The cervix is an important defense line to prevent pathogenic microorganisms from entering the uterus, fallopian tubes and ovaries. Therefore, the cervix is vulnerable to various pathogenic factors and inflammation occurs. This is cervicitis.
There are two kinds of cervicitis, acute and chronic, among which chronic cervicitis is the most common one. Women's diseases are mostly caused by cervical infection caused by childbirth, abortion and surgical injury or local long-term stimulation, and can also be transformed from acute cervicitis.
Once suffering from chronic cervicitis, its main manifestation is increased and sticky leucorrhea. Sometimes it is purulent. In severe cases, it may cause abdominal distension, and it tends to increase before menstruation, defecation and sexual intercourse. < P > Vaginal examination will find that there are some pathological changes in the cervix of patients with chronic cervicitis, and cervical erosion is the most common one. During chronic inflammation, the squamous epithelium of the vagina of the cervix gradually falls off and is replaced by the columnar epithelium of the cervix. The columnar epithelium is thin, so the subcutaneous blood vessels are easy to expose, so the cervix is here. Moderate refers to the fact that the erosive surface has reached half the radius of the cervix; Severe erosive surface is more than half of the radius of the cervix or has reached the edge of the cervix.
Cervical polyp is caused by long-term chronic inflammation of the cervix, which makes the cervical mucosa proliferate and form polyps. Polyps protrude from the cervix or cervical canal, with single or multiple pedicles. Polyps are red and rich in blood vessels, so they are prone to contact bleeding and sometimes irregular vaginal bleeding. Cervical hypertrophy often recurs after removal.
Cervical hypertrophy is caused by repeated long-term stimulation of chronic inflammation. It causes congestion, edema and connective tissue hyperplasia of cervical tissue.
Cervical gland cyst is caused by chronic inflammation of the cervix, which causes gland and its surrounding tissues to proliferate and block the opening of glandular duct, forming a storage cyst, which is called cervical cyst.
A good prescription for treating chronic cervicitis
(1) Apply 2% silver nitrate to the erosion area, and then wipe it with a cotton swab of normal saline once a week. Two or four times is a course of treatment, which can treat mild cervical erosion.
(2) The vulva can be washed with 1:5 potassium permanganate solution every day.
(3) Take 15g of Fructus Cnidii, Cortex Phellodendri, Radix Sophorae Flavescentis and Rhizoma Osmundae, add water to decoct, remove residues, and rinse the vagina at a low temperature.
(4) Take Rhizoma Coptidis, Cortex Phellodendri and Rhizoma Osmundae JL. Mash, stir-fry in a bag, put it in the vulva, and put a hot water bottle on it for 12 hours.
After suffering from chronic cervicitis, you should pay attention to:
(1) ensure rest, eat more fruits and vegetables and light food.
(2) pay attention to menstrual hygiene and vulva cleaning to prevent inflammation.
(3) pay attention to puerperal hygiene and avoid. Exclude early cervical cancer.
(5) Yan Ji's sexual intercourse during the treatment.
(6) Those who are not cured for a long time can receive surgical treatment if necessary.
What are the manifestations of chronic cervicitis?
When we do gynecological examination in the hospital, we often hear the doctor say, "You have cervicitis". The cervicitis mentioned here mostly refers to chronic cervicitis, which is a common and frequently-occurring disease in gynecology. More than half of married women may have it. There are five clinical manifestations of chronic cervicitis:
① Cervical erosion: this is the most common chronic cervicitis. It is characterized by the appearance of a fine granular red area in the cervix and vagina at the external mouth of the cervix.
② Cervical hypertrophy: due to the long-term stimulation of chronic inflammation, cervical congestion, edema, gland and interstitial hyperplasia, And the cervix is enlarged in different degrees.
③ Cervical polyp: under the long-term stimulation of chronic inflammation, the mucosa of the cervical canal locally proliferates. Because of the rejection function of the uterus, the proliferated mucosa gradually protrudes out of the cervix, forming polyps.
④ Cervical gland cyst: also known as Naboth cyst, which is a small bluish-white vesicle protruding from the surface of the cervix.
⑤ Cervical endocarditis: cervicitis.
Chronic cervicitis is more common in multipara, and a few patients have acute cervicitis that has not been cured and turned into chronic. However, the vast majority of patients have no obvious onset process, and some patients have no discomfort symptoms after illness, or only show an increase in leucorrhea, and they are found to have chronic cervicitis during gynecological examination. < P > Under normal circumstances, the cervix and vagina are covered by stratified squamous epithelium, and the resistance is strong; The mucous membrane of the cervical canal is a layer of columnar upward wave, and its resistance to inflammation is weak. Squamous epithelium and columnar epithelium meet at the outer mouth of the cervix. When the cervix is damaged by childbirth, abortion or childbirth, pathogens can invade the cervical tissue from the cover of columnar epithelium. Because there are many folds in the mucous membrane of the cervical canal, pathogens are not easy to remove and persist for a long time, which leads to chronic inflammation of the cervix.
How do Chinese medicine recognize chronic cervicitis?
Chronic cervicitis belongs to the category of "leukorrhagia" in gynecology of traditional Chinese medicine. Its pathogenesis is that wet pathogen affects ren and takes two pulses, so that the pulse is missed and the ren is not firm, resulting in illness. Wet pathogen is produced or lost due to spleen deficiency, and water is not moist. Or due to kidney deficiency, the seal is lost; Or because of careless intake, the disease can be divided into three types: spleen deficiency, kidney deficiency and damp-heat.
Spleen deficiency type: the symptoms are excessive and continuous leukorrhagia, white or yellowish, sticky and odorless, sallow complexion, listlessness and loose stool. The tongue is light and fat with teeth marks, white or greasy fur, and slow or weak pulse.
Kidney deficiency type: it can be divided into. Fatigue and weakness, long urine, thin stool, pale tongue, thin and white fur, and slow pulse.
(2) Kidney-yin deficiency type: symptoms include excessive leukorrhagia, sticky white color, feverish five eyes, dizziness and tinnitus, red tongue with little fur, and thin or numbered pulse. < P > Damp-heat type: symptoms include excessive leukorrhagia, yellow color or bloodshot.
Traditional Chinese medicine (TCM) treats chronic cervicitis by combining internal treatment with external treatment. Internal treatment means syndrome differentiation and classification, while external treatment includes local application of drugs, fumigation and vaginal washing.
Internal treatment:
(1) Spleen deficiency type: treating with invigorating qi and strengthening the spleen, Eliminating dampness and stopping leukorrhagia. The prescription is Wandai Decoction (Fu Qingzhu Gynecology Department).
Prescription: Atractylodes macrocephala 3g yam 3g ginseng 6g white peony root 15g atractylodes rhizome 1g licorice root 3g dried tangerine peel 2g black buckwheat spike 2g Bupleurum root 2g plantain seed (bag) 1g
If the leucorrhea is continuous, add 15g Cherokee Rose, 1g Euryale seed and 15g keel. If accompanied by cold pain in the lower abdomen, add 1 grams of Folium Artemisiae Argyi and 1 grams of Radix Linderae to warm meridians to dispel cold.
(2) Kidney deficiency type:
① Kidney yang deficiency type: treat with warming kidney yang and stopping leukorrhagia. The prescription is modified with Yougui Pill (Jingyue Quanshu). < P > Prescription: Radix Rehmanniae 1 grams of colla cornus Cervi 1 grams of Semen Cuscutae 1 grams of Eucommiae Cortex 1. 15g of nutmeg can be added in the upper part to warm the kidney and stop diarrhea. ② Kidney-yin deficiency type: nourishing kidney-yang, clearing heat and stopping leukorrhagia. The prescription is Zhibai Dihuang Decoction (Treatment of Symptoms and Pulses). < P > Prescription: Radix Rehmanniae Preparata 12g of Cornus officinalis 1g of yam 1g of Alisma orientalis 1g of Poria 12g of Cortex Moutan 1g of Anemarrhena 1g of Cortex Phellodendri 1g of Lycium barbarum 12g < P > If the amount of leucorrhea is large, Cuttlefish bone 1g stops leukorrhagia.
(3) Damp-heat type: the treatment is to clear away heat and promote diuresis to stop leukorrhagia. The prescription is modified with Yihuang Decoction (Fu Qingzhu Gynecology).
Prescription: yam 1g Gordon Euryale Semen 1g Cortex Phellodendri 1g Plantaginis (bag) 1g Ginkgo 1g Cortex Moutan 1g Herba Artemisiae Scopariae 1g Achyranthis Radix 6g. < p Fried atractylodes 1g is used for invigorating spleen and benefiting qi.
External treatment:
(1) Topical application:
Prescription ① (A New Prescription for Women): Grave Back 6g of Forsythia suspensa 6g of dried alum 3g
Grind the applied medicine into fine powder for later use. When in use, wipe the vaginal discharge and put about 1g of the powder on a sterilized cotton ball. Three times is a course of treatment. < P > Prescription ② (Practical Clinical Manual of Sexually Transmitted Diseases and Sexually Transmitted Diseases for Men and Women): Flos Lonicerae and Glycyrrhrizae Radix in equal amount < P > Grind the medicine into fine powder for later use. When using, clean vaginal secretions first. Dip the sterilized cotton ball into the medicine powder, stuff it into the vagina, and take it out the next day, and use it for seven times as a course of treatment. < P > In addition, watermelon frost or Shuangshuanghoufeng Powder are also sprayed on the cervix. Treatment of chronic cervicitis.
(2) Fumigation and washing method:
Prescription (External Treatment of Internal Diseases): 3g of Flos Chrysanthemi Indici, Herba Violae and Herba Scutellariae Barbatae, and 3g of towel gourd respectively
Decoct several medicines together, and fumigate and wash the vulva once a day, with 7 days as a course of treatment. This prescription has the effects of clearing away heat and toxic materials, promoting diuresis and stopping leukorrhagia. It can be used for cervicitis of damp-heat type.
(3) Vaginal irrigation method:
Prescription "Complete Collection of Unique Treatments of Traditional Chinese Medicine in China"): 6g of Herba Leonuri, 6g of Herba Patriniae, 3g of Shā rotto Katakuri, 3g of Cortex Phellodendri, Radix Sophorae Flavescentis and 1g of Flos Lonicerae
Decoct 1ml of the above herbs with water, put it into a washing bottle, and when the temperature of the liquid drops to 2℃~3℃. Rinse the cervix once a day. This recipe has the functions of clearing away heat and toxic materials, promoting diuresis and stopping leukorrhagia. < P > Dietotherapy can still be used as an auxiliary treatment. Here are three dietotherapy recipes. < P > Prescription ① (Differentiation of Symptoms and Dietotherapy): male black-bone chicken, lotus, ginkgo and japonica rice, 15g each, 3g pepper < P > Wash the black-bone chicken, and then put the medicine into the abdomen of the chicken. It is suitable for spleen deficiency type.
Prescription ② (Practical Clinical Manual of Sexually Transmitted Diseases for Men and Women): 5 grams of leek root, 2 eggs and 5 grams of white sugar
boiled in soup for several days. It has the effects of warming kidney-yang and stopping leukorrhagia, and is suitable for kidney-yang deficiency type.
Prescription ③ (A Complete Collection of Medicinal Diets for Men and Women): Amaranthus spinosa root 3. Drink rock sugar. This recipe has the effects of clearing away heat and toxic materials, promoting diuresis and stopping leukorrhagia, and is suitable for damp-heat type.
Chronic cervicitis is the most common disease of women, which is mostly caused by acute cervicitis, and it is more common in married women who are physically weak. Its cause is that bacteria invade the cervix during sexual life or childbirth.
The increase of leucorrhea is its main symptom, which is usually sticky or purulent mucus, sometimes. Pain in the lower abdomen or lumbosacral region is aggravated every time during sexual intercourse, menstrual period and defecation. < P > Local treatment is the main treatment, such as cervical perm, laser, freezing and corrosive agents (such as chromic acid and potassium permanganate). < P > Prescription
1. After 2-3 days of treatment, a large amount of bloody or yellow water samples will be discharged from the vagina. If the vulva is not stimulated locally, you can wash the vulva with warm water or 1∶5 potassium permanganate solution once in the morning and once in the evening.
3. Wear underwear made of cotton fabric and change frequently to keep the vulva clean
4. Temporarily prohibit sexual intercourse for 1~2 months.
5. Don't swim in the swimming pool. < P > How to protect against chronic cervicitis?
Chronic cervicitis is caused by chronic inflammation for a long time, so we should pay attention to hygiene at ordinary times, keep vulva clean and prevent pathogens from invading.
Take good contraceptive measures and try to avoid the mechanical damage of cervix caused by repeated abortion. At the same time, we should find an experienced doctor for gynecological surgery, and the operation should be aseptic and gentle to prevent iatrogenic infection and injury. Sexual intercourse should be strictly prohibited during menstruation and postpartum to avoid pathogens taking advantage of it.