Non-surgical and surgical treatments are used according to the patient's age, fertility status and clinical manifestations. Non-surgical therapies mainly use sphincterization and androgens to treat patients with heavy menstrual flow and small fibroids; where the fibroids are large and symptomatic and non-surgical therapies are ineffective in treating them, surgical treatments can be adopted.
This disease generally belongs to the Chinese medicine "artwork", "heavy menstruation" and other evidence category. Qi stagnation, blood stasis, phlegm stagnation in the uterus, is its basic etiology and pathology. The cause of qi stagnation, blood stasis and phlegm accumulation is often closely related to the attack of external evils (e.g. dampness and heat) and the dysfunction of internal organs. In the late stage of the disease, the patient's vital energy is often greatly injured (deficiency of qi and blood, imbalance of yin and yang), and phlegm and stasis still remain. In the early stage, it is advisable to activate blood circulation and regulate qi, break the stasis and dissipate the knot, clear heat and eliminate phlegm; the patient is bleeding too much, and the positive qi is greatly injured, then it should be attacked and supplemented, that is to say, to activate blood circulation and eliminate stasis and eliminate phlegm and soften the hardness of the time, and the appropriate choice of tonifying the qi, benefiting the blood and filling in the essence of the product, so that the evil is not injured.
This section is selected from the series of tumor elimination, enema artwork and other effective treatment of uterine fibroids formula 13, depending on the case can be selected.
1. the elimination of tumor series formula drug composition ① non-menstrual formula: angelica, rhizoma ligustici, dihuang, white peony, peach kernel, safflower, trigonelline, curcuma longa, turmeric, each 9g, kombucha, seaweed, dan shen, liu shun nu, turtle turtle armor 15g. ② menstrual formula: angelica, rhizoma ligustici, white peony, cimicifuga, liu shun nu, pohuang charcoal, rhizoma ligustici, 9g, dan shen, comfrey root, 15g, agaricus and motherwort, 12g.
This section is selected from the series of articulation formula for the treatment of uterine fibroids, which has been effective in 13 cases. >
Additions and subtractions: if accompanied by weakness of qi and blood, add astragalus and codonopsis on the basis of the above two prescriptions; if there is obvious dampness-heat, add huanglian, scutellaria, etc.; if the blood heat is more serious, add gardenia and dandelion, etc.; if accompanied by depression of the liver, or pre-menstrual breast distension, or distension of the abdomen, add chaihu and yujin.
Treatment method above are water decoction, 1 day 1 dose. The non-menstrual side is usually taken at the usual time, and the menstrual side is taken during the menstrual period.
Efficacy main treatment to activate blood circulation and eliminate blood stasis, eliminating artwork and dispersing knots. The main treatment of uterine fibroid.
Clinical use of **** observation of 42 cases. Cured 9 cases, accounting for 21.4%, are a single small fibroid. Effective 17 cases, accounting for 42.8%, of which 12 cases of single fibroid, multiple fibroids 5 cases. Effective 7 cases, accounting for 16.6%, including 5 cases of single leiomyoma and 2 cases of multiple leiomyoma. Ineffective 9 cases, accounting for 21.4%, of which 5 cases were multiple leiomyomas. The total effective rate was 78.5%.
The experience of uterine fibroids is a common gynecological benign tumors, the incidence rate is high, the modern medical science more use of surgical treatment. Clinical observation found that the uterine fibroids with this formula conservative treatment, can also achieve satisfactory results.
Source of formula Liu Ying, et al. Summary of 42 cases of uterine fibroid clinical treatment. Tianjin traditional Chinese medicine, 1989, (5): 16. 2. enema artwork formula drug composition peach kernel, chuanxiong, trigonelline, curcuma, andrographis paniculata, mouton, lutong, chenpi, citrus aurantium, kombu, oyster, each 15g, □ worms 12g.
addition and subtraction of changes: obesity phlegm-dampness, add Xia Kucao, Faganxia prepared 15g.
Treatment method of decocting water to extract juice, concentrated to 100ml, the temperature of about 40℃ (with a drop of liquid), the temperature of about 40℃ (with a drop of liquid), the temperature of the water is about 40℃. Temperature at about 40 ℃ (to drop on the forearm is not hot and not cold for appropriate). Before the enema to empty the stool, with a medium-sized catheter inserted into the anus 15 ~ 20cm, with a 100ml syringe will be injected into the rectum slowly. After pulling out, elevate the buttock position and lie on the left side, and keep it for 2 hours. Once a day, 30 times for 1 course of treatment, 1 to 4 consecutive courses. Stop the enema when the menstrual flow is heavy. Initially, due to discomfort, there may be a bowel movement after the enema, which gradually disappears after a few times. In the course of treatment, there is a slight pain in the abdomen and other symptoms, suggesting that the drug has reached the place of disease, the therapeutic effect is better. At the end of each course of treatment, gynecological examination and ultrasound review 1 time, usually in the postmenstrual 3 to 7 days.
At the same time, combined with traditional Chinese medicine to identify the symptoms, with traditional Chinese medicine internal use. Among them, spleen and kidney yang deficiency type (early, heavy or dribbling menstruation, pale red color, blanched face or deficiency, fatigue, heavy leukorrhea, pale tongue, etc.) with Codonopsis, Astragalus, Chinese yam, Radix Rehmanniae Praeparata, Poria 15g each, Atractylodes macrocephala, Chuanxuanjie, Baqi Tian 9g each, Pericarpium Citriodermis 7g, Chickweed Vinegar 20g; qi stagnation and blood stasis type (menstrual bleeding, heavy or irregular bleeding, dark red color or with stasis, abdominal distension and pain, etc.) with angelica, Rhizoma Ligusticum Chuanxiong, Red peony, safflower, Chen Pi 9g each, Salvia miltiorrhiza, Sichuan hyssop 10g each, peach kernel 12g each, neem seed, fragrant herbs, black cohosh 15g each; liver and kidney yin deficiency type (menstruation in advance, heavy, reddish and thick, two cheekbones flushed, hands and feet, hot, dizziness, tinnitus, lumbar knee acidity and weakness, etc.) with raw and ripened Chinese diaphragm, Chinese yam, cornu cervus, wolfberry, hyssop, calcined Longmu, Xia Kucuo Cao 15g each, chasteberry, white peony 12g each, danpi, Chen Pi 9g each. The above formula are decocted with water and taken internally, 1 dose per day, the course of treatment with the irrigation soup to eliminate artwork formula.
Effects and IndicationsRevitalizing blood circulation and removing blood stasis, eliminating addiction and softening. The main treatment for uterine fibroid.
Clinical use of this group of 54 cases, are unwilling to surgical treatment of patients. After using the above internal and external treatment, the results: clinical symptom improvement: menstrual irregularities in 27 cases, after treatment, cured 13 cases, 11 cases, effective 2 cases, ineffective 1 case, the total effective rate of 96.3%; other symptoms of the improvement of the effective rate of 100%. Changes in the volume of leiomyosarcoma: 30 cases were cured after treatment, 10 cases were effective, 6 cases were effective, 8 cases were ineffective, and the total effective rate was 85.2%.
The experience of this formula can regulate qi and blood, soften and disperse the knot, dry dampness and dispel phlegm, and combined with the identification of the use of internal prescription, internal and external treatment, attack and complementary, and long-term use of medication, so the therapeutic effect is very significant.
The uterus is located in the lower abdomen, according to the pelvic veins thin wall, lack of sheaths, small and medium-sized veins without valves and venous plexus and other characteristics, so that the venous system of the pelvic organs is like a water network connected to the swamp, and the rectum and uterovaginal veins anastomose with each other. Therefore, it is envisaged that the drugs absorbed through the rectum can be quickly diffused in the pelvis to reach the diseased uterus, maintaining the effective concentration of drugs locally for a certain period of time, and avoiding the stimulation of the gastrointestinal tract by the products that break the firmness and attack the stasis.
Source of formula Zhang J, et al. Clinical observation on 54 cases of uterine fibroids treated mainly by Chinese medicine enema. Journal of Traditional Chinese Medicine, 1991, (10): 44. 3. ginseng astragalus dragon peony soup drug composition of ginseng, atractylodes macrocephala, schizandra, coriander, tortoise board, scutellaria baicalensis 10g each, astragalus, chicken inside the gold 12g each, raw keel, calcined oyster, systematic shouwu 20g each, XuanShenGen 15g.
Treatment method of menstruation advancement, add the two to the pill; blood, add gorgonian fruit, cuttlebone; menstrual cramps, add paeoniae lactiflora glycyrrhiza soup or Loss of Smile San. The treatment is 1 dose per day, 3 months for a course of treatment, stop using other Chinese and Western medicines during the treatment.
Effects and Indications: Benefiting qi and nourishing yin, softening firmness and dispersing knots. It is also used to treat uterine fibroid tumors.
Clinical application of 58 patients after 1 to 2 courses of treatment, various symptoms have different degrees of improvement. Among them, there were 39 cases of heavy menstruation, and 35 cases of reduced menstruation after treatment, accounting for 89.7%; 20 cases of early menstruation, and 17 cases of returning to normal, accounting for 85%; 9 cases of prolonged menstruation, and 7 cases of improvement, accounting for 77.8%; 8 cases of dysmenorrhea, and 5 cases of improvement, accounting for 62.5%; 36 cases of abdominal distension and lumbar pain, and 26 cases of improvement, accounting for 72.2%; 2 cases of primary infertility, and 1 case of pregnancy. Dizziness, fatigue, anemia and other symptoms were significantly improved. By ultrasound myoma disappeared or the total area reduced by about 1/2 of 28 cases, reduced by 1/3 of 19 cases, invalid 11 cases.
Experience of this disease is mostly due to the new birth, menstrual inadvertence, cold evil condensation not work or heat evil frying into a block, or stagnation of gas for a long time, by the gas and blood, resulting in the accumulation of blood in the abdomen into a block. Adopt the method of benefiting qi and nourishing yin, softening and solidifying the astringent, in order to achieve a better therapeutic effect. It is especially effective for those between the muscle walls, but less effective for those under the plasma membrane and submucosa. In addition, after taking this formula, it was found to be effective on muscle nuclei of different sizes. It is speculated that its mechanism of action may be related to the adjustment of endocrine function in the body, thus inhibiting the growth of its myoma and making it shrink gradually.
Source of formula Ye Qing, et al. Treatment of 58 cases of uterine fibroid by ginseng astragalus and longmu soup. Shandong journal of traditional Chinese medicine, 1988, (4): 24.4. 4.4.4.4.4.4. Angelica sinensis, shellfish armor, peach kernel, curcuma longa, fragrant adder, sequestrum, Xia Ku Cao, Huai Niu Knee 12g each, Wang Bu Liuxing, San Leng 9g each, Kombu 15g, Coix lacryma 30g.
Treatment method of qi deficiency, add Codonopsis pilosulae or Codonopsis pilosulae; blood deficiency, add Chicken Blood Vine, white peony; spleen deficiency, add Zi Zhu, Poria; yin deficiency of the liver and kidneys, add Chinese wolfberry, mulberry, dry lotus herb. Starting from menstruation, add 300% Sanling injection 4ml, intramuscular injection once a day. Use for 7 consecutive days.
Effects and Indications: Activating blood circulation, removing blood stasis, softening and dispersing hard lumps. The main treatment for uterine fibroid.
Clinical use of this group of 136 cases, cure (symptoms disappear, tumor dissipation, uterus back to normal size) 72 cases, accounting for 52.9%; apparent effect (symptoms basically disappeared, the tumor shrinks significantly) 37 cases, accounting for 27.2%; effective (symptoms improved significantly, but the tumor shrinkage is not obvious or not shrunken) 5 cases, accounting for 3.7%; ineffective (no improvement in the symptoms and physical signs) 22 cases, accounting for 16.2%. Ineffective (no improvement in symptoms and signs) 22 cases, accounting for 16.2%. The total effective rate was 83.8%.
The experience of traditional Chinese medicine believes that this disease is mostly due to postpartum cellular vein emptiness or menstrual blood room open, the evil spirit to take advantage of the weakness of the invasion, resulting in qi and blood stagnation; or due to anger and injury to the liver, the gas reversal of the blood to stay; or sadness and injury to the spleen, the blood deficiency stagnation of qi, are all caused by stagnation of blood and blood stagnation, gradual accumulation of articulation. Symptoms of menstrual offenses, pain in the abdomen refuses to be pressed, or the accumulation of block firm, fixed and immovable. Review of the cause and treatment, when the attack is the main, based on the strength and weakness of the positive qi, can be attacked and supplemented at the same time, in the attack in the complement, or in the complement in the attack. The treatment is to move the gas to break the blood, soften and eliminate the accumulation of the main, or supporting the spleen, tonifying the kidney, regulating the liver, so as to achieve the purpose of eliminating the artwork and dispersing the junction.
From the analysis of this group of cases, the therapeutic effect is good or bad with the size of the tumor and the category of the tumor, the tumor is small, the therapeutic effect is higher, and the effect of intermural leiomyoma is better than that of subplasma leiomyoma. Therefore, surgical treatment is still appropriate for huge tumors and adenomyosis.
Source of formula Wu Dingyan. Palace artwork soup treatment of uterine fibroids 136 cases of efficacy observation. Journal of Traditional Chinese Medicine, 1981, (1): 34.5. Add flavor to attack the soup drug composition of Wang Buliuxing 100g, Xia Gu Cao, raw oyster, Su Zi each 30g.
Added and subtracted variations: if the weight of the spleen and kidney qi deficiency, lumbar and knee acidity, leucorrhea increased significantly add raw yam 30g, cuttlebone, from the art of art of each 18g, red peony, deer horns cream each 10g, cedar 9g; weight of the deficiency of qi and blood, menstruation, drenching, labor intensification, and the treatment of the uterus. For those who have deficiency in qi and blood, constant menstruation, aggravated by exertion, add Astragalus 30g, cuttlebone, Atractylodes macrocephala 18g, Radix Rehmanniae Praeparata 15g, Radix Angelicae Sinensis, Radix Paeoniae Alba 10g, Cimicifuga Radix 9g; those who have blood stasis in cytosol and tingling pain in the lower abdomen refusing to be pressed, add peach kernel 10g, Radix Paeoniae Alba 12g, Dampy, Poria and Cinnamon Branches 9g, Leeches 6g; those who have cold condensation and stasis obstructing the stroke, and have cold pain in the abdomen, which will be soothed if they have warmth, add Cinnamonum Cassiae, Cannon Ginger 6g, Fennel and Wuling Lipid,
Effects and IndicationsTo promote menstruation, dispel blood stasis, soften the hardness and disperse knots, lowering qi and resolving phlegm. It is also used to treat uterine fibroid tumors.
Clinical application of this group of 10 cases of uterine fibroids, after the treatment of the attack soup, the symptoms of self-consciousness completely eliminated. In 6 cases, the uterus sounded normal after ultrasound review; in 4 cases, the uterus returned to normal size after gynecological review.
Experience and experience of Chinese medicine believes that blood stasis, stagnation of qi and blood veins, qi deficiency and blood stasis are the main causes of uterine fibroids. Wang Buliuxing in Tackling Tang is the key medicine, entering the liver and stomach meridian to reduce swelling and stop pain, with the function of specializing in facilitating and benefiting, and entering the blood division in order to promote menstruation and dissipate knots and eliminate stagnation and eliminate obstruction in the abdomen; Xia Gu Cao enters into the syncopated yin alone and eliminates scrofula and knots of qi; Succus, the nature of which is main in draining and excreting, is a good medicine for opening up and facilitating phrenology. The combination of all the drugs can remove blood stasis, soften the hardness and dissipate the lumps, lower the qi and dissolve the phlegm, and then identify the cold and heat of the internal organs and meridians and match with the corresponding prescription, so it has a better therapeutic effect on uterine fibroids.
Source of formula: Ban Xusheng. Treatment of uterine fibroid by adding flavor to attack soup. New Chinese medicine, 1990, (1): 34.6. dispel blood stasis and eliminate artwork soup drug composition angelica, peach kernel, trigonelline, adenosine each 10g, Wang Buliuxing, Curcuma longa each 12g, Xia Kucao, raw Guanzhong, sunflower seeds, Chuanjian each 15g, raw oyster, seaweed each 20g, kombu 30g.
added or subtracted changes: accompanied by fatigue, palpitations, shortness of breath of the qi and blood insufficiency of the person with the addition of Codonopsis pilosulae 20g, Astragalus 30g; accompanied by waist and leg weakness, head and legs, head and legs, and the lack of Qi and blood. If the patient has weak waist and legs, dizziness and tinnitus, add 12g of chasteberry and 12g of eucommia, and 20g of dry lotus herb; if the patient has a large amount of discharge with yellow color and taste, add 30g of coix seed, and take a bath with dry dampness and heat-clearing products.
The treatment is decocted in water and taken as a daily dose. If the patient is in the clinic with incessant dripping of menstrual fluid, add 20g each of dragon bone, oyster and cuttlebone with Biochemical Tang, 30g of Folium Liver, 3g of Panax Ginseng Powder (rinse) to temporarily treat the symptoms.
Effects and IndicationsExpelling blood stasis and eliminating obstruction in the abdomen. Treating uterine fibroid tumor.
Clinical application***Observation of 45 cases. Among them, 19 cases (42.2%) were cured (symptoms disappeared, tumor dispersed, uterus returned to normal), 13 cases (28.9%) were found to be effective (symptoms disappeared basically, tumor shrunk by 2/3), 11 cases (24.4%) were found to be effective (symptoms improved significantly but tumor shrunk by 24.4%), and 2 cases (4.5%) were found to be ineffective. The total effective rate was 95.5%. This group of cases to take the most drugs 123 doses, the least 25 doses.
The experience of uterine fibroids is a common gynecological benign tumors, belongs to the Chinese medicine "artwork" category, for the intractable disease. This formula of trigonelline, curcuma for blood products, can move menstrual blood accumulation, decoction into stasis, stopped in the uterus of blood; Guanzhong, Dongkui Zi, can break the stasis and eliminate the obstruction in the abdomen, but also can treat the collapse of the blood; kombucha, 'seaweed, Xia Kucao, Wang Buliuxing, blood regulating menstruation for the auxiliary; supporting the opening of the depression menstruation regulator of the fragrant adenomatous, with the complementary liver and kidneys to stop the collapse of the Chuanjian, the combination of the artwork to remove the stasis of artwork effect. Uterine fibroid is a chronic disease, long course of disease, slow effect, should be long-term continuous treatment, not halfway.
Source of formula Zhao Shuying. Clinical analysis of 45 cases of uterine fibroids treated with Chinese medicine. Tianjin traditional Chinese medicine, 1989, (3): 3. 7. blood softening soup drug composition danshen 30g, zeilan leaf 20g, angelica, chuanxiong, white peony (or red peony) each 12g, trigonelline, curcuma 10g.
Added and subtracted variations: deficiency of qi plus sijunzi soup; menstruation plus white peony, xianhe cao, aiye charcoal; kidney deficiency plus continuity of the root, sanghongsheng.
Therapeutic methodThe above medicine is decocted in water and taken in 2 doses, 1 dose daily. Most of the medication takes effect in about 3 months.
Effects and IndicationsPursuing blood stasis and dispersing knots, nourishing blood and regulating menstruation. It is also used to treat uterine fibroids.
Clinical use of this group of 30 cases, the treatment of this formula cured 5 cases, 6 cases of apparent effect, effective 10 cases, the total effective rate of 70%. For example, a worker 52 years old, increased menstrual flow for 2 years, gynecological examination of the uterus such as pregnancy 2 months large, hard, uneven surface, diagnosed as fibroids by A ultrasound and menstrual scraping pathological examination, due to high blood pressure and failed to operate. Conservative treatment with western medicine was ineffective. The symptoms were dizziness and weakness, hypersomnia and dreaming, and lumbar pain. The basic formula was used to add Sequence and Parasite. The menstrual flow was reduced after 3 months of medication, and the uterus was normal in gynecological examination and A ultrasound.
Experience ①Chinese medicine treatment of uterine fibroids can reduce menstrual flow and improve the symptoms in most patients, and the fibroids shrink after treatment in some cases, and the uterus can return to normal in a few cases. ②Chinese medicine is simple, without obvious side effects, and does not require complicated equipment conditions, which is especially suitable for the conservative treatment of Chinese medicine for young patients who need to preserve the uterus or those who are contraindicated to surgery with other diseases. However, from the efficacy of this group of cases, the uterus size such as about 2 months of pregnancy, the effect is better. In the case of submucous fibroids and large uterine fibroids, the effect of traditional Chinese medicine is unsatisfactory, and surgery is still appropriate. Most of the effective cases in this group started to reduce the menstrual flow within 3 months of using the medicine, therefore, if the symptoms do not improve after more than 3 months of treatment with traditional Chinese medicine, the cause should be analyzed and the treatment plan should be reconsidered.
Source of formula Zhang Chuanfang, et al. Clinical observation on 30 cases of uterine fibroids treated with traditional Chinese medicine. Hubei journal of traditional Chinese medicine, 1986, (4): 17.8. Resolving blood stasis and dispersing junction soup drug composition of peach kernel, leech 15g each, the system of rhubarb 12g, raw oyster, turtle shell, turtle plate, cat's claw grass, Xia Gu Cao, kombu, seaweeds, 20g each.
Changes in addition and subtractions: blood stasis is very serious, add trigonelline, curcuminoids, 12g each; and stagnant qi, add wuyao, adderall 10g each; the qi deficiency of the obvious, plus the party ginseng, If you have phlegm-dampness, add Xiangbei, Zezhi, Psyllium 15g each.
Treatment 1 dose per day, decocted in water. Start taking the medicine after the menstruation purification, and stop taking the medicine during the menstruation period. In addition to the available rhubarb, manganese nitrate 100g, 200g, mixed with rice vinegar, fried hot external compresses on the lower abdomen, the medicine is cool for degrees, 1 time a day.
This formula activates blood circulation and removes blood stasis, softens and disperses knots. The main treatment for uterine fibroid.
Clinical application of this formula in the treatment of 98 patients with uterine fibroids. All cases were confirmed by gynecological examination and B-type ultrasonography. The results of 64 cases were cured (normal menstruation, moderate amount, gynecological examination and ultrasound examination, the uterus returned to normal size, fibroids disappeared, and did not recur within 1 year); 28 cases were effective (regular menstruation, normal or slightly more amount, gynecological examination and ultrasound examination, the uterus was significantly smaller than before the medication, and fibroids were reduced); 6 cases were ineffective. The total effective rate was 94%. And 5 of them had conceived. The majority of the cases could be prompted to menopause after taking the drug. The maximum number of doses taken by the cured cases was 160, the minimum number of doses was 12, and the average number of doses was 80.
Experience from the results of treatment, this group of cases over 46 years of age group is more satisfactory. The treatment results show that most patients have menopause when the uterus returns to normal size after treatment.36~45 years old age group, because of the long course of the disease, the uterus is large, hard, inactive, the efficacy of the treatment is not very satisfactory (the 6 cases of the ineffective all change to western surgery).35 years old patients can be cured if they are detected early and the course of the disease is short. In recent years, the treatment of this disease has been reported to be more effective at about 85%, and the effective rate of this group of cases reached 94%, which is inseparable from the early discovery of the disease and early treatment, but the use of leeches, turtle shells, turtle boards, and other flesh and blood products to promote blood nourishment and yin, in order to improve the patient's physical condition, and to promote the disease, is also one of its important reasons.
Source of formula Wang Yugui, et al. Observation on the therapeutic effect of 98 cases of uterine fibroids treated by resolving blood stasis and dispersing junction soup. Zhejiang journal of traditional Chinese medicine, 1990, (2): 69.9. 9. kunzao soft solid drug composition of kunbu, seaweed, seafoam (beat, first fried), raw oyster (beat, first fried) each 30g, mushroom, xiaku cao each 15g.
Added and reduced changes: lumbar and abdominal pain, add bushels of 12g, fried wuling fat 10g, 15g of yuan hu; qi and blood weakness is serious, is a moderate anemia, plus ginseng, astragalus each 30g, ajiao 12g (), and the other 12g. 30g, 12g of Colla Corii Asini (molten); menstrual blood excess (each time after the period of hemoglobin drop 0.5g or more) plus panax notoginseng powder 6g (punch), Huarixia 30g (beat, first decoction), ascending flax 10g.
Treatment method of water decoction, 1 dose per day, morning and evening, 1 time, 20 days for a course of treatment. Need to treat 3 to 6 courses of treatment.
Effects and IndicationsThis formula is useful in softening the firmament and dispersing knots, detoxifying and activating blood circulation. It can be used to treat uterine fibroids.
Clinical application of this group of 30 cases, are outpatients, the age of the smallest 33 years old, the largest 50 years old; manifestations of menstrual disorders, shortening of the cycle, menstrual bleeding, general weakness, etc.; the shortest duration of the disease 2 years, the longest 15 years; the smallest tumor, such as the 6-week gestation, the largest, such as the 14-week gestation. After treatment with the above, the results: 7 cases of apparent effect, 21 cases of effective, 2 cases of ineffective (1 case of ultrasound diagnosed as uterine myoadenoma, the other case did not adhere to the medication).
The experience of this formula is the agreement prescription formulated by Qingdao Institute of Medical Science. Through the clinical observation of 30 cases, the results show that Kun Zao Soft Firmament Bulk is really effective in relieving the clinical symptoms of uterine fibroids.
Source of formula Li Weifen, et al. 40 cases of uterine fibroid treated by softening and dispersing. Journal of Traditional Chinese Medicine, 1992, (5); 45.10. Add and subtract Guiling Pill drug composition of cinnamon sticks, Poria, peach kernel, Dampi, red peony, turtle shells, curly cypress, herbs, Qingpi, Chuanjian, Astragalus, 10g each, raw oyster 30g, cypress 6g.
Treatment method of the above medicine **** research finely powdered, made of honey into pills, each pill weighs 10g. 3 times a day, each time a pill, even served 1.5 ~ 3 months for a course of treatment. 1 course of treatment. Stop taking the medicine during menstruation. After each course of treatment, check, if normal can stop, not normal, then continue the second course of treatment.
This formula activates blood circulation, removes blood stasis and eliminates obstruction in the abdomen. It is mainly used in treating uterine fibroid.
Clinical application of this group of 60 cases of uterine fibroids, after 1 to 3 courses of treatment, the effective rate of 100%, of which 43 cases were cured, accounting for 71.7%. For example, a teacher 43 years old, due to menstruation first 10 days, the amount of consultation. Pregnancy 5 birth 3, gynecological examination: the uterus is enlarged as the size of pregnancy for more than 40 days, hard, the right ovary is as big as an egg; ultrasonography: the anterior and posterior diameter of the uterus is 6cm, the outgoing wave is reduced, it is needle-like, the wave pattern is sluggish, and the right ovary is 4×5×3cm. Western medicine diagnosed uterine fibroid combined with right ovarian cyst. She complained of dizziness and weakness of the limbs, and saw that her tongue was pale with thin white fur and the strings of her pulse were thin and weak. This is the weakness of qi and blood, blood stasis and stagnation of qi, hair for artwork. Guiling Pill with 1 course of continuous service, menstrual flow is reduced, the spirit of improvement. After 1 year and 7 months, the gynecological examination and ultrasound were normal.
Experience according to modern medicine pharmacology, this formula has: ① by improving blood circulation, enhance the adsorption function of the reticuloendothelial system and phagocytosis of leukocytes, to promote the absorption of inflammatory exudates; to promote the dissipation and absorption of hematoma mass, and thus play a role in anti-inflammatory, decongestive, articulatation and elimination of stagnation. By regulating the contraction function of uterine smooth muscle, it promotes the complete discharging of meconium, blood and other residual tissues, and regulates menstruation, stops bleeding and relieves pain. Therefore, this formula is not only effective for uterine fibroids. It can also be used for cervicitis, adnexitis and ovarian cysts. Guiling Pill for uterine fibroids is suitable for those who have blood stasis favoring cold and weakness, while those favoring yin deficiency are less effective.
Source: Huang Chunduan. "Summary of 60 cases of uterine fibroids treated with Guiling Pill. New Chinese medicine, 1982, (10): 24.11. Yi qi eliminating tumors pill drug composition: raw astragalus, vinegar wheat 50g, angelica sinensis 30g, danpi, red peony, seaweed 25g, cinnamon sticks, kombu, peach kernel, rhubarb 20g, mountain armor beads, mother of pearl, licorice 15g.
Added and subtracted: ginseng, Chinese wild yam, if the qi is weak, if blood deficiency is very weak, add gelatine; if the menstrual cycle is excessive, add motherwort. For those with excessive menstruation, add Motherwort; for those with poor appetite, add Neijin; for those with severe abdominal pain, add Wulingjiao; for those with liver depression, add Chaihu and Yujin; for those with excessive bleeding, add Tianpanpanqi Powder and Diziqi Charcoal.
Therapeutic method of the above medicines **** research fine powder, honey for pills, such as mung beans, morning and evening to take 30g.
Effects and IndicationsTo replenish qi and blood, dissipate blood stasis and pass through the collateral, eliminate swelling and pain. Mainly treats uterine fibroid.
Clinical application of clinical use of this formula in the treatment of uterine fibroids 93 cases, the results of 42 cases of healing, accounting for 45.29,6; 47 cases of improvement, accounting for 50.5%, the total effective rate of 95.8%. In the treatment, it was observed that none of the cases had any side effects and none of them developed or worsened. For example, a teacher 35 years old, irregular vaginal bleeding for 2 months, dribbling, heavy menstrual flow, dark red color with lumps, accompanied by abdominal distension, shortness of breath, fatigue, poor appetite, pale tongue, white moss, pulse astringent. Gynecological examination: the uterine body was enlarged, and a 4×5cm2 sized mass was palpable on the anterior wall of the uterus, hard in texture, and an ultrasound detected a 5×5cm2 nodular mass in the uterine cavity, with a poorly-defined margin, suggesting uterine fibroids. This is a kind of obstruction in the abdomen (blood stasis type), and the treatment is to benefit the vital energy, dissolve the blood stasis, and pass the channels to disperse the nodules. Prescribe Tumor Elimination Pill with 15g of Colla Corii Asini and 12g of Panax Quinquefolii Powder (to be taken) twice daily for 2 days, and the blood stopped. She was advised to take Tumor Elimination Pill, plus 30g of Chicken Neijin, powdered and washed down, and the symptoms disappeared after 22 days of treatment. It was confirmed that the mass disappeared and the uterus was normal after maternal examination and ultrasound.
Experience ①Uterine fibroids, from the viewpoint of traditional Chinese medicine, are mostly caused by stagnation of qi and blood, and the treatment is based on invigorating blood circulation, removing blood stasis and dispersing stagnation as the main method. The authors realized in the treatment, when removing stasis and dispersing knots, they should also protect the positive qi, so that the stasis will be removed and the positive will not be injured, so that there is a tonic in the attack, there is a tonic in the tonic, and there is a proper attack and tonic in the attack, in order to get a good effect. In the formula, Astragalus and Angelica replenish qi and blood, activate blood circulation and remove blood stasis; Kombu and seaweed soften and dissipate phlegm; peach kernel, Chuanjia and red peony activate blood circulation and break up blood stasis, reduce swelling and relieve pain; rhubarb detoxifies and removes toxins, and eliminates stagnation of the tangible form; vinegar wheat and cinnamon twigs nourish and nourish the heart and promote the yang; and licorice moderates the properties of the medicines. The combination of all the drugs, tonifying qi and blood, dispersing blood stasis, eliminating swelling and pain, medicine and disease, so the efficacy of the treatment is satisfactory.
Source of formula Wang Mingyi, et al. Clinical observation on the treatment of 93 cases of uterine leiomyoma by eliminating tumor pill. New Chinese medicine, 1992, (2): 40. 12. Gui ling eliminating tumor pill drug composition of gui zhi, turtle shell, red peony each 12g, poria 15g, danpi, peach kernel, andrographis paniculata each 10g.
Treatment method of the above medicines into a fine powder, honey for the pills, each pill weighs 10g. 2 pills per day, morning and evening, each take 1 pill. Take 1 pill in the morning and 1 pill in the evening. 1 month is a course of treatment. If you have menstruation, you can stop taking the medicine.
Effects and Indications: Promoting blood circulation and removing blood stasis, eliminating hardness and dispersing knots, nourishing blood and clearing heat, tonifying the middle and tonifying qi. It is also used to treat uterine tumors.
Clinical use of 30 patients aged 40 to 50 years. The proportion of uterine enlargement, the smallest such as any pregnancy 6 weeks, the largest such as 12 weeks size. Treatment results: 18 cases were cured, 5 cases were effective, 5 cases were effective and 2 cases were ineffective. The total effective rate was 93.3%.
The experience of 30 patients diagnosed with uterine fibroids by gynecological examination or diagnostic scraping pathology report, the use of guiling eliminating tumors pill treatment of this disease, and achieved good results.
Source of formula Peng Huali. Treatment of 30 cases of uterine fibroid with Guiling eliminating tumor pill. Beijing traditional Chinese medicine, 1989, (6): 3013. Tangerine and Lychee Dispersing Pill is composed of tangerine kernel, lychee kernel, systematic Shouwu, motherwort, raw oyster, seaweed, each 60g, Chuanxuijian, Dangshen, each 30g, fennel, Wu yao, neem, curcuma, Gangnian root, chestnut shell, each 10g.
Treatment method: The above drugs are pills, 3 times a day, 6g each time, half hungry, half full, with boiled water to send to take. If the body is hot or feverish, take it with light salt water. Start taking it 3 days after menstruation, stop taking it 3-5 days before menstruation, take 3 months as a course of treatment, observe 1-3 courses of treatment.
Effects and IndicationsExercise qi and disperse knots, soften firmness and astringency, benefit qi and blood. The main treatment for uterine fibroid.
Clinical use of tangerine ly dispersing knot pill in the treatment of 150 cases of uterine fibroids, cure 18 cases, accounting for 12%; effective 111 cases, accounting for 66.1%; the total effective rate of 86%.
Experience experience tangerine nucleus dispersal pill pharmacological experiments proved that: ① this formula has to reduce estrogen levels, inhibit the role of isolated uterine smooth muscle, for the reduction of uterine bleeding, uterine fibroids gradually atrophy has a certain significance. ② It has mild anticoagulation and inhibition of thrombosis, preventing stagnant blood from staying as scar, which is favorable to the treatment of uterine fibroids. ③It has certain effect of promoting the assimilation function in the body, which can enhance the physique and improve the resistance to disease. ④ Acute toxicity test shows that the toxicity of this formula is very low. Uterine fibroid belongs to the category of obstruction in the abdomen in the motherland medicine, the formation of which is nothing more than the gathering of positive deficiency and evil, and the mixture of deficiency and reality. Prof. Luo Yuankai, in view of the etiology of this disease, has based this formula on Tangerine Kernel Pill of Jisheng Fang and Litchi Kernel Powder of Jingyue Quanshu. In the formula, lychee kernel, orange kernel, chestnut shell, fennel, neem, Wu Yao regulates qi and disperses knots, relieves pain and eliminates artwork; curcuma moves qi and breaks up the blood, attacking and expelling stagnation; seaweed, raw oyster softens and disperses knots; dongshen replenishes qi and strengthens the spleen; Chuanjian replenishes the kidneys and strengthens the tendons; shouwu, Gangnian root replenishes the blood and stops bleeding; yi mucao invigorates the blood to regulate the menstruation and moves the blood to disperse blood stasis and can significantly enhance the contraction of the uterine muscle. To sum up, the whole formula can attack and guard, with tonifying in attacking, sending eliminating in dispersing, can move Qi and disperse the knot, soften the hardness and astringency, benefit Qi and activate blood, so it has better curative effect on uterine fibroids.
Source of formula Luo Qinghua, et al. Clinical experience of 150 cases of uterine fibroids treated with Tangerine and Lychee Dispersing Pill. New Traditional Chinese Medicine, 1990, (8): 27.