| Endometriosis (EMT) is a growth function of endometrial tissues and glands plants and grows in other parts of uterine cavity coated membrane and palace muscularis. Adenomyosis(Am) is a growth function of endometrial tissues and glands invades myometrium. Its pathogenesis has not been clarified. The symptoms of chronic pelvic pain and dysmenorrhea caused by the disease have a serious impact on the normal work and life, the main methods for the treatment of this disease has the operation treatment and traditional Chinese medicine treatment, western medicine treatment.TCM no specific record of the name of the disease, scattered in "dysmenorrhea, menstrual disorders, infertility and other diseases.",the main pathogenesis of the disease is "blood stasis Chong and Ren, the uterus", used in the treatment of promoting blood circulation, according to the partial qi stagnation, cold coagulation, Qi deficiency, kidney deficiency, phlegm, stagnation of heat and add different.Purpose:After mentor researches of the disease in decades, The method of removing blood stasis and relieving pain has good effect on treating the disease.On this basis, Give the tutor self-made Decoction, Taking three consecutive months.Evaluation of the method of removing blood stasis and relieving pain to treatment of the endometriosis and adenomyosis have chronic pelvic pain and dysmenorrhea.Method:Select according to medical history, gynecological examination and laboratory examination for the diagnosis of endometriosis and adenomyosis, and patients who met inclusion criteria and exclusion criteria were33cases. Before and after treatment do a security check (blood routine, urine routine, liver function, renal function and ECG), Continuous medication for3months, sooner or later each time, each taking200ml. After the end of treatment, evaluation of blood stasis symptoms, the symptoms of abdominal pain and abdominal pain, TCM symptom before and after scores, statistical analysis, to evaluate the therapeutic effect.Result:After three months with this drug treatment, dysmenorrhea symptom score, blood stasis symptoms and TCM symptom score in patients with abdominal pain were significantly improved, Statistical analysis Results were significant difference.The comprehensive effect recovered accounted for9cases (27.3%),markedly effective accounted for13cases (39.4%), effective6cases(18.2%), invalid5cases (15.1%), the treatment of the disease, the cure rate is27.3%, the total effective rate was84.9%;The efficacy of TCM symptoms recovered accounted for7cases (21.2%), markedly effective was accounted for9cases (27.3%), effective13cases (39.4%), invalid4cases (12.1%).The pain of patients self-rated efficacy recovered accounted for9cases (27.3%), markedly effective was accounted for18cases (54.5%), effective3cases (9.1%), invalid3cases (9.1%).Long-term follow-up of24patients, the pain disappeared in13cases.4cases of mild pain, moderate pain in four cases, three cases of severe pain.For by the line of abdominal pain, pain, localized pain, tenderness, abdominal mass, tongue, pulse and symptoms and signs of improved significantly, but the lumbosacral pain, nausea and vomiting, anus dropping bilges symptom improvement is not significant.Conclusion:The drug to improve the patient’s pain (Chronic pelvic pain, dysmenorrhea and painful sexual intercourse) symptoms significantly,30patients get significant relief pain,the drug treat the pelvic chronic painAnd dysmenorrhea caused by the endometriosis and adenomyosis has better clinical effect, the mentor idea of " the method of removing blood stasis and relieving pain to treatment of the disease have chronic pelvic pain and dysmenorrhea" was verified. But the drug improve slightly in patients with lumbosacral pain, anal straining and nausea and vomiting and other symptoms, need to be improved in clinical research in the future. |