Postpartum fever
Puerperium, fever syndrome, a persistent fever, or sudden high fever chills, and accompanied by other symptoms, referred to as “postpartum fever.
Etiology, Pathology
The etiology and pathology of the disease, intrapartum infection cult poison, or physically weak feelings of evils, or bleeding resistance, or fresh wounds, or steamed milk, or blood deficiency resulting in pathogen pay contention, the gas machine obstruct resistance Camp Wei disharmony caused by fever.
1 infection cult poison produced midwife unclean, or damage to the birth canal, or postpartum underwear unclean, and vulva improper care caused the lead to cult poison invasion.
Exogenous postpartum vitality weakness empty corniculatus Cou reason not close, when the passage into the evil Cheng Xu, Camp David is not and thus fever.
The The blood stasis postpartum lochia poor blood stasis stagnation hinder gas machine, long and hot.
4. Deficiency of blood production, excessive bleeding, or ferrite blood deficiency, postpartum more virtual yin deficiency camp, endogenous Xure.
5 the postpartum spleen shipped fresh injury is not complex, diet disloyal, transportation of stolen Division, stopping stagnation, Yu and heat.
6. Steamed milk postpartum milk contact impeded or blocked milk so that no less than milk contact resistance Yun, long and fever.
Diagnostic points
1 The disease diagnosis is based on fever seen in puerperium, especially in the new post-partum is more common, often accompanied by abnormal lochia, or abdominal pain embolism.
The disease fever with internal and external branches diseases, such as dysentery, malaria, appendicitis and other identification, the main method of identifying co-participation of the four diagnostic methods and the necessary checks.
Twelve days postpartum, low fever. This is due to fatigue and loss of blood intrapartum maternal in blood deficiency, Yang Men, yang floating Vietnam outside Camp Wei disharmony caused the fever, is a physiological fever, without treatment, can be self-healing.
[Dialectical type]
1. Postpartum infection cult poison persistent high fever accompanied by chills, abdominal pain refused to press, more or less lochia color, dark foul smell, constipation, scanty dark urine, irritability and thirst. Thick and greasy fur, red tongue, pulse a few slip.
2 exogenous postpartum chills, fever, headache, no sweat, limb pain, or nasal congestion, runny nose, cough, expectoration. Thin fur, floating pulse.
Blood stasis postpartum chills and fever for lochia no less dark color blocks, abdominal pain refused to press, dry mouth and do not wish to drink. Thin, dark purple moss, pulse string astringent.
4. Deficiency of blood postpartum fever lingering, sweating more than dizziness, paleness, palpitations, fatigue. Moss thin pale tongue, weak pulse breakdown.
The fresh wounds postpartum eating properly, or tune up tired, epigastric Fullness the, Tunsuan ai rot, not eating, poor stool, fever and downs. Thick and greasy fur, slippery pulse moisten.
The steamed milk postpartum fever, breast tenderness, pull the bow both of threat and axillary, and caking milk no less than. Thin greasy moss, pulse a few.
【Genotyping treatment]
1. Infection cult poison conquer: Qingrejiedu, cooling blood.
Recipe: Gomi xiaoduyin the subtraction.
Honeysuckle 15 grams 30 grams of dandelion Purple D 15 g Patrinia 30 grams 10 grams of walnuts 12 g 10 g yi ren of 10 g Shixiaosan (package) the paeonol the 10 grams Cyperi 12 g Corydalis cinnamon 3 g Motherwort 30 gram Less: bloating constipation, plus citrus aurantium 10 grams, 10 grams of melon wilt, 10 grams of rhubarb.
The 2. Exogenous Governing Law: Solutions for table and camp, expelling wind Yangxue.
Recipe: Jing anti Siwutang. Addition and subtraction.
Nepeta 10 grams, 10 grams of wind Chuanxiong 10 grams to 10 grams Angelica 10 grams of red peony yellow like shell 10 grams, 10 grams almonds 10 gram Less: chills, no sweat, Guizhi 6 grams, 10 grams of sage; sore throat and mouth dry sweat, plus 10 grams of honeysuckle, forsythia 10 grams, Campanulaceae 6 grams, 10 grams of Arctium.
Blood Governing Law: blood circulation, Qingrejiedu.
Recipe: biochemical decoction.
Angelica 10 grams Chuanxiong 10 grams peach kernel 10 grams Baojiang 5 grams of licorice 6 grams Motherwort 30 grams Patrina grass 30 grams 10 grams Shixiaosan (package) addition and subtraction: abdominal pain, bloating, Cyperus rotundus 9 grams, 9 grams aggregata; infection toxic heat, plus dandelion 15 grams, of SFAS 15 grams, Houttuynia 15 grams, 15 grams of honeysuckle; lochia accumulate high, plus 15 grams of SFAS milk myrrh 6 grams, 10 grams of Tri, 3 grams of rhubarb soil Achyranthes 15 g.
4. The blood deficiency conquer: Qi tonic, clearing away heat.
Recipe: Decoction Bazhen.,
Codonopsis 10 grams, 15 grams of astragalus angelica 10 grams Rehmannia 12 grams peony root 12 g 10 g Poria 10 grams of licorice 5 Malek gum 10 g (molten) addition and subtraction: the Insomnia dream and more, plus Zaoren 12 grams Atractylodes, Bozi 10 grams a 15 g Caulis Polygala 6 g; sweating more than plus floating wheat 15 grams, 15 grams of glutinous rice roots, ephedra root 15 g; the zygomatic the red Fanre by increase habitat 9 grams, 9 grams Anemarrhena ground bone 12 grams of leather, 9 g starwort.
The fresh injury Governing Law: Jianpihuashitang digestion Daozhi.
Recipe: Paul and nine subtraction.
Hawthorn 15 grams Divine Comedy 12 the restraint pinellia 10 g Poria 12 grams of dried tangerine peel 6 grams forsythia 10 grams radish seed 15 grams, 10 grams Atractylodes all Trichosanthes 10 grams of Gallus gallus domesticus 10 gram Less: abdominal distension, constipation, plus 10 grams of citrus aurantium, River Park, 6 grams, 6 grams of rhubarb.
6. The steamed milk governance law: to clear the the milk network, heat Sanjie.
Recipe: the melon wilt Powder.
All Trichosanthes 12 grams of raw licorice 3 grams Zhigancao of 12 g pass grass 5 g Vaccaria the 12 grams of frankincense 6 grams Angelica 10 grams 10 grams of honeysuckle peel 6 grams leakage Lo 12 gram Less: milk duct barrier, antler powder 10 grams, hot rice wine red 2 swallow; breasts pain, plus Chuanxiong 9 grams; breast swelling with fever, plus skullcap 9 grams, 15 grams of dandelion, paeonol 9 grams, 9 grams of Gardenia, topical golden cream .
[Chinese patent medicines]
Paul and tablets daily, three times, each 5 to swallow. For injury eater.
2. Chest Shun Qi Wan daily 3 times, 6 grams each swallow. For fresh wounds, constipation.
3. Citrus aurantium Daozhi pills three times a day, 6 grams each swallow. For fresh injury constipation.
Motherwort Medicine 3 times a day, each time a package, blunt. For bleeding fever.
5. Noon tea 1-2 times a day, one bag at a time, blunt. For exogenous fever.
Bupleurum injection of liquid daily l to 2 times, each 2 to 4 ml intramuscular injection. For exogenous fever.
7. Antler powder 10 grams, rice wine blunt. For milk heat of evaporation to.
[Easy ways]
Prescription honeysuckle 10 grams, 12 grams forsythia, Bupleurum 6 grams, Campanulaceae 6 grams, 15 grams of dandelion, the fleas off 12 grams, 15 grams of Trichosanthes like shell 10 grams, 3 grams, raw licorice decoction. For milk evaporation heat.
[Other therapies]
Take Hegu, Ojo, Qu pool, the wind pool (reducing method); Zhongwan Zusanli, Neiguan QU the pool (Epsom method). Two sets of points can be used interchangeably.
【Note】
Postpartum fever, etiology, symptoms vary, clinical diagnosis and treatment should grasp the differentiation characteristics, due to the treatment. If fever chills, accompanied by abdominal pain, refused to press, lochia foul smell, compared with infection cult poison; chills, fever, limb pain, nasal congestion, runny nose, cough, expectoration as exogenous fever; chills and fever for, lochia less, lower abdomen refused for blood stasis fever; excessive bleeding postpartum, slightly hot spontaneous perspiration, blood deficiency fever; postpartum fresh wounds, low-grade fever and downs, epigastric swelling nausea Ai rot Tunsuan fresh injury fever; postpartum breast pain, breast lump , milk high, persistent fever heat of evaporation for the milk.
Puerperal fever, if fever Shenhun, seizures are critical Syndrome, should be Integrative treatment. Also note that the enhanced care, to take semireclining bit to Lee lochia discharge, attention to nutrition, the water, the fever can be physical cooling; keeping the vulva clean, as well as bedside isolation, to prevent cross-infection.
Improving the confinements technology, the timely processing of damage to the birth canal, frequently changes the underwear to keep the vulva clean.
Care living, dietary restraint, to reconcile the emotional, non-intercourse, pay attention to breast health.