PROBLEMS AFTER CHILDBIRTH

PROBLEMS AFTER CHILDBIRTH

Chapter contents

• Remember to pay attention to invigorating Blood after childbirth. The closer to the childbirth, the more one needs to invigorate Blood. As a rule of thumb, within 3 weeks from childbirth place the emphasis on invigorating Blood (and nourishing Blood secondarily); after 3 weeks place the emphasis on nourishing Blood (and invigorating Blood secondarily).

RETENTION OF PLACENTA

Kidney-Qi deficiency

Retention of placenta, abdominal distension, abdominal pain that is better with pressure, abundant lochia, pale complexion, tiredness, breathlessness, backache, Pale tongue, Weak pulse.

Liver-Blood stasis

Retention of placenta, abdominal pain, retention of lochia, Purple tongue, Wiry pulse.

Cold in the Uterus

Retention of placenta, abdominal pain that is alleviated by application of heat, a feeling of cold, scanty lochia, pale complexion, Pale tongue, Tight pulse.

LOCHIA

Persistent lochial discharge

Observation, Chapter 20

Kidney-Qi deficiency

Persistent lochial discharge that is red, profuse, dilute and without odour, dizziness, exhaustion, breathlessness, backache, sweating, Pale tongue, Weak pulse.

Liver-Blood stasis

Persistent lochial discharge that is dark, scanty and with clots, abdominal pain that is alleviated by passing clots, Purple tongue, Wiry pulse.

Blood-Heat

Persistent lochial discharge that is dark in colour, red face, thirst, a feeling of heat, anxiety, abdominal pain, dry stools, Red tongue with yellow coating, Overflowing-Rapid pulse.

Kidney-Yin deficiency with Empty-Heat

Persistent lochial discharge that is dilute and scarlet red, dizziness, tinnitus, night sweating, dry mouth with a desire to drink in small sips, backache, poor memory, scanty dark urine, five-palm heat, malar flush, a feeling of heat in the evening, Red tongue without coating, Floating-Empty and Rapid pulse.

Retention of lochia

Observation, Chapter 20

Qi stagnation and Blood stasis

Absence of lochial discharge, or scanty discharge with clots, or discharge that stops and starts, abdominal pain, Purple tongue, Wiry pulse.

Stagnation of Cold and stasis of Blood

Absent or scanty dark lochial discharge with small stringy clots, abdominal pain relieved by the application of heat, cold limbs, Bluish-Purple tongue, Tight pulse.

Deficiency of Qi and Blood

Retention of lochia, no abdominal pain, poor appetite, loose stools, weak voice, palpitations, tiredness, blurred vision, dull-pale complexion, dizziness, Pale tongue, Weak or Choppy pulse.

PAIN

Abdominal pain

Liver-Blood deficiency

Dull abdominal pain after childbirth that is relieved by pressure and after eating, scanty but continuous uterine bleeding with pale blood, dizziness, tiredness, blurred vision, constipation, Pale tongue, Choppy or Fine pulse.

Liver-Blood stasis

Severe abdominal pain after childbirth that is worse with pressure and after eating, discharge of dark lochia, dark complexion, Purple tongue, Wiry pulse.

Retention of food

Abdominal and epigastric pain after childbirth, a feeling of fullness of the abdomen and epigastrium, foul breath, belching, thick tongue coating, Slippery pulse.

Cold in the Uterus

Severe abdominal pain that is alleviated by the application and by drinking warm liquids, cold limbs, dark lochia, Bluish-Purple tongue, Tight pulse.

Joint pain

Liver-Blood deficiency

Dull ache in the joints after childbirth, tingling of the limbs, dizziness, blurred vision, insomnia, depression, tiredness, Pale tongue, Choppy or Fine pulse.

Invasion of Wind

Pain in the joints after childbirth with sudden onset, contraction of the joints, fever, shivers, Floating pulse.

Liver-Blood stasis

Severe joint pain after childbirth, stiffness of the joints, contraction of the limbs, abdominal pain, scanty lochial discharge, dark complexion, Purple tongue, Wiry pulse.

Only gold members can continue reading. Log In or Register to continue

Related

Stay updated, free articles. Join our Telegram channel

Tags: Diagnosis in Chinese Medicine A Comprehensive Guide

Apr 15, 2017 | Posted by admin in GENERAL & FAMILY MEDICINE | Comments Off

Full access? Get Clinical Tree

Get Clinical Tree app for offline access

Get Clinical Tree app for offline access