Clinical Observation Of Manpen Decoction Combined With Du Meridian Moxibustion In The Treatment On The Sequela Of Cold And Dampness Stagnation Pelvic Inflammatory Disease

Objective:To observe the efficacy and safety of slow pot decoction combined with du moxibustion in the treatment of sequelae of cold and dampness stagnation type pelvic inflammatory diseases,and to conduct a preliminary discussion on its mechanism of action,so as to provide a safe,effective and perfect program for clinical treatment of cold and dampness stagnation syndrome of pelvic inflammatory diseases.Methods:This subject strictly according to the traditional Chinese medicine and western medicine for the diagnosis of the standard to collect cases.A total of 72 patients were collected from the gynecological outpatient and inpatient departments of the Affiliated Hospital of Jiangxi University of Chinese Medicine from December 2019 to December 2020.Patients meeting relevant criteria were divided into treatment group and control group according to randomization.A total of 9 cases were shed during the study,including 4 in the treatment group and 5 in the control group,and 63 cases were actually enrolled.The experimental design was as following:the treatment group(32 cases)was treated with oral Chinese medicine slow pot decoction combined with Du Wei moxibustion,and the control group(31 cases)was treated with oral Chinese medicine slow pot decoction alone.The treatment was started 3 days after the end of menstruation,with 14 days as a course of treatment for 3 consecutive courses.After the end of 3 treatment courses,the comprehensive efficacy,TCM symptoms,local signs and related auxiliary examinations of the two groups of patients were compared,and the changes of evaluation indexes and the clinical treatment efficiency of the two groups were compared after the corresponding treatment.Adverse reactions and treatment during treatment were recorded.SPSS25.0 software was used for data processing.The verification standard A=0.05,and P<0.05 indicated statistical significance.Results:1.In terms of comprehensive curative effect,TCM combined with moxibustion of the tube and vein could effectively treat the sequelae of chronic pelvic inflammatory diseases with cold and dampness stagnation,with a total effective rate of 87.5%,which was superior to that of TCM alone(the effective rate was 74.19%).2.As for the comparison of the efficacy of TCM symptoms,the effective rate of the slow pot decoction combined with Du meridian moxibustion treatment group was 90.63%,and the effective rate of the control group was 67.74%.There was a significant difference between the results of the two groups(P<0.01),indicating that the efficacy of TCM symptoms in the treatment group was significantly higher than that in the control group.3.In terms of improving TCM symptoms,after treatment,the treatment effect of slow pot soup combined with Du meridian moxibustion is better than that of the control group in terms of TCM symptoms such as abdominal swelling or cold pain in the lower abdomen,lumbosacral acid distension,excessive amount of lower abdomen,cold limbs and abdominal pain during menstrual period.4.In terms of improving local signs,after comparing the conditions of uterus,appendix and ligament before and after treatment,there was a statistically significant difference between the two groups after treatment(P<0.05),indicating that the treatment group of slow pot soup combined with Du meridian moxibustion had better efficacy in treating local signs than the control group.5.In terms of improving pelvic effusion,the curative effect of the treatment group was better than that of the control group,and there was a difference between the two groups(P<0.05),indicating that the treatment group of slow pot soup combined with Du pulse moxibustion had better efficacy in improving pelvic effusion than the control group of slow pot soup alone.Conclusion:According to the results of the study,both groups have good clinical efficacy in treating the sequelae of cold and dampness stagnation pelvic inflammatory disease,but the effect of the treatment group is better than that of the control group.In this topic,the use of traditional Chinese medicine with Du moxibustion can significantly improve the symptoms and signs of patients,reduce the pain of patients,improve their quality of life.In addition,no adverse events occurred during the experiment,indicating that the combination of traditional Chinese medicine and moxibustion with the direction of the meridian for SPID treatment has high safety and clear efficacy,which is an effective treatment program for the clinical treatment of the sequelae of cold and dampness stagnation pelvic inflammatory disease,and is worthy of further clinical research and application.