An introduction of postpartum loss of speech.


 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 loss of speech.
Postpartum loss of speech 
 ✵The postpartum loss of speech is the loss of speech or silence occurring following childbirth, due to various pathogenic reasons, it is also known as loss of speech after childbirth, could not talk or could not speak after childbirth, etc.

 ✧ In the TCM system, the pathogenic reasons for the postpartum loss of speech normally are deficiency and weakness after childbirth, residue blood accumulation and stagnant, affect the capacity for clear thinking, clouded in mind(in a confused state of mind dottiness), the heart Qi flow to the tongue, once the Qi of the heart is inhibited, leading to the stiffening of the tongue(stiff tongue), stiff tongue impeding speech, loss speech or become silent.

 ✵The postpartum loss of speech of common types are known including:

 ✧ Postpartum loss of speech, confusion and drowsiness, clouded in mind, loss speech or become silent.

 ✧ Postpartum loss of speech, confusion and drowsiness, loss speech or become silent, close eyes.
 ✵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 loss of speech after childbirth, could not talk, mainly due to Qi and blood deficiency and weakness, stagnant blood stasis blocking the heart-opening, wills and minds are not stable, lost understanding and consciousness, and the heart Qi flow to the tongue, the heart is deficient and blocked, the tongue turns stiffness, as a result, could not speak or loss of speech." [02].

 "A woman suffers from loss of speech after childbirth, what is it? There are seven openings and three hairs of the heart. For the reason deficiency due to childbirth, mostly lead to stagnant and stasis, blood stasis block the heart openings(capacity for clear thinking), the mind and thinking turn unclear. And the Qi of the heart connects to the tongue, once the Qi of the heart viscus is blocked, the result lead to stiffness of the tongue body, so the loss of speech." [03].

 "A woman suffers from wind stroke and loss of speech after childbirth, what is it? This is the condition that the woman did not avoid wind and cold, get out of bed on naked feet, step on the cold ground, also had sexual intercourse in a hundred days after childbirth, or take a scouring bath in wind...should not be treated as a wind syndrome." [03].

 "In the condition the heart and the spleen are affected, then the stiffness of the tongue and could not speak(loss of speech)...; In the condition wind and cold pathogen affect the epiglottis, suddenly lose speech...; In the condition phlegm stagnant the heart(and loss of speech)...; In the condition dampness and phlegm stagnant and accumulation(and loss of speech)...; In the condition of wind and heat, lockjaw(and loss of speech)...; In the condition of wind and phlegm obstruct the larynx(and loss of speech)...; In the condition of deficiency fire attack upward(and loss of speech)...; In the condition of Qi deficiency and cold limbs(and loss of speech)...; In the condition of kidney deficiency and tongue turns muted and could not speak(loss of speech)..." [04].

 "A woman suffers from loss of speech after childbirth, because residue blood flows upward and affect the heart and lung, the heart and lung viscera are invaded by blood, and also affected by wind and cold, as a result, stiffness of the tongue and loss of speech." [05].Different types are introduced:
 ⑴.A woman suffers from loss of speech after childbirth, residue blood flow upward and affect the heart and lung, and she is also affected by wind and cold, stiffness of the tongue and loss of speech.
 ⑵...., phlegm stagnancy and stasis obstruction, close eyes and do not speak;
 ⑶...., residue blood attack the heart, willing to die and loss of speech;
 ⑷...., constitutional physical deficiency, she was hurt from strain before childbirth, as a result, Qi and blood are in disorder, blocking the openings of the heart viscus, could not transport saliva to the tongue, stiffness of the tongue and loss of speech.

 "Loss of speech after childbirth:...a woman suffers from weakness and deficiency after childbirth, residue blood is retained and stagnant, blocking the heart viscus,...once it is blocked the tongue turns stiff and could not speak." [06].Different types are introduced:
 ⑴.A woman suffers from weakness deficiency after childbirth, residue blood is retained and blocking the heart, the tongue turns stiff and could not speak, or loss of speech.
 ⑵.A woman lose excessive volume of blood after childbirth, weakness and insufficiency of the heart blood, the tongue is curled, shortened and shrink, could not speak clearly, or speech is vague and unclear.

 "Loss of speech after childbirth:(a woman suffers from loss of speech after childbirth), there are cases due to Qi and blood deficiency, unconsciousness of vitality and mind, fainting, ...there are cases due to blood stasis flow upward to the heart, ...there are cases due to phlegm and heat affect the heart by chance, ...there are cases due to blood loss and spasm of tendons, the tongue could not move, ..." [07].



References:
  • 01.An introduction of postpartum loss of speech.
  • 02.Song Shi Nǚ Ke Cuo Yao(the Synopsis of Song's Gynaecology).By 宋林皋(Sòng Lín Gāo)[Ming].
  • 03.Fù Kē Bǎi Biàn(the Differentiations in Hundred Syndromes of Gynaecology).By 庄履严(Zhuāng Lǚyán)[Ming].
  • 04.Nǚ Ke Bǎi Xiào Quán Shū(the Efficacious Complete Book of Gynaecology).By 龚居中(Gōng Jūzhōng)[Ming,1630].
  • 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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