PELVIC INFLAMMATORY DISEASE

Clinical Manifestations
  • Pelvic inflammatory disease (PID) is an infection of the female reproductive organs. It usually occurs when sexually transmitted bacteria spread from the vagina to the uterus, fallopian tubes or ovaries. As a result, one might not realize she has the condition and get needed treatment.
    PID may cause ectopic pregnancy It's main symptom is fever.
Treatment Principle
Herb Formulas
Points
Clinical Manifestations
  • Fullness and distention in the chest
  • Irritability
  • Occasional fright palpitations
  • Urinary difficulty
  • Constipation
  • Delirious speech
  • Insomnia
  • Subcardiac distention
  • Palpitations at the abdomen
  • Melancholia
  • Fear
  • Agitation
  • Unsteadiness
  • Tends toward mania and convulsions
  • Tends toward fatigue and clumsiness of limbs
  • Dysuria
  • Excitability
  • Dizziness
  • Anxiety
  • Depression
  • Tinnitus
  • Deafness
  • Profuse expectoration of Phlegm
  • Bitter taste in the mouth
  • Palpitations
  • Pale face
  • Oliguria
  • A sensation of extreme heaviness of the body
  • Fatigue
  • Inability to rotate the trunk
  • Difficulty moving the body
  • T: Red
  • C: Slippery
  • P: Wiry and rapid
Treatment Principle
  • Harmonize the Shao Yang
  • Unblock the three Yang Stages
  • Sedate and calm the Spirit
  • Relieve the chest and subcardiac regions
  • Alleviate spasms
Herb Formulas
Points
Clinical Manifestations
  • High fever
  • Irritability
  • Fidgeting
  • Dry mouth
  • Dry throat
  • Incoherent speech
  • Insomnia
  • Dark urine
  • Deep-rooted boils
  • Maculae
  • Carbuncles
  • Hematemesis
  • Hemoptysis
  • Palpitations
  • Furuncles
  • Tinnitus
  • Purpura
  • Red face
  • Rashes
  • Deep-rooted boils
  • Red eyes
  • Itchy skin
  • Fidgeting
  • Dry lips
  • Delirium
  • Dysentery with fever
  • Jaundice
  • Epistaxis
  • Hematuria
  • Cloudy mind
  • Diarrhea
  • T: Red
  • C: Yellow
  • P: Rapid and forceful
Treatment Principle
  • Clear Heat
  • Drain Fire
  • Relieve toxicity from all three Jiaos
  • Relieve inflammation
  • Stop bleeding
  • Purge Damp-Heat
  • Purge the Gallbladder
Herb Formulas
Points
Clinical Manifestations
  • Abdominal pain
  • Tenesmus
  • A burning sensation around the anus
  • Leukorrhea with a reddish discharge
  • Diarrhea containing more blood than pus
  • Thirst with a desire to drink
  • Maybe short, dark urination
  • T: Red
  • C: Yellow
  • P: Wiry and rapid
Treatment Principle
  • Clear Heat
  • Relieve toxicity
  • Cool the Blood
  • Alleviate dysenteric disorders
Herb Formulas
Points
Clinical Manifestations
  • Acute pelvic inflammatory disease
  • Yang jaundice (sclera and skin bright yellow)
  • Pain and fullness in ribs on both sides
  • Maybe pain in the right hypochondrium
  • Bitter taste in mouth
  • Nausea
  • Vomiting sour and bitter fluids
  • Anorexia
  • Maybe alternating chills and fever
  • Concentrated, dark urine
  • Abdominal distention
  • Yellow vaginal discharge with foul smell
  • Pruritis vulvae
  • T: Pink
  • C: Yellow and greasy or sticky
  • P: Wiry and rapid or Slippery and rapid
Treatment Principle
  • Clear Dampness
  • Purge Heat from Liver and Gall Bladder
Herb Formulas
Points
Clinical Manifestations
  • Abdominal distention and pain
  • Gas
  • Borborygmus
  • Diarrhea
  • Distention and pain in the sides or flanks
  • Suffocating sensation in the chest
  • Tendency to sigh
  • Melancholy
  • Depression
  • Irritability
  • Inappropriate anger
  • Women:
    Irregular menses
    Dysmenorrhea
    Breast distention and pain before and during menses
  • T: Pink
  • C: White and greasy
  • P: Slippery and wiry
Treatment Principle
  • Soothe the Liver
  • Invigorate the Spleen
Herb Formulas
Points
Clinical Manifestations
  • Irritability
  • Short temper
  • Restlessness
  • Fever or tidal fever
  • Red eyes
  • Dry mouth and throat
  • Palpitations
  • Lower abdominal pain
  • Difficult urination
  • Painful urination
  • Increased menstrual flow
  • Uterine bleeding
  • Early menstruation
  • Aching in limbs
  • Dizziness
  • Mental instability
  • Red face
  • Thirst
  • Turbid urine
  • Alternating chills and fever
  • Red cheeks
  • Wheezing
  • Nervousness
  • Headache
  • Red eyes
  • Dry mouth
  • Anorexia
  • Infertility
  • Abdominal pain
  • Anxiety
  • Spontaneous sweating or night sweats with fever
  • Dry eyes
  • Hypochondriac pain
  • Anorexia
  • Somnolence
  • Insomnia
  • Aching shoulders
  • Five sole Heat
  • Earache
  • Premenstrual tension
  • Hot flashes
  • Fatigue
  • Lassitude
  • Depression
  • Restlessness
  • Constipation with flushing up
  • Pale complexion
  • Bitter taste in mouth
  • Vertigo
  • Abdominal distention near the umbilicus
  • Epistaxis
  • Irregular menstruation
  • Heaviness in the lower abdomen
  • T:Red or Red edges
  • C: Thin and yellow
  • P: Thready, rapid and wiry or Wiry and tight and rapid
Treatment Principle
  • PacifY the Liver
  • Spread Liver Qi
  • Strengthen the Spleen
  • Nourish Blood and Yin
  • Regulate menstruation
  • Clear Heat
Herb Formulas
Points
Clinical Manifestations
  • May be localized sensation of Cold
  • Menstrual pain and hardness
  • Hypochondriac pain
  • Abdominal pain
  • Mobile abdominal masses
  • Pain, distention, fullness and Cold sensation in lower abdomen
  • Cold limbs
  • Dislike of Cold and a preference for warmth
  • Flank pain
  • Leukorrhea
  • Sharp, localized lower abdominal pain
  • Pain aggravated by Cold
  • Post menstrual pain
  • May be nausea and anorexia
  • T: Pale
  • C: White and greasy
  • P: Deep and wiry or Slow or Deep and Excess or Deep and slow or Wiry and tight or Deep and tight or Wiry, thin and slow
Treatment Principle
  • Warm the Liver
  • Dispel Cold
Herb Formulas
Points
Clinical Manifestations
  • Cold pain in the lower abdomen, with preference for warmth and pressure.
  • Aching weakness in the waist and knees
  • Dizziness
  • Tinnitus
  • Aversion to Cold
  • Cold limbs
  • Polyuria
  • Nocturia
  • Loose stools
  • T: Pale
  • C: White and smooth
  • P: Deep and feeble
Treatment Principle
  • Warm the Kidneys
  • Support Yang
  • Eliminate Stasis
  • Stop pain
Herb Formulas
Points
Clinical Manifestations
  • Frequent cloudy, milky urination
  • Maybe greasy urine
  • Thick, white vaginal discharge
  • T: Pale
  • C: White
  • P: Sinking, slow and weak
Treatment Principle
  • Warm the Kidneys
  • Drain Dampness
  • Separate the turbid from the clear
Herb Formulas
Points
Clinical Manifestations
  • Distending pain in the lower abdomen, with guarding
  • May be distending pain in the chest and breasts
  • Epigastric distention
  • Anorexia
  • Restlessness
  • Irascibility
  • Frequent sighing
  • T: Cyanotic or Speckled with purpuric spots
  • C: White
  • P: Taut and impeded
Treatment Principle
  • Mobilize Qi
  • Invigorate the Blood
  • Eliminate Stasis
  • Stop pain
Herb Formulas
Points
Clinical Manifestations
  • Distending and dragging pain in the lower abdomen
  • Lumbosacral pain
  • A dragging ind distending sensation in the anus which is aggravated by sexual intercourse, defecation and overwork
  • Continuous leukorrhagia
  • T: Purplish red
  • C: Thin and greasy
  • P: Thready and taut
Treatment Principle
  • Invigorate the Blood
  • Remove Blood Stasis
  • Regulate Qi
  • Alleviate pain
Herb Formulas
Points
Clinical Manifestations
  • Distending and dragging pain in the lower abdomen and lumbosacral pain which is aggravated by Cold
  • Clear, cold leukorrhagia
  • T: Normal
  • C: Thin and white
  • P: Deep and thready or Deep and choppy
Treatment Principle
  • Invigorate the Blood
  • Remove Blood Stasis
  • Disperse Cold
  • Relieve pain
Herb Formulas
Points
Clinical Manifestations
  • Acute lower abdominal pain
  • Incontinence of urine
  • Night fevers
  • Delirious speech
  • Irritability
  • Restlessness
  • Thirst
  • May be mania (severe)
  • Dysmenorrhea
  • Amenorrhea
  • Hard stool
  • Dark red complexion
  • Headache
  • Vertigo
  • Tinnitus
  • Insomnia
  • Palpitations
  • Constipation
  • Frequent urination
  • Emotional instability
  • Chills in the waist and feet
  • Afternoon fever
  • Tremors
  • Excruciating abdominal pain with cold
  • Black stool
  • May be chills and fever
  • Hemoptysis
  • Hematuria
  • Red eyes
  • Pain and distention of the head
  • Toothache
  • Irregular menstruation
  • Lochioschesis
  • Severe wheezing
  • Distention of the chest
  • T: Red and dry
  • C: Yellow
  • P: Deep and forceful or Choppy
Treatment Principle
  • Drain Heat
  • Break up Blood Stasis
Herb Formulas
Points
Clinical Manifestations
  • Dizziness
  • Blurred vision
  • Pale, lusterless complexion
  • Pale nails
  • Pale lips
  • Generalized muscle tension
  • Tremors and tics
  • Irregular menstruation with little flow
  • Amenorrhea
  • Periumbilical pain
  • Lower abdominal pain
  • Vertigo
  • Tinnitus
  • Blurred vision
  • Insomnia
  • Spotting of pale Blood
  • Postpartum uterine bleeding
  • Dry hair
  • Maybe Five Sole Heat
  • Delayed menstruation
  • Palpitations
  • Dizziness
  • Dry skin
  • Maybe leukorrhea
  • Maybe fever
  • Firm, painful abdomen
  • Sporadic fever and chills
  • Menorrhagia
  • Hard abdominal masses with recurrent pain
  • Unstable fetus with bleeding
  • Chills and fever
  • T: Pale
  • C: Normal
  • P: Thready and wiry or Thready and choppy
Treatment Principle
  • Nourish the Blood
  • Regulate the Liver
  • Improve Blood circulation
  • Regulate menstruation
Herb Formulas
Points
Clinical Manifestations
  • Copious bleeding of dark purple blood
  • The blood is sticky during menstruation
  • May or may not have clots
  • Menstrual cycle is shortened (early menstruation)
  • Palpitations
  • Dizziness
  • Blurred vision
  • Pale, lusterless complexion
  • Pale nails
  • Abdominal pain
  • Irregular menstruation with little flow
  • Fixed lower abdominal pain
  • Dry skin
  • Vertigo
  • Tinnitus
  • Pale lips
  • May be amenorrhea
  • Insomnia
  • Menstruation may also be accompanied by distention and pain
  • T: Pale
  • C: Normal
  • P: Thin and weak or Thin and choppy
Treatment Principle
  • Tonifyand invigorate the Blood
  • Regulate s Blood circulation
  • Break up Blood Stagnation
  • Regulate menstruation
  • Alleviate pain
Herb Formulas
Points
Clinical Manifestations
  • Lower abdominal distention and pain (usually on right)
  • Pain increases on pressure with rebound tenderness
  • Guarding of the abdominal musculature
  • Groin pain resembling urinary dysfunction without urinary difficulty
  • Groin pain relieved by flexing hip and knee
  • Groin pain intensified by extending hip
  • Perspiration
  • Irregular or intermittent fever followed by chills and perspiration
  • May be mass in lower right quadrant of abdomen
  • Aversion to Cold
  • Hard lumps
  • T: Pink
  • C: Thin, white or yellow and greasy
  • P: Slippery and rapid or Tight or Wiry and tight or Tight and rapid
Treatment Principle
  • Drain Heat
  • Break up Blood Stasis
  • Invigorate the Blood
  • Disperse nodules
  • Reduce swelling
Herb Formulas
Points
Clinical Manifestations
  • Cold pain in the lower abdomen in fixed location
  • The pain is ameliorated by warmth
  • Copious, white and thin vaginal discharge
  • Cold body and limbs
  • Pale complexion
  • T: Pale
  • C: White and greasy
  • P: Deep and tight
Treatment Principle
  • Dispel Cold
  • Eliminate Dampness
  • Eliminate Stasis
  • Stop pain
Herb Formulas
Points
Clinical Manifestations
  • Abdominal distention
  • Dry, scaly skin
  • Tightness
  • A mass-like appearance
  • Softness on palpation
  • Absence of thirst
  • Maybe an aversion to drinks
  • Tenderness and soreness of the lower abdomen
  • Lower abdominal cramps
  • No fever
  • Condition fails to improve
  • A right-sided abdominal swelling that is soft when touched and not very painful
  • Cold extremities
  • A gray or pale complexion
  • T: Pale
  • C: Thin and white
  • P: Rapid or Rapid, empty and weak
Treatment Principle
  • Expel pus
  • Reduce abscess
  • Reduce swelling
  • Warm Yang
  • Disperse Phlegm
Herb Formulas
Points
Clinical Manifestations
  • Irregular menstruation
  • Habitual miscarriage
  • Afternoon fever
  • Five Sole Heat
  • Dry mouth
  • Thirst
  • Cold abdominal pain
  • Infertility
  • Dysmenorrhea
  • Uterine bleeding
  • Chronic pelvic inflammation
  • Menopause
Treatment Principle
  • Warm the vessels
  • Comfort the Womb
  • Nourish and invigorate the Blood
Herb Formulas
Points
Clinical Manifestations
  • Residual fever or
  • Undulating low fever
  • Lack of vitality
  • Distending pain and tenderness in the lower abdomen
  • Muscle weakness of the limbs
  • Profuse, thick, yellow, foul vaginal discharge
  • T: Red
  • C: Yellow and greasy
  • P: Rapid
Treatment Principle
  • Remove Blood Stasis
  • Break up lumps
  • Invigorate the Blood
  • Clear toxic Heat
Herb Formulas
Points
Clinical Manifestations
  • Local inflammation with pus
  • Deep-rooted, hard and painful boils
  • Erythema
  • Swelling
  • Heat
  • Carbuncles
  • Furuncles
  • Fever and chills
  • Pain
  • T: Red
  • C: Yellow and greasy
  • P: Rapid
Treatment Principle
  • Clear Heat
  • Purge Fire
  • Relieve toxicity
  • Cool the Blood
  • Reduce swelling
  • Reduce external carbuncles and furuncles
Herb Formulas
Points
Clinical Manifestations
  • Irregular menstruation
  • Habitual miscarriage
  • Afternoon fever
  • Five Sole Heat
  • Dry mouth
  • Thirst
  • Cold abdominal pain
  • Infertility
  • Dysmenorrhea
  • Uterine bleeding
  • Chronic pelvic inflammation
  • Menopause
Treatment Principle
  • Warm the vessels
  • Comfort the Womb
  • Nourish and invigorate the Blood
Herb Formulas
Points