6. Gynecological Diseases

6. Gynecological Diseases

In addition to ectopic pregnancy, blood-stasis-removing therapy can also be applied to other gynecological diseases. The Capital Hospital used this method to treat 127 cases of pelvic inflammatory disease, achieving good therapeutic results, with formulas adjusted according to ingredients such as sheng di, red peony root, peach kernel, safflower, raw oyster, raw turtle shell, kelp, seaweed, parasitic plants, chuan duan, and summer-withered grass. Among them, 84 cases were tuberculous pelvic inflammatory disease, treated with blood-stasis-removing therapy combined with anti-tuberculosis drugs, all of which were effective. There are numerous reports nationwide of blood-stasis-removing therapy being used to treat functional uterine bleeding. For example, using Gui Zhi Fu Ling Wan or Tao Hong Si Wu Tang to treat this condition has been widely recognized by the medical community for its definite therapeutic efficacy.

III. Research on the Essence of Blood Stasis

Research on the essence of blood stasis has been quite in-depth in modern times. Currently, it is believed that the blood stasis syndrome in TCM generally involves the following three pathological changes: ① local congestion and ischemia caused by circulatory disorders. ② post-hemorrhagic blood stasis in skin, mucous membranes, and visceral tissues. ③ tissue hyperplasia, degeneration, nodules, and tumors. Experimental studies on these three processes have shown that the pathological changes associated with blood stasis syndrome appear in the following aspects: ① microcirculatory disorders: including slow and stagnant blood flow, aggregation of blood cells (even turning into sludge), deformation and exudation of capillaries. ② abnormal hemorheology: blood can exist in four states—concentrated, viscous, coagulated, and aggregated. Concentration refers to increased blood concentration and compositional changes; viscosity refers to increased blood viscosity; coagulation refers to accelerated blood clotting speed; aggregation refers to increased cell-to-cell clustering. ③ abnormal hemodynamics: blood stasis syndrome is often accompanied by hemodynamic abnormalities, usually caused by heart failure. When cardiac function declines, hemodynamic changes inevitably occur, and at the same time, blood stasis syndrome is discovered. In addition, chronic hepatitis, cirrhosis, thromboangiitis obliterans, psoriasis, and other conditions all affect hemodynamics in certain areas, as blood stasis syndrome is also commonly seen locally.

IV. Experimental Studies on Invigorating Blood Circulation and Removing Blood Stasis