妊娠恶阻
Alias孕吐
Traditional Chinese Medicine Definition
Gestational Nausea and Vomiting, also known as morning sickness, is a category of gynecological diseases in traditional Chinese medicine. According to the records in "Internal Medicine of Traditional Chinese Medicine," gestational nausea and vomiting refer to the symptoms of nausea and vomiting that occur in early pregnancy, which in severe cases can affect the nutritional intake and physical health of the pregnant woman. This condition is commonly caused by spleen and stomach weakness or disharmony between the liver and stomach, and is a common disease during the physiological changes of pregnancy.
In clinical practice of traditional Chinese medicine, the core pathogenesis of gestational nausea and vomiting is often related to spleen and stomach weakness or disharmony between the liver and stomach. Spleen and stomach weakness is common in pregnant women with weak constitution and impaired spleen and stomach function, leading to symptoms such as nausea, vomiting, abdominal distension, fatigue, and a desire for sleep. Disharmony between the liver and stomach is often caused by emotional disturbances in pregnant women, leading to liver qi stagnation that affects the stomach, manifested as vomiting of sour or bitter fluid, chest and hypochondriac distension, irritability, and a bitter taste in the mouth.
In clinical differentiation, it is necessary to distinguish between the different patterns of spleen and stomach weakness and liver and stomach disharmony, with key points lying in the observation of the nature of the vomit, accompanying symptoms, and tongue and pulse changes. Spleen and stomach weakness is often characterized by thin and watery vomit, pale tongue with white coating, and slow, weak pulse; while liver and stomach disharmony is characterized by acid and bitter vomit, red tongue with thin yellow coating, and wiry and slippery pulse.
The overall direction of treatment suggests that in clinical practice of traditional Chinese medicine, the treatment of gestational nausea and vomiting often involves strengthening the spleen and harmonizing the stomach, as well as clearing the liver and harmonizing the stomach. This is achieved by adjusting the diet, emotions, and lifestyle of the pregnant woman to alleviate symptoms and ensure the health of both the mother and the fetus.
Common Syndrome Types and Key Points of Differentiation
脾胃虚弱证
Main Manifestations：妊娠早期恶心呕吐，脘腹胀满，神疲思睡
Management Approach：健脾和胃，降逆止呕
肝胃不和证
Main Manifestations：妊娠早期呕吐酸水或苦水，胸胁胀痛，心烦口苦
Management Approach：清肝和胃，降逆止呕
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
In the treatment of gestational nausea and vomiting, it is important to consider both the protection of the fetus and the cessation of vomiting, while also paying attention to individual differences.
— 朱永兵 中医执业医师
Guidance for Nearby Treatment
娑婆桥社区、申瑞社区、申慧社区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)