Inflammation of the reproductive organs includes urethritis in men and vaginitis, cervicitis, endometritis, salpingitis, and pelvic inflammatory disease in women. Although the lesions occur in the reproductive system, they can cause varying degrees of systemic reactions, especially chronic inflammation, which due to repeated episodes, has a significant impact on women's health and fertility.
Male urethritis and female urethritis and genital inflammation:
Due to an increase in vaginal discharge in patients with genital inflammation, some experience pain during intercourse, while others may have dysmenorrhea, thus categorizing this condition under Traditional Chinese Medicine (TCM) as leukorrhea, dysmenorrhea, coital pain, and infertility. Essentially all sexually transmitted diseases manifest symptoms of male urethritis, making urethral inflammation the most common ailment. Non-gonococcal urethritis is the most difficult disease to treat.
For urethritis, Western medicine has excellent efficacy, particularly potent antimicrobial agents, marking a remarkable achievement in the history of human medicine. However, the emergence of drug-resistant strains poses a considerable challenge. TCM treatment for such conditions is lengthy but has the advantage of enhancing the body's immune function and thoroughly eliminating bacteria, making it a research focus in the international medical community.
"Causative Factors and Pathogenesis"
Reproductive system inflammation, based on its clinical manifestations and pathogenic mechanisms, can be classified into two types in TCM:
1. Damp-Heat Accumulation Type: A preference for spicy food generates internal damp-heat, which descends to the uterus; or external damp-heat toxins invade and accumulate in the uterus or male urethra. In women, this hinders the ability to conceive.
2. Blood Stasis Blocking the Uterus Type: Chronic emotional depression leads to stagnation of qi and blood stasis; cold pathogens invade internally, causing blood coagulation and cold-induced blood stasis; phlegm-dampness accumulation results in phlegm-blood stasis; qi deficiency caused by other illnesses impairs blood circulation, leading to qi deficiency and blood stasis. Blood stasis obstructs the uterus, preventing new blood from nourishing it, and blocking conception.
"Differentiation and Treatment"
1. Damp-Heat Accumulation Type
Clinical Manifestations: Increased vaginal discharge, yellowish-white in color, resembling pus, sometimes mixed with blood streaks, with a foul odor; lower back soreness, heaviness and pain in the lower abdomen, worsening during menstruation or after fatigue; coital pain or post-coital pain; irritability, insomnia, bitter taste in mouth, dry throat, poor appetite; itching in the vulva or vagina; anal fullness and discomfort; short and red urine, sometimes accompanied by dysuria, urgency, and frequency. Red tongue with a dark hue, yellow greasy or thin yellow greasy coating, wiry slippery or wiry fine pulse.
Treatment Method: Clear heat, detoxify, and remove dampness.
2. Blood Stasis Blocking the Uterus Type
Clinical Manifestations: Persistent pain in the lower abdomen or hypogastrium, worsening before menstruation; irregular menstruation, difficulty in menstrual flow; premenstrual breast tenderness; dark red menstrual blood with clots; frequent white or yellow discharge, sticky or watery; irritability, anger, chest and rib distension, sighing often, belching, heavy-headedness, physical fatigue, facial edema, particularly around the ankles and shins; gynecological examination often reveals unilateral or bilateral adnexal tenderness or thickening, sometimes palpable nodules in the posterior fornix. Purple-dark or pale-dark tongue, white or yellow coating, wiry fine pulse, or deep-thready, or slippery-rapid and forceful pulse.
Treatment Method: Activate blood circulation, resolve blood stasis, and relieve pain.
"Daily Prevention"
Reproductive system inflammation in both sexes is a common disease, infections can be caused by bacteria, viruses, parasites, and various other factors. If not completely cured during the acute phase, it can turn into chronic inflammation, often lingering and recurring, significantly affecting health, life, and work, also becoming a burden to families and society. However, if the following points are observed in daily life, the disease can be prevented.
1. Pay attention to hygiene of the external genitalia, wash regularly, women should not insert hands into the vagina during cleaning to prevent retrograde infection.
2. Maintain regular sexual activity, abstain from intercourse during menstruation.
3. Live a regular life, balance work and rest.
4. Do not use others' towels and items in public places like hotels, baths, and swimming pools.
5. After defecation, gently wipe from front to back with soft toilet paper, avoid excessive force to prevent carrying pathogens to the vulva.
Thoroughly cure acute inflammation to prevent it from turning chronic.
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