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      Clinical Research on the Comprehensive Curative Effect of Acupuncture and Traditional Chinese Medicine for Pelvic Inflammatory Sequelae

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          Abstract

          Background

          This randomized, controlled trial was designed to assess whether acupuncture plus an oral administration of Chinese herbal medicine provides greater relief of symptoms than oral administration of Chinese herbal medicine alone for treatment of pelvic inflammatory sequelae.

          Material/Methods

          Sixty-two patients ages 22 to 45 years with pelvic inflammatory sequelae were randomly assigned into one of 2 groups: an herbal group (n=30) and an herbal with acupuncture group (n=32). Both groups were treated for 3 courses of 3 months each.

          Results

          Significant improvement of clinical symptoms and signs of pelvic inflammatory sequelae occurred in both treatment groups. The total effective rate for the herbal group was 83.33%, and for the herbal with acupuncture group it was 100% ( P=0.354 for difference between groups). During treatment, 5 patients had adverse reactions of nausea, loss of appetite, and diarrhea. After adjustment of the herb prescription, all adverse reactions disappeared.

          Conclusions

          Our results highlight the benefit of oral administration of Chinese herbal medicine along with acupuncture; this had a greater clinical curative effect rate than oral administration of Chinese herbal medicine alone when treating pelvic inflammatory sequelae.

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          Most cited references3

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          Pathogenesis of and unifying hypothesis for idiopathic pouchitis.

          Ileal pouch-anal anastomosis is the procedure of choice in the surgical management of refractory ulcerative colitis. Pouchitis affects up to 60% of patients following ileal pouch-anal anastomosis for ulcerative colitis. It overlaps significantly with ulcerative colitis such that improvements in our understanding of one will impact considerably on the other. The symptoms are distressing and impinge significantly on patients' quality of life. Despite 30 years of scientific and clinical investigation, the pathogenesis of pouchitis is unknown; however, recent advances in molecular and cell biology make a synergistic hypothesis possible. This hypothesis links interaction between epithelial metaplasia, changes in luminal bacteria (in particular sulfate-reducing bacteria), and altered mucosal immunity. Specifically, colonic metaplasia supports colonization by sulfate-reducing bacteria that produce hydrogen sulfide. This causes mucosal depletion and subsequent inflammation. Although in most cases antibiotics lead to bacterial clearance and symptom resolution, immunogenetic subpopulations can develop a chronic refractory variant of pouchitis. The aims of this paper are to discuss proposed pathogenic mechanisms and to describe a novel mechanism that combines many hypotheses and explains several aspects of pouchitis. The implications for the management of both pouchitis and ulcerative colitis are discussed.
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            Clinical study on chronic pelvic inflammatory disease with syndrome of damp-heat and blood-stasis by Qing-Re Li-Shi Hua-Yu decoction combined with acupuncture therapy

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              • Record: found
              • Abstract: not found
              • Article: not found

              Study on immunoregulation by method of promoting blood flow and dissipating phlegm among rats with chronic pelvic inflammatory disease

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                Author and article information

                Journal
                Med Sci Monit
                Med. Sci. Monit
                Medical Science Monitor
                Medical Science Monitor : International Medical Journal of Experimental and Clinical Research
                International Scientific Literature, Inc.
                1234-1010
                1643-3750
                2018
                08 May 2018
                : 24
                : 2928-2936
                Affiliations
                [1 ]Institute of Literature in Chinese Medicine, Nanjing University of Traditional Chinese Medicine (TCM), Nanjing, Jiangsu, P.R. China
                [2 ]Department of Human Affairs, Obstetrics and Gynecology Hospital Affiliated to Nanjing Medical University, Nanjing, Jiangsu, P.R. China
                [3 ]Department of Traditional Chinese Medicine (TCM), Obstetrics and Gynecology Hospital Affiliated to Nanjing Medical University, Nanjing, Jiangsu, P.R. China
                [4 ]Clinical Laboratory, Jiangsu Province Hospital of Traditional Chinese Medicine (TCM), Nanjing, Jiangsu, P.R. China
                [5 ]School of Health Policy and Management, Nanjing Medical University, Nanjing, Jiangsu, P.R. China
                Author notes
                Corresponding Authors: Yuejun Wu, e-mail: yangniu1845@ 123456sina.com , Changqing Wang, e-mail: cqwang@ 123456njmu.edu.cn
                [A]

                Study Design

                [B]

                Data Collection

                [C]

                Statistical Analysis

                [D]

                Data Interpretation

                [E]

                Manuscript Preparation

                [F]

                Literature Search

                [G]

                Funds Collection

                Article
                909734
                10.12659/MSM.909734
                5963740
                29735974
                07df7f94-7617-47f6-b395-5ada944be800
                © Med Sci Monit, 2018

                This work is licensed under Creative Common Attribution-NonCommercial-NoDerivatives 4.0 International ( CC BY-NC-ND 4.0)

                History
                : 02 March 2018
                : 03 April 2018
                Categories
                Clinical Research

                acupuncture,clinical research,herbal,pelvic inflammatory sequelae,traditional chinese medicine

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