bubble_chart Concept

Post-abortion amenorrhea refers to the cessation of menstruation after a late abortion (excluding cases of ongoing or subsequent pregnancy). It is one of the complications following a late abortion.

bubble_chart Pattern Analysis

1. Deficiency of Both Qi and Blood︰The symptoms include amenorrhea, a soft lower abdomen without distending pain, and no leucorrhea. Dizziness, blurred vision, insomnia, palpitations, a shallow yellow complexion, poor appetite, and emaciation may also occur. The tongue is pale and swollen, and the pulse is thin and weak. This condition is often caused by severe injury to the uterus and appendages during late abortion, leading to insufficient qi and blood in the Chong and Ren meridians. The key diagnostic points are: amenorrhea, absence of leucorrhea, no distention or pain in the lower abdomen, and possibly accompanied by a shallow yellow complexion and a pale, swollen tongue texture. The treatment principle is to tonify and replenish the spleen and kidney, nourish blood, and regulate menstruation. The recommended formula is the modified Right-Restoring Pill.
2. Static Blood︰The symptoms include amenorrhea, often with periodic lower abdominal pain or distending pain, tenderness in the lower abdomen, and scant leucorrhea. The tongue appears pale purple or dark, and the pulse is thin or wiry. It is mostly caused by stagnation in the uterus and appendages after late abortion, leading to disharmony of the Chong and Ren meridians.
3. Liver Qi Depression︰Symptoms include amenorrhea, often accompanied by periodic abdominal pain, lower abdominal distension or distending pain, or distension in both breasts or flanks, mental depression, epigastric stuffiness, and poor appetite. The tongue coating is thin and white, and the pulse is wiry. This is mostly caused by excessive mental tension during late abortion, leading to liver depression and discomfort, resulting in stagnation of the Chong and Ren channels' qi and impeded blood flow. The key points of pattern identification are: static blood stagnation and amenorrhea with lower abdominal pain or distending pain, and obvious tenderness in the lower abdomen. Treatment should focus on invigorating the blood to unblock the meridians, using the Peach Kernel, Carthamus and Four-Ingredient Decoction with the addition of Cinnamon Twig, ground beetle, Cyperus, and motherwort herb. For liver qi depression amenorrhea, characterized by lower abdominal distension or distending pain, or breast distension, treatment should aim to soothe the liver and relieve depression, nourish blood, and unblock the meridians, using the Chai Fu Tang.

This condition is caused by direct injury to the uterus and its appendages, as well as the Chong and Ren functions, due to late abortion or surgery (natural late abortion clearing pericardium surgery or artificial late abortion surgery). It differs from general amenorrhea disease causes. Clinically, it is essential to distinguish between deficiency and excess, and to pay attention to whether there is a combination of deficiency and excess. Generally speaking, the absence of distending pain in the lower abdomen indicates deficiency, while the presence of pain or distending pain indicates excess. The treatment should follow the principle of treating deficiency with tonification and excess with purgation. However, it is necessary to ensure that tonification includes purgation and purgation includes tonification. One should not resort to drastic tonification or indiscriminate purgation, as this may lead to dryness and blood damage. In summary, regardless of the treatment method, it is advisable to include kidney tonification or blood-activating agents.