Postpartum urinary syndromes:an introduction of postpartum urinary syndromes, gonorrhea, frequent urination, urinary incontinence, and other related urinary syndromes.


 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 urinary syndromes and related syndromes.
 
 ✵The postpartum urinary syndromes are also known as urinary syndromes of women after childbirth, a series of urinary syndromes of women following childbirth. The related syndromes are other syndromes due to related or similar pathogenic reasons.

 ✵The urinary syndromes after childbirth and urinary related syndromes are introduced: postpartum gonorrhea, postpartum frequent urination, postpartum dripping discharge of urine, postpartum urinary incontinence, postpartum urinary stoppage, postpartum difficulty in micturition, postpartum urine bleeding, postpartum urinary bladder problems, postpartum prolapse of the uterus, postpartum genital erosion and five types of malnutrition, etc.

Postpartum gonorrhea.
Postpartum gonorrhea 
 ✵The postpartum gonorrhea is a syndrome of gonorrhea(stranguria) occurring following childbirth, due to various pathogenic reasons. It is also known as gonorrhea syndrome after childbirth.

 ✧ In the TCM system, the pathogenic reasons for postpartum gonorrhea normally are heat pathogen visiting in the urinary bladder, interior deficiency, and wake up frequently, interior heat leads to difficulty and pain in micturition(difficult painful urination), is the case of gonorrhea. In other cases, hurt by childbirth, Qi deficiency with heat, heat combat with blood, flow and enter into the urinary bladder, thus blood passing down with urine, it is the case of bloody stranguria(stranguria complicated by hematuria).
 ✵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 stranguria after childbirth, due to deficiency and weakness from childbirth, heat invading the urinary bladder, for the interior deficiency and affect in the initial stage as dysphoria with smothery sensation, and later develop to pain and difficulty in urination." [02].

 "Case after childbirth, a woman suffers from pain in urination and blood stranguria.

 Case after childbirth, a woman suffers from lochia for a long period and turns to pus." [02].

 "A woman suffers from swelling and pain in urination, after childbirth, what is it? It is mainly due to dampness and heat pathogen accumulated in the urinary bladder." [03].

 "A woman suffers from white turbid urine, due to disharmony between heart and kidney, ...or due to heart deficiency, ...or due to spleen is hurt from worry, ...or due to collapse of the middle Qi, ...or due to deficiency and hurt of the spleen and stomach, ...or due to depression binding of the spleen, ...or due to heat of the liver from anger..." [04]. The white turbid urine is a symptom of gonorrhea, or it is a syndrome known as white turbid urine, see conditions.

 "Gonorrhea after childbirth:...blood lose Yin deficiency and generates endogenous heat, ...urine turns gonorrhea and pains, ...the difference between urinary stoppage and gonorrhea, the stoppage belongs to Qi deficiency, gonorrhea belongs to endogenous heat and pain..." [06].Different type are introduced:
 ⑴.A woman suffers from gonorrhea after childbirth, lose much blood, Yin deficiency, and endogenous heat, pain in urination...
 ⑵.A woman suffers from gonorrhea after childbirth, loses much blood, blood deficiency, and heat stagnation(pyretic stagnation)...
 ⑶.A woman suffers from gonorrhea after childbirth, Yin deficiency of the urinary bladder, dripping urine, and pains...
 ⑷.A woman suffers from gonorrhea after childbirth, pain in urination, and passing blood...



 ✵The postpartum gonorrhea(stranguria) common types are known including:

 ⑴.A woman suffers from postpartum gonorrhea(stranguria), various types of stranguria after childbirth, whatever cold stranguria, heat stranguria(pyretic stranguria), milky gonorrhea(chyloid stranguria), Qi accumulation;

 ⑵...., suffer from stranguria after childbirth, painful urination;

 ⑶...., stranguria after childbirth, dripping urine and urinary stoppage;

 ⑷...., stranguria after childbirth, urinary stoppage, distention in lower abdomen;

 ⑸...., stranguria, hurt of consumption and heat after childbirth, red and painful defecation and urination(bloody stool, rough voidings of reddish urine);

 ⑹...., dysuria with lower abdominal colic(dysuria due to the pressure of the fetus, Zhuan Bao), urinary stoppage eight to nine days, after childbirth;

 ⑺...., Qi stagnanncy and turn to stranguria, urination heat stranguria and painful, similar to bean soup, sallow complexion(sallow yellow facial complexion);

 ⑻...., stranguria after childbirth and painful urination, or bloody stranguria;

 ⑼...., bloody stranguria after childbirth;

 ⑽...., sudden stranguria after childbirth, painful urination or even blood urine;

 ⑾...., urinary stoppage after childbirth, distention and fullness in abdomen similar to a drum, depression and unconscious. This is the case of cold pathogen accumulation interior and lead to obstacles of urinary bladder;

 ⑿...., urinary stoppage after childbirth;

Postpartum frequent urination.
Postpartum frequent urination 
 ✵The postpartum frequent urination is a frequent urination syndrome occurring following childbirth, usually due to various pathogenic reasons. It is also known as frequent urination syndrome after childbirth.

 ✧ In the TCM system, the pathogenic reasons for the postpartum frequent urination normally are old cold pathogen accumulated in the urinary bladder, motivated after childbirth, cold pathogen enters into the abdomen, deficiency and weakness lead to unable to urine, thus frequent urination.
 ✵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 frequent urination(frequent micturition), how to treat it?... If in the condition due to middle Qi insufficiency..." [03].

 "Frequent urination, enuresis, and urinary incontinence after childbirth:...a woman suffers from Qi and blood deficiency and collapse after childbirth, ...storage not solid, water and spring unstoppable, so frequent urination and enuresis..." [06].Different types are introduced:
 ⑴.A woman suffers from frequent urination, enuresis after childbirth...
 ⑵.A woman suffers from frequent urination and enuresis after childbirth, Qi deficiency...
 ⑶.A woman suffers from frequent urination, Qi deficiency of the urinary bladder...
 ⑷.A woman suffers from frequent urination, enuresis after childbirth, deficiency, and coldness...



 ✵The postpartum frequent urination other common types are known including:

 ⑴.A woman suffers from frequent urination after childbirth, urorrhea(enuresis, bed-wetting).

 ⑵.A woman suffers from frequent urination after childbirth, thirst.

Postpartum dripping discharge of urine.
Postpartum dripping discharge of urine 
 ✵The postpartum dripping discharge of urine is dripping discharge of urine syndrome occurring following childbirth, usually due to various pathogenic reasons. It is also known as the dripping discharge of urine syndrome after childbirth.

 ✧ In the TCM system, the pathogenic reasons for the postpartum dripping discharge of urine normally are kidney deficiency, heat accumulation in the urinary bladder, stagnancy-heat in other Zang and Fu viscera, blood deficiency, dampness and heat accumulation, 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 dripping discharge of urine, due to kidney deficiency and heat in the urinary bladder. As the urinary bladder and the kidney viscus are in an exterior-interior relationship, regulating water and transport water... In the condition heat in the urinary bladder then dripping discharge of urine, in serve case urine will stop, distension in the abdomen and panting, should treat it as soon as possible." [04].Different types of dripping discharge of urine are introduced:
 ⑴.A woman suffers from dripping discharge of urine, due to kidney deficiency, heat accumulation in the urinary bladder;
 ⑵...., due to stagnancy-heat in the spleen and lung;
 ⑶...., due to stagnancy-heat in the spleen;
 ⑷...., due to stagnancy-fire in the lung;
 ⑸...., due to dampness heat in the liver;
 ⑹...., due to blood deficiency or blood heat;
 ⑺...., due to excess heat in urine;
 ⑻...., due to Yin deficiency;
 ⑼...., in the condition not feel thirst and urine is inhibited, heat in the blood-phase of the lower energizer;
 ⑽...., in the condition feel thirst and urine is uninhibited, heat in the Qi-phase of the upper energizer;
 ⑾...., Chi-pulse is rapid and weak, is the condition Yin fire excess and Yang could not be transformed;
 ⑿...., Chi-pulse is floating and weak, is the condition deficiency of Yang Qi and Yin could not be generated;

 "A woman suffers from dripping discharge of urine after childbirth...there are various conditions..." [05].Different types are introduced:
 ⑴.A woman suffers from dripping discharge of urine after childbirth;
 ⑵.A woman suffers from dripping discharge of urine after childbirth, residue blood not stopped, dripping is continuous or unstoppable;
 ⑶.A woman suffers from the dripping discharge of urine after childbirth, chronic dripping and unstoppable, heavy and tiredness in four limbs(feel heavy and tiredness in hands and arms, feet and legs) and general fatigue(heaviness in hands, feet, arms, legs, general fatigue);
 ⑷.A woman suffers from dripping discharge of urine after childbirth, urinary stoppage, and dripping urine, distention in the lower abdomen.



Postpartum urinary incontinence.
Postpartum urinary incontinence 
 ✵The postpartum urinary incontinence is a syndrome of urinary incontinence occurring following childbirth, due to various pathogenic reasons. It is also known as urinary incontinence syndrome after childbirth.

 ✧ In the TCM system, the pathogenic reasons for the postpartum urinary incontinence normally are deficiency of Qi and hurt due to childbirth, kidney system lost control on the urinary bladder, etc.
 ✵Ancient herbalists who hold a syndrome differentiation viewpoint with similar explain of pathogenic reasons, and the relevant representative work are introduced and quoted:

 "Frequent urination, enuresis and urinary incontinence after childbirth:...a woman suffers from Qi and blood deficiency and collapse after childbirth, ...storage is not solid, water and spring are unstoppable, so frequent urination and enuresis..." [06].Different types are introduced:
 ⑴.A woman suffers from urinary incontinence after childbirth, does not know herself(unconsciousness)...
 ⑵.A woman suffers from urinary incontinence after childbirth, kidney deficiency...
 ⑶.A woman suffers from urinary incontinence after childbirth, deficiency, and coldness of the spleen and stomach.

 "Urinary incontinence after childbirth: a woman got her urinary bladder hurt by midwife during childbirth..." [07].



 ✵The postpartum urinary incontinence common types are known including:

 ⑴.A woman suffers from postpartum urinary incontinence, urinary incontinence(incontinence of urine) after childbirth.

 ⑵...., urorrhea(anischuria) without self-conscious.

 ⑶...., hurt of hands and urinary bladder due to childbirth, urinary incontinence.

Postpartum urinary stoppage.
Urinary stoppage 
 ✵The postpartum urinary stoppage is a syndrome of urinary stoppage occurring following childbirth, due to various pathogenic reasons. It is also known as the urinary stoppage after childbirth.

 ✧ In the TCM system, the pathogenic reasons for the postpartum urinary stoppage normally are deficiency of Qi and hurt due to childbirth, urinary bladder lost regulation, blood exhaustion, 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 chapped skin, dry mouth(dryness in the mouth) and wasting thirst(consumptive thirst, symptoms are frequent drinking and urination), urinary stoppage and constipation, what is it? It is the condition that might be affected by blood stranguria in the future, now it is the condition of blood exhaustion." [03].It recorded a general urinary stoppage syndrome mainly due to blood exhaustion, not only affect after childbirth.

 "A woman suffers from Pao Zhuan(also known as Zhuan Bao, dysuria due to the pressure of the fetus), or internal heat is transferred to the uterus, or hold urine, Qi reverses internally, as a result, urgent pain in the lower abdomen, urine stopped or could not pass urine, life is in danger in a while..." [04].

 "A woman suffers from dripping discharge of urine after childbirth...urinary stoppage and dripping urine, distention in the lower abdomen..." [05].

 "Urinary stoppage or oliguresis after childbirth:...a woman suffers from Qi deficiency after childbirth, could not transform and transport, body fluid lost flowing, as a result, urine is stopped, or urine is not stopped by short and less in volume, should not...or, Qi is deficient further..." [06].Different type are introduced:
 ⑴.A woman suffers from Qi deficiency after childbirth, urination stoppage, or oliguresis(urine is short and less in volume).
 ⑵.A woman suffers from lochia not passing down, residue blood is stagnant and stasis, blocking the water channel, urine stopped, its symptoms are distention and stabbing pain in the lower abdomen, sudden chills sudden fever, vexation stagnancy, and uneasy(irritable, vexed, stagnancy, not quiet or uneasy)...



Postpartum difficulty in micturition.
Postpartum difficulty in micturition 
 ✵The postpartum difficulty in micturition is a syndrome of dysuria or difficulty in urination occurring following childbirth, due to various pathogenic reasons. It is also known as dysuria after childbirth, or difficulty in urination after childbirth, or difficulty in micturition after childbirth, etc.

 ✧ In the TCM system, the pathogenic reasons for the postpartum difficulty in micturition normally are Qi deficiency of the urinary bladder, excessive heat, 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 difficulty in urination after childbirth, is due to prosperous fire..." [05].



Postpartum urine bleeding.
Postpartum urine bleeding 
 ✵The postpartum urine bleeding is a syndrome of urine bleeding occurring following childbirth, due to various pathogenic reasons. It is also known as urine bleeding after childbirth.

 ✧ In the TCM system, the pathogenic reasons for the postpartum urine bleeding normally are hurt of Qi and blood after childbirth, deficiency of Qi and insufficiency of blood with heat pathogens, blood flow with heat and enter into the urinary bladder, thus passing blood with urine.
 ✵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 urine bleeding after childbirth, it is due to blood deficiency with heat pathogen..." [05].

 "Urine bleeding after childbirth:...in case pain in the lower abdomen;...or, in case not pain in the lower abdomen, pain in urination..." [06].Different cases are introduced:
 ⑴.A woman suffers from urine bleeding after childbirth, pain in the lower abdomen, residue blood flow into the urinary bladder.
 ⑵.A woman suffers from urine bleeding after childbirth, not pain in the lower abdomen, pain in urination, endogenous heat.



 ✵The postpartum urine bleeding common types are known including:

 ⑴.A woman suffers from postpartum urine bleeding, the blood passing down with urine after childbirth.

 ⑵...., inhibited urination and defecation(constipation) after childbirth, blood passing down with stool(bloody stool) or urine(bloody urine).

 ⑶...., blood enters into large and small intestines after childbirth, passing blood.

Postpartum urinary bladder problems.
Postpartum urine bleeding 
 ✵The postpartum urinary bladder problems are urinary bladder health problems occurring following childbirth, due to various pathogenic reasons. It is also known as urinary bladder problems after childbirth.

 ✧ In the TCM system, the postpartum urinary bladder problems normally are urinary bladder dropping, dripping urine of urinary bladder hurt, 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 urinary bladder dropping after childbirth, what is it? It is the condition due to hurt from strain, and take heavy things, weakness of Qi and deficiency cold, lead to dropping, there are cases not collecting in three to four months.

 A woman suffers from urinary bladder is hurt after childbirth, dripping urine whole day and unstoppable, what is it? It is hurt from childbirth, should replenish the urinary bladder." [03].



Postpartum prolapse of the uterus.
Postpartum prolapse of the uterus 
 ✵The postpartum prolapse of the uterus is a syndrome of prolapse of the uterus occurring following childbirth, due to various pathogenic reasons. It is also known as the prolapse of the uterus after childbirth.

 ✧ In the TCM system, the pathogenic reasons for the postpartum prolapse of the uterus normally are consumption due to childbirth, swelling, and pain of the uterus and prolapse, clear discharge incessantly, urine stranguria.
 ✵Ancient herbalists who hold a syndrome differentiation viewpoint with similar explain of pathogenic reasons, and the relevant representative work are introduced and quoted:

 "Prolapse of the uterus after childbirth: a woman body tender and soft for the first childbirth, ...hurt from childbirth, rotten and ulcer, could not restrain in long days..." [06].Different types are introduced:
 ⑴.A woman is hurt from the first childbirth, suffers from genitalia not restrain in a long period, rotten and ulcer.
 ⑵.A woman suffers from prolapse of the uterus, due to primordial Qi insufficiency, other symptoms are swelling and pain, dripping clear liquid;
 ⑶.A woman suffers from prolapse of the uterus, no pains, or swelling eliminated but not restrain.



 ✵The postpartum prolapse of the uterus common types are known including:

 ⑴.A woman suffers from postpartum prolapse of the uterus, hurt of consumption due to childbirth.

 ⑵...., swelling and prolapse after childbirth, not close.

 ⑶...., deficiency and cold after childbirth, prolapse and not close.

 ⑷...., hurt by over-strength due to childbirth, prolapse and not close.

 ⑸...., swelling and depression after childbirth.

Postpartum genital erosion and five types of malnutrition.
Postpartum genital erosion and five types of malnutrition 
 ✵The postpartum genital erosion and five types of malnutrition is a syndrome of genital erosion and five types of malnutrition occurring following childbirth, due to various pathogenic reasons.

 ✧ In the TCM system, the pathogenic reasons for the postpartum genital erosion and five types of malnutrition normally are Shao Yin pulse is rapid and slippery(smooth), surely grow sore in the genital region, pain or itching, as worm crawling inside, dripping pus liquid and genital erosion, this is mainly because of vexation and depression in mind and heart, weakness of stomach Qi, and stagnancy stasis of Qi and blood, hurt Yang Ming meridians. The treatment should follow principles replenish the heart and nourish the stomach internally, with fumigating-washing recipes externally.
 ✵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 genital erosion, is known as Te Chuang(hidden skin ulcer, or Yin ulcer). Symptoms are pain or itching, as worms crawling, dripping pus liquid, erosion almost completely, mainly due to worry and depression, stomach Qi weakness, and blood deficiency, as a result, lead to the stagnancy of Qi and blood." [04].



 ✵The postpartum genital erosion common types are known including:

 ⑴.A woman suffers from postpartum genital erosion, painful and itching, as worm crawling inside, dripping pus, and erosion.

 ⑵.A woman suffers from postpartum genital erosion, painful and itching, as worm crawling inside, erosion and rotten, dripping pus, and smelly.

References:
  • 01.Postpartum urinary syndromes:an introduction of postpartum urinary syndromes, gonorrhea, frequent urination, urinary incontinence, and other related urinary syndromes.
  • 02.Jiēzhāi Gōng Tāi Chǎn Yī àn(Births Cases of Jie Zhai Gong).By 王纶(Wáng Guān)[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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