Persistent Lochial Discharge

Su Ziyang's escape caused everyone to burst into laughter. Even the usually stern Xue Zhen had a smile on his face.

When Mr. Mengfei and Daoist Jin returned, Su Ziyang thought his good days had finally arrived. However, he never expected that the nightly training session, which started with Yang Tianzheng beating him up alone, would turn into a doubles session with Yang Tianzheng.

Daoist Jin also joined in, and he enjoyed it immensely.

Su Ziyang's Eight Trigrams Swimming Dragon Palm technique originated from Daoist Jin. Now that the original master has returned, Su Ziyang's Eight Trigrams Swimming Dragon Palm has undergone a qualitative leap.

Because of Yang Tianzheng's previous training of Su Ziyang, Su Ziyang's reaction speed and fighting mentality have become very good. With Daoist Jin's guidance, Su Ziyang is no longer a little kid who can't last ten moves against Yang Tianzheng.

Now Yang Tianzheng has to use three-tenths of his strength to take down Su Ziyang.

Su Ziyang got up from the ground, dusted himself off, and chuckled as a plan formed in his mind.

Traversing the Nine Palaces movement technique, Su Ziyang moved from the Kan Palace to the Kun Palace, turned around, and stretched out his Crane Pecks Hand to poke Yang Tianzheng's waist.

In fact, Su Ziyang had long wanted to test whether his acupoint striking technique could hit Yang Tianzheng. Before, he was always stunned by the fall before he could even use it. Now that his movement skills had improved, he had to give it a try.

Just as Su Ziyang's fingers were about to touch Yang Tianzheng, Yang Tianzheng twisted his waist, and Su Ziyang's fingers brushed past Yang Tianzheng's waist.

Because Su Ziyang used a lot of force, Yang Tianzheng grabbed Su Ziyang's wrist and pulled him away, sending Su Ziyang flying again.

Daoist Jin watched Su Ziyang's technique clearly and thoroughly.

Seeing Su Ziyang use this trick, Daoist Jin's face darkened. Daoist Jin hated acupressure techniques the most. Before Su Ziyang could even get up, he felt a cold wind behind him, and his hair stood on end.

Su Ziyang turned around and saw that Daoist Jin was glaring at him with anger in his eyes. Only then did Su Ziyang realize that he had made a mistake again.

"You brat, drink it now. I'll use acupressure on your master! Nobody'll want to play with you anymore."

Yang Tianzheng wasn't angry at all. He chuckled and scolded Su Ziyang a couple of times, then grabbed Su Ziyang and said, "Lao Jin doesn't want you to use this, so just avoid using it in front of him. Look how dark your face is, and your beard is all prickly from anger. Hurry up and run. Do you want to get beaten up?"

Su Ziyang stared wide-eyed at Yang Tianzheng, speechless for a moment.

"What are you looking at? Run! Run!"

"Lao Yang, what kind of rotten idea have you come up with this time, trying to protect your own? Get out of my way."

With Daoist Jin shout, Yang Tianzheng shoved Su Ziyang Su Ziyang, who seized the opportunity to run away.

"Alright, alright. The kid is a good kid. It's always good to have more skills. Who knows, maybe one day he'll master them all and invent a Eight Trigrams acupressure palm technique for you."

As Yang Tianzheng carried Daoist Jin in the opposite direction, he muttered words of advice to Daoist Jin.

Yang Tianzheng's words only made Daoist Jin even more furious!

"Lao Yang, you bastard, let me go!"

"No!"

"Let me go!"

Daoist Jin was not as tall as Yang Tianzheng, so when Yang Tianzheng held him in his arms, his feet were lifted off the ground, and his legs bounced up as he struggled.

"I can't refuse. I'll treat you to dinner. Let's go."

Su Ziyang watched as Daoist Jin flicked his leg, then covered his eyes and peeked.

"Oh dear, how disrespectful to elders! I can't bear to look! I can't bear to look!"

As Su Ziyang spoke, he took out his phone, opened the camera, and took ten photos in quick succession.

Daily house calls were the norm. On the second day, as Su Ziyang was sitting in his consultation room, a plump, round-faced woman walked in.

The woman's name was Li Weiwei.

"Hello, doctor."

Seeing that the woman seemed a bit clumsy, Su Ziyang quickly asked her to sit down and talk.

"Doctor, I'm here for a medical checkup. It's a postpartum illness, you know? I noticed this room in your clinic wasn't busy, so I came over."

Li Weiwei's words were a bit unpleasant to hear, but Su Ziyang didn't think much of it, since he did look young.

"Um, we need to see what's wrong first, so I can make sure I understand!"

Su Ziyang said with a smile.

"I gave birth four months ago, but I'm still experiencing dark brown discharge. So I'd like to consult a traditional Chinese medicine practitioner for treatment."

After Li Weiwei finished speaking, Su Ziyang looked Li Weiwei up and down again.

Su Ziyang initially mistook her figure for that of a pregnant woman, but it turns out she had already given birth.

"Ah, so you have lochia retention."

Lochia refers to the residual blood and fluid remaining in the uterus after the delivery of the fetus and placenta, which is gradually discharged as the uterus contracts.

The total volume is generally between 250 and 500 ml. It is dark red at first, then gradually turns into light red, and finally becomes light yellow or white. It is generally odorless and usually lasts for 4 to 6 weeks.

The so-called "incomplete lochia" means that more than 6 weeks after childbirth, lochia is still being discharged, and it tends to increase, accompanied by some unpleasant odors, etc.

Seeing that Su Ziyang had directly stated her illness, Li Weiwei felt a bit more trusting of Su Ziyang: "Yes, yes, that's what I read online too. I also had a check-up at the hospital, and the doctor said it was nothing serious. Some people might have longer lochia, but it's been four months and I still have it every day. So I came to see a traditional Chinese medicine doctor."

There are many reasons for persistent lochia. The most common cause is that the placenta did not completely detach during vaginal delivery, leaving residue inside the uterus.

There are also various other factors, such as postpartum sexual activity injuries, etc.

However, in Traditional Chinese Medicine, there are many reasons for this, such as blood heat, blood stasis, etc.

Let me take your pulse first.

Li Weiwei readily agreed and placed her hand on the pulse diagnosis kit.

As soon as Su Ziyang's fingers touched Li Weiwei's skin, he noticed that her skin temperature was very high. Upon closer examination of her pulse, he found that it was beating very quickly, a rapid pulse, and also quite superficial, easily felt with a light touch.

The pulses in both hands were basically the same, Su Ziyang frowned. He roughly concluded that the bleeding was likely due to heat, since a rapid pulse indicates a heat syndrome.

"Let me check your tongue coating!"

"Ah!"

Li Weiwei stuck out her tongue, and Su Ziyang examined it carefully. There were teeth marks around the tongue, and the entire tongue coating was yellowish, especially in the middle part of the tongue.

"You have a fever?" Su Ziyang observed for a while before making a judgment.

"Oh? Doctor, how did you know? You can diagnose a fever by taking my pulse? Actually, I don't have a fever, but my temperature is a bit high, around 37 degrees Celsius, a little over one and a half degrees. I guess that's just my constitution!"

Li Weiwei explained it to Su Ziyang, Su Ziyang found it a bit strange. "No matter what your constitution is, you still have to follow the laws of the human body. This is what long-term low-grade fever is all about."

Are you constipated?

After Su Ziyang asked another question, Li Weiwei's eyes widened even more.

"You can tell from my pulse? I do have severe constipation. This is my second pregnancy. It was even worse when I had my first child; I didn't go to the toilet for over two weeks. It's much better with my second child."

This constipation is actually quite easy to figure out, and it is also a classic argument about human physiology in the book "Treatise on Cold Damage".

It is said that the human body is formed by the interaction of Yin and Yang and Yang energies. After adulthood, Yang transforms into Qi, and Yin takes shape.

Yin fluids circulate and are metabolized in the human body mainly through three channels: sweat, urine, and feces.

This is easy to understand: when you sweat more, you naturally produce less urine, and your stool will become drier.

When stools become loose, sweat and urine production will decrease.

Because the total amount of yin fluid in the human body is fixed, if more is allocated to one place, then less will inevitably be allocated to another place.

Therefore, it is not difficult to see the reason for Li Weiwei's constipation. It is due to her body temperature being too high for a long time, like boiling water. Her body is always too hot, so naturally there is less yin fluid, which leads to constipation.

This can also be seen from the pulse.

"There are many ailments that can be diagnosed by pulse diagnosis, so this is not surprising. I think your condition should be treated in two steps: clearing lochia and treating constipation. Of course, there will be some overlap in the treatment of this condition. I'll first ensure you can have normal bowel movements, and then we'll treat the clearing lochia issue. What do you think?"

Su Ziyang explained his treatment plan and discussed it with Li Weiwei.

"That's great, bro. Actually, I'm mainly bothered by this lochia, but I don't really feel any discomfort. Constipation is so awful. Okay, I'll do it your way."

Su Ziyang got so excited when he told Li Weiwei that the doctor had become his "little brother."

Su Ziyang asked Li Weiwei to agree immediately, and then turned on the computer to prepare to prescribe the medicine.

In the "Synopsis of Prescriptions of the Golden Chamber" (Essential Prescriptions of the Golden Cabinet), Chapter 21, on postpartum diseases and their treatment, there is a statement regarding incomplete lochia. "Seven or eight days postpartum, without symptoms of Taiyang syndrome, there is lower abdominal distension and pain; this is incomplete lochia... Major Order the Qi Decoction is the main treatment."

The main function of Major Order the Qi Decoction is to clear heat from the bowels. Li Weiwei had a similar condition to this prescription, but no one gets sick according to the book.

Although similar, they are not exactly the same. Therefore, Su Ziyang's prescription does not follow this article completely, nor should Major Order the Qi Decoction be used.

Instead, it referenced another formula from the book "Systematic Differentiation of Warm Diseases" - Fluid-Increasing Qi-Coordinating Decoction.

Fluid-Increasing Qi-Coordinating Decoction is a formula that can both unblock and replenish, combining the functions of unblocking and replenishing.

The main benefit is replenishing yin fluids, much like water filling a boat, and when combined with heat-clearing herbs, it naturally produces remarkable effects.

Because Li Weiwei had a long-term low-grade fever, her body had lost too much yin fluid. The Major Order the Qi Decoction formula was too strong. Moreover, Li Weiwei was a postpartum woman. Although her body looked strong, it was certain that she was weak inside.

Therefore, Su Ziyang settled for this formula as a second choice.

Scrophularia (30g)

Ophiopogon japonicus (24g)

Raw Rehmannia glutinosa(24g)

Rhubarb (10g)

Glauber's salt (5g, single packet)

3 pay

Three doses of medicine aren't much, so Su Ziyang asked, "Is your home far from here? I think three doses might be enough. If it's far, I'll prescribe a few more, since it's inconvenient for you to live here."

"I live in the neighborhood across the street, it's fine. I'll come over after I finish eating. Three doses are okay, I'll follow the doctor's advice."