and taste of traditional Chinese medicine, the effect of indications, the usage and dosage, and the incompatibility, etc., and the oral treatment of various types of women with abdominal pain has achieved remarkable effect。Chinese medicine has been widely trusted by patients for its advantages of overall conditioning, flexible treatment, small side effects and exact curative effect。
(2) Chinese medicine hot compress method
External treatment is a commonly used treatment method in gynecology clinic of traditional Chinese medicine, as early as in the Eastern Han Dynasty, Zhang Zhongjing wrote "Synopsis of Golden Chamber..The external treatment method is recorded in the article "Women miscellaneous diseases pulse syndrome and treatment"。Modern doctors have accumulated a lot of experience in external treatment, and opened up a new way of multi-method and multi-way administration of medicine in the treatment of gynecological diseases。
Specialty selection of aconitum, mugwort leaves, blood rattan, parsnip, acanthopanax, safflower, angelica, Sichuan pepper, Qiangsheng, only live, Gleditsia sinensis, bone deep grass, millennium health and other drugs into the medicine bag decoctions，Put the towel in and cook，Wring out the towel and apply it to the affected area，1日1次，The temperature of the liquid medicine promotes local blood and lymphatic circulation，Dilate the affected blood vessels，Promote drug penetration and absorption，In order to achieve warm channels and collaterals，Promoting blood circulation and removing blood stasis，Objective of treating qi for pain relief。Treating pelvic inflammatory disease, tubal obstructive infertility, dysmenorrhea, pelvic mass and so on。
(3) External application of traditional Chinese medicine
1, the application of traditional Chinese medicine processing into fine powder, warm water and an appropriate amount of wine or vinegar into a paste, applied to the lower abdomen acupoint waterway, return to the point or the affected area fixed。Apply it every day before going to bed, take it off in the morning of the second day, once a day, 10 days for a course of treatment。Treating chronic pelvic inflammatory disease, infertility, dysmenorrhea, pelvic mass, pelvic blood stasis syndrome, endometriosis, etc., especially patients with lingering disease for a long time or recurrence after pelvic surgery, forming serious pelvic adhesions。
2. Mechanism of action
TCM believes that this kind of disease is often due to the evil of dampness-heat intruding, so that the qi and blood are blocked, or the mood is not smooth, the qi stagnation and blood stasis, and the dampness-heat stasis and blood stasis are intermingled.Or dampness-heat, dampness-poison evil invasion, interjunction with Qi and blood, dampness-heat dampness-poison stasis obstructs the cell palace, cell veins formed。Commonly used with spices to walk, warming and activating the blood to eliminate disease, clearing heat and removing dampness, smoothing and clearing collaterals of drugs, through the penetration of wine or vinegar and the transmission of meridianites, so that the peristalsis of the gut is enhanced, loosening adhesion, to achieve the purpose of treatment。
3, commonly used drugs: hospital preparation "Gynecological Ruyi powder"。Or with the bone grass, Sanling, laurel branch, Lu Lu Tong, angelica tail, Angelica Angelica, Radix Paeoniae, lambu, mulberry leaves, turmeric and other with the spice of walking, warming and activating blood eliminating disease, clearing heat and removing dampness, smoothing and clearing collaterals of drugs, through the penetration of wine or vinegar and the transmission of meridians, so as to enhance the peristalsis of the gut, loosen the sticky, to achieve the purpose of treatment。
(4) Traditional Chinese medicine retention enema method
1. After decocting and boiling, 200ml juice was extracted by gauze filtration, the temperature was 38℃, the stool was emptied before going to bed, a one-time anal tube was inserted into the anus 375px, and the liquid was slowly injected. The patient lay in the knee and chest position for 20 minutes, and was retained until the morning of the next day, once a day, 10 days as a course of treatment, and the menstrual period was stopped。Treating dysmenorrhea, pelvic mass, infertility, chronic pelvic inflammation, pelvic blood stasis syndrome, endometriosis and so on。
2. Selection and mechanism of Chinese medicine: due to thin pelvic vein and lack of outer sheath，The small and medium veins do not have the characteristics of valves and venous plexus，The venous system of the pelvic organs is like a swamp connected by a network of water，And the rectum matches the utero-vaginal veins，Chinese medicine is absorbed through the rectum，It can quickly spread through the pelvic cavity and reach the lesion，And maintain local effective drug concentration，After Chinese medicine enema，Long retention time，The effect also lasts a long time。Moreover, the drug is absorbed directly through the rectum, without passing through the liver, which not only avoids the gastrointestinal irritation and the influence of traditional Chinese medicines on the drug force, but also gives full play to the effect of drugs on anti-inflammatory, swelling, analgesia and relieving pelvic adhesion。The commonly used drugs are Hedyotis alba, salviorrhiza, red peony, peach kernel, turmeric, Lychee, Zedoary, patrinia, yellow cedar and so on。Efficacy: clearing heat, detoxifying and dehumidifying, promoting blood circulation and eliminating disease。
(5) Abdominal acupuncture therapy
Abdominal acupuncture therapy is a discipline founded by Professor Bo Zhiyun after summing up nearly 30 years of academic thought and valuable practical experience. It is a painless acupuncture therapy guided by the theory of traditional Chinese medicine and with the umbilical regulation system as the core, it can make patients receive immediate results in a short period of time in ignorance。Abdominal acupuncture theory holds that the Shenque system is the mother system of the meridian system, and the Shenque meridian system of the abdomen is a very large system。Human nature, from the invisible essence to the formation of the embryo, completely depends on the Shenque system。It can regulate both peripheral and internal organs。By adjusting the balance of internal organs, abdominal acupuncture can gradually stabilize the body to treat systemic diseases, which reflects the principle of syndrome differentiation in traditional Chinese medicine。The main points of abdominal needle are Zhongwan, Xiawan, Qihai, Guanyuan, Zusanli, Sanyinjiao, Taichong and Taixi.。Among them, "Zhongwan, Xiawan, Qi Sea and Guan Yuan" constitute the main prescription of regulating the acquired spleen and stomach and congenital liver and kidney, which is called Qiqi Guiyuan in abdominal acupuncture therapy。Zhongwan is the fundraising point of the stomach, the stomach and the spleen are in the surface, known as the sea of water valley;Guanyuan is the fundraising point of the small intestine, alias Dantian, has the function of cultivating kidney and strengthening qi and Yang, so the combined use of the two points has the function of tonifying the spleen and kidney。Lower Wan is the foot Taiyin, Ren pulse will, can strengthen the spleen and stomach, reverse vomiting。Qi sea is the original point of Huang, long in training tonifying vitality。The acupoint of the abdomen is closely related to the liver, spleen and kidney, the middle duct and the lower duct are closely related to the spleen, and the sea of Qi and Guan Yuan are closely related to the liver and kidney channels, which can be used to fill the channels of Qi and blood, Qi Qi to regulate the viscera, Tongchong Ren, and indirectly regulate the Du pulse because of the interconnecting of the Ren and Du。Therefore, no matter the liver qi stagnation, liver and kidney deficiency, injury of meridians after operation, qi stagnation and blood stasis and other reasons caused by chong, Ren, Du three pulse disorders of late menstruation, amenorrhea, stimulation of the above acupoints can obtain better curative effect。Zusanli is one of the main acupoints of "Zusyangming stomach Channel"，For the stomach of the He point，It has the function of invigorating spleen and stomach, tonifying middle and invigorating qi，Can make zang-fu qi and blood source sufficient，Can dredge the three channels of qi and blood;Taichong point is the transfusion point of foot Jueyin liver channel，It has the effect of soothing liver and regulating qi.Taixi point is the transfusion point of foot Shaoyin kidney channel，It has the effect of tonifying kidney and essence，The above three points are used together，Can make the kidney full of qi，Healthy movement of the spleen and stomach，Liver-qi strip，The sea of blood is full of menstruation。
This method is mainly used for the treatment of pelvic inflammatory disease, infertility, menstrual disorders, amenorrhea, etc. Since the combination of acupuncture and medicine was carried out in our department in 2007, it has also achieved good curative effect in the treatment of gynecological diseases。
(6) Traditional Chinese medicine ion penetration therapy
The specialized application of pelvic therapy instrument for Chinese medicine ion penetration therapy can enhance blood and lymphatic circulation, improve tissue nutrition, improve metabolism, promote inflammation to subside and absorption, which is conducive to improving the pelvic environment, smooth delivery of pregnant eggs and easier implantation。
(7) Isolation moxibustion method
Shenque system is the mother system of meridian system, which can regulate both peripheral and zang-fu organs。Moxibustion with moxa stick medicine bag (salt and salvia powder) moxibustion Shenque point, in order to achieve the role of strengthening。
Second, fetal leakage, fetal restlessness
(1) Traditional Chinese medicine: The application of traditional Chinese medicine theory, for the kidney deficiency type, qi and blood weakness, blood heat, blood stasis, trauma and other types of syndrome differentiation treatment, with the overall conditioning, flexible treatment, small toxic side effects, the effect of positive advantages。
(2) Moxibustion: For those with abdominal pain, moxibustion on both sides of the foot Sanli point to strengthen the spleen and stomach, supplementing qi and peace;In patients with vaginal bleeding, moxibustion was carried out at both Yin Bai points to stop bleeding and calm the fetus.