THREATENED MISCARRIAGE

Clinical Manifestations
  • The treatment of gestational leakage and threatened abortion focuses on calming the fetus. In some cases, the fetal condition induces disorder in the mother; in other cases, maternal disorder induces the fetal condition. In the latter case, treat the maternal disorder in order to calm the fetus. In general, in addition to the use of herbal medicine, it is important to prescribe adequate and proper rest, release of emotional stress, proper diet and cessation of sexual activity. Proper diet requires avoidance of strong-flavored or spicy foods and stopping smoking and all alcohol. If there is any constipation, diarrhea, cough, nausea or vomiting, it should be treated. Furthermore, it is important to avoid unnecessary gynecological examination.
    In some cases, threatened abortion may be averted; in other cases, it may not be. If the abdominal pain becomes increasingly more severe and the bleeding persists for over a week or worsens, or the fetus dies, then the appropriate action may actually be to induce abortion in order to preserve maternal health.
    The treatment of habitual abortion begins prior to conception and aims at the restoration of parental health. When conception has occurred, continue to calm the fetus until past the point of previous miscarriage.
Treatment Principle
Herb Formulas
Points
Clinical Manifestations
  • Threatened miscarriage
  • Pale-red to normal Blood color
  • Thin and watery Blood with clots
  • Irregular menstruation
  • Sallow complexion
  • Fatigue
  • Anorexia
  • Four limbs feel tired and heavy
  • Abdominal and epigastric distention after eating
  • Maybe acid regurgitation or vomiting
  • Loose stools
  • Shortness of breath
  • May be much Blood due to Spleen Not Governing Blood
  • May be little Blood due to Spleen Qi Sinking
  • The Blood is pale-red in color and watery
  • An empty feeling in the lower abdomen
  • Spleen Not Governing Blood:
    Shortness of breath
    Dizziness
    Palpitations
    Functional Uterine Bleeding
    Purpura
    Epistaxis
    Hemafecia
    Hematuria
    Menorrhagia
    Metrorrhagia
  • Spleen Qi Sinking:
    Prolapse of one or more organs
  • T: Pale and flabby - may have teethmarks
  • C: White
  • P: Even, forceless and deficient
Treatment Principle
  • Nourish the Middle Jiao Qi
  • Keep the Blood in the Chong and Ren channels
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
  • 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
  • Calm the fetus
  • Prevent miscarriage
Herb Formulas
Points
Clinical Manifestations
  • A scanty amount of vaginal tract bleeding after having stopped menstruating
  • Pale red Blood
  • Low back and knee soreness and weakness
  • Insidious pain in the lower abdomen
  • Torpid intake
  • Nausea
  • Loose stools
  • Frequent urination
  • T: Pale
  • C: Thin and white
  • P: Fine and slippery
Treatment Principle
  • Tonify the Spleen and Kidneys
Herb Formulas
Points
Clinical Manifestations
  • A sensation of fullness, distention and pain in the chest which is improved with massage
  • Cough
  • Prefers warm drinks
  • P: Wiry and large
Treatment Principle
  • Unblock Yang
  • Expand the chest
  • Dredge Stasis
  • Transform clumps
Herb Formulas
Points
Clinical Manifestations
  • Threatened miscarriage
  • There may be a history of habitual abortion
  • During pregnancy, slow uterine bleeding of dusky pale and thin blood
  • Low back sore and weak
  • Aches and weakness in the waist and knees
  • Dizziness
  • Tinnitus
  • Polyuria
  • Nocturia
  • Incontinence
  • Fatigue,
  • T: Pale
  • C: White
  • P: Deep and slippery; in the Chi position it is feeble or Weak and deep   
Treatment Principle
  • Tonify the Kidneys
  • Prevent miscarriage
Herb Formulas
Points
Clinical Manifestations
  • Continuous menstruation or
  • Uterine bleeding that alternates between spotting and gushing
  • The Blood is very red, thick and sticky and may contain dark-purple clots
  • A sensation of Heat and irritability in the chest
  • Menstruation may be delayed
  • Dry mouth
  • Leukorrhea
  • Dysuria
  • Abdominal pain
  • Dark urine
  • Red urine
  • Red face
  • Difficulty defecating
  • T: Red
  • C: Normal or Yellow
  • P: Wiry or Wiry and rapid or Tight and rapid or Slippery and rapid
Treatment Principle
  • Enrich Yin
  • Clear Heat
  • Clear Deficiency Heat
  • Stop bleeding
  • Stabilize the Menses
Herb Formulas
Points
Clinical Manifestations
  • There may be a history of habitual abortion.
  • During pregnancy, slow uterine bleeding of dusky pale and thin Blood
  • Lower back soreness and distention
  • Aches and weakness in the waist and knees
  • A sensation of collapse in the lower abdomen
  • Vaginal bleeding during pregnancy
  • Dizziness
  • Tinnitus
  • Polyuria
  • Nocturia
  • Frequent urination to the point of incontinence
  • T: Pale
  • C: White or Slippery and white
  • P: Deep and slippery, feeble in the chi position or Deep and frail at the rear position
Treatment Principle
  • Strengthen and stabilize the Kidneys
  • Calm the fetus
  • Augment Qi
Herb Formulas
Points
Clinical Manifestations
Treatment Principle
Herb Formulas
Points
Clinical Manifestations
  • A history of pelvic or uterine mass or of trauma
  • Threatened abortion during the first trimester, with slight uterine bleeding of light-colored and thin Blood
  • Fetal unrest
  • Low back soreness
  • Aches and weakness in the waist and knees
  • Lower abdominal insidious pain
  • Abdominal distention with vague pain
  • There may be a history of habitual abortion
  • A sensation of downward sagging
  • A lusterless, pallid facial complexion
  • Essence spirit withering
  • Heart palpitations
  • Shortness of breath
  • Lassitude
  • Weak limbs
  • Fatigue
  • Pale face
  • Shortness of breath
  • T: Pale or Dusky
  • C: Thin and white
  • P: Empty and slippery or Thready, slippery and forceless.or Weak
Treatment Principle
  • Augment Qi
  • Generate Blood
  • Strengthen the Kidney
  • Calm the fetus
Herb Formulas
Points
Clinical Manifestations
  • A history of pelvic or uterine mass or of trauma
  • Fetal unrest
  • Aches in the waist
  • Abdominal pain
  • Vaginal bleeding
  • T: Dusky
  • C: Normal
  • The pulse is slippery and forceless.
Treatment Principle
  • Regulate Qi and Blood
  • Calm the fetus
Herb Formulas
Points
Clinical Manifestations
  • A history of miscarriage or threatened miscarriage
  • Fatigue
  • Anorexia
  • Restless fetus
  • General weakness
  • Light red Blood
  • Constant lower abdominal pain
  • Insomnia
  • A pale or sallow complexion
  • Lassitude
  • Palpitations
  • Ptosis of the viscera
  • Dizziness
  • T: Pale
  • C: Slippery or Thin and white
  • P: Slippery and forceless or Deep and weak
Treatment Principle
  • Nourish the Blood
Herb Formulas
Points
Clinical Manifestations
  • Infertility
  • Irregular and painful periods or
  • Delayed menstruation with decreased menses or
  • Dysmenorrhea
  • The menses may become dark purple in color and contain many clots
  • May be abdominal pain with guarding
  • Pain in the lower abdomen
  • Irritability
  • Manic behavior
  • Frequent abdominal pain
  • Mental restlessness
  • T: Purple or Pale with purple dots
  • C: Normal
  • P: Wiry or Choppy or Thin and wiry or Taut and thready
Treatment Principle
  • Invigorate the Blood
  • Promote Qi circulation
  • Dispel Stasis
  • Regulate menstruation
  • Promote conception
  • Pacify the Liver and the Chong channel
  • Nourish the uterus
Herb Formulas
Points

Clinical Manifestations
  • Abdominal pain in women
  • 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
  • Dysmenorrhea
  • Breast distention and pain before and during menses
  • 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
  • Invigorate the Blood
  • Dispel Stasis
Herb Formulas
Points
Clinical Manifestations
Treatment Principle
Herb Formulas
Points
Clinical Manifestations
  • Occurs early in pregnancy
  • Threatened abortion with with scanty vaginal bleeding that is bright red or
  • Lower abdominal pain with fetal unrest
  • Agitation
  • Mental restlessness
  • Insomnia
  • A feeling of Heat
  • Five Sole Heat
  • Dry mouth and throat
  • Thirst
  • Constipation
  • Dark urine
  • T: Red
  • C: Yellow and dry coating
  • P: Taut and slippery or Slippery and rapid or Rapid and overflowing
Treatment Principle
  • Nourish Yin
  • Cool Heat
  • Generate Blood
  • Calm the fetus
Herb Formulas
Points
Clinical Manifestations
  • Vaginal tract bleeding after having stopped menstruating
  • The amount of Blood is sometimes excessive and sometimes scanty
  • The Blood is fresh red
  • Low back soreness
  • Lower abdominal distention and pain
  • Heart vexation
  • Insomnia
  • A dry mouth
  • Desire to drink
  • Dry, bound stools
  • T: Red
  • C: Thin and yellow
  • P; Slippery and rapid
Treatment Principle
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
  • Headache
  • 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 and deep and slow
Treatment Principle
  • Invigorate Blood
  • Transform Blood Stasis
  • Soften lumps
  • Reduces fixed abdominal pain
Herb Formulas
Points
Clinical Manifestations
  • Threatened miscarriage
  • Habitual miscarriage
  • Afternoon fever
  • Five sole heat
  • Dry mouth
  • Thirst
  • Cold abdominal pain
  • Infertility
  • Dysmenorrhea
  • Uterine bleeding
  • Chronic pelvic inflammation
  • Menopause
Treatment Principle
  • Warms the vessels
  • Comforts the Womb
  • Nourishes and invigorates the Blood
Herb Formulas
Points
Clinical Manifestations
  • Threatened miscarriage after trauma
Treatment Principle
  • Tonify Qi
  • Nourish the Blood
  • Prevent miscarriage
Herb Formulas
Points