TRADITIONAL INTERNAL MEDICINE – DISEASES & FORMULAS

Threatened Miscarriage

Miscarriage is the loss of the Fetus during Pregnancy and before the due time.

Signs of Impending Miscarriage

Traditionally, it was observed that there were several signs of an impending Miscarriage:

  1. Labor pains
  2. Uterine Bleeding during Pregnancy
  3. Breasts lessen in size and sag
  4. Coldness felt in the lower abdomen
  5. Great pain of the Uterus and her face becomes red
  6. Excessive restlessness of the Fetus
  7. Body swells or becomes “puffed up with a kind of hardness or stiffness”. This “usually happens in the third or fourth months”.

Rules to Prevent Miscarriage

“She must avoid all sudden and violent motions, both of mind and body
as sneezing, coughs, frights, anger and passions [emotions].” (Hartman)

Avoiding strain, stress, frights, excess emotions and excitability. If impending Miscarriage is expected, rest and avoiding sex are recommended.

Management of Threatened Miscarriage from Charaka:

1. Lay the woman with her legs up and her head downwards, and apply a cool cotton pad dipped in Ghee and sprinkled with Licorice powder over her vagina.
2. The whole lower body below the navel should be sprinkled with cool milk and decoction of Licorice and Ficus benghalensis
3. Pollens of Nelumbo nucifera or Nymphaea alba mixed with Honey and sugar are given to lick.
4. Seeds of Lotus (Nelumbo nucifera), Scirpus grossus and Trapa bispinosa are given to eat.

Western Tradition

Simples

Tormentil
Chebulic Myrobalan
Balm
Pearl
Amber

Bistort
Nutmeg
Motherwort
Red Coral
Gold

TCM Classification

Simples

Atractylodes Bai Zhu
Angelica Dang Gui
Dodder seed (Tu Si Zi)
Dipsacua Xu Duan
Scutellaria Huang Qin

Astragalug Huang Qi
Paeonia Bai Shao
Mistletoe (Sang Ji Sheng)
Licorice
Donkey Hide Glue (E Jiao)

Miscarriage, to Prevent
Decoction of Water Lily Compound
Decoction for Threatened Miscarriage
Syrup Water Lily Flowers
Syrup of Water Lily Compound
Sugar of Rose
Manus Christi with Pearl
Confection of Rose
Abbots Confect of Roses (Diarrhodon Abbatis) (Nich.)
Aromatic Rose Powder (Aromaticum Rosatum)
New Rose Powder (Rosata Nouvelle)
Powder Against Abortion (France)
Powder Against Miscarriage
Powder Against Miscarriage (Unani)
Halys Powder
Cordial Powder with Gems
Placenta Powder
Warming Pearl Powder (Diamargariton Calidum)
Pills to Prevent Miscarriage (Wirtzung)
Electuary of Pearl (Avicenna)
Electuary Against Miscarriage
Electuary for Pregnancy (Unani)
Royal Confection of Kermes (Mesue)
Philonium Persicum
Candraprabha Vati (Ayurveda)

Threatened Miscarriage from Heat
Manus Christi with Pearl
Decoction of Water Lily Compound
Syrup Water Lily Flowers
Syrup of Water Lily Compound
Powder Against Abortion (France)
Powder of Haly (Haly)
Powder of Muhafiz Janeen (Unani)
Abbots Confect of Roses (Diarrhodon Abbatis)
Electuary Against Miscarriage

Threatened Miscarriage from Deficiency
Decoction for Threatened Miscarriage (Gabelhover)
Aromatic Rose Powder (Aromaticum Rosatum)
Royal Confection of Kermes (Mesue)
Candraprabha Vati (Ayurveda)

Pregnancy, Bleeding during
Decoction for Threatened Miscrriage (Gabelhover)
Electuary Against Miscarriage
Powder Against Abortion (France)
Powder for Bleeding During Pregnancy
Philonium Persicum
Royal Confection of Kermes (Mesue)

Threatened Miscarriage

Heat
threatened miscarriage in the first trimester, scanty vaginal bleeding with bright red blood, feels heat, thirst, irritable and restlessness, insomnia, dark urine, fast pulse, red tongue
Si Wu Tang (with Scutellaria Huang Qin added)
Bao Yin Jian

Kidney Deficiency
threatened miscarriage in early pregnancy, back pain, scanty vaginal bleeding, dizziness, tiredness, frequent urination.
An Tai Yin
Shou Tai Wan
Candraprabha Vati (Ayurveda)

Qi and Blood Deficiency
threatened miscarriage, vaginal bleeding with pale blood, maybe nausea, tired all the time, pale face, weak and low pulse, pale tongue
Ba Zhen Tang
Bu Zhong Yi Qi Tang
Tai Shan Pan Shi San
Ju Yuan Jian

Following Trauma
History of recent trauma, scanty vaginal bleeding, abdominal pain
Sheng Yu Tang

Habitual Miscarriage

Qi Deficiency
history of miscarriage after the first trimester, fatigue, breathless, loose stools, depression, poor appetite
Ba Zhen Tang
Bu Zhong Yi Qi Tang
Tai Shan Pan Shi San

Blood Deficiency
history of miscarriages, dizziness, blurred vision, a history of scanty periods, insomnia, depression, dry hair and skin, tingling of limbs.
Dang Gui Shao Yao San
Si Wu Tang
Tai Shan Pan Shi San

Yin Deficiency
history miscarriages, fertility problems, dizziness, tinnitus, night sweats, back pain, dry mouth, dry skin.
Bao Yin Jian
Zuo Gui Wan

Yang Deficiency
history of miscarriages, back pain, feels the cold, cold feet, fatigue, frequent urination, fertility issues in past.
Shou Tai Wan
You Gui Wan
Candraprabha Vati (Ayurveda)

Blood Stasis
history of miscarriages, lower abdomen pain, pain worse with cold, history of painful periods with clotted blood, dull complexion, purplish nails, lips and tongue and a choppy pulse.
Shao Fu Zhu Yu Tang

Special Formulas

1. Red Coral 2 drams
Ivory 1 ½ drams
Mastic ½ dram
Nutmeg 1
Powder. Take half dram in a raw egg.
2. Bistort 1 scruple
Kermes berries
Plantain seed
Purslane seed 1 dram ea,
Coriander seed 2 scruples
Sugar weight of the rest
Every second day take 1 scruple with Maligo wine, as long as she is not constipated.
3. Threatened Miscarriage from Fright or Anxiety
Mastic
Frankincense 1 dram ea.
Dragons Blood
Myrtles
Armenian Earth
Kermes berries ½ scruple ea.
Powder and take ½ dram in Chicken broth or Wine.

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