| Objective:To observe the clinical effects of the method of tonifying kindey and regulating menstruation in treating sequelea of pelvic inflammatory disease(type of dampness and heatness retention).It is expected to relieve the patients'clinical symptoms and improve life quality and to explore the mechanism,thus to generalize the application of tonifying kindey and regulating menstruation method in clinical practice of TCM gynecology.Method:54 cases of sequelea of pelvic inflammatory disease(type of dampness and heatness retention) who meet the inclusion criteria are randomly divided into 2 groups,30 cases in trial group and 24 cases in control group.According to Pro.Xia Guicheng's theory of tonifying kindey and regulating menstruation,patients in trial group take different Chinese herbs (decocotion to promoting blood circulation to restore menstrual flow during menstruation, to replenish yin and blood during postmenstrua, to tonify kidney and promote ovulatingduring intermenstruum, to invigorate kidney and yang during premenarche).Herbs with function of Clearing away Heat and Resolving Dampness are added to each decocotion, such as Hongteng, Baijiangcao, Yiyiren, Pugongying. Patients in control group take modified Hongtengbaijiang San (decocotion to clear away heat and resolve dampness). All patients have one dose of Chinese medicine a day for 3 menstrual cycle, taken in the morning and in the afternoon. Observe the changes in integral of TCM Syndrome and local signs and in laboratory examination before and after been treated.Results:1. After been treated, there is statistical significance between trial group and control group in integral of local signs,integral of TCM syndrome and total Score before, (p<0.05)2. The cured and markedly effective rate and effective rate in trial group were 90% and 100%. While the cured and markedly effective rate and effective rate in control group were 58% and 96%.3. For the improvement of menstrual disorder (heavy flow and lengthened menstruation) after been treated, trial group is prior to control group, with statistical significance (p<0.05)4. For the relief of abdominal pain,there is no statistical significance (p>0.05) between trial group and control group.Conclusion:Taking different Chinese medicine according to the theory of tonifying kindey and regulating menstruation can alleviate the signs and symptoms of patients with sequelea of pelvic inflammatory disease(type of dampness and heatness retention).It has a higher cured and markedly effective rate than taking Herbs with only function of clearing away heat and resolving dampness. The cure effect in improving menstrual disorder (heavy flow and lengthened menstruation) is especially obvious。Method of tonifying kindey and regulating menstruation in treating sequelea of pelvic inflammatory disease can relieve the patients'clinical symptoms and improve life quality.it is worthy clinical generalization and application. |