2023-04-26 03:42:00
An old patient of Dr. Ye Haoxian introduced his sister to see the doctor. The reason is that one week following the birth of BB, the skin all over the body of the sister suddenly became itchy. More “one tart tart” rash.
After Dr. Ye’s consultation with her sister, she found out that following she gave birth to BB, she was restless and preferred to walk around. During the period, she had a little cold due to the wind. The doctor diagnosed the patient as postpartum urticaria, which is called “rubella”/”addiction rash” in traditional Chinese medicine, commonly known as “shengfenglei”.
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After 2 times of traditional Chinese medicine treatment, my sister’s urticaria has completely subsided, and my sister has continued follow-up visits to improve her postpartum physique. The doctor also supplemented herbal medicine to help breast milk secrete more and be more nutritious, which is beneficial to breastfeeding patients .
Insufficient Qi and blood, prone to skin allergies
The process from pregnancy to childbirth will consume a lot of energy and blood of mothers, leaving mothers in a complex situation of weakness and stasis following childbirth. If postpartum care is not done well, plus mothers need to breastfeed and lack of rest, the energy and blood will be further dissipated.
Insufficient qi and blood and dilated skin pores, evil spirits will stay in the skin and cause allergies, which can easily cause acute urticaria.
From the perspective of Western medicine, the cause of urticaria is that allergens induce the immune system to respond, causing microfilament blood vessels to dilate and exudate more immune cells to the affected area to eliminate allergens, so skin swelling and fever will be seen.
Clinical symptoms of postpartum urticaria
1. It usually occurs in days to weeks following delivery
2. It can be seen all over the body, but it is more common in the waist, abdomen, hands and feet
3. Itching is obvious, and the rash will increase, swell, flush and slightly hot following scratching
4. It disappears on its own following a few hours, but it reappears repeatedly. If it is not handled properly, it can develop into chronic urticaria, and the course of the disease can last for more than half a year
Four common types of postpartum urticaria
1. Wind-cold foreign offender: catch a cold or eat raw or cold food during the confinement period
2. Deficiency of blood and wind: postpartum body weakness and blood weakness, overwork
3. Damp heat in the spleen and stomach: indiscriminate consumption of tonic, fatty fried food, spicy food
4. Liver qi stagnation, stagnation and heat: irritable tension, high pressure
Two directions of TCM treatment
1. Oral Chinese medicine
According to the different physiques of the mothers, the treatment is carried out according to the principle of “replenishing it when it is deficient, and purging it when it is real”. Traditional Chinese medicine that invigorates the spleen and stomach, and relieves symptoms caused by evil qi or stagnation of the spleen and stomach.
2. External washing of traditional Chinese medicine (soak the affected area with traditional Chinese medicine)
Rinse the prescribed Chinese medicine with a plate of hot water, and soak the affected area for 10-15 minutes, which can relieve the itching and discomfort during the attack period. Common Chinese medicines for external washing: honeysuckle, rehmannia glutinosa, silkworm excrement, windproof, white fresh skin, etc.
After washing externally and taking it internally, patients can stop scars and swelling, regulate postpartum physique, and prevent recurrence. Because doctors will choose mild Chinese medicine for postpartum mothers who are breastfeeding, it will not affect breastfeeding, and it can help increase milk secretion and make milk more nutritious, which is good for mothers’ physique and BB!
Precautions for postpartum urticaria
1. Avoid scratching. Scratching will increase skin temperature, accelerate blood vessel expansion, and expand the rash
2. Avoid indiscriminate supplementation. Some mothers have not recovered their spleen and stomach functions following giving birth. Most of the supplementary foods are spicy and warm, which will aggravate the internal heat and may cause scars!
3. Get plenty of rest and maintain peace of mind
4. Seek medical treatment as soon as possible and prescribe the right medicine!
The article was reprinted with the authorization of Dr. Ye Haoxian
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