中药保留灌肠治疗气滞血瘀型慢性盆腔炎

慢性盆腔炎多由经行产后,胞门未闭,正气未复,风寒湿热,或虫毒之邪趁虚内侵,与冲任气血相搏结,蕴积于胞宫,耗伤气血,虚实错杂,缠绵难愈。临床以气滞血瘀型为多见,治宜活血化瘀,理气止痛。药物选用：红藤、败酱、紫花地丁、三棱、莪术、延胡索、桃仁、香附、川楝子。红藤、败酱、紫花地丁等清热解毒,活血化瘀,理气散结,行气止痛,对金黄色葡萄球菌、大肠杆菌均有抑制作用,抗感染、抗菌、消水肿、镇痛。中药保留灌肠治疗气滞血瘀型慢性盆腔炎盆腔病灶药物浓度高,药物生物利用度高,能充分发挥药液物理性热疗作用。

Treating chronic pelvic inflammatory disease of Qi-stagnation and blood stasis type by traditional Chinese medicine retention enema

Chronic pelvic inflammatory （CPI） was mainly induced after menstrual status and postpartum. Because of the bladder gate patency, the healthy qi was not recovered. Thus, pathogenic factors such as cold and dampness, or insect poison invaded into the body during the deficiency, interacted with the blood and qi at Chong and Ren meridian and simmered in uterus, and then qi and blood were consumed, asthenia and sthenia were mixed, lingering and difficult to cure. CPI was mainly qi- stagnation and blood stasis type in clinic. It was better to treat with activating blood circulation to dissipate stasis and regulating qi to alleviate pain. The following medicines were chosen： Sargent gloryvine, Patrinia scaniosaefolia, Herba vio- lae , Rhizoma sparganii , Zedoary , Rhizoma corydalis , Peach kernel, Rhizoma cyperi , Toosendan fruit. Sargent gloryvine , Pa- trinia scaniosaefolia, Herba violae and so on can clear away heat and toxic materials, activate blood circulation to dissipate stasis, regulate vital energy and disperse mass, and promote qi circulation to relieve pain, and inhibit staphylococcus aureus and Escherichia coli, and has the function of anti-infection, antibiosis, anti-dropsy, and can ease pain. When we use the technology to treat chronic pelvic inflammatory nidus of qi-stagnation and blood stasis type by traditional Chinese medicine retention enema, the drugs were of high concentrations and bioavailability, and can give full play to the effect of physical hyperthermia of pharmaceuticals.