产后发热
Alias产褥热
Traditional Chinese Medicine Definition
Postpartum Fever, known in traditional Chinese medicine as "Shanlu Heat," refers to a condition where women experience fever as the primary symptom within a certain period after childbirth. According to the records in "Internal Medicine of Traditional Chinese Medicine," postpartum fever is often caused by postpartum deficiency of Qi and blood, disharmony of营and卫, external invasion of six evil factors, or internal retention of heat. The symptoms include postpartum fever, abnormal lochia, or accompanied by symptoms such as lower abdominal pain, weakness in the lower back and knees.
Postpartum fever is a common gynecological disease in traditional Chinese medicine, with the core pathogenesis being postpartum deficiency of Qi and blood and disharmony of营and卫. Common causes include postpartum weakness, invasion of external pathogens, and internal obstruction of blood stasis. In the process of differential diagnosis, attention should be paid to distinguishing between cold and heat, deficiency and excess, such as the manifestation of infection with toxic pathogens, characterized by high fever, chills, lower abdominal pain that is resistant to palpation, and malodorous lochia; while blood stasis fever is characterized by intermittent fever and chills, insufficient lochia, or very little lochia. The overall direction of treatment suggests harmonizing营and卫, clearing heat and detoxifying, and activating blood and resolving stasis. In clinical practice, the treatment of postpartum fever should follow the principle of differential diagnosis and treatment, adopting corresponding treatment methods based on specific patterns. Traditional Chinese medicine believes that the treatment of postpartum fever should focus on reinforcing the body's vital energy and consolidating the foundation, combined with methods of clearing heat and detoxifying, activating blood and resolving stasis, to achieve the purpose of harmonizing Qi and blood and restoring the balance of the body.
Common Syndrome Types and Key Points of Differentiation
感染邪毒证
Main Manifestations：产后高热寒战，小腹疼痛拒按，恶露臭秽
Management Approach：清热解毒，凉血化瘀
血瘀发热证
Main Manifestations：产后寒热时作，恶露不下或下亦甚少
Management Approach：活血化瘀，和营退热
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.
Physician's Clinical Insights
For patients with postpartum fever, attention should be given to postpartum care, differential diagnosis, and the supplementation of Qi and blood.
— 朱永兵 中医执业医师
Guidance for Nearby Treatment
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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)