The Traditional Chinese Medicine Literature Study Of Puerperal Fever

Objective:By the way of arranging the TCM treatment literatures about puerperal fever in recent 20 years,this text is aimed to exploring the syndrome differentiation, treatment method and the drug laws in puerperal fever. To find out the base drugs for treatment of a variety of postpartum fever syndromes, we analyzed the Chinese medicine in high-frequency and order. On the other hand, we evaluated the mechanism of Chinese medicine and modern pharmacological of postpartum fever.Method:This text collected the TCM treatment literatures about puerperal fever from June 1989 to June 2009. We analyzed the complying standards of TCM literature, find the law of therapy and drug induction, and used the EXCEL software for statistical analysis. We analyzed the Chinese medicine in high-frequency and order, and make a research of the base drugs for treatment of a variety of postpartum fever.Result:Common Chinese medicines syndromes and herbs of puerperal fever are followed Stagnated heat of lesser yang syndrome,Infected toxin syndrome, Blood stasis fever syndrome, Blood deficiency fever syndrome, Dampness heat fever syndrome, External-contraction fever syndrome, etc. The percentage of syndromes was 37.76%,16.50%,11.65%,8.60%,8.40%,8.06%,8.94%. Common chinese medicines treatment are followed:harmonize and release the lesser yang, clearing heat and activate blood, activate blood and resolve stasis, nourishing blood and benefiting qi, activating yang and resolving dampness, inducing diaphoresis to dispel wind, etc. Common Chinese medicines are followed:tonic drugs, heat-clearing drugs, drug for invigorating blood circulation and eliminating stasis, drugs for relieving exterior syndrome, diuretics for eliminating dampness. The percentage of common chinese medicines was 34.54%,22.32%,12.86%,11.80%, 5.02%. The largest share of drugs is tonic. There are qi tonic, hematic tonic and yin-tonifying medicinal. The percentage of tonic medicine was 58.64%,35.93% and 5.43%. The heat-clearing drug included heat-clearing and detoxicating drug, heat-clearing and dampness-drying drug, heat-removing drug, asthenic fever-clearing drug and heat-clearing and fire-purging drug. The percentage of heat-clearing drug was 29.12%,23.83%,17.52%,17.52%,12.00%. The share of drug for invigorating blood circulation and eliminating stasis was 12.86%. The wind-heat-dispersing drug and wind-cold-dispersing drug took the percentage of exterior-releasing drug was 57.13% and 41.47%.Conclusion:Common Chinese medicines syndromes and herbs of puerperal fever are followed:Stagnated heat of lesser yang syndrome, Infected toxin syndrome, Blood stasis fever syndrome, Blood deficiency fever syndrome, Dampness heat fever syndrome, External-contraction fever syndrome, etc. Common Chinese medicines treatment are followed:harmonize and release the lesser yang, clearing heat and activate blood, activate blood and resolve stasis, nourishing blood and benefiting qi, activating yang and resolving dampness, inducing diaphoresis to dispel wind, etc. Common Chinese medicines in syndrome of puerperal fever are followed:①Stagnated heat of lesser yang syndrome:Bupleurum chinense, Baical skullcap root, Pinelliae tuber, Glycyrrhiza uralensis, Fresh ginger, Chinese jujube, Angelica root, Ginseng, Sichuan lovase rhizome, Herba leonuri, White peony root, Peach seed.②Infected toxin syndrome:Moutan cortex, Forsythia suspensa, White peony root, Herba leonuri, Dahurian patrinia herb, Flos lonicerae, Sargentgloryvine stem, Lion's tooth, Tokyo violet herb, Anemarrhenae, Gypsum, Henon bamboo leaf.③Blood stasis fever syndrome:Angelica root, Glycyrrhiza uralensis, Peach seed, Sichuan lovase rhizome, White peony root, Baked rhizoma zingiberis, Herba leonuri, Danshen root, Astragali, Moutan cortex, Divaricate saposhnikovia root, rhubarb root and rhizome.④Blood deficiency fever syndrome:Angelica root, Astragali, Glycyrrhiza uralensis, White peony root, Aurantii nobilis pericarpium, Atractylodes macrocephala, Poria cocos, Abrotani herba, Ginseng, Codonopsis pilosula, Amomum cardamomum, Chinese wolfberry root-bark.⑤Dampness heat fever syndrome:French chalinoplasty, Aprico seed, Coix seed, Amomum cardamomum, Magnolia bark, Pinelliae tuber, Medulla tetrapanacis, Lophatheri, Lion's tooth, Caulis hocquartiae, Baical skullcap root, Agastache rugosa.⑥External-contraction fever syndrome: Angelica root, Fineleaf schizonepeta herb, Divaricate saposhnikovia root, Flos lonicerae, Forsythia suspensa, Field-mint, Fructus, Sichuan lovase rhizome, Angelica root, White peony root, Platycodon root, Glycyrrhiza uralensis.