中壮医治疗盆腔炎性疾病后遗症慢性盆腔痛研究进展

Research Progress on Traditional Chinese and Zhuang Medicine in Treating Chronic Pelvic Pain Due to Sequelae of Pelvic Inflammatory Disease

摘要: 慢性盆腔炎性疾病后遗症慢性盆腔痛常见于女性急性盆腔炎未予及时诊治而出现一系列后遗症，其特点在于病情缠绵难愈，病程长，治疗难度大，临床主要表现在下腹部、腰骶部疼痛及带下异常等为主要临床特征。中壮医虽对“盆腔炎性疾病后遗症”这一无特定病名，但据其患者临床特点，对症对因辨证施治，具有疗效突出、安全便捷、接受程度高等优势。本文综述了中壮医治疗该病的研究进展，并对中壮医治疗盆腔炎性疾病后遗症方面提出了新展望与新思路。

Abstract: Chronic pelvic pain, a sequela of pelvic inflammatory disease (PID), commonly occurs in women following acute PID that was not promptly diagnosed and treated. It is characterized by persistent symptoms, a prolonged course, and significant treatment difficulty. The primary clinical manifestations include lower abdominal pain, lumbosacral pain, and abnormal vaginal discharge. Although Traditional Chinese Medicine (TCM) and Zhuang Medicine do not have a specific disease name corresponding exactly to “sequelae of pelvic inflammatory disease,” they effectively address the condition based on its clinical presentation. Treatment involves syndrome differentiation and targeting the root cause, offering distinct advantages such as notable efficacy, safety, convenience, and high patient acceptance. This article reviews the research progress in TCM and Zhuang Medicine for treating this condition and proposes new perspectives and innovative approaches for future management of PID sequelae.