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1.临床资料:本组年龄25～38岁,病程1～10年。均有少腹痛,腰骶酸痛,月经量和白带增多,带下色黄,有臭味,周身不适,常在劳累后加剧,伴口干,小便黄赤,大便干结。查体:子宫常呈后位,压痛,活动欠佳,附件区增厚或有包块,压痛明显,舌质红,苔黄脉数。本组病例中医辨证均为湿热内蕴,络脉淤阻。 2.治疗:①中药内服:治则清热利湿,活血化淤,通络止痛。药用丹参20g,木香12g,桃仁10g,金银花30g,蒲公英30g,茯苓12g,丹皮9g,生地10g,苍术12g,黄柏12g。痛重时加元胡12g;气虚者加党参15g,白术9g,黄芪15g,要求生育又伴有输卵管闭塞者,加穿山甲15g,路路通15g。用法:月经干净后服,连服20剂为 1疗程。②同时服胎盘片。③热敷。④理疗,经后4～5天开始,超短波每次治疗15分钟,每日1次,10天为一疗程。短波每次15～20分钟,20次为1疗程。
1. Clinical data: The group aged 25 to 38 years old, duration of 1 to 10 years. Have less abdominal pain, lumbosacral pain, menstrual flow and vaginal discharge increased, with yellow color, smell, whole body discomfort, often exacerbated after exertion, with dry mouth, urine yellow red, dry stool. Physical examination: the uterus often posterior position, tenderness, poor activity, attachment area thickening or mass, tenderness, red tongue, yellow coating number. This group of patients syndrome differentiation are hot and humid intrinsic, collaterals silt resistance. 2. Treatment: ① Chinese medicine: rule rule heat dampness, promoting blood circulation, collaterals and relieve pain. Medicinal Salvia 20g, woody 12g, peach kernel 10g, honeysuckle 30g, dandelion 30g, Poria 12g, Dan leather 9g, habitat 10g, herb 12g, Treats 12g. Add weight when the weight Hu Hu 12g; Qi and Codonopsis 15g, Atractylodes 9g, Astragalus 15g, requiring fertility and tubal occlusion were added, plus pangolin 15g, Passepartout 15g. Usage: menstrual clean clothes, and even served 20 doses for a course of treatment. ② while taking the placenta. ③ heat. ④ physical therapy, after 4 to 5 days, ultra-shortwave each treatment for 15 minutes, 1 day, 10 days for a course of treatment. Short-wave every 15 to 20 minutes, 20 times for a course of treatment.