Postpartum urgency

　　The pathological mechanism of postpartum vomiting is that the stomach Qi reverses and fails to descend. Due to injury to the viscera during childbirth, deficiency Qi invades the gastrointestinal tract, causing dryness and stickiness in the gastrointestinal tract, with Qi reversing upwards, leading to vomiting and loss of appetite. There are also cases caused by deficiency-cold Qi in the stomach, food retention, and internal obstruction of phlegm and fluid.

　　1, Vomiting: Viral acute gastroenteritis, bacterial acute gastroenteritis, acute viral hepatitis, appendicitis, cholecystitis, peritonitis, acute salpingitis, pelvic inflammation, and other diseases.

　　2, Diarrhea: Commonly seen in acute and chronic colitis, gastrointestinal dysfunction, allergic colitis, ulcerative colitis, intestinal tuberculosis, and other diseases in Western medicine. Western medicine believes that diarrhea can be caused by various reasons. When a large amount of non-absorbable hypertonic solute is ingested, the body fluid is passively introduced into the intestinal cavity, leading to osmotic diarrhea; diarrhea caused by excessive secretion of water and electrolytes in the gastrointestinal tract or inhibition of absorption; when the integrity of the intestinal mucosa is damaged due to inflammation, ulceration, and other lesions, causing a large amount of exudation to form exudative diarrhea (inflammatory diarrhea); when the gastrointestinal motility shortens the time of contact between the intracavity water and electrolytes and the intestinal epithelium, it directly affects the absorption of water, forming abnormal diarrhea due to gastrointestinal motility dysfunction.

　　The postpartum woman has unceasing night sweats, leading to exhaustion of spirit and fatigue, thirst and drinking, and I believe there is blood deficiency with heat. The essence of the body is originally weak, and it is further weakened by excessive blood loss during childbirth, resulting in further deficiency of Yin and blood, internal heat, and Yang floating without being retracted, causing night sweats. Clinical manifestations include night sweats, cessation after waking up, restlessness, lack of sleep, feverishness in the five interiors, dizziness and tinnitus, dry mouth and throat, thirst without desire for drink, weakness in the waist and knees, red tongue with little fur, and a thin rapid pulse. Treatment should focus on Qi and Yin nourishment, and fluid production and perspiration control. The modified Yu Ping Feng San is the main medicine.

　　One of the postpartum three urgent syndromes, with five symptoms: food retention diarrhea, cold and damp diarrhea, damp-heat diarrhea, spleen deficiency diarrhea, and kidney deficiency diarrhea. Treatment should focus on digestion for food retention, warmth for cold, drying for dampness, and tonification for deficiency.

　　Postpartum night sweats:"The postpartum patient has盗sweating that does not stop, leading to exhausted spirit and fatigue, with dry mouth and a desire for drinks. I believe it is due to blood deficiency with heat." The postpartum Yin is originally weak, and added to excessive blood loss during childbirth, Yin blood becomes even more deficient, Yin deficiency and internal heat, Yang floating and not contained, forcing sweat to leak outwards, leading to night sweats. Clinical manifestations include intermittent fever and night sweats, stopping after waking up, restlessness and insomnia, feverishness in the five interiors, dizziness and tinnitus, dry mouth and throat, thirst without desire for drinks, soreness and weakness in the waist and knees, red tongue with little fur, and thready and rapid pulse. Treatment should be to tonify Qi, nourish Yin, generate fluid, and condense sweat. The prescription should be the modified Yu Ping Feng San. The composition of the medicine is: Astragalus 15g, Atractylodes macrocephala 10g, Saposhnikovia divaricata 10g, Prepared Rehmannia 15g, Oyster shell 15g, Poria 12g, Ophiopogon japonicus 15g, Licorice 5g, three dates for guidance. Decocted for oral administration, one dose per day.

　　1. Routine blood tests and biochemical tests can understand whether there is anemia, leukocytosis, diabetes, and electrolyte and acid-base balance. Fresh feces examination is the most important step in diagnosing the cause of acute and chronic diarrhea, and can find bleeding, pus cells, protozoa, worm eggs, lipoma, undigested food, etc. The occult blood test can detect invisible bleeding. Feces culture can find pathogenic microorganisms. Distinguishing secretory diarrhea and hypertonic diarrhea sometimes requires checking fecal electrolytes and osmotic pressure.

　　2. Small intestine absorption function test.

　　1. Postpartum precautions

　　1. Blood-building

　　New mothers lose a lot of blood after childbirth and need to supplement iron to produce red blood cells in the blood. Lean meat, animal liver and blood, and spinach contain a lot of iron, and eating more can help with blood-building.

　　2. Supplement nutrition

　　New mothers are relatively weak after pregnancy and childbirth, and it is necessary to strengthen nutrition at this time. However, this does not mean that they should eat a lot of chicken, duck, fish, meat, and various health products. A balanced diet with a combination of meat and vegetables is the way to eat during the postpartum period.

　　3. Prevent constipation

　　Starting from the second week, eat some fresh vegetables with each meal, especially red vegetables such as carrots and amaranth; in the third week, you can add fruits to prevent constipation caused by the slowing of intestinal peristalsis after childbirth.

　　4. Aid digestion

　　Two weeks after giving birth, the internal organs of the postpartum woman have not yet recovered. To avoid increasing the burden on the stomach, she should eat some food that helps digestion. Hawthorn is sweet and sour, can increase appetite, aid digestion, and excite the uterus, promoting uterine contraction and accelerating the discharge of lochia.

　　5. Calcium supplement

　　Calcium is an important raw material for bone growth and tooth development. New mothers who eat more milk, tofu, eggs, fish, and shrimp can increase the calcium content in breast milk, which is beneficial to the development of the baby's bones and teeth.

　　6. Optimize milk

　　Babies who are breastfed get all their nutrition from their mother's milk. New mothers' diet is directly related to milk secretion, so improving the quality of breast milk is closely related to the health of the baby.

　　7. Supplement vitamins

　　Sufficient B vitamins can ensure abundant milk supply. New mothers should eat some coarse grains, fruits, and vegetables appropriately. In addition, high-quality black tea is a rich source of B vitamins and vitamin C, and new mothers can drink it in moderation every day.

　　Secondly, what is not suitable to eat after childbirth?

　　1. Avoid cold and greasy foods;

　　2. Avoid spicy and other irritant foods;

　　3. Avoid hard, rough, and acidic foods;

　　4. Avoid salty foods;

　　5. Avoid a single or overfull diet;

　　6. Lactating mothers should avoid eating barley and its products;

　　7. It is not advisable to smoke and drink alcohol after childbirth;

　　8. It is not advisable to eat a lot of monosodium glutamate after childbirth;

　　9. It is not advisable to drink a lot of tea and yellow wine after childbirth.

　　Precautions before the treatment of the three urgent issues after childbirth:

　　1. Postpartum night sweats:"The postpartum patient has盗sweating that does not stop, leading to exhausted spirit and fatigue, with dry mouth and a desire for drinks. I believe it is due to blood deficiency with heat." The postpartum Yin is originally weak, and added to excessive blood loss during childbirth, Yin blood becomes even more deficient, Yin deficiency and internal heat, Yang floating and not contained, forcing sweat to leak outwards, leading to night sweats. Clinical manifestations include intermittent fever and night sweats, stopping after waking up, restlessness and insomnia, feverishness in the five interiors, dizziness and tinnitus, dry mouth and throat, thirst without desire for drinks, soreness and weakness in the waist and knees, red tongue with little fur, and thready and rapid pulse. Treatment should be to tonify Qi, nourish Yin, generate fluid, and condense sweat. The prescription should be the modified Yu Ping Feng San. The composition of the medicine is: Astragalus 15g, Atractylodes macrocephala 10g, Saposhnikovia divaricata 10g, Prepared Rehmannia 15g, Oyster shell 15g, Poria 12g, Ophiopogon japonicus 15g, Licorice 5g, three dates for guidance. Decocted for oral administration, one dose per day.

　　2. Method of warming the stomach and stopping vomiting:It is used for the symptoms of stomach Qi deficiency and cold. According to Fu Qingzhu's Gynecology: "After childbirth, the organs are injured due to overwork, and cold evil easily invades the gastrointestinal tract, causing vomiting and difficulty in eating due to reversed Qi and downward flow of food." This condition is mostly due to the constitution of the产妇 being weak and cold, and because of the weakness of Qi and blood after childbirth, the organs are injured, and added to irregular diet, overeating of cold food, cold evil invades the stomach on the empty, causing the stomach to lose its normal descending function, and the upward flow leads to vomiting after childbirth. It is believed that this condition is mostly due to the patient having chronic gastroenteritis, gastrointestinal ulcer disease, and other diseases, and added to the weakness of Qi and blood after childbirth, irregular diet, and cold invasion of the gastrointestinal tract. Clinical manifestations include vomiting after childbirth, cold pain in the epigastrium and abdomen, relief with hot compress, poor appetite and less food intake, and more fullness and bloating after eating. The tongue is pale with thin white fur, and the pulse is slow and weak. Treatment should be to warm the middle and disperse cold, and to reduce nausea and vomiting. The prescription should be the warm stomach clove powder. The composition of the medicine is: Angelica sinensis 15g, Atractylodes macrocephala 10g, Black ginger 10g, Clove 5g, Ginseng 10g, Citrus reticulata 10g, Bupleurum 10g, Hoelen 10g, Licorice 5g. Decocted for oral administration, one dose per day.