The Study In The Distiution Of TCM Patterns Of Mycoplasmal And/or Chlamydial Pelvic Inflammatory Disease (Chronic)

In recent years the mobidity of Mycoplasmal and or Chlamydial pelvic inflammation(short as "MPI" and/or "CPI" )(chronic) is higher and higher, which seriously effects the physical and mental health of wowen.At present, the study of traditional Chinese medicine of this disease stagnates in chronic pelvic inflammation,and there is no systematic differentiation of symptoms and signs of this disease.To intensively study the regular pattern in the distribution of TCM patterns of MPI and/or CPI(chronic) and analysize the correlated factor,are of important clinical significance and social value.Objective:To approach the regular pattern in the distribution of TCM patterns of MPI and/or CPI(chronic),carry out the standardized differentiations,analyze etiological factor and pathogenesis,study the relationship of the correlated factors and the distribution of the patterns,provide the clinical evidence of differentiation,and help to prevent this disease.Methods:To collect cases from inpatient and out patient departments of the first affiliated Hospital of Guangzhou University of TCM(March-2008,May-2009),make the diagnose according to the diagnostic criteria of traditional Chinese medicine,compare the constituent ratios of the patterns,analyze the relationship of the patterns and the correlated factors such as mycoplasma,chlamydia,age,course,gravidity and abortion.Results:We collect 164 qualification cases in all.There are 5 patterns,in which are splenic asthenia and blood stasis with hast,kidney asthenia and blood stasis,moist heat with blood stasis,qi-stagnancy and blood stasis,cold coagulation with moist stagnancy.In the study there are 159 cases UU(+),14 cases MH(+),and 17 cases CT(+)(all including mixed infection of pathogens above).The age of onset is between 25 and 34,and most of the course is more than one month.Conclusions:1.The patterns of MPI and/or CPI(chronic) by decreasing are the pattern of splenic asthenia and blood stasis with nast,kidney asthenia and blood stasis, moist heat with blood stasis,qi-stagnancy and blood stasis,cold coagulation with moist stagnancy.The distribution of the patterns is mainly for Guangzhou and the areas around.There are many accompanied patterns followed,and its nature is asthenia and sthenia included.The pathogenesis is complicated.The treatment of it should be individual,and pay attention to the accompanied patterns.According to the distribution of the patterns and the characteristic of the pathogenesis,the treating methods should be activating blood circulation to dissipate blood stasis,invigorating kidney and spleen,dissipating heat and dampness and dispersing the depressed liver-qi.2.The easiest pattern which the patients with CT inflammation are going to be is moist heat with blood stasis,coming next is splenic asthenia and blood stasis with nast.The onset of the disease manifests the pattern of moist heat with blood stasis,accompanied by splenic asthenia,so these patients should be given dissipating heat and dampness,invigorating the spleen and activating blood to prevent the condition worse.3.The disease occurs mostly in reproductive age,whose courses are more than one month.The state of the illness evolves from moist heat with blood stasis to splenic asthenia and blood stasis with nast,then kidney asthenia and blood stasis,in the progression accompanied by qi-stagnancy and blood stasis,cold coagulation,if not treat actively,the course may be longer and hard to recover.There is close relationship between MPI and/or CPI(chronic) and vaginitis,menstrual disorder,infertility,therefore,we should pay attention to it and treat disease as vaginitis as early as possible.4.Excessive infanticultures,abortions,ectopic pregnancies and interuterine operations are remote factors of MPI and/or CPI(chronic).So in order to prevent MPI/CPI,we should advise patients avoid excessive infanticultures, unplanned pregnancies and ectopic pregnancies;also we should strictly follow sterilitas principles in operations,and choose indications.To patients with IUD,we should pay attention to the condition of vaginal purity;and notice if there is the appearance of the pattern of moist heat and blood stasis.Choose the suitable methods for contraception.