中医论治慢性盆腔炎探析

Analysis on TCM Treating Chronic Pelvic Inflammation

慢性盆腔炎是女性妇科常见病和多发病。病程较长,易迁延反复,导致慢性盆腔疼痛、异位妊娠、不孕等,严重影响女性的生活、工作与身心健康。中医药治疗本病历史悠久,经验丰富,通过辨证论治,多数可获较好疗效,就慢性盆腔炎的病位、病因病机及调治方法进行阐述发现慢性盆腔炎病位主要在胞宫及冲任、肝、脾、肾,由机体肾气亏虚,正虚邪恋、冲任不调,气血失和、情志不畅,脏腑失调所致,治以补肾培元,扶正祛邪、调补冲任,益气活血、舒畅情志,调节脏腑。

Chronic pelvic inflammation is a common and frequently-occurring gynecologic disease.The long duration and recurrency leads to chronic pelvic pain,ectopic pregnancy,or infertility.The disease seriously affect women's life and work,it also impacts their physical and mental health.TCM has a long history and rich experience in treating the disease.Through syndrome differentiation,the treatments have achieved better results.This article described the location,etiology,pathogenesis and treatment of chronic pelvic inflammation.It is found out that the locations of chronic pelvic inflammation are uterus,Chong and Ren Vessels,Liver,Spleen and Kidney,and the disease is caused by Kidney deficiency,disharmony between Chong vessel and Ren Vessel,disharmony of qi and blood,moodiness,and disharmony of viscera organs.Therefore,the treatment should be tonifying Kidney,reinforcing healthy-qi harmonizing Chong and Ren,reinforcing qi to promote blood circulation,regulating mood and viscera organs.