Notes when using drugs to treat uterine prolapse

The article was professionally consulted by Specialist Doctor II Pham Thi Tuyet Mai - Obstetrician and Gynecologist - Department of Obstetrics and Gynecology, Vinmec Hai Phong International General Hospital

Uterine prolapse is in the vagina there is a mass exiting or prolapse at the vaginal opening or outside the vagina, shaped like a goose egg, pale red color makes women feel heavy in the lower abdomen, painful waist and back, part of the uterus. accompanied by lack of enthusiasm, pale tongue, weak pulse.

The disease has 3 levels:
Grade 1: The uterus is stretched, sagging a little lower than the original position but still located in the vagina. The patient feels a bit tight, entangled, heavy in the genitals; Occasional frequent urination, urinary incontinence, especially when coughing, laughing, or exercising vigorously. Grade 2: Uterine dilatation, sagging into the opening of the vagina. Every time you push, try to go to the toilet, squat or carry a heavy bag, part of the uterus will be pushed out. If it rests, it will shrink inward on its own. Grade 3: The entire uterus "flows" out of the vagina. The patient can see or feel a fist-sized mass of flesh there and the mass does not shrink on its own. If the disease has reached this level, it is always accompanied by inflammation because the patient often urinates, bacteria easily penetrate.

After diagnosing uterine prolapse based on the severity of the disease, age, and health status of the patient, the doctor will have an appropriate treatment method:
2.1. Mild cases For patients with mild disease, the disease does not cause too much impact on daily life, non-surgical treatment is the best option, suitable for elderly or poor health patients who cannot surgery.
Can be combined with Oriental medicine, Southern medicine to improve. Rest, do not work too hard, keep your mind relaxed. Provide adequate nutrition, supplement necessary substances for the body, do not overeat leading to overweight and obesity and increase fiber to combat constipation. Performing exercises to lift the uterus, the most popular of which are Kegel exercises, which increase flexibility, helping to make sex organs stronger. 2.2. Severe cases of uterine prolapse Applying topical vaginal estrogen therapy helps strengthen muscles and ligaments. Fix the uterus in the correct position by using a small circle to support the vagina. If ulcers appear and cause dangerous complications, the patient needs to have a partial or total hysterectomy.

According to Oriental Medicine, uterine prolapse is caused by the body's weakness, the postpartum qi and blood has not recovered, and excessive labor is used, leading to low discharge, unable to contract the uterus. This disease is divided into two conditions: bad breath and low temperature.
3.1. Vaginal discharge is manifested in the vagina with a mass that goes down to or out of the door, heavy lower abdomen, fatigue in the lumbar region, palpitations, shortness of breath, always urinating, loose stools, thin tongue moss , a lot of bad gas.
Drugs to treat uterine prolapse will be based on the principle of "downward, bring up", using gas to bring up is the main thing. Using drugs with uplifting properties (putting up) and combining both acupuncture and acupressure and external treatments such as compresses will result in faster results.
Remedy "Tonify the center of the gas": Xuan ginseng 4g, sulphur (grilled) 6g, dong quai 2g, white truffle 4g, stinging herb 4g, ceiling skin 2g, thang ma 2g, sai Ho 2g, raw ginger 3 slices, big apple 3 left. Sac 500ml to 150ml, drink warm during the day.
3.2. Hypothermia Manifestations in the vagina are protrusions, pain, yellowish discharge, burning urination, yellow urine, pain when urinating, fever, sweating, dry mouth, bitter taste, red tongue , slimy yellow moss. The reason is that the spleen is damaged, the low qi is lowered, and the heat is generated for a long time.
Medicine for uterine prolapse according to the principle of heat clearing, low benefit.
Remedy "Long meditative can thang": 4g longan Thao (wine star) 4g, pine pine 2g, 4g pine needles, 4g description, far from money, born earth royal (wine star) 2g, dong quai (washed) alcohol) 2g, chi zi (star) 2g, royal chin (wine star) 2g, licorice 2g. Sac drink, drink away from meals.

Lesson 1: Thien li flowers 30g and young leaves of Thien li 20g, pounded, wrapped in cotton, placed in the vulva (put in at night, take out during the day). Lesson 2: Purple jasmine leaves 4g and alum phi 2g (well sterilized), pounded, wrapped in cotton and placed in the vulva for 24 hours. Lesson 3: Custard apple (Southern call it custard apple) 20g dry, 50g betel leaf, 5g alum. Crush the betel leaves, squeeze the juice, the na seeds and the alum, and then grind it into a fine powder, mix it all together and apply it. Lesson 4: Tops of purple castor leaves 20g and old purple castor beans 10g. Wash, pound, pack, and place in the vagina for 24 hours. Lesson 5: Foliage 50g, kitchen soot, alum phi 2g. Wash, pound and pack in cotton to place in the vagina (at night, take out during the day). Lesson 6: Fresh bark 20g, purple castor leaves 20g (no leaves can use seeds), Thang ma tubers 20g. The herbs are pounded, mixed with vinegar, divided into 2 parts, one part is covered with the navel, one part is applied to the top of the head. After seeing the uterus contract normally, remove the medicine and wash it off. Lesson 7: 1 cup of salt, roasted until crispy, then poured into 2 cups of bran, continue to roast until evenly heated, then pour into a towel, wrap and compress the patient's back or lie on the patient's back. Simultaneously stir flour paste, raw ginger mixed with pounded wax mixed with flour paste, spread on white paper to stick the lower abdomen, when the uterus shrinks up just enough, remove it. Note: when applying external drugs, it should be combined with taking the remedy to supplement the center of gas, pay attention to the increase of the ghost to 20 - 30g.

Millet and eel porridge: 1 eel, washed off the internal organs, chopped into a pot with 100g millet cleaned and a little salt, add enough water and then simmered into porridge. Patients eat all day, eat when hungry. Ha thu o porridge, chicken eggs: 30g red ha tho, use lychee to wrap and 50g millet rice to clean, put in a pot, add enough water and cook into porridge. Then take out the bag of Ha Thu O medicine, add spices, sugar and crack 2 eggs. Feed the patient twice a day, on an empty stomach. Cong ginseng porridge, Thang ma: 30g ginseng party and 10g thang ma for well-cooked water, then remove the residue, add 50g millet to cook into porridge. The patient eats twice a day, on an empty stomach. Eel soup: 2 eels, remove the bones - intestines - head - tail, slice and then put in the pot, add onions - ginger - salt - wine to marinate for a while. Cook eel soup with just the right amount of boiling water, seasoning is fine. Eel soup should be eaten with meals every day. Carp fish soup, abalone: ​​1 fresh carp, about 250g, 25g amaranth, only 10g star carcass. Hoang Ky, only the body is cooked with water for 40 minutes, then remove the residue and take the water. Clean the fish, put it in a pot of medicinal water, then add ginger and salt and continue to cook until the fish is cooked. Eating a meal together.

Pay attention to resting, when sleeping, raise your butt or the foot of the bed has two bricks high. People who are thin and weak after giving birth should not do heavy labor early. Avoid movements that put pressure on the abdomen such as: standing for a long time, sitting for a long time or holding your breath... Keep defecation easy, avoid constipation. Timely treatment of diseases that increase pressure on the abdomen such as: cough... To increase nutrition, it is advisable to eat foods that have the effect of tonic gas and kidney tonic such as: chicken, medicinal herbs, sea beans, lotus seeds, water lily seeds, eels, chives, chives, big apples... Limit married life. People with uterine prolapse do not press the vagina with their hands. The use of the drug should be prescribed by a doctor, the patient needs to go to the doctor and determine the extent of the disease. Avoid self-medication because it can cause side effects and bad effects that make the disease worse.