TCM Syndrome Differentiation and Treatment of Two Types of Ectopic Pregnancy

Traditional Chinese medicine believes that the occurrence of ectopic pregnancy is related to the obstruction of the movement of the fertilized egg due to lower abdominal stagnation and poor Chong and Ren meridians in pregnant women, or due to spleen and kidney qi deficiency, which makes the transportation of the fertilized egg weak and slow, causing the fertilized egg to remain outside the uterine cavity. The treatment is mainly based on promoting blood circulation and removing blood stasis. It is currently commonly used in the following two situations:

Undamaged

It refers to tubal pregnancy that has not yet resulted in abortion or rupture. There is a history of amenorrhea, early pregnancy reactions, or vaginal bleeding, dull pain on one side of the lower abdomen, and a soft mass on one side of the adnexa during pelvic examination, which is tender; urine pregnancy tests are mostly positive, and B-ultrasound examination shows cystic masses in the adnexa, or no gestational sac in the uterus but a gestational sac outside the uterus; the pulse is stringy and slippery.

Treatment principles: Promote blood circulation, remove blood stasis, eliminate lumps and kill embryos.

Prescription: Prescription No. 2 for ectopic pregnancy. Main ingredients: Danshen, red peony root, peach kernel, three-edged sword, and curcuma.

Massive

The tubal pregnancy has been ruptured for a long time, and the blood in the abdominal cavity has formed a hematoma, which is a chronic ectopic pregnancy. The tubal pregnancy has been ruptured for a long time, and a hematoma has formed in the pelvic cavity. The abdominal pain is relieved or gradually disappears; there may be a feeling of heaviness in the lower abdomen or the urge to defecate, and the vaginal bleeding gradually stops. Pelvic examination can touch an irregular mass that is adhered to the surrounding tissues; the pulse is thin and wiry.

Treatment principles: Promote blood circulation, remove blood stasis, eliminate symptoms and disperse nodules.

Prescription: Prescription II for ectopic pregnancy. If the lump is hard, add pangolin and Achyranthes bidentata to strengthen the function of eliminating symptoms and dispersing nodules; if the body is weak, add Astragalus and Codonopsis pilosula to strengthen the body and eliminate evil; if blood stasis and heat are transformed into low fever, add Peony Root, Tortoise Shell, and Lycium bark to dissolve blood stasis and clear heat.