Vaginal Bleeding During Pregnancy

Wind-Heat

Clinical Manifestations	Vaginal bleeding Cold appearance with hot sensations all over the body Distention of the head Vertigo Thirst A bitter taste in the mouth Dark urine T: Red tip C: Thin and yellow P: Floating and rapid
Treatment Principle	Expel Wind Clear Heat Stop bleeding Calm the fetus
Herb Formulas	Fang Feng Huang Qin Tang (no information) Yu Feng San (no information)
Points	Use acupuncture only as a last resort. DU-14, GB-20, KI-10, LI-11, LIV-8

Spleen And Stomach Qi Deficiency

Clinical Manifestations	Blood the color of cooked red bean juice Listlessness Constitutional weakness Anorexia Chest stuffiness Loose or frequent stools A sallow complexion T: Flabby C: White P: Weak
Treatment Principle	Tonify the Spleen and Stomach
Herb Formulas	Bu Zhong Yi Qi Tang Zhu Qi Bu Luo Tang (no information)
Points	Use acupuncture only as a last resort. DU-20, SP-1, ST-36, UB-20, UB-21

Liver Qi Stagnation With Blood Stagnation And Heat

Clinical Manifestations	Hypochondriac pain Headache Vertigo Bitter taste in the mouth Dizziness Frequent sighing Epigastric pain and distention Flatulence Dry mouth and throat Fatigue Anorexia Alternating chills and fever Irregular menstruation Breast distention Lassitude Insomnia Shoulder and back pain Rib pain Very heavy, bright-red, sticky-thick, Blood The Blood feels warm There may be clots, Lower abdominal distension relieved when the Blood comes Red face Thirst Agitation General feeling of Heat Dark yellow urine Constipation Tightness or fullness in the chest Cold extremities Pain in the arms and legs Heaviness of the head Night sweats Bloating and pain at the umbilicus and abdomen Diarrhea alternating with constipation Five sole heat Palpitations Malar flush Depression Irritability Increased desire to sleep Flatulence T: Red C: Thin yellow P: Wiry and Deficient or Wiry, tight and Deficient or Rapid and slippery
Treatment Principle	Pacify the Liver Spread Liver Qi Strengthen the Spleen Nourish the Blood Harmonize the Liver and Spleen Clear Heat Invigorate the Blood
Herb Formulas	Shu Yu Qing Gan Yin Without Heat: Xuan Fu Hua Tang
Points

Kidney Deficiency

Clinical Manifestations	Vaginal bleeding during pregnancy Darkish Blood Low back soreness Dragging pain in the abdomen Dizziness Tinnitus Maybe a history of several miscarriages or abortions T: Pale C: White P: Deep, slippery and weak
Treatment Principle	Reinforce the Kidney Reinforce the Kidney Yang Tonify Qi Prevent miscarriage
Herb Formulas	Threatened Miscarriage #1 Shou Tai Wan
Points

Deficiency Cold Of The Uterus

Clinical Manifestations	Thin and profuse leukorrhea Sallow complexion or Dark and gloomy complexion Pain of lower limbs Lassitude Lack of vitality Weakness Irregular circulation of channels Failure to conceive for a long time Intolerance of Cold Cold limbs Soreness of waist Pain in the lower back Long-term or heavy menstrual bleeding Painful menstruation which gets increasing worse Pelvic pain during intercourse Fullness and stuffiness in the hypochondriac region Dizziness Tinnitus Shortness of breath Difficult speech Delayed menstrual cycle Abdominal pain during menstruation Abdominal Cold pain which can be relieved by warmth Scanty menstruation Dark in color Blood masses or Amenorrhea Distending pain in the lower abdomen prior to or during menstruation which can be relieved by warmth T: Pale C: White or White and greasy fur P: Weak or Deep and tense pulse or Thready and weak or Deep and slow
Treatment Principle	Reinforce the Kidney and Liver Support Yang Eliminate Cold Warm the uterus Nourish the Blood Invigorate the Blood
Herb Formulas	Fu Ke Zhong Zi Wan
Points

Qi And Blood Deficiency

Clinical Manifestations	Threatened abortion during the first trimester, with slight uterine bleeding of light-colored and thin Blood Fetal unrest Low back soreness Aches and weakness in the waist and knees Lower abdominal insidious pain Abdominal distention with vague pain There may be a history of habitual abortion A sensation of downward sagging A lusterless, pallid facial complexion Essence spirit withering Heart palpitations Shortness of breath Lassitude Weak limbs Fatigue Pale face Shortness of breath T: Pale or Dusky C: Thin and white P: Empty and slippery or Thready, slippery and forceless or Weak
Treatment Principle	Augment Qi Generate Blood Strengthen the Kidney Calm the fetus
Herb Formulas	Bao Chan Wu You Fang Threatened Miscarriage #2
Points

Blood Stagnation

Clinical Manifestations	Dizziness Vertigo Palpitations Amenorrhea with distention and pain Dysmenorrhea A stubborn headache that is fixed and boring Forgetfulness Sinus congestion Constipation Excess weight in the pelvis Lower back ache Nervousness 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 Fatigue Depression Low spirits Irritability Mood swings Dar or purplish lips Spider naevi on the face and nose Fetal instability Skin eruptions Scanty menstrual flow Scaly, dry skin Retention of lochia Insomnia Restless sleep Shoulder stiffness 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 or Wiry or Thready
Treatment Principle	Invigorate the Blood Move Qi
Herb Formulas	Qing Hun San
Points

Blood Heat

Clinical Manifestations	Vaginal bleeding during pregnancy with bright red Blood Profuse bleeding A dragging sensation and distending pain in the waist and abdomen Low back pain Abdominal pain Heartburn Irritability Restlessness Feverish sensation in the palms Dry mouth and throat T: Normal or Red C: Thin and white or Yellowish and sticky P: Wiry and rapid or Slippery and rapid or Slippery and taut
Treatment Principle	Clear Heat Cool and nourish the Blood Nourish Yin Calm the fetus Stop bleeding
Herb Formulas	E Jiao Tang (no information) Threatened Miscarriage #3
Points	Use acupuncture only as a last resort. SP-9, UB-15, UB-18, UB-20, UB-40

Blood Deficiency

Clinical Manifestations	Bright red or pink Blood Dizziness Pallor Palpitations Disturbed sleep Cold appearance Hot sensations all over the body Thirst T: Pale C: Thin and white P: Thready and rapid
Treatment Principle	Tonify and nourish the Blood Calm the fetus Stop bleeding
Herb Formulas	Er Huang Tang (no information) With abdominal pain: Jiao Ai Tang With Cold Stagnation: Sheng Hua Tang
Points	Use acupuncture only as a last resort. LIV-8, SP-1, ST-36, UB- 20, UB-23

Chronic Symptoms

Clinical Manifestations	Bleeding may have been present prior to pregnancy Unchecked bleeding during the first three months due to a long history of metrorrhagia Lower abdominal rigidity Lumbar soreness Lusterless skin Pallor T: Normal C: Thin and white or Dark spots P: Thready and choppy
Treatment Principle	Remove stasis Stop bleeding
Herb Formulas	Gui Zhi Fu Ling Wan With retarded fetal growth: Ba Zhen Tang  modified
Points	Use acupuncture only as a last resort. DU-4, KI-8, SP-1, ST-36, UB-23, UB-47

Trauma

Clinical Manifestations	Threatened miscarriage after trauma Vaginal bleeding Soreness of the waist Dragging distention in the abdomen T: Normal C: White P: Slippery and weak
Treatment Principle	Tonify Qi Nourish the Blood Prevent miscarriage
Herb Formulas	Sheng Yu Tang  modified
Points