”Postpartum wind” is the common name for “postpartum rheumatism”. Postpartum rheumatism refers to postpartum or abortion and improper care of women of childbearing age who feel wind, cold and dampness caused by limb and joint pain, numbness and discomfort, fear of wind and cold as the main manifestation of the disease. It looks like rheumatism, but the rheumatism laboratory indicators are mostly normal, and the use of conventional anti-rheumatic drugs have no effect, so it is called “postpartum rheumatism”.
The reasons for its formation are mainly the following.
First, the process of childbirth, pregnant women consume a lot of physical strength, birth canal bleeding, muscle table, tendons and bones open, resulting in internal blood vessels, meridians and weaknesses, after childbirth, if health care is not in place, external evil invade the muscles, joints and other places, with the recovery after childbirth, muscle table, tendons and bones closed, the rheumatic cold evil wrapped in the body, postpartum rheumatism is formed.
Secondly, premature activity after childbirth leads to muscle and joint strain is also to blame. Most of the synovial fluid secretion of the synovial bursa in the joints of new mothers after childbirth is poor, a little strain can appear wrist numbness and other discomfort. This is closely related to poor blood circulation during childbirth.
In addition, clinical research by experts found that the occurrence and development of “postpartum wind” is also affected by advanced age, difficult childbirth, caesarean section, multiple miscarriages, etc. The chances of these women suffering from postpartum rheumatism are significantly higher.
As early as the Tang dynasty, the “Jingxue Nissan Bao” on this disease, the book pointed out that “postpartum stroke, body pain, limb weakness. Therefore, Chinese medicine has long recognized the name of “postpartum wind” and “postpartum paralysis”, and its pathogenesis is mostly believed to be due to congenital deficiency of qi and blood, postpartum deficiency of the hundred veins, resulting in the invasion of wind, cold and dampness, paralysis of the meridians; or for pregnancy and childbirth in the mood or diet disorders, resulting in liver depression The spleen is deficient, and the flow of qi and blood is unfavorable, resulting in paralysis.
Most of the manifestations of postpartum rheumatism are related to “wind”, “cold” and “pain”, and the specific manifestations are as follows.
1, most patients show sweating and bad wind, bad cold, muscle and joint pain throughout the body. Other patients have a feeling of wind in the joints and muscles, that is, whenever they feel the cool breeze, they have the feeling of the cool breeze drilling into their bones, and in severe cases, even in the summer heat, the affected area must be wrapped in a thick quilt or cotton clothes to feel comfortable. The common types of symptoms are liver-depression, spleen-deficiency and qi-blood deficiency.
2. Patients with liver-depression and spleen-deficiency have headache, dizziness, orbital pain, dry eyes or tearfulness, emotional anxiety, sadness or anger, poor lactation or breast lobules, and sleep disturbance.
3. Patients with Qi and Blood deficiency may have less breast milk, thinning and thickening, late menstruation or low volume, pale lips and nails, white face, brittle hair, etc.
4, it should be noted that some rheumatic patients with the first onset or disease activity is often after pregnancy and delivery, so patients with postpartum rheumatic pain must go to the regular hospital rheumatology department to draw blood tests to exclude rheumatoid arthritis, systemic lupus erythematosus, dry syndrome and other rheumatic diseases, only after the exclusion of rheumatic immune disease can be considered for the diagnosis of postpartum rheumatic disease.
Postpartum rheumatism, such as the exclusion of organic rheumatic immune disease, generally after appropriate conditioning or supplemented with Chinese medicine treatment, can be improved or cured. However, there are a small number of patients for the onset of rheumatism or due to emotional disorders eventually formed postpartum depression, this part of the patients need long-term consultation and treatment in rheumatology or psychiatry.
Health guidance]
A. Prevention before the onset
1.Avoid cold and damp houses
Because the new mother is sitting in the moon, the house is more shady, no sunlight, cold and damp, it will bring great harm to the new mother’s body. It is better to choose a room facing the sun, the sunlight in the house should be sufficient, the new mother can get more sunlight in the room, open the windows and ventilate at the right time, generally should not be less than 1 hour per day in winter. The room should be hygienic, with fresh air and good ventilation, but care must be taken to avoid allowing the new mother to be blown directly by the wind. If there is no heating in winter in the south, you can use air conditioning appropriately to adjust the appropriate indoor temperature. If the room is stuffy in summer, you can blow the electric fan against the wall in the opposite direction to let the wind bounce back and make the indoor air circulate, but be careful not to blow the cold air of the air conditioner directly onto the new mother and baby.
2.Avoid premature exertion
New mothers consume a lot of physical strength during childbirth, so it is recommended to rest for 24 hours to ensure sufficient sleep after delivery, and then move around appropriately the next day. During the activity new mothers should avoid exerting too much force, they can move their bodies properly and don’t fall into a state of excessive fatigue. During the month, it is forbidden to engage in heavy physical labor, especially activities that excessively increase abdominal pressure, such as long squatting or carrying heavy objects. After a new mother gives birth, her body needs to recuperate properly. If she works too early, or even strains, she may lay a lot of hidden dangers on her body. New mothers who wash their clothes with cold water while they are doing their monthly cycle are likely to have pain in their hands and joints and suffer from serious rheumatism.
3.Bathing
The first day after the birth of a baby, the new mother’s body is relatively weak, it is best not to take a bath, available warm water bath. When sitting in the moon, new mothers must pay attention to their personal hygiene, appropriate bathing, but each bath time should not be too long, it is best to control within 15 minutes, wash water temperature to maintain at about 35 ℃ – 37 ℃, the room temperature should be at about 22 ℃ – 26 ℃, shower, wash hair as soon as possible after drying, blow dry, pay attention not to catch cold, try to avoid using electrical appliances in the bathroom in winter to prevent accidents. At the same time, new mothers try to avoid taking cold baths. Clinical research has found that in summer, new mothers in the bath, if they are greedy for coolness and the bath water is relatively cold, the “intimate contact” between the body and the cool water, so that the body, which is already very weak, is stimulated by the cold, and the body cannot resist the cold water attack, it is easy to produce joint pain or get postpartum rheumatism. After bathing hair is not dry, immediately sleep, is also the main way to cause postpartum rheumatism.
4, diet
The new mother’s diet should pay special attention to a balanced nutrition, but also a reasonable mix. After eating some high-protein, low-fat food, with vegetables and fruits; meat and vegetables, coarse and fine grains with; in addition to normal meals, but also appropriate soup, to supplement the water consumed by milk production. Avoid eating some spicy and cold foods, these stimulating foods can be very harmful to the new mother’s weak body after delivery. Drinking some lighter soups, such as silver ear soup and yam soup, will help warm up the body. In winter, you can cut fruits into pieces and run them through boiling water to prevent them from getting too cold. Avoid eating chilled fruits in summer, and eat more warm fruits such as grapes, longan, cherries, etc.
5, avoid wind to keep warm
Whether it is natural childbirth or caesarean section, generally after the birth of a baby is generally easier to sweat, this time do not blow wind to stop sweating, the best way is to naturally cool down. If it is at night, also pay attention to keep warm to prevent the new mother from getting cold after the night temperature decreases. The indoor temperature should preferably be kept at 18℃-22℃ in winter and 24℃-26℃ in summer, and the clothes of the new mother should be changed in time when they are wet with sweat. Especially in the cold and wet early winter season, you must pay attention to keep warm, the room should be warm and dry, and if the temperature changes, you must add and reduce clothes in time.
Second, after the onset of care.
(A) life care.
New mothers will be more or less qi and blood depletion due to the birth process, and the arrival of a small life will disrupt the previous fixed pattern of life, rest can not be guaranteed, and the great responsibility of child care and mental relaxation, if they are breastfeeding, but also to ensure that the milk is sufficient and smooth. All these influences will cause the postpartum mother’s body qi and blood to be insufficient or to run poorly under pressure. Therefore, it needs the cooperation of family members, relaxation of the spirit, and active diet to adapt to the task of breastfeeding as soon as possible, and at the same time to regulate the qi and blood and return to normal as soon as possible.
(ii) Dietary regimen.
Patients with postpartum rheumatism mostly have weak constitution, or deficiency of qi and blood, or yin deficiency and blood, so diet should pay attention to avoid too cold, you can eat more warm fruits such as grapes, longan, cherries, etc. Recommended ingredients include meat: pork liver, beef, fish; vegetables: carrots, tomatoes, eggplant, pumpkin; fruits: peach, pineapple, pear; others: dried red dates, black fungus.
At the same time, you can take care of the diet according to different body types, as follows.
1, blood deficiency type
(1) octopus stewed pig’s feet.
Ingredients: octopus (dried) 120g, pig’s feet 1 to 2.
Practice: on the two flavors plus the appropriate amount of water to boil soup until thick. Seasoning, drink the juice and eat the meat. Can also be used with meals. Generally 2 times effective.
Function: Benefit qi and blood, increase kidney essence, strengthen waist and feet. For women with postpartum deficiency and lack of milk.
(2) Spicy and sour pig’s blood.
Ingredients: 250g fresh pig’s blood, 100g old egg paste, 100g fresh tofu, 50g green peas, 5g refined salt, 15g pepper water, 3g monosodium glutamate, 10g fragrant vinegar, 10g Shaozhou wine, 50g water starch, 5g white pepper flour, 5g sesame oil.
Practice: ① the pig’s blood over the lo, add water to the right amount, steam on the drawer into blood tofu, take out and cut into 3 minutes wide, 1 inch long strips. ② egg old paste, tofu cut the same strip of spare. ③Put oil in a pot, put in pig blood and egg paste, tofu, seasoning, thicken with water starch, drizzle with sesame oil.
Function: Blood and essence, moisten dryness, nourish the heart and calm the mind, suitable for sleeplessness, dry cough, dizziness, waist and knee weakness, blood deficiency after childbirth, long-standing illness and weakness, as well as the running dolphin gas and other people eat.
2.Qi deficiency cold and damp type
(1) angelica lamb soup.
Ingredients: lamb 500g, angelica 15g, ginger 12.5g, onion 12.5g, pepper 1.5g, salt 2.5g .
Directions: Wash the lamb, cut into 62.5px cubes, and put angelica into a gauze bag and tie the mouth. The casserole is filled with water, placed on the fire, into the onion, ginger, pepper, lamb, angelica (cloth bag) into the soup, boil for about 30 minutes with a military fire, and then change to a civil fire stewed, to angelica that is. Eat the meat and drink the soup, eat at will.
Function: Warming the menstruation and strengthening Yang, dispersing cold and relieving pain. Treatment of postpartum cold paralysis and Yang deficiency paralysis.
(2) Fangfeng congee.
Ingredients: 10-15g of wind, 2 white onions, 100g of round-grained rice.
Method: First decoct the wind, onion juice, dregs; japonica rice porridge according to the usual method, when the porridge will be cooked add the juice, cooked into a thin porridge to eat. Consume daily in the morning and evening.
Functions: Dispelling wind and relieving symptoms, dispersing cold and relieving pain. It is used for treating external wind and cold, fever, fear of cold, bad wind, spontaneous sweating, headache, body pain, etc.
(3) Eight treasures to remove dampness porridge.
Ingredients: 10g each of raw coix, raw gravy, white lentils, 15g each of lotus seeds and adzuki beans, 30g of raw yam, 10 jujubes, 100g of round-grained rice.
Directions: Add water to the above except for japonica rice, and cook for 40 minutes, then add japonica rice and continue to add water to make porridge. Eat 1 bowl in the morning and 1 bowl in the evening, the effect is very good.
Function: Strengthen the spleen and promote dampness. Treating facial dark spots and light color, more oil secretion, heavy limbs, less food and poor nutrition.
(4) compound astragalus porridge.
Ingredients: Astragalus membranaceus 15g, fried white peony, cinnamon 10g each, ginger 15g, 100g of round-grained rice, 4 jujubes.
Practice: the first four decoction of thick juice to remove slag, round-grained rice and dates with the porridge, porridge into the juice, mix well to eat. Take once a day.
Function: Benefit qi and nourish blood, warming the meridians and clearing the channels. Treating weakness of the hands and feet, numbness of the limbs and cerebral thrombosis patients who do not have high blood pressure.
(5) Atractylodes macrocephala tea.
Ingredients: Atractylodes macrocephala 45g, made of nancellus, made of semen 30g each, ginger 2 slices.
Practice: the first three flavors of the above medicine research coarse un. Each time with 40g, wrapped in gauze, before serving plus 2 slices of ginger, placed in a thermos cup, brewed with boiling water to drink frequently. 1 dose daily. Not to be used for people with internal heat deficiency, fluid deficiency, dry mouth and red tongue.
Function: Drying dampness and resolving phlegm, strengthening the spleen and promoting water circulation. Indicated for cough with phlegm and dampness, heavy limbs, drowsiness and laziness, dullness and indigestion.
3.Yin and blood deficiency type
(1) Sea cucumber with black chicken.
Ingredients: 150g of black chicken meat, 500g of sea cucumber, 30g of egg white, 100g of green onion, 25g of soy sauce, 3g of refined salt, 50g of sugar, 5g of monosodium glutamate, 5g of sesame oil, 20g of starch and 25g of Shaozhou wine.
Practice: ① the meat with a blade into 1 minute thick slices, income bowl, add salt, wine, monosodium glutamate, sesame oil marinated feeding 3 minutes, and then use egg white, starch paste well. ②Two halves of the sea cucumber, scald it with boiling water and take it out to control dry. ③Fry spoon on the fire, add lard in the spoon, when it is 30% hot, put the meat under the oil and pour it into the spoon. ④50g of oil left in the bottom of the spoon, put onion slices stir-fried into tooth yellow, add Shao wine, soy sauce, sugar, monosodium glutamate, sea cucumber, boil the pot with water starch to close the gravy, pour in the chicken slices, drizzle sesame oil, stir-fried evenly out of the spoon.
Function: It nourishes the kidneys, benefits the essence and nourishes the blood, nourishes and strengthens. It is suitable for people who suffer from post-partum illness, deficiency of both blood and qi, impotence of waist and feet, frequent urination, lethargy and weakness, leakage of blood, constipation and constipation, and night sweating of false labor.
(2) Mulberry branch honey tea.
Raw material: mulberry tree with leaves shoots 20g, honey appropriate amount.
Practice: first mulberry branch cut, placed in a thermos bottle, with boiling water 300ml bubble bored 20 minutes, pour out the juice, then mix in a little honey, 2-3 times as tea. Do not use if you feel cold after childbirth, which causes joint paralysis and pain.
Functions: dispel wind and heat, remove dampness and relieve pain. Suitable for postpartum sweating when the wind, so that the clothes that sweat, remove the clothes, vicious wind, limb soreness, similar to rheumatism.
(C) acupressure points
In addition to painful localized joint pressure around the ayurvedic points, for wind, cold and damp invasion of meridians, the body type on the side of qi-yang deficiency type can moxibustion Zhonggui, Guan Yuan, foot three miles, mainly to mobilize the body’s yang ascension. The main purpose is to mobilize the yang energy in the body. “Where the evil comes from, its qi will be deficient”, the yin and yang are out of harmony, and attracting yang to support the righteousness is the essence of treatment.
(D) External hot ironing formula
1. Formula 1: 20g of old stork grass, 30g of Zhongzhu Cao, 30g of Turbinicarpus, and the right amount of salt. Pound the above drugs together, add salt and fry hot. Iron on the foot Chung Quan point, as well as the eight s points and Ah Yes point, once a day.
2, formula 2: old foxglove leaves, calamus, Chen Ai each appropriate amount. The decoction of the above medicine is set aside. Take the liquid for bathing when its temperature is appropriate.