This disease is called "yin blowing", and many women who have given birth will appear. The main reason is that you are weak, you can take some Chinese medicine, and more importantly, you should strengthen your exercise. I'm going to have a baby soon, too. The due date is the day after tomorrow. I have read a lot of information about obstetrics and gynecology recently! After giving birth, some women's pelvic floor muscles will relax. Pay attention to fitness and exercise "PC muscles". Exercise PC muscle can restore pelvic floor muscles (you should have heard of it, right? If you are not clear, you can click this to see /question/207 16889.html? Si=3) Vagina often has gas discharged, just like farting, which can't be controlled by yourself. In severe cases, it is rustling and continuous, which is what Chinese medicine calls "vaginal blowing". The diseases of vaginal blowing mentioned in TCM mostly refer to the relaxation of vaginal wall and pelvic floor tissue and some neurosis. It mostly occurs in women who are weak, depressed and have poor qi activity. Traditional Chinese medicine believes that the main cause of yin blowing is dysfunction of spleen and stomach, which leads to unsmooth clearing of qi, turbid yin, imbalance of qi-flow, discharge of stomach qi, and forced departure of qianyin, which leads to yin blowing. Etiology and treatment of vaginal blowing: 1. Postpartum fatigue and vaginal blowing mostly occur in postpartum women, especially those with multiple births and weak constitution. Traditional Chinese medicine belongs to "deficiency of qi and blood, stagnation of middle qi". To explore its mechanism, we must start with the change of birth canal during delivery. Although the vagina of a woman who has never given birth is trumpet-shaped, under normal circumstances, the pelvic floor muscles and fascia outside the vagina maintain a certain tension, which produces a Ti Tuo effect on the vaginal wall, making the front and rear walls of the vagina stick together, the lumen disappears, and the labia majora and labia majora on both sides of the vulva close to cover the vaginal opening, like two closed doors, preventing air from entering the vagina. During delivery, when the fetus passes through the birth canal, the vagina obviously expands and relaxes; The muscle tissue and fascia of Ti Tuo's vaginal wall in pelvic floor are broken, or overstretched and lose elasticity, so that the anterior and posterior vaginal walls can not be closely adhered to form a cavity. Perineal laceration opens the vaginal opening, which cannot cover the vagina and allows air to enter the vagina. This situation can generally be recovered during the puerperium, but some women can't fully recover, especially in the process of delivery, the labor process is too long, the fetus is large or the pelvis is narrow, which makes it difficult to deliver the fetus, and vaginal surgery, such as forceps delivery or suction delivery, will seriously damage the pelvic floor tissue and make it difficult to recover. Due to repeated injuries of the birth canal, many parturients naturally have vaginal relaxation. Although pregnant women's physical weakness is not serious, their recovery is slow. Under the above circumstances, when the vagina forms negative pressure (such as lying on your back, inhaling, etc. ), air enters the deepest part of the vagina (vault). When you get up or increase abdominal pressure, air is discharged from the vagina with frequent noises. The treatment of this negative blow includes three aspects: (1) taking drugs that greatly tonify qi and blood and promote middle qi; (2) Enhance physical fitness and promote postpartum recovery. (3) Local muscle exercise, besides postpartum health care exercise, focuses on pelvic floor, anus and vagina muscle contraction exercise, which is beneficial to the recovery of birth canal. 2. Vaginal infection Some women suffering from vaginitis also have the phenomenon of vaginal exhaust, but in such patients, the airflow discharged from the vagina is mostly weak, and more importantly, there is an increase in leucorrhea, pruritus vulvae or vaginal discomfort. This is because microorganisms infected with vagina will produce gas and exist in vagina during reproduction. When posture changes or abdominal pressure increases, these gases will be discharged from the vagina. Most pathogenic microorganisms are anaerobic bacteria or trichomonas vaginalis. In this case, you should go to the hospital to see a gynecologist and treat under the guidance of a doctor. 3. rectovaginal fistula This is a rare cause. Because there is an abnormal channel (fistula) between rectum and vagina, when the anus exhausts, a small amount of gas enters the vagina through the fistula and then is discharged from the body. The reason may be congenital or acquired. The former is called congenital rectovaginal fistula, which exists at birth, so symptoms begin to appear from newborns. The latter is mainly caused by birth injury, rectal or vaginal surgery trauma, or advanced cancer, rectal and vaginal septum necrosis. Symptoms appear after delivery or shortly after surgery, or accompanied by advanced cancer (pus and blood in stool or vagina). This situation needs to go to the hospital for examination, repair surgery or treatment of cancer. According to the accompanying symptoms, patients with vaginal blowing can be divided into three types: qi deficiency, intestinal dryness and liver depression. Qi deficiency type: intermittent vaginal blowing, with light and heavy, accompanied by mental fatigue, shortness of breath, pale face, pale tongue and weak pulse. This is because the spleen and stomach are weak, the middle qi is insufficient, the operation is weak, and the internal qi is irregular. Don't go by the side, resulting in yin blowing. Treatment should benefit qi and clear spleen and stomach. Jiawei Buzhong Yiqi Decoction: Radix Astragali Preparata 30g, Radix Codonopsis 20g, fried atractylodes 15g, Radix Angelicae Sinensis 15g, Cimicifuga rhizome 10g, Radix Bupleuri 10g, Pericarpium Citri Reticulatae 10g, Fructus Aurantii 10g, and Fructus Aurantii. Daily 1 dose, decocted in water, taken in the morning and evening. Intestinal dryness type: severe and persistent vaginal blowing, accompanied by constipation, restless thirst, abdominal distension, yellow greasy tongue coating and slippery pulse. This is due to heat binding the gastrointestinal tract, blocking the viscera, diarrhea of stomach qi, driving away the front yin, leading to vaginal blowing. Treatment should be moistening dryness, relaxing bowels and regulating qi. The prescription is Dachengqi decoction combined with Zengye decoction. Rhubarb 10g (below), mirabilite 10g (orally taken), immature bitter orange 10g, Scrophularia 15g, Radix Rehmanniae 15g and Radix Ophiopogonis 15g. Daily 1 dose, decocted in water. After relieving defecation, remove mirabilite and add Fructus Trichosanthis 10g. Liver depression type: yin blowing, accompanied by chest tightness and fullness, pain on both sides, upset and irritable, red tongue with yellow coating and thready pulse. Syndrome is emotional stagnation and qi stagnation. Treatment should be based on soothing the liver, relieving depression and regulating qi. The prescription of Chaihu Shugan Powder is: Chaihu 15g, Chuanxiong 15g, Yujin 15g, Rhizoma Cyperi 10g, Fructus Aurantii 10g, Radix Paeoniae Alba 20g, Radix Aucklandiae 10g, and Fructus Toosendan/0g. Patients with vaginal blowing can choose prescriptions according to the above syndrome differentiation and classification, and they can be cured after 5-7 days of treatment.