郭志强论治盆腔炎性疾病后遗慢性盆腔痛经验

Professor GUO Zhiqiang′s Experience in Treating Chronic Pelvic Pain after Pelvic Inflammatory Disease

总结郭志强教授"以通立法"论治盆腔炎性疾病后遗慢性盆腔痛的经验。认为该病属实证居多,主要病机为气滞、寒湿、瘀血积聚胞宫,导致胞脉闭阻,不通则痛。临证"以通立法",标本同治,以行气调肝、温经通络、活血化瘀为基本治法,通过中药内服及自创化瘀宁坤灌肠液灌肠,内外合治,使气血通畅,通则不痛。

This paper summarized professor GUO Zhiqiang′s experience in treating chronic pelvic pain after pelvic inflammatory disease by taking"unblocking"as the principle.It is believed that this disease is mainly ascribed to excess syndrome;the main pathogenesis is the process that qi stagnation,cold-damp and stasis constraint in the uterus with appendages may lead to the block and obstruction of the uterus meridians,thus bringing about pain.In clinical practice,it is advocated to take"unblocking"as the principle and treat the root and branch simultaneously;the basic treatment method is to promote qi and regulate the liver,warm the channel and unblock the collaterals,invigorate blood and dissolve stasis.Oral herbal medicine combined with self-made Huayu Ningkun Enema(化瘀宁坤灌肠液)is recommended to treat both the internal and external and promote the movement of qi and blood.When there is no blocking,pain is relieved.