Amniotic distension

　　Amniotic distension, also known as the fetus' Qi reversing or the fetus ascending to the heart, is often due to the accumulation of Yin and blood after pregnancy to nourish the fetus, the Liver Wood being rebellious, the Liver Wood overcoming the Spleen, which is generally due to Liver depression or Spleen deficiency leading to disharmony of Qi and blood, abnormal rise and fall of Qi, and the fetus' Qi reversing.

　　Amniotic distension occurs in women after the fourth or fifth month of pregnancy when the fetus' Qi reverses, causing distension or pain in the chest and hypochondrium, shortness of breath, and restlessness. The main symptoms include distension and stuffiness in the chest, hypochondrium, and abdomen, even pain, shortness of breath, restlessness, unease in sitting or lying down, thin yellow fur on the tongue, and wiry slippery pulse. This disease does not have any special complications.

　　In pregnant women, after the fourth or fifth month of pregnancy, the fetus' Qi reverses, causing distension or pain in the chest and hypochondrium, shortness of breath, and restlessness. This condition is also known as the fetus' Qi reversing or the fetus ascending to the heart. The main symptoms include distension and stuffiness in the chest, hypochondrium, and abdomen, even pain, shortness of breath, restlessness, unease in sitting or lying down, thin yellow fur on the tongue, and wiry slippery pulse. The specific clinical manifestations of this disease are as follows.

　　1. Stagnation of liver qi

　　Distension in the chest and hypochondrium, restlessness, dizziness, headache, nausea with a desire to vomit, pale red tongue with thin white or thin yellow fur, and wiry slippery pulse.

　　2. Deficiency of spleen and qi

　　Fullness in the chest and hypochondrium, abdominal distension and gas sinking, nausea and vomiting, decreased appetite and loose stools, fatigue and drowsiness, pale tongue, thin white fur, slow pulse.

　　In terms of preventing Zihuan, attention should be paid to the case where the spleen is deficient and stagnant with fullness, and the An Tai Drink is weak, it is advisable to use Jiashen Pingwei Powder. For those with stagnation, Zisu Decoction or modified Guipi Decoction is also suitable. For those with phlegm accumulation, add Fritillaria, Coptis, and Baimu to Zisu Decoction. For those with sudden anger, the left Guan must be tense and full, with internal movement of liver fire, use Xiao Chaihu Decoction with Poria, Quaoshi, and Shan Zao. Generally, when the fetus rises, it belongs to fire excess, and urgent use of Fritillaria, Attractylodes, and Xiangfu is necessary, and it is not advisable to take cold medicine, which may lead to other changes. I have found that for pregnant women with heart and stomach fullness, using Zunsheng Heqi Decoction is very effective.

　　Zihuan refers to the chest and hypochondrium fullness during pregnancy, which may be accompanied by shortness of breath and restlessness, also known as fetal pressure on the heart. The diagnosis of this disease relies not only on clinical manifestations but also on obstetric examination for Zihuan women, usually with obstetric ultrasound as the main method.

　　For Zihuan women, it is appropriate to increase dietary protein from legumes such as tofu and soy milk. Eat more seafood such as kelp and seaweed; animal organs and nuts are also good foods. Pay attention to controlling the intake of salt and water to avoid edema, which may lead to pregnancy poisoning. It is recommended that pregnant women choose foods with small volume and high nutritional value, such as animal foods. Reduce foods with low nutritional value and large volume, such as potatoes and sweet potatoes. For foods with high energy content, such as sugar and honey, it is advisable to eat less to prevent decreased appetite and affect the intake of other nutrients. Pregnant women with edema should limit salt intake to less than 5 grams per day.

　　When treating Zihuan with acupuncture, the main acupoint is Neiguan, which can be needled or moxibustion. For severe cases, both hands are moxibustion, for mild cases, seven moxibustion, and for severe cases, add several more. The moxa should be as large as millet or wheat. The inch is taken from the same body length, with men on the left and women on the right, the middle finger of the hand is bent back, and the grass is cut at the ends of the middle joint of the bent middle finger, which is one inch. In addition to acupuncture treatment, traditional Chinese medicine can also be used.

　　1. Stagnation of liver qi

　　Treatment Method: Soothing the liver and resolving depression.

　　The prescription is modified Zisu Decoction.

　　2. Deficiency of spleen and qi

　　Treatment Method: Strengthening the spleen and regulating qi.

　　The prescription is Xiangsha Liujun Decoction with Perilla and Quaoshi.