Let’s start with a complaint. The physician repeatedly told the patient to be hospitalized in time, but the patient just did not come. Once they come, they are very urgent. For example, she had to wait until 39+6 weeks, had abdominal pain in the middle of the night, placenta abruptio, a lot of blood, and had an emergency cesarean section. The newborn was put into the NICU and put on a ventilator; the mother was put into the black house and her whole body was full of tubes before she would stop. Another patient, who was very serious, was still being treated in a level 1 hospital. The whole body was swollen and wobbly, the serum albumin was only 18.5, the heart rate reached 138 bpm, and there was no money. For this kind of patient, the hospitalization fee of 20,000 dollars is certainly not less, not including the cost of treating the newborn. The principles of treatment of hypertensive disorders in pregnancy are mainly close monitoring and medication, avoiding the development of severe pre-eclampsia, timely prevention and control of complications, talking about HELLP syndrome, people can not understand. Speaking of heart failure, blood hypercoagulation formation of thrombus, thrombus dislodgement occurring pulmonary embolism, should be able to listen to understand. Earlier this year, a patient in a first-class hospital next to the Armed Police Hospital, the third cesarean section, home on the tenth day, the family was eating, suddenly fell to the ground, received our emergency department, there is no heartbeat and breathing, the cause of death may be a pulmonary embolism. The wife of technician Zheng on the 6th floor below my house, another nurse in the emergency department, and a sister-in-law of a nurse in the ICU department, all with severe pre-eclampsia, all had cesarean deliveries at 31 weeks; the premature baby was as small as a cat (one patient spent 150,000 yuan and came back to tell me that her child was not as heavy as a pig’s foot when she was born), and as far as I know, one of the newborns, staying until discharge, spent 70,000 It cost more than 70,000. Now when I see these babies playing in the hospital, I remember when we were doing ward rounds, watching monitors, adjusting nitroglycerin usage, and discussing cases overtime, which is a lot of work. Last night’s patient, early heart failure, the same thing, from 22:00 to 7:00, I two hours round the room once to see the urine volume, listen to the heart and lungs, massage and lower extremities; repeatedly told the security guards outside the ward, there is a serious patient here, do not disturb her. I repeatedly told the security guard outside the ward that there was a serious patient here, so don’t disturb her. For hypertensive disorders in pregnancy, adequate and deep sleep is required, and the stimulation of lights should be avoided. When the light stimulates, they convulse, and after the convulsion, they are resuscitated, and spend more money and stay more days. I have already explained the most basic details of life in the article “Obstetrics Admissions: Procedure and Items to be Brought to the Hospital for Delivery”. If the patient does not pay attention to it, what can the physician do? At most, the physician can explain the powerlessness of the physician – the medication is used, but the effect is not good, and then the patient is urged to pay. Medical understanding of hypertensive disorders in pregnancy is still very shallow, and there are no tests and predictors of who will progress to a serious illness, although research in this area has produced an unknown number of masters and PhDs. The most basic medical interventions and healthy lifestyles will always be the constant means of treating these difficult conditions. The following are some of the TCM prescriptions that you use 1. Chengde Medical College Mr. Gao said “one foot in the hospital, one foot in the court”. The amniotic fluid is too much, with Wu Ling San, Bai Zhu San. Amniotic fluid is too little to drink ordinary tap water 1.8L, increase liquid soup + kidney yin medicine, but do not be too cool, otherwise easy to diarrhea. ICP with Chai Hu Diversifying Liver Soup + Dan Yuan Yuan Yi Yao San + Yin Chen Penny, dredge the liver and transport the spleen, awaken the spleen with Sha Ren, and strengthen the spleen with Sen Liu Jun. One case of PIH mid-pregnancy stillbirth 2 times. In the first 6-8 months of pregnancy, use soup: Qiju Dihuang Tang + nourishing blood and softening liver (Gui Shao) + pacifying liver and subduing yang (mother of pearl, keeled oyster, also calcium) + calming liver and resting wind (Tribulus terrestris Hooked vine posteriorly), 5 days rest for 2 days, or take 20 days per month, or powdered. Fetal malposition (chest and knee position + self-listening fetal heart + sizzling to the point of Yin) Postpartum body pain: Huangqi Guizhi Wuwu Tang + Jinlingzi San (neem + Yuanhu) 2. Add and subtract Antelope horn and hooked vine soup: Only by controlling hypertension and the development of liver yang and liver fire can the eclampsia be effectively controlled. Antelope horn 0.3-0.6 (swallowed), hooked vine 15-30, mulberry leaf Bayberry 6, fresh raw earth, bamboo rhizome, peony, Tribulus terrestris, salvia 10, chrysanthemum 5, mother of pearl (first decoction) 15-30 green dragon teeth (first decoction) 15-20, oyster 15. (female antelope teeth quinoa hook, 3 female antelope, teeth like sharp hooks, eat bamboo skin, mulberry chrysanthemum, salvia ground peony) post-pregnancy yin deficiency, liver and kidney yin deficiency, fetal fire and liver fire Upward rebellion, heat and wind, so diarrhea liver fire and rest wind. Antelope horn: salty cold, belongs to the liver and heart meridian. Calms the liver and restores wind, clears the liver and brightens the eyes, cools the blood and detoxifies the blood, used in warm fever diseases with internal heat. The liver is the master of the eyes and the wind; the soul is also the god of the liver. Hooked vine: sweet cold, entering the liver and pericardium meridian, clearing heat and calming the liver, calming wind and relieving pain, available for children with cold-heat epilepsy. Gardenia jasminoides: bitter cold, belongs to the heart, liver, lung, stomach and three jiao meridians. Clearing fire and removing irritation, clearing heat and dampness, cooling the blood and stopping bleeding. It can protect the liver and promote pancreatic secretion. Artemisia Inchi: Bitter, slightly pungent, slightly cold. It belongs to the liver, gallbladder, spleen, stomach and bladder meridian. Clearing heat and dampness, tonifying the bile and reducing yellow. It is not recommended for deficiency of spleen and Qi and blood due to deficiency of yellow and atrophy. In pre-eclampsia, Yin deficiency and Yang exuberance are the main causes. 1. the kidney is deficient in Yin and Blood to nourish the fetus after pregnancy, the heart and liver are not nourished, the fetal fire is exuberant, and the liver is hyperactive. 2. the spleen is deficient and the liver is exuberant, the spleen and stomach are deficient and water and dampness are suspended. In eclampsia, the heart and brain are clouded with wind and fire (convulsions) and phlegm and fire (burning fluid as phlegm) and coma. 1, yin deficiency and yang vigor evidence, red or vivid tongue, pulse string neck and number, deficiency fire on inflammation and flushed face, kidney yin deficiency can not feed heart yin, so palpitations and shortness of breath. With qi 10 chrysanthemum 6 dihuang pills peony 10 + Erjia (sizzling turtle plate life oyster first decoction 20), hooked vine (after the next) 15 (nurturing yin submerged yang, calm the liver and clear the heart). If ① constipation, add raw rhubarb (later down) 6 cypress seeds 9. ② swelling is obvious plus tianxian vine 15 winter melon skin 10 carpenter seeds 10. ③ headache is very, add summer orange grass 10 whole scorpion powder (swallow) 3, stiff silkworm powder (swallow) 3. ④ eye paste, Huang Lian 3, raw dragon tooth (first decoction) 10. Suitable for wind and fire type eclampsia. (6) Bad sleep, hemp and nut intercourse. 2, evidence of spleen deficiency and liver vigor, swelling, poor nausea, chest tightness, generalized evil loose stools, light red tongue with greasy coating and deficient string and slippery pulse. Hanxia 6 Atractylodes 10 Tianma 9 San: Chen Pi Xia 6 Ling Art 15 Daji Pi 9 Hooked vine (after the next) 15, Fangji 10 bitter tea Tribulus terrestris 10, adzuki beans 10. Urine protein is obvious, add Poria Tu Fu Ling white fungus root 10. Blood pressure is very high, add mother of pearl, raw oyster (first decoction) 15. Suhe Xiang Wan, suitable for this type. Pay attention to the health care during pregnancy, regulate the mood to maintain a relaxed mood and quiet environment. Forbid spicy food, take food with high protein, vitamins and calcium and iron, and control water intake. Edema is controlled from three aspects: spleen, kidney and qi stagnation. For spleen deficiency, use Sheng Bai Zhu San combined with Fang Ji Huang Qi Tang (Ginseng Astragalus Art Ling 15 Chen Pi 6 White Peony 10 Hooked Vine Posterior 20 Ze Di Sang Bai Pi 10. For kidney deficiency: tonify the kidneys, warm the yang, transform the qi and promote water retention. Plantago lanceolata Poria alba, + hooked vine Glycyrrhiza glabra cassia etc. to lower blood pressure.