Edema During Pregnancy

Wind-Damp Edema

Clinical Manifestations	Aversion to Wind and Cold Facial edema moving to generalized edema Slight fever or fever and chills Thirst Slight but continuous perspiration Sore, heavy limbs Decreased urination Headache Edematous orbits A red, swollen sore throat Weak abdomen Belching Cough Asthma Dyspnea Bulging eyes Severe cough Weak, aching feet Skin problems T: Normal C: White or Thin white P: Floating or Floating and big
Treatment Principle	Promote perspiration Disseminate Lung Qi Clear Heat Move water
Herb Formulas	Yue Bi Jia Zhu Tang Zhong Si Wan
Points

Spleen Qi Deficiency Edema

Clinical Manifestations	Whole body edema which may develop at onset of pregnancy or some months after conception Facial edema Edema in limbs, especially lower limbs Bright, shiny, white skin A Pale or yellowish complexion Dizziness A heavy head A tasteless, greasy sensation in the mouth Mental disturbance Physical and mental fatigue Chest tightness Shortness of breath Malaise Scanty urination Anorexia Loose stools Maybe anasarca Maybe abdominal distention T: Pale or Pale, thick and tender C: Sticky and white or Thin and white or White and moist P: Deep and slippery or Weak or Soft and even
Treatment Principle	Strengthen the Spleen Drain Dampness
Herb Formulas	Bai Zhu San Jia Wei Wu Ling San Ze Xie San (No Information) Kui Zi Fu Ling San (No Information) For edema of the legs during the third trimester: Liu Jun Zi Tang With Blood Deficiency: Qian Jin Li Yu Tang (No Information)
Points	REN-9, REN-12, SP-5, SP-9, UB-20, UB-21 REN-6, REN-9, SP-6, SP-9, ST-28, ST-36, UB-20, UB-22, UB-23

Severe Spleen Qi Deficiency Edema

Clinical Manifestations	Whole body edema Abdominal distention Mental disturbance Difficult, hesitant urination Dizziness A heavy head A tasteless, greasy sensation in the mouth Palpitations Extreme fatigue Threatened miscarriage Fetal death T: Pale C: Sticky and white P: Deep and slippery
Treatment Principle	Strengthen the Spleen Drain Dampness
Herb Formulas	Fu Ling Dao Shui Tang Quan Sheng Bai Shi San (No Information) Qian Jin Li Yu Tang (No Information)
Points	REN-9, REN-12, SP-5, SP-9, UB-20, UB-21

Central Qi Sinking

Clinical Manifestations	Edema during pregnancy Prolapse of one or more organs Sallow complexion Anorexia Four limbs feel tired and heavy Abdominal and epigastric distention after eating Maybe acid regurgitation or vomiting Loose stools Shortness of breath T: Pale and flabby - may have teethmarks C: White P: Even or Soft and thready
Treatment Principle	Strengthen the Spleen Benefit Qi Reinforce the Center Invigorate Yang
Herb Formulas	Bu Zhong Yi Qi Tang
Points	DU-20, other points are selected according to the type of prolapse Damp Stagnation: KI-6, KI-7, REN-6, REN-11, SP-9, ST-36 Ear: Heart, Shenmen, Hypophysis

Spleen Qi Deficiency With Dampness And Qi Stagnation

Clinical Manifestations	Edema during pregnancy Generalized edema Sensation of heaviness, distention and fullness in the epigastrium and abdomen Labored, heavy breathing Urinary difficulty Asthma Chest distention General edema in summer Gasping Rapid breathing T: Normal C: White and slippery P: Thready and moderate or slipper
Treatment Principle	Resolve Dampness Reduce edema Regulate Qi Strengthen the Kidneys Reduce swelling
Herb Formulas	Wu Pi Yin Wu Pi San
Points	Spleen Qi Deficiency: KI-3, KI-7, SP-4, SP-7, ST-36 Ear: Kidney, Heart, Spleen, Endocrine, Brain

Spleen And Kidney Yang Deficiency

Clinical Manifestations	Body cold Limbs icy Complexion white and shiny Low back, knees and abdomen feel cold and painful Lower abdomen feels cold and painful Loose stools containing undigested food “Cock-crow” diarrhea (occurs at about 5 am) Edema of face and limbs Dysuria Severe: Abdominal ascites T: Pale, moist and swollen C: Thin and white or White and greasy P: Deep, thready, weak and maybe slow
Treatment Principle	Warm and Reinforce the Spleen and Kidneys
Herb Formulas	Zhen Wu Tang Jia Jian Wen Bao Yin Jin Lian Zhong Zi Fang With Dampness Accumulation: Kuan Dai Tang
Points	Moxa or moxa needle REN-4, REN-12, SP-6, SP-9, ST-36, UB-20, UB-23

Liver Qi Stagnation

Clinical Manifestations	Edema which develops 3-4 months after conception Edema begins from the feet and moves up to the legs Elastic edema when pressing without pitting Change of skin color Distending pain in the head Distention and pain in the sides or flanks Suffocating sensation in the chest Distention and fullness in the chest and epigastrium Dizziness Tendency to sigh Melancholy Depression Irritability Inappropriate anger Irregular menses Dysmenorrhea Breast distention and pain before and during menses T: Pink C: Thin and white or Thin and greasy P: Wiry or Slippery and tight
Treatment Principle	Soothe the Liver Clear Stagnation Strengthen the Spleen to remove Dampness
Herb Formulas	Tian Xian Teng San Xiao Yao San Edema #1
Points	GB-40, GB-41, LIV-2, LIV-3, LIV-4, LIV-5, LIV-13, LIV-14, PC-6, SJ-6, SP-6, UB-18

Liver Qi Stagnation Invades The Spleen With Dampness

Clinical Manifestations	Continuous cramping pain in the abdomen Pain is not severe Pain is relieved by pressure Edema of the feet Urinary difficulty Slight edema below the waist (primarily of the lower limbs) Symptoms generally occur during pregnancy Pale face Chest fullness Yellowish Phlegm Fatigue Depression Heaviness of head Lassitude Lower abdominal pain Head distention Dizziness Tinnitus Lumbago Edema Anorexia Abdominal pain and distention with edema during pregnancy due to Blood Deficiency and abnormal water circulation Oliguria Palpitations Cold feet Discharge between the toes Extreme coldness of the hands and feet Vertigo Weakness and numbness of lower back and legs during pregnancy or postpartum Impaired ability to walk Mal position of the fetus Dysmenorrhea Irregular menstruation Right upper quadrant pain Hepatomegaly Anemia Lack of energy Sore back Thirst with no desire to drink T: Pale or pink maybe petechiae on margin C: Thin or Greasy and white P: Deep and weak or Soft, floating, small and slow or Wiry and small or Wiry and rough or Deep, wiry and slippery
Treatment Principle	Nourish Liver Blood Soften the Liver Spread Liver Qi Strengthen the Spleen Resolve Dampness Reinforce the Spleen and Kidney
Herb Formulas	Dang Gui Shao Yao San Tian Xian Teng San With Dampness in the Lower Jiao: Wan Dai Tang With Qi Deficiency: Bu Zhong Yi Qi Tang  modified
Points	GB-34, LIV-3, LIV-13, SP-6, SP-9, UB-28

Kidney Yang Deficieny With Water Flooding

Clinical Manifestations	Edema in the limbs and face Edema of whole body particularly at and below the waist after several months of pregnancy Pitting edema Lusterless complexion Low back pain, aching and heaviness Abdominal distention with full sensations Oliguria Cold limbs Face gray and congested or pale Feeling nervous and cold with mental weariness Palpitations Shortness of breath Abdominal fullness Weakness in the waist In severe cases: Ascites Edema of scrotum T: Pale and swollen C: Thin, white or Thick, white and sticky or Thin, white and slippery P: Deep and thready or Thready and slow or Deep
Treatment Principle	Warm the Kidneys Promote diuresis
Herb Formulas	Zhen Wu Tang Ji Sheng Shen Qi Wan Shen Qi Wan Yang Deficiency Edema #1
Points	KI-7, REN-6, REN-9, SP-6, SP-9, ST-28, ST-36, UB-20, UB-22, UB-23, UB-39 DU-4, DU-6, KI-3, KI-7, UB-20, UB-23 KI-3, KI-7, UB-22, UB-23, UB-28 Ear: Spleen, Endocrine, Brain, Bladder, Shenmen

Damp-Heat In The Urinary Bladder

Clinical Manifestations	Urinary frequency Urinary urgency Painful urination or Continuous dripping of urine or Sudden interruption to the urinary stream Turbid urine or Pus and blood in the urine or Sand and stones in the urine In Damp-Heat Pouring Downward there may also be: Fever Thirst Dry mouth Low back pain In Damp-Heat Crystallizes in Urinary Bladder there may also be: Colicky pain in the low back, possibly radiating to the groin T: Red C: Yellow P: Slippery and rapid
Treatment Principle	Clear Heat Eliminate Dampness by diuresis
Herb Formulas	Ba Zheng San
Points	KI-7, LIV-2, REN-3, SP-6, SP-9, UB-23, UB-28, UB-39 For retention of urine: 1. REN-3, SP-6, SP-9, UB-28 2. REN-3, SP-6, SP-9, UB-39 For Blood Lin: 1. KI-3, LIV-2, REN-3, SP-6, SP-9, SP-10, UB-28 2. KI-1, KI-7, LIV-3, REN-3, SP-10, UB-17, UB-23, UB-27 For Stone Lin: 1. KI-2, KI-3, LIV-2, REN-3, SP-9, UB-28, UB-39 2. KI-1, LIV-1, REN-4, UB-23, UB-28, UB-40 For Milky Lin: 1. KI-3, KI-6, LIV-2, REN-3, SP-9, UB-23, UB-28 2. REN-4, REN-6, SP-6, SP-9, UB-22, UB-27, UB-28

Damp-Heat In The Lower Jiao

Clinical Manifestations	Painful urination Difficult, scanty urination Heavy headache Thirst with no desire to drink Oliguria Maybe constipation Lower abdominal fullness and distention Dizziness Maybe urolithiasis T: Normal or Red C: White or Yellow P: Soft and maybe rapid
Treatment Principle	Promote diuresis
Herb Formulas	Wu Lin San
Points	REN-3, SP-6, SP-9, ST-25, ST-28, UB-25