Postpartum galactorrhea and related syndromes:an introduction of Postpartum galactorrhea syndromes, postpartum periodical breast milk stoppage, postpartum galactorrhea(postpartum loss of breast milk), postpartum galactostasis, postpartum mammary abscess, acute mastitis.


 TCM Knowledge:Gynecology Syndromes,Women Syndromes ✵To help clients and TCM fans know better with the common knowledge of ancient TCM and syndrome differentiation, there comes the online knowledge database in classified categories.

 ✵The main content including: the introduction of the most famous and talented Ancient Herbalists and Distinguished Physicians, the most influential and Well-Known Ancient Works, common Diagnostic Methods, the introduction of Common Disease and Syndromes, etc.

Postpartum periodical breast milk stoppage, No milk, short of breast milk.
Postpartum periodical breast milk stoppage 
 ✵The Postpartum periodical breast milk stoppage is a case of periodical breast milk stoppage occurring following childbirth, due to various pathogenic reasons.

 ✧ In the TCM system, the pathogenic reasons for the Postpartum periodical breast milk stoppage are normally including weakness and deficiency of Qi and blood, irregularity of meridian and channels. In case of first childbirth breast swelling but milk stoppage, this is the case of young age with wind and heat pathogen in the interior, in case several times childbirth and milk stoppage, this is the case of exhaustion liquid and humor(body fluid). As the milk of lady supported by the Chong meridian and connect with the stomach meridians, for cases several times childbirth but milk does not stop that is because of the Qi and blood not deficient. In most cases of lady syndrome in the meridian of Ren and Chong, lead to less milk and color yellowish, the child is also weak and suffers from diseases.

 ✧Ancient herbalists and representative works hold this or similar pathogenic reasons are introduced:

 "Breast milk stoppage or No milk after childbirth:...woman for the first childbirth, galactophore is growing, collaterals not in circulation, or woman experienced several childbirths, then Qi and blood are deficient and weak, short of breast milk..." [04].Different types are introduced:
 (1).Woman suffers from breast milk stoppage for the first childbirth, galactophore is growing, collaterals not in circulation.
 (2).Woman experienced several childbirths, Qi and blood are deficient and weak, short of breast milk.
 (3).Woman suffers from milk stoppage after childbirth, great fever of the body, distention and stagnancy in chest and diaphragm.

 "No milk after childbirth: woman suffers from short of breast milk after childbirth, blood deficiency condition is known yet,...due to spleen deficiency and poor appetite,...due to blood stasis and milk stopped, distention and pain in breasts..." [05].



 ✵The Postpartum periodical breast milk stoppage common types are known including:

 ✧ Postpartum periodical breast milk stoppage, stagnant and obstacles in Qi channels, milk stoppage and stagnant in Ren and Chong meridians, swelling and pain in breast, pathogen stay interior and might grow carbuncle and swellings.

 ✧ Postpartum periodical breast milk stoppage, weakness of Qi and deficiency of blood after childbirth, Chong and Ren meridians obstacle and few milk or milk stoppage.

 ✧ Postpartum periodical breast milk stoppage, no milk or milk stoppage after childbirth.

 ✧ Postpartum periodical breast milk stoppage, breast milk stoppage after childbirth.

 ✧ Postpartum periodical breast milk stoppage, breast milk stoppage or no milk after childbirth, milk knot or acute mastitis.

Postpartum galactorrhea(postpartum loss of breast milk).
postpartum loss of breast milk 
 ✵The Postpartum galactorrhea(postpartum loss of breast milk) is a case of galactorrhea(loss of breast milk) due to Qi disorder of asthenia occurring following childbirth, due to various pathogenic reasons.

 ✧ In the TCM system, the pathogenic reasons for the Postpartum galactorrhea(postpartum loss of breast milk) are normally including deficiency and weakness, hurt by childbirth labor.

 ✵The Postpartum galactorrhea(postpartum loss of breast milk) common types are known including:

 ✧ Postpartum galactorrhea, loss of breast milk after childbirth.

 ✧ Galactorrhea before childbirth, loss of breast milk before childbirth, is also known as breast cry(Ru Qi), this is a scare case not recorded in works, after childbirth, most cases the lady will turn to infertility.

 ✧Ancient herbalists and representative works hold this or similar pathogenic reasons are introduced:

 »"Case postpartum galactorrhea(loss of breast milk), strong fever of body, dizziness and pain in head and eyes(dizziness, headache, pain in eyes), difficulty in defecation(constipation)..." [02].
  »"Case postpartum galactorrhea(loss of breast milk), troubled with excess syndrome..." [02].
  »"Case postpartum galactorrhea(loss of breast milk), troubled with deficiency syndrome..." [02].

 "Loss of breast milk after childbirth:...woman suffers from galactorrhea..." [04].Different types are introduced:
 (1).Woman suffers from galactorrhea after childbirth, breast milk flow out involuntarily without feeding a baby, due to deficiency of water and excess of fire.
 (2).Woman suffers from galactorrhea after childbirth, breast milk flow out involuntarily without feeding a baby, due to blood heat of Yang Ming.
 (3).Woman suffers from galactorrhea after childbirth, breast milk flow out involuntarily without feeding a baby, due to liver fire flow upward from anger.

 "Ru Yong(Loss of breast milk) after childbirth: woman suffers from Ru Yong(breast milk spring out), in case physical strong,...in case deficiency,..." [05].



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

 ✧ In the TCM system, the pathogenic reasons for the Postpartum galactostasis are normally including baby not suck milk timely, and milk not discharged, or swelling breast, lead to milk accumulation and stagnant, combat with Qi and blood, high fever great thirst and drink much water, dragging pain, hand could not touch. In the early stage massage to discharge milk, or grow carbuncle with pus, in case excess heat, will surely form carbuncle. The galactorrhea, galactostasis and mammary abscess have similar pathogenic reasons, differ on mild or seriousness.

 ✵The Postpartum galactostasis common types are known including:

 ✧ Postpartum galactostasis, loss of breast milk after childbirth, form carbuncle.

 ✧ Postpartum galactostasis, accumulation distention of breast after childbirth, form carbuncle.

 ✧ Postpartum galactostasis, breast swelling after childbirth, gradually form carbuncle.

 ✧ Postpartum galactostasis, form breast carbuncles, high fever, thirst, internal heat, drink much water.

Postpartum mammary abscess(acute mastitis).
Postpartum mammary abscess 
 ✵The Postpartum mammary abscess is a case of a mammary abscess occurring following childbirth, due to various pathogenic reasons.

 ✧ In the TCM system, the pathogenic reasons for the Postpartum mammary abscess are normally including breast swelling and accumulation, affected skin thus form a mammary abscess. The Foot YangMing meridian weak and blood obstacles, blood return to it again, Qi stagnant and not dissipating, form abscess. Ancient works Qian Jin Fang proposed in cases mammary abscess for lady age below forty, treatment normally gets a good result and relieved, for lady age over fifty should be treated as soon as possible, or might die in the middle age years. In case mammary abscess during pregnancy, this is not very harmful to the syndrome related with Yang Ming meridian, the Yang Ming is the channel of the stomach, main for muscle and not hurt Zang-viscera, thus no harm. Diagnose Guan pulse at the right hand, pulse sunken, is the case of Yin deficiency, normally troubled with mammary abscess, if not relieved in a long period, will turn to breast fistula.

 ✵The Postpartum mammary abscess common types are known including:

 ✧ Postpartum mammary abscess, galactostasis after childbirth.

 ✧ Postpartum mammary abscess, mammary abscess after childbirth, in early stage.

 ✧ Postpartum mammary abscess, mammary abscess after childbirth, observe abnormal in the early stage.

 ✧ Postpartum mammary abscess, mammary abscess after childbirth, or carbuncle not relieved in long period, pus flow out, pain is unbearable similar to as if will die.

 ✧ Postpartum mammary abscess, mammary abscess dissipated before formed after childbirth, already formed but ulcerated, extremely pain and unbearable.

 ✧ Postpartum mammary abscess, mammary abscess for baby blow milk.

 ✧ Postpartum mammary abscess, mammary abscess after chilcbirth, nipple break up.

 ✧ Postpartum mammary abscess, mammary abscess, deficiency fever in limbs, great thirst, rot and pus blood flow out.

 ✧ Postpartum mammary abscess, mammary abscess after childbirth, exude pus, pains.

 ✧ Postpartum mammary abscess, mammary abscess after childbirth, pus exuded yet, open sore.

 ✧ Postpartum mammary abscess, mammary abscess after childbirth, pain in breast, unbearable pain could not suffering.

 ✧ Postpartum mammary abscess, mammary abscess after childbirth, consumption of milk, toxin not accumulated or toxin accumulated yet.

 ✧Ancient herbalists and representative works hold this or similar pathogenic reasons are introduced:

 »"Case Ru Yong(acute mastitis), and no pains, blood stasis clotting and circulation not smooth..." [02].
  »"Case Ru Yong(acute mastitis), women at age Qi and blood are just prosperous, distention in the breast region, aversion to cold and fever..." [02].



 ✧ Postpartum mammary abscess due to toxic heat in the gallbladder and stomach, stasis and stagnant of Qi and blood.

 ✧Ancient herbalists and representative works hold this or similar pathogenic reasons are introduced:

 "Woman Ru Yong(mammary abscess), belong to the toxic heat in the gallbladder and stomach Fu-viscera, Qi and blood stagnancy and stasis.In the initial stage distension and pains, observed at the skin surface, color red, the lady heat in the exterior and fever, or affected by chills and fever, or aversion to cold and cephalea(headache),polydypsia(vexation and thirst) and lead to cold...in the condition of Qi and blood weakness deficient,...not collect in days, pus cleared and pulse big, is the case difficult to treat." [03].

  »"Case a woman suffer from internal heat and distension in hypochondria regions, irregular pains at breasts, feel spicy and hot in mouth, feel dragging pains below belly button if get up rashly in sleep, is the condition due to belt vessel." [03].

  »"Case a woman suffer from distension of breasts due to anger, accompanied with cephalea(headache), alternating chilld and fever(alternative cold and heat)..." [03].

  »"Case a woman suffers from fever and thirst, turn servere at night, sudden distention in breasts region, liver pulse bounding and rapid, is the condition of heat entering into blood chamber..." [03].

 "Ru Yong(acute mastitis) after childbirth: woman suffers from red swelling of breasts, hard and pains, aversion to cold and fever, the milk stopped and will form Yong(acute mastitis), due to Foot Yang Ming and Jue Yin two meridians affected by wind and heat..." [05].



Postpartum Ru Yan.
Postpartum galactostasis. 
 ✵The Postpartum Ru Yan, literally it means postpartum breast rocks, from ancient records this syndrome is almost same as today's "mammary cancer", it is a case occurring following childbirth, due to various pathogenic reasons.

 ✧ In the TCM system, the pathogenic reasons for the Postpartum Ru Yan(mammary cancer) are normally including depression accumulation, anger accumulation, etc. Symptoms observed including there is a kernel distention inside the breast region, size as a chess pieces, not pains and not itching, form a sore in five to seven years, after the sore formed, shape like a hole in rocks, or like mouth with lips, red liquid and pus spread around chest to abdomen, Qi attacking and pains. In the case sore not broken it is treatable, in the case broken it could not be treated.

 ✧Ancient herbalists and representative works hold this or similar pathogenic reasons are introduced:

 "Case Ru Yan(mammary cancer), in the initial stage distension as a kernel, size as chess pieces, not pains and not itching, form a sore in five to seven years, after the sore formed, shape like a hole in rocks, or like a mouth with lips, red liquid and pus spread around the chest to abdomen, Qi attacking and pains. In the case sore not broken it is treatable, in the case broken it could not be treated." [02].

 "Ru Yan, is mainly due to anger and depression affect the liver and spleen Zang-viscera, deficiency and hurt of Qi and blood, as a result in the initial stage a small kernel observed, accumulated inside the breast region, muscle color as normal, the lady feel internal heat and heat at night, heat from five hearts(five-Zang viscera), tiredness and thin of body and limbs, irregular menstruation...If extended for a long period, the kernel gradually grows big, red color water flows out, erosion in depth, it is difficult to treat." [03].

  »"Case a woman suffers from distension in left breast, size as a peach, no pains and not red in color, fever and gradually thinner...pus broke and recovered." [03].

  »"Case a woman suffers from chronic depression, there is a mass accumulated in left breast region, size as a almond, not eliminated in three months, heart pulse uneven and spleen pulse big, powerless when pressed...recovered." [03].

  »"Case a woman nature impatient, depression for long days, there is a kernel accumulated in left breast region, slightly pains when pressed...recovered." [03].

  »"Case a woman suffers from three kernels accumulated in the right breast region, not eliminated over a year, chills in the morning and fever after sunset, tastelessness in diet, this is the condition of Ru Yan..." [03].

 "Ru Yan(mammary cancer): the Ru Yan of woman, it is not originally a syndrome after childbirth,...the Ru Yong(acute mastitis) syndrome attacks...not the same as Ru Yang due to Qi and blood deficiency hurt for several years, in the initial stage, for woman, lost favor and love from her husband and other relatives, or depression hurt from worrying, chronic stagnancy of the liver and spleen viscera. In the initial stage, a small kernel, accumulated and formed in the breast, appearance as normal, shape size similar to a round chess piece, not pain and not itching, develops to ulcer syndrome after 10 years, rotten thoroughly, incurable. In the initial stage, the woman suffers from internal heat, fever at night, dysphoria with feverish sensation in chest palms and soles, lassitude and emaciated, irregular menses, should be treated as early as possible...for cases woman still has menses, it is still mild, but for those age in fifty or sixty and no menses, should not be identified as a mild condition." [04].Different types are introduced:
 (1).Woman suffers from Ru Yong, in the initial stage, due to reasons lost favor from husband and relatives, or depression hurt from worrying, chronic stagnancy of the liver and spleen viscera, a small kernel accumulated and formed in the breast, appearance as normal, shape size similar to a round chess piece, not pain, not itching, is still treatable, it will develop to ulcer after 10 years and then rotten thoroughly.
 (2).Woman suffers from Ru Yan, developed from Ru Yong, not rotten yet, still treatable.
 (3).Woman suffers from Ru Yan, rotten and ulcer, its size enlarged as a rock, color red, and liquid flow out with pus, deep hole and smelly, difficult or incurable.

 "Ru Yan after childbirth: woman suffers from the hidden kernel in the root region of the breasts, size similar to a chess piece, not pain and not itching, skin color not change, or suffers internal heat or night fever, years later, ulcer rotten from inside, hollowed inside, as a stone cave...due to middle Qi deficiency and cold, or depression uncomfortable, lead to Qi and blood condensed and stasis,...or in case ulcer rotten, should only use tonification method..." [05].



References:
  • 01.Postpartum galactorrhea and related syndromes:an introduction of Postpartum galactorrhea syndromes, postpartum periodical breast milk stoppage, postpartum galactorrhea(postpartum loss of breast milk), postpartum galactostasis, postpartum mammary abscess, acute mastitis.
  • 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 Bèi Kǎo(the References of Gynaecology).By 何应豫(Hé Yīngyù)[1820].
  • 05.Fù Kē Liáng Fāng(the Effective Prescription of Gynecology).By 何梦瑶(Hé Mèngyáo)[1751].

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