Hyperemesis gravidarum

　　The main cause of these symptoms is mainly due to the weakness of the stomach Qi or the upward invasion of the liver heat Qi, after pregnancy, the Qi of the Chongmai invades upwards, causing the stomach to lose its normal descending function, or leading to the upward冲 of the liver heat Qi.

　　The main cause of hyperemesis gravidarum is excessive secretion of chorionic gonadotropin, decreased secretion of gastric acid, reduced gastrointestinal motility, and slowing of digestion and absorption of food, which cause reflex vomiting. People who are nervous, depressed, afraid of pregnancy, and have unstable nervous system function are more prone to hyperemesis gravidarum.

　　If the early pregnancy reaction is severe, vomiting does not stop, and even food and water cannot be taken, it is called hyperemesis gravidarum. The main cause of hyperemesis gravidarum is excessive secretion of chorionic gonadotropin, decreased secretion of gastric acid, reduced gastrointestinal motility, and slowing of digestion and absorption of food, which cause reflex vomiting. People who are nervous, depressed, afraid of pregnancy, and have unstable nervous system function are more prone to hyperemesis gravidarum.

　　1. Mild vomiting

      Vomiting recurs repeatedly, especially after eating. Urinary ketone bodies are negative. It affects work.

　　2. Moderate vomiting

      Vomiting occurs frequently, even when not eating, and the vomit is frothy mucus, or it may contain bile and blood. The body shows signs of dehydration, such as thirst, dry skin and lips, sunken eyes, reduced urine volume with increased specific gravity, increased hemoglobin index, slightly elevated body temperature, decreased pulse rate and blood pressure, weight loss, decreased oxygen in the blood, reduced chloride excretion in urine, decreased blood protein and blood sugar, increased blood ketones, and positive urine ketones.

　　3. Severe vomiting 

      The body temperature rises, the pulse is weak, the blood pressure is even lower, the spirit is exhausted, drowsiness occurs, and even coma, convulsions, jaundice, oliguria, or anuria may occur.

　　1. Maintain a cheerful spirit and a comfortable mood. Do not become overly angry or sad, and avoid emotional fluctuations. Participate in more recreational activities and listen to more music.

　　2. You can participate in labor as usual, but do not overdo it. Pay attention to rest, ensure 8-9 hours of sleep every day, maintain indoor air circulation, freshness, and moderate temperature, and avoid being too cold or too hot.

　　3, Abstain from sexual intercourse in the first 3 months of pregnancy. Especially in the last 3 weeks before delivery, sexual intercourse must be forbidden. During pregnancy from 4 to 8 months, although sexual intercourse is possible, it should be moderate. Those with a history of abortion should be even more moderate in sexual activity.

　　4, It is strictly forbidden to smoke during pregnancy. Avoid刺激性 food (such as strong tea, alcohol, curry chili, etc.), seasoning should be light, not too salty. Eat more coarse grains, less refined grains and flour, and more foods rich in vitamin A, vitamin B, and vitamin C.

　　5, Do not abuse medication on your own. Some drugs can have adverse effects on the fetus or mother during pregnancy, and even cause fetal malformation.

　　In addition to clinical manifestations, the following methods are used for the diagnosis of pregnancy nausea and vomiting:

      1, Blood electrolyte examination;

　　2, Obstetric examination.

　　It is strictly forbidden to smoke during pregnancy. Avoid刺激性 food (such as strong tea, alcohol, curry chili, etc.), seasoning should be light, not too salty. Eat more coarse grains, less refined grains and flour, and more foods rich in vitamin A, vitamin B, and vitamin C.

　　It is necessary to go to the hospital in time. In necessary cases, tranquilizers and antiemetics can be taken under the guidance of a doctor, and the selection of drugs should consider reducing the impact on the fetus as much as possible. If the pregnant woman has insufficient nutrition, she can take vitamin preparations in moderation, such as vitamin A, B, C, etc.

　　You can also consult experienced TCM doctors for diagnosis and treatment. The following traditional Chinese patent medicines are for reference only:

　　1, Spleen and stomach weakness type

　　After pregnancy, nausea and vomiting without appetite, or vomiting clear phlegm, abdominal distension and loose stools, loss of appetite, fatigue and desire to sleep, pale tongue with white coating. Treatment should be to strengthen the spleen and harmonize the stomach. Fragrant Sand Liujun Wan, Ren Shen Jian Pi Wan, Shen Ling Bai Zhu Wan, and other traditional Chinese patent medicines can be taken.

　　2, Disharmony between liver and stomach

　　In the early stage of pregnancy, vomiting sour water or bitter water, chest fullness and胁 pain, belching and sighing, headache and dizziness, thirst and bitter taste in the mouth, yellow and greasy tongue coating. Treatment should be to suppress the liver and harmonize the stomach. Xiaoyao Wan can be taken.

　　3, Phlegm retention in the middle abdomen type

　　Vomiting and chest tightness, dizziness and heaviness, vomiting sticky sputum, abundant leukorrhea, body fatigue, thick and greasy coating. Erchen Wan can be taken.

　　4, Yin deficiency and stomach heat type

　　Dry mouth and vomiting, chest heat, short and yellow urine, or fever, vomit containing blood, red tongue with little coating. Yuquan Wan can be taken.