Ectopic Pregnancy

Qi And Blood Stagnation

Clinical Manifestations	Pain that is fixed, stabbing and /or severe or Pains that move around Distention Depression Irritability Pan is worse with pressure Dark complexion Fixed, palpable masses Bleeding with clots Purple lips Purple nails Dry skin Blue, dark or purplish discoloration of skin in small or large areas, Varicose and spider veins Cold hands and feet Tendency to hemorrhage dark blood or clots T: Purple, possible red spots C: White P: Choppy or Wiry and choppy
Treatment Principle	Tonify Qi Invigorate the Blood
Herb Formulas	Ectopic Pregnancy #1 (when urine pregnancy tests turn negative or serological markers lower on two occasions, switch to Ectopic Pregnancy #2) Ectopic Pregnancy #2 Huo Luo Xiao Ling Dan Huo Luo Xiao Ling Dan Jia Wei With Qi and Blood Deficiency: Yi Qi Huo Xue Tang
Points

Qi And Yang Deficiency (Ruptured , Shock Type)

Clinical Manifestations	Abrupt pain in the lower abdomen Tenderness Pallor Cold limbs Profuse cold sweat Irritability Low Blood pressure T: Pale C: White P: Faint or None or Thready or Rapid and weak
Treatment Principle	Invigorate the Blood Remove Blood Stasis Tonify Yang Tonify Qi Restore from collapse
Herb Formulas	Ectopic Pregnancy #5
Points

Blood Stagnation

Clinical Manifestations	Mild, persistent uterine bleeding of purple and black blood during pregnancy Abdominal pain that is worse with pressure Abdominal spasms and tension Immobile masses in the lower abdomen with pain and tenderness Amenorrhea with distention and pain Dysmenorrhea Headache Sinus congestion Constipation Excess weight in the pelvis Lower back ache Irregular menstruation Nervousness Fatigue Fetal instability Skin eruptions Scanty menstrual flow Scaly, dry skin Retention of lochia Shoulder stiffness Vertigo Cold low body and feet Flushed face Protruding abdomen T: Dark purple or with echymoses or petechiae or pale with purplish spots C: White P: Choppy or Tense, deep and slow
Treatment Principle	Invigorate the Blood Transform Blood Stasis Soften lumps Reduce fixed abdominal pain
Herb Formulas	Gui Zhi Fu Ling Wan Sheng Hua Tang Shi Xiao San Gong Wai Yun Fang Ge Xia Zhu Yu Tang Shao Fu Zhu Yu Tang Ectopic Pregnancy #3 Due to Blood Deficiency: Si Wu Tang Si Wu Tang Jia Wei
Points

Blood Stagnation (Unruptured)

Clinical Manifestations	Unruptured ectopic pregnancy Morning sickness Vague pain Distention and a dragging sensation on one side of the lower abdomen Slight tubal dilation or A soft, tender mass on one side of the oviduct Urine pregnancy test positive T: Purple, possible red spots C: White P: Choppy or Wiry and choppy
Treatment Principle	Invigorate the Blood Remove Blood Stasis Eliminate the mass Destroy the embryo
Herb Formulas	Ectopic Pregnancy #4
Points

Blood Stagnation (Ruptured, Unstable Type)

Clinical Manifestations	Abdominal pain Tenderness which is gradually alleviated Palpable mass with unclear margins A small amount of vaginal bleeding Stable Blood pressure T: Normal C: white P: Thready and moderate
Treatment Principle	Invigorate the Blood Disperse the mass
Herb Formulas	Ectopic Pregnancy #6
Points

Blood Stagnation (Ruptured Mass Type)

Clinical Manifestations	Formation of hematomole Gradual disappearance of abdominal pain Occasional dragging sensation in the lower abdomen T: Normal C: White P: Thready and choppy
Treatment Principle	Resolve the mass
Herb Formulas	Ectopic Pregnancy #7
Points

Blood Stagnation With Blood Heat (Ruptured)

Clinical Manifestations	Acute lower abdominal pain, which is worse with pressure Fever which is worse art night Constipation or Black, tarry stools Manic behavior in severe cases Delirium in severe cases T: Deep red with purple spots C: Yellow P: Deep and full
Treatment Principle	Clear Heat Break up Blood Stagnation
Herb Formulas	Tao He Cheng Qi Tang
Points	LIV-2, PC-9, SP-4, SP-6, SP-8, SP-10, ST-40, Zigong