Jul 26, 2008

Uterine cervical polyps diagnosis and treatment of Chinese and Western Medicine

Chinese

Red zone.

The definition and interpretation

Most cervical polyps from the cervical mucous membrane. Because chronic inflammation of the long-term boost to the local cervical mucosal hyperplasia, gradually since the base to the cervix, mouth and a prominent polyps.

Women in non-menstrual, Yam in the outflow of blood-like red blood viscose, and followed constantly, "the red zone." And cervical polyps are increased vaginal discharge, a bloody discharge as the main performance.

Cause

Western medicine causes

Because chronic inflammation of the long-term boost to the local cervical mucosal hyperplasia, gradually since the base to the cervix, mouth and a prominent polyps.

Epidemiological

More common in women by 40 to 60-year-old.

Physiopathology

Review shows that under the surface to columnar epithelium, the real part of the glands, blood vessels and lymph plasma cell components, fiber based organizations and the Department of Vascular.

Diagnosis

Chinese medicine diagnosis

Differentiation:

The disease is the main card Daixia volume, mainly Sechi. Differentiation is to Daixia time when the volume, color, quality and taste as the focus, with its symptoms of cold and heat by its actual situation. Clinical and should be bleeding between periods, the leakage of identification. Through the necessary checks to clear diagnosis.

1. Really hot red zone

Main card: Daixia volume, Sechi, or blood-like blood, viscous quality, smell, accompanied by abdominal pain, irritability irritability, dry mouth-cold, constipation urine red, Shezhi red, yellow moss Tired, pulse, or the string slip a few.

Analysis; more for the gas under the hot and humid Jiao Yun in the zone between the veins, with injury and cellular Tongxinluo vein, the Daixia volume, Sechi, like blood or non-blood; Yun steaming hot and humid, sticky quality, the smell; cell Veins were damaged abdominal pain; connotation of hot and humid, Jin Ye shall not lose cloth, dry mouth-cold drinks. Constipation urine red, Shezhi red, yellow greasy moss, pulse, or the string slip a few of the hot and humid are waiting.

2. Xure red zone

Main card: Daixia volume, Sechi, like blood or non-blood of thick, smelly, accompanied by abdominal pain, according to Hei, dry mouth thirst, they stem Niaoshao color yellow, five upset hot. She Zhi-hong less Moss, network breakdown.

Analysis: The more the result of too much, Shenjing loss, Yin heat, hot blood pressure, or because of the hot and humid air connotation, falling into Shangyin Daixia caused by the amount, Sechi, or blood-like blood, Of thick, smelly; Yin Yang was stolen cellular network abdominal pain, according to Hei; Yin Jinyekuihao, dry mouth thirst, they stem Niaoshao color yellow; heat of Health Yin, the five upset hot. She Zhi-hong less Moss, veins are Yin breakdown of heat-designate.

Western medicine diagnosis

Diagnosis: asked about history, clinical performance, gynaecological examinations and pathological examination can be diagnosed.

Symptoms: polyps more hours asymptomatic. Large polyps, can be increased to Leucorrhea, sometimes bloody Leucorrhea or contact bleeding.

Signs:

Oblate or polyps showed a drop of water or oval-shaped, soft, full of blood vessels, bright red, smooth surface is based, in the cervix, mouth or cervical, based its slender, with roots linked to cervical, attached to Cervical outside the mouth. More benign polyps, generally ranging from one or more, large and small, the cervix can be exposed to extraoral. General without symptoms, but also in some cases Leucorrhea more than a small amount of bleeding after sexual intercourse or symptoms. Malignant polyps are very few.

Physical examination: gynaecological examinations:

Cervical Kuiqi exposed through the vagina after cervical polyps can be found. Polyps were often multiple oblate or a drop of water or oval-shaped, red color, smooth surface is based, in the cervix, mouth or the Office of the cervix.

Review shows that under the surface to columnar epithelium, the real part of the glands, blood vessels and lymph plasma cell components, fiber based organizations and the Department of Vascular.

Differential Diagnosis

1. Cervical polyps and early identification of cervical cancer: Early cervical cancer comes with a bloody engagement or bleeding, may have papillary processes. And cervical polyps compared with flat or drop-like red vegetation, soft and crisp, easy bleeding, Beattie slender. Through the cervix Huotizuzhi pathological examination can be confirmed.

2. Cervical polyps with submucosal uterine fibroids of identification: submucosal uterine fibroids from the uterus mucosal surface prominent in the uterine cavity, the pedicle long. In uterine fibroids will shrink after Xuanyu from the cervix, vagina. Beattie in general have uterine fibroids, palpation harder than the yen, and cervical polyps are linked to cervical and Beattie, soft texture, can be exposed in the neck outside the mouth.

3. Uterine and cervical polyps must submucosal fibroids identification, later confirmed by a line treatment. In addition to look at the identification of characters, the probe could help check, if Beattie deeper, not attached to the neck, cervical polyps should be excluded, should not hastily cervical polyps removed by the treatment.

Treatment

Chinese medicine treatment

Treatment and Prescription:

The treatment of this disease in tackling both the symptoms and to the principle of real hot red-zone to facilitate hot and humid, with the Xure Chek to Ziyin heat, and with external Qushi law. Common law is the following rule.

First, the election Syndrome

1. Really hot red zone

Treatment: heat Lishi.

Recipe: only with the addition and subtraction. Zhuling 15 g, Fuling 15 g, Plantago 15 g, Zexie 15 g, Yinchen 15 g, TPG 15 g, paeonol 15 g, Treats 15 g, Weizi 15 g, Achyranthes 15 g. With blood and Rhizoma Imperatae 20 g, speculation Huaihua 20 g.

2. Xure red zone

Treatment: Ziyin heat, with only Lishi

Recipe: Jiawei. Schisandra 15 g, Maidong 15 g, Shude 15 g, yam 20 g, Cornel 15 g, Zexie 15 g, paeonol 15 g, Treats 15 g, Zhimu 15 g. Miscellaneous embrace Blood-streaked phlegm in the band, plus Health Garden Burnet 20 g, Agrimony 20 g

Second, the prescription side

1. Huangbai carts scattered: Achyranthes 30 g, was before the 9 g, Treats 6 g, TGP 30 g, water to cook, warm clothes to Zi. A day. The effectiveness of Qingrejiedu. Indications woman Ganbu blood lead with hot red color yellow, blood-like blood. Can be used to vaginitis, cervicitis, such as cervical polyps arising from the zone of relying on blood.

2. Shikonin Paste: from Shikonin, gallnut, Treats and other components. With Qingrejiedu, convergence of the power to stop bleeding for cervical precancerous lesions cone cutting, cervical erosion, cervical polyps after treatment, local on drugs, so that the wounds of a lubricating layer of protective film.

Chinese medicine:

1. Yunnan Baiyao: promoting blood circulation with blood and swelling of the scattered anti-inflammatory effect. Governance with cervical erosion, cervical polyps Daixia a result of blood-like blood, mainly to local medication.

2. UNIFEM-bolt: a Qingrejiedu, Zaoshi only belt, cured rot Shengji, Huayu the effectiveness of painkillers. Hot and humid applicable rule of cervicitis, cervical polyps. Each one, every night, on a vagina.

Western medicine treatment

Treatment, mainly to surgical resection.

1. Infection, it is necessary to actively control infection, cervical inflammation can be treated.

2, bleeding, mainly to stop bleeding. Tongxinluo be an oral blood-per-5 mg, oral three times a day. Yunnan Baiyao, or each 1 g, on the oral 2-3.

3. Inflammation control practicable after the resection of cervical polyps.

Other treatment

Cervical polyps is to stimulate long-term chronic inflammation of the cervix, mouth and the sudden one or more vegetation. Therefore, chronic inflammation is the root cause of this disease, polyps is the result of inflammation, and the polyp is gradually increasing, due to friction and inflammation of sexual intercourse repeatedly invasion, congestive polyps, Pokui, causing infection or bloody discharge outflow, at this time This compared with cervical polyps, compared with bloody discharge standard. Surgery to remove polyps should be the root cause, and to support Chinese medicine, improve the local and systemic symptoms. Polyp is a product of inflammation, polyps removed, the inflammatory lesions has not been totally eradicated, the use of Chinese medicine oral, topical will receive good effect.

Historical research

"Gynecological Guide": "Daixia-such as red liquid,名曰red zone." "Fu Qingzhu's Gynecology": "The woman has Daixia color red, like blood-blood, and Lin Li continued.…… Chi-fu also wet with disease." "Woman secretary Branch": "Daixia of the disease, Many of the women, who are red hot, and virtual-fire rule. " To the extent that the present hot and humid Yu suppressed disease, injuries caused by the blood.

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