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妊娠水腫 1. Overview and Causes 2. Symptoms 3. TCM Effectiveness and Evaluation 4. Common Syndromes and Treatments in TCM   a. Edema due to stagnation of qi   b. Edema due to deficiency of the spleen   c. Edema due to deficiency of kidney 5. Healing by Other Therapies   a. Qigong and other   b. Medicated diet   c. Life style 　 1. Overview and Causes 　 Edema is common during pregnancy because of accumulated fluid in body tissues. Swelling of the feet, ankles and hands is most common. Face may also become puffy. The problem usually is worse at the end of the day and in warm weather. Minor swelling is normal. But if blood pressure climbs and protein enters the urine, there is a danger of preeclampsia, a potentially serious complication of pregnancy. 　 Return To Top 2. Symptoms 　 The edema is common in the second or third trimester of pregnancy. Clinically, it can be divided into three degrees. (a) Mild case: obvious edema appears in the legs and feet but can disappear after rest. (b) Moderate case: edema extends to the thighs and vulva or even involving the abdomen. (c) General edema sometimes accompanied with ascites(accumulation of fluid in the abdomen). Return To Top 3. TCM Effectiveness and Evaluation 　 TCM can help to lessen the severity of edema. Return To Top 4. Common Syndromes and Treatments in TCM This ailment, according to TCM, has different syndromes. The treatment for these syndromes using herbal medicine and acupuncture is shown below. 　 Syndrome (a) Edema due to stagnation of qi After conception (becoming pregnant) three or four months, edema starts from feet then up to the legs, there maybe a change in the colour of skin over the swollen area, dizziness, distending pain in the head, distension and fullness in the chest and hypochondrium, thin and greasy tongue fur, taut and slippery pulse. To treat by Herbal medicine Therapeutic principle: By using herbal medicine, you can regulate the flow of qi to remove stagnation, while also reinforcing the function of the spleen to remove dampness. Prescription/Formula: Powder of birth wort vine and powder of four diuretic drugs. Birth wort vine (Tian Xian Teng)9g, licorice root (Gan Cao)6g, tangerine peel (Chen Pi)9g, nutgrass flatsedge rhizome (Xiang Fu)9g, lindera root (Wu Yao)9g, chaenomeles fruit (Mu Gua )9g, perilla leaf (Su Yie)9g, fresh ginger (Sheng Jiang)9g, poria (Fu Ling)9g, alismatis rhizome (Ze Xie)9g, bighead atractylodes rhizome (Bai Zhu)9g. 　    To treat by Acupuncture and Moxibustion    Return to Top Syndrome (b) Edema due to deficiency of the spleen Edema in the limbs and face, or all over the body after conception for some months, slight yellowish or pale complexion, thin and shiny skin, heavy sensation of the limbs or the whole body, distention and fullness in the chest and abdomen, poor appetite, loose stool, thick and tender tongue with thin and white fur and also tooth prints on the margins, deep and slow pulse To treat by Herbal medicine Therapeutic principle: By using herbal medicine, you can regulate the flow of qi to strengthen the spleen and remove any dampness to alleviate edema. Prescription/Formula: Powder of peel of five drugs with additional ingredients Ginger peel (Sheng Jiang Pi)9g, mulberry bark (Sang Bai Pi)9g, tangerine peel (Chen Pi)9g, shell of areca nut (Da Fu Pi)9g, poria peel (Fu Ling Pi)9g, bighead atractylodes rhizome (Bai Zhu)9g, amomum fruit (Sha Ren)6g.    To treat by Acupuncture and Moxibustion    Return to Top Syndrome (c) Edema due to deficiency of kidney After conception for several months, edema in the limbs and face, especially in the legs where a deep pitting appears when pressing with a finger, shortness of breath, palpitation (noticeable and irregular heartbeat), weakness around the waist, cold legs, white tongue fur, absence of thirst and deep pulse. To treat by Herbal medicine Therapeutic principle: Warming yang to induce diuresis. Prescription/Formula: Diuretic decoction by strengthening yang of the spleen and kidney. Poria (Fu Ling)9g, white peony (Bai Shao)9g, bighead atractylodes rhizome (Bai Zhu)6g, fresh ginger (Sheng Jiang)9g, prepared aconite root (Pao Fu Zi)9g.    To treat by Acupuncture and Moxibustion    Return to Top 5. Healing by Other Therapies (a) Qigong and other therapies For effect of Qigong on the Nervous System Function, click here. Generally speaking, Qigong is good for healing effect of this specific ailment, however individual results may vary. It improves the flow of the qi and the circulation of the blood, so you'll experience more energy, but, you won't see/ feel any immediate effects, as with many exercises and therapies, it takes a few weeks or even months of practice before you'll see any significant improvements. The following types of Qigong may help: Static Qigong: Relaxation Qigong Inner-Nourishing Qigong Relaxing Quiescent Qigong 　 Dynamic Qigong: Fifteen Sets of Taiji-Qigong Exercise Baduanjing of Internal Exercise 　 For the information of different types of Qigong ,just click a link above. This information is for education purpose only. We strongly advise you seek a licensed Qigong master to learn the correct ways to conduct these exercises before attempting them. (b) Medicated diet 1) Carp (750g) Glutinous Rice (Nuomi) 30-50g, some Scallion Stalks (Congbai),     some fermented soya beans (Douchi)     Remove the scales and internal organs of the carp, aftern cleaning it, put it into the pot, add water to it and begin to cook. When the fish is done, take it out, leaving the soup in the pot. Put the cleaned glutinous rice, scallion stalks and fermented soya beans into the pot, continue to cook it into gruel. Eat it when it is ready. 2) Black Soya Bean (Heidou) 100g, Garlic (Dasuan) 30g, Red Sugar (Hongtang) 30g Put 1000g of water into the pot, begin to cook until it comes to the boil, then put cleaned Black Soya Bean, Garlic and Red Sugar into the pot, simmer gently until the Black Soya Bean is done. Eat it twice a day. 3) low-salt food helps prevent and alleviate edema. (c) Life style 1) Lying down and elevating legs in mid-afternoon may reduce the swelling in the legs. Often a low-salt diet proves helpful. 2) Make sure to take enough rest. Avoid overtiredness and long-time standing. Return to Top Acknowledgments: Healthphone.com greatly acknowledges the support and dedication of our Healing Centre Panel, without whom this section would not be possible. We also greatly acknowedge Ms. Najaf Munir, MBBS, for her editorial support. Ms. Munir simplified the highly technical medical documents into easy-to-read documents, for the enjoyment and education of our numerous visitors.