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Postpartum vomiting
产后呕吐 〔產後嘔吐〕 chǎn hòu ǒu tù
Vomiting after childbirth. Postpartum vomiting is attributed to cold evil that exploits stomach qì vacuity, blood stasis due to scant elimination of the lochia, or phlegm qì swamping the stomach.
Patterns
Vacuity cold (虚寒 xū hán) patterns are characterized by vomiting with reduced food intake, bland taste in the mouth, and sometimes by dull stomach or abdominal pain,
Medicinal therapy: Warm, nourish, and calm the stomach. Use
Blood stasis (血瘀 xuè yū) due to scant elimination of the lochia is characterized by vomiting with abdominal pain, and ungratifying scant discharge of stagnant lochia.
Medicinal therapy: Quicken the blood and dispel stasis with variations of
Phlegm qì flooding the stomach (痰气泛胃 tán qì fàn wèi) is characterized by bloating and oppression in the chest and abdomen.
Medicinal therapy: Dispel phlegm and harmonize the stomach; downbear counterflow and check vomiting. Use variations of
Acumoxatherapy: Base treatment mainly on CV, ST, SP, and LR. Main points: CV-12 (Center Stomach Duct, 中脘 zhōng wǎn), PC-6 (Inner Pass, 内关 nèi guān), ST-36 (Leg Three Lǐ, 足三里 zú sān lǐ), and ST-25 (Celestial Pivot, 天枢 tiān shū).
- For cold evil exploiting the stomach, add BL-20 (Spleen Transport, 脾俞 pí shù), BL-21 (Stomach Transport, 胃俞 wèi shù), CV-4 (Pass Head, 关元 guān yuán), and CV-6 (Sea of Qì, 气海 qì hǎi), needling with even supplementation and drainage, and adding moxa.
- For rough scant flow of lochia, add CV-3 (Central Pole, 中极 zhōng jí), SP-6 (Three Yīn Intersection, 三阴交 sān yīn jiāo), LR-3 (Supreme Surge, 太冲 tài chōng), LR-8 (Spring at the Bend, 曲泉 qū quán), and BL-17 (Diaphragm Transport, 膈俞 gé shù), needle with supplementation and add moxa.
- For phlegm qì swamping the stomach, add CV-12 (Center Stomach Duct, 中脘 zhōng wǎn) and ST-40 (Bountiful Bulge, 丰隆 fēng lóng), needling with drainage and adding moxa.