Postpartum fainting

This is an acute disease occurring suddenly after childbirth. Its symptoms include
dizziness, vertigo, difficulty in sitting up, chest distress, nausea, vomiting,
accumulation of sputum in throat, shortness of breath, restlessness, and even loss of
consciousness.

Differential diagnosis: Patients with blood deficiency may suffer from sudden onset
of vertigo, pale complexion, heart palpitations, gradual loss of consciousness with
eyes closed and mouth opened, extremely cold limbs, profuse cold sweating, pale
tongue without coating, and feeble, floating or large and weak pulse. And patients
with blood stasis may suffer from scanty or no lochia after childbirth, paroxysmal
pain in lower abdomen, severe distension in epigastric region, shortness of breath and
dyspnea, coma and loss of consciousness with hands clenched and jaw locked,
cyanotic face, lips and tongue, and uneven pulse.

Treatment:

Foot massage: The massage is applied to kidney (22), heart (33), spleen (34), ureter
(23) and adrenal gland (21) reflecting areas. The foot is held in one hand by the
physician and the pressure is applied by the knuckle of the first interphalangeal joint
of the other index finger on the reflecting areas 3-4 times (Fig. 88).

Foot acupuncture:

(1) Meridianal acupoints: At Yongquan (KI 1), Rangu (KI 2), Zhaohai (KI 6) and
Xingjian (LR 2) acupoints, a reinforcing acupuncture technique or moxibustion is
applied to patients with blood deficiency, and a reducing technique is applied to
patients with blood stasis. The needles are retained for 15 to 20 minutes, and
moxibustion is applied for 15 minutes.
(2) Extra acupoints: At Xiaozhiiian (tip of little toe) and Dazhi J umao (EX-F 14)
acupoints, a reinforcing technique of acupuncture or moxibustion in applied to
patients with blood deficiency, and a reducing technique is applied to patients with
blood stasis. The needles are retained for 15 to 20 minutes, and moxibustion is applied
for 15 minutes.
(3) Foot acupuncture: A balanced reinforce-reducing technique of acupuncture is
applied at Vertigo (FA-M 1) and Kidney (FA-P 14) acupoints and the needles are
retained for 20 minutes. Moxibustion is applied for 10 to 15 minutes to deficient type
patients.

External application of drugs:

Postpartumf ai nti ng
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(1) Deficiency of qi and blood: The powder of Chuanxiong (Szechuan lovage),
Danggui (Chinese Angelica root), Huangqi (milkvetch root), Dangshen (asicebell
root), Baizhu (bighead Atractylodes rhizome), Shudihuang (prepared Rehmannia root),
Fushen (Poria cum Radice Pino), Zaoren (jujube seed) and Baiziren (arborvitae) 32
gm each and Banxia (pinellia tuber), Chenpi (tangerine peel), Maidong (lily-turf) and
Gancao (licorice root) 15 gm each is applied to heart (33), kidney (22), spleen (34),
adrenal gland (21) and ureter (23) reflecting areas.
(2) Blood stasis: Danggui (Chinese Angelica root), Chuanxiong (Szechuan lovage),
Taoren (peach kernel), J iangtan (charred ginger), Gancao (licorice), Honghua
(safflower), Yanhusuo (corydalis tuber), Rougui (cinnamon bark), Wulingzhi
(trogopterus dung) and Xiangfu (nut-grass) 15 gm each are fried in sesame oil with
Huangdan (yellow lead) to prepare a paste for application to spleen (34) and kidney
(22) reflecting areas.



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