产后恶露不绝
Alias产后出血不止
Traditional Chinese Medicine Definition
Postpartum Lochia Retention, also known as Postpartum Hemorrhage, is a category of gynecological diseases in traditional Chinese medicine. It is defined as a condition where, after childbirth, the lochia (postpartum discharge) persists for a duration longer than the normal period (usually around three weeks postpartum), accompanied by excessive amount, pale color, and thin consistency. It may also be accompanied by symptoms such as abdominal pain and lower backache. This condition is often caused by postpartum weakness of Qi and blood, instability of the Chong and Ren meridians, and obstruction of blood stasis.
产后恶露不绝在中医临床中是一种常见的病证，其核心病机为产后气血虚弱，冲任不固，导致血海不能正常关闭，进而恶露淋漓不尽。常见诱因包括分娩过程中产伤、产后劳累、情志不畅等。在辨证时，需注意区分以下关键点：
1. 寒热虚实：气虚证者表现为恶露过期不止，量多色淡质稀，神疲气短；血瘀证者表现为恶露过期不止，量少色暗有块，小腹疼痛拒按。
2. 伴随症状：气虚证常伴有面色苍白、心悸失眠等症状；血瘀证则可能伴有舌质紫暗、脉涩等。
整体调理方向提示：中医临床中，治疗产后恶露不绝应以补气摄血、固冲止血为原则，根据不同证型采取相应的治疗方法。传统中医认为，通过辨证论治，可调和气血，恢复冲任之固，从而达到治疗目的。
Common Syndrome Types and Key Points of Differentiation
气虚证
Main Manifestations：恶露过期不止，量多色淡质稀，神疲气短
Management Approach：补气摄血，固冲止血
血瘀证
Main Manifestations：恶露过期不止，量少色暗有块，小腹疼痛拒按
Management Approach：活血化瘀，理血归经
The above syndrome information is based on traditional Chinese medicine textbooks and clinical standards. Specific differentiation should be completed by a practicing traditional Chinese medicine physician in person.
Guidance for Nearby Treatment
橡树园、李家桥社区、大关西二苑等周边居民可就近到正规中医医疗机构就诊，具体地址、电话及营业时间请查看关于我们。
This page is for the popular science of traditional Chinese medicine knowledge and does not constitute medical advice. Specific diagnosis should be completed by a licensed traditional Chinese medicine practitioner in person.
参考文献：《中医内科学》（十三五规划教材）、《中医病证诊断疗效标准》(ZY/T001.1-94)、《中医病证分类与代码》(GB/T 15657-2021)