↑ reinforcing ↓ reducing ⊥ even method.
Clinical manifestations: Fixed, stabbing lower abdominal pain worsening with pressure, dark purple or blackish lochia with large clots, palpable firm mass or fullness in the lower abdomen, pain improves after passing clots, absence of marked exhaustion or fever.
Tongue: Dark purple body with purplish stasis spots, engorged sublingual veins, thin white coat. Pulse: Choppy and wiry, especially at the left middle position, may be deep at the rear positions.
Treatment principle: Invigorates Blood, dispels stasis, warms the channels, promotes uterine contraction.
Note: no moxa; retained placenta needs immediate obstetric management regardless of pattern. Linked to this site's own Liver-Blood-stasis slide via the established discoloration-marker rule, with the same Chong/Ren-vessel naming nuance flagged as on this site's other postpartum pages.
Clinical manifestations: Postpartum exhaustion and weakness, weak ineffective uterine contractions, dull heavy abdominal pain that does not move, pale face with a greyish or dusky tinge, shortness of breath and reluctance to speak.
Tongue: Pale body with a purplish tinge, stasis spots, teeth marks, thin white coat. Pulse: Deep, weak, and choppy.
Treatment principle: Tonifies Qi and Blood while gently moving Blood circulation to overcome the sluggishness trapping the placenta.
Note: moxa applicable throughout; needs immediate obstetric management regardless. This is a 2nd, still-within-cap use of this site's own Liver-Blood-stasis slide on this page — the dusky/purplish discoloration markers apply even though this variant is Qi-deficiency-driven, per the established discoloration-marker rule.
Clinical manifestations: Fixed sharp lower abdominal pain worsening with pressure, fever worsening at night, dark clotted blood, thick foul-smelling lochia, mental restlessness or agitation, dry mouth and throat.
Tongue: Reddish-purple body with stasis spots, distended sublingual veins, dry yellow coating. Pulse: Deep, choppy, and rapid.
Treatment principle: Clears Heat from the Lower Burner while breaking Blood stasis to soften and expel the retained placenta.
Note: no moxa; fever with foul lochia needs urgent medical evaluation regardless (possible postpartum infection). Rather than a 3rd use of the Liver-Blood-stasis slide (over this page's two-use cap), linked to this site's own Damp-Heat-in-the-Bladder slide via the established Lower-Burner organ-system convention.
Clinical manifestations: Dizziness and ringing in the ears, dry eyes with blurred or cloudy vision, night sweats and heat in the palms, soles, and chest, soreness and weakness of the lower back and knees, insomnia or restless sleep, weak contractions from insufficient Essence rather than forceful stasis.
Tongue: Red with little coating, possible cracks, dry surface. Pulse: Fine, rapid, and wiry, weak at the left Chi (Kidney) position.
Treatment principle: Nourishes Kidney and Liver Yin to replenish uterine Essence and restore contractile function, gently promotes placental expulsion.
Note: no moxa. Direct exact-name match with this site's own Kidney-and-Liver-Yin-deficiency slide.