An introduction of postpartum madness, wild talk, sudden seeing of ghosts and spirits, fright palpitations.


 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 madness.
Postpartum madness 
 ✵The postpartum madness is a crazy state occurring following childbirth, due to various pathogenic reasons.

 ✧ In the TCM system, the pathogenic reasons for the Postpartum madness are normally including pavor, frighten or scare, residue blood counter flow upward to the heart, coma and depression go to mad, as see ghosts.

 ✵The Postpartum madness of common types are known including:

 ✧ Postpartum madness, coma and depression, go to mad, as see ghosts, this is the case of postpartum madness due to residue blood counter flow upward.

 ✧ Postpartum madness, pathogenic factors or evil influence attack the heart, see ghosts, this is the case of postpartum madness due to pathogenic factors or evil influence.
 ✵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 heart Qi deficiency after childbirth, sudden frightened and wild talk, or sing and laugh, or laugh and curse scold, is the condition of wind spasm mainly due to heart Qi insufficiency, weakness deficiency..." [02].
 "Case woman madness and lost willingness, accompanying symptoms might be observed are no appetite(do not take food), or fever, or vomiting..." [02].

 "A woman suffers from madness after childbirth, singing or dancing solitarily, singing or laughing solitarily, or sitting and laying, or curse in rage, or even climb over the wall and climb on to the roof, what is it? This is due to residue blood flows upward and affects the heart, gathering, accumulating and not dissipating. In the condition that the residue blood flow to the stomach then leads to sick and vomit, flow to the heart then lead to crazy and madness, all these are serious conditions. Even use recipes to treat timely, a lot of cases could not be saved..." [05].



 ✧Postpartum madness, other pathogenic reasons are understood also including: liver excess with much anger, heat pathogen affect the Yang Ming meridian, phlegm accumulated in the heart and chest regions.
  ✵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 much happiness and anger after childbirth, crazy and madness irregularly, wild talk, even not care about her own figures, all from five wills, excessive heat then much joy. Heat regulates Jin, could not balance Mu, as a result, liver is excessive and much anger. " [04].

 "Case heat rise from the middle, mostly belongs to the Yang Ming meridian, affect Yang Ming and attack as a syncope syndrome, then looks madness, takes much stone recipe or fragrant recipe, and greasy food, as a result, heat pathogen is strong, attack and represents as madness and crazy. Because phlegm is accumulated between the heart and chest...

 Case a woman suffers from spirit could not hold its seat, wild talk and madness, could not relieve in a long period, if heat is accumulated in the heart meridian, should clear the heart and eliminate the heat pathogen.

 Case a woman suffers from phlegm obstacle the heart-opening, should eliminate the phlegm and calm the mind...

 Case a woman suffers from fever and affected by wind after childbirth, numbness of the whole body, spasm of hands and feet, the mouth is crooked, excess phlegm, incoherent speech(ramble in one's statement), is the condition of phlegm accumulated between the chest and diaphragm, heat accumulation in the heart meridian..." [04].

 "A woman suffers from crazy madness and frustration, most due to extreme distribution and frightening, phlegm attacking the chest and heart." [05].



 ✧Postpartum madness, pathogenic reasons are understood also including: deficiency of blood and Qi, affected by wind pathogen, 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 crazy madness, for the reason deficiency of Qi and blood and affected by wind pathogen...symptoms are unhappy, stare straightly and fall on the ground, vomit saliva, unconsciousness, wake up after a long time, not hungry, walk randomly everywhere, singing and laughing everywhere..." [06].

 "A woman suffers from wind toxin in the past, heart deficiency due to childbirth, singing or crying, laughing or angry, due to blood deficiency and dryness of the Zang-viscera..." [07].



Postpartum wild talk.
Postpartum wild talk 
 ✵The postpartum wild talk is a wild talk syndrome occurring following childbirth, due to various pathogenic reasons.

 ✧ In the TCM system, the pathogenic reasons for the postpartum wild talk syndrome are understood normally including convulsion, heart deficiency, deficiency of five Zang-viscera, old wind syndrome, heart deficiency, and wind stroke, residue blood flow into the heart meridian, cold and wind pathogens, etc.

 ✵The postpartum wild talk of common types are known including:

 ⑴.A woman wild talk after childbirth, convulsion, wild talk, as see ghosts and spirits, dotty, this is the case of postpartum wild talk due to convulsion.

 ⑵.A woman wild talk after childbirth, heart deficiency, residue blood stasis and accumulation, counter flow upward and attack the heart, wild talk, and soliloquy(monologue, speaking aside), this is the case of postpartum wild talk due to heart deficiency.

 ⑶.A woman wild talk after childbirth, deficiency of five Zang-viscera, palpitation(or shock in the heart), confused wills, paraphasia(deranged speech), this is the case of postpartum wild talk due to deficiency of five Zang-viscera.

 ⑷.A woman wild talk after childbirth, ever caught wind-stroke, heart deficiency and Qi deficiency, rigid lumbus and back, or singing or cry, laugh with annoy, wild talk, this is the case of postpartum wild talk due to wind and convulsion.

 ⑸.A woman wild talk after childbirth, heart deficiency, ill at ease and full of dread(faraway look, perturbed in mind), paraphasia(deranged speech, speech disturbance) this is the case of postpartum wild talk due to heart deficiency and wind-stroke.

 ⑹.A woman wild talk after childbirth, residue blood flow into the heart meridian, demented(mania and insane), wild talk and paraphasia(deranged speech, speech disturbance) and speech disorder, or dizziness and depression, this is the case of postpartum wild talk due to residue blood flow upward to the heart.

 ⑺.A woman wild talk after childbirth, affected by wind and cold pathogens, gradually retention of the lochia, aversion to cold and fever as malaria, normal mind in day time, wild talk after sunset or at night, as see ghosts, this is the case of postpartum wild talk due to heat entering the blood chamber(heat attacking uterus).

 ⑻.A woman wild talk after childbirth, residue blood flow upward to the heart, fever or heat, wild talk and run up and down, pulse is floating and large, this is the case of postpartum wild talk due to residue blood attack the heart.
 ✵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 postpartum residue blood counter flow upward to the heart, fever, wild talk and runs everywhere, pulse is feeble and large..." [02].

 "A woman suffers from wild talk after childbirth, what is it? The heart viscus is main for generating blood, losing an excessive amount of blood after childbirth, the Shen(the vitality) lost its position... In the condition of excessive heat with large pulse, it is not treatable..." [05].

 "A woman suffers from sudden seeing ghosts and spirit after childbirth, due to blood is greatly deficient, residue blood flow to the heart, pathogens are stagnant in the heart..." [08].Different types are introduced:
 ⑴.A woman suffers from wild talk after childbirth, as seeing ghosts or spirit, is not (due to) wind pathogen;
 ⑵.A woman suffers from wild talk five or six days after childbirth, hold a knife and want to kill others, is the case that Yin blood suddenly collapse, liver fire deficiently burning upward...



 ✧Postpartum wild talk or wild talks, due to various reasons, strains or hardworking, or anger, fever at menstruation period, as a result heat invading the blood chamber(pyretic heat pathogen invasion of the uterus, heat attacking uterus), wild talk at night as seeing ghosts.
 ✵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 is affected by cold, or strain and hardworking, or anger, fever at menstruation period, result heat invading the blood chamber. Or blood circulation obstacles, or bleeding unstoppable, calm in day time, wild talk at night as seeing ghosts..." [03].



 ✧Postpartum wild talk or wild talks, due to wind and cold affection, heat syndrome and heat invading blood chamber, 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 lochia discharged, affected from wind cold and catch a cold, menses is suddenly stopped, fever and wild talk, is the condition due to heat invading the blood chamber..." [07].



Postpartum sudden seeing of ghosts and spirits.
Postpartum sudden seeing of ghosts and spirits 
 ✵The postpartum sudden seeing of ghosts and spirits is a syndrome of seeing spirits and virtual things occurring following childbirth, due to various pathogenic reasons.

 ✧ In the TCM system, the pathogenic reasons for the postpartum sudden seeing of ghosts and spirits are normally including the blood channels are hurt from childbirth, blood and Qi deficiency of the heart and residue blood accumulation stagnant, flow upward and affect the heart, the heart was affected and dysphoria, unable to sit down or sleep at ease(be on edge, fidgetiness, sitting or lying), sudden seeing ghosts and spirits, wild talk. It is easily misdiagnosed as wind-pathogens.
 ✵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 a sudden wild talk, and seeing of ghosts and spirit after childbirth, what is it? Blood and Qi are deficient after childbirth, weakness of Zang and Fu-viscera, the heart Qi is not clear." [05].

 "A woman suffers from frightening after childbirth, crazy and madness as seeing of ghosts, also due to residue blood stasis blocked the heart..." [07].

 "A woman suffers from sudden see ghosts and spirit after childbirth, due to blood is greatly deficient, residue blood flow to the heart, pathogens stagnant in the heart..." [08].Different types are introduced:
 ⑴.A woman suffers from wild talk after childbirth, as seeing ghosts or spirit, is not wind pathogen;
 ⑵.A woman suffers from wild talk five or six days after childbirth, hold a knife and want to kill others, is the case Yin blood suddenly collapse, liver fire deficiently burning upward...

 "A woman suffers from suddenly see ghosts and spirits after childbirth, what is it? The heart is governing the blood, lose too much blood, the heart and mind go in a trance, uneasy in sleep, disorder of speech, as seeing ghosts and spirits...
 In case distension and stagnancy below the heart, irritable vexation and dizziness, wild talk, as seeing ghosts and spirit, is the case residue blood stagnancy and stasis, affect the heart upwardly, the heart is affected and develop to this syndrome..." [09].

 "Delirium and see ghosts: a woman suffers from delirium and sees ghosts, reasons are:(1).due to residue blood flow upward and affect the heart. (2).due to blood deficiency, mentally wandering(the soul is departed from its abode.)..." [10].



 ✵The Postpartum sudden seeing of ghosts and spirits common types are known including:

 ✧ A woman suffers from sudden seeing of ghosts and spirits after childbirth, wild talk, interior deficiency, this is the case of postpartum sudden seeing ghost and spirits due to residue blood flow upward and affect the heart.

 ✧ A woman suffers from sudden seeing of ghosts and spirits after childbirth, wild talk, mind in a trance, uneasy sleep or laying, this is the case of postpartum sudden seeing ghost and spirits due to pathogenic blood factors.

Postpartum fright palpitations.
Postpartum fright palpitations 
 ✵The postpartum fright palpitation is palpitation occurring following childbirth, usually due to excessive blood loss.

 ✧ In the TCM system, the pathogenic reasons for the postpartum fright palpitations are normally including deficiency of the Zang-viscera, weakness and deficiency of heart Qi, wind-pathogens attack the heart meridian, or pavor and fright affect, wind-pathogen affect the heart, heart is frightened and palpitation incessantly, symptoms are: eyes not turning and hard to breath, pulse is throbbing and weak, is the case of fright or palpitation.

 ✧Ancient herbalists who hold a syndrome differentiation viewpoint with similar explain of pathogenic reasons, and the relevant representative work are introduced and quoted:

 "After childbirth, affected by strain, pavor and worry, loss much blood, a woman suffers from dysphoria(agitation and uneasy), is the condition of palpitation; in case of scare or is frightened, fearsome in the heart, as will be arrested, is the condition of pavor(palpitate with fear). The treatment of these two syndromes, should regulate and harmonize the stomach and spleen, replenish and nourish the heart blood, wait till the wills get firm and spirit get quiet, Qi circulation is in smooth state and mind is in a calm state, it will recover." [04].

 "Case after childbirth, a woman is affected by strain worry and pavor, loss much blood, suffers from dysphoria, or is frightened, fear in the heart. Other symptoms might be observed: dysphoria(irritable, abnormal depression).

 Case after childbirth, a woman feels not quiet in her heart and blood, pavor, frightened and vigilant, uneasy." [04].

 "In the condition a woman suffers from strain and consumption hurt the heart and blood, affected by an exogenous pathogen, as a result, palpitation and in a trance, worry and uneasy... In the case of palpitation, due to fire and phlegm... In the case uneasy when thinking and worry, due to deficiency... In the case attack irregularly, due to fire... In general, the body is mastered by the heart, the heart is supported by blood, once heart blood is deficient, the Shen(vitality) and Qi could not hold, this is the reason where frightened palpitation comes..." [06].

 "A woman suffers from fright palpitation, willing to die when hearing sounds, if not held by others with strength, then dysphoria(deficient and irritable) unbearable and willing to die, due to deficiency of the heart, liver, spleen viscera...in case the heart Qi is greatly deficient, paraphasia(a disorder in speech)...
 A woman suffers from Zheng Chong(severe palpitation), due to heart blood deficiency and exhaustion, surely uneasy in sleep..." [08].

 "A woman suffers from frightening lassitude tiredness, lose excessive volume of blood, and irritable not quiet in the heart is known as Zheng Chong(severe palpitation). In case suddenly frightened and fearsome in the heart, as will be caught, is known as Jingji (palpitate with fear)..." [09].Different types are introduced:
 ⑴.A woman suffers from Zheng Chong(severe palpitation) or Jingji(palpitate with fear), blood clots not passing after childbirth; ⑵....., clots pain is already relieved; ⑶.A woman suffers from Jingji(palpitate with fear), her eyeballs could not turn around and could not move(looks straight); ⑷.A woman suffers from Jingji(palpitate with fear), constitutional excessive fire;



 ✵The Postpartum fright palpitations common types are known including:

 ⑴.A woman suffers from fright palpitations after childbirth, vexation(upset, perturbed) heat and depression, this is the case of Postpartum fright palpitations due to viscera-deficiency, other symptoms might be observed: depression and vexed under the heart, and pains, or dysphoria with smothery sensation in the heart and chest(heat vexation in the heart and chest), or abdominal pain, or depression in the heart, or heart deficiency and timid(cowardly), or no appetite or nausea(no food intake, or low food intake, feel sick or feel like vomiting), or tremble, etc.

 ⑵.A woman suffers from fright palpitations after childbirth, deficiency of Zang-viscera, palpitation in the heart, uneasy wills and minds, paraphasia(deranged speech), without self-knowing, this is the case of postpartum fright palpitations due to viscera-deficiency.

 ⑶.A woman suffers from fright palpitations after childbirth, heart deficiency, pavor and palpitation, uneasy mind and thinking, this is the case of postpartum fright palpitations due to heart deficiency and weakness.

 ⑷.A woman suffers from fright palpitations after childbirth, deficiency of Zang-viscera, and deficiency of Fu-viscera, palpitation with fear or pavor, paraphasia(deranged speech, language of confusion), this is the case of postpartum fright palpitations due to asthenia and pavor.

 ⑸.A woman suffers from fright palpitations after childbirth, blood deficiency and susceptibility to fright, residue blood, this is the case of postpartum fright palpitations due to blood deficiency.

 ⑹.A woman suffers from fright palpitations after childbirth, convulsions(fright wind), wild talk or paraphasia(deranged speech, language of confusion), pavor and frightened similar as seeing ghosts, mental uneasiness, this is the case of postpartum fright palpitations due to convulsion.

References:
  • 01.An introduction of postpartum madness, wild talk, sudden seeing of ghosts and spirits, fright palpitations.
  • 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.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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