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FETAL RESTLESSNESS

SPLEEN DEFICIENCY

Clinical Manifestations	Fetal restlessness Increasing bearing down sensation Lumbago Abdominal distention Watery stools and/or Abdominal pain and distention with severe vomiting and diarrhea T: Pale C: Thin and sticky or White P: Thready and slippery
Treatment Principle	Tonify the Spleen Replenish Qi Calm the fetus
Herb Formulas	Xiang Sha Liu Jun Zi Tang With Food Stagnation: Jian Pi Wan
Points

LIVER QI STAGNATION

Clinical Manifestations	Restless fetus Vaginal bleeding Depression Hypogastric distention and pain Bleeding Anorexia Acid regurgitation Vomiting bitter fluid T: Normal C: Thin and sticky P: Wiry and choppy
Treatment Principle	Dredge the Liver Release depression Calm the fetus
Herb Formulas	Xiao Yao San Jie Yu San Jie Gan Jian
Points

LIVER QI STAGNATION INVADES THE SPLEEN

Clinical Manifestations	Fetal restlessness Continuous cramping pain in the abdomen Pain is not severe Pain is relieved by pressure Edema of the feet Urinary difficulty Slight edema (primarily of the lower limbs) Symptoms generally occur during pregnancy Pale face Fatigue Heaviness of head Lassitude Lower abdominal pain Dizziness Tinnitus Lumbago Edema Abdominal pain with edema during pregnancy due to Blood Deficiency and abnormal water circulation Oliguria Palpitations Cold feet Extreme coldness of the hands and feet Vertigo Weakness and numbness of lower back and legs during pregnancy or postpartum Mal position of the fetus Dysmenorrhea Irregular menstruation Right upper quadrant pain Hepatomegaly Anemia Lack of energy Sore back Thirst with no desire to drink T: Pale or pink maybe petechiae on margin C: Thin or Greasy white P: Deep and weak or Soft, floating, small and slow or Wiry and small or Wiry and rough
Treatment Principle	Nourish Liver Blood Soften the Liver Spread Liver Qi Strengthen the Spleen Resolve Dampness Reinforce the Spleen and Kidney
Herb Formulas	Dang Gui Shao Yao San
Points

KIDNEY DEFICIENCY

Clinical Manifestations	Pain and weakness of the low back and legs Fetal restlessness Weakness of the limbs and body Dizziness Tinnitus Abdominal pain Vaginal bleeding or A drooping sensation in the hypogastrium T: Pale C: Thin and white P: Deep, thready and slippery
Treatment Principle	Strengthen the Kidneys Calm the Fetus
Herb Formulas	Liu Wei Di Huang Wan Shou Tai Wan With vaginal bleeding: An Tai Yin Xiong Gui Jiao Ai Tang
Points

DEFICIENCY COLD OF THE UTERUS

Clinical Manifestations	Thin and profuse leukorrhea Sallow complexion or Dark and gloomy complexion Pain of lower limbs Lassitude Lack of vitality Weakness Irregular circulation of channels Failure to conceive for a long time Intolerance of Cold Cold limbs Soreness of waist Pain in the lower back Long-term or heavy menstrual bleeding Painful menstruation which gets increasing worse Pelvic pain during intercourse Fullness and stuffiness in the hypochondriac region Dizziness Tinnitus Shortness of breath Difficult speech Delayed menstrual cycle Abdominal pain during menstruation Abdominal Cold pain which can be relieved by warmth Scanty menstruation Dark in color Blood masses or Amenorrhea Distending pain in the lower abdomen prior to or during menstruation which can be relieved by warmth T: Pale C: White or White and greasy fur P: Weak or Deep and tense pulse or Thready and weak or Deep and slow
Treatment Principle	Reinforce the Kidney and Liver Support Yang Eliminate Cold Warm the uterus Nourish the Blood Invigorate the Blood
Herb Formulas	Fu Ke Zhong Zi Wan
Points

YANG DEFICIENCY

Clinical Manifestations	Fetal restlessness Edema Vomiting Nausea P: Deep and thready
Treatment Principle	Warm and Expel Cold Nourish the Blood Calm the fetus
Herb Formulas	Bai Shu San (No information)
Points

QI DEFICIENCY WITH DEVASTATED YANG

Clinical Manifestations	Fetal restlessness Pale, watery Blood Palpitations Shortness of breath Laconic speech A sinking sensation in the lower abdomen Fatigue A shiny, pale complexion Abdominal fullness Lower back pain T: Pale C: Moist and thin P: Deficient and frail or Weak and smooth
Treatment Principle	Tonify Qi in order to tonify the Blood Raise Yang Qi
Herb Formulas	Ju Yuan Jian
Points

QI AND BLOOD DEFICIENCY

Clinical Manifestations	Restless fetus Miscarriage Nausea Vomiting Soreness and pain of the lower back Light colored vaginal bleeding Shortness of breath Malpositioned fetus Difficult delivery Morning sickness General weakness Abdominal pain Palpitations Pale complexion T: Pale C: White P: Small and smooth
Treatment Principle	Tonify Qi Nourish the Blood Regulate Qi Strengthen the Kidneys Calm the fetus Stabilize pregnancy
Herb Formulas	Bao Chan Wu You Fang Tai Shan Pan Shi Tang An Tai Yin Leading to Blood Stagnation: Ba Zhen Yi Mu Wan
Points

BLOOD STAGNATION IN THE UTERUS

Clinical Manifestations	Fetal restlessness Mild, persistent uterine bleeding of purple and black blood during pregnancy Abdominal pain that is worse with pressure Abdominal spasms and tension Immobile masses in the lower abdomen with pain and tenderness Amenorrhea with distention and pain Dysmenorrhea Headache Sinus congestion Constipation Excess weight in the pelvis Lower back ache Irregular menstruation Nervousness Fatigue Fetal instability Skin eruptions Scanty menstrual flow Scaly, dry skin Retention of lochia Shoulder stiffness Vertigo Cold low body and feet Flushed face Protruding abdomen T: Dark purple or with echymoses or petechiae or pale with purplish spots C: White P: Choppy or Tense, deep and slow
Treatment Principle	Invigorate the Blood Transform Blood Stasis Soften lumps Reduce fixed abdominal pain
Herb Formulas	Gui Zhi Fu Ling Wan
Points

BLOOD DEFICIENCY

Clinical Manifestations	Fetal restlessness Habitual miscarriage Pain in the waist and abdomen during pregnancy Dizziness Palpitations Insomnia Dry skin Dry hair Poor memory Paleness Fatigue Scanty periods T: Pale C: Thin, white and dry P: Thready and rapid or Weak
Treatment Principle	Nourishes the Blood Stabilizes the fetus
Herb Formulas	Dang Gui Ai Ye Tang Si Wu Tang Si Wu Tang Jia Wei Dang Gui San
Points

BLOOD HEAT

Clinical Manifestations	Bloody discharge during pregnancy Continual fetal restlessness A bearing down sensation Occasional lower abdominal pain Subjective sensation of Heat all over the body Red lips A dry mouth and thjroat Thirst Dark urination Constipation T: Red C: Yellow P: Slippery and rapid
Treatment Principle	Clear Heat Calm the fetus
Herb Formulas	Dang Gui San
Points

FOOD POISONING

Clinical Manifestations	Fetal restlessness Trismus Aphonia Rigidity of the arms Spontaneous perspiration Slight fever Symptoms may range from mild to severe P: Floating and soft
Treatment Principle	Clear the toxins Calm the fetus
Herb Formulas	San Wu Jie Du Tang (No information) Bai Bian Dou San (No information)
Points

TRAUMA

Clinical Manifestations	Fetal restlessness Severe abdominal pain Severe cases may have heavy hemorrhaging
Treatment Principle	Tonify Qi Nourish the Blood
Herb Formulas	Xiong Gui Jiao Ai Tang
Points