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Postpartum hemorrhage treatment technology,

traditional Chinese medicine

 

 

Fetal childbirth in 24 hours after vaginal bleeding is more than 500 ml, who called postpartum hemorrhage (PPH). Including fetal childbirth after childbirth goes out to the placenta, placenta before two hours after childbirth goes out to postpartum and postpartum two hours to 24 hours after three times, two period which is seen clinical before. PPH is the serious complications, is during delivery by the main cause of maternal death, how to prevent and control the bleeding after delivery, reduce the mortality rate of postpartum hemorrhage, already is the key to control maternal death.

The disease is seen in traditional Chinese medicine of gynecology "postpartum mental" and "postpartum XieYun", and other diseases, severe diseases for postpartum, belong to one of the "three blunt".

etiology

Qi: ferrite, or because of weak maternal producing blood loss, or take gas because production, too tired and electron long vigour, qi deficiency of blunt injury not solid, blood loss, the ideas of the bleeding.

Blood stasis: producing blood room is open, cold evil ChengXu into the cell, and the blood, blood stasis in cardiac internal resistance, or BaoYi remains, the influence of the blood rushed, be, so that more than the bleeding.

Maternal injuries: when in midwifery improper, or produce a strong force, were too fast, or fetal progress too big, so that the birth canal, context damaged, damage the spill blood, hence make blood pulse out not only.

Syndrome differentiations

Qi: new after delivery, vaginal bleeding badly, suddenly redness of skin bright red, dizzy, palpitations ZhengChong, shortness of breath, limb cold sweat out lazy to talk, pale face, tongue light, pulse XuShu.

Blood stasis: new after delivery, vaginal bleeding badly, suddenly with blood clots, the lower abdomen pain rejected, blood clots in the pain mitigated. Light and dark, or tongue petechiae, bruises, pulse sink acerbity.

Maternal injuries: new after delivery, vaginal bleeding badly, suddenly redness of skin bright red, for not only, soft birth canal have laceration, pale. Tongue, moss thin, light pulse count.

Syndrome differentiation and treatment

1. Qi

[comes] fill gas solid blunt, ejection check collapse.

[herbs] rise for big fill soup (the FuQing Lord female families ") to add to the yu coptis chinensis franch, carbon, squid bone. Astragalus, white atractylodes, dried tangerine or orange peel, ginseng, grilled grass, cohosh, angelica, ripe, dwarf lilyturf, river xiong, r. a. dahurica, rhizoma coptidis, black mustard spike.

If don't know people, limbs out cold sweat out, pulse micro desire unique to the gas off with blood, appropriate fill gas solid take off, party alone and soup; with If the cold sweat dripping wet, limbs, appropriate to the faint inverse inverse, Yang save with party and with soup.

2. Blood stasis

[comes] for activating blood circulation and eliminating stasis, the reason the blood.

[herbs] by check collapse soup (" Chinese gynaecology "). Medicinal fry pu yellow, five spirit fat, motherwort, nansha and, angelica, river xiong, notoginseng powder. All parties have remove blood stasis, by Richard blood effect.

3. Maternal injuries

[comes] tomifying qi and blood, born muscle by solid.

[herbs] oyster scattered (the card to the criterion "). Medicinal calcined oysters, river xiong, ripe dihuang, poria alba, keel, renewal, angelica, fry broken mugwort, ginseng, fructus schisandrae, yu, liquorice.

Experience side

1. Compound

(1) the collapse in favor of Fourier tonga flavour party (clear pseudograph literatures · the FuQing Lord female families ")

[drug composition] dangshen 12 g, born Qi 18 g, white atractylodes 6 g, cooked dihuang 9 g, angelica root 5 g, 3 g, gun ginger donkey-hide gelatine (Yang the blunt) 6 g, danshen 12 g, 3 g, fry mugwort fry of eucommia ulmoides 9 g, medlar 10 g.

[usage] water frying take a daily agent.

[efficacy] in favor of the bleeding.

[the attending] two liver and kidney deficiency of postpartum hemorrhage.

(2) by the collapse and to the soup

[drug composition] angelica 12 g, river xiong 9 g, sanqi (panax notoginseng) (swallow) at the end of the 5 g, myrrh 9 g, five 12 g, fry spirit fat danshen 9 g, 3 g, fry mugwort donkey-hide gelatine (with pu yellow fry) 9 g, 15 g squid bone, keel, oysters each (first Fried) 30 g.

[usage] water frying take a daily agent.

[efficacy] do blood stasis.

[the attending] blood stasis block type postpartum hemorrhage.

2. Single prescription

(1) JiLinCan powder 3 g, sanqi (panax notoginseng) powder 3 g, ErYao mixed every 4 hours, once a day, take three times, each time 2 g, swallow.

(2) dry mugwort half (hot), alleviate pains half, strong Fried clothing.

Appropriate technology

1. Guasha treatment

Patients who take lie, first in blow to the performer parts with to the role of the media for activating blood circulation and eliminating stasis scrapping, and then, with medium strength scraping the chest point 3 ~ 5 minutes, blow to local appeared to mark sha. The wind blow to hand point, local flush. Then turn side lies, patients with heavy wind power performer, blow to points back on local sha appeared. Specific points as follows:

Back: diaphragmatic yu, liver yu. Head of facial:. Abdomen: into the sea, air, Yin close yuan, very. Upper limbs department: ZhiGou.

2. Acupuncture therapy

Main point: people, all the valley, three Yin pay, sp9. Match point: massive hemorrhage can be added a Yin, big, and close yuan (jiu), and hidden white (jiu); Palpitations ZhengChong can be added a god door, the door shut, and within Xi, Small abdominal pain out can be added according to return; Tics mouth can be added, cheek keep emmeniopathy car, express; Blood deficiency take off can be added a gas close yuan, air sea (both jiu); Blood stasis QiNi can add the, twelve Wells (thorn blood). Methods: the needle, gas off with diarrhea method adds the jiu, LiuZhen 15 to 30 minutes. Can also be used in the local area.

3. Earpins therapy

Location: god door, uterus, sympathetic, liver. With strong stimulation, LiuZhen 1 ~ 2 hours, intermittent travel needle, can also be buried needle.

4. Proprietary Chinese medicine

Including yunnan baiyao two hours every time, every time, 4 grain swallowed. Used for blood stasis hemorrhage, such as and deficiency of person, can and ginseng powder with clothing.

5. The national promotion technology: the bleeding after delivery simple prevention and treatment

[method introduction]

(1) massage maternal bilateral nipples, prevent postpartum hemorrhage. The church family members, maternal beforehand in fetal childbirth, with both hands move, to stimulate the nipple twined maternal endogenous oxytocin released, promote the uterus to contract.

(2) the umbilical vein to the placenta injection oxytocin, prevent and control the bleeding after delivery. Will oxytocin 10 to 20 U dilution in 20 ml physiological saline, in fetal childbirth after umbilical vein injected. Choose the placenta attached department, drug directly effect the smooth muscle make uterine contractions, can reduce the incidence of postpartum hemorrhage.

(3) the vagina and rectum to card methyl postpartum hemorrhage prevention and cure prostate bolt, card is domestic methyl forefront bolt prostaglandin, have stronger than oxytocin the shrinkage effect, can make the third process significantly shortened, postpartum blood loss was significantly reduce the incidence of postpartum hemorrhage, < 1%.

[project characteristic] is suitable for the rural, the medical units, home delivery of birth attendants, used to prevent postpartum hemorrhage, the method is simple, and can reduce the incidence of postpartum hemorrhage.

[note] strengthening antenatal examination, to have the bleeding after delivery, sluggish production, childbirth history and had anemia, prenatal bleeding, put on high, fetus bigger, twins or excessive amniotic fluid situations and so on, all should actively do well the preparation work for the prevention and control of postpartum hemorrhage. Strict disinfection, keep clean, prevention and cure infections and shock. (excerpt from the emergency treatment technology, traditional Chinese and western medicine ")