Author(s)

Guan Jinhua ^1,2, Wang Guanglong ¹, Zhang Hui ¹, Hao Cheng ¹, Zhang Suo ²

Affiliation(s)

¹ Inner Mongolia Medical University, Hohhot, 010059, China
² Hohhot Mongolian Traditional Chinese Medicine Hospital, Hohhot, 010010, China

Corresponding Author

Zhang Suo

ABSTRACT

Chronic pelvic pain (CPP) is a common gynecological disease with complex etiology, diverse modern medical treatment methods, poor clinical effect, and long course of disease, which brings great physical and mental pain to patients. There are many ways of traditional Chinese medicine to treat this disease, including Chinese medicine decoction, acupuncture and massage, Chinese medicine enema and other treatment methods, and the clinical effect is very good. Modern medicine has multi-dimensional treatment for chronic pelvic pain, but there are also some shortcomings. Integrated traditional Chinese and western medicine can give full play to the advantages of both sides, so that patients can get better treatment. This article reviews the research progress of the pathogenesis, etiology, pathogenesis and traditional Chinese medicine treatment of chronic pelvic pain. With the understanding of the etiology, pathology and pathogenesis of chronic pelvic pain in modern medicine, it is believed that chronic pelvic pain is related to many factors such as special pathogen infection, neuroendocrine abnormalities, immune abnormalities, pelvic diseases and genetics. Traditional Chinese medicine believes that the pathogenesis of chronic pelvic pain is caused by damp heat, blood stasis and qi stagnation, and the liver, spleen, kidney, lung, stomach and bladder are closely related to the disease. At present, the comprehensive treatment of traditional Chinese medicine, acupuncture and massage therapy and external treatment is adopted, and the clinical effect is significant. The purpose of this article is to provide reference for clinical and cognitive prevention and treatment of chronic pelvic pain, and provide beneficial enlightenment for related research.

KEYWORDS

Chronic pelvic pain; Traditional Chinese medicine treatment; Advances in treatment

CITE THIS PAPER

Guan Jinhua, Wang Guanglong, Zhang Hui, Hao Cheng, Zhang Suo, Research Progress in the Treatment of Chronic Pelvic Pain with Traditional Chinese and Western Medicine. MEDS Chinese Medicine (2024) Vol. 6: 140-147. DOI: http://dx.doi.org/10.23977/medcm.2024.060419.

REFERENCES

[1] Latthe P, Latthe M, Say L, Gülmezoglu M, Khan KS. WHO systematic review of prevalence of chronic pelvic pain: a neglected reproductive health morbidity. BMC Public Health. 2006;6:177. Published 2006 Jul 6. doi:10.1186/1471-2458-6-177.
[2] Reiter RC. Evidence-based management of chronic pelvic pain. Clin Obstet Gynecol. 1998;41(2):422-435. doi:10.1097/00003081-199806000-00023.
[3] Curry A, Williams T, Penny ML. Pelvic Inflammatory Disease: Diagnosis, Management, and Prevention. Am Fam Physician. 2019; 100(6):357-364.
[4] Nilsson-Wikmar L, Holm K, Oijerstedt R, Harms-Ringdahl K. Effect of three different physical therapy treatments on pain and activity in pregnant women with pelvic girdle pain: a randomized clinical trial with 3, 6, and 12 months follow-up postpartum. Spine (Phila Pa 1976). 2005; 30(8):850-856. doi:10.1097/01.brs.0000158870.68159.d9.
[5] Ferreira CW, Alburquerque-Sendı N F. Effectiveness of physical therapy for pregnancy-related low back and/or pelvic pain after delivery: a systematic review. Physiother Theory Pract. 2013;29(6):419-431. doi:10.3109/ 09593985. 2012. 748114.
[6] Liu Zhaohui, An Ruifang, Di Wen, et al. Code for diagnosis and treatment of pelvic inflammatory diseases (2019 revision) [J]. Chinese Journal of Obstetrics and Gynecology, 2019, 54 (7): 433-437.
[7] Chong OT, Critchley HO, Horne AW, Fallon M, Haraldsdottir E. Chronic pelvic pain in women: an embedded qualitative study to evaluate the perceived benefits of the meridian balance method electro-acupuncture treatment, health consultation and National Health Service standard care. Br J Pain. 2019;13(4):244-255. doi:10.1177/ 2049463718814870.
[8] Casper RF. Progestin-only pills may be a better first-line treatment for endometriosis than combined estrogen-progestin contraceptive pills. Fertil Steril. 2017;107(3):533-536. doi:10.1016/j.fertnstert.2017.01.003.
[9] Hung YC, Westfal ML, Chang DC, Kelleher CM. Lack of Data-driven Treatment Guidelines and Wide Variation in Management of Chronic Pelvic Pain in Adolescents and Young Adults. J Pediatr Adolesc Gynecol. 2020; 33(4):349-353.e1. doi:10.1016/j.jpag.2020.03.009.
[10] Hunter CW, Yang A. Dorsal Root Ganglion Stimulation for Chronic Pelvic Pain: A Case Series and Technical Report on a Novel Lead Configuration. Neuromodulation. 2019; 22(1):87-95. doi:10.1111/ner.12801.
[11] Lu Jialin, Chu Yizhong, Wang Peijuan. Professor Peijuan Wang experience in chronic pelvic pain with sequelae of pelvic inflammatory disease [J]. Shaanxi Traditional Chinese Medicine, 2022, 43 (04): 508-510 + 522.
[12] Liu Weiping, Teng Xiuxiang. Clinical study on the combination of Angelica peony powder in the treatment of sequelae of pelvic inflammatory diseases [J]. Chinese Journal of Clinicians, 2020, 48 (01): 118-121.
[13] Cui Li, Li Lanlan, Wu Haiyan, et al. Observation on the curative effect of the treatment combined with western medicine on the sequelae of pelvic inflammatory disease [J]. Hebei Traditional Chinese Medicine, 2022, 44 (03): 430-434 + 440.
[14] Zhang Suo, Jia Ruilin, Chen Jing. Effect of coix seed on JNK / p38 signaling pathway in rat model of pelvic inflammatory disease [J]. Chinese Journal of Traditional Chinese Medicine, 2022, 37 (06): 3584-3589.
[15] Yuan Jingxue, Liu Zhishun. Literature analysis of the characteristics of acupuncture treatment of chronic pelvic pain in pelvic inflammatory diseases [J]. Chinese Journal of Traditional Chinese Medicine, 2019, 34 (03): 1236-1240.
[16] Ding Ning, Wang Xin, Xia Xiaojie. A randomized parallel controlled study of acupuncture for the treatment f chronic pelvic pain [J]. Clinical Journal of Acupuncture, 2019, 35 (11): 17-20.
[17] Liu Yinghua, Wang Xin, Liang Zhuo, et al. Acupuncture combined with western medicine for chronic pelvic pain with sequelae of pelvic inflammatory disease: a multi-center randomized controlled study [J]. Chinese acupuncture, 2021, 41(01):31-35.DOI:10.13703/j.0255-2930.20191218-k0002.
[18] Wang Biyun, Qin Qin. Efficacy of thunderfire moxibustion on treating the sequelae of pelvic inflammatory diseases and its effects on serum Caspase-3 and sFas [J]. Journal of Tianjin University of Traditional Chinese Medicine, 2021, 40 (05): 587-590.
[19] Zhang Yanxue, Sun Junhua, Li Hongyan, et al. Effect of TCM-sparing enema combined with steaming heat therapy on Th 17 / Treg immune balance in patients with chronic pelvic inflammatory sequelae [J]. Western Traditional Chinese Medicine, 2021, 34 (10): 130-134.
[20] Li Changhui, Cui Guanghao, Wang Yanping. Clinical study on the treatment of pelvic inflammatory disease sequelae with chronic pelvic pain (heat stasis) [J]. The Chinese Medical Guide, 2018, 16(30):177-178. DOI:10. 15912/j. cnki. gocm. 2018.30.143.

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