Nowadays, the commonly used abortion methods include artificial device abortion and medication abortion, no matter what abortion measures are taken, they are all harmful to the body. Influenced by traditional thinking, there is a lack of awareness of the hazards of abortion, less relevant medical research, and the post-abortion recuperation has not attracted sufficient attention. With the increase of return visits to women who have had abortions and the depth of research, the hazards of abortion have greatly exceeded people’s imagination and have attracted great attention from the medical profession, and people have begun to pay attention to rest and recuperation after abortion. Chinese medicine has an irreplaceable role in the overall post-abortion conditioning process, but there is still a lack of systematic theoretical guidance, clinical application is too blind, sometimes counterproductive. 1, the general regression after abortion The day of surgery due to operational stimulation and postoperative uterine contraction reaction can have a slight abdominal pain, later abdominal pain disappears or occasional abdominal pain. Because the enlarged uterus has to gradually contract to its normal size, and there is an invasive surface on the inner wall of the uterus after curettage or induction of labor, there will be vaginal bleeding or bleeding discharge for the first 1-2 days. After the embryo or placenta is removed, there may be a small amount of bleeding from the trauma left on the uterine wall. With the contraction of the uterus and the repair of the trauma, the vaginal bleeding usually stops gradually in 3-5 days and does not exceed 10-15 days at most. After the abortion, the uterine opening is not completely closed and the endometrium has a repair process, which takes about half a month to a month. The half-life of HCG is long, 9-37 hours. Generally, it will turn negative within half a month after medical abortion, but for those who have vaginal bleeding for more than half a month, we should pay attention to whether there is residual. After abortion, it is also usually half a month to turn negative. After abortion, the ovaries can resume follicular development within 22 days and ovulation can resume within a month or so, but a few women may experience menstrual disorders such as prolonged periods, irregular cycle length and amenorrhea after abortion. This situation usually returns to normal after two or three months, but a few people last longer. The “hidden damage” to the body caused by an abortion is more powerful than normal childbirth. Natural childbirth is the natural delivery of a mature fetus, a real ripe baby, while abortion is the forced termination of pregnancy while the fetus is still developing rapidly, the body of the pregnant woman gradually from the state of pregnancy to the normal state before pregnancy, need to have a recovery process. Although this process is shorter than a large birth, but after abortion must rest well, avoid overwork, otherwise it will affect the recovery of the uterus, uterine trauma repair delayed, inducing post-operative complications. Marriage law provides for abortion of women can enjoy half a month off, the purpose is to fully rest, restore physical strength, to prevent post-abortion disease. 2, abortion common and complications surgical operation may cause complications or sequelae in the intra-operative, post-operative immediate and long term, such as sub “abortion syndrome”, uterine perforation, incomplete abortion, post-operative infection, cervical and/or uterine cavity adhesion, endometriosis, irregular menstruation or even amenorrhea, secondary infertility, etc., and mental stress, endocrine disorders. If the menopause is prolonged, the abortion will still need to be cleared if it is incomplete. For those who have had multiple abortions, repeated scraping of the uterine lining causes the uterine wall to become thinner and the lining to become less and less, resulting in less menstruation and even amenorrhea. If you get pregnant again soon after the abortion, the fertilized egg will be re-bedded on the endometrium which has not yet recovered, and spontaneous abortion will easily occur. With repeated abortions, the fertilized egg does not have a good “soil” in which to lay, so that it cannot develop into an embryo and thus becomes infertile for life. The data statistics, the infertility caused by abortion accounted for the third of all secondary infertility. 3, the physical state after the abortion pregnant women suddenly subjected to curettage or medical abortion, mental tension, physical fatigue, also need to rest fully, to restore physical strength. After abortion, the uterus, ovaries and other genital tubes as well as the body have a recovery process, to return to a normal state, it takes a period of time and appropriate recuperation. As a result of pregnancy, not only the reproductive system will change, but also all systems of the body will undergo great changes. Once the pregnancy is interrupted, the changes in the whole body systems plus the damage to the mother’s body from blood loss from the abortion will take some time to recover. Generally speaking, a mature woman’s body is in a state of homeostasis, where the intake and consumption of energy and various nutrients are in basic balance, so that it has the basis for conceiving life. Pregnancy itself must increase consumption, although this is not significant in the early stages of pregnancy, when the natural process of motherhood is artificially suspended and the energy needs of the mother are supposed to be reduced. However, many of the hormonal states favoring fetal conception are yet to be adjusted and fall back, and the body’s nutritional homeostasis suitable for fetal growth has a certain inertia, so the woman’s body will be in a state of greater energy than consumption after the abortion. The organs of the heart, lungs, liver and kidneys, as well as the abdominal wall, pelvic floor muscles and other tissues need to be restored to their normal state in order to adapt to the needs of pregnancy and enhance their functions. In particular, women who are induced in the middle of pregnancy do not rest well, overwork, the pelvic floor muscles are loose, over time, prone to genital tract prolapse. 4, post-operative endocrine changes Induced abortion uses negative pressure suction to suck out the embryonic tissue, although it is an ordinary surgery, the surgery makes the sudden termination of pregnancy and produces many adverse effects on women. During pregnancy, the endocrine secretion itself has already undergone significant changes, and if abortion is performed, the endocrine secretion changes suddenly and temporarily loses its balance, and the body needs to readjust the endocrine factors, which often leads to changes in the hormone level in the body, and makes the ovaries unable to respond to the anterior pituitary gonadotropin in a timely manner, which may cause endocrine dysfunction. The sudden decrease in the level of sex hormones in the body may cause the newly developed breast to stop developing, resulting in breast lumps or pain; especially the sudden decrease in the level of chorionic gonadotropin may cause amenorrhea because the ovaries cannot respond normally to the anterior pituitary gonadotropin for a while. 5, intraoperative pathological injury in the abortion process, the endometrium is scraped off, so that the endometrium can not be fully repaired in a short period of time, multiple abortions within a short period of time, in excessive suction or scraping, the endometrial basal layer, or excessive scraping with a scraper to scrape off the endometrial basal layer, so that the endometrium can not regenerate, or the cavity adhesions shrink, often leading to reduced menstruation or amenorrhea; abortion requires Artificial dilatation of the cervix can cause different degrees of cervical injury, which can easily cause cervical canal relaxation or cervical adhesion obstruction; in the period after abortion, the trauma on the endometrium has not yet recovered, the cervical opening is relaxed, the original mucus plug in the cervix is removed, and the new mucus plug has not yet formed, at this time, bacteria in the vagina can easily enter the uterine cavity and cause infection; aspiration of the uterus injures the endometrium, and because the recipient has a heavy The endometrium is injured by aspiration, and because the patient has severe cervicitis or poor disinfection during surgery, bacteria can be brought into the uterine cavity, causing endometritis and inflammatory atrophy of the endometrium, resulting in tubal inflammation and tubal obstruction. Prolonged bleeding after abortion is more likely to be complicated by pelvic infection. Pregnant women who have already undergone abortion have endometrial smoothness affected, dysplasia, difficulty in reconstruction of endometrial surface epithelium, inability to regenerate glandular epithelium, fibrosis and glass-like changes or calcification in the interstitium. It will prevent the normal implantation of the placenta in future pregnancies and hinder the normal development and growth of the fetus, and increase the chance of fetal distress or asphyxia during labor and delivery, and cause postpartum hemorrhage. The likelihood of placenta praevia is 3.5 times higher in pregnant women who have had an abortion than in women who are pregnant for the first time, which can easily cause hemorrhage and lead to intrauterine hypoxia in the fetus. Frequent abortions are a contraindication to medical abortion. Reluctant use of medication abortion has a higher rate of incomplete medication abortion, which will cause greater health risks to women. Drug abortion still has disadvantages such as long abortion process, more bleeding and longer time after abortion, which may be related to endocrine disorder after drug abortion, and many patients then undergo cervical cleansing. There are also some patients who insist on not clearing the uterus and wait for the next normal menstrual flow, the bleeding will stop naturally, resulting in an increased chance of post-operative infection. 6. Chinese medicine theory on the mechanism of pregnancy The kidney qi is strong in early pregnancy, especially the kidney yang, which is the main cause of the kidney yang, and the yang of the whole body is strong, so the body temperature increases during pregnancy. In the early stage of pregnancy, because the uterus is connected to the kidney, the uterus is full and the blood is vigorous. Under the action of the kidney yang, the dou-ren and dash blood vessels, which are connected to the uterus, are all vigorous, while the rest of the internal organs are relatively deficient in function because of the excessive concentration of essence and blood in the dash blood vessels. At the same time, the uterus is enlarged, so that its function of storing essence without diarrhea is exercised, and the kidney is needed to constantly shade the fetus, and the internal organs are constantly enriched with the vigorous kidney qi to produce sufficient qi and blood to ensure the healthy growth of the fetus. 7.Theoretical basis of TCM care Most abortions are performed in early pregnancy, when the internal organs are still in the process of adapting to the development of the embryo and re-establishing coordination, and the changes in the maternal environment are definitely heavier than the trauma to the body caused by forced scraping of abortion, or drug poisoning. If we want to better restore the normal function of the reproductive regulation axis of the kidney-tengui-hypophysis-uterus, we must also do a good job of postoperative care. We divide the post-abortion recovery process into three stages: The first stage (one week after surgery) is the early stage of uterine regeneration, with the discharge of bloody malignant dew from more to less, and the gradual closure of blood vessels in the basal layer of the endometrium. During this period, the body is in a state of sudden diarrhea of kidney qi, loss of blood and fluid, deficiency of liver and spleen, damage to the endometrium, loss of solidification of essence, and inability to adapt to the transformation from latent to sudden diarrhea and then to latent, with continuous injection of Yin and blood into the uterus, resulting in overflow of essence and weakness of the body. If the miscarriage is incomplete, the embryonic tissue remains and occupies the uterine cavity, which further hinders the restoration of the uterus and aggravates the loss of fluid and blood. In this period, the principle of regulation is: to benefit Qi and nourish Blood, to resolve stasis and create muscle. For the uterus of normal pregnancy, restoring the vital energy and repairing the trauma will help it to perform its natural functions. In modern clinical practice, Biochemistry Tang and Gui Zhi Fu Ling Capsules are mostly used as postoperative tonics, because their main treatment does not lie in this formula, which is inevitably inappropriate as a routine application: Biochemistry Tang treats postpartum blood stasis, cold evil takes advantage of the deficiency and enters the uterus, which leads to stagnation of blood and cold pain in the abdomen. And the original formula to join the child to take its Yang benefit to resolve blood stasis, lead blood down the effect, as a regulating medicine, is not appropriate. Gui Zhi Fu Ling Pill original main pregnancy blood stagnation of the uterus caused by fetal movement, abdominal pain and leakage of evidence, “Women’s recipe” called “life pill”, specifically for the treatment of women miscarriage, the child died in the abdomen, see the fetus on the heart of the robbery, bored to death. It is called “Life Snatching Pill” in “Jin Yin Gang Mu”, which is considered to have the power of promoting birth, and it seems to be inappropriate to apply it routinely after abortion. The second stage (the second week after surgery) is the middle stage of uterine rejuvenation, when the bloody malodorous dew is basically clean and the endothelial broken tissue is repaired, but the new tissue is weak and the amount of hypodermis is high, which can also be called white malodorous dew. During this period, the body condition is kidney qi deficiency, liver and spleen deficiency, the flushing of the empty, the uterus is not solid. During this period, we should benefit the kidney, regulate the liver and spleen, restore the function of the kidney-Tiankui-Chongren-Uterus axis, and enhance the collection mechanism of the uterus. The formula is Yi Kidney Solidifying Chong Tang with addition and subtraction, including Du Zhong, Chuan Gui, Fructus Lycii, Cornu Cervi Pantotrichum, Cuttlebone, Radix Angelicae Sinensis, Yi Mu Cao, Bai Shao, Shu Di, Dang Shen and Huang Qi. This period is still a period of physical deficiency, with obvious changes in hormone levels in the body, and a critical period of transitional changes, but it is easily overlooked and still lacks ideal prescription medication. In the third stage (the third postoperative week), the uterus recovers late, the abnormal underbanding decreases or disappears, and the endometrium gradually returns to the state at the beginning of clean menstruation. The state of the body during this period is the transitional period of the follicle in which yin essence accumulates and heavy yin turns to yang, with the fluid and blood gradually filling up and the true essence gradually recovering. The aim of toning care is to smoothly promote postoperative follicular development and further repair the damaged endometrial tissue, aiming to minimize the adverse effects of endometrial trauma during the initial stage of the first menstrual resumption. The new women say that it is as simple as catching a cold, and that abortion is not a contraceptive “routine”, whether it is a surgical abortion or a medical abortion. Some women repeatedly do painless abortion surgery, the abuse of painless abortion will certainly lead to an increase in female infertility rate. According to data, the incidence of secondary infertility in unmarried women after multiple abortions has increased significantly, with the incidence of tubal infertility as high as 61.60 percent. In order to protect the health of mother and child and to produce a good next generation, it is important to insist on contraception after abortion and to prohibit intercourse for one month until the next normal menstrual period. At the same time with appropriate conditioning measures, try to minimize the side effects of abortion.