Postpartum diarrhea and related syndromes:an introduction of postpartum abdominal pain diarrhea and dysentery, red white dysentery and diarrhea due to Qi disorder of asthenia, and other 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 diarrhea and related syndromes.
 
 ✵The postpartum diarrhea and related syndromes are introduced: postpartum abdominal pain diarrhea and dysentery, postpartum red white dysentery and diarrhea due to Qi disorder of asthenia, postpartum dysentery with thirst, postpartum dysentery of spleen and stomach deficiency, postpartum diarrhea with undigested food, postpartum dysentery and lochia not discharge, postpartum bloody stool, postpartum acute gastroenteritis, etc.

Postpartum abdominal pain diarrhea and dysentery.
Postpartum abdominal pain diarrhea and dysentery 
 ✵The postpartum abdominal pain diarrhea and dysentery is a syndrome of abdominal pain diarrhea and dysentery occurring following childbirth, due to various pathogenic reasons. It is also known as abdominal pain diarrhea and dysentery syndrome after childbirth.

 ✧ In the TCM system, the pathogenic reasons for the postpartum abdominal pain diarrhea and dysentery normally are deficiency in the stomach and intestines, affected by the cold pathogen. In cases not rest over a month, affected by cold and wind, visiting in the abdomen and hypochondria regions, lead to pains, or as stabbing or cutting, enter into the large intestines, indigestion of water and food, borborygmus, or red and white diarrhea, distention and swelling in hypochondria, or pain moves around. It should not be diagnosed as indigestion. Other reasons are heat and dampness, dampness pathogen domination and watery diarrhea, deficiency cold of kidney Qi, 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 diarrhea after childbirth, there are cases affected by cold, pain in abdomen and borborygmus, urine is clear and white, not thirst, ...there are cases heat diarrhea with dust from intestines, thirst, pain a while and diarrhea a while, ...there are cases dampness pathogen is in domination and watery diarrhea, ...there are cases deficiency of kidney Qi, diarrhea dysentery and pain in the abdomen." [07].



 ✵The postpartum abdominal pain diarrhea and dysentery common types are known including:

 ⑴.A woman suffers from abdominal pain diarrhea and dysentery after childbirth, consumption, and overwork, emotional factors(happy, sorrow, overthinking, worry), etc.

 ⑵...., red and white dysentery after childbirth, tenesmus, deficiency and stabbing pain.

 ⑶...., dysentery and extreme deficiency after childbirth.

 ⑷...., dysentery and extreme deficiency after childbirth, diarrhea and retention of the lochia, this is the case of residue blood enter into the large intestines and lead to diarrhea, will be relieved, sometimes blue-black defecation, for the hurt from food.

 ⑸...., various dysentery after childbirth.

Postpartum red white dysentery and diarrhea due to Qi disorder of asthenia.
Postpartum red white dysentery and diarrhea 
 ✵The postpartum red white dysentery and diarrhea due to Qi disorder of asthenia is a syndrome of red white dysentery and diarrhea due to Qi disorder of asthenia occurring following childbirth, due to various pathogenic reasons. It is also known as red white dysentery and diarrhea due to Qi disorder of asthenia after childbirth.

 ✧ In the TCM system, the pathogenic reasons for the postpartum red white dysentery and diarrhea due to Qi disorder of asthenia normally are consumption hurt, insufficiency of Zang and Fu-viscera, not rest over a month, deficiency and not recovered. Or work too early, or eat cold and raw food, or wake up too early and affected by wind cold pathogen visiting the stomach and intestine, or raw and cold food hurt the stomach and intestine, all might lead to watery diarrhea and turn to dysentery in serious cases, blood enters into the large intestine and turns to bloody dysentery and difficult to treat, dysentery after childbirth is also known as dysentery of childbirth, in case of affection from cold pathogen then dysentery color is white, or similar to the fish brain, in case affection from heat pathogen then the color is red and yellow, in case cold and heat combat, white and red dysentery, or mixed with blood and pus, in case of blue dysentery, affected from the great cold pathogen. In case of no appetite, diarrhea is abnormal. In the case of dysentery after childbirth, lack of strength and emaciation, is the case of dysentery of emaciation. In case Qi is inhibited after childbirth, red and white dysentery, is the case of Qi dysentery. In case of dysentery mixed with water and undigested food, should prompt diuresis. In case persistence of disposition should regulate Qi, then will easy. Treatment should be applied according to syndrome differentiation.
 ✵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 dysentery with blood, dissipated, or in clots, or fresh, or purple, how to differentiate as hurt, dysentery, or toxin in Zang-viscus? In case diarrhea with blood, in clots, or dissipated, pressed with hands and pains in abdomen, is due to internal hurt and blood stasis; In case sudden sounding or sudden pains in the abdomen, it is the condition of dysentery; In case pains in abdomen, passing blood irregularly, it is the condition of toxin in Zang-viscus.

 A woman suffers from dysentery, color pure red and unstoppable, what is it? It is the condition summer toxin invading the intestine and stomach viscera, this syndrome is not easy to treat." [05].

 "Dysentery after childbirth:...the red or white dysentery is caused by dampness and heat pathogens, as a result, red dysentery belongs to heat, from the small intestine, white dysentery belongs to dampness, from the large intestines... There is no retention then there is no dysentery, in general, the woman does not want to regulate diets, hurt from diet and drink, stagnant in the middle, lead to hurt and deficiency of the middle Qi, could not regulate, old accumulation attack as the syndrome of dysentery. There are also cases due to feeling empty in the stomach when childbirth, take eggs and chicken to replenish the deficiency, but without knowing and double the diet and drink, then the spleen and stomach are hurt, the stomach is strong but Qi is weak, could not aid digestion, food retention and develops to dysentery..." [08].Different types are introduced:
 ⑴.A woman is hurt from overtaking diet and drink after the first childbirth, symptoms are distention and pain in the abdomen, abdominal pain, and dysentery, fever of the body and thirst, six pulses are rapid and forceful(rapid and excess pulse)...
 ⑵.A woman is not hurt after the first childbirth, symptoms are the same as above(distention and pain in the abdomen, abdominal pain, and dysentery, fever of the body and thirst, six pulses are rapid and forceful), is the case from indigestion...
 ⑶.A woman does not have old or new food retention, suffers from white or red dysentery, pain in the abdomen and urgent, the pulse is sinking and rapid, is dysentery of deficiency type(deficient dysentery)...
 ⑷.A woman suffers from chronic dysentery and unstoppable, is the case of Qi deficiency and blood insufficiency, intestine smooth and fecal incontinence...
 ⑸.A woman suffers from lochiorrhagia(residue lochia not passing completely), as a result, residue blood flows into the large intestine and blood passing with dysentery(red dysentery), stabbing pain in the abdomen, is not the case of rectal tenesmus...

 "Dysentery after childbirth: a woman suffers from dysentery after childbirth, (there are different types)..." [09].Different types are introduced:
 ⑴.A woman suffers from dysentery after childbirth, due to heat;
 ⑵...., due to imbalance of cold and heat;
 ⑶...., due to slipping collapse from chronic deficiency cold(of Zang-viscera);
 ⑷...., due to residue blood flow into the large intestine as dysentery(bloody dysentery or red dysentery).



 ✵The postpartum red white dysentery and diarrhea due to Qi disorder of asthenia common types are known including:

 Postpartum red white dysentery and diarrhea, cold dysentery or hot dysentery after childbirth.

 ..., red dysentery or white dysentery after childbirth, qi-stagnant pain below the belly button region.

 ..., red dysentery or white dysentery after childbirth, colic pain in abdomen and unbearable.

 ..., red dysentery or white dysentery after childbirth, stabbing pain in the heart and abdomen.

 ..., red dysentery or white dysentery after childbirth, colic pain in abdomen, no appetite(no food intake).

 ..., red dysentery or white dysentery after childbirth, blood discharge.

 ..., Qi-stagnant distention and pain in abdomen, fullness under the hypochondria and no appetite(no food intake), slight dysentery.

 ..., cold dysentery after childbirth, color blue and brown.

 ..., dysentery after childbirth, pain in abdomen.

 ..., red dysentery or white dysentery after childbirth, colic pain below belly button.

 ..., red dysentery or white dysentery after childbirth, Qi pain below belly button.

 ..., residue cold after childbirth, dysentery and discharge pus and blood, white or red, over ten times daily, pain in abdomen, discharge blood now and then.

 ..., dysentery after childbirth, five to ten times daily.

 ..., deficiency and emaciation after childbirth, discharge pus and blood, pain in abdomen.

 ..., dysentery unstoppable after childbirth, fatigue and powerless, red or white dysentery, discharge water and undigested food.

 ..., emaciation and fatigue drowsiness after childbirth, red and white dysentery, colic pain in the heart and abdomen.

 ..., unstoppable diarrhea due to disorder of Qi after childbirth.

 ..., water dysentery after childbirth.

 ..., dysentery with bloody stool after childbirth.

 ..., dysentery with pus and blood

 ..., stagnant and stasis of residue blood, chronic dysentery, drowsiness and fatigue after childbirth, this is the case of childbirth dysentery due to blood loss and Yin deficiency.

 ..., dysentery with bloody stool after childbirth, unstoppable.

 ..., dysentery with bloody stool, inhibited urination, pain in belly button and abdomen.

 ..., dysentery with bloody stool after childbirth, unstoppable.

Postpartum dysentery with thirst.
Postpartum dysentery 
 ✵Postpartum dysentery with thirst is dysentery with thirst syndrome following childbirth due to various pathogenic reasons. It is also known as dysentery with thirst syndrome after childbirth.

 ✧ In the TCM system, the pathogenic reasons for postpartum dysentery with thirst normally are deficiency and dryness of Zang and Fu-viscera after childbirth, water, and food transformed into blood Qi and body fluid to nourish the viscera, thus diarrhea and thirst. In cases drink more water to stop thirst, on the contrary, increase dampness, the stomach and spleen are deficient and could not transform dampness and water, dampness and water enter into the skin and lead to swelling, once thirst is relieved, diarrhea will be relieved too.

 ✵The postpartum dysentery with thirst syndrome common types are known including:

 ⑴.A woman suffers from postpartum dysentery with thirst, after childbirth, drink water incessantly.

 ⑵...., chronic dysentery after childbirth, exhaustion of liquid and humor(body fluid), thirst could not be relieved.

 ⑶...., chronic dysentery after childbirth, exhaustion of liquid and humor(body fluid), edema in limbs(edema in hands and arms, feet and legs), the mouth is parched and the tongue is scorched.

Postpartum dysentery of spleen and stomach deficiency.
Postpartum dysentery 
 ✵Postpartum dysentery of spleen and stomach deficiency is a dysentery syndrome due to spleen and stomach deficiency occurring following the childbirth. It is also known as dysentery of spleen and stomach deficiency syndrome after childbirth.
 ✵Ancient herbalists who hold a syndrome differentiation viewpoint with similar explain of pathogenic reasons, and the relevant representative work are introduced and quoted:

 "Case a woman suffers from postpartum diarrhea of spleen and stomach deficiency cold, ...other symptoms observed are the collapse of Qi." [02].
 "Case a woman suffers from postpartum diarrhea of deficiency cold, unstoppable..." [02].
 "Case a woman suffers from postpartum spleen and stomach are deficient and cold, eating and drinking without temperance, mostly is diarrhea of spleen deficiency..." [02].

 "A woman suffers from diarrhea or dysentery after childbirth, or due to diet hurt the spleen, or deficiency of spleen and could not digest and transform food..." [03].
 "A woman suffers from diarrhea or dysentery after childbirth, due to diet hurt the spleen, could be classified to type due to hurt from rice food..., type due to hurt from cooked wheaten food..., type due to hurt from meat...
 Diarrhea or dysentery after childbirth, in the condition the liver subjugating the spleen...
 Diarrhea or dysentery after childbirth, in the condition the cold water subjugating the spleen...
 Diarrhea or dysentery after childbirth, chronic diarrhea, or primordial Qi collapse...
 Diarrhea or dysentery after childbirth, diarrhea color is yellow, is the condition of primordial Qi of the spleen viscera...
 Diarrhea or dysentery after childbirth, in condition due to spleen deficiency and cold...
 Diarrhea or dysentery after childbirth, in condition due to spleen and kidney deficiency and cold..., Case a woman suffers from diarrhea and dysentery after childbirth, fever and thirst, spit much phlegm, thin and emaciated, appetite is reduced, or fullness in chest and diaphragm, or lower abdominal distention, over a year. This is a condition of diarrhea due to spleen and kidney...
 Diarrhea or dysentery after childbirth, in condition decline of vital gate fire(the decline of the fire from the gate of life) and deficiency cold of the spleen..., Case a woman suffers diarrhea and dysentery after childbirth, vomit and acid regurgitation, edema on face, this is a condition of diarrhea due to deficiency cold of spleen Qi; Case a woman suffers diarrhea and dysentery over a year after childbirth, thin and skeletal figures(as thin as a lath), internal heat and fever after later afternoon, spontaneous sweating and sweating in dreams, rotten and erosion in mouth and tongue, spit out phlegm over three bowls every day, the pulse is bounding and large, no pulse when press heavily, this is a condition of diarrhea due to vital gate fire decline, deficiency cold of spleen and fake heat(pseudo fever), but phlegm is due to spleen deficiency and could not be governed and regulated...
 Diarrhea or dysentery after childbirth, in condition urination pain and inhibited, distension or edema of limbs and body gradually, or with a cough...
 Diarrhea or dysentery after childbirth, in condition deficiency and weakness of stomach Qi, edema of limbs..." [03].

 "Diarrhea after childbirth: a woman suffers from middle Qi deficiency and hurt, easily hurt from the cold pathogen, if lost regulation and supplement, hurt from wind and cold externally, hurt from raw and cold diet or drink internally, as a result, pain in the spleen and stomach, diarrhea and unstoppable..." [08].



 ✵Except for the spleen and stomach deficiency, diarrhea after childbirth is also attributed to Qi deficiency, dyspepsia of food retention, and dampness pathogen.
 ✵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 diarrhea after childbirth, if not accompanied by undigested food, the downpour of water and grains, etc. In general, it is mainly due to Qi deficiency, dyspepsia of food retention, and dampness pathogen." [04].

 "Case a woman suffers from diarrhea after childbirth, pains and diarrhea with clear water, bowel sounds(borborygmus), diarrhea with undigested food, should be treated as cold diarrhea.

 Case a woman suffers from diarrhea after childbirth, feces color is red-yellow, pain in anus and constipation, should be treated as heat diarrhea.

 Case a woman suffers from diarrhea after childbirth, take too much food and drink, hurt the spleen and lead to diarrhea, self-knowing there is belching, smelly as rotten eggs.

 Case a woman suffers from diarrhea after childbirth, chronic spleen Qi deficiency and take a little food(poor appetite), bowel sounds(borborygmus) after taking food and emergency in the abdomen, feel better and comfortable once the food is discharged.

 Case a woman suffers from diarrhea after childbirth, due to deficiency, blysopia and unable to recognize people, it is a syndrome in risk." [04].



 ✵Dysentery after childbirth is also attributed to pathogenic reasons include deficiency after childbirth, take much raw and cold diet or drink.
 ✵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 dysentery after childbirth, what is it? It is the condition due to great deficiency after childbirth, take much raw and cold diet or drink. In case pain in the abdomen, tenesmus(painful spasm of the anal sphincter along with an urgent desire to defecate without the significant production of feces)..."

 “A woman suffers from malaria dysentery after childbirth, was treated with warm tonic but still diarrhea, what is it? This is after torrential rain, the patient did not know it, use rootless water to prepare a decoction, Qi going downward further, so not effective but on the contrary, diarrhea...” [05].

 "A woman suffers from dysentery after childbirth, due to strain hurt, affection from exogenous wind and cold, spleen and stomach are hurt from mistaken raw and cold food, all lead to diarrhea and dysentery..." [06].



Postpartum diarrhea with undigested food.
Postpartum diarrhea with undigested food 
 ✵Postpartum diarrhea with undigested food is a syndrome passing undigested food in diarrhea after childbirth, the pathogenic reasons for this syndrome are mainly understood due to strain hurt the spleen, affected the transforming and transporting function of the spleen and delayed it, or take much food and drink. It is also known as diarrhea with undigested food after childbirth.
 ✵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 diarrhea with undigested food, in general, due to strain hurt the spleen viscus, the transforming and transporting function of the spleen slow down and delayed. The water and grain enter into the stomach, must reply on the spleen before its essence is transported by the lung viscus, regulate the channel of water, and transport the nutrient Qi to the other four Zang-viscus to support health. Now strain hurt the spleen, as a result, the spleen lost its function of transforming and transporting, the Qi could not perform its transforming function, as a result, the food was discharged in an undigested state, and known as Sun Xie(diarrhea with undigested food). And take too much food and drink, hurt the stomach and intestine, also lead to diarrhea with undigested food, normally it is known as Shui Gu Li(diarrhea of water and grains)." [04].

 "Case after childbirth, a woman suffers from diarrhea with undigested food.

 Case after childbirth, a woman take much food and drink, the stomach and intestine are hurt, suffers from diarrhea with undigested good, is the condition diarrhea of water and grain.

 Case 3 days after childbirth, blood clots are not dissipated, a woman suffers from diarrhea with undigested food due to spleen hurt and stomach weakness. Other symptoms that might be observed are: diarrhea with much water, pain in the abdomen, diarrhea with water and coldness, take the meat and feces color is yellow, etc." [04].

 "Diarrhea with undigested food after childbirth: a woman suffers from deficiency and weakness of the middle Qi, dysfunction in transformation and transportation, as a result, diarrhea reasons are not out from Qi deficiency, food retention and dampness...; 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, it is 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)..." [08].Different type are introduced:
 ⑴.A woman suffers from diarrhea after childbirth, pain and passing clear liquid, borborygmus(sounding in the abdomen), indigestion of rice and grains, (it is a syndrome of cold-diarrhea)...
 ⑵.A woman suffers from diarrhea after childbirth, feces color is yellow, pain in the anus, (it is a syndrome of heat-diarrhea)...
 ⑶.A woman suffers from diarrhea after childbirth, the spleen is hurt from diet and drink, belching is smelly as rotten egg, (it is a syndrome of food retention)...
 ⑷.A woman suffers from diarrhea after childbirth, reduced appetite, barboygmus(sounding in the abdomen) after taking some diet and pain in the abdomen, feel comfortable until the diet is discharged as defecation, (it is a syndrome of spleen deficiency type food retention)...
 ⑸.A woman suffers from deficiency diarrhea after childbirth, dizziness, and could not recognize others, it is a syndrome in risks;
 ⑹.A woman suffers from chronic diarrhea before childbirth, and diarrhea is unstoppable after childbirth, as a result, deficiency as exhaustion and collapse.
 ⑴.A woman suffers from diarrhea with undigested food in three days after childbirth, blood clots are not discharged, it is a syndrome of spleen collapse and stomach weakness.
 ⑵.A woman suffers from diarrhea with undigested food after childbirth, diarrhea color is yellow and stomach Qi deficiency;
 ⑶.A woman suffers from diarrhea with undigested food after childbirth, chronic diarrhea and deficiency;
 ⑷.A woman suffers from diarrhea with undigested food after childbirth, chronic diarrhea and primordial Qi collapse, encopresis(involuntary defecation), anus sense like anal prolapse;
 ⑸.A woman suffers from diarrhea with undigested food after childbirth, diarrhea color is white as Mi(a kind of grain, broom corn millet), are the symptoms of spleen stomach extreme deficiency, primordial Qi collapse and exhausted, nine cases die in ten cases...
 ⑹.A woman suffers from diarrhea with undigested food after childbirth, vexation, and fever, red complexion(looks red on face), the pulse is rapid and large, due to the deficient fire burning upward...
 ⑺.A woman suffers from diarrhea with undigested food after childbirth, urine is turbid as hogwash or slops, or white foams(white froth of foam) in defecation as dirty of intestines, is due to primordial Qi collapse...
 ⑻.A woman suffers from diarrhea with undigested food after childbirth, passing down smelly water and unstoppable...
 ⑼.A woman suffers from diarrhea with undigested food after childbirth, defecation without self-knowing, it is a case of encopresis(involuntary defecation)...



Postpartum dysentery and lochia not discharge.
Postpartum dysentery and lochia not discharge 
 ✵Postpartum dysentery and lochia not discharge, is a syndrome woman suffers from red or white dysentery in seven days or over seven days after childbirth, is a difficulty syndrome. The pathogenic reasons for dysentery and lochia not discharged after childbirth are mainly attributed to blood stasis, deficiency of primordial Qi, etc.
 ✵Ancient herbalists who hold a syndrome differentiation viewpoint with similar explain of pathogenic reasons, and the relevant representative work are introduced and quoted:

 "Case a woman suffers from diarrhea after childbirth, lochia is not discharged, due to blood stasis entering into large intestines." [02].

 "A woman suffers from red or white dysentery, in seven days or over seven days after childbirth, it is difficult for treatment. To regulate Qi and prompt blood circulation and discharge the dysentery pathogens, still worry the weakness of primordial Qi after childbirth, to replenish Qi and save the weakness after childbirth, might assist the excessive pathogen in the initial stage of dysentery." [04].

 "A woman suffers from dysentery after childbirth, lochia is not discharged, it is the condition residue blood flow into the large intestine, passing diarrhea which color is cyanotic black." [07].Different types are introduced:
 ⑴.A woman suffers from dysentery after childbirth, lochia is not discharged, residue blood flows into the large intestine, passing cyanotic black diarrhea.
 ⑵.A woman suffers from dysentery after childbirth, lochia is not discharged, pain in the abdomen, and dysentery;
 ⑶.A woman suffers from dysentery after childbirth, lochia is not discharged, dysentery in a month after childbirth;
 ⑷.A woman suffers from dysentery after childbirth, lochia is not discharged, tenesmus(painful spasm of the anal sphincter along with an urgent desire to defecate without the significant production of feces);
 ⑸.A woman suffers from dysentery after childbirth, lochia is not discharged, chronic dysentery and it is unstoppable in a long period.

 "Case after childbirth, in seven days or over seven days, a woman suffers from dysentery.

 Case after childbirth, a woman suffers from red dysentery.

 Case after childbirth, a woman's primordial Qi is collapse, defecation incontinence, almost prolapse of anus.

 Case after childbirth, a woman suffers from dysentery and color is yellow, it is the condition of spleen Qi deficiency.

 Case after childbirth, a woman suffers from a wheat diet, diarrhea, or dysentery.

 Case after childbirth, a woman suffers from a meat diet, diarrhea, or dysentery.

 Case after childbirth, a woman suffers from the weakness of stomach Qi, diarrhea or dysentery, discharge with undigested food.

 Case after childbirth, a woman suffers from the deficiency of stomach Qi, weakness of spleen Qi, diarrhea and dysentery, edema in limbs(edema in feet and legs, hands and arms).

 Case after childbirth, a woman suffers from diarrhea or dysentery, no painful spasm of the anal sphincter, it is chronic and is not relieved.

 Case after childbirth, a woman suffers from red or white dysentery, Qi pains at the region below the belly button.

 Case after childbirth, a woman suffers from chronic dysentery, white dysentery is unstoppable, it is the condition of blood deficiency.

 Case after childbirth, a woman suffers from dysentery, emaciated and tiredness, colic pain in the heart and abdomen." [04].



Postpartum bloody stool.
Postpartum dysentery 
 ✵Postpartum bloody stool is introduced: the postpartum bloody stool is a syndrome passing blood with a stool after childbirth, the pathogenic reasons are normally attributed to diet and drink, daily life, seven emotions and six pathogens, deficiency of the primordial Qi and hurt of Yang collaterals, greasy food and accumulated heat, alcohol and dampness toxins, liver fire aroused by anger, the spleen is hurt from depression, worry and anxiety hurt the heart, wind-heat in large intestine, blood heat in large intestine, deficiency cold of stomach and intestine, Primordial Qi collapse, Qi deficiency, blood deficiency, deficiency of both Qi and blood, etc. The postpartum bloody stool is also known as: passing blood after childbirth, passing blood in stool after childbirth, hematochezia after childbirth, hemafecia after childbirth, etc.
 ✵Ancient herbalists who hold a syndrome differentiation viewpoint with similar explain of pathogenic reasons, and the relevant representative work are introduced and quoted:

 "Blood stool after childbirth, or due to diet drink and daily life, or due to seven emotions and six pathogens, as a result, primordial Qi is deficient and hurt, Yang collaterals are hurt." [03]."Case after childbirth, a woman suffers from passing blood after defecation, take various recipes, and they did not work, diet and drink are reduced and appetite is poor, tiredness in limbs and body, is the condition of middle Qi deficiency and weak..."; "Case after childbirth a woman suffers from passing blood with stool once she is anger, chills and fever with bitterness in mouth, or distension pains in chest and hypochondrias, or fullness in the lower abdomen, is the condition of wood subjugating asthenic earth..."; "Case after childbirth a woman suffers from blood comes before defecation, it is the condition of spleen and stomach deficiency and cold, primordial Qi collapse..."; "Case after childbirth a woman suffers bloody stool, dryness in mouth and drink soups, fullness in chest and hypochondrias, dropping and fullness in the lower abdomen, internal heat and fever at late afternoon, not tasty in diet, tiredness and yellowish complexion(looks yellow on face), turn red complexion(looks red on face) after late afternoon, chills and aversion to cold, this is the condition of spleen and lung Qi are deficient..." [03].

 "A woman suffers from a bloody stool after childbirth, due to blood deficiency and heat in the intestines, ...in case of flooding is unstoppable, it is a serious hurt..." [07].

 "Passing blood after childbirth: A woman suffers from passing blood after childbirth, due to improper diet or life habits(sleep and wake disorders, etc), or excessive six exogenous pathogens(six external factors causing disease) and seven emotions, as a result, primordial Qi is hurt and deficient, Yin collaterals are hurt..." [08].

 "Bloody stool after childbirth: A woman suffers from a bloody stool after childbirth, due to internal heat..." [09].Different types are introduced:
 ⑴.A woman suffers from a bloody stool after childbirth, passing blood with defecation, due to spleen deficiency and not regulating.
 ⑵.A woman suffers from a bloody stool after childbirth, passing blood with defecation, due to the middle Qi collapse.
 ⑶.A woman suffers from a bloody stool after childbirth, passing blood with defecation, due to the liver is hurt by violent rage(fury, or violent anger).

 "Dysentery after childbirth: A woman suffers from dysentery after childbirth, (there are different types)..." [09].Different types are introduced:
 ⑷.A woman suffers from dysentery after childbirth, due to residue blood flow into the large intestine as dysentery(bloody dysentery or red dysentery).



Postpartum acute gastroenteritis.
Postpartum acute gastroenteritis 
 ✵The postpartum acute gastroenteritis is a case of acute gastroenteritis occurring following childbirth, due to various pathogenic reasons.

 ✧ In the TCM system, the pathogenic reasons for the postpartum acute gastroenteritis normally are hurt of Qi and blood after childbirth, deficiency of Zang and Fu-viscera, or indigestion of food, affected by wind and cold pathogen. Irregularity of Yin and Yang, Qing and Zhuo(clear and turbid) interact with each other, Qi chaotic in stomach and intestines, the Positive Qi and pathogens combat each other, disharmony of cold and heat, throw up and diarrhea, thus known as Huo Luan(acute gastroenteritis).
 ✧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 Huo Luan(acute gastroenteritis) after childbirth, due to various reasons..." [07].Different types are introduced:
 ⑴.A woman suffers from Huo Luan(acute gastroenteritis), thirst and drinks water;
 ⑵.A woman suffers from Huo Luan(acute gastroenteritis), much cold and not thirst;
 ⑶.A woman suffers from Huo Luan(acute gastroenteritis), vomit dysentery and cold limbs;
 ⑷.A woman suffers from Huo Luan(acute gastroenteritis), severe pain in the abdomen and cold in hands and feet;



 ✵The postpartum acute gastroenteritis common types are known including:

 Postpartum acute gastroenteritis, thirst and drink water.

 Postpartum acute gastroenteritis, cold and not drink water.

 Postpartum acute gastroenteritis, after childbirth, vomiting and dysentery, pain in the abdomen(abdominal pain), polydipsia(excessive thirst, vexation, and thirst), counterflow cold of the extremities(counterflow cold of the hands, feet, arms, and legs).

 Postpartum acute gastroenteritis, after childbirth, incessant vomiting and dysentery, counterflow cold of the extremities(counterflow cold of the hands, feet, arms, and legs).

 Postpartum acute gastroenteritis, after childbirth, incessant vomiting and dysentery.

 Postpartum acute gastroenteritis, after childbirth, deficiency pain in the abdomen.

References:
  • 01.Postpartum diarrhea and related syndromes:an introduction of postpartum abdominal pain diarrhea and dysentery, red white dysentery and diarrhea due to Qi disorder of asthenia, and other 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.Jiēzhāi Gōng Tāi Chǎn Yī àn(Births Cases of Jie Zhai Gong).By 王纶(Wáng Guān)[Ming].
  • 05.Fù Kē Bǎi Biàn(the Differentiations in Hundred Syndromes of Gynaecology).By 庄履严(Zhuāng Lǚyán)[Ming].
  • 06.Huang Shi Nǚ Ke(the Synopsis of Huang's Gynaecology).By 黄彦荣(Huáng Yànróng)[Ming,1504].
  • 07.Ye Shi Nǚ Ke Zhèng Zhì(the Syndromes and Therapeutics of Ye's Gynaecology).By 叶桂(Yè Guì)[1817].
  • 08.Fù Kē Bèi Kǎo(the References of Gynaecology).By 何应豫(Hé Yīngyù)[1820].
  • 09.Fù Kē Liáng Fāng(the Effective Prescription of Gynecology).By 何梦瑶(Hé Mèngyáo)[1751].

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