Lochiorrhea, Lochiorrhagia

General

Clinical Manifestations	Lochiorrhea or lochiorrhagia is an abnormally profuse discharge of lochia which lasts more than twenty days.
Treatment Principle
Herb Formulas	Chinese Patent Medicine: Yun Nan Bai Yao An Gong Zhi Xue Ke Li
Points	Ear: select from: Uterus, Shenmen, Sympathetic, Endocrine, Kidney, Spleen, Liver

Qi Deficiency

Clinical Manifestations	Continuous pale, watery lochia No foul odor Persists for more than twenty days after childbirth A sensation of sinking or prolapse in the abdomen Fatigue Exhaustion Facial pallor T: Pale C: Thin and white P: Moderate and weak
Treatment Principle	Tonify Qi Stop bleeding
Herb Formulas	Bu Zhong Yi Qi Tang
Points	Moxa needle REN-4, SP-6, ST-36 For especially profuse lochiorrhagia: + REN-6, DU-20 For a sinking sensation: + DU-20, REN-12

Blood Heat

Clinical Manifestations	Abundant red, thick, foul-smelling lochia Persists for more than twenty days after childbirth Hot flashes Dry mouth and throat T: Red C: Yellow P: Thready and rapid
Treatment Principle	Clear Heat Nourish Yin Stop bleeding
Herb Formulas	Bao Yin Jian Qing Hua Yin
Points	KI-10, LIV-6, REN-3, REN-6, SP-10 For irritability and a restless, agitated sensation in the chest: + LIV-2 For hot flashes: + KI-3 For a dry mouth and throat: + KI-6

Blood Stasis

Clinical Manifestations	Continuous irregular flow of lochia containing purple coots Persists for more than twenty days after childbirth Lower abdominal pain not improved by pressure T: Dark red with purple spots on the edges C: White P: Wiry and choppy or Deep and full
Treatment Principle	Invigorate the Blood Transform Stasis
Herb Formulas	Sheng Hua Tang  modified Shi Xiao San  modified
Points	REN-3, REN-5, SP-8 For severe lower abdominal pain: + ST-29 For pain and cold sensations around the umbilicus: + moxa REN-7, REN-8

Inconsolidation Of The Chong And Ren Channels

Clinical Manifestations	Continuous, slightly yellow lochia Persists for more than twenty days after childbirth A pale or sallow complexion Fatigue Weakness Aversion to Cold Dizziness Blurred vision Palpitations Chest stuffiness Tinnitus T: Pink C: Scant P: Weak, thready and hollow
Treatment Principle	Warm the Chong and Ren channels Strengthen astringency
Herb Formulas	To tonify Qi and Blood: Shi Quan Da Bu Tang To restore astringency: Mu Li San For collapse of Qi: Decoct and drink Rz. Cimicifugae Sheng Ma with wine. For pain due to Blood Deficiency: Jia Wei Xiao Yao San For weakness due excess hemorrhaging during deliver: Si Wu Tangmodified
Points