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If spontaneous abortion occurs
repeatedly more than 3 times to a single person. The case is known as
"habitual abortion," namely " Huatai" as termed in
traditional Chinese medicine. This case results from long-standing deficiency
of both the spleen and the kidney and from the destitution of Yin-blood. Owing
to the deficiency of the kidney and spleen qi, the fetus cannot be supplied
with necessary nutrients while the destitution of Yin-blood gives rise to the
interior heat which brings damage to uterine collaterals, and attacks the
Penetrating channel and Controlling Channel, thus leading to successive
abortions relative to frequent gestations.
Type and Treatment
The chief method for treating this
illness is to have drugs to strengthen the spleen and kidney before gestation
and then deep on taking drugs to secure the fetus until the pregnant months of
easy abortion have passed.
1. Deficiency of both spleen and
kidney s.
Clinical manifestations: The
patient looks weary and languid, with dark orbits or dim speckles on the face.
She is short of breath and lazy to speak and has poor appetite, sore
loins, weak knees and loose stools, accompanied by dizziness, tinnitus and
nocturia. The menses are always irregular, either preceded or delayed, either
profuse or scanty. In some cases, conception is hard to achieve after habitual
abortion. The tongue is pale and tender with thin coating. The pulse is deep
and feeble.
Therapeutic method: Tonify the
kidney, strengthen the spleen and reinforce the
Penetrating and Controlling
channels.
Recipe: Bushen Guchong Pill
Ingredients:
Semen Cuscutae
Radix Dipsaci
Radix Morindae Officinalis
Cortex Eucommiae
Radix Angelicae Sinensis
Rhizoma Rehmanniae Praeparata
Cornu Cervi Degelatinatum
Fructus Lycii
Colla Corii
Asini
Radix Codonopsis Pilosulae
Rhizoma Atracty lodis Macrocephalae
Rhizma
Atracty lodis Macrocephalae
Fructus Ziziphi Jujubae (kernel
removed)
Fructus Amomi
The above herbs are made into honeyed
boluses. Take at a time, twice a day, starting in advance of conception but
excluding the menstrual period. One course of treatment consists of 2 months.
Modification: In case of consistent
debility, add Placenta Hominis. In case of aversion to cold and cold-pain in
the lower abdomen with cool limbs, add Herba Epimedii.
2. Destitution of both qi
and blood
Clinical manifestations: The
case is marked by a pale or sallow complexion, short breaths, feeble limbs,
accompanied by dizziness palpitation ad lassitude; a pale tongue with tin,
whitish fur; a small and feeble pulse.
Therapeutic method: Invigorate qi
and replenish the blood, supported by tonifying the kidney and preventing
abortion.
Recipe: Taishan Panshi Decoction
Ingredients:
Radix Codonopsis Pilosulae
Radix Astragali seu Hedysari
Radix Dipasaci
Rhizoma Rehmanniae Praeparata
Radix Angelicae Sinensis
Rhizoma Ligustici Chuanxiong
Rhizoma Atractylodis Macrocephalae
Radix Paeoniae Ala
Radix Scutellariae
Fructus Amomi
Radix Glycyrrhizae Praeparata
Glutinous rice a handful.
The decoction of a dose is 200-300
ml. Take one half in the morning and the other half in the evening.
Modification: In case of a
hollow and hearing-down sensation in the lower abdomen, exchange both Radix
Codonopsis Pilosulae ad Radix Astragali seu Hedysari from respectively, and
add Rhizoma Cimicifugae
Praepraata. In case of heat due
to deficiency of blood, add Radix
Rehmanniae. In case of
palpitation and insomnia, add Semen
Ziziphi Spinosae.
3. Blood-Heat due to Yin-Deficiency
Clinical manifestations: The patient
has flushed cheeks, a dry throat and a hot sensation in palms and soles,
accompanied by magersucht and dysphoria. A reddened tongue with little
coating. A thready and rapid pulse.
Therapeutic method: Replenish the
vital essence and remove heat from the blood.
Recipe: Bao Yin Decoction
Ingredients:
Radix Rehmanniae
Rhizoma Rehmanniae Praeparata
Radix Paeoniae Alba
Radix Dipsaci
Rhizoma Dioscoreae Praeparata
Radix Scutellariae
Cortex Phellodendri
Radix Glycyrrhizae
Radix Boeheriae Niveae
Herba Eclipatae
Caution: In
order to carry out effective treatment, multifold examinations must be carried
out for both sexes, including blood groups, chromosomes, function of the
uterine neck, etc.
The interval between two conceptions
should be long enough.
It is best to pass over one year or even more.
The female who has a history of
habitual abortion should first of all free herself from mental tension and
nervousness. In ordinary daily life, she should refrain from sexual activity.
Especially in the first and last trimesters of pregnancy, sexual intercourse
should be forbidden so as to prevent miscarriage and premature birth.
Habitual abortion caused by coldness
of the uterus may be prevented y frequently eating eggs boiled with Folium
Artemisiae Argyi.
Another way to prevent abortion is to
use phoenix coat which refers to the inner membrane of the egg shell as the
chick has been hatched. Put a proper amount of phoenix coat on a clean tile
and bake it slowly by soft fire till it turns yellowish. Infuse of the drug
into hot rice soup. Take the prepared mixture twice a day, for 5 successive
days, starting in advance of the same month as that of the previous abortion.
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