Pregnancy, abdominal pain
During pregnancy, abdominal pain mainly disease, known as pregnancy abdominal pain.
Also known as “cellular resistance”. This disease during pregnancy because of the cellular clock dystrophy or block caused by abdominal pain, can occur in early pregnancy (pregnancy before the 12th week), mid-gestation (pregnancy 13 to 27 weeks) and late pregnancy (28 weeks of pregnancy). The proper treatment of this disease and the prognosis is good, if the delay of treatment, abdominal pain, increase the drama, or even cause miscarriage or premature. This disease is a pregnancy disease.
[The cause of pathological
Qi ferrite qi, blood poly curing and after pregnancy, weaker blood cell pulse dystrophy Erzhi.
2 yang Deficiency ferrite Yang, pregnant yang more virtual cell pulse is lost in the warm and nourish the blood running weakness, stagnation and abdominal pain.
Qi stagnation the primality depression, depression, difficulty, and after pregnancy, liver failure catharsis steam blood loss and cell pulse block Erzhi abdominal pain.
Diagnostic points.
Pregnancy occurred after the main symptoms of abdominal pain, abdominal pain caused dystrophy or block cell pulse, pregnancy-related syndromes Ki abdominal pain characteristics of the abdomen is soft and not refuse to the press, no vaginal bleeding symptoms.
With ectopic pregnancy, miscarriage, ovarian cyst torsion, acute appendicitis abdominal pain caused by the differential.
Ectopic pregnancy: vaginal menopause irregular bleeding history, abdominal pain, often refused to press if the rupture of tubal pregnancy, visceral tearing pain, with pain and shock, internal bleeding for a long time to hemorrhagic shock in a critical condition. Check serum β-HCG and B-ultrasound can assist diagnosis. Culdocentesis out the coagulation of blood, suggesting internal bleeding exists.
Abortion: first trimester abortion abdominal pain, accompanied by backache and vaginal bleeding, B-ultrasound and check a pregnancy test can be used to understand the fetal condition.
Ovarian cyst torsion: abdominal pain, the side of the lower abdomen colic, Gynecological and B-Tip cysts exist side of the annex, to reverse parts of tenderness, intrauterine gestational sac exists, no history of menopause. Urine pregnancy test was negative.
Acute appendicitis: fever and metastatic abdominal pain, right lower quadrant and McNamara point there was tenderness and rebound tenderness. No history of menopause, a urine pregnancy test was negative, blood examinations showed leukocytes was significantly increased on the ultra-examinations showed no gestational sac in the uterus exists, appendix inflammation in
The dialectical type].
Qi pregnant belly pain, dizziness, head flowers, pale complexion, Shenpi fatigue. Pale tongue, weak pulse and slippery.
2 yang Deficiency lower abdomen after pregnancy or rain, pain, chills warm, looking Anhui white, thin, loose stools. The thin white fur, talk, thready pulse Shen slip.
3 qi stagnation pregnant after lower abdomen pain, Xiong Xie, Fullness, and irritability. Thin coating, slippery pulse.
【Treatment】
The qi governance law quality gas nourishing pain.
Recipe: Ba Zhen Tang co Angelica and Peony Decoction.
Codonopsis 12 grams 12 grams astragalus Atractylodes 10 g Poria 9 g Angelica 9 grams peony root 15 g Dodder restraint Radix 10 Kechuan?? 9 grams of sub-10 Yasar plastic (molten red)
(2) yang Deficiency Governing Law: the Onyang Nuangong pain.
Recipe: Jiaoai Modified Decoction.
Ejiao 9 g (molten red) 12 g of leaves 6 grams to 9 grams of Angelica Rehmannia 10 grams peony root 15 g of psoralen, 10 g, 10 Ke Du Zhong Bao Jiang 9 g Dodder
Qi stagnation Governing Law: liver qi stagnation and pain.
Recipe: Xiaoyaosan.
Bupleurum 6 grams Angelica 9 grams of white peony 12 grams 10 grams Atractylodes skullcap the Akzo Terrier 9 g Toosendan 10 g Rehmannia 10 g bergamot piece Kedu Chung 10 Kechuan off 10 grams
[Proprietary Chinese medicine]
Bu Zhong Yi Qi nine 2 times a day, 4.5 g each, swallow.
For qi deficiency weak.
2 Daquan Dabu pills daily, each 4.5 g, swallow.
For qi.
Xiaoyao pill (or Yueju pill) twice daily, 4.5 g each, to swallow. For liver qi stagnation,
Ai attached warm Palace pill daily, 4.5 g each, swallow.
For Deficiency of yang.
[Simple square
. Angelica 9 grams, fried white peony root 15 g, Zhigancao 5 g water. For qi.
. Toosendan 12 g fumarate 10 g, 3 g Zhigancao water. For stagnation of qi and abdominal pain.
Fried white peony 15 grams 6 g Zhigancao, donkey-hide gelatin 6 g (molten red), decoction. For deficiency of abdominal pain. If and cold syndrome, abdominal Leng Tong warm-nine grams, Gavin leaves, decoction.
[Other therapies]
[Note]
A pregnancy, abdominal pain, we should exclude abortion, ectopic pregnancy ovarian cyst torsion, pregnancy complicated with acute appendicitis, so as not to delay treatment, affecting the mother and child safety.
The pregnancy disease treatment principles, treatment with tocolysis simultaneously, so the treatment of pregnancy, abdominal pain, should also be pain simultaneously with tocolysis, not jump with halberd cutting fetal painkillers, such as safflower, triangular, trifoliate real and so on.
Pregnancy abdominal pain treatment abdominal pain, not alleviate, attention should be paid to watch out for the development of abortion, the need to make the necessary checks, while increasing the tocolysis drug use.