The Clinical Research About The Treatment Of Chronic Pelvic Inflammatory Disease With Man Pen Yan Decoction Through Taken Orally,enema,apply Cointment

Objective: Chronic pelvic inflammatory disease is a clinical common disease, for the majority of women in reproductive age life,learning, work caused by interference. Modern medicine has done a lot of research on chronic pelvic inflammatory disease, research on neighborhood in the treatment has great development. This subject adopts self-made Man Penyan Decoction orally and retention enema with, external application in the treatment of chronic pelvic inflammation were observed before and after treatment, through the indicators, to understand the safety of the combined therapy on patients with chronic pelvic inflammatory disease symptoms, signs of improvement and drugs, expounds the causes and pathogenesis, and treatment principle of the treatment clinical promotion.Methods:Select 72 cases of chronic pelvic inflammation according to the clinical diagnostic criteria.Then they were randomized to a treatment group and a control group,there are 36 cases in each group.The treatment group was given Man Pen Yan decoction,one dose daily,each agent fried 2 times,the first time for 200 ml,taken orally twice one day.The second time for 100 ml,keep 38-38℃,enema after defecation before going to bed.Finally,put the warm dregs into a bag,fix it on lower abdomen,pay attention to control thetemperature,do not burn the skin.The control group was given oral pills Gong Yanping,take it orally triple one day,once15-20 pills.Both of the groups were selected treat in the 7 days before the onset of menstruation and the menstruation comes 7days.The menstrual period stop enema.A course for 14 days,continuous 3 courses.After the whole treatment,compared to patients with symptoms,signs,laboratory examination,examination and medication during B ultrasoundgastrointestinal reactions,3mouths later,we made a follow-up wisit to know the recurrence information.Results:1.The treatment group compared with the control group in age, the severity of the disease and the TCM symptom score before treatment,there was no significant difference(P > 0.05).2.Comprehensive clinical efficacy: the total efficiency of94.4%;control group total effective rate was 77.8%,the two groups had statistical significance between the groups(P < 0.01), the comprehensive effect of the treatment group was significantly higher than the control group.3.The total score of clinical symptoms were significantly different before and after treatment in two groups(P < 0.01),compared two groups of patients with chronic pelvic inflammatory disease of TCM symptoms:the total efficiency of treatment group was 94.4%,control group total effective rate was 80.6%.There was a significant difference in the difference between the two groups(P <0.05),indicating the control group and the treatment groups can improve clinical symptoms of patients with chronic pelvic inflammatory disease,the total efficiency of the treatment groupthan the control group,indicating Penyan Decoction with slow effect on patients with chronic pelvic inflammatory disease is better than Gongyanping pills.4.After 3 menstrual cycles,TCM syndrome total score were between two groups before and after treatment(P < 0.05),compared two groups of patients with chronic pelvic inflammatory disease TCM syndrome curative effect: treatment group total effective rate was88.9%,control group total effective rate was 66.7%.There were significant differences between the two groups(P<0.01),the description of the control group and the treatment group can improve clinical symptoms of TCM in patients with chronic pelvic inflammatory disease,the total efficiency of the treatment group was significantly higher than the control group.5.There was no significant difference in adverse reactions in two groups(P > 0.05).Conclusion:Man Penyan decoction is based on Shiyan Hospital of Traditional Chinese Medicine doctor Zhu Mingchen’s experience with the slow change,the main role is to blood stasis,heat clearing and dampness,and build up one’s resistance to disease.Medicine composition:wangbuliuxing,euonymusalatus,Smilax,Gleditsia sinensis,Patrinia,salvia,angelica,Oldenlandia,Mu Xiang,Rhizoma Cyperi,Radix Astragali,eucommia,Qu jian,Licorice.In the treatment of various types of chronic pelvic inflammatory disease is better than Gongyanping pills.Because Man Penyan decoction from a variety of treatment methods like oral,topical,retention enema.Accordingto the patient’s constitution,the type of symptoms,associated symptoms,According to the patient’s constitution,the type of symptoms,associated symptoms,dialectical theory of governance,tackling the problem,at the same time,we pay attention to the protection of the spleen and stomach in the treatment process,so no obvious gastrointestinal adverse reactions,worthy of further study and clinical application.