I. Definition
Pelvic inflammation disease (PID) is defined as condition caused by inflammation or infection of the female uterus, fallopian tubes, and/or ovaries as a result of scars
and adhesion in the pelvic which in turn may prevent the implantation
of egg during natural pregnancy process. It affects over 1 million women
in U.S. every month and most of them are in their teen and twenties and
over 100,000 women become infertile in the US alone each year.
In
traditional Chinese medicine (PID) is classified as the infections of a
woman reproductive system. While convention medicine focus in using
antibiotics to destroy the invasion of bacteria, virus, fungi, etc, in
the infection or inflammation area, traditional Chinese medicine treats
the problem as some tiny changes in the women ecosystem that cause (PID)
such as itching in the genital area, abnormal vaginal discharge and
power abdominal cramps and pain.
II. Causes and Diagnosis of (PID) in the traditional Chinese perspective
A. Causes
Traditional
Chinese medicine view (PID) as a condition of genital itching and
leukorrhea (it is a medical term that denotes a thick, whitish vaginal
discharge) caused by dysfunction of Liver, Kidney and Spleen.
Traditional Chinese medicine believes pelvic inflammation disease is
caused by damp heat moving downward and accumulated in the pelvic region
as a result of liver stagnation or/and Spleen yin deficiency or and
kidney deficiency, leading to blood and qi deficiency or/ and
stagnation, which in turn causes genital itching and leukorrhea.
Therefore treating (PID) is focused in diagnosis of vagina discharge.
B. Diagnosis and vagina discharges
1. Spleen deficiency with damp
a) Diagnosis
Normal
vagina discharge is corlorless, odourless, sticky and vagina dryness,
due to dampness accumulation as a result of Spleen yin deficiency, that
in turns distorts the the kidney function in of fluid distribution,
leading to dampness accumulation.
b) Vagina discharge
White, Watery and no smelly discharge with dull pale complexion
Normal
vagina discharge is corlorless, odourless, sticky and vagina dryness,
due to dampness accumulation as a result of Spleen yin deficiency, that
in turns distorts the the kidney function in of fluid distribution,
leading to dampness accumulation. Where there are high humidity
accumulated, it generates heat.
2. Spleen deficiency with damp heat
a) Diagnosis
Where there are dampness accumulated, it generates heat as a result of high humidity accumulated in the pelvic area.
b) Vagina discharge
Discharge with discolor with foulsmelling
3. Kidney yang deficiency
a) Diagnosis
Spleen
yang deficiency causes by the inability of kidney to regulating the
fluid distribution, that can not control the fluid in the downward
movement into the pelvic region.
b) Vagina discharge
Excessive white or pale yellow, sticky and no smelly vagina discharge
4. Kidney and liver yin deficiency
a) Diagnosis
Kidney
and liver yin deficiency causes excessive yang in the liver, leading to
not enough fluid to moister the liver, affecting the normal function of
liver in blood formation.
b) Vagina discharge
A thick, whitish vaginal discharge, stiff and sharp back pain and vaginal dryness.
5. Damp heat accumulated in kidney channels
a) Diagnosis
If
the qi run through kidney channels is blocked due to kidney qi
deficiency, it causes fluid retention in the channels, leading to
excessive accumulation of dampness and heat arising that affects the
reproductive organs, including the pelvic region.
b) Vagina discharge
Vagina discharge is red and white
III. Chinese herbal Treatments
A. Spleen deficiency with damp
(Strengthen Spleen yang, eliminate damp)
1. Bai zhu
Bai
zhu is also known as white atractylodes rhizome, It is warm in nature
and used to treat the spleen deficiency yang due to fluid accumulation.
2. Shan yao
Shan yao is also known as Chinese yam, it is a neutral in nature and used to tonify Spleen yin and qi and eliminate damp.
3. Ren sheng
Ren
sheng is also known as radix ginseng. It is one of most popular herbs
and used over thousand of year in qi tonification and normal bleeding in
the vagina due to infection and inflammation..
4. Cang zhu
Cang
zhu is also known as rhizoma atractylodis, it has been used in TCM in
treating of yeast infection and dries dampness and strengthening the
stomach in food digestion.
5. Che qian zi
Che qian zi is also known as plantago seeds, it has a drain damp function through urination.
B. Spleen deficiency with damp heat
Treatment Strengthen Spleen yang, eliminate damp, clear heat
1. Shan yao
(See above)
2. Huang bai
Huang bai is also known as amur cork tree bark, it is bitter in nature and has been used to clear heat and dry dampness.
3. Long dan cao
Long
dan cao is also known as bitter root or bitterwort, it is bitter and
cold in nature and has been used in TCM in clearing damp heat and dry
vagina discharge caused by painful-swollen genitals.
4. Xiang fu
Xiang
fu is also known as nut grass rhizome and has been used to regulate and
strengthen the qi movement and treat abnormal menstruation due to
liver's abnormal function.
C. Kidney yang deficiency
(Strengthen kidney yin)
1. Zhi fu zi
Zhi
fu zi is also known as radix aconiti lateralis preparata, it has been
used to reinforce yang, and to dispel wind, cold and damp caused kidney
yang deficiency.
2. Du zhong
Du zhong is also known as ecommia
barkwarm and has been used to promote and smooth the flow of qi and
blood circulation by strengthening the kidney yang.
3. Shu di huang nourish kidney
Shu
di huang is also known as Chinese fox glove,it is warm in nature and
used to nourish blood and tonify kidney yang and essence.
4. Shan yao
(See Above)
5. Hai piao xiao astringe discharge
Hai
piao xiao is cuttlefish bone, warm in nature and has been used in TCM
in stopping uterine bleeding with vaginal discharge and enhancing the
kidney yang.
D. Kidney and liver yin deficiency
(Strengthen kidney and liver yang, tonify yang blood and clear heat)
1. Shu di huang
(See above)
2. Shan yao
(see above)
3. Zhi mu
Zhi
mu is also known as anemarrhena rhizomec and has been used to lear
empty fire from kidney caused by high humidity and liver fire.
4. Fu ling drain fire through urination
Fu
ling is also known as Indian bread or matsuhodo. The herb has been used
to promotes urinary secretion by draining fire through urination.
5. Ze xie is also known as water plantain
(Same function as fu ling)
E. Damp heat accumulated in liver channels
(Drain liver heat, clear damp, tonify yin blood)
1. Long dan cao :
(See above)
2. Chai hu
Chai hu is also known as Chinese thoroughwax or hare ear root, it is cool in nature and has been used to treat liver qi stagnation, clear liver heat.
3. Mu tong
Mu tong is also known as akebia caulis, it has been used to drain fire and dampness through urination.
4. Dang qui
Dang
qui is also known as Chinese angelica root. It has been used over
thousand year in China in treating women reproductive disorder by
nourishing blood yin.
5. Qian shi
Qian shi is also known as euryale seed,and used to treat damp heat, eliminate thick, whitish vaginal discharge.
IV. Treatment with Acupuncture
Here is only some acupuncture points have been used to treat
A. Spleen deficiency with damp
SP9 (yin ling), Sp6 (san yin jiao), CV12(zhong wan), ST8 (tou wei ) and SP3 (tai bai))
B. Spleen deficiency with damp heat
SP9 (yin ling), SP6(san yin jiao), UB20(pi shu), LI11 (qu chi) and GB34 (yang ling quan)
C. Kidney yang deficiency
UB23 (shen shu), GV4 (ming men), CV4 (guan yuan), CV6 (qi hai), KD3(tai xi), KD7 (fu liu) and UB52 (zhi shi)
D. Kidney and liver yin deficiency
PC8 (lao gong) , SP2 (da du), PC7 (da ling), SP3 (tai bai), GB38 (yang fu), LV2 (xing jian), LV3 (tai chong), LV4 (zhong feng), SP6 (san yin jiao) and SP10 (xue hai)
E. Damp heat accumulated in liver channels
LV14 (qi men), GB24
(ri yue), UB18 (gan shu), UB19 (dan shu), CV12 (zhong wan), SP3 (tai
bai), SP6 (san yin jiao), SP9 (yin ling quan), LV2 (xing jian), LI11 (qu
chi)
V. Acupuncture channels in short letter forms
LV: Liver channel
GB: Gallbladder channel
UB: Bladder channel
CV: Conception vessel channel
SP: Spleen channels
LI: Large intestine channel
KD: kidney channel
GV: Governing vessel channel
TH: Triple heater channel
PC: Pericardium channel
ST: Stomach channel
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