Postpartum cough
Maternal in puerperium living carelessly or stasis the guilty or production factors such as consumption of blood lead Kechuan called on “postpartum cough. If of stasis Fanfei or time-consuming production of blood caused cough, beware made for the urgent certificate must be given active treatment, if necessary, Western medicine treatment.
Etiology, Pathology
The 1. The cold Fanfei postpartum qi deficiency, Wei Yang is not solid, the fur is not sufficient, Cou reason compromised cold the exogenous pathogens ChengXu invasion in lung and lung failure declared down, made for the Kechuan.
The 2. Stasis Fanfei postpartum bleeding stagnation, guilty in the lung, lung failure declared down, made for the Kechuan.
3 the Yin Feizao intrapartum excessive bleeding Shangyin gas consumption, Yin heat, on burning lungs network, may cause coughing.
4 qi deficiency caused by intrapartum blood loss excessive the camp blood sudden storms off, so that the camp Yin Wei Yang can not keep, orphaned Yang more gas off for breath.
Diagnostic points
1. Prenatal cough and asthma syndromes occurred in the puerperium cough, dyspnea, or cough syndromes, this section collectively referred to as cough and asthma.
Occurred Kechuan for lung auscultation and lung X-ray fluoroscopy or radiography, in order to understand the cause and extent of the cough. And blood tests, understanding the lungs for signs of infection and its extent.
As see gas off for breath will be measured blood pressure and heart function tests for bleeding, to prevent the collapse death of Yang.
4. Consider the stasis Fanfei, should be excluded from chronic amniotic fluid embolism.
[Dialectical type]
A cold new postpartum cough, phlegm, color white, sticky, chills, fever, nose and runny nose. Thin white fur, pink tongue and pulse to hydroplaning.
2. New blood stasis postpartum cough, shortness of breath, sputum less sticky, mediastinoscopy inflation asked. Thin white fur, dark red tongue, slippery pulse string.
3 the Dryness new postpartum dry cough with little phlegm or without sputum, throat, accompanied by the afternoon hot flashes, zygomatic red. Mamillata Shaojin no moss, pulse breakdown.
4. Qi Deficiency new postpartum asthma, shortness restless, sweating more than. Thin white fur, pink tongue, pulse and impractical rootless (this type of postpartum hemorrhage history, diagnosis should be aware of the bleeding has ended).
【Genotyping treatment]
The 1. Chill Governing Law: Expel wind and cold, Xuanfei asthma.
Recipe: Participation Su decoction.
Codonopsis 9 Kege root 10 g imperatorin 10 restraint Pinellia 10 g Poria 12 grams Inula 10 g basil leaves 9 Keke shell 9 grams of dried tangerine the 6 grams balloonflower 9 g Zhigancao 5 grams of ginger 4 jujube 5 addition and subtraction : chills, no sweat, plus ephedra 9 grams, light almond 9 grams, 6 grams of cassia twig, 9 grams of white peony, to Pueraria sage; See, chills, fever, no sweat, cough, phlegm spit Qingxi head and body pain, vomiting, thirst, hot drinks, and other symptoms, plus ephedra 9 grams, 9 grams of peony, Asarum 3 grams, 6 grams of cassia twig, 3 grams of Schisandra, go sage, Pueraria; lochia downlink poor accompanied by abdominal pain , plus 2 to 3 spoons service Yimu cream, brown sugar blunt.
The Blood Governing Law: circulation Zhikepingchuan.
Recipe: biochemical decoction.
Angelica 9 grams 9 grams Chuanxiong 6 grams of saffron 10 grams of walnuts almonds 10 grams 10 grams as Tony Zhigancao the 5 grams Tetrahydropalmatine 10 gram Less: the lochia less, the downlink poor, lower abdominal pain, dark purple tongue with raw Puhuang 15 grams (including fried), Chi Shizhi 12 grams, 10 grams Cyathula Motherwort 30 grams, 9 g Muxiang; cough and shortness of breath, soda sub Terrier (s) 9 g, Sunburn batch leaves 9 g (including fried), 9 grams of turmeric, the Fructus Leonuri 12 grams aggregata 9 grams, 6 grams Baojiang; abdominal pain, plus amusing scattered 12 grams (including fried).
The 3. Dryness Governing Law: Yin Qingfeizhike.
Recipe: Radix Ophiopogon Decoction.
12 grams odoratum, Adenophora 12 oats winter 6 grams of raw licorice 3 the Xan leaves 5 grams of raw lentils 6 grams of trichosanthin 5 grams Motherwort 12 Yasar plastic 9 g (molten Chong) Schisandra 5 gram Less: abdominal pain, Kagawa? ? sub 10 grams, Corydalis 12 grams, 15 grams of dandelion, Baojiang 6 g; afternoon hot flashes, the plus Digupi 9 grams, silver Bupleurum 9 grams; stool dry, with light almond 9 grams, peach kernel 9 grams; urine less the Sechi those, plus fresh habitat 15 grams, 9 g Alismataceae, 12 grams of fresh Dendrobium heterophylla 15 grams.
4 Qi Governing Law: qi and asthma.
Recipe: Shenfu Decoction.
Jue off asthma veins fine, urgent service Shenfu soup: the aconite system 9 grams (Xian Jian), 9 g of red ginseng (also fried red), at any time Beverage.
Such as sweating profusely, with Shenfu Decoction: the aconite system 9 grams (Xian Jian), 9 g of red ginseng (also fried blunt), 30 g of calcined oyster (fry), calcined keel 30 grams (fry), crane grass 60 grams, frequency of service, and Yang deficiency.
Be Jue off symptoms improved after the subtraction with Bazhen soup Liuweidihuang soup: Red Ginseng 9 g (also fried), 10 grams of Angelica, Rehmannia 12 grams, 10 grams of Radix, medlar 12 grams, 12 grams of dogwood, Ejiao 6 g (molten red), Nepeta ear 5 grams, 3 grams of cinnamon (later) to bring yin qi.
[Chinese patent medicines]
Jilin ginseng powder for first aid Jue off. 2 hours, swallow 2 to 3 grams each time, the disease situation has improved, extended dosing interval time.
. ShengmaiYin 3 times a day, every two oral. Used for Qiyinliangxu by.
3 Chuanbei powder 3 times a day, each 1 gram swallow. For cough and phlegm thick.
Fritillaria powder 3 grams, a fresh pears, crystal sugar, and steam service. Used for Yin chronic cough.
5. Chuanbei batch of cream daily 3 times every 2 spoons blunt. For chronic cough expectoration poor.
6 biochemical soup three times a day, each 30 ml, blunt. For blood stasis, with cough and asthma drugs the same clothes.
7 Xiaoqinglong syrup 3 times a day, each 1 to 2 oral. For cold cough.
[Easy ways]
1 6 grams of walnut meat, 6 grams of ginseng, decoction Dayton clothing. Used for postpartum asthma.
Suzi 15 to 20 grams, a bowl of clear water to cook. The other stewed Ginseng 9 to 15 grams of a mixture of the two Dayton clothing. For postpartum asthma.
Root of one hundred grams, Campanulaceae 6 grams 12 grams Sangbaipi, 9 grams of dried lily Red Poria 9 grams, water simmer in water. For postpartum Dryness cough.
4. Curculigo root 30 grams, add one lung, Shuijianbi. Governance postpartum lung deficiency cough.
[Other therapies]
1 the moxibustion take the door hole, moxibustion Zhuang, fraudulent claims increased to 5 to 7 strong. For postpartum pant for better results.
Body acupuncture take main point Feishu, Ojo, damper, Dingchuan,, and other points.
Distribution Point: cough plus feet Ze, too deep; the sputum plus in the hospital, Zusanli, Hong Leong.
Needle for 20 minutes, 1 day, 10 l treatment. Used for postpartum cough.
Hand needle to take a big deep hole, the 28th l ~ 1.5 inch needles piercing the strong stimulation for 1 to 2 minutes. Needle retention for 5 minutes or do not leave needles.
Acupoint Application with garlic smashed into the mud, placed 伤湿止痛膏 center, attached to the feet Yongquan evening feet, 2 morning thrown off even paste 3-5 times. Applicable to cold postpartum cough.
Wear law Nepeta, wind each 1500 g, Asarum, Sichuan dome 200 g, 100 g of green tea, herb 20 grams, will be on the drug drying, the total of research thick end, mix, the gauze wrapped into pillow the patient side of the pillow, suitable for the cold patients.
【Note】
1. Postpartum keep warm, prevention flu cold cough.
Appropriately increase nutrition, protein and vitamin food polydipsia, enhance disease resistance.
3. Appropriate to participate in outdoor sports activities, enhance immune function.
4 into the rest room. Maternity lochia less attention accompanied by abdominal pain, bloating, early treatment, preventing septicemia on red Fanfei.
Health workers delivery techniques correctly determine the mode of delivery, increase accountability, strengthen post-natal visits, to prevent and reduce the incidence of postpartum hemorrhage.
Who see blood stasis and qi deficiency type cough must be given active treatment when necessary comprehensive rescue.