Overview
Pelvic inflammation is pathological changes of inflammation of internal genital organs of female and peripheral connective tissue, and pelvic peritoneum. Inflammations may concurrence in one or more place. According to the difference of location, it can be divided into endometritis, myometritis, appendagitis, and so on; on the basis of degree of seriousness of an illness, and course of disease, it can be divided into acute and chronic disease. It may occur mostly in middle-aged femme. Clinical manifestation is: hypogastric pain and lumbosacral aching pain, aggravated by physical labor and circa menses, more leucorrhea, menstrual disorder, much quantity of menstruation, dysmenorrheal, bearing-down pain of anus, touching lump in abdomen and tenderness obviously, pelvic inflammatory disease belongs to fluor, and abdominal mass in TCM. Innate asthenia, deficiency of liver and kidney yin, or melancholy, anxiety and spleen, damp invasion of lower energizer; or after childbirth, abortion, and impairment of qi and caused by overstrain menstrual period, invasion by pathogenic wind-cold, customer in uterine collaterals, lead to the disharmony of the liver, chong, and ren meridians, which cause pelvic inflammatory disease. Therapeutic principle is clearing heat, detoxicating, and promoting urination, promoting blood flow and remove blood stasis to relieve pain, regulating the chong and ren channels.

Treatment
1. Daimai (GB 26)
(1) Acupuncture-therapy: Let the patient dorsal position, with routine sterilization, needle perpendicularly at the depth of about 1.5 cun with 2 cun 28 gauge filiform needle, rotate needle continuity after obtaining the qi with medium intensity irritation, it should be retained for 30 minutes during which it is manipulated 2 times and 10 times makes up a course of treatment.

(2) Laser acupuncture therapy: Choose He-Ne laser acupuncture of 3-25 mW, the diameter of light spot is 0.2 cm-0.3 cm, to irradiate the point 5 minutes with the distance of 2-5 cm. The therapy is done once per day or every other day, and 10 times make up a course of treatment.

2. Zhongji (RN 3)
Let the patient be dorsal positron, needle the point perpendicularly at the depth of about 1.5 curt with 2 cun 28 gauge filiform needle, rotate it continuity with medium intensity irritation after deqi, till needling sensation spread to the lower abdomen., it should be retained for 30 minutes during which it is manipulated 2 times, and 10 times make up a course of treatment. Likewise, acupuncture with warming needle can be applied.

3. Zigong (EX-CA1)
(1) Point-injection therapy: Let the patient be dorsal position, with routine sterilization; choose 5 or 6 gauge pinhead to needle the point with parenteral solution of astragalus mongholicus of 2 ml. After obtaining qi, inject 1 ml medication slowly. The treatment is done once per day or every other day, and 10 times make up one course of treatment.

(2) Laser acupuncture therapy: choose He-Ne laser acupuncture of 3-25 mW, the diameter of light spot is 0.2 cm- 0.3em to irradiate 5 minutes with the distance of 2-5 cm. The therapy is done once per day or every other day, and 10 times make up a course of treatment.

4. Ciliao (BL 32)
(1) Let the patients lay on the stomach, with routine sterilization, choose the ciliao point both side, then needle clisis to dorsal spine, and along the dorsal sacral foramina at the depth of about 1-1.5 cun with 1.5-2 cun 28 gauge filiform needle. Manipulate needles again and again, in order to producing the sense of warmth to hypogastrium. Retain the needles 30 minutes, with manipulating the needles 2 times. The therapy is done once per day, and 10 times make up a course of treatment.

(2) Dermal needle therapy: Let the patient be prone position, with routine sterilization, then use the dermal needle to tap on the region, which should make the patient feel a little pain, and erubescence without capillary hemorrhage. The therapy is done once every other day, and 10 times make up a course of treatment.

Note
1. Pathogenetic condition of acute pelvic inflammatory disease is fairly urgent, so acupuncture therapy is seldom used alone. Acupuncture combined with medicine can be used to promote therapeutic effect, shorten course of disease, and to prevent it changing to chronicity. Acupuncture therapy has a good effect on chronic pelvic inflammatory disease, because of chronic pelvic inflammatory disease often lead to dysgenesia, so the patient coming to department of acupuncture and moxibustion with complain of infertilitas feminis, partly accompany with chronic pelvic inflammatory disease.

2. When needling, acupuncturist should avoid needling in the inflammation position or mass.

3. Should promote a favorable health habit, hygienic habit, and take notice of menstrual hygiene.