Pelvic inflammatory disease (PID) is an inflammation many women wish to avoid. Though seemingly minor, prolonged neglect can lead to severe gynecological complications. Effective treatment hinges on proper medication use. Clinical Manifestations of PID Pelvic inflammatory diseases present with varying symptoms depending on severity and scope. Mild cases may be asymptomatic or exhibit only minor discomfort. Common symptoms include lower abdominal pain and increased vaginal discharge.Abdominal pain is persistent and may worsen with physical activity or sexual intercourse. Severe cases may present with fever (including high fever), chills, headache, and loss of appetite.
Onset during menstruation may cause heavier flow and prolonged periods. Peritonitis may trigger digestive symptoms like nausea, vomiting, bloating, and diarrhea. Concurrent urinary tract infections may cause urgency, frequency, and painful urination.
Abscess formation may cause a lower abdominal mass with local compression or irritation symptoms. A mass anterior to the uterus may cause bladder irritation symptoms like dysuria and frequency; if causing cystitis, it may also cause urinary pain. A mass posterior to the uterus may cause rectal irritation symptoms. Extrapelvic masses may cause diarrhea, tenesmus, and defecation difficulties.Symptoms and signs of salpingitis accompanied by right upper quadrant pain should raise suspicion of perihepatitis.
How to medicate for pelvic inflammatory disease? Symptomatic treatment with Chinese herbal medicine:
1. Damp-heat pattern:
(1) Longdan Xiegan Pills (Tablets): Water-based pills, 3-6g per dose for adults, three times daily, taken with warm water.Take 4-6 tablets per dose, three times daily with warm water. (2) Golden Rooster Capsules: 4 capsules per dose, three times daily with warm water. (3) Gynecological Leukorrhea Tablets: 4-6 tablets per dose, two to three times daily after meals with warm water.
(4) Leukorrhea Pills: 1 pill per dose, twice daily, taken with warm water.
(5) Sanmiao Pills: 6g per dose, twice daily, taken with warm water.
(6) Daiha Powder: 6g per dose, 1-2 times daily, taken with decoction in cloth bag or mixed with warm water.
2.Heat-Toxin Pattern:
(1) Gynecological Qianjin Tablets: 4 tablets per dose, twice daily, taken with warm water.
(2) Wild Chrysanthemum Suppository: External use, 1 suppository per dose, administered rectally, 1-2 times daily.
(3) Qingkailing Injection: Intramuscular injection, 2-4 mL per dose for adults, 1-2 times daily.Intravenous infusion: 20-40ml daily, diluted in 200ml of 10% glucose injection or 100ml of 0.9% sodium chloride injection.
3. Damp-Heat with Abdominal Stagnation Type:
(1) Huahong Granules: 1 sachet per dose, 2-3 times daily, dissolved in boiling water.
(2) Fubao Granules: 20g per dose, 2 times daily, dissolved in boiling water.
(3) Fuyan Kangfu Tablets: 6 tablets per dose, 3 times daily, taken with warm water.
(2) Gynecological Essence Granules: 20g per dose, twice daily, dissolved in boiling water.
(3) Gynecological Inflammation Recovery Tablets: 6 tablets per dose, three times daily, taken with warm water.
(4) Gynecological Joy Granules: 128mg per dose, twice daily, dissolved in boiling water.