淺談骨盆腔炎的中醫治療

A Brief Discussion of the Treatment of Pelvic Inflammatory Disease with Chinese Medicine

趙裔智(I-Chih Chao)

《中國中醫臨床醫學雜誌》 10卷4期 (2004/12) Pp. 321-324

https://doi.org/10.6968/TJCCTM.200412.0321

摘要

骨盆腔炎是女性上生殖器官受到細菌感染，包括子宮、卵巢和輸卵管。當下生殖道（子宮頸、陰道）有引起骨盆腔炎的細菌繁殖時，它們會經由子宮頸進入上生殖道。統計顯示，美國七分之一的女人在她的一生中都曾治療過骨盆腔炎。更糟的是，四分之一的患者會有慢性腹痛、不孕或不正常懷孕。但有許多是未被正確診斷，所以真正的數目應該更高。通常是因為性伴侶帶有性傳染病，若是沒有適當的治療，大約40%會罹患骨盆腔炎。它的發生經常是在嚴重陰道、子宮頸感染、流產之後，或任何經過子宮頸部或腹部會讓致病菌進入生殖道的手術操作。而在中醫角度看治療骨盆腔炎，多從因濕熱鬱結而起，故以清熱利濕為治療原則。

關鍵字

骨盆腔炎 ； 濕熱鬱結 ； 清熱利濕

並列摘要

Pelvic inflammatory disease (PID) is the infection of the female upper reproductive tract, which includes the uterus, ovaries and fallopian tubes. When bacteria enter into and reproduce in the lower reproductive system (cervix and vagina) they can then enter the upper reproductive system by way of the cervix. Statistics show that one in seven American women have been treated for pelvic inflammatory disease at least once in their life. Even worse is that of these women, one in four experience chronic abdominal pain, infertility or abnormal pregnancy. But many women aren’t properly diagnosed, and so the number of those suffering from PID is probably higher. Often it is the partner who introduces an infectious venereal disease. If no appropriate treatment is taken roughly 40% of cases will lead to pelvic inflammatory disease. PID frequently occurs post partum or after a severe vaginal or cervical infection or any surgical procedure that allows the entry of pathogenic bacteria into the abdomen or reproductive tract. From the perspective of Chinese medicine PID is mostly due to binding depression of damp heat and thus the treatment follows the principle of clearing heat and disinhibiting dampness.

並列關鍵字

pelvic inflammatory disease ； binding depression of damp heat ； clear heat ； disinhibit dampness