中醫藥防治產後常見病

| 09-05-2017

《中醫藥防治產後常見病》


下葵涌中醫中心  鄧舜元註冊中醫師

           經歷過懷胎十月及分娩痛楚之後,產婦們如同打了一場大仗,身心感到極度疲累,很多都渴望能在產後可以好好休息及復原。然而,不少婦女們卻在產後因調理不當而遇上了不同的產後病,有的更因而患上了產後抑鬱,嚴重影響了健康、生活和家庭。故此,產婦們應該多點認識產後病及防治之法,以幫助大家能輕鬆面對產褥期。若調理得法時可使身體加快復原,甚至可提升體質,有的更勝懷孕之前。

產後病之病因病機

           孕婦分娩後,身體恢復至懷孕前狀態的一段時間,稱為「產褥期」,一般需要六週。而在產褥期發生與分娩或產褥有關的疾病,則稱為「產後病」。

產後病之病因病機一般可分為四類:

  1. 產後惡露不絕

    惡露是指婦女生產後,子宮排出的餘血和濁液。一般而言,鮮紅色的血液惡露會於產後持續3-4天,若產後血性惡露持續10天以上,仍淋漓不盡者,乃是子宮復舊不全,是為產後惡露不絕。另若非血性惡露持續3周或以上未乾淨者,也可歸納為此病。

    氣虛

    症狀:
    惡露量多,色淡質稀,無臭味;面色㿠白,四肢乏力,舌淡苔薄白,脈細弱

    病因病機:
    氣虛致沖任不固,血失統攝

    治法:
    補氣攝血固沖

    血瘀

    症狀:
    惡露量時少或時多,色黯有塊,小腹疼痛拒按,舌紫黯或有瘀點,脈沉澀

    病因病機:
    瘀血內阻,血不歸經

    治法:
    活血化瘀止血


  2. 產後身痛

    產婦在產褥期內,肢體或關節出現酸楚、疼痛、麻木、重着者均稱為「產後身痛」, 俗稱「產後風」。

    血虛

    症狀:
    產後偏身關節酸痛,肢體麻木,面色萎黃,,頭暈心悸,舌淡苔薄白,脈細弱。

    病因病機:
    素體血虛,產後失血過多,使陰血虧虛,經脈關節失於濡養,引致肢體麻木、酸痛,不榮而痛。

    治法:
    養血益氣,溫經通絡

    血瘀

    症狀:
    產後身痛,尤見下肢疼痛,麻木發硬,腫脹明顯,惡露量少,色紫黯夾血塊,小腹疼痛,拒按,舌黯苔白,脈弦澀

    病因病機:
    產後餘血未淨,停滯經脈,不通則痛

    治法:
    養血活血,化瘀止痛

    風寒

    症狀:
    產後偏身疼痛, 屈伸不利或痛無定處;或冷痛劇烈,得熱則舒或關節腫脹,麻木伴惡寒畏風,舌淡苔薄白,脈濡細

    治法:
    養血袪風, 散寒除濕


  3. 產後大便難

    指產後飲食如常,但大便卻乾結或數日不解。

    血虛津虧

    症狀:
    產後大便乾燥,或數日不解,腹無脹痛,面色萎黃,舌淡,苔薄白,脈細弱

    病因病機:
    產後氣血津液耗損,使腸道失去濡潤,令大便乾結

    治法:
    養血潤燥,滑腸通便

    脾肺氣虛

    症狀:
    症見產後大便數日不解,並不乾硬,雖有便意,但努責難出,神倦乏力汗多,舌淡,苔薄白,脈緩弱

    病因病機:
    產後脾肺氣虛,無力傳導大便

    治法:
    補脾益肺,潤腸通便


  4. 產後缺乳

    產後哺乳期內, 產婦乳汁甚少或無乳汁可下者。

    氣血虛弱

    症狀:
    乳汁少或全無,乳汁稀薄,乳房柔軟無脹感,面色少華,倦怠乏力,舌淡苔薄白,脈細弱

    病機:
    多因素體氣血虛弱,復因產時失血耗氣,致使氣血生化不足

    治法:
    補氣養血,通脈增乳

    食療方《鯽魚豬蹄湯》
    材料:
    鮮鯽魚1條,豬蹄1隻,通草6克,鹽姜各適量

    制法:
    將豬蹄洗淨後斬成小塊,鯽魚去鰓及內臟,洗淨後鯽魚放油鍋煎,之後再將豬蹄、通草同放入鍋內, 加適量水及姜, 用中火煮30分鐘左右, 湯呈乳白色後即可飲用

    功效:
    補氣養血增乳

    肝鬱氣滯

    症狀:
    乳汁分泌少,或全無,乳房脹硬疼痛,乳汁濃稠,伴胸脅脹滿,情志抑鬱,食欲不振,舌淡紅,苔薄黃,脈弦或弦滑

    病因病機:
    多因素性抑鬱,肝鬱氣滯,乳絡不通, 阻礙乳汁分泌

    治法:
    疏肝解鬱,活絡通乳

哺乳時注意事項

           哺乳期是指產婦用自己乳汁餵養嬰兒的時期,一般為六至十個月。由於母乳營養豐富,是最適合嬰兒吸收的。另亦因為母乳含多種免疫物質,故能增強嬰兒的抗病能力。

  • 盡早餵哺母乳

    產後三十分鐘內應及時餵哺初乳,記緊要保持正確姿勢。一般每隔三至四小時一次。若嬰兒未吸空,應將多餘的乳汁擠出,以防止乳汁壅積成病,若出現乳頭破裂應及早處理。

  • 衛生護理

    產婦每次哺乳前要用溫開水清洗乳房,乳頭及洗手避免嬰兒吮入不潔之物。

  • 保持心情開朗

    乳母要保持心情開朗,有信心能餵哺孩子,另亦要有充足睡眠,勞逸結合,才能確保乳汁通暢。

  • 飲食調理

    乳母要忌酸澀及寒性食物,以免氣機壅滯。忌辛辣刺激物如咖啡辣椒等,以防耗氣傷血,另亦要忌回乳之品,如麥芽、啤酒等。

  • 適量按摩

    產後可以進行乳房按摩或熱敷,能疏通乳腺及增加血液循環,使乳汁分泌暢順。

           產褥期是女性人生中一個非常重要的階段,分娩後不但需要盡快復元身體,還要能分泌足夠乳汁以喂哺新生兒。故此,必須好好重視產後身體調理,不能掉以輕心。記緊若身體有不明症狀時,必須向合資格醫師求診,不要延誤病情。

文章內容僅供參考,不能作為診斷及治療的醫據。
如需獲得健康方面的幫助,請諮詢中醫師及醫護人員的專業意見。

179 comments

Leave a comment
  1. seo | 九月 23, 2018
    On this subject internet page, you'll see my best information, be sure to look over this level of detail. Aloe Vera Forever
  2. Buy Phen24 | 九月 19, 2018
    Buy Phen24t's been 90 days since I started using Phen24 to try and lose weight. Here's my Phen24review and results with and how I did it..  
  3. Tim Holtzmann | 九月 17, 2018
    Hi there! Nice post! Please tell us when I will see a follow up!INVESTIGADORES PRIVADOS MADRID
  4. Franziska Wurfel | 九月 17, 2018
    Thanks for taking the time to discuss this, I feel strongly about it and love learning more on this topic. If possible, as you gain expertise, would you mind updating your blog with more information? It is extremely helpful for me.INVESTIGADORES PRIVADOS MADRID
  5. Franziska Wurfel | 九月 14, 2018
    ESR (Eric Schekler Réalisations) est une agence de communication globale, notre agence de propose une diversité de services professionnels allant de la conception de sites internet à la création graphique, conception d'identité visuelle, création de logos, plaquette commerciale, référencement SEO, marquage vehicule, marquage publicitaire, signaléique, Imprimerie, impression numérique, reprographie, e-mailing, Voir nos réalisations.
  6. seo | 九月 08, 2018
    For true fans of this thread I will address      is a free online! lee county florida
  7. Jana Werfel | 九月 08, 2018
    I havent any word to appreciate this post.....Really i am impressed from this post....the person who create this post it was a great human..thanks for shared this with us.DETECTIVE MADRID
  8. S E O Experts | 九月 02, 2018
    I need to express profound gratitude to you. I have bookmark your site for future updates.  How to change password windows
  9. Ralph K. Meyer | 九月 01, 2018
    This blog is so nice to me. I will keep on coming here again and again. Visit my link as well..hawaiian pog naked 60ml
  10. BRAVO | 八月 31, 2018
    I understand this column. I realize You put a many of struggle to found this story. I admire your process. como conseguir seguidores no instagram
  11. BRAVO | 八月 27, 2018
    Beaver says I also have such interest, you can read my profile here:  Ristoranti a Siena
  12. Merck SEO | 八月 19, 2018
    This is also a very good post which I really enjoyed reading. It is not every day that I have the possibility to see something like this..  Abrasive Wheel Course
  13. Simone Maurer | 八月 18, 2018
    I was surfing net and fortunately came across this site and found very interesting stuff here. Its really fun to read. I enjoyed a lot. Thanks for sharing this wonderful information.dental office marketing
  14. Simone Maurer | 八月 18, 2018
    I recently found many useful information in your website especially this blog page. Among the lots of comments on your articles. Thanks for sharing.shower head review
  15. Simone Maurer | 八月 16, 2018
    Great! It sounds good. Thanks for sharing..matkabuss
  16. seo | 八月 11, 2018
    For this web site, you will see our account, remember to go through this info. Prijs airco
  17. Jürgen Krause | 八月 11, 2018
    Laminate flooring can be installed relatively easily, but there are some points when your average person just puts forth and average job. When you want a professional laminate flooring installation getting a flooring installer who does it day in and day out really makes any laminate flooring project look greta.laminate flooring
  18. seo | 八月 11, 2018
    Thanks for writing such a good article, I stumbled onto your blog and read a few post. I like your style of writing... Warmtepomp verwarming
  19. Jürgen Krause | 八月 09, 2018
    Great survey, I'm sure you're getting a great response.DETECTIVE MADRID
  20. Paul M. Sammons | 八月 09, 2018
    Im no expert, but I believe you just made an excellent point. You certainly fully understand what youre speaking about, and I can truly get behind that.DETECTIVES MADRID
  21. Smith | 八月 09, 2018
    https://192.168.50.39.r87.com/?
  22. Smith | 八月 09, 2018
    http://192.168.50.39.r87.com/?
  23. Smith | 八月 09, 2018
    192.168.50.39.r87.com/?
  24. Smith | 八月 09, 2018
    ///r87.com/?192.168.50.39/
  25. Smith | 八月 09, 2018
    /\r87.com/?192.168.50.39/
  26. Smith | 八月 09, 2018
    r87.com/?https://192.168.50.39/
  27. Smith | 八月 09, 2018
    r87.com/?http://192.168.50.39/
  28. Smith | 八月 09, 2018
    r87.com/?192.168.50.39/
  29. Smith | 八月 09, 2018
    //r87.com/?http://192.168.50.39/
  30. Smith | 八月 09, 2018
    http://r87.com/?192.168.50.39/
  31. Smith | 八月 09, 2018
    http://r87.com/?192.168.50.39/
  32. Paul M. Sammons | 八月 08, 2018
    Thank you so much Love your blog..prestamo 1000 euros
  33. vigrx plus gnc | 八月 07, 2018
    Vigrx plus coupons  Does VigRX plus really work? Real reviews from customers, ingredients, side effects, clinical studies and where to buy.
  34. seo | 八月 07, 2018
    Cyprus Oil|DTT Cyprus Cyprus Oil
  35. lisamartin | 八月 07, 2018
    very informative thanks for sharing Lisa Martin
  36. Diane G. Smith | 八月 07, 2018
    That appears to be excellent however i am still not too sure that I like it. At any rate will look far more into it and decide personally!Fort Lauderdale Car Title Loans
  37. lisamartin | 八月 06, 2018
    very informative thanks for sharing Lisa Martin
  38. vagina tightening | 八月 04, 2018
    V tight gel is natural vagina tightening cream that works to tighten loose vagina and treat vaginal dryness. http://vtightgelreviewer.com/
  39. Diane G. Smith | 八月 03, 2018
    I just want to let you know that I just check out your site and I find it very interesting and informative..10000 autokredit
  40. Merck SEO | 八月 03, 2018
    Truly, this article is really one of the very best in the history of articles. I am a antique ’Article’ collector and I sometimes read some new articles if I find them interesting. And I found this one pretty fascinating and it should go into my collection. Very good work!  Car seat cover animal print
  41. Merck SEO | 八月 02, 2018
    Writing with style and getting good compliments on the article is quite hard, to be honest.But you've done it so calmly and with so cool feeling and you've nailed the job. This article is possessed with style and I am giving good compliment. Best! Best travel coffee maker
  42. jackrobert | 八月 02, 2018
    Composing with style and getting great compliments on the article is very hard, to be honest.But you've done it so serenely and with so cool feeling and you've nailed the activity. This article is had with style and I am giving great compliment. Best!  online ukrainian dating
  43. S E O Experts | 八月 01, 2018
    Incredible tips and straightforward. This will be exceptionally helpful for me when I get an opportunity to begin my blog.  steroids online pharmacy 
  44. Diane G. Smith | 八月 01, 2018
    I am happy to find your distinguished way of writing the post. Now you make it easy for me to understand and implement the concept. Thank you for the post.pret 4000 euros
  45. Diane G. Smith | 七月 31, 2018
    Love to read it,Waiting For More new Update and I Already Read your Recent Post its Great Thanks.borrow $500
  46. Merck SEO | 七月 30, 2018
    I for one utilize them solely astounding components : you will see these people amid:  dell studio 540 power supply
  47. Merck SEO | 七月 30, 2018
    There are a considerable measure of extraordinary thoughts in this post. I trust you keep this quality level up so we can appreciate significantly more incredible substance from your side. mustang remote control car
  48. jackrobert | 七月 29, 2018
    A decent blog dependably concocts new and energizing data and keeping in mind that understanding I have feel that this blog is truly have each one of those quality that qualify a blog to be a one.  byron bay fashion 
  49. Merck SEO | 七月 29, 2018
    To a marvelous degree perfect and enchanting post. I was pursuing down this kind of information and perceived taking a gander at this one. Keep posting. Grateful for sharing.  best wrinkle creams
  50. seo | 七月 29, 2018
    I encourage you to read this text it is fun     described ... Zonne energie

    Leave a comment