ECLAMPSIA

Clinical Manifestations
  • Eclampsia is a disorder of pregnancy characterized by seizures in the setting of pre-eclampsia. Typically the pregnant woman develops hypertension and proteinuria before the onset of a convulsion (seizure).
    • Long-lasting (persistent) headaches
    • Blurry vision
    • Photophobia (i.e. bright light causes discomfort)
    • Abdominal pain
      • Either in the epigastric region (the center of the abdomen above the navel, or belly-button)
      • And/or in the right upper quadrant of the abdomen (below the right side of the rib cage)
    • Altered mental status (confusion)

    Any of these symptoms may present before or after a seizure occurs. It is also possible that none of these symptoms will develop.

    Other cerebral signs may immediately precede the convulsion, such as nausea, vomiting, headaches, and cortical blindness. If the complication of multi-organ failure ensues, signs and symptoms of those failing organs will appear, such as abdominal pain, jaundice, shortness of breath, and diminished urine output.

    The condition may occur before, during or after delivery, but is most common before delivery.

Treatment Principle
Herb Formulas
Points
Clinical Manifestations
  • High fever
  • Profuse perspiration
  • Great thirst with a desire to drink
  • Abdominal pain
  • Dryness
  • Irritability
  • Restlessness
  • Feverish body parts
  • Red face
  • Dry stools
  • No constipation
  • No aversion to Cold
  • T: Red, dry
  • C: Dry yellow
  • P: Rolling and rapid (gigantic)
Treatment Principle
  • Clear Heat
  • Reduce fever
  • Moisten and replenish fluids
Herb Formulas
Points
Clinical Manifestations
  • Intense fever
  • Strong thirst
  • Dry heaves
  • Severe, stabbing headache
  • Extreme irritability
  • Delirious speech (severe)
  • Rash (severe)
  • Epistaxis (severe)
  • Maculae
  • Mania
  • Convulsions
  • Lips chapped, dark and scorched
  • Coma
  • Hematemesis
  • Extreme coldness of the extremities
  • Restlessness
  • Spasms or convulsions
  • Blurred vision
  • T: Dark red
  • C: Dry or prickly
  • P: Deep, thin and rapid or Floating, large and rapid
Treatment Principle
  • Clea Heat
  • Relieve toxicity
  • Cool the Blood
  • Drain Fire
  • Stop bleeding
Herb Formulas
Points
Clinical Manifestations
  • High fever worse at night
  • Thirst
  • Insomnia
  • Major mental problems
  • Dramatic change of personality
  • Delirium
  • Speech difficulty
  • Aphasia
  • Poor memory
  • Dizziness
  • Maybe fainting
  • Maybe coma
  • Feverish extremities
  • T: Deep red
  • P: Thready and rapid
Treatment Principle
  • Clear Heat in Pericardium
Herb Formulas
Points
Clinical Manifestations
  • Peripheral eclampsia
  • Sudden loss of consciousness during the last trimester of pregnancy
  • Cramping of all four extrremities
  • Trismus
  • Red face
  • Epigastric pain
  • Vomiting
  • Constipation before the attack
  • T: Red
  • C: None
  • P: Wiry, slippery and rapid
Treatment Principle
  • Clear the Heart
  • Disperse Wind
Herb Formulas
Points
Clinical Manifestations
  • Cough with copious, dilute, white frothy or lumpy sputum
  • Chest and epigastric congestion
  • Palpitations
  • Headache
  • Pain and full feeling in chest
  • Dyspnea - worse lying down
  • Asthma
  • Throat rattle
  • Maybe anorexia
  • Lassitude
  • Nausea/vomiting
  • Dizziness/vertigo
  • Shortness of breath
  • Wheezing
  • Acute attack of panting with high pitched sound and rapid exhalation
  • Facial edema
  • Weak extremities
  • T: Pale
  • C: Thick, white and greasy or sticky
  • P: Slippery or Soft
Treatment Principle
  • Activate the Spleen
  • Dry Dampness
  • Expel Phlegm
  • Purge the Lungs
Herb Formulas
Points
Clinical Manifestations
  • Sudden collapse with loss of consciousness
  • Lockjaw (trismus)
  • Eyes open
  • Both fists clenched
  • Retention of urine
  • Constipation
  • Stiffness and spasm of limbs
  • Red face
  • Body feels hot
  • Coarse breathing
  • Bad breath
  • Restlessness
  • Involuntary movements
  • Usual sequelae of C.V.A. such as:
    Hemiplegia
    Aphasia
    Facial paralysis
  • T: Pink
  • C: Yellow and greasy
  • P: Slippery, wiry and rapid
Treatment Principle
  • Clear Phlegm
  • Open the Orifices
Herb Formulas
Points
Clinical Manifestations
  • Headache
  • Vertigo
  • Irritability
  • Convulsions
  • Vision changes
  • Partial or complete blindness
  • Retinal hemorrhage
  • Nausa
  • Vomiting
  • Epigastric pain
  • Hepatomegaly
  • Fatigue
  • High blood pressure
  • Sudden collapse
  • Muscle cramps and spasms
  • Edema
  • Proteinuria
  • Oliguria
  • Anrexia
  • P: Wiry and slippery or None
Treatment Principle
  • Clear the Heart channels
  • Regulate the Liver
  • Clear Heat
Herb Formulas
Points
  • DU-16, DU-20,DU-26, GB-34, PC-6, ST-36, UB-10
  • GB-21, GB-34, KI-2, PC-7, SI-4, ST-36
Clinical Manifestations
  • Symptoms occur during the third trimester:
  • Red face
  • Palpitations
  • Irritability
  • Sudden onset of:
    Contractures
    Spasms
    Neck stiffness
    Convulsions
    Coma, in severe cases
  • T: Red or Deep red
  • C: Thin, yellow and slippery
  • P: Wiry and rapid
Treatment Principle
  • Calm the Liver
  • Stop convulsions
Herb Formulas
Points
Clinical Manifestations
  • Dizziness and vertigo to the point of falling over
  • Headache with a drawing sensation
  • Numbness and tremor of limbs
  • Twitching and involuntary writhing of hands and feet
  • Dysphasia
  • Unsteady gait
  • With Wind-Stroke:
    Sudden loss of consciousness
    Tongue stiffness with aphasia
    Facial paralysis
    Hemiplegia
  • Maybe coma
  • Sometimes death
  • T: Red
  • P: Thready and wiry
Treatment Principle
  • Nourish Yin
  • Pacify the Liver
  • Subdue Wind
Herb Formulas
Points
Clinical Manifestations
  • Pallor during pregnancy
  • Headache
  • Blurred vision
  • Palpitations
  • Shortness of breath
  • Lassitude
  • Occasional tidal fever
  • Abdominal pain due to fetal movement
  • Dry stools
  • At the time of attack:
    Abrupt loss of consciousness
    Tetany
    Cramping in the limbs
    Rigidity of the neck
  • T: Red
  • C: Little
  • P; Wiry, threadya nd rapid
Treatment Principle
  • NMourish the Blood
  • Disperse Wind
Herb Formulas
Points
Clinical Manifestations
  • Obesity or pronounced edema during pregnancy
  • A Cold appearance
  • Uttering muffled sounds due to Phlegm in the throat
  • Cramping of the limbs
  • Loss of consciousness
Treatment Principle
  • Resolve Phlegm
  • Dispel Wind
  • Disperse Cold
Herb Formulas
Points
Clinical Manifestations
  • Symptoms occur during the third trimester or during delivery
  • Sudden coma
  • Convulsions
  • Coarse breathing
  • Rales
  • T: Red
  • C: Yellow and greasy
  • P: Slippery and taut
Treatment Principle
  • Clear Heat
  • Eliminate Phlegm
  • Resuscitate
Herb Formulas
Points