Endometriosis (endometriosis) is one of the refractory and multiple diseases in gynecology. Its main clinical symptoms are dysmenorrhea and infertility . Currently, Western medicine treatment is mainly "fake menopausal sex hormone therapy", which is difficult for most patients to understand and accept, and once the drug treatment is stopped, the symptoms may recur. Western medicine is a "double-edged knife of merger of pros and cons" in treating endopathy, so many patients rely on traditional Chinese medicine.
Traditional Chinese medicine believes that believes that blood stasis in endopathy is an external sign, and its essence is a deficiency syndrome, which is a disease of deficiency and excess.
Qi and blood are the two basic substances of the human body. Qi deficiency has no power to promote blood circulation. Blood deficiency and cannot nourish the meridians, which can easily cause blood stasis and blood stasis; if blood stasis is not removed, new blood will be difficult to produce. Such a vicious cycle is easy to form a mixture of deficiency and excess.
Yin and Yang balance are the prerequisites for coordinating the normal work of the body. The yang energy is warm and the yin liquid is moist. If the yin and yang are unbalanced, the yang is strong and Yin deficiency and . If the yang is strong, the blood heat is . Yin deficiency also produces internal heat, and blood heat is tortured to form stasis. Yin is excessive and Yang is deficient and . Yin is excessive and blood coagulation will occur. Yang is deficient and yang is deficient and can be cured. Blood coagulation will also occur after a long period of coagulation.
Therefore, the blood stasis of endopathy comes from the disorder of the body's qi, blood, yin and yang functions. To treat endopathy, qi, blood, yin and yang need to be adjusted to a balanced state.
For solid people, it will cause pain if they are not smooth. For those who are not glorious, it will cause pain if they are not honored! To treat dysmenorrhea with dysmenorrhea, you can choose Xuefu Zhuyu Decoction. In Xuefu Zhuyu Decoction, the important medicines for Qi include Bupleurum , Platycodon, and Citrus aurantium ; the important medicines for blood include Peach kernel , Safflower , Chuanxiong , and Angelica ; the important medicines for Yin include Raw Rehmannia ; the important medicines for Yang include angelica and Achyranthes .
Middle burn is like fermentation, treating middle burner , the key is to luck. Bupleurum and Platycodon lead qi upwards, and Achyranthes and Citrus aurantium lead to blood stasis downwards; if the middle burner is running and the yin and yang qi and blood are balanced, then the blood stasis can be removed and new blood can be produced.
In clinical practice, it is also necessary to use dialectically according to the menstrual cycle. Menstrual period can increase the products that nourish qi and nourish blood, and take into account a small amount of blood circulation, removing blood stasis and stop bleeding: such as Astragalus, Xiangfu , Motherwort , Chicken gizzard, Triangle , Curcuma zedo , Yanhusuo , etc.; in the later period, it mainly promotes yin blood, can increase Polygonum multiflorum , Scrophularia ginseng , Yam , Amomum villosum , Malt , etc.; in the menstrual period, to promote the conversion of yin and yang, Cuscuta chinensis , Morinica genus , mulberry parasitism, quinox , ulmoides, etc.; in the early period, drugs that promote qi, promote blood circulation, remove blood stasis, such as cinnamon , cinnamon , salvia miltiorrhiza , motherwort, simplican , ginger, cumin , ulmoides, chicken blood vine , etc.
35-year-old Ms. Liu, who has a menstrual pain and needs to rest in bed when the pain is severe. In the past two years, abdominal pain has gradually worsened and oral painkillers are needed. The menstrual period of has been extended for about 2 to 10 days, and the menstrual volume increases, accompanied by cold sweating, warmth and pressing, nausea and vomiting, and anal swelling.
Gynecological color ultrasound: uterine enlargement, adenomyoma, adenomyosis.
Inscription diagnosis: mentally tired, dull complexion, thin body, afraid of cold, easy to have dry mouth, loose stool, pale tongue, slightly greasy tongue, stringy and thin pulse. The syndrome of the Chinese syndrome is a syndrome of blood deficiency and blood stasis. Chinese medicine is given to Xuefu Zhuyu Decoction with addition and subtraction.
composition: peach kernel, safflower, angelica, angelica aurantium, citrus aurantium, motherwort, red peony , black medicine, Danpi .
After taking the medicine, the patient's symptoms of were slightly relieved than before. Now he has not been dripping with his menstruation for 8 days, his mouth is dry, his tongue is pale, his edges have pepsy, thin white fur and thin pulse.
Chinese medicine is given to Bazhen Decoction with addition and subtraction: Codonopsis pilosula, Atractylodes macrocephala, Poria cocos , roasted licorice , angelica, motherwort, white peony, cooked Rehmannia , moxa leaf charcoal, xiangfu, abalone, and Anaesthetic.
The menstrual blood is clean on the second day of taking the medicine.Later, the patient insisted on seeking medical treatment and said that the dysmenorrhea was relieved after Chinese medicine conditioning, and the discomfort symptoms could be improved, and he was full of confidence in traditional Chinese medicine.
«Suwen·Ancient Innocence Theory» mentioned that "the Yangming pulse of Wuqi is weak, the face begins to burn, and the attack begins to fall." The patient is over Wuqi, and the qi and blood are gradually deficient, so he sees mental fatigue; Qi is weak and has no strength to consolidate the blood in the menstrual blood, so he sees increased volume of menstruation; Qi is weak and has no power to transport blood, and blood stasis stops internally, so he sees dark purple lips and purple parenchyma and parenchyma on the edge of the tongue; blood stasis is blocked internally, and it will cause pain, so he sees abdominal pain in the meridians; blood deficiency does not nourish the whole body, so he sees faceless and afraid of coldness;
1 To sum up, dialectics is a syndrome of blood stasis with both qi and blood deficiency, and Chinese medicine is added and subtracted by Xuefu Zhuyu Decoction. During the follow-up visit, the patient was in the postmenopausal period, with empty blood and insufficient yin and blood stasis, but the blood stasis was not cleared. Therefore, Bazhen Decoction was used as the basic prescription and increased symptomatically to remove blood stasis and stop bleeding.
