Postpartum lochiorrhea and related syndromes:an introduction of Postpartum lochiorrhea, Postpartum lochiometra, Postpartum residue blood flow upward and heartache,Postpartum lochiorrhea with abdominal pain,Postpartum after-pains of lower abdomen, Postpartum pain of lower abdomen,Postpartum metrorrhagia(flooding),Postpartum irregular menses,Postpartum absence of menses.


 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 lochiorrhea.
Postpartum 
 ✵The Postpartum lochiorrhea, is a lochiorrhea occurring following childbirth, due to various pathogenic reasons.It is also known as lochiorrhagia after childbirth, or lochiorrhea after childbirth.

 ✧ In the TCM system, the pathogenic reasons for the Postpartum lochiorrhea are normally including hurt from menses blood, deficiency of blood and Qi, or residue blood stay in the abdomen, cold pathogen affect Zang-viscera and Fu-viscera, lead to unharmonized of Qi and blood, lead to lochiorrhea.

 ✵ The Postpartum lochiorrhea common types are known including:

 ✧ Postpartum lochiorrhea, incessant extravasated blood, unstoppable uterine bleeding, colic pain in abdomen, panting or short of breath.

 ✧ Postpartum lochiorrhea, unstoppable uterine bleeding, deficiency and emaciation, deficiency in Qi and blood.

 ✧ Postpartum lochiorrhea, unstoppable uterine bleeding, abdominal pain, oppression in the chest and diaphragm.

 ✧ Postpartum lochiorrhea, loss excess blood, pain from heart to abdomen, uterine bleeding, unstoppable in long period. Sometimes with red or white morbid leucorrhea.

 ✧ Postpartum lochiorrhea, deficiency and emaciation, cold pain around belly button, incessant lochiorrhea, dribbling discharge, or lochiometra.

 ✧ Postpartum lochiorrhea, incessant lochiorrhea and dribbling discharge, depressed and short of breath, weakness of limbs and fatigue, no appetite, dizziness and clouded head and vision, feverish sensation over the five centers, yellowish complexion, and thin body.
 ✵Ancient herbalists and representative works hold this or similar pathogenic reasons are introduced:

 "Case postpartum lochiorrhea, dripping unstoppable, due to urinary bladder hurt..." [02].

 "Lochia unstoppable after childbirth:...woman suffers from Chong hurt after childbirth, deficiency of Qi and blood, lassitude and tiredness, old blood not passing down, new blood not collecting, passing down together, unstoppable in a long period, gradually develop to asthenia..." [06].Different types are introduced:
 (1).Woman suffers from lochia unstoppable after childbirth(lochiorrhea), dripping discharge unstoppable over a month after childbirth;
 (2).Woman suffers from lochia unstoppable after childbirth(lochiorrhea), blood heat;
 (3).Woman suffers from lochia unstoppable after childbirth(lochiorrhea), Chong and Ren are hurt;
 (4).Woman suffers from lochia unstoppable after childbirth(lochiorrhea), Qi deficiency of the liver and spleen;
 (5).Woman suffers from lochia unstoppable after childbirth(lochiorrhea), Qi and blood are both deficiency.

 "Lochiorrhea after childbirth: in the case lochiorrhea due to blood retention and stasis, gradually dripping discharge, or blood stasis already passing down, but the Chong channel and Ren channel are deficient and hurt, could not collect. In the case of blood stasis, the discharged blood is dark turbid smelly,...In case of not collecting, the discharged blood is fresh,..." [07].



Postpartum cough of lochia.
Postpartum cough of lochia 
 ✵The Postpartum cough of lochia, is a cough occurring following childbirth, due to various pathogenic reasons and majorly due to lochia.
 ✵Ancient herbalists and representative works hold this or similar pathogenic reasons are introduced:

 "Woman suffers from cough after childbirth, due to lochia flow upward, flow into the spleen channel, lead to cough.Its symptoms distension and stagnancy in chest and diaphragm..." [06].



Postpartum lochiometra.
Postpartum persistent vacuity sweating 
 ✵The Postpartum lochiometra is the lochiometra(retention of the lochia) occurring following childbirth, due to various pathogenic reasons.

 ✧ In the TCM system, the pathogenic reasons for the Postpartum lochiometra(retention of the lochia) are normally including consumptive hurt of Zang-viscera and Fu-viscera, deficiency of Qi and blood, or cold pathogen affect the collaterals of the uterus, or cold and wind affection after childbirth, wind cold pathogen combat with blood in the deficiency, blood stagnant and not flow smoothly, accumulated at the interior, lead to retention of the lochia.

 ✵The Postpartum lochiometra(retention of the lochia) common types are known including:

 ✧ Postpartum lochiometra, in three to four days after childbirth, retching counterflow, hyperpyrexia(high fever).

 ✧ Postpartum lochiometra, residue blood counterflow upward to the heart, retention of afterbirth, abdominal blood clot.

 ✧ Postpartum lochiometra, pain in abdomen, annoyed and vexed in heart and mind.

 ✧ Postpartum lochiometra, pain in abdomen, or abdominal clot and fever.

 ✧ Postpartum lochiometra, lochiometra stopped suddenly, sudden alternation between cold and fever, pain in belly button and channels, similar as bore spine pain, this is the case of postpartum lochiometra due to unharmonized cold and heat, or thinking, stagnant of Qi, blood accumulation in channels.

Postpartum lochiostasis.
Postpartum lochiostasis 
 ✵The Postpartum lochiostasis is the lochiostasis(stasis and stagnancy of lochia after childbirth) occurring following childbirth, due to various pathogenic reasons. It is also known as E Lou Bu Xia(residue lochia do not flow down after childbirth).

 ✧ In the TCM system, the pathogenic reasons for the Postpartum lochiostasis are normally including endogenous cold pathogens or affection from exogenous cold pathogens, lead to residue lochia blood stagnancy and stasis.
 ✵Ancient herbalists and representative works hold this or similar pathogenic reasons are introduced:

 "Woman suffers from lochia could not flow down after childbirth(lochiostasis after childbirth), abdominal pain radiating to the low back, alternative chills and fever, is the condition due to old cold pathogens in the abdomen, or affection from new exogenous cold pathogens, as a result, residue blood stagnancy stasis..." [05].Different types are introduced:
 (1).Woman suffers from lochiostasis after childbirth, accumulated into clot or mass, irritancy and unhappy in heart and chest, hard and pain below belly button;
 (2).Woman suffers from lochiostasis after childbirth, affection from cold heat and strain, irritable pain in backbone;
 (3).Woman suffers from lochiostasis after childbirth, alternative chills and fever, flustered palpitation and dazed, pain and ache in abdomen;
 (4).Woman suffers from lochiostatis after childbirth, suddenly stopped, sudden chills and fever, stabbing pain in belly button abdomen, due to disorder of cold and heat, or worry and strain, Qi stagnancy blocking, blood stored in collaterals;

 "Lochia not passing down after childbirth:...there are two syndromes, one due to coldness of the uterus, stagnancy stasis and not flows...symptoms distention and swelling in the lower abdomen, stabbing pain unstoppable...or due to constitutional weakness of the spleen and stomach, deficiency of the middle Qi, residue blood volume is also less, lack in Qi and blocking of blood, could not passing down completely, symptoms suddenly pain and suddenly stopped, not very pain..." [06].Different types are introduced:
 (1).Woman suffers from residue lochia not passing down after childbirth(lochiostasis), coldness in the uterus, stagnancy and stasis, symptoms distention and fullness in the lower abdomen, stabbing pain unstoppable;
 (2).Woman suffers from residue lochia not passing down after childbirth(lochiostasis), deficiency and weakness of spleen and stomach, deficiency of the middle Qi, residue blood is not much, lack of Qi, sudden pains and suddenly stopped, not very pain.



Postpartum prolonged lochiorrhea.
Postpartum prolonged lochiorrhea 
 ✵The Postpartum prolonged lochiorrhea is the prolonged lochiorrhea occurring following childbirth, due to various pathogenic reasons. It is also known as lochiorrhagia or lochiorrhea, sometime it is also known as unstoppable lochiorrhea.

 ✧ In the TCM system, the pathogenic reasons for the Postpartum prolonged lochiorrhea are normally including loss of much blood, Qi collapse, blood heat, hurt the Ren and Chong collaterals, Qi deficiency of the liver and spleen, deficiency of Qi and blood, anger hurt liver, etc.
 ✵Ancient herbalists and representative works hold this or similar pathogenic reasons are introduced:

 "Woman suffers from prolonged lochiorrhea(unstoppable lochiorrhea), there are different syndromes, should be treated differently..." [05].Different types are introduced:
 (1).Woman suffers from prolonged lochiorrhea after childbirth, pain in urethral canal;
 (2).Woman suffers from prolonged lochiorrhea after childbirth, pass much blood, gradually emaciation and weak;
 (3).Woman suffers from prolonged lochiorrhea after childbirth, discharge blood color similar to bean soup, much purple-black;
 (4).Woman suffers from prolonged lochiorrhea after childbirth, still dripping unstoppable over a month, develops to a collapse syndrome;
 (5).Woman suffers from prolonged lochiorrhea after childbirth, unstoppable until several months, or even half a year;
 (6).Woman suffers from prolonged lochiorrhea after childbirth, residue blood discharge unstoppable, uterine flooding unstoppable, colic pain in the abdomen and short of breath;
 (7).Woman suffers from prolonged lochiorrhea after childbirth, dripping unstoppable, bored and shortness of breath, general fatigue and weak limbs, dizziness and heavy head, dysphoria and fever in chest palms-soles, yellow complexion and emaciated;
 (8).Woman suffers from prolonged lochiorrhea after childbirth, due to blood heat;
 (9).Woman suffers from prolonged lochiorrhea after childbirth, Ren and Chong collaterals hurt, Yin deficiency;
 (10).Woman suffers from prolonged lochiorrhea after childbirth, Qi deficiency of the liver and spleen, could not collect and regulate;
 (11).Woman suffers from prolonged lochiorrhea after childbirth, Qi and blood deficiency, passing lightness blood unstoppable;
 (12).Woman suffers from prolonged lochiorrhea after childbirth, anger fire hurt the liver and liver do not store blood;
 (13).Woman suffers from prolonged lochiorrhea after childbirth, wind-heat pathogen in the liver and blood flows down;



Postpartum residue blood flow upward and heartache.
Postpartum residue blood flow upward and heartache 
 ✵The Postpartum residue blood flow upward and heartache is a case of residue blood flow upward and heartache occurring following childbirth, due to various pathogenic reasons.

 ✧ In the TCM system, the pathogenic reasons for the Postpartum residue blood flow upward and heartache is normally including Qi deficiency with the old cold pathogen, cold combat with blood, stasis and accumulated. Qi counterflow upward to affect heart and heartache. In cases residue blood after childbirth, easily accumulated and combat with Qi, sleepy and heavy, affected by cold and blood stasis, transmitted to hematic abdominal mass, also lead to the absence of menses. Should Not treat for injury or will lead to extreme deficiency and cold and life in danger, should dissipate cold and warm the blood.

 ✵The Postpartum residue blood flow upward and heartache common types are known including:

 ✧ Postpartum residue blood flow upward and heartache, heartache after childbirth, extreme deficiency, affected by cold.

 ✧ Postpartum residue blood flow upward and heartache, pain in the heart and abdomen, extremely pain deadly, other recipes all not works.

 ✧ Postpartum residue blood flow upward and heartache, pain in the heart, cold.

Postpartum lochiorrhea with abdominal pain.
Postpartum lochiorrhea with abdominal pain 
 ✵The Postpartum lochiorrhea with abdominal pain is lochiorrhea with pain in abdomen occurring following childbirth, usually due to various pathogenic reasons.

 ✧ In the TCM system, the pathogenic reasons for the Postpartum lochiorrhea with abdominal pain are normally including normal uterine bleeding, affected by exogenous pathogens and internal pathogens, residue blood accumulation, stagnant and not circulate smoothly, residue blood not discharged, thus lead to pain in abdomen.

 ✵The Postpartum lochiorrhea with abdominal pain common types are known including:

 ✧ Postpartum lochiorrhea with abdominal pain, lochiorrhea, recurrent pain in abdomen, fullness in chest and short of breath.

 ✧ Postpartum lochiorrhea with abdominal pain, persistent flow of lochia, distention and pain in abdomen.

 ✧ Postpartum lochiorrhea with abdominal pain, lochiorrhea, bloody pain and depression.

 ✧ Postpartum lochiorrhea with abdominal pain, lochiorrhea, hard pain in abdomen and unbearable.

 ✧ Postpartum lochiorrhea with abdominal pain, blood knot, uterine bleeding incessantly, incessant colic pain in abdomen.

 ✧ Postpartum lochiorrhea with abdominal pain, lochiorrhea, incessant uterine bleeding, pain in abdomen and no other method.

 ✧ Postpartum lochiorrhea with abdominal pain, persistent flow of lochia, blood accumulation, pain in lower abdomen.

 ✧ Postpartum lochiorrhea with abdominal pain, residue blood accumulation, pain in abdomen, abdiminal mass.

 ✧ Postpartum lochiorrhea with abdominal pain, lochiorrhea, pain in abdomen.

 ✧ Postpartum lochiorrhea with abdominal pain, blood counterflow upward and attack the heart, blood dizziness, abdominal pain of blood and Qi, persistent flow of lochia.

 ✧ Postpartum lochiorrhea with abdominal pain, retention of the lochia, blood accumulation and not dissipate, blood flow to the heart and stabbing pain, affected by cold, stabbing pain between the heart and abdomen, unbearable, is the case of blood mass.

Postpartum after-pains of lower abdomen.
Postpartum 
 ✵The Postpartum after-pains of the lower abdomen is a case of after-pains of lower abdomen occurring following childbirth, due to various pathogenic reasons.

 ✧ In the TCM system, the pathogenic reasons for the Postpartum after-pains of lower abdomen are normally including old blood mass in the uterus, there is no pain if the blood mass with baby during the childbirth, in the cases of wind cold affect Zang-viscera and Fu-viscera, blood stasis and stagnant, not flow smoothly in the lower abdomen, accumulated in the lower abdomen and pains, is the case of postpartum after-pains of lower abdomen, the after-pains also known as child pillow pain. In the case of postpartum pain from the heart to the abdomen, for the deficiency of blood and Qi after childbirth, wind and cold affect it, combat with blood and Qi, counterflow upward and affect the heart, or flow downward and affect the abdomen, thus lead to pain in heart and abdomen. In cases pain not relieved in a long period, transmitted to hernia mass syndrome.

 ✵The Postpartum after-pains of lower abdomen common types are known including:

 ✧ Postpartum pain of lower abdomen, after-pains, blood mass in the lower abdomen, blood accumulation.

 ✧ Postpartum pain of lower abdomen, after-pains, red or white dysentery.

 ✧ Postpartum pain of lower abdomen, after-pains, unbearable pains.

 ✧ Postpartum pain of lower abdomen, after-pains, incessant abdominal pain, blood and Qi type abdominal pain.

 ✧ Postpartum pain of lower abdomen, after-pains, blood mass in abdomen up or down now and then, pains and unbearable, this is the case of blood hernia mass due to the accumulation of blood and incomplete elimination of the lochia.

 ✧ Postpartum pain of lower abdomen, after-pains, blood mass, menstrual pain, abdominal pain, irregular mense.

 ✧ Postpartum pain of lower abdomen, abdominal pain after childbirth, residue blood not discharged.

 ✧ Postpartum pain of lower abdomen, abdominal pain in seven to eight days after childbirth, abdominal pain, hypochondriac pain.

 ✧ Postpartum pain of lower abdomen, affect by cold pathogen, abdominal pain after childbirth.

 ✧ Postpartum pain of lower abdomen, colic pain in abdomen, unbearable.

 ✧ Postpartum pain of lower abdomen, after-pains, colic pain in abdomen, no appetite(no food intake), thin and emaciation.

 ✧ Postpartum pain of lower abdomen, after-pains, internal and external pains from heart to abdomen.

 ✧ Postpartum pain of lower abdomen, after-pains, stiffness in abdomen, colic pain and no other treatment method.

Postpartum pain of lower abdomen.
Postpartum 
 ✵The Postpartum pain of the lower abdomen is a case of the pain of the lower abdomen occurring following childbirth, due to various pathogenic reasons.

 ✧ In the TCM system, the pathogenic reasons for the Postpartum pain of lower abdomen are normally including lochia less amount, residue blood and Qi combat in the uterus channels, lead to the pain of the lower abdomen. And affected by the cold pathogen, blood accumulation(blood binding) transmitted to blood mass, also lead to irregular menses.

 ✵The Postpartum pain of lower abdomen common types are known including:

 ✧ Postpartum pain of lower abdomen, pain under the belly button.

 ✧ Postpartum pain of lower abdomen, incessant pain or unstoppable pain under the belly button.

 ✧ Postpartum pain of lower abdomen, less amount lochia, low back pain, stabbing pain in the lower abdomen, cold or heat now and then, headache, no appetite(no food intake).

 ✧ Postpartum pain of lower abdomen, pain in belly button and lower abdomen six to seven month after childbirth, affected by cold pathogen attack for breathing cold air.

Postpartum metrorrhagia(flooding).
Postpartum metrorrhagia 
 ✵The Postpartum metrorrhagia(flooding) is a case of metrorrhagia occurring following childbirth, due to various pathogenic reasons.

 ✧ In the TCM system, the pathogenic reasons for the Postpartum metrorrhagia(flooding) are normally including injury and exhaustion of meridian and channels, not recover and hurt by work again, lead to metrorrhagia or flooding, incessant dripping discharge, or for the reasons eat too much sour and salty food, hurt the Ying and Wei, weakness of Qi and blood, also lead to metrorrhagia. In the case fullness and pain in the lower abdomen, injury of liver meridians is the case difficult to treat. The metrorrhagia is not a mild syndrome, and it affect after childbirth is a serious injury, in fact, other reasons including sorrow, fear, pavor, anger, or take herbs to stop uterine bleeding too early and lead to stagnant of residue blood, depression and fullness turn hardness, lead to metrorrhagia too.

 ✧The pathogenic reasons for postpartum flooding, also attributed to: shocking hurt the heart, anger hurt the liver, strain hurt the spleen, etc. Ancient herbalists and representative works hold this or similar pathogenic reasons are introduced:

 "In case of postpartum flooding in purple red color with big volume, is the condition shocking hurt the heart and it lost generating, anger hurt the liver and it lost storing, strain hurt the spleen and it could not aid the blood return to its meridian, should be treated as flooding..." [03].

 "Woman suffers from flooding after childbirth, flaky and similar to flooding, what is it? It is the condition due to the great deficiency of Qi and blood, weakness of spleen and stomach viscera, the collapse of Ying and Wei system..." [04].

 "Sudden flooding after childbirth(metrorrhagia, metrostaxis after childbirth):...woman suffers from sudden flooding after childbirth, Ren and Chong are hurt after childbirth, Qi and blood not recovered, or due to sexual indulgence hurt the vessels of the uterus, or take spicy hot food and disturb the ministerial fire, or due to residue lochia not passing down completely, as a result, stagnant and retained..." [06].Different types are introduced:
 (1).Woman suffers from sudden flooding after childbirth, due to sex strain;
 (2).Woman suffers from sudden flooding after childbirth, due to spicy and hot food;
 (3).Woman suffers from sudden flooding after childbirth, due to inducing astringency;

 "Bloody stool after childbirth:...Woman suffers from flooding after childbirth, should immediately apply powerful tonification..." [07].



 ✵The Postpartum metrorrhagia(flooding) common types are known including:

 ✧ Postpartum metrorrhagia(flooding), metrorrhagia after childbirth, dizziness and vertigo, blurred vision, confusion in mind, vexation in limbs, unconsciousness.

 ✧ Postpartum metrorrhagia(flooding), metrorrhagia and uterine bleeding after childbirth, incessant dripping, yellow complexion and emaciation(looks yellow, weakness and thin), deficiency and asthenia.

 ✧ Postpartum metrorrhagia(flooding), metrorrhagia after childbirth, incessant uterine bleeding, deficiency and emaciation, lacking strength.

 ✧ Postpartum metrorrhagia(flooding), metrorrhagia after childbirth, incessant uterine bleeding.

 ✧ Postpartum metrorrhagia(flooding), metrorrhagia of residue blood after childbirth, similar to spring water.

Postpartum irregular menses(postpartum irregular menstruation).
Postpartum irregular menses 
 ✵The Postpartum irregular menses is a case of irregular menstruation occurring following childbirth, due to various pathogenic reasons.

 ✧ In the TCM system, the pathogenic reasons for the Postpartum irregular menses are normally including hurt of blood and Qi due to childbirth, deficiency, and injury not recovered, affected by wind and cold pathogen visiting in the meridian and channels, alternation between sudden cold and heat, lead to blood varies before or after menses, thus known as irregular menstruation.

 ✵The Postpartum irregular menses common types are known including:

 ✧ Postpartum irregular menses, vexing pain in limbs(vexing pain in hands and feet), poor appetite(reduced food intake), emaciation gradually.

 ✧ Postpartum irregular menses, deficiency and weakness after childbirth, short of breath in chest and heart, abdominal urgency and pain, pain in waist and back, irregular menstruation, poor appetite(low food intake) and polydipsia(vexation and thirst), lacking strength in limbs(powerless of hands and feet).

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

 ✧ In the TCM system, the pathogenic reasons for the Postpartum absence of menses are normally including hurt of Qi and blood due to childbirth, deficiency not recovered and hurt by wind and cold, blood accumulated in the uterus system, lead to absence of menses. In cases blood accumulation and absence of menses, form blood mass, met weakness of spleen and stomach, deficiency of muscles, turn to edema. In the case absence of menses in one or two years after childbirth, it is normal and not a syndrome.

 ✵The Postpartum absence of menses common types are known including:

 ✧ Postpartum absence of menses, deficiency and weakness, alternation between cold and fever, blood mass in abdomen.

 ✧ Postpartum absence of menses, weakness, poor appetite(low food intake), edema.

References:
  • 01.Postpartum lochiorrhea and related syndromes:an introduction of Postpartum lochiorrhea, Postpartum lochiometra, Postpartum residue blood flow upward and heartache,Postpartum lochiorrhea with abdominal pain,Postpartum after-pains of lower abdomen, Postpartum pain of lower abdomen,Postpartum metrorrhagia(flooding),Postpartum irregular menses,Postpartum absence of menses.
  • 02.Song Shi Nǚ Ke Cuo Yao(the Synopsis of Song's Gynaecology).By 宋林皋(Sòng Lín Gāo)[Ming].
  • 03.Jiēzhāi Gōng Tāi Chǎn Yī àn(Births Cases of Jie Zhai Gong).By 王纶(Wáng Guān)[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].
  • 07.Fù Kē Liáng Fāng(the Effective Prescription of Gynecology).By 何梦瑶(Hé Mèngyáo)[1751].

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