Treatment for lochia that has not been cleared 7 days after abortion

Treatment for lochia that has not been cleared 7 days after abortion

Xiao Shao, 35 years old, has a son and lives in harmony with her husband. Xiao Shao's husband is a small leader in a state-owned enterprise, and Xiao Shao is a glorious people's teacher. During the summer vacation, the couple discussed taking their son on a "corruption tour". In addition to having fun, the couple also regained the feeling of honeymoon. However, during this "second honeymoon", Xiao Shao became pregnant again. Since the couple did not meet the "second child" indicator, Xiao Shao had to undergo an artificial abortion.

However, after the abortion, the lochia had not been cleared for 7 days, accompanied by abdominal pain and heavy bleeding. Western medicine found through B-ultrasound examination that Xiao Shao had a 2.7cm*2.1cm slightly strong echo in the uterine cavity. She was given intravenous anti-inflammatory and uterine contraction treatment. The bleeding resumed 2 days after the abortion, with a small amount and dark color, accompanied by back pain and fatigue.

Later, Xiao Shao chose to go to a traditional Chinese medicine hospital for treatment. After understanding Xiao Shao's condition, the doctor believed that Xiao Shao's condition was caused by blood stasis due to damaged blood vessels, which led to blood overflowing from the meridians. The treatment was mainly based on the method of removing blood stasis and promoting new blood.

Prescription: Angelica 30g, Chuanxiong isg, Lotus Pod 30g, Peony Root 6g, Peach Kernel 6g, Paojiang 5g, Leonurus japonicus log, Sanguisorba officinalis 3g, Myrrh 6g, Chuanxiong 10g, Xueyu Charcoal 10g. 5 doses.

After two doses of the prescription, a small blood clot was seen, but the bleeding was less and lighter in color. The above prescription was removed from Xuejie, myrrh, and Xueyutan, and 10g of Shixiaosan, 9g of Dahuang, and 9g of Zhaoxiu were added. After seven doses, the lochia was cleared and no abnormal echo was found in the B-ultrasound.

Note: This case is similar to Fan's case. Ultrasound examination showed a slightly strong echo of 2.7cmx2.1cm in the uterine cavity, which was also caused by damaged uterine network and blood stasis. Both cases were treated with Foshou powder to remove blood stasis and promote blood circulation. However, this case was after abortion. Ultrasound examination showed a slightly strong echo in the uterine cavity, but there was no obvious blood flow. It was likely that there was a large amount of blood accumulation, so Xuejie Shengji was selected to stop bleeding and remove blood stasis. This shows that Master He is meticulous in diagnosis and differentiation of symptoms and flexible in prescribing and using medicines.

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