Note: The following text is selected from A
Practical English-Chinese Library of Traditional Chinese Medicine by
Enqin Zhang(Engin CAN), he was the chief editor&author of the books, now
lecturing and practising Chinese medicine at The Asante Academy of Chinese
Medicine in the Middlesex University Archway Campus, 2-10 Highgate Hill,
N19 5LW, London, U.K.For more information, Tel:0044 7804709475;
If endometrial tissues emerge outside
the uterine cavity, the symptom is termed "Endometriosis." It is
characterized by secondary, progressive painful menstruation, irregular menstruation
and sterility. In TCM, it is discussed under the topics of Tong jing (dysmenorrhea),
Beng Lou (metrorrhagia and metrostaxis), Zhengjia (abdominal mass) and Bu Yun
(sterility). This illness is caused by impeded flow of Qi and blood, beading t
the obstruction of the Penetrating Channel and Controlling Channel and dysfunction of the uterus.
Classifications and Treatments
This disease is commonly caused by
the stagnation of Qi and blood stasis.
Clinical manifestations: Abdominal
pain starting from 1-2 days preceding the menstrual cycle, drastic pain on the
first day of menstruation which is aggravated progressively year by year; the
pain in the lower abdomen and lumbo-sacral region which radiates to the
perineum, the anus or the thighs; copious menses or prolonged menstrual cycle
wit incessant drippings of bleeding; a case history of sterility. The tongue
is purplish dark with thin, either whitish or yellowish fur. The pulse is
either deep and taut or uneven.
Gynecological examination finds
purplish blue nodes in the posterior fornix of the vagina or in the uterine
cervix, with the uterus retroversed, adhered and fixed, and with its activity
restricted. On the posterior uterine wall, in the retrouterine excavation and
uterosacral ligament, bean-like, hard-textured nodes can be touched with
obvious tenderness; in the appendicular region in active cystic mass is
perceivable with mild tenderness when pressed.
Therapeutic method: Promote blood
circulation and get rid of blood stasis.
Recipe: Gexia Zhuyu Decoction
Radix Angelicae Sinensis
Faeces Trogopterorum Praeparata
Rhizoma Ligustici Chuanxiong
Radix Paeoniae Rubra
Cortex Moutan Radicis
Decoct the herbs in water to get
200-300ml of decoction for a day's dose. Take one half of it in the morning
and the other half in the evening.
Modification: In case of listlessness
and poor appetite, deduct Faeces Trogopterorum Praeparata, but add to the
recipe Radix Codonopsis Pilosulae, Radix Astragali seu Hedysari.
In case of cold pain in the lower
abdomen which can be relieved by warmth, deduct Cortex Moutan Radicis,
Radix Paeoniae Rubra, but add
Fructus Foeniculi,Fructus Evodiae.
In case of sterility due to
obstruction of the oviduct, add Herba Speranskiae
Tuberculata, Squama Manitis,Spina Gleditsiae.
The cases with anemia, use the
Radix Salviae Miltiorrhizae
Rhizoma Ligustici Chuanxiong
Resina Olibani Praeparata
Decoct the above herbs into 150-200
ml of decoction. Inject the liquid into the colon through the anus as its
temperature drops to 37¡æ.
The operation is done before night sleep.
The stricture of the cervix and the
excessive retroflexion of the uterus must be rectified so as to prevent the
countercurrent of the menses caused by blood stasis.
Avoid unnecessary pelvioscopy during
the menstrual period. Avoid the implantation of endometria caused by
manipulations in the surgical operation.