Etiology of postpartum wind

  Postpartum wind, also known as postpartum stroke, postpartum paralysis, as early as in the Tang Dynasty, “the effect of birth” in the discussion, pointed out that “postpartum stroke, body pain, limb weakness.  Etiology: 1, more deficiency: deficiency of qi and blood and insufficient function of internal organs is the main internal factors, is also the main cause of the disease.  2, more stasis: most of the deficiency of Qi and blood leads to cold and blood stagnation in the meridians.  3, feeling external evil: is due to postpartum Qi and blood deficiency, deficiency damage has not recovered, the wind and cold of the evil guest and become paralysis. The congenital deficiency of kidney qi, deficiency of kidney governor, deficiency of liver and kidney, combined with the sensation of external evil, the combination of internal and external evil is the main mechanism for the formation of this disease. If the disease is prolonged, phlegm, stasis, heat, and toxicity are generated, resulting in a mixture of deficiency and actuality, cold and heat, and difficulty in healing.  In short, the internal cause is a lack of qi and blood, the internal organs are deficient, the external cause is excessive labor, wind, cold and dampness invade the skin meridians. Specifically, such as postpartum involving cold water too early, washing too cold, sleep and wind, air conditioning too cold and too hot, damp living. In addition, abortion and induction of labor cause joint paralysis of the extremities also belong to the scope of postpartum paralysis. During pregnancy, some of the women’s qi and blood moisten the twins, while the qi and blood of the four ends of the hundred bones, joints and skin are in a state of deficiency or emptiness. After giving birth, the woman’s yin and yang are not in harmony, the positive qi is deficient, the yang qi is not solid outside the guard, the coup is empty, the positive deficiency of evil love, wind, cold and damp evil take advantage of the deficiency and enter, stay in the skin, meridians, tendons and veins, over time, the external evil stagnation, or accumulate in a joint, or flow between the skin and tendons and veins, manifested as the limbs and joints pain and soreness, numbness, wandering, and with climate change, feel the wind and cold evil and aggravate.  The pathogenesis: “after childbirth, the hundred joints are open, the blood vessels are dispersed”, Yang Qi is deficient, the couples are not dense, wind, cold and damp evil attack the limbs, forming Yang deficiency, blood deficiency, cold stagnation, painful paralysis. The pathogenesis is a mixture of deficiency and actuality, i.e., a deficiency of liver and kidney, and a sudden deficiency of qi and blood after childbirth, resulting in the loss of nourishment of the meridians and channels, and the entry of external evil into the meridians and channels, resulting in paralysis and blockage of qi and blood.  Symptoms: joint pain is obvious, fear of wind and cold, aggravated by cold and dampness, and even facial paralysis in case of wind; generally the joints are not swollen, accompanied by morning stiffness, relieved by warmth, spontaneous sweating, the more sweating the joint pain and fear of wind and cold, the heavier.  All laboratory tests are generally within the normal range.  Treatment: Western medicine has no information drugs and methods.  Chinese medicine: treatment has a history of more than 3,000 years, mostly in the treatment of paralysis, in addition to the method of eliminating evil, pay attention to the benefit of Qi and nourishing blood, the liver and kidneys, that the use of medicine when the supplement should not be too congested, wind medicine not too pungent, dispel dampness not too just dry, with blood and flesh have feelings not too nourishing. The treatment method of nourishing the blood and invigorating the blood, warming the meridians, dispersing cold and removing dampness is often used.  Patients may need to be treated with acupuncture, acupuncture, massage and medicinal food at the same time to play a synergistic role. The patient himself needs to improve his physical fitness through exercise to prevent recurrence.  If the postpartum wind is treated properly, it can be basically relieved in 1-3 months and can be cured, but it can recur.