TCM Treatment for Pelvic Inflammatory Disease
Based on our clinical research, acupuncture and herbs achieve significant positive patient outcomes for patients with chronic PID. Chinese herbal medicine, as a standalone therapy, achieved a 77.5% total effective rate in their clinical trial. Acupuncture, as a standalone therapy, achieved a 75% total effective rate. A therapeutic protocol combining acupuncture and Chinese herbal medicine achieved a 92.5% total effective rate. The data confirms that an integration of both acupuncture and herbs into a treatment protocol achieves optimal positive patient outcome rates.
The total effective rate was based on improvements of both objective and subjective outcomes. Improvements include the reduction or elimination of abdominal pain, lower abdominal bloating, vaginal discharge (leukorrhea), menstrual pain, irregular menstruation, fatigue, and pelvic compression test pain. The total effective rate also includes significant improvements or elimination of endometrial hyperplasia, pelvic masses, vaginal secretion leukocyte count, and the serum leukocyte and neutrophil count. Six, nine, and twelve month follow-up medical examinations confirm that acupuncture and herbal medicine maintain lasting results and prevent relapses of PID.
Our study was comprised of three treatment groups equally randomized from 120 patients with pelvic inflammatory disease. Group one received acupuncture. Group two was treated with herbal medicine. Group three was treated with both acupuncture and Chinese herbal medicine. The patients in the study suffered from PID related complications including generalized bodily inflammation, salpingitis, hydrosalpinx, oophoritis, oviduct cysts, pelvic connective tissue inflammation, and endometritis. PID is due, at least in part, to the differential diagnostic pattern of damp heat and toxins with blood stasis, according to TCM principles.
Acupuncture was applied to primary acupoints including:
SP6, Sanyinjiao, CV6, Qihai, CV4, Guanyuan, ST29, Guilai, SP10, Xuehai, SP9, Yinlingquan
Supplementary points were added based on differential diagnostics including:
CV3, Zhongji, ST28, Shuidao, KD3, (Taixi), KD7, Fuliu, BL23, Shenshu
Herbal Prescripton:
Jin Yin Hua, 15 g
Lian Qiao, 15 g
Pu Gong Ying, 15 g
Zi Hua Di Ding, 15g
Sheng Ma, 10 g
Bai Jiang Cao, 15 g
Yin Chen Hao, 15 g
Pu Huang, 15 g (in cloth wrap)
Gui Ban, 30 g (decoct beforehand)
Hu Po, 5 g (mix powder into final decoction)
Dan Shen, 15 g
Chuan Xiong, 15 g
Yi Yi Ren, 30 g
Jie Geng, 10 g
Additional herbs were added to the formula dependent upon variations in the differential diagnoses. This included taking into account fevers, abdominal pain, fatigue, and pelvic masses. Additional herbs included Da Huang, Chuan Lian Zi, Yan Hu Suo, Huang Qi, San Leng, and E Zhu. The decoction was taken twice per day for a total of sixty days. The 92.5% total effective rate for the combination of acupuncture with Chinese herbal medicine strongly indicates that the integrative protocol is optimal.