Zhang Lu's "Zhang Yitong" in the Qing Dynasty recorded in Volume 10 that "anyone who is in labor must first check for abdominal pain and painless, so as to know if there is lochia. The second trial must be passed and abolished in order to levy the rise and fall of body fluid. Re-examine whether breast milk is ok or not, and whether the diet is less, so as to sign the fullness of stomach qi. These three factors must be investigated first, pulse condition can be used as evidence, and pulse condition can be combined with syndrome. It's not common, but it will be cured. On the contrary, if there is no danger, it will change. " In other words, abdominal pain, stool, milk and diet should be checked after delivery to test the prognosis of the new parturient. Qing Yan Xichun also said that "the third trial after childbirth is indispensable" in the article "On the Third Trial of Newborns" under the book "The Method of Fetal Life and Mind".
Postpartum third trial
Small abdominal pain and painless lochia are distinguished at the first time. Lochiorrhea refers to the bloody liquid discharged by women after childbirth. Under normal circumstances, there will be mild abdominal pain and lochia after delivery. The color of lochia is red for 3 ~ 4 days at first, and then gradually changes from reddish to yellowish white or white. The longest red lochia is 10 ~ 14 days, and finally the abdominal pain stops and the lochia disappears. If the postpartum lochia does not go down, or it goes down very little, the pain in the lower abdomen will be aggravated, indicating that blood stasis is stuck in it. Drugs for promoting blood circulation and removing blood stasis should be used to promote lochia discharge, and Shenghua decoction pills or motherwort cream can be taken.
In the second case, whether defecation can pass or not can be used to test the rise and fall of body fluids. During delivery, the parturient loses yin, blood loss and body fluid. If defecation is smooth and easy after delivery, it means that the body fluid damage is not serious. If the diet is as usual, but the stool is difficult to understand, or it is difficult to understand for a few days, it means that the consumption of body fluids is serious and it is necessary to nourish blood and moisten dryness. You can use honey, 30 grams each time, and take it with boiling water. You can also use pine nuts to stir-fry and peel. Chinese patent medicine can take Wuren pills.
Thirdly, the decline of breast milk and the amount of diet are investigated, and the strength of stomach qi is investigated. 12 hours after delivery, milk can be secreted, but the amount is very small. Breast-feeding should be early, so that the baby can suck, and the milk will gradually increase. If the postpartum milk is not good, or the milk is too little, there will be loss of appetite and the stomach will not open, indicating that the maternal stomach is weak, so we should pay attention to diet and medication. It should be diverse, nutritious and easy to digest. Don't eat cold, greasy, fried, spicy and hard food, so as not to damage the spleen and stomach. Those who have a bad appetite and can't digest food can take Xiangsha Liujunzi Pill, Baohe Pill, and eat some oranges and hawthorn to strengthen the spleen and stimulate appetite.
Maternity, mother and baby