Treatment of amenorrhea after artificial abortion with traditional Chinese medicine prescription

Since amenorrhea after abortion is caused by mechanical damage, the treatment should consider the use of products that replenish kidney qi and Chong and Ren meridians, so as to recover as soon as possible. In addition, this disease can be divided into deficiency and excess. The excess is due to blood stasis and cold coagulation; the deficiency is due to damage to Chong and Ren meridians and insufficient qi and blood. The treatment should be based on "draining the excess" and "replenishing the deficiency", and the prescription should be based on different symptoms.

Qi stagnation and blood stasis type: amenorrhea after miscarriage, periodic lower abdominal pain, lower abdominal distension and hardness that refuses to be pressed. Chest and flank pain, breast distension and pain, frequent belching, and emotional discomfort. Dark tongue or ecchymosis, thin white fur, and stringy or astringent pulse.

Method: Treatment should be to promote qi and relieve depression, and to activate blood circulation and dredge menstruation. The first choice of prescription is Xuefu Zhuyu Decoction. Prescription medicine peach kernel, Achyranthes bidentata 12g each, Angelica sinensis, Rehmannia root, Red peony root, Citrus aurantium 10g each, Chuanxiong, Bupleurum 6g each, Platycodon grandiflorum, Licorice 3g each. For those with severe lower abdominal pain, add Curcuma zedoaria, Fructus aconitifolia (package) 10g each to activate blood circulation and dredge menstruation. Decoction in water, 1 dose per day.

Chong and Ren deficiency type: after abortion, menstruation stops and there is dull pain in the lower abdomen. The complexion is sallow, the spirit is tired and weak, and the waist and knees are sore. The tongue is pale, the coating is thin, and the pulse is deep, thin and weak. Treatment should be to tonify the kidney and spleen, and regulate the Chong and Ren.

Method: The first choice of prescription is Guipi Decoction. Angelica sinensis, Codonopsis pilosula, 12g each, Rehmannia glutinosa, Astragalus membranaceus, 15g each, White Peony Root, Cyperus rotundus, 6g each, Chuanxiong, Licorice, 3g cinnamon. Millettia reticulata 20g, Ze Lan Ye 12g can be added to the prescription to promote blood circulation and menstruation; for those with sore waist and knees, add Dipsacus asper and Eucommia ulmoides, 12g each to strengthen the waist and knees; for those with sallow complexion, fatigue and weakness, add donkey-hide gelatin (melted) and placenta powder (washed) 12g each to nourish blood and replenish essence. Decoction in water, 1 dose per day.

Cold stagnation in the uterus: amenorrhea after abortion, cold pain in waist and abdomen, cold body and limbs, clear and long urine, clear and thin vaginal discharge, dark complexion, thin white tongue coating, deep and tight pulse or deep and slow pulse.

Method: The treatment should be to warm the uterus and dispel cold, and regulate blood and menstruation. The first choice of prescription is Jinkui Wenjing Decoction. Angelica, peony root 15g each, Ophiopogon japonicus 12g, Codonopsis pilosula, Chuanxiong, Paeonia suffruticosa, Pinellia ternata 10g each, Evodia rutaecarpa, cinnamon twig 6g each, donkey-hide gelatin (melted) 10g, licorice 6g, ginger 3 slices. Millettia reticulata and Curcuma zedoaria 10g each can be added to the prescription to promote blood circulation and dredge menstruation; for those with severe cold evil, add 6 pieces of processed aconite to warm the uterus and dispel cold; for those with excessive leucorrhea, remove Ophiopogon japonicus and add Atractylodes lancea, Atractylodes macrocephala, and Poria 12g each to invigorate the spleen, dry dampness and stop leucorrhea, decoct in water and take 1 dose per day.