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Treatment for gynecological diseases

Treatment for gynecological diseases

Chinese medicine gynecology is based on holistic theory and syndrome differentiation, integrating the Traditional Chinese Medicine (TCM) treatment for gynecological diseases is based on the principles of holistic theory and syndrome differentiation (Bian Zheng Lun Zhi). It integrates theories such as Yin-Yang, the Five Elements, and Zang-Fu organs and meridians. Through methods like herbal medicine, acupuncture, massage, and dietary therapy, TCM aims to regulate women’s physiological functions and treat gynecological disorders. 

1. Causes and Pathogenesis of Gynecological Diseases

  • Causes: Common causes of gynecological diseases include external factors such as the Six Pathogens (wind, cold, heat, dampness, dryness, and fire), internal factors like the Seven Emotions (joy, anger, worry, overthinking, sadness, fear, and fright), improper diet, overexertion, and irregular sexual activity.
  • Pathogenesis: Gynecological diseases are often related to dysfunction of the liver, spleen, and kidneys, particularly liver Qi stagnation, spleen deficiency with dampness, and kidney Qi deficiency. Additionally, imbalances in Qi and Blood, as well as damage to the Chong and Ren meridians, are key pathological mechanisms.

2. Syndrome Differentiation and Treatment

  • Syndrome Differentiation: Based on the patient’s symptoms, physical signs, tongue appearance, and pulse condition, the cause, pathogenesis, and location of the disease are determined. Common differentiation methods for gynecological diseases include Zang-Fu organ differentiation, Qi-Blood differentiation, and Chong-Ren meridian differentiation.
  • Treatment Determination: Based on the differentiation results, a treatment plan is formulated, and appropriate herbal formulas or therapeutic methods are selected.

3. Common Treatment Methods

  • Herbal Medicine: According to the differentiation results, corresponding herbal formulas are chosen. Commonly used formulas include Si Wu Tang (Four Substances Decoction), Xiao Yao San (Free and Easy Wanderer Powder), and Gui Pi Tang (Spleen-Restoring Decoction), which are used to regulate Qi and Blood, soothe liver Qi stagnation, and tonify the spleen and kidneys.
  • Acupuncture: By stimulating meridian points, Qi and Blood circulation is regulated. It is commonly used to treat irregular menstruation, dysmenorrhea, and infertility. Common acupoints include Sanyinjiao (SP6), Guanyuan (CV4), and Xuehai (SP10).
  • Tui Na (Therapeutic Massage): Through manual techniques applied to meridians and acupoints, Qi and Blood flow is promoted. It is often used for pelvic inflammatory disease and dysmenorrhea.
  • Dietary Therapy: Based on the patient’s constitution and condition, appropriate foods are selected for nourishment. For example, individuals with Qi and Blood deficiency should consume foods that tonify Qi and Blood, while those with damp-heat should consume foods that clear heat and resolve dampness.

4. TCM Treatment for Common Gynecological Diseases

  • Irregular Menstruation:
    • Qi and Blood Deficiency: Treated with Gui Pi Tang or Ba Zhen Tang (Eight Treasures Decoction).
    • Liver Qi Stagnation: Treated with Xiao Yao San or Chai Hu Shu Gan San (Bupleurum Liver-Soothing Powder).
    • Kidney Deficiency: Treated with Liu Wei Di Huang Wan (Six-Ingredient Rehmannia Pill) or Jin Gui Shen Qi Wan (Golden Cabinet Kidney Qi Pill).
  • Dysmenorrhea:
    • Cold Congealing and Blood Stasis: Treated with Shao Fu Zhu Yu Tang (Lower Abdomen Stasis-Expelling Decoction) or Wen Jing Tang (Channel-Warming Decoction).
    • Qi Stagnation and Blood Stasis: Treated with Ge Xia Zhu Yu Tang (Below the Diaphragm Stasis-Expelling Decoction) or Xue Fu Zhu Yu Tang (Blood Mansion Stasis-Expelling Decoction).
    • Qi and Blood Deficiency: Treated with Dang Gui Bu Xue Tang (Chinese Angelica Blood-Tonifying Decoction) or Shi Quan Da Bu Tang (Ten Complete Great Tonification Decoction).
  • Leukorrhea:
    • Damp-Heat Pouring Downward: Treated with Zhi Dai Fang (Leukorrhea-Stopping Formula) or Long Dan Xie Gan Tang (Gentian Liver-Draining Decoction).
    • Spleen Deficiency with Dampness: Treated with Wan Dai Tang (Leukorrhea-Curing Decoction) or Shen Ling Bai Zhu San (Ginseng, Poria, and Atractylodes Powder).
    • Kidney Deficiency Leukorrhea: Treated with Nei Bu Wan (Internal Tonification Pill) or Jin Gui Shen Qi Wan (Golden Cabinet Kidney Qi Pill).
  • Infertility:
    • Kidney Deficiency: Treated with Yu Lin Zhu (Fertility-Promoting Pearl) or Wu Zi Yan Zong Wan (Five-Seed Progeny Pill).
    • Liver Qi Stagnation: Treated with Kai Yu Zhong Yu Tang (Depression-Relieving and Fertility-Promoting Decoction) or Xiao Yao San.
    • Phlegm-Dampness Obstruction: Treated with Cang Fu Dao Tan Wan (Atractylodes and Cyperus Phlegm-Transforming Pill) or Er Chen Tang (Two Aged Ingredients Decoction).
  • Menopausal Syndrome:
    • Liver and Kidney Yin Deficiency: Treated with Liu Wei Di Huang Wan or Zhi Bai Di Huang Wan (Anemarrhena, Phellodendron, and Rehmannia Pill).
    • Heart and Kidney Imbalance: Treated with Tian Wang Bu Xin Dan (Heavenly Emperor Heart-Tonifying Pill) or Jiao Tai Wan (Heart-Kidney Intersection Pill).
    • Spleen and Kidney Yang Deficiency: Treated with You Gui Wan (Right-Restoring Pill) or Jin Gui Shen Qi Wan.

5. Nourishment and Prevention

  • Emotional Regulation: Maintain emotional stability and avoid excessive worry, anger, and other negative emotions, especially for those with liver Qi stagnation.
  • Dietary Nourishment: Choose appropriate foods based on constitution. For example, individuals with Qi and Blood deficiency should consume red dates and longan, while those with damp-heat should consume coix seed and adzuki beans.
  • Regular Lifestyle: Maintain a regular daily routine and avoid overexertion, especially during menstruation and postpartum.
  • Exercise: Engage in moderate exercises like Tai Chi or Ba Duan Jin (Eight-Section Brocade) to strengthen the body and promote Qi and Blood circulation.

6. Precautions

  • Individualized Treatment: Treatment should be tailored to the patient’s specific condition, avoiding a one-size-fits-all approach.
  • Treatment Duration and Efficacy: TCM treatment often requires a longer duration, and patients need to be patient and cooperative.
  • Integrative Medicine: In some cases, combining TCM with Western medicine can enhance treatment efficacy.

7. Key Points for Preventing Gynecological Diseases

  • Menstrual Health: Avoid exposure to cold and overexertion, and maintain a relaxed mood.
  • Postpartum Care: Focus on tonifying Qi and Blood, and avoid excessive physical strain too soon after childbirth.
  • Regular Check-ups: Early detection and treatment of gynecological diseases to prevent worsening of conditions.

TCM treatment for gynecological diseases emphasizes holistic regulation and individualized care. Through a combination of methods, it aims to address the root cause of diseases and achieve therapeutic goals. Its advantages include minimal side effects, long-lasting efficacy, and a focus on integrating prevention and nourishment.