Miscarriage

Question 1

Cold womb refers to:

Answer 1

Yang xu (usually low progesterone levels)

Question 2

Risk factors for threatened miscarriage:

Answer 2

Kidney qi xu
Spleen Qi sinking
Blood Xu
Blood heat
Blood stasis

Question 3

How often should you treat for threatened miscarriage?

Answer 3

Weekly.

Question 4

Kidney Qi Xu Symptoms:

Answer 4

Spotting
Low back pain, ache or soreness
Sore legs
Fatigue
Frequent urination
Low progesterone levels / history of insufficient luteal phase

Question 5

Kidney Qi Xu T and P:

Answer 5

T pale, P weak & soft. Kidney pulse should quickly become firm, solid & slightly slippery in a healthy pregnancy

Question 6

Kidney Qi Xu Treatment points:

Answer 6

DU20 & R6 tonify & raise qi
KD3, 7, 9 tonify kidney qi. Can use BLD23 also but with
caution as moving blood and qi in lower jiao must be
done with caution
DU4 warms and firms mingmen

Question 7

Spleen Qi Sinking Symptoms:

Answer 7

Abdominal distension & heaviness
Bearing down or sagging sensation
Spotting
Fatigue
Nausea worse for exertion
Cervix may be slightly open, upon examination

Question 8

Spleen Qi Xu treatment and points:

Answer 8

DU20 & R6 lift qi
STM36, SP3, BLD20 to nourish spleen to raise qi
KD3, KD9 to nourish kidney. BLD23 with caution,
shallow needling

Question 9

What can compromise blood production?

Answer 9

Spleen Qi Xu

Question 10

What two factors can be involved in a too-small fetus?

Answer 10

Spleen and Kidney Yang xu (nutrients are insufficient to nourish growth).

Question 11

Blood Xu Symptoms:

Answer 11

scanty, watery bleeding
Fatigue
Palpitations
Small fetus for dates
Anaemia
Pale complexion

Question 12

Blood Xu treatment and points:

Answer 12

R12
STM36, BLD20 tonify qi & blood
LV8, BLD17, 18 nourishes liver blood
HT7, HT3 nourish heart blood
SP3, SP8 nourish spleen
KD5, KD3 harmonise qi & blood in Chong & ren
Blood tonic foods

Question 13

Blood Heat Symptoms:

Answer 13

Bright red, profuse bleeding
Sudden onset
Accompanied with febrile symptoms if due to infection
Anxiety is a big trigger - cause heat in the heart which disturbs the
uterus via Bao Mai vessel
Extreme anger = liver fire
Restless & agitated
Thirst
Dark urine
Constipation

Question 14

What is low dose paracetemol good for?

Answer 14

Reduces fever quickly and clears heat without compromising uterine warmth

Question 15

Blood heat treatment and points:

Answer 15

SP10, LI11, BLD17, P3 cool blood even technique
SP1 stops bleeding
LV2 cools liver blood
KD2 nourishes yin
HT5, 8 clears heart fire and blood heat
KD8 clears heat & stops bleeding
P6 calms shen

Question 16

Blood stasis symptoms:

Answer 16

Sharp, stabbing or cramping abdominal pain

Dark bleeding with clots

Question 17

Blood stasis possible causes:

Answer 17

IVF procedures cause stasis, and should be addressed after embryo transfer so not to interfere with implantation
Fibroids, endometrosis
Physical traumas - terminations, previous miscarriages, traumatic births
Blood (excessively) clotting disorders ie: antiphospholipid syndrome

Question 18

Blood stasis T and P:

Answer 18

T: Purple
P: Choppy

Question 19

Why is treating Blood stasis tricky?

Answer 19

Need to move blood without disturbing fetus.

Question 20

Blood stasis treatment and points:

Answer 20

Advisable to strongly nourish kidney and lift qi to
protect fetus while carefully moving blood.
P6, SP10 to move blood, clear stasis and relieve pain.
STM29 with significant caution, shallow needling and no manipulation
DU20, R12 to lift qi to secure fetus

Question 21

How often do you treat inevitable miscarriage (expelling products)?

Answer 21

Every 3 days

Question 22

Inevitable miscarriage treatment and points:

Answer 22

KD14, 18 move blood and qi Chong vessel
STM28, STM29 regulate blood in uterus
SP12, SP13 regulate qi & blood in abdomen
SP4, R4, GB21, LV3 stimulate downward and clearing
action

Question 23

What is important post miscarriage?

Answer 23

Invigorating blood flow without creating hemorrhaging.
Recovering Qi and blood
Strengthening Kidney, Spleen, and Heart yang.

Question 24

Points and treatment for post miscarriage:

Answer 24

SP10, LV1, R6, SP8 can regulate blood & qi to stop
excessive bleeding

STM36, SP3, SP6, LV13, R12, BLD20, R6, KD3, KD6 +
LG7, P6 + SP4, SP10 for Kidney, Spleen and Heart Yang