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POSTPARTUM ABDOMINAL PAIN

GENERAL

Clinical Manifestations
Treatment Principle
Herb Formulas
Points	REN-6, SP-6

LIVER BLOOD STAGNATION DUE TO BLOOD DEFICIENCY

Clinical Manifestations	Sharp pain in the chest or abdomen Irregular menstruation Dysmenorrhea Retention of lochia Postpartum abdominal pain Acute, colicky lower abdominal pain Severe pain in the middle abdomen Dizziness Blurred vision Pale, lusterless complexion Pale nails Pale lips Generalized muscle tension Irregular menstruation with little flow Amenorrhea Periumbilical pain Lower abdominal pain Vertigo Tinnitus Blurred vision Insomnia Spotting of pale Blood Postpartum uterine bleeding Epigastric pain Postpartum bleeding Pain beneath the heart Swelling and pain of external injuries Maybe five sole heat Delayed menstruation Palpitations Dizziness Dry skin Maybe leukorrhea Maybe fever Firm, painful abdomen Sporadic fever and chills Menorrhagia Hard abdominal masses with recurrent pain Unstable fetus with bleeding Chills and fever T: Pale or Purple with purple spots C: Normal P: Thready and wiry or Thready and choppy or Wiry, choppy and tight
Treatment Principle	Nourish the Blood Regulate the Liver Regulate menstruation Invigorate the Blood Dispel Blood Stasis Disperse accumulation Alleviate pain
Herb Formulas	Shi Xiao Si Wu Tang
Points

QI AND BLOOD DEFICIENCY

Clinical Manifestations	Profuse bleeding Continuous mild abdominal pain Pain slightly relieved by pressure No jerky or colliding pain Dizziness Blurred vision Slight fever General fatigue T: Normal C: Thin and white P: Thready and slow
Treatment Principle	Warm and replenish Qi and Blood
Herb Formulas	Dang Gui Jian Zhong Tang Si Wu Tang modified Chang Ning Tang
Points	REN-4, REN-6, SP-6, ST-36, UB-17, UB-20, UB-23

BLOOD STAGNATION

Clinical Manifestations	Scant lochia or Immediate cessation of lochia after delivery Lower abdomen hard and painful Paroxysmal spasms of lower abdominal pain which feels as if something were jerking or colliding in the area Worse with pressure Stabbing chest and abdominal pain radiating downward into the low back and flanks or upward into the upper back and arms Difficult menstruation Late menstruation Irregular menstruation Smooth urination Polyuria T: Dark purple P: Choppy
Treatment Principle	Invigorate the Blood Break up Stasis Move Qi Generate new tissue
Herb Formulas	Sheng Hua Tang modified Shi Xiao San Yan Hu Suo San With fever, delirium, nervous agitation and a weak pulse: Da Cheng Qi Tang
Points	KI-14, REN-4, SP-6, SP-10, ST-25

DEAD BLOOD

Clinical Manifestations	Slight pain in the lower abdomen P: Rough
Treatment Principle	Eliminate Dead Blood
Herb Formulas	Sheng Hua Tang Shi Xiao San
Points	REN-4, SP-6, SP-10, ST-25

DEFICIENCY COLD

Clinical Manifestations	Lower abdominal pain radiating to the umbilicus Continuous pain which is better with pressure and hot compresses Scanty lochia Cold limbs Aversion to cold Pallor Listlessness T: Pale C: Thin and white P: Weak and slow
Treatment Principle	Warm the channels Regulate the Blood
Herb Formulas	Dang Gui Sheng Jiang Yang Rou Tang With Blood Stagnation: Sheng Hua Tang
Points	REN-4, REN-6, REN-12, SP-6, ST-25, ST-36

WATER STAGNATION IN THE LOWER JIAO

Clinical Manifestations	Lower abdomen hard, swollen and painful Dysuria Slight urinary incontinence TC: Slippery P: Deep
Treatment Principle	Eliminate Water Stagnation
Herb Formulas
Points	KI-7, REN-3, SP-9, ST-28