Evidence-Based Complementary and Alternative Medicine / 2014 / Article / Tab 1

Review Article

The Complementary and Alternative Medicine for Endometriosis: A Review of Utilization and Mechanism

Table 1

General view of all therapeutic approaches.

Therapeutic approachesClinical indicationSpecificationsEfficacyPrecautions

Herbal products EM with chronic pelvic pain, dysmenorrhea, and infertilityAccording to TCM practitioners’ judgment of the disease, propose appropriate TCM prescriptionsAlleviate dysmenorrhoea
Shrink endometriotic lesion
Promote pregnancy
Reduce recurrence rate
Patients who are allergic to some foods and pollen should take the herbal products with caution

Acupuncture and Moxibustion EM with chronic pelvic pain, dysmenorrhea, and infertilityTake the appropriate acupoints and choose needling, auricular point, or moxa-moxibustion therapy, according to the disease status of patient. 30 min is a course of treatment for acupuncture (needling, auricular point); 40–50 min is a course of treatment for moxibustionAlleviate dysmenorrhoea
Promote pregnancy
Some patients may occur fainting condition

CHM enema EM with chronic pelvic pain, dysmenorrhea, and infertilityAsk the patient to take the left lateral decubitus position. Put the boiled TCM herbal liquid into 20 mL syringe, with the temperature of 38~40°C. With a disposable catheter connection, slowly push TCM herbal liquid into the rectum. Tell the patient to relax and keep the TCM herbal liquid more than 2 hoursAlleviate dysmenorrhoea
Shrink endometriotic lesion
Unfit for predominant irritable bowel syndrome patients

Microwave physiotherapynonacute phase of EM Ask the patient to take supine position.
Put the microwave physiotherapy instrument facing patient's lower abdomen, with the distance of 35–45 cm. 30 min is a course of treatment
Alleviate dysmenorrhoea
Shrink endometriotic lesion
Attention to operating time, adjusting the distance of microwave physiotherapy equipment, so as not to scald patients

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