Pregnancy Fever

　　The mechanism of fetal death not descending is mainly due to both deficiency and excess. Deficiency is characterized by weakness of Qi and blood, with insufficient power to expel the fetus; excess is due to the blockage of blood stasis and dampness, hindering the expulsion of the fetus. Common types include weakness of Qi and blood, blood stasis blocking, and dampness blocking Qi flow.

　　1. Weakness of Qi and Blood:Pregnant women are inherently weak, with insufficient Qi and blood,空虚的冲任，the fetus loses the nourishment of Qi and blood, leading to fetal death in the uterus; due to Qi deficiency and poor transportation, blood deficiency and insufficient nourishment, the dead fetus is difficult to be delivered, thus causing the fetus to remain stuck and not descending.

　　2. Blood stasis blocking:Trauma during pregnancy, or cold blood stasis, blocking the Chong and Ren channels, damaging the primordial fetus, leading to fetal death in the uterus; due to the internal blockage of blood stasis, the birth canal is not favorable, hindering the fetus from being expelled, thus the fetus remains stuck and does not descend.

　　3. Dampness blocking Qi flow:Due to the deficiency of the spleen and the insufficiency of the source of transformation, the fetus loses nourishment after pregnancy, leading to fetal death in the uterus; due to the dysfunction of the spleen in transportation and transformation, dampness and turbidity are retained internally, blocking the uterine vessels, and obstructing the flow of Qi, causing the dead fetus to remain stuck and not descending.

　　1. Nausea and Vomiting during Pregnancy

　　It refers to the symptoms such as nausea, vomiting, dizziness, chest tightness, even aversion to food, or vomiting immediately after eating that occur in the 1-3 months after women become pregnant.

　　2. Narcolepsy

　　This disease is characterized by irresistible short-term sleep attacks and is a syndrome with unclear etiology. Its features include abnormal sleep tendencies, including excessive daytime sleepiness, restless sleep at night, and pathological REM sleep. It usually starts in childhood or adolescence, with similar incidence rates in males and females. Some patients may have a history of encephalitis or craniocerebral trauma. The pathogenesis is not yet clear and may be related to the dysfunction of the ascending activating system of the brainstem reticular formation or the hyperactivity of the pontine lateral reticular nucleus. Most patients have other symptoms such as cataplexy, sleep paralysis, and sleep hallucinations, collectively known as the tetrad of narcolepsy.

　　1. Main symptoms:For a dead fetus that cannot be expelled, there are symptoms such as abdominal pain, vaginal bleeding with purple dark clots, foul smell, dark blue face, dark purple tongue, and deep and涩 pulse.

　　2. Syndrome analysis:Blood stasis blocks the passage of the fetus, causing the fetus to die without being expelled; blood stasis blocks the Chong and Ren meridians, causing pain when not flowing smoothly; blood stasis internally blocks, causing blood not to return to its channels and to leak outwards, resulting in vaginal bleeding with purple dark color or mixed with blood clots; if the fetus dies due to blood stasis for a long time, foul smell rises due to stagnant Qi; the face is dark blue, the tongue is dark purple, and the pulse is deep and涩，are signs of dead fetus and blood stasis.

　　Prevention:

　　1. The treatment of pregnancy fever should be urgent to expel the dead fetus to avoid affecting the safety of the pregnant woman. However, before expelling the fetus, a diagnosis should be made on whether the fetus is alive or dead to avoid errors. Generally, if the fetus dies in the abdomen during pregnancy, the pregnant woman may feel the fetus stop moving, the abdomen no longer continues to grow, but slightly shrink, sometimes vaginal bleeding, or流出赤豆汁样液体，口出恶臭，脉涩等症。If the fetus suddenly dies during labor, in addition to the fetus stopping moving, it is often accompanied by acute abdominal pain, shortness of breath, and other symptoms. In clinical practice, it is not enough to rely solely on symptoms and pulse to diagnose a dead fetus; it is necessary to combine modern medical examination methods such as urine pregnancy tests and ultrasound examinations.

　　2. For pregnancy fever, it is necessary to use medicine cautiously according to the strength of the mother, and it is not advisable to use drastic treatments that damage the health of the pregnant woman. If the pregnant woman herself is weak in Qi and blood, it is advisable to first consolidate the original foundation, nourish Qi and blood, and then proceed with the abortion.

　　In addition to clinical manifestations, the diagnostic methods for pregnancy fever are as follows:

     1. Gynecological examination;

　　2. Obstetric ultrasound;

　　3. Obstetric examination;

　　4. Fetal development examination;

　　5. Systematic fetal ultrasound examination.

　　I. Food suitable for abortion

　　1. Firstly, it is necessary to ensure the supply of high-quality protein, adequate vitamins and inorganic salts, especially to supplement sufficient iron to prevent anemia.

　　2. Food selection should not only be nutritious but also easy to digest and absorb. Fresh fish, tender chicken, eggs, animal liver, animal blood, lean meat, soy products, milk, jujube, lotus seeds, fresh fruits and vegetables can be provided.

　　3, Due to the weakness of the body, sweating often occurs, so it is best to replenish fluids in small amounts and multiple times. A lot of water-soluble vitamins are excreted in sweat, especially vitamin C, vitamin B1, and vitamin B2. Therefore, it is recommended to eat more fresh vegetables and fruits. This also helps prevent constipation.

　　4, Nourishing Blood and Qi: When it comes to nourishing Qi and blood, there are many traditional dietetic methods worth learning from. Herbs like Astragalus, Eajiao, brown sugar, red dates, glutinous rice, long-grain rice, old chicken, ginger, spinach, and umeboshi all have remarkable effects of hemostasis, Qi and blood tonification. In addition, pork, animal liver, and blood tofu also have the effect of iron supplementation and blood production. At the same time, consuming sufficient vitamin C can increase the efficiency of iron absorption and utilization. Therefore, it is necessary to pay attention to the balance of meat and vegetables in diet. Traditional medicine believes that the weakness, pallor, lumbar pain, and easy fatigue often seen after artificial abortion are due to the injury of both Qi and blood. Indeed, abortion can lead to bleeding, while pain and tension can injure Qi. As people get older, they are more sensitive to the injury caused by abortion, and often need a longer time for the double tonification of Qi and blood.

　　Two, Foods to Avoid After Abortion

　　1, Do not eat or eat less greasy and cold foods, and it is not suitable to eat radishes, hawthorn, bitter melon, tangerines, and other foods with properties of regulating Qi, activating blood, and being cold.

　　2, Eat less dry and hot foods such as chives, sauerkraut, rapeseed, cilantro, and lamb.

　　3, Avoid spicy foods such as chili, alcohol, vinegar, pepper, and ginger, as these foods can cause congestion of the organs and increase menstrual flow.

　　4, Avoid eating cold foods such as crabs, snails, and clams.

　　Three, Post-Abortion Diet Recipes

　　1, Egg and Red Date Soup

　　2 eggs, 10 red dates, and an appropriate amount of brown sugar. Boil water in a pot, crack the eggs and let them boil, then add the red dates and brown sugar and simmer over low heat for 20 minutes. It has the effects of tonifying the middle and nourishing the Qi, and nourishing the blood. It is suitable for anemia and after illness, and for nourishing the Qi and blood deficiency after childbirth.

　　2, Lychee and Red Date Soup

　　7 dried lychees and 7 dried red dates. Boil them together with water and take them daily as a decoction. It has the effects of nourishing the blood and moistening the lungs. It is suitable for women with anemia and the nourishment of post-abortion physical weakness.

　　3, Soy Milk and Rice Porridge

　　2 bowls of soy milk, 50 grams of rice, and an appropriate amount of sugar. Wash the rice and cook it with soy milk to make porridge. Add sugar and serve after it is cooked. Take it on an empty stomach in the morning. It has the effects of harmonizing the spleen and stomach, and clearing heat and moistening dryness. It is suitable for the nourishment of post-abortion physical weakness.

　　4, Pigeon and Goji Soup

　　1 pigeon, 30 grams of goji berries, a little salt. Remove the feathers and internal organs of the pigeon, wash it, and place it in a pot with water and goji berries to stew together. Add a little salt when it is cooked. Eat the meat and drink the soup, twice a day. It has the effects of tonifying the Qi, nourishing the blood, and tonifying the body. It is suitable for post-abortion physical weakness and Qi deficiency after illness, fatigue, and sweating of the exterior.

　　5, Candied Red Dates

　　50 grams of dried red dates, 100 grams of peanuts, and 50 grams of brown sugar. Wash the dried red dates and soak them in warm water. Boil the peanuts slightly, peel and set aside. Put the dates and peanut skins in a small aluminum pot, add the water from the boiled peanuts, then add an appropriate amount of water, and simmer over low heat for 30 minutes. Remove the peanut skins, add brown sugar, and simmer until the sugar dissolves and the sauce thickens. It has the effects of nourishing the blood and tonifying the body. It is suitable for anemia or low blood figures after miscarriage.

　　The main treatment method is to reduce the fetus. However, according to the strength of the mother's body and the虚实 of the syndrome, medication should be adjusted appropriately, and it is not advisable to use drastic and violent methods, which may lead to adverse consequences. Dead fetus for a long time is prone to coagulation disorders, with a tendency to bleed, which should be paid attention to.

　　First, deficiency of both qi and blood type

　　Main Symptoms: Dead fetus in the womb during pregnancy that does not come down, hidden pain in the lower abdomen, or cold sensation, or vaginal discharge of light menstrual blood. Dizziness, blurred vision, palpitations, shortness of breath, fatigue, and pale complexion. Pale tongue, white coating, thin and weak pulse.

　　Therapeutic Method: Invigorating qi and nourishing blood, promoting blood circulation and reducing the fetus.

　　Prescription: Jiumu Dan (from 'Fuyunfu Nvke').

　　Dangshen 20, Danggui 10, Chuanxiong 10, Yimucao 25, Chishizhi 10, Jingjie sui 10 (fried black).

　　Modification: For those with severe deficiency of both qi and blood, add Huangqi 20, Danshen 12 to invigorate qi and blood; for those with cold pain in the lower abdomen, add Wuzhuyu 6, Wu Yao 9, Ai Ye 9 to warm the lower yuan and promote qi to reduce the fetus.

　　Second, blood stasis obstruction type

　　Main Symptoms: Dead fetus in the womb during pregnancy that does not come down, lower abdominal pain, or vaginal bleeding, purple and dark with clots. Pale complexion. Purple tongue, deep and涩 pulse.

　　Therapeutic Method: Promoting qi and blood circulation, removing blood stasis and reducing the fetus.

　　Prescription: Tuohua Decoction (from 'Jingyue Quanshu') added with Mangxiao.

　　Danggui 10, Chuanxiong 10, Rougui 5, Niuxi 15, Honghua 10, Cheqianzi 15 (decocted), Mangxiao 6 (mixed).

　　Third, dampness obstructing the qi type

　　Main Symptoms: Dead fetus in the womb during pregnancy that does not come down, cold pain in the lower abdomen, and sticky yellow fluid flowing from the vagina. Chest and abdomen fullness and stuffiness, foul breath, fatigue, and drowsiness. White and thick greasy coating, soft and slow pulse.

　　Therapeutic Method: Strengthening the spleen and removing dampness, promoting qi and reducing the fetus.

　　Prescription: Pingwei San (from 'Heji Ju Fang') added with Mangxiao and Zhishi.

　　Cangzhu 10, Houpu 9, Chenpi 6, Gancao 3, Mangxiao 6 (mixed), Zhishi 10.

　　Fuzhen Tablets: 5 tablets each time, 2-3 times a day. Suitable for blood deficiency and dead fetus that does not come down.

　　Biochemical Granule: 1-2 packets each time, 3 times a day. Suitable for blood deficiency with blood stasis and dead fetus that does not come down.