How does Traditional Chinese Medicine explain the causes of threatened abortion?

When a pregnant woman has threatened miscarriage, we will choose to preserve the fetus. Experts and doctors have different opinions on the choice of preserving the fetus. Many people also believe that it is a matter of survival of the fittest, keeping the good ones and discarding the bad ones. This topic has been bothering every pregnant woman for thousands of years. Let's take a look at how Chinese medicine explains the cause of threatened miscarriage:

Traditional Chinese medicine calls threatened abortion "fetal leakage, restless fetal movement", which may further develop into miscarriage or abortion. After pregnancy, Yin blood gathers to nourish the fetus, Yang Qi is relatively strong, or overeating spicy, hot, warm and dry food, or being affected by heat evil, or emotional depression turns into heat, heat is Yang evil, Yang is strong and blood is hot, heat disturbs Chong and Ren, and burns the fetal network, so vaginal bleeding is bright red or dark red, thick, heat damages Ying Yin, body fluid cannot be carried up, then the heart is upset and thirsty, heat damages body fluid, then urine is yellow and stool is dry, tongue is red, tongue coating is yellow, pulse is slippery or stringy, which is a sign of blood heat. Diagnosis should be clearing heat and cooling blood, consolidating Chong and stabilizing the fetus, and using Baoyin Decoction with modifications.

Threatened abortion is one of the common gynecological diseases. Western medicine generally believes that the pathogenic factors of this disease are related to the delay of women's childbearing age, decreased fertility, and even multiple abortions. Environmental pollution, excessive work and mental stress, which lead to changes in the endocrine level of pregnant women, can also induce this disease. Western medicine often uses endocrine therapy to improve corpus luteum function in treatment, which has great limitations. In traditional Chinese medicine, threatened abortion belongs to the category of "fetal leakage" and "fetal movement disorder", which is mostly caused by qi deficiency, kidney deficiency, blood heat, sexual fatigue and trauma, but the main pathogenic mechanism lies in the damage of Chong and Ren meridians and the instability of the fetus, which is closely related to kidney deficiency and weak qi and blood. During the treatment, avoid eating raw, cold, greasy, spicy and other foods.

Threatened abortion, called fetal leakage and fetal movement disorder in traditional Chinese medicine, mostly occurs in early pregnancy. A small amount of vaginal bleeding during pregnancy, which comes and goes, and is often without backache and abdominal pain, is called fetal leakage. Backache and abdominal pain, lower abdominal distension or accompanied by a small amount of vaginal bleeding is called fetal movement disorder. This disease can further develop into abortion and miscarriage, which brings great pain to patients and families. Different care is given from the aspects of traditional Chinese medicine nursing, emotions, diet, and daily life. ① During pregnancy, the diet should be light, balanced, and nutritious, and more milk, eggs, lean meat, fish, liver, fresh vegetables and fruits should be supplemented. Avoid eating raw, cold, slippery, spicy and stimulating foods. ② In clinical practice, medicinal diet therapy is generally based on tonic, especially strengthening the spleen and kidney, to consolidate the fetal essence.

Patients with vaginal bleeding or lower abdominal pain should be comforted and advised to stay in bed and rest. They can get out of bed and move around properly only after the symptoms are relieved. Patients with a history of miscarriage should rest for longer than the number of days since the last miscarriage. Patients with early threatened miscarriage should develop a feasible diet based on their constitution, pathological mechanism characteristics, and symptoms of the disease. Patients with qi deficiency should eat more qi-tonifying and fetal-solidifying foods.