According to my clinical observation for many years, I think that adenomyosis of uterus is mostly due to the poor circulation of qi and blood, local stagnation of qi and blood, blood stasis for a long time, blood stasis blocking chong ren and uterus, which can cause menstrual abdominal pain, irregular menstruation, abdominal agglomeration and other symptoms.
The method of promoting blood circulation and removing blood stasis should be adopted, and Guizhi Fuling Pill can be used for treatment.
Guizhi Fuling pill was first seen in the synopsis of the golden chamber by Zhang Zhongjing, a doctor, and it is a very typical gynecological prescription for promoting blood circulation and removing blood stasis.
Guizhi in the prescription is warm and pungent, which can promote blood circulation and remove blood stasis, and also facilitate urination and help qi to produce fluid; Blood stasis block must be accompanied by phlegm-dampness block. Poria cocos should promote diuresis, eliminate phlegm and promote diuresis, and both of them should be used together to enhance the power of removing blood stasis. Peony bark and peach kernel can promote blood circulation, remove blood stasis, eliminate food stagnation; Paeonia lactiflora, acute pain relief; The combination of various drugs has the functions of promoting blood circulation and removing blood stasis, and slowing down the elimination of lumps.
Ms. Zhang, a 26-year-old, had abdominal pain during menstruation for 3 years, accompanied by low back pain and anal distension. The menstrual cycle is 22-25 days, with the most menstrual flow and blood clots. Red tongue, thin white fur, petechiae, and astringent pulse.
B-ultrasound showed a cystic mass in the right accessory, with the size of 3. 1cm X2.2cmX2.5cm. It was diagnosed as adenomyosis by gynecological examination and B-ultrasound.
TCM syndrome differentiation is qi stagnation and blood stasis; Qi stagnation leads to poor blood circulation, and blood stasis forms a ball in the pelvic cavity, so it causes back and abdominal pain during menstruation.
Treatment should regulate qi and promote blood circulation, remove blood stasis and relieve pain. Jiawei Guizhi Fuling Pill.
Ingredients: Ramulus Cinnamomi, Poria, Peach Kernel, Radix Paeoniae Rubra, Cortex Moutan, Eupolyphaga Seu Steleophaga, Radix Aucklandiae, Rhizoma Sparganii and Rhizoma Curcumae.
After taking 14 dose, the feeling of anal distension was obviously improved and there was no abdominal pain.
Therefore, after taking 60 doses, the original prescription was modified and rechecked. Symptoms basically disappear, menstrual flow is normal, and there are occasional small blood clots. After B-ultrasound diagnosis, there was no obvious abnormality in pelvic cavity.
In the prescription, peach kernel and Eupolyphaga Seu Steleophaga break blood, remove blood stasis, eliminate scar and disperse hard mass; Dredge blood vessels and remove blood stasis with warm cassia twig; Radix Paeoniae Rubra, Cortex Moutan and Rhizoma Sparganii can promote blood circulation and remove blood stasis, and also cool serum fever. Radix Paeoniae Rubra can treat abdominal cramps urgently. Radix aucklandiae promotes qi and relieves pain; Poria cocos leads downward. The combination of various drugs has played a role in promoting blood circulation, removing blood stasis and relieving the disease.