Postpartum rheumatism is commonly known as “postpartum wind”, also known as “postpartum paralysis”, “postpartum stroke”, refers to the maternal puerperium period, due to the weakness of the positive qi outside the wind, cold and dampness, such as the emergence of limb or joint pain, Pain, numbness, heavy, accompanied by fear of wind and cold and other symptoms of a disease, serious cases can be further developed into rheumatoid arthritis, and even lead to life can not take care of themselves. Although it is called “post-partum”, patients who develop these symptoms after abortion or gynecological surgery (e.g., curettage, removal of uterine fibroids) are also categorized as this disease. Most patients are seen in rheumatology or orthopedics, but there are usually no positive signs on physical examination, no abnormal laboratory tests, and the application of non-steroidal anti-inflammatory drugs is not effective. I. What causes postpartum rheumatism? Postpartum rheumatism has obvious triggers: careless living, washing in cool water, sleeping in the wind, living in a humid environment or improper use of indoor air conditioning, air-conditioning, electric fans in the summer, poor moods, and fatigue, etc., which can all be the causes of this disease. In the past, due to the limitations of the conditions, more people suffered from the disease in winter because of the cold weather, but nowadays, due to the widespread use of air conditioners, the number of people suffering from the disease is gradually increasing in summer. Who is prone to postpartum rheumatism? Postpartum rheumatism is characterized by “age bifurcation”, i.e., there are relatively more mothers of younger and older ages. Nowadays, young people fall in love and get pregnant at an early age, do not pay attention to rest after abortion, or are influenced by the western lifestyle, thinking that they do not need to recuperate after giving birth or having an abortion. Some people, in order to keep their body shape, do not exercise properly too early after delivery, or in order to pursue fashion, do not pay attention to keeping warm after delivery and wear too little. Working in a low-temperature environment too early after delivery is the reason for the increase in morbidity among women of lower age. Higher-age women are also prone to postpartum joint discomfort due to physical factors, slower recovery of physical strength, and decreased ability to resist external evils. Postpartum rheumatism is often accompanied by postpartum depression: postpartum rheumatism is often combined with emotional abnormalities: mostly accompanied by symptoms of anxiety and depression, manifested in many complaints, a variety of general discomfort. They even feel that they cannot take care of themselves and their lives are threatened. Possible reasons: the mother experienced the process of pregnancy to childbirth, the physical condition has changed dramatically, so that the mother needs a certain amount of time to adapt; the Chinese custom of sitting in the moonlight for many years so that the mother to reduce the contact with the outside world, easy to produce the spirit of loneliness and loneliness; the old mothers teach the new mothers that they can not contact with cool water after delivery, can not blowing the wind and other theories, which affect the new mothers, and once the occasional Blowing wind or contact with cool things, it is easy to cause maternal emotional disorders, coupled with the role of maternal self-suggestion, resulting in certain joint pain and other symptoms; prenatal and postnatal care of family members of the different care, so that the maternal formation of a huge psychological gap; due to the traditional concept of the importance of the child over the child, the attitude of maternal cold from the point of view of how to interpret the Western medicine of post-partum rheumatism? Third, for the pathological mechanism of postpartum rheumatism: there is no clear and recognized interpretation, may be related to the following factors. 1, changes in estrogen levels Women during pregnancy, estrogen levels change significantly, reaching a maximum value in late pregnancy, about 50 times the highest value of the normal physiological cycle, and after the birth of the fetus, estrogen will be in a short period of time, a sharp decline to a lower level, and continue for a period of time. Estrogen is a neurostimulating steroidal substance that may have anti-inflammatory and anti-allergic effects and may enhance skeletal muscle function. It can also produce active proteins through the activation of some specific receptors, and have a modulating effect on some neurotransmitter systems, such as serotonin, norepinephrine and dopamine, thus affecting maternal mental and behavior. Postpartum estrogen levels decline, while the body’s tissue needs a lot of hormones, this change in hormone levels leads to dysfunction and pain. 2.Osteoporosis During pregnancy, the mother provides calcium, phosphorus and other nutrients for the development of the fetus, and most of the calcium is mobilized from the mother’s skeletal tissues, which puts the mother’s bones in a calcium-deficient state and leads to joint pain. In addition, exertion is also an important reason: postpartum maternal physical exertion, the need to nurse the baby, often longer in a position, coupled with day and night drudgery, physical overload, can also appear weight-bearing joint pain. The lack of care for the mother, so that she can not get a good psychological and physiological recuperation adjustment, coupled with the differences in the process of raising the baby, etc., can cause maternal mood disorders in the puerperium, and in the long run will produce mental depression, and the pain in the process of childbirth transferred to the body, appearing in the “postnatal pain” as the characteristics of the “postpartum depression”, “postpartum depression”. “Postpartum depression. Fourth, what are the typical manifestations of postpartum rheumatism? Postpartum rheumatism clinical manifestations are diverse, some patients manifested for the whole body muscle, joint pain, pain position is not certain; some pain is fixed in the shoulder, waist, back, or conscious of cold limbs or a number of joints; some patients only manifested as a part of the trunk of the heaviness, acidity, numbness; some pain, acidity, numbness with the co-existence of the same weight, the pain symptoms can be aggravated in the cold or after exertion, after resting or heat to alleviate. Patients are generally accompanied by fear of wind and fear of cold, and it is common for patients to dress differently from the norm, and the environmental temperature does not match, the degree of sensitivity to cold to an incomprehensible degree, wearing cotton clothes in the summer is not uncommon. Some of them also see sweating, fatigue, shortness of breath, palpitations, insomnia, dizziness, easy to catch a cold and other manifestations of physical weakness, emotional depression and anxiety are more symptoms. What should be the treatment for postpartum rheumatism? At present, there is no ideal and effective treatment, non-steroidal anti-inflammatory drugs or a small dose of hormones or physical therapy can make some of the patient’s symptoms get some improvement, but the effect is short-lived. For patients with depression or anxiety and severe symptoms, a combination of antidepressants or anxiety drugs may have a certain degree of efficacy. However, due to the adverse effects of western drugs on breastfeeding, patients’ adherence to medication is relatively reduced. Comparatively speaking, Chinese medicine treatment can achieve better efficacy. Postpartum is characterized by many deficiencies and stasis, and the treatment is generally based on the principle of supporting the positive and dispelling the evil; supporting the positive is based on tonifying the kidneys, nourishing the qi and nourishing the blood; dispelling the evil is based on dispelling the cold, dispelling the wind, activating the blood and clearing up the channels. If the disease duration is short, supporting the positive and dispelling the evil should be used in parallel; if the disease duration is long, supporting the positive is more important than dispelling the evil. In supporting the positive, tonifying the kidney and nourishing blood is the mainstay, and the commonly chosen formulas include DuoWuShengTang, BazhenTang, AstragalusGuizhiWuWuShiTang Plus Reduction, etc., and the proprietary Chinese medicines can be chosen as LiuWeiDiHuangPan, BazhenGranules, HeCheDaZhaoPan, etc.; in eliminating the evil, activating blood to dispel the wind is the mainstay, and the commonly chosen formulas include Body Pain and Blood Stasis Dispersal Soup, ShengHuaTang, DaGianGenGi Soup Plus Reduction, etc., and the proprietary Chinese medicines can be chosen as HemFuDiYiYu capsule, PangLongQiTianShuTian. In the course of treatment, attention should be paid to dredging the liver and regulating the patient’s emotion, often adding the Four Reversing Powder to dredge the liver and regulate the qi, and the proprietary Chinese medicines can be added with the Free Pill with the medicines of dredging the liver and regulating the qi and nourishing the blood and strengthening the spleen. In addition, with physiotherapy, medicinal baths and other traditional Chinese medicine comprehensive external treatment can be improved. Sixth, how to adjust the postpartum care to avoid postpartum rheumatism? 1, adjust the environment living environment can not be damp and cold, the best to sunny, sunny can ensure that the new mother more sun, promote vitamin D synthesis, improve osteoporosis; open the windows at the right time to ventilate, to keep the air fresh, but to avoid being directly blown by the wind; open the air conditioning should pay attention to the cold air can not blow directly to the new mother and the baby. 2, nutritional balance Eat more high-protein, low-fat food, with vegetables and fruits. In addition to normal eating dishes, but also appropriate soup to supplement the milk consumption of water. Avoid spicy and cold foods, these stimulating foods are very harmful to the new mother’s weak body after delivery. 3, pay attention to warmth and rest because of postpartum body weakness, easy to sweat, sweat and wind after the discomfort. Therefore, we should pay attention to keep warm and windproof, change clothes in time when they are wet with sweat, avoid taking cold baths, keep the room warm and dry, and pay attention to increasing or decreasing clothes as the temperature changes. It is also important to rest during the month. Resting will help you recover your strength and strengthen your resistance to external evils. It is forbidden to engage in heavy physical labor, especially activities that excessively increase abdominal pressure, such as prolonged squatting or carrying heavy objects. In conclusion, postpartum rheumatism is a common disease, although there is no clear treatment, we should pay attention to clinical advice to the patient prevention-oriented, once the discomfort, do not panic, treatment at the same time to give the patient psychological counseling and life guidance, tell the patient that the disease can be cured, to give the patient confidence in early diagnosis, early treatment, early recovery.