Using Shuo Ze to Treat Postpartum Lochia Retention: Methods and Cases

January 9, 2024

Chinese herbal medicine "Shuo Ze" is the whole herb or root of the honeysuckle family plant Shuo Ze, also known as Achyranthes bidentata or Eucommia ulmoides. It has the effects of dispelling wind and dampness, promoting blood circulation and dispersing blood stasis. So, what are the methods and cases of using Shuo Ze to treat postpartum lochia retention after cesarean section?


Image of Shuo Ze

Postpartum lochia retention after cesarean section:

Initial visit: December 1, 2006. Ms. Huang, 33 years old, had a cesarean section on October 1, 2006. The lochia has not cleared up for 2 months, with a small amount of bleeding and a dark red appearance. There is no pain in the waist and abdomen, no abnormal vaginal discharge, and normal bowel movements. B-ultrasound examination: The size of the uterus is 55mm×31mm×56mm, and the endometrium is thin without any remnants of fetal tissue. Obstetric history: 2-0-2-2. Pale red tongue, thin white coating, and thin pulse.

Treatment principle: Promote blood circulation, remove blood stasis, and clear heat.

Prescription: Modified Wang Bu Liao Xing San.

Wang Bu Liao Xing 10g, Mulberry Bark 10g, Licorice 6g, Sichuan Pepper 3g, Scutellaria Baicalensis Charcoal 10g, Fried Ginger 5g, White Peony 10g, Hou Po 5g, Shuo Ze 20g, Guan Zhong Charcoal 30g, Purslane 30g, Donkey-hide Gelatin (melted) 10g, 3 doses.

Follow-up visit: December 5, 2006. Since taking the medicine, the lochia has not reappeared, and there are no discomforts. Tongue and pulse are the same as before.

Treatment principle: Clear dampness and heat.

Bai Jiang Cao 10g, Red Teng 15g, Chuan Gen Pi 15g, Semen Euryales 15g, Rhizoma Smilacis Glabrae 15g, Dandelion 15g, Great Burdock 15g, Lesser Burdock 15g, Bi Xie 10g, Di Yu 15g, Pagoda Tree Flower 20g, Guan Zhong Charcoal 15g, Donkey-hide Gelatin (melted) 10g, 7 doses.


Image of Shuo Ze

Follow-up visit: December 13, 2006. Since feeling tired from carrying the baby, there has been a small amount of bleeding from the vagina, accompanied by lower back pain, dizziness, normal appetite and bowel movements. Tongue and pulse are the same as before.

Treatment principle: Promote blood circulation, remove blood stasis, and clear heat.

Prescription: Modified Wang Bu Liao Xing San.

Wang Bu Liao Xing 10g, Mulberry Bark 10g, Licorice 6g, Sichuan Pepper 3g, Scutellaria Baicalensis Charcoal 10g, Fried Ginger 5g, White Peony 10g, Hou Po 5g, Shuo Ze 20g, Motherwort 10g, Guan Zhong Charcoal 30g, Zao Xiu 15g, Donkey-hide Gelatin (melted) 10g, 5 doses.

Follow-up visit: December 19, 2006. After taking one dose of the medicine, the vaginal bleeding stopped, and the vaginal discharge became slightly yellow. Tongue and pulse are the same as before.

Continue with the same Chinese herbal medicine prescription from December 5, 7 doses.

Shuo Ze is also used to treat rheumatic pain, nephritis edema, foot edema, dysentery, jaundice, chronic bronchitis, rubella itching, erysipelas, abscesses, bruises, and fractures.

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