Pregnancy edema

　　The cause of pregnancy edema is weakness of the spleen and stomach, with hydrostatic retention between the viscera and the fetus causing fluid retention in the uterine cavity. It is also due to excessive amniotic fluid in Western medicine. Once the regulatory mechanism of amniotic fluid is out of balance or there is a transport obstruction, abnormal amniotic fluid volume will occur. The exact cause of excessive amniotic fluid is not very clear, and abnormalities in the fetus, mother, and placenta can all lead to excessive amniotic fluid.

　　Pregnancy edema often causes preeclampsia, with clinical manifestations of hypertension, edema, and proteinuria. In severe cases, it may lead to convulsions and coma, threatening the lives of both the mother and the child. The overdistension of the uterus and high pressure are prone to preterm labor. After the amniotic membrane breaks, if a large amount of amniotic fluid gushes out, the intracavitary pressure drops suddenly, which may cause umbilical cord prolapse and endanger the life of the fetus. After the amniotic fluid flows out, the uterine cavity volume suddenly decreases, which may cause early placental abruption or maternal shock due to a sudden drop in abdominal pressure.

　　Pregnant women with 'Zi Man' usually have a history of early pregnancy, viral infection, or gestational diabetes, and a history of malformed fetus or twins. After the mid-pregnancy, there is an abnormal abdominal swelling, abdominal distension, tight and shiny abdominal skin, chest and hypochondrium fullness, even difficulty in breathing or lying down, difficulty in movement, or accompanied by edema of the abdomen, lower limbs, and vulva, and oliguria or even dysuria.

　　After women become pregnant, the abdominal circumference increases gradually with the increase of months due to the continuous growth and development of the fetus in the uterus. If the abdominal circumference increases beyond the growth of the month, it is necessary to go to the hospital for examination, and it should not be taken lightly as the fetus grows fast. When the abdominal circumference is too large, the fetus may be multiple pregnancies, excessive amniotic fluid, or a macrosomic fetus. In addition, it may also be associated with hydatid mole, uterine fibroids, ovarian tumors, etc. In addition to multiple pregnancies, all these are abnormal conditions that may be associated with other diseases. After diagnosis, timely treatment should be given.

　　Even in the case of multiple pregnancies, regular prenatal examinations should be carried out to avoid other diseases. These include gestational hypertension, placenta previa, placental abruption, abnormal fetal position, premature rupture of membranes, cord prolapse, postpartum hemorrhage, puerperal infection, and are also prone to abortion and preterm birth. These pose a certain threat to the health of both mother and child and should not be taken lightly.

　　The abdominal examination of pregnant women with 'Zi Man' shows a clear liquid vibration, unclear fetal position, and distant or unclear fetal heart sounds. In addition, B-ultrasound examination can measure the amniotic fluid level and can detect twins or partial malformations.

　　Pregnant women with 'Zi Man' should pay attention to a light diet during pregnancy, and the food therapy for 'Zi Man' is carp soup. The ingredients are carp, atractylodes, white peony root, angelica, poria, ginger, tangerine peel, astragalus, and mulberry bark.

　　Abdominal swelling and abnormalities, chest and diaphragm fullness, even swelling all over the body, and difficulty in breathing or lying down are called 'Zi Man'. The traditional Chinese medicine treatment for 'Zi Man' is the carp soup. The ingredients of the carp soup are carp, atractylodes, white peony root, angelica, poria, ginger, tangerine peel, astragalus, and mulberry bark.