三：慢性盆腔炎
关键词：反复发作
慢性盆腔炎大多继发于急性盆腔炎，因治疗不彻底，病情迁延而致。或患者体质较差，病原菌毒力较弱，初起即为慢性。中医学认为慢性盆腔炎主要是由于病邪内侵，导致湿热淤毒，日久则气血淤滞，络脉失和，结成淤块。
类型
慢性输卵管炎与输卵管积水
输卵管卵巢炎及输卵管卵巢囊肿
盆腔结缔组织炎
症状
常见低热、易感疲乏，下腹有坠痛感，腰骶部酸胀痛、肛门坠胀，劳累、性交后、排便时及月经期前后加重;不规则阴道流血或痛经，经期延长,白带增多等。常可继发女性不孕。
治疗
慢性盆腔炎由于有反复复发的特性，所以治疗起来比较麻烦，在配合物理疗法的同时，以服用中药为主。
1。湿热淤结型：一侧或两侧小腹按压疼痛，白带多并且色黄，有异味，月经量多，舌质红、苔黄腻，脉滑数。
治法：清热利湿，化淤散结。
中成药：金鸡冲剂
2。寒湿淤结型：小腹及腰骶冷痛，局部增加温度则疼痛减轻，经期或劳累后加重，白带清稀量多，无臭味，月经后期，有血块，畏寒肢冷，舌质淡或有淤点、苔白腻，脉沉迟。
治法：温经散寒，化湿祛痰。
中成药：少腹逐淤丸。
3。气滞血淤：小腹胀痛，腰骶酸痛，带下量多或少，色白质黏，经前乳胀，胸胁胀痛，月经色暗，有血块，舌质暗红或边有淤斑淤点、苔薄白，脉弦或涩。
治法：疏肝理气，化淤止痛。
中成药：血府逐淤丸。
预防与调养
1.保持外阴清洁。
2.急性盆腔炎治疗宜彻底。
3.增加营养，锻炼身体，提高机体抵抗力。
物理疗法
激光穴位照射、药物离子导入、超短波、微波、紫外线、频谱、针灸等，这些都可以促进盆腔的血液循环，有利于炎症的吸收。
四：子宫脱垂
女性的盆腔里，中央是子宫、阴道;前方是尿道、膀胱;后方是直肠。平时，这些器官都有韧带或筋膜作为支持结构。在怀孕和分娩过程中，这些支持结构由于损伤或过度伸展而变弱松驰，产后又没有适当的锻炼和休息，韧带和筋膜没有恢复怀孕前状态，可使部分或全部盆腔器官从正常位置下降，形成生殖道脱垂。严重者甚至可使子宫脱出阴道口外，形成生殖道完全脱垂。这样，患者就会觉得有球状物脱出阴道口外。
子宫脱垂的度
Ⅰ度轻型，为子宫颈距离处女膜缘小于4cm，但未达到处女膜缘。重型为子宫颈已达处女膜缘，但未超过该缘，检查时在阴道口见到子宫颈。
Ⅱ度轻型，为子宫颈已脱出阴道口外，但宫体仍在阴道内。重型为子宫颈及部分宫体已脱出于阴道口外。
Ⅲ度子宫颈及子宫体全部脱出于阴道口外。
关键词：气虚及肾虚
气虚：表现为子宫下移或脱出，劳累后加剧，小腹有下坠感，四肢无力，白带多、质稀色白。
肾虚：表现为子宫下脱，腰酸腿软，小便频数、夜间尤甚，头晕耳鸣。
口服中成药：补中益气丸、人参健脾丸、人参鹿茸丸
针炙：每日或隔日1次，2-3周为1疗程。
Three: chronic pelvic inflammatory disease Key words: recurrent attacks of Most of chronic pelvic inflammatory disease secondary to acute pelvic inflammatory disease, because treatment is not complete, due to protracted illness. Or patients with poor physical fitness, virulence of pathogenic bacteria is weak, since the beginning of which is chronic. Chinese medicine think mainly because of chronic pelvic inflammatory disease病邪intrusion, resulting in hot and humid sediment toxicity, blood stasis is a long time, venae estranged, forming silt block.
Type Chronic salpingitis with hydrosalpinx Ovarian and fallopian tubal inflammatory ovarian cysts Pelvic connective tissue inflammation Symptoms Common low-grade fever, fatigue-prone, there is fall in the lower abdomen pain, lumbosacral pain acid, anus坠胀, tiredness, sexual intercourse after defecation before and after the menstrual period, when and heavier; irregular vaginal bleeding or dysmenorrhea, menstrual extended leucorrhea increase in . Often secondary female infertility. Treatment Chronic pelvic inflammatory disease because there is repeated recurrence characteristics, so treatment is more trouble with the physical therapy at the same time, mainly to take Chinese medicine.
1. Damp silt junction: one side or both sides of lower abdomen pain pressure, and many leucorrhea color yellow, there is smell, menstrual volume, tongue red, yellow greasy moss, pulse a few slip. Governing Law: Qingre dampness, stasis Sanjie. Proprietary Chinese medicines: Rooster Chongji 2. Cold junction deposition: lower lumbar sacral冷痛, local increase in temperature will reduce the pain, menstrual or post-exertion increased volume清稀leucorrhea many, no odor, menstrual late, there is a blood clot, chills肢冷, tongue short or there is silt, the moss白腻pulse Shen Chi. Governing Law: temperature by cold-dispelling, Huashi expectorant. Proprietary Chinese medicines: Shaofu by maru silt.
3. Qi stagnation blood stasis: lower abdomen pain, lumbosacral pain, vaginal discharge volume of more or less color sticky white matter, by the former dairy expansion,胸胁pain, menstrual dark color, has blood clots, tongue or edge暗红have silt plaque deposition, the thin white coating, pulse string or Shibuya. Governing Law: Shugan Qi, stasis pain. Proprietary Chinese medicines: Xuefu pills by silt. Prevention and caring
1. To maintain genital cleanliness.
2. Wish to complete the treatment of acute pelvic inflammatory disease.
3. To increase nutrition, physical activity, improve the body resistance. Physical therapy Laser acupoint irradiation, drug iontophoresis, ultra-short wave, microwave, ultraviolet, spectrum, acupuncture, etc., all can contribute to pelvic blood circulation and is conducive to the absorption of inflammation. Four: uterine prolapse Female pelvis, the central authorities are the uterus, vagina; are in front of urethra, bladder; rear rectum are. Normally, these organs have a ligament or fascia as the support structure. In the course of pregnancy and delivery, these support structures because of injury or over-stretched and weak relaxation, post-partum is not an appropriate exercise and rest, ligament and fascia have not resumed pre-pregnancy state, will enable some or all of pelvic organ from a normal location decreased the formation of genital tract prolapse. In severe cases, can even Vagina extraoral uterine prolapse, prolapse of the formation of reproductive tract completely. In this way, patients will feel that there is vaginal prolapse extraoral globe. The degree of uterine prolapse Ⅰ degree of light, distance from the hymen to the cervix fate is less than 4cm, it did not meet the fate hymen. Heavy for the cervix has reached hymen fate, but no more than the fate, check to see the cervix at vaginal mouth.
Ⅱ degree of light, in order to have prolapse vaginal cervical extraoral, but still Gongti vagina. Heavy for the cervix and some Gongti have vaginal prolapse in extraoral. Ⅲ degree of cervical and uterine prolapse in the body of all extraoral Vagina. Key words: Qi Deficiency and Kidney Qi Deficiency: performance for the lower or uterine prolapse, aggravated after exertion, lower abdomen there is a sense of falling, limb weakness, leucorrhea many quality Dilute color white. Kidney: off performance for lower, lumbar acid腿软, urination frequency, especially at night, dizziness, ringing in the ears. Oral Chinese medicines: Buzhongyiqi pills, ginseng Jianpi pills, ginseng pills Pilose Acupuncture: 1 times daily or on alternate days ,2-3 weeks for one course of treatment.
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