An introduction of postpartum fainting syndromes, and syncope sybndrome after childbirth.


 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 fainting.
Postpartum fainting 
 ✵The postpartum fainting is fainting occurring following childbirth due to various reasons. The different pathogenic reasons and related syndromes are introduced.

 ✧ In the TCM system, the pathogenic reasons for the postpartum fainting are excessive loss of blood, residue and stagnant blood flow into the liver meridian, symptoms are seeing black flower, dizziness and dazzled, could not sit up, or even lethargy and unconscious, is the case of postpartum fainting. In the cases of fainting, blood heat counter flow upward to the heart for the deficiency, thus lead to dizziness and vertigo, short of breath and unconscious, mainly because of fainting for overuse mind and thinking, or fainting for loss excessive blood, or fainting for loss small amount blood.

 ✦ In the case postpartum fainting for loss excessive menstrual bleeding, symptoms observed are dizziness, depressed, vexed and emotionally upset.

 ✦ In the cases postpartum fainting for lose less menstrual bleeding, symptoms observed are lochiometra(retention of the lochia), blood counter flow upward to the heart, fullness and urgency below the heart, coma(unconsciousness) and lockjaw, inability to recognize people(clouding, loss of consciousness).

 ✦ In the case of postpartum fainting for sudden deficiency of Qi and blood, not harmonize in peace, the blood follow the Qi and counter flow upward, confused the heart and mind, thus will see flowers. In serious cases, fainting and loss consciousness, coma and lockjaw. It might be misdiagnosed as dark wind-stroke, if treated as dark wind-stroke, it is difficult to be relieved.
 ✵Ancient herbalists who hold a syndrome differentiation viewpoint with similar explain of pathogenic reasons, and the relevant representative work are introduced and quoted:

 ✧"Postpartum fainting, mainly due to Qi and blood deficiency, phlegm fire counter flow upward and fainting...
 Postpartum frequently fainting, numbness of the whole body, reverse cold in hands and feet, take Yang and blood tonics but not effective, is the condition of stasis blood blocking and blood circulation obstacles...
 Postpartum lost consciousness, heat enters into the blood chamber..." [02].

 ✧"Blood fainting: a woman suffers from dazzled fainting and in a trance or unconsciousness, there are cases due to residue blood flow upward(not lead to fainting immediately), surely red face and lips(looks red in face and lips)..." [10].



 ✵Postpartum fainting, is also attributed to pathogenic reasons: excessive bleeding, dizziness and vexation, excessive mental work(over strain one's nerves), deficiency of Qi and blood, phlegm flow upward, etc.
 ✵Ancient herbalists who hold a syndrome differentiation viewpoint with similar explain of pathogenic reasons, and the relevant representative work are introduced and quoted:

 "The postpartum fainting...there are cases due to excessive bleeding, or due to dizziness and vexations, or due to excessive mental work, or due to great deficiency of Qi and blood, or due to Qi and blood deficiency with phlegm attack upward." [03].

 "A woman suffers from dizziness and fainting, due to Qi deficiency and wind affection and entering into the brain, following the collaterals and affect the collaterals around the eyes, pain in the collaterals of the eyes, in the severe case, it will develop to insane(madness)... In general, extreme deficiency and affected by cold, not from only one pathogen. In the condition sweating in wind, dragging pain in cold days, stagnancy-heat in summer days, heavy and stasis in dampness, these are fainting of deficiency due to four seasonal pathogens. In the condition depression with phlegm and fainting, due to deficiency fire flow upward from seven emotions; In the condition excessive lust and fainting, due to deficiency of kidney Qi; In the condition vomit blood, epistaxis, metrorrhagia and fainting, due to liver deficiency and could not regulate blood. " [06].

 "A woman suffers bleeding too much during childbirth, Qi lost mastering, lips turn cyanotic and body is cold, sweating and dazzling, is the condition of wind due to extreme deficiency..." [07].

 "A woman suffers from blood fainting after childbirth, bleeding too much, suddenly fall in a faint(fall unconscious), is the condition of Qi and blood deficiency...
 A woman suffers from blood fainting after childbirth, discharge less blood, residue lochia not all passing down(lochiorrhagia), pain in abdomen and dizziness..." [09].

 ✧"Blood fainting: a woman suffers from dazzled fainting and in a trance or unconsciousness, ...there are cases due to physical deficiency and weakness, lose much blood during childbirth, ...surely white face and lips(looks white in face and lips)..." [10].



 ✵The postpartum fainting is also known as blood-fainting, its symptoms observed are seeing black flowers, dizziness, and vertigo, unconsciousness. The pathogenic reasons are also including: (1). Tiredness and serious strain lead to Qi exhaustion and dizziness; (2).loss of blood in big volume and Qi is nearly exhaust; (3). Phlegm and fire pathogens subjugating the deficiency and going upward, as a result spirit is unclear.
 ✵Ancient herbalists who hold a syndrome differentiation viewpoint with similar explain of pathogenic reasons, and the relevant representative work are introduced and quoted:

 "Cases after childbirth, see black flowers, dizziness and vertigo, unconsciousness, is the syndrome of blood-fainting. The pathogenic reasons also including:(1). Tiredness and serious strain lead to Qi exhaustion and dizziness; (2). Loss of blood in big volume and Qi is nearly exhaust; (3). Phlegm and fire pathogens subjugating the deficiency and going upward, as a result spirit is unclear. For cases suffer from above mentioned three conditions, the Hun(ethereal soul) does not follow the Shen(the vitality), almost dizziness and stopped." [04].

 "A woman suffers from blood fainting after childbirth, what is it? Sudden deficiency of Qi and blood, not get quiet, blood stasis going upward with reverse Qi, disturb the mind, as a result, dim eyesight and dizziness, even lockjaw, coma(unconsciousness), Qi cold...should not be treated as a syndrome of postpartum wind(spasm in limbs, grind one's teeth, staring eyes and trembling of chills)." [05].

 "Dizziness depression, lost consciousness(unconsciousness), due to stasis blood blocking the heart..., there are cases fainting due to blood insufficiency, ...there are cases of fainting due to blood excess." [07].

 "Yu Mao(fainting and unconscious): a woman suffers from blood deficiency and much perspiration, affected by wind, as a result, syncope; loss blood and sweating with much cold, as a result, lead to cold; loss of body fluid, dryness in the stomach, as a result, difficulty in defecation. These three syndromes are different but pathogenic reasons are related to each other. In the condition of stomach deficiency and no appetite after childbirth, normally dizziness dazzled and mind is not clear, or syncope, is the condition of Yu Mao(fainting and unconscious)...
 Blood fainting: a woman suffers from blood fainting after childbirth, due to sudden deficiency of Qi and blood, blood flows upward, confused the heart and mind, as a result, flowers occur before eyes, in severe condition even depression, unconscious and lockjaw, dazzled and Qi turns cold..." [08].Different types are introduced:
 ⑴. A woman suffers from blood fainting, loss much blood and fainting unconscious, only dizziness depression vexed and irritable...
 ⑵. A woman suffers from blood fainting, loss less blood and fainting unconscious, due to residue lochia flow upward and affect the heart, pain and fullness below the heart, dizziness unconscious and lockjaw, lost consciousness...

 "A woman suffers from Ma Mao(numbness and fainting, dizziness) after childbirth, all due to Qi and blood deficient and insufficient, could not support the whole body..." [09].Different types are introduced:
 ⑴.A woman suffers from Ma Mao(numbness and fainting, dizziness) after childbirth, due to Qi and blood deficiency and insufficiency, could not support the body.
 ⑵.A woman lose excessive blood after childbirth, numbness of hands and feet, great pain in the lower abdomen, numbness and fainting of the whole body, unbearable and willing to die. It is not due to residue lochia stagnancy and stasis, but is a deficiency with phlegm.



 ✵Woman fainting, is also attributed to pathogenic reasons including: worry hurt the spleen, 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 fainting and dizziness, for her husband go out for business, prefer to sleep whole day, no appetite(do not take food), what is it? This is the condition due to worry hurt the spleen, spleen is hurt and no appetite, reduced appetite lead to exhaustion of the heart Qi, as a result, dizziness and fainting.

 A woman suffers from fainting and dizziness, no appetite, her husband go outing and met a disaster, what is it? This is the condition due to worry hurt the lung.

 A girl was unmarried until twenty years old, each time saw a man, she suddenly bites the man's arm, gradually fainting, what is it? This is the condition the desire fire is excessive and no channel to discharge." [05].



 ✵Woman fainting, is also attributed to pathogenic reasons including: residue blood flow into the liver meridian, etc.
 ✵Ancient herbalists who hold a syndrome differentiation viewpoint with similar explain of pathogenic reasons, and the relevant representative work are introduced and quoted:

 "See black flowers and fainting after childbirth:...a woman suffers from residue blood not passing completely(lochiorrhagia), residue blood flow into the liver meridian, ...as a result, see black flowers...fainting and giddiness..." [09].



 ✵The Postpartum fainting of other types and cases are introduced:

 ✧A woman suffers from fainting after childbirth, depressed(depression), this is the case of postpartum fainting with depression; or fainting after childbirth, depressed and confused, in a trance(absent-minded) and similar as see a ghost, this is the case of postpartum fainting with depression and confusion.

 ✧A woman suffers from fainting after childbirth, wild talk and inability to recognize people(loss of consciousness), mania(frantic and madness), this is the case of postpartum fainting with wild talk and coma mania.

 ✧A woman suffers from fainting after childbirth, wild talk, incessant polydipsia(incessant vexation and thirst, or incessant fidget and thirst), this is the case of postpartum fainting with wild talk and polydipsia.

 ✧A woman suffers from fainting after childbirth, in a coma or in a dead faint(unconscious senseless fainting), risks, this is the case of postpartum fainting with high risks.

 ✧A woman suffers from fainting after childbirth, blood flow into the heart meridian, incoherent speech(talk incoherently, one's speech was incoherent and confused), amnesia and(forgetful, bad memory), breaks annals, this is the case of postpartum fainting with blood counter flow to the heart.

Postpartum syncope.

 ✵The postpartum syncope is a syncope syndrome occurring following childbirth. The common pathogenic reasons for postpartum syncope are: tiredness and strain hurt the spleen, the spleen lost its transporting functions and other Zang-viscera lost support, etc.
 ✵Ancient herbalists who hold a syndrome differentiation viewpoint with similar explain of pathogenic reasons, and the relevant representative work are introduced and quoted:

 "In case of using much strength during childbirth, strain and tiredness hurt the spleen, the sole Zang-viscus lost its transporting functions and other Zang-viscera lost support, as a result, coldness in both hands and feet, Qi circulation obstacles. As the book Nei Jing(the Yellow Emperor's Inner Cannon) said: Yang deficiency at the lower, then develops to cold syncope..." [04].

 "A woman was suddenly affected by wind and cold in four to five days after childbirth, syncope, is the condition due to deficiency of Yang Qi, and exhaustion of Yin blood, also is affected by cold pathogen..." [08].



References:
  • 01.An introduction of postpartum fainting syndromes, and syncope sybndrome after childbirth.
  • 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].
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  • 06.Nǚ Ke Bǎi Xiào Quán Shū(the Efficacious Complete Book of Gynaecology).By 龚居中(Gōng Jūzhōng)[Ming,1630].
  • 07.Huang Shi Nǚ Ke(the Synopsis of Huang's Gynaecology).By 黄彦荣(Huáng Yànróng)[Ming,1504].
  • 08.Ye Shi Nǚ Ke Zhèng Zhì(the Syndromes and Therapeutics of Ye's Gynaecology).By 叶桂(Yè Guì)[1817].
  • 09.Fù Kē Bèi Kǎo(the References of Gynaecology).By 何应豫(Hé Yīngyù)[1820].
  • 10.Fù Kē Liáng Fāng(the Effective Prescription of Gynecology).By 何梦瑶(Hé Mèngyáo)[1751].

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