① Conservative treatment: tubal pregnancy did not rupture or the estimated internal bleeding was less than 50 ml, and there was no obvious abdominal pain. When the serum HCG is less than 6000 iv/L and the adnexal masses diameter is less than 3.50 cm as indicated by B-ultrasound, 50 mg/m2 of methotrexate can be mixed with 4 ml of normal saline for intramuscular injection. Observe the changes of the disease closely after taking the medicine.

② Surgical treatment: those who have been menopausal for a long time are suspected to be pregnant with fallopian tube interstitial part or residual horn uterus; Patients with severe internal bleeding, poor conservative treatment effect or embryonic dysplasia should be treated surgically. Generally, salpingectomy is adopted, and conservative surgery is feasible for those who have fertility requirements, such as salpingostomy and incision.

(2) Chinese medicine treatment.

① Obstruction of collaterals by fetal mass: during the unruptured period of tubal pregnancy, there is dull pain on one side of the lower abdomen, or vaginal bleeding, and there is a tender mass on the palpable side, with normal or dull tongue, thin and white fur and slippery pulse. Treatment should promote blood circulation and remove blood stasis.

Prescription: Radix Paeoniae Rubra and Radix Salviae Miltiorrhizae each 65438±05g, Fructus Gleditsiae Abnormalis and Semen Persicae each 65438±02g, Gypsum Fibrosum and Herba Hedyotidis Diffusae each 65438±00g, and 2 centipedes. Chinese patent medicine: rhubarb? Worm pill

② Qi deficiency and blood deficiency; During the bleeding period of tubal pregnancy, the abdomen suddenly suffered from severe pain, pale face, cold limbs, cold sweat dripping, irritability, pale tongue, thin white fur and slight pulse. It is advisable to replenish qi and restore yang to save adverse events.

Prescription: Ginseng Radix Rubri 30g (single decoction), Radix Aconiti Lateralis Preparata 65438 00g, Radix Ophiopogonis and Fructus Schisandrae Chinensis 65438 05g each. Chinese patent medicine: Shengmai drink and Shengmai injection.

③ Stagnation of blood stasis: tubal pregnancy is ruptured for a long time, hematoma mass is formed, abdominal pain is gradually relieved, lower abdomen is swollen or defecated, pelvic cavity has obvious irregular mass, dark tongue, thin white fur and thin pulse. It is advisable to promote blood circulation to remove blood stasis, eliminate stagnation and guide stagnation.

Prescription: Radix Salviae Miltiorrhizae and Radix Paeoniae Rubra each 65438±05g, Rhizoma Sparganii, Rhizoma Curcumae and Semen Persicae each 65438±02g, Leech and Squama Manis each 65438±00g. Chinese patent medicine: Shaofu Zhuyu Pill.