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POSTNATAL URINARY DISORDER

GENERAL

Clinical Manifestations	Postpartum urinary difficulty, retention or incontinence
Treatment Principle
Herb Formulas
Points

SPLEEN QI DEFICIENCY

Clinical Manifestations	Postpartum urinary difficulty, retention or incontinence 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 T: Pale and flabby - may have teethmarks C: White P: Even, forceless and deficient
Treatment Principle	Tonify Qi Promote urination
Herb Formulas	Bu Zhong Yi Qi Tang
Points

KIDNEY YANG DEFICIENCY

Clinical Manifestations	Postpartum urinary difficulty, retention or incontinence Lumbago: low back feels cold, weak and aching Feeling chilled Aversion to Cold Cold limbs General debility Pale face Urinary frequency with abundant, clear urine or Oliguria with edema Maybe nocturia Lassitude Withdrawn, subdued behavior Knees feel cold and aching Dizziness Tinnitus Impotence, spermatorrhea, premature ejaculation Low libido Female infertility ("uterus cold and infertile") Maybe anorexia Maybe loose stools Maybe chronic diarrhea or "cock crow" diarrhea T: Pale and swollen C: Thin and white P: Deep and thready - maybe slow
Treatment Principle	Tonify the Kidneys Promote urination
Herb Formulas	Jin Gui Shen Qi Wan
Points

URINARY BLADDER TRAUMA

Clinical Manifestations	Postpartum incontinence Lower abdominal pain
Treatment Principle	Tonify Qi and Blood to promote recovery
Herb Formulas	Dang Gui San modified
Points

DAMP-HEAT IN THE LOWER JIAO

Clinical Manifestations	Postpartum urinary difficulty Painful, urgent and frequent urination or Retention of urine T: Red C: Yellow and greasy P: Rapid
Treatment Principle	Clear Damp-Heat
Herb Formulas	Wu Lin San modified
Points