In recent years, many academic experts have done a lot of research on vaginal bleeding after medical abortion. The findings of their research progress play a vital role in preventing bleeding after medical abortion. However, the problems of prolonged bleeding and excessive bleeding after medical abortion have not been well solved. For this reason, experts have conducted the following research on traditional Chinese medicine in preventing and treating vaginal bleeding after medical abortion. Composition and decoction of traditional Chinese medicine prescription: Shenghua Yimu Zicao Decoction: 20g of Angelica sinensis, 10g of Paojiang, 10g of Chuanxiong, 10g of Walnut, 10g of Licorice, 50g of Lithospermum officinale, 50g of Leonurus. Each dose is decocted 3 times to extract 150mg of juice, taken orally once in the morning and evening, 50mg each time, for 3 doses. Start taking it on the evening of taking misoprostol for 5 consecutive days. Excessive and prolonged vaginal bleeding after medical abortion is equivalent to "lochia never stops" in traditional Chinese medicine. The main pathogenesis is the abnormal circulation of qi and blood, which leads to blood stasis, the old blood cannot go away, and the new blood cannot return to the menstruation. Therefore, vaginal bleeding continues. There were significant differences in vaginal bleeding time, bleeding volume and the downward trend of urine HCG between the treatment group and the control group after taking Chinese medicine. Shenghua Yimu Zicao Decoction is based on the original Shenghua Decoction with the addition of Yimucao and Zicao and increased dosage. The purpose is to strengthen uterine contraction, excite the uterus, and promote the excretion of blood stasis and residual embryonic tissue. Modern pharmacological research shows that motherwort can directly act on the uterus, strengthen uterine contractions and increase the amplitude. Lithospermic acid, an effective ingredient in lithospermum, can act on the pituitary hormones to bind to receptors, causing massive necrosis of bacteria in the placental villi. It also has a therapeutic effect on inflammation. The clinical effect is definite, reduces complications, and increases the rate of complete abortion. |
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