Chinese Medicine Treatment of Ectopic Pregnancy: Clinical Observation of 58 Cases
The parametrial side shows an ill-defined mixed mass with uneven echo. ② Pregnancy test: serum HCG is positive. ③ No minor bleeding, no shock, mild condition. Age range from 19 to 46 years, average 29.7 years; menopause ranges from 38 to 60 days. 47 cases had irregular vaginal bleeding (81.0%), abdominal pain in 32 cases (55.2%), no symptoms in 6 cases (10.3%), second ectopic pregnancy in 3 cases (5.2%). B-ultrasound examination showed that the uterine cavity did not have gestational sac attachment but there was a mass, with a diameter ranging from 18 to 54 mm, averaging 35.6 mm. Pelvic effusion ranged from 0-3.7 cm, with an average depth of 2.7 cm. Blood HCG levels ranged from 12 to 1042 mU/ml (chemiluminescence fluorescence, normal <10 mU/ml), averaging 652 mU/ml. All patients had normal pre-hospital liver and kidney function and urinalysis and voluntarily accepted conservative treatment.
1.2 Syndrome differentiation and treatment for ectopic pregnancy - Recipe II: Spartina, Curcuma, Salvia, red peony, peach, Lithospermum, Solanum nigrum, half lotus. Centipedes, scorpions, foreign protein allergy, pollen allergy, safflower, physically weak, lack of appetite, plus Codonopsis and yellow multitude, abdominal pain compared to those who play SFAS, Yan Hu, Patrinia large mass plus Gui Zhi, Poria cold side plus soap spines, partial heat plus gentian, transaminase increase, plus Bupleurum, Polygonum cuspidatum, diarrhea and psoralen, Evodia. The decoction is taken three times a day, half an hour after meals, and the residue is applied hot to the lower abdomen. During hospitalization, vital signs such as blood pressure and pulse are closely monitored, along with changes in abdominal pain and vaginal bleeding due to combined Chinese and Western medicine treatment. Symptoms are recorded every five days until blood HCG returns to normal. If abdominal pain worsens, a B-ultrasound review is conducted every seven days to observe changes in pelvic ectopic pregnancy mass and pelvic effusion, along with liver function, kidney function, and blood routine.
1.3 Clinical efficacy evaluation: Significant reduction in clinical symptoms, the mass does not continue to increase but rather narrows, blood HCG values fall close to or reach normal value; Invalid: During treatment, serum HCG values remain high and even continue to rise, the mass does not reduce or even increases, abdominal pain becomes heavier, etc., such cases should undergo surgical treatment.
1.4 Results: In 54 cases (93.1%) conservative treatment was successful, with 42 cases showing serum HCG negativity and disappearance of the mass. Among these, 16 cases (27.6%) became negative within one week of treatment, 32 cases (55.2%) became negative within two weeks, and six cases (10.3%) became negative within three weeks. One case (1.7%) due to prolonged pre-hospital treatment experienced increased abdominal pain the next day, B-tip Dow cavity non-pure liquid echo, after dome puncture blood was drawn and underwent surgery. Three cases (5.2%) after one week of conservative treatment did not show significant decrease in serum HCG requiring surgical treatment. In 2 cases (3.4%), elevated aminotransferases were observed, which returned to normal two weeks after stopping treatment without using hepatoprotective drugs.
Discussion: In traditional Chinese medicine, ectopic pregnancy is suitable for stasis Shaofuzhuyu empirical treatment. Based on syndrome differentiation, Ectopic Recipe II enhances the killing of embryos, XiaoBan Sanjie quickly ends ectopic pregnancy, and promotes the absorption of the mass laying a good foundation for future normal pregnancy, particularly suitable for fertility requirements.
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