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Background: The chapter 20 on Pulse Diagnosis and Treatment of gynopathy during pregnancy in Synopsis of the Golden Chamber define “Pregnant Women’s Fetal Injury” : ‘when a pregnancy woman suffering from fullness in the abdomen, inability to urinate, heaviness below the waist, as if she has fluid-retention syndrome. In the seventh month of pregnancy, the Taiyin (spleen) channel should be nourishing the fetus, but it fails to do so. The heart qi is in an excessive state. She should be treated by acupuncture at Lao Gong(PC 8) and Guan Yuan(RN 4). When urination is slightly relieved, the syndrome will recover. See Jīn guì yù hán jīng’. The clause is simple and concise but difficult to understand. Medical practitioners of past dynasties either retained the original text or, as Wu Qian of the Qing Dynasty said in his commentary on the Golden Mirror of Medical Ancestry: Essential
Summary of the Golden Chamber: ‘The meaning of the text is not clear. Acupuncture at this point can cause miscarriage. It must be a mistake and is not explained.’ This has led to many doubts among medical practitioners about the diagnosis and treatment of Pregnant Women’s Fetal Injury. Purpose: By using key phrases such as ‘abdomen fullness during pregnancy,’
‘dysuria,’ and ‘edema from the waist down, as if there is water retention,’ the Pregnant Women’s Fetal Injury can be redefined and reinterpreted.
Methods: Verification of traditional Chinese medical classics and integration with the pathological manifestations of women in the late stages of pregnancy in Western medicine.
Result:
1.“Pregnant Women’s Fetal Injury” mainly records the pathological manifestations that appear in women after seven months of pregnancy.
2.The clinical manifestations of “Pregnant Women’s FetalInjury” include ‘abdominal
fullness,’ ‘edema below the waist’ and ‘dysuria.’
Conclusion: According to the timeline and clinical manifestations of the symptoms that appear in “Pregnant Women’s Fetal Injury” is equivalent to “preeclampsia”.
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271.3《金匮要略》妇人「伤胎」厘定与重新诠释
