Syndrome differentiation and treatment of complications of medical abortion

At present, mifepristone is often used in combination with misoprostol for medical abortion in clinical practice. The combination of the two has a better effect in preventing early pregnancy. In addition to gastrointestinal symptoms such as nausea, vomiting, abdominal pain, and diarrhea during medication, the main side effects of medical abortion are heavy bleeding and prolonged bleeding. Therefore, close follow-up is required after medication. The TCM syndrome differentiation treatment of post-abortion bleeding includes the following:

1. Uterine stasis syndrome

The amount of bleeding is sometimes more and sometimes less, or it is continuous, the color is dark purple, there are blood clots, accompanied by paroxysmal pain in the lower abdomen, lumbar pain, nausea and vomiting, dizziness and fatigue, poor appetite, thirst but no desire to drink, constipation, dark purple tongue, thin and wiry pulse. Treatment: Activate blood circulation and remove blood stasis, consolidate Chong and stop bleeding. The prescription is Shenghua Tang (Fu Qingzhu's Gynecology) plus motherwort.

2. Qi and blood deficiency syndrome

Patients present with heavy bleeding, or continuous bleeding, light red color, lower abdominal distension, or accompanied by low back pain, backache, dizziness, fever, fatigue, poor appetite, palpitations, insomnia, and excessive sweating. The tongue is light red with teeth marks, and the pulse is thin and weak. Treatment: replenish qi and nourish blood, consolidate Chong and stop bleeding. The prescription is Bazhen Decoction (Zhengti Leiyao) plus cuttlefish bone and crane grass.

3. Damp-heat stagnation syndrome

The patient has a variable amount of bleeding, dark purple, thick and foul smell, lower abdominal pain, backache, dizziness, fever, poor appetite, greasy mouth, scanty and yellow urine. The tongue is red, the coating is yellow and greasy, and the pulse is thin and rapid. Treatment: clear away heat and dampness, remove blood stasis and stop bleeding. The prescription is Gujing Pills (Introduction to Medicine) plus Purslane and Coix Seed.

It should be noted that the above prescriptions must be used under the guidance of a professional doctor to avoid inappropriate prescriptions and delays in treatment.