POSTPARTUM UTERINE BLEEDING

Clinical Manifestations
Treatment Principle
Herb Formulas
Points
Clinical Manifestations
  • Abdominal pain
  • Uterine bleeding (metrorrhagia)
  • Excessive menstruation
  • Menstruation with constant spotting
  • Postpartum bleeding
  • Bleeding during pregnancy
  • The Blood is pale and thin without clots
  • Weakness
  • Dizziness
  • Sore lower back
  • Post abortion bleeding
  • Dull complexion
  • Weakness and pain of the legs
  • Light red, unelevated and indistinct eruptions
  • T: Pale
  • C: Thin and white or Whitish and moist
  • P: Thready and weak
Treatment Principle
  • Nourish and warm the Blood
  • Stop bleeding
  • Regulate menstruation
Herb Formulas
Points
Clinical Manifestations
  • Prolapse of one or more organs
  • Sallow complexion
  • Anorexia
  • Four limbs feel tired and heavy
  • Abdominal and epigastric distention after eating
  • Maybe acid regurgitation or vomiting
  • Loose stools
  • Shortness of breath
  • T: Pale and flabby - may have teethmarks
  • C: White
  • P: Even or Soft and thready
Treatment Principle
  • Strengthen the Spleen
  • Benefit Qi
  • Reinforce the Center
  • Invigorate Yang
Herb Formulas
Points
  • DU-20, other points are selected according to the type of prolapse
Clinical Manifestations
  • Hot sensations in the muscles and skin
  • Red face
  • Irritability
  • Thirst with a preference for warm beverages or does not wish to drink
  • Fatigue
  • Fever
  • Headache
  • Slight perspiration
  • Hypermenorrhea during menstruation or after labor
  • Purulent abscesses
  • Red eyes
  • Dry, feverish skin
  • Postpartum fever
  • Distress
  • Postpartum headache
  • Postpartum irregular menstruation
  • Slow healing of wounds
  • Excessive Blood loss after labor
  • T: Pale
  • P: Flooding, big, forceless and Deficient when pressed hard or Big and weak
Treatment Principle
  • Tonify Qi
  • Generate Blood
Herb Formulas
Points
Clinical Manifestations
  • Palpitations
  • Insomnia with much dreaming
  • Easily startled
  • Eye dizziness
  • Both eyes dry and rough
  • Twitching of the eyes
  • Pain in the ribs and flanks
  • Numbness of the limbs
  • Stiffness and spasms of the tendons
  • Low grade fever
  • Night sweats
  • Irregular, scanty menses
  • T: Pale and thin
  • C: Little
  • P: Thready, choppy and forceless
Treatment Principle
  • Nourish Yin
  • Reinforce the Blood
  • Conceal Yang
  • Calm the Shen
Herb Formulas
Points
Clinical Manifestations
  • Irritability
  • Short temper
  • Restlessness
  • Fever or tidal fever
  • Red eyes
  • Dry mouth and throat
  • Palpitations
  • Lower abdominal pain
  • Difficult urination
  • Painful urination
  • Increased menstrual flow
  • Uterine bleeding
  • Early menstruation
  • Aching in limbs
  • Dizziness
  • Mental instability
  • Red face
  • Thirst
  • Turbid urine
  • Alternating chills and fever
  • Red cheeks
  • Wheezing
  • Nervousness
  • Headache
  • Red eyes
  • Dry mouth
  • Anorexia
  • Infertility
  • Abdominal pain
  • Spontaneous sweating or night sweats with fever
  • Anxiety
  • Dry eyes
  • Hypochondriac pain
  • Somnolence
  • Insomnia
  • Aching shoulders
  • Five Sole Heat
  • Earache
  • Premenstrual tension
  • Hot flashes
  • Fatigue
  • Lassitude
  • Depression
  • Restlessness
  • Constipation with flushing up
  • Pale complexion
  • Bitter taste in mouth
  • Vertigo
  • Abdominal distention near the umbilicus
  • Epistaxis
  • Irregular menstruation
  • Heaviness in the lower abdomen
  • T:Red or Red edges
  • C: Thin and yellow
  • P: Thready, rapid and wiry or Wiry and tight and rapid
Treatment Principle
  • Pacify the Liver
  • Spread Liver Qi
  • Strengthen the Spleen
  • Nourish the Blood and Yin
  • Regulate menstruation
  • Sedate the Heart
  • Clear Heat
Herb Formulas
Points
Clinical Manifestations
  • Sharp pain in the chest or abdomen
  • Irregular menstruation
  • Dysmenorrhea
  • Retention of lochia
  • Postpartum abdominal pain
  • Acute, colicky lower abdominal pain
  • Severe pain in the middle abdomen
  • Dizziness
  • Blurred vision
  • Pale, lusterless complexion
  • Pale nails
  • Pale lips
  • Generalized muscle tension
  • Irregular menstruation with little flow
  • Amenorrhea
  • Periumbilical pain
  • Lower abdominal pain
  • Vertigo
  • Tinnitus
  • Blurred vision
  • Insomnia
  • Spotting of pale Blood
  • Postpartum uterine bleeding
  • Epigastric pain
  • Postpartum bleeding
  • Pain beneath the heart
  • Swelling and pain of external injuries
  • Maybe five sole heat
  • Delayed menstruation
  • Palpitations
  • Dizziness
  • Dry skin
  • Maybe leukorrhea
  • Maybe fever
  • Firm, painful abdomen
  • Sporadic fever and chills
  • Menorrhagia
  • Hard abdominal masses with recurrent pain
  • Unstable fetus with bleeding
  • Chills and fever
  • T: Pale or Purple with purple spots
  • C: Normal
  • P: Thready and wiry or Thready and choppy or Wiry, choppy and tight
Treatment Principle
  • Nourish the Blood
  • Regulate the Liver
  • Regulate menstruation
  • Invigorate the Blood
  • Dispel Blood Stasis
  • Disperse accumulation
  • Alleviate pain
Herb Formulas
Points
Clinical Manifestations
  • Dizziness
  • Blurred vision
  • Pale, lusterless complexion
  • Pale nails
  • Pale lips
  • Generalized muscle tension
  • Irregular menstruation with little flow
  • Amenorrhea
  • Periumbilical pain
  • Lower abdominal pain
  • Vertigo
  • Tinnitus
  • Blurred vision
  • Insomnia
  • Spotting of pale Blood
  • Postpartum uterine bleeding
  • Maybe Five Sole Heat
  • Delayed menstruation
  • Palpitations
  • Dizziness
  • Dry skin
  • Maybe leukorrhea
  • Maybe fever
  • Firm, painful abdomen
  • Sporadic fever and chills
  • Menorrhagia
  • Hard abdominal masses with recurrent pain
  • Unstable fetus with bleeding
  • Chills and fever
  • T: Pale
  • C: Normal
  • P: Thready and wiry or Thready and choppy
Treatment Principle
  • Nourish the Blood
  • Regulate the Liver
  • Improve Blood circulation
  • Regulate menstruation
Herb Formulas
Points
Clinical Manifestations
  • Postpartum uterine bleeding
  • Dizziness
  • Tinnitus or deafness
  • Poor memory
  • Aching, soreness or weakness of the low back
  • Spermatorrhea or
  • Premature ejaculation
  • Aching in the bones
  • Aching in the leg and heel
  • Dry mouth
  • Thirst
  • Night sweats
  • Five Sole Heat
  • Malar flush
  • Low grade fever in the afternoon
  • Dry throat, maybe recurrent sore throat
  • Dry stools and/or
  • Constipation
  • Urine short and red
  • Heightened libido
  • If Heart Fire also Flares:
    Insomnia
    Frequent dreams
    Palpitations
  • If Liver Yang also Rises:
    Dizziness
    Blurred vision
  • T: Red
  • C: Little or None
  • P: Thready and rapid
Treatment Principle
  • Nourish Yin
  • Subdue Fire
Herb Formulas
Points
Clinical Manifestations
  • Pale, watery Blood
  • Palpitations
  • Shortness of breath
  • Laconic speech
  • A sinking sensation in the lower abdomen
  • Fatigue
  • A shiny, pale complexion
  • Abdominal fullness
  • Lower back pain
  • T: Pale
  • C: Moist and thin
  • P: Deficient and frail or Weak and smooth
Treatment Principle
  • Tonify Qi
  • Tonify the Blood
  • Raise Yang Qi
Herb Formulas
Points
Clinical Manifestations
  • Prolonged lochia
  • Excessive postpartum bleeding
  • Profuse bleeding
  • Puerperal fever
  • Spontaneous sweating
  • Dry mouth
  • Heart irritability
  • Light headedness
  • Delirium
  • Irritability
  • Nausea
  • Vomiting
  • Nervousness
  • Anorexia
  • Abdominal pain
  • Flank distention and fullness
  • Dizziness
  • Blurred vision
  • Tinnitus
  • Excessive loss of Blood
  • Emotional instability
  • Fullness and distention of the hypochondrium
  • Epigastric pain
  • Aversion to Cold
  • T: Pale
  • C: Slippery
  • P: Weak and Deep
Treatment Principle
  • Tonify Qi and Blood
  • Invigorate the Blood
  • Regulate Qi
  • Transform Stasis
  • Harmonize the Liver and Spleen
  • Regulate menstruation
Herb Formulas
Points
Clinical Manifestations
  • Mild, persistent uterine bleeding of purple and black blood during pregnancy
  • Abdominal pain that is worse with pressure
  • Abdominal spasms and tension
  • Immobile masses in the lower abdomen with pain and tenderness
  • Amenorrhea with distention and pain
  • Dysmenorrhea
  • Headache
  • Sinus congestion
  • Constipation
  • Excess weight in the pelvis
  • Lower back ache
  • Irregular menstruation
  • Nervousness
  • Fatigue
  • Fetal instability
  • Skin eruptions
  • Scanty menstrual flow
  • Scaly, dry skin
  • Retention of lochia
  • Shoulder stiffness
  • Vertigo
  • Cold low body and feet
  • Flushed face
  • Protruding abdomen
  • T: Dark purple or with echymoses or petechiae or pale with purplish spots
  • C: White
  • P: Choppy or Tense, deep and slow
Treatment Principle
  • Invigorate the Blood
  • Transform Blood Stasis
  • Soften lumps
  • Reduce fixed abdominal pain
Herb Formulas
Points
Clinical Manifestations
  • Chronic, continuous uterine bleeding
  • A pale complexion
  • Stabbing pain in the abdomen
  • Alternating chills and fever
  • Irregular menstruation with profuse bleeding
  • Abdominal pain
  • Fever
  • Thirst
  • Itchy skin
  • Heat in the upper body with Cold in the lower body
  • Irritability and restlessness despite fatigue and exhaustion
  • Mood swings
  • A sallow complexion
  • Emaciation
  • T: Dry with a red tip
  • C: Thin white
  • P: Deep and rapid
Treatment Principle
  • Drain Fire
  • Resolve toxicity
  • Tonify the Blood
  • Stop bleeding
  • Warm the menses
  • Cool the Blood
Herb Formulas
Points
Clinical Manifestations
  • Postpartum uterine bleeding
  • Retention of the lochia with Cold, hardness and pain in the lower abdomen
  • The pain is worse with pressure
  • May be masses in the sore area
  • The Blood is dark purplish
  • T: Pale and purple or Pale with purple spots
  • C: Normal
  • P: Deep and choppy
Treatment Principle
  • Invigorate the Blood
  • Transform and dispels Blood Stasis
  • Warm the menses
  • Warm the channels
  • Alleviate pain
Herb Formulas
Points
Clinical Manifestations
  • Menorrhagia or
  • Prolonged menstruation
  • Lower abdominal Cold, distention and pain
  • Sporadic abdominal pain which is better with warmth pressure
  • Irregular menstruation (usually long and heavy or scant with clots)
  • Delayed menstruation with a small amount of pale Blood
  • Mild, persistent uterine bleeding
  • Lumbar and sacral pain which are worse following menstruation or when tired
  • Profuse, clear, watery leukorrhea
  • Maybe infertility
  • Maybe dark rings around the eyes
  • Palpitations
  • Shortness of breath
  • Faint, weak respiration
  • Drenched with perspiration
  • Dizziness
  • Vertigo
  • Above symptoms worse on exertion or when tired
  • Four limbs cold and sore
  • Intolerance of Cold
  • Cold abdominal pain
  • An extremely pale face
  • Cyanosis of mouth and lips
  • Reduced appetite
  • Loss of taste
  • Fatigue
  • Upset stomach
  • Loose stools
  • T: Pale and thick with teeth marks
  • C: White and greasy
  • P: Minute (on the point of collapse) or Deep and slow
Treatment Principle
  • Return Yang
  • Scatter Cold
  • Consolidate Exhaustion
Herb Formulas
Points