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I have a patient that is a 32 year old female who delivered a baby girl two weeks ago. A complication of the birth was that she ruptured her rectus abdominus and bled a 12 centimeter hematoma periumbilically, but mostly on the R lower quadrant. I am not sure hematoma is the right word because it is a 12 centimeter ball of congealed blood between the muscle and fascia. It is an extremely painful condition, and her surgeon says there is nothing to do but wait for it to be absorbed. She can not sit up well, and the only thing that has moderated the pain is percocet. She has been succesful at decreasing the dosage of percocet, but still relies on it and is worried about developing an addiction. She also has had high lymphocyte counts in her urine, but no nitrites, her MD has treated it as a UTI with one round of antibiotics, but with no nitrites it seems like it is more likely that she has interstial cystitis.? During her pregnancy she developed gestational diabetes, which has resolved as expected. She is breastfeeding.

Her tongue is swollen, moist some light red spots toward the tip

pulses are generally deep, rapid tight

 

I know she has a major spleen qi deficiency, but I am a bit confounded as where to start here. The most acute would probably be the pain from the hematoma, but the bladder discomfort is equally problematic.

 

Suggestions would be much appreciated.

 

Sean

********************************************Sean P. Doherty, M.Sc., M.S., L.Ac., D.N.B.A.O.Nashua Natural Medicine76 Northeastern Blvd., Unit 36ANashua, NH 03062ph(603) 579-0956fax(603) 579-0957Healthcare for the whole family...Naturally!www.nashuanaturalmedicine.com

 

WMorris116 [WMorris116]Saturday, June 16, 2001 9:14 PM Subject: Re: Re: Subscription approval (Jion Prosser's Introducti...Chinese Herbal Medicine, a voluntary organization of licensed healthcare practitioners, matriculated students and postgraduate academics specializing in Chinese Herbal Medicine, provides a variety of professional services, including board approved online continuing education.

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