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EDEMA DURING PREGNANCY

Clinical Manifestations
  • Aversion to Wind and Cold
  • Facial edema moving to generalized edema
  • Slight fever or fever and chills
  • Thirst
  • Slight but continuous perspiration
  • Sore, heavy limbs
  • Decreased urination
  • Headache
  • Edematous orbits
  • A red, swollen sore throat
  • Weak abdomen
  • Belching
  • Cough
  • Asthma
  • Dyspnea
  • Bulging eyes
  • Severe cough
  • Weak, aching feet
  • Skin problems
  • T: Normal
  • C: White or Thin white
  • P: Floating or Floating and big
Treatment Principle
  • Promote perspiration
  • Disseminate Lung Qi
  • Clear Heat
  • Move water
Herb Formulas
Points
Clinical Manifestations
  • Whole body edema which may develop at onset of pregnancy or some months after conception
  • Facial edema
  • Edema in limbs, especially lower limbs
  • Bright, shiny, white skin
  • A Pale or yellowish complexion
  • Dizziness
  • A heavy head
  • A tasteless, greasy sensation in the mouth
  • Mental disturbance
  • Physical and mental fatigue
  • Chest tightness
  • Shortness of breath
  • Malaise
  • Scanty urination
  • Anorexia
  • Loose stools
  • Maybe anasarca
  • Maybe abdominal distention
  • T: Pale or Pale, thick and tender
  • C: Sticky and white or Thin and white or White and moist
  • P: Deep and slippery or Weak or Soft and even
Treatment Principle
  • Strengthen the Spleen
  • Drain Dampness
Herb Formulas
Points
Clinical Manifestations
  • Whole body edema
  • Abdominal distention
  • Mental disturbance
  • Difficult, hesitant urination
  • Dizziness
  • A heavy head
  • A tasteless, greasy sensation in the mouth
  • Palpitations
  • Extreme fatigue
  • Threatened miscarriage
  • Fetal death
  • T: Pale
  • C: Sticky and white
  • P: Deep and slippery
Treatment Principle
  • Strengthen the Spleen
  • Drain Dampness
Herb Formulas
Points
Clinical Manifestations
  • Edema during pregnancy
  • 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
Clinical Manifestations
  • Edema during pregnancy
  • Generalized edema
  • Sensation of heaviness, distention and fullness in the epigastrium and abdomen
  • Labored, heavy breathing
  • Urinary difficulty
  • Asthma
  • Chest distention
  • General edema in summer
  • Gasping
  • Rapid breathing
  • T: Normal
  • C: White and slippery
  • P: Thready and moderate or slipper
Treatment Principle
  • Resolve Dampness
  • Reduce edema
  • Regulate Qi
  • Strengthen the Kidneys
  • Reduce swelling
Herb Formulas
Points
Clinical Manifestations
  • Body cold
  • Limbs icy
  • Complexion white and shiny
  • Low back, knees and abdomen feel cold and painful
  • Lower abdomen feels cold and painful
  • Loose stools containing undigested food
  • “Cock-crow” diarrhea (occurs at about 5 am)
  • Edema of face and limbs
  • Dysuria
  • Severe:
    Abdominal ascites
  • T: Pale, moist and swollen
  • C: Thin and white or White and greasy
  • P: Deep, thready, weak and maybe slow
Treatment Principle
  • Warm and Reinforce the Spleen and Kidneys
Herb Formulas
Points
Clinical Manifestations
  • Edema which develops 3-4 months after conception
  • Edema begins from the feet and moves up to the legs
  • Elastic edema when pressing without pitting
  • Change of skin color
  • Distending pain in the head
  • Distention and pain in the sides or flanks
  • Suffocating sensation in the chest
  • Distention and fullness in the chest and epigastrium
  • Dizziness
  • Tendency to sigh
  • Melancholy
  • Depression
  • Irritability
  • Inappropriate anger
  • Irregular menses
  • Dysmenorrhea
  • Breast distention and pain before and during menses
  • T: Pink
  • C: Thin and white or Thin and greasy
  • P: Wiry or Slippery and tight
Treatment Principle
  • Soothe the Liver
  • Clear Stagnation
  • Strengthen the Spleen to remove Dampness
Herb Formulas
Points
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 below the waist (primarily of the lower limbs)
  • Symptoms generally occur during pregnancy
  • Pale face
  • Chest fullness
  • Yellowish Phlegm
  • Fatigue
  • Depression
  • Heaviness of head
  • Lassitude
  • Lower abdominal pain
  • Head distention
  • Dizziness
  • Tinnitus
  • Lumbago
  • Edema
  • anorexia
  • Abdominal pain and distention with edema during pregnancy due to Blood Deficiency and abnormal water circulation
  • Oliguria
  • Palpitations
  • Cold feet
  • Discharge between the toes
  • Extreme coldness of the hands and feet
  • Vertigo
  • Weakness and numbness of lower back and legs during pregnancy or postpartum
  • Impaired ability to walk
  • 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 and white
  • P: Deep and weak or Soft, floating, small and slow or Wiry and small or Wiry and rough or Deep, wiry and slippery
Treatment Principle
  • Nourish Liver Blood
  • Soften the Liver
  • Spread Liver Qi
  • Strengthen the Spleen
  • Resolve Dampness
  • Reinforce the Spleen and Kidney
Herb Formulas
Points
Clinical Manifestations
  • Edema in the limbs and face
  • Edema of whole body particularly at and below the waist after several months of pregnancy
  • Pitting edema
  • Lusterless complexion
  • Low back pain, aching and heaviness
  • Abdominal distention with full sensations
  • Oliguria
  • Cold limbs
  • Face gray and congested or pale
  • Feeling nervous and cold with mental weariness
  • Palpitations
  • Shortness of breath
  • Abdominal fullness
  • Weakness in the waist
  • In severe cases:
    Ascites
    Edema of scrotum
  • T: Pale and swollen
  • C: Thin, white or Thick, white and sticky or Thin, white and slippery
  • P: Deep and thready or Thready and slow or Deep
Treatment Principle
  • Warm the Kidneys
  • Promote diuresis
Herb Formulas
Points
Clinical Manifestations
  • Urinary frequency
  • Urinary urgency
  • Painful urination or
  • Continuous dripping of urine or
  • Sudden interruption to the urinary stream
  • Turbid urine or
  • Pus and blood in the urine or
  • Sand and stones in the urine
  • In Damp-Heat Pouring Downward there may also be:
    Fever
    Thirst
    Dry mouth
    Low back pain
  • In Damp-Heat Crystallizes in Urinary Bladder there may also be:
    Colicky pain in the low back, possibly radiating to the groin
  • T: Red
  • C: Yellow
  • P: Slippery and rapid
Treatment Principle
  • Clear Heat
  • Eliminate Dampness by diuresis
Herb Formulas
Points
Clinical Manifestations
  • Painful urination
  • Difficult, scanty urination
  • Heavy headache
  • Thirst with no desire to drink
  • Oliguria
  • Maybe constipation
  • Lower abdominal fullness and distention
  • Dizziness
  • Maybe urolithiasis
  • T: Normal or Red
  • C: White or Yellow
  • P: Soft and maybe rapid
Treatment Principle
  • Promote diuresis
Herb Formulas
Points