2 English reference puerperal fever [Chinese medicine terminology Committee. Terminology of Traditional Chinese Medicine (2004)]
Puerperal fever [Chinese medicine terminology examination Committee] Terminology of traditional Chinese medicine (20 10)]
3. Summarize postpartum fever (puerperal fever [1][2]) as the name of disease syndrome [3]. It refers to a disease characterized by high fever, chills or persistent fever during the puerperium, or accompanied by other symptoms [1][2]. Medical outline.
4 Etiology and pathogenesis after delivery, fever caused by various reasons [3]. Common diseases include exogenous pathogenic factors, blood deficiency, blood stasis, food retention, and pathogen infection [3].
5. Syndrome differentiation and classification 5. 1 Postpartum fever with pathogenic toxin [4] refers to postpartum pathogenic toxin taking advantage of the situation, which is contained in the uterus, with healthy qi contending with pathogenic factors. Postpartum high fever causes continuous chills, refusal to press, lochia and dark purple, foul smell, upset and thirsty.
5.2 Postpartum Fever and Blood Stasis Syndrome Postpartum Fever and Blood Stasis Syndrome (1) refers to emotional failure, qi stagnation, or obstruction of cold and evil, blood stasis, obstruction of camp and health, postpartum fever, aversion to cold, intermittent rest, lochia, dark purple and lump.
5.3 Postpartum Fever Exogenous Syndrome Postpartum Fever Exogenous Syndrome (1) refers to weakness of Wei Yang, wind-cold attacking the exterior, disharmony between ying and Wei, postpartum fever due to aversion to cold, headache, limb pain, anhidrosis, cough and runny nose, even coma, limb convulsion, inverted horn arch and tongue coating.
5.4 Postpartum Fever and Blood Deficiency Syndrome Postpartum Fever and Blood Deficiency Syndrome (1) refers to sudden deficiency of yin and blood, deficiency of yang and excess of yang, resulting in excessive postpartum blood loss, slight fever, dizziness, palpitation, insomnia, lochia, light color and thin body, and persistent pain in the lower abdomen.
5.5 Postpartum fever with qi deficiency syndrome (postpartum fever with qi deficiency syndrome [1]) refers to postpartum fever syndrome, characterized by blood loss and gas consumption during delivery, weakness of qi deficiency and weak defense, with postpartum low fever, spontaneous sweating due to evil wind, dizziness, palpitation, mental fatigue, shortness of breath and weak pulse as common symptoms [4].
Syndrome differentiation and treatment of exogenous diseases are mostly due to sudden deficiency of qi and blood, unstable defense, exogenous pathogenic factors attacking people by taking advantage of deficiency, and symptoms such as aversion to cold, fever, headache, limb pain, anhidrosis or cough and runny nose appear. Treatment should be based on nourishing blood and expelling wind, with Fang Jing Siwu Decoction (Siwu Decoction plus Schizonepeta and Fangfeng) [3].
For those with blood deficiency, due to blood loss during childbirth, yin fails to converge to yang, and deficiency heat is endogenous, with symptoms of slight fever, dizziness, palpitation or abdominal pain. Bazhen Decoction should be used to replenish qi and blood and regulate camp and health. If the symptoms are very hot in the afternoon, cheeks are red, thirsty and cold, constipation and yellow urine, it is advisable to nourish yin, clear heat and nourish blood.
Those with blood stasis, blood stasis blocking collaterals, disharmony between camp and health, cold and heat, lochia, dark purple and lumps, or those with foul smell, abdominal distension and pain, and refusal to press, should use the method of nourishing blood, removing blood stasis and reducing fever, and add and subtract Shenghua Decoction [3].
Those who belong to food accumulation are mostly due to eating fat and sweet, and the accumulation is not solved. Symptoms are fullness of chest and diaphragm, acid tightness, or abdominal distension and pain. If it is suitable for treating indigestion, it will be used.
People infected with evil poison, due to postpartum qi and blood weakness, evil poison went straight into the uterus, and there was a dispute between good and evil. Symptoms are high fever, thirst, sweating, abdominal pain, even delirium and rash. The treatment should be clearing away heat and toxic materials, promoting blood circulation and removing blood stasis. If you are unconscious, you can use Anguan Niuhuang Pill and Zixuedan [3].
If the placenta and fetal membrane remain in the uterine cavity, or lochia remains due to cervical stenosis, infection should be controlled by drugs, and lochia should be removed by expanding the cervical canal and clamping the placenta and fetal membrane. After the high fever infection is controlled, necessary curettage should be performed to achieve complete cure.
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