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ABDOMINAL PAIN DURING PREGNANCY

SPLEEN AND KIDNEY YANG DEFICIENCY

Clinical Manifestations	Continuous cramping pain in the abdomen Pain is not severe Pain is relieved by pressure Edema of the feet Urinary difficulty Slight edema (primarily of the lower limbs) Symptoms generally occur during pregnancy Pale face Fatigue Heaviness of head Lassitude Lower abdominal pain Dizziness Tinnitus Lumbago Edema Abdominal pain with edema during pregnancy due to Blood Deficiency and abnormal water circulation Oliguria Palpitations Cold feet Extreme coldness of the hands and feet Vertigo Weakness and numbness of lower back and legs during pregnancy or postpartum Mal position of the fetus Dysmenorrhea Irregular menstruation Right upper quadrant pain Hepatomegaly Anemia Lack of energy Sore back Thirst with no desire to drink T: Pale or pink maybe petechiae on margin C: Thin or Greasy white P: Deep and weak or Soft, floating, small and slow or Wiry and small or Wiry and rough
Treatment Principle	Warm and Reinforces the Spleen and Kidneys Expel Wind-Cold-Damp
Herb Formulas	Jia Jian Wen Bao Yin Jin Lian Zhong Zi Fang Zhong Si Wan With Dampness Accumulation: Kuan Dai Tang
Points

FOOD STAGNATION DUE TO WIND-COLD

Clinical Manifestations	Full pain in the epigastrium Frequent urination Anorexia Regurgitation Fullness and stuffiness in the epigastrium Constipation or Loose stools with a repugnant odor Painful joints Distention of the head Headache Coughing Maybe high fever T: Pink C: Sticky and white P: Floating and slippery
Treatment Principle	Induce diaphoresis Relieve Food Stagnation
Herb Formulas	For Wind-Cold: Jin Fei Cao San For Food Stagnation: Ping Wei San
Points

LIVER QI STAGNATION WITH HEAT

Clinical Manifestations	Lower abdominal distention Rigidity of abdominal or chest muscles causing pain Depression Facial flushing Headache Irritability A bitter taste in the mouth Thirst Dry stools Restless fetus T: Normal C: thin and sticky or Thin and yellow P: Wiry
Treatment Principle	Regulate Qi Relieve depression
Herb Formulas	Jia Wei Xiao Yao San
Points

LIVER QI STAGNATION INVADES THE SPLEEN

Clinical Manifestations	Abdominal distention and pain Gas Borborygmus Diarrhea Distention and pain in the sides or flanks Suffocating sensation in the chest Tendency to sigh Melancholy Depression Irritability Inappropriate anger Women: Irregular menses Dysmenorrhea Breast distention and pain before and during menses T: Pink C: White and greasy P: Slippery and wiry
Treatment Principle	Soothe the Liver Invigorate the Spleen
Herb Formulas	Dang Gui Shao Yao San Xiao Yao San modified
Points	LIV-3, LIV-13, ST-25, ST-36, ST-37

YANG DEFICIENCY

Clinical Manifestations	Cold pain Chilly appearance Facial edema Loose stools T: Pale C: Sticky and white or Thin P: Deep and weak
Treatment Principle	Warm the channels and collaterals Replenish blood
Herb Formulas	Jiao Ai Tang For extreme cold in the Lower Jiao: Fu Zi Tang For facial edema due to Cold-Damp Retention: Dang Gui Shao Yao San
Points

QI DEFICIENCY

Clinical Manifestations	Pain over the lower abdominal area A bearing-down sensation Listlessness Pallor shortness of breath A poor appetite T: Pale and flabby C:Thin and white P: Thready, weak and large
Treatment Principle	Replenish Qi Reinforce Deficiency
Herb Formulas	Bu Zhong Yi Qi Tang
Points

QI AND BLOOD DEFICIENCY

Clinical Manifestations	Miscarriage after several months or premature delivery Lassitude Dizziness Blurred vision Palpitations Insomnia Anorexia Loose stools Weak limbs Abdominal distention Lumbar soreness Frequent, clear urine Clear, watery vaginal discharge T: Pale C: Thin and white P: Weak in the Qi position
Treatment Principle	Tonify Qi and Blood
Herb Formulas	Bao Chan Wu You Fang
Points	REN-4, REN-6, ST-36, UB-17, UB-20, UB-23

BLOOD STAGNATION

Clinical Manifestations	Stabbing pain in the abdomen with a fixed location Aggravation of the pain at night Maybe a palpable mass in the abdomen Purple lips and nails A dark complexion T: Purple or Purple spots on the edges P: Choppy deep and wiry or Choppy, deep and tight
Treatment Principle	Activate the Blood Circulate Qi Eliminate Blood Stasis Alleviate the pain
Herb Formulas	Gui Zhi Fu Ling Wan With Heat: Xia Yu Xue Tang
Points	UB-17, UB-18, UB-40, LIV-13, LIV-14, GB-40, PC-6 LIV-3, LIV-14, PC-6, REN-6, UB-17

FETAL BLOCKAGE

Clinical Manifestations	Abdominal pain Violent Cold
Treatment Principle	Warm the Cold Stop pain
Herb Formulas	Fu Zi Tang For metrorrhagia with threatened miscarriage or vaginal swelling: Jiao Ai Tang For uncountable pain: Dang Gui Shao Yao San
Points

TRAUMA

Clinical Manifestations	Abdominal pain radiating to the lumbar area due to trauma Fetal restless or Severely diminished fetal movement Maybe disappearance of the sound of the fetal heartbeat
Treatment Principle	Tonify Qi and Blood
Herb Formulas	Ba Zhen Tang modified With Blood Deficiency predominant: Jiao Ai Tang With Qi Deficiency predominant: Bu Zhong Yi Qi Tang
Points