Postpartum constipation and syndromes:an introduction of the postpartum constipation, constipation and urinary stoppage, encopresis, and related syndromes.


 TCM Knowledge:Gynecology Syndromes,Women Syndromes ✵Gynecology of TCM is a branch to study the physiological and pathological characteristics of women and to prevent and treat syndromes specific to women. Gynecology of TCM research scope including irregular menstruation, amenia, metrorrhagia, infertility, postpartum syndromes, breast syndromes, and miscellaneous syndromes, etc.

Postpartum constipation and related syndromes.
 
 ✵The postpartum constipation syndrome is also known as constipation syndrome of women after childbirth, a series of constipation syndromes of women following childbirth. They are also known as difficulty in defecation syndromes after childbirth.

 ✵The women constipation syndromes after childbirth and constipation related syndromes are introduced: postpartum constipation, postpartum constipation and urinary stoppage, postpartum constipation and urination uninhibited, postpartum encopresis(postpartum fecal incontinence), etc.

Postpartum constipation.
Postpartum constipation 
 ✵Postpartum constipation is constipation occurring following childbirth, due to various pathogenic reasons. It is also known as constipation after childbirth.

 ✧In the TCM system, the pathogenic reasons for postpartum constipation normally are loss of water and blood due to childbirth, deficiency, and exhaustion of the stomach and intestines, lack of liquid and humor(body fluid), thus lead to constipation. In the case of distention and stagnancy in the abdomen after five to six days, this is the case of dry stool in the Zang-Fu-viscera, for it is dried and could not be discharged. If misdiagnosed as interior heat and use herbs which nature is cold, then Yang declining when Yin growing, varied syndromes broke out, risks.

 ✵Ancient herbalists who hold a syndrome differentiation viewpoint with similar explain of pathogenic reasons, and the relevant representative work are introduced and quoted:

 "A woman suffers from constipation or difficulty in defecation after childbirth, due to excessive blood loss, dryness in the large intestine, or due to blood deficiency and fire dryness, could not count its date, take much food, etc..." [03].

 "A woman suffers from constipation after childbirth, due to reasons loss blood and Yin depletion, body fluid is insufficiency, and easy for heat burning..." [05].Different types are introduced:
 ⑴.A woman suffers from constipation after childbirth, Yin depletion from loss blood, body fluid is insufficiency, easy for heat burning.
 ⑵...., loss much blood.
 ⑶...., blood deficiency and dryness from fire;
 ⑷...., Qi and blood are both deficient;
 ⑸...., constipated for several days, diet and drink are normal, it is normal in abdomen;

 "Constipation after childbirth:...a woman suffers from blood deficiency after childbirth, not transport, so dregs are stagnant and not move, not moistening, so dry and not flowing, the difficulty of defecation is a constipation syndrome of deficiency type, ..." [06].Different types are introduced:
 ⑴.A woman suffers from the constipation of deficiency type after childbirth.
 ⑵...., blood insufficiency and dryness of heat;
 ⑶...., lose excessive volume of blood;
 ⑷...., Qi and blood are both deficient and weak;
 ⑸...., difficulty in defecation for several days, diet and drink are same as normal, abdomen is same as health.



 ✵The postpartum constipation common types are known including:

 ⑴.Postpartum constipation, inhibited defecation, loss of excess blood, dryness in viscera and constipated, rough and turn hard.

 ⑵.Postpartum constipation, no defecation in five to seven days after childbirth, should Not take prescriptions randomly.

 ⑶.Postpartum constipation, deficiency and emaciation after childbirth, constipated and rough defecation. Herbalist Xu Shuwei ever proposed that there are three syndromes of a lady after childbirth, depression and veiling will sweat much, perspiration then constipated, thus difficult to use recipes.

 ⑷.Postpartum constipation, heat accumulation after childbirth, inhibited defecation and constipation.

Postpartum constipation and urinary stoppage.
Postpartum constipation and urinary stoppage 
 ✵Postpartum constipation and urinary stoppage is constipation and urinary stoppage occurring following childbirth, due to various pathogenic reasons. It is also known as constipation and urinary stoppage after childbirth.

 ✧ In the TCM system, the pathogenic reasons for postpartum constipation and urinary stoppage normally are heat accumulation in the stomach and intestines, blood and water loss due to childbirth, dryness and exhaustion of liquid and humor(body fluid), lump and rough in the stomach and intestines, heat pathogen is accumulated in stomach and intestines, lead to constipation(inhibited defecation) and urinary stoppage.
 ✵Ancient herbalists who hold a syndrome differentiation viewpoint with similar explain of pathogenic reasons, and the relevant representative work are introduced and quoted:

 "A woman suffers from chapped skin, dry mouth(dryness in the mouth) and wasting thirst(consumptive thirst, symptoms are frequent drinking and urination), urinary stoppage, and constipation, what is it? It is the condition that might be affected by blood stranguria in the future, now it is the condition of blood exhaustion." [04].It recorded a general urinary stoppage syndrome mainly due to blood exhaustion, not only affect after childbirth.



 ✵The postpartum constipation and urinary stoppage common types are known including:

 ⑴.A woman suffers from postpartum constipation and urinary stoppage, dribbling discharge after childbirth.

 ⑵.A woman suffers from postpartum constipation and urinary stoppage, exhaustion of liquid and humor(body fluid) and dryness after childbirth, inhibited defecation and urinary stoppage(retention of urine).

 ✧ "After childbirth, constipation and urinary stoppage, distension depression and unbearable, due to excessive strength during childbirth, clear Qi collapse." [02].

 "One or two days after childbirth, urinary stoppage and pains, red urine." [02].

 "After childbirth, urinary stoppage, distension of the abdomen as a drum, depression and chaotic lost consciousness, mainly due to cold pathogen accumulation internally before childbirth." [02].



Postpartum constipation and urination uninhibited.
 
 ✵Postpartum constipation and urination uninhibited is constipation and urination uninhibited occurring following childbirth, due to various pathogenic reasons. It is also known as constipation and urination uninhibited after childbirth.

 ✧ In the TCM system, the pathogenic reasons for postpartum constipation and urination uninhibited normally are blood deficiency, dryness in the kidney, etc.
 ✵Ancient herbalists who hold a syndrome differentiation viewpoint with similar explain of pathogenic reasons, and the relevant representative work are introduced and quoted:

 "A woman suffers from urination is uninhibited and constipation(difficulty in defecation), what is it? It is the condition of blood deficiency and dryness in the kidney." [04]. It recorded a general urination uninhibited and constipation syndrome mainly due to blood deficiency, not only affect after childbirth.



Postpartum encopresis(postpartum fecal incontinence).
Postpartum fecal incontinence 
 ✵Postpartum encopresis(postpartum fecal incontinence) is the encopresis(fecal incontinence) occurring following childbirth, due to various pathogenic reasons. It is also known as encopresis after childbirth.

 ✧ In the TCM system, the pathogenic reasons for the postpartum encopresis(postpartum fecal incontinence) normally are deficiency of Qi and irregularity of the large intestine and anus.
 ✵Ancient herbalists who hold a syndrome differentiation viewpoint with similar explain of pathogenic reasons, and the relevant representative work are introduced and quoted:

 "Diarrhea with undigested food after childbirth:...a woman suffers from undigested food, due to strain tiredness lassitude hurt the spleen, as a result, the middle Qi could not transforming, as a result, food is undigested and passing down, also known as Shi Xie(food diarrhea). And there are also cases she takes too much food or drinks, the spleen and stomach are hurt, also lead to undigested food, it is commonly known as Shui Gu Li(dysentery with undigested food in the stool)...chronic diarrhea and primordial Qi collapse, encopresis(involuntary defecation), anus sense like anal prolapse;...defecation without self-knowing is the case of encopresis(involuntary defecation)..." [06].Different types are introduced:
 ⑴.A woman suffers from diarrhea with undigested food after childbirth, chronic diarrhea and primordial Qi collapse, encopresis(involuntary defecation), anus sense like anal prolapse;
 ⑵.A woman suffers from diarrhea with undigested food after childbirth, defecation without self-knowing is the case of encopresis(involuntary defecation)...



 ✵The postpartum encopresis(postpartum fecal incontinence) common types are known including:

 ⑴.Postpartum encopresis(postpartum fecal incontinence), after childbirth.

 ⑵.Postpartum encopresis(postpartum fecal incontinence), after childbirth, do now know where it come out.

References:
  • 01.Postpartum constipation and syndromes:an introduction of the postpartum constipation, constipation and urinary stoppage, encopresis, and related syndromes.
  • 02.Song Shi Nǚ Ke Cuo Yao(the Synopsis of Song's Gynaecology).By 宋林皋(Sòng Lín Gāo)[Ming].
  • 03.Nǚ Ke Cuo Yao(the Synopsis of Gynaecology).By 薛己(Xuē Jǐ)[Ming].
  • 04.Fù Kē Bǎi Biàn(the Differentiations in Hundred Syndromes of Gynaecology).By 庄履严(Zhuāng Lǚyán)[Ming].
  • 05.Ye Shi Nǚ Ke Zhèng Zhì(the Syndromes and Therapeutics of Ye's Gynaecology).By 叶桂(Yè Guì)[1817].
  • 06.Fù Kē Bèi Kǎo(the References of Gynaecology).By 何应豫(Hé Yīngyù)[1820].

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