产后恶露不净

23岁女性，产后恶露不下，阴裂阴肿感染，阵热恶寒，阴部灼痛，二便阻闭，纳呆口干，呼吸急促。中医病名属产褥恶疾，证属肝郁气滞瘀阻，血腑累及脏腑，恶露滞于胞宫，腑气失降。面色晦暗，舌质紫暗，脉弦涩。恶露呈团块样，尿液浓稠，大便排出困难，阴部灼热疼痛，乳房胀痛，痔疮挺出，心悸手颤，冷汗。

患者32岁，产后2个多月恶露未净，腹痛以中下部为主，乳少。恶露不净，腹痛，乳少。脉软。面色苍白，舌苔中厚。声音低弱，无特殊气味。腹痛，恶露未净，乳少，脉濡软。舌苔中厚，脉软。

患者女性，28岁。产后半月阴道流血不止，血量尚多，血色暗红，夹小血块，小腹疼痛拒按，重按似有物移动，纳谷则恶心呕吐，面色无华，精神疲惫。舌淡红，脉沉实。辨证为血被寒凝，淤阻胞宫。

徐某，女，24岁。产后1周，恶露不净，面目及四肢浮肿，按之凹陷，胸闷胁胀，身困体重，小便不利。气化不行，水湿内停。脉濡，舌苔白滑。浮肿较消，下肢微肿，身重胸闷轻，汗出。脉濡，舌苔白。蕴湿渐化。

黄某，24岁，产后恶露淋漓40天，带下黄白质稀量多腥臭，乳汁稀少，腰胀痛，大便硬结，纳食不馨。面白形瘦，舌淡红苔薄白，脉沉细。中医诊断阳虚带下，证属脾肾阳虚，湿浊下注。舌淡红苔薄白，脉沉细。

产后恶露淋漓未净，病程月余。舌边有紫点，脉细涩。瘀血留积未尽。

患者年龄成年，性别女。主诉产后恶露未尽，量不多色澹红，有时有紫色小血块，腰酸痛，周身按之痛，左少腹痛，左腰至大腿有静脉曲张，食欲欠佳，大便溏，小便黄。面色不泽。脉上盛下不足，右关弦迟，左关弦大，寸尺俱沉涩。舌质淡红无苔。中医诊断为产后失调，营卫不和，气血紊乱，恶露不化。病因病机为产后调理失宜，冲任虚损，兼有血瘀及营卫不调。

患者36岁，女性，产后2个月阴道出血不止。阴道出血暗红，夹血块，伴小腹刺痛，疲劳乏力，面色白。舌质紫暗，苔薄，舌下络瘀。脉沉涩。病程2个月。中医病名产后恶露不绝。证型瘀血阻络。病因病机产后瘀血未尽，气血运行不畅。望诊面色白，舌质紫暗，舌下络瘀。闻诊无特殊。问诊阴道出血、小腹刺痛、疲劳乏力。切诊脉沉涩。

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患者产后十七朝，恶露淋漓未净，量不多，色偏黯，自汗，盗汗，大便不畅，耻骨联合部掣痛难忍，转侧不利。舌苔薄边有齿印，脉虚。中医诊断为气血两亏，肝肾不足。

女，32岁。小腹时疼，恶露淋漓不尽，量少，色暗红，夹紫色小块，腰嵴坠胀，腿膝酸软。脾肾气虚，冲任亏损，瘀血未净。舌质澹嫩、苔薄白，脉沉细涩。

周某，女性，病程3个月余。主要症状为恶露不断、瘀块大如鸽蛋、少腹坠胀、腰膂酸痛、头眩目花、头胀、心悸、晨面肿、午后足肿。中医病名未明确，证型为血虚血瘀，病因病机为产后气血亏虚，瘀阻胞宫。舌象苔薄白，脉象细涩。

杨某，37岁，女性。主诉人工流产术后血流不止，病程较短。中医病名未明确提及，证型未明确提及，病因病机未明确提及。面色苍白，舌质淡，脉细弱。少腹不适，血量多，经药物治疗后症状缓解。

产后40余日恶露断续未净，恶风怯冷，口腔牙齿怕风，张口冷风内窜，牙齿发凉，动则自汗，衣着厚，裹头戴口罩，面肢轻度浮肿，食纳尚可。脉沉细略弦，舌澹红苔白。中医诊断为产后恶露不净，证属肾元亏耗，真阳内虚，卫阳不固。

36岁，突发高热，面赤目直，狂躁妄言，脱衣揭被，口渴不欲多饮，恶露未净，腹中作痛，病程短。中医病名：蓄血如狂。证型：恶露不净，败血攻心。病因病机：产后血舍空虚，浮阳上越。望诊：面色赤，舌质黯赤。闻诊：无明显气味描述。问诊：口渴不欲多饮，溲清便秘，躁热汗出。切诊：脉沉弦细数。

患者30岁，女性，流产后14天恶露未净，色黑，伴头晕心悸。中医病名属恶露不净，证型为瘀阻胞宫，病因病机为产后血瘀阻滞。面色晦暗，舌质紫暗，脉弦涩。

患者21岁，女性。主诉水囊引产后阴道出血淋漓不尽，近一周出血增多，血丝状，有血块。子宫内膜炎，胎物残留。外阴、阴道有很少血性分泌物。子宫轻压痛。恶露淋漓不尽，出血量逐步增多，呈血丝状，夹有血块，色黯红，小腹痛，带下有臭味。湿毒之邪乘虚而入，与血相搏，久而化热，致冲任受损。

杨妇，26岁，术后流血不止10余日，血色紫黯，时多时少，小腹坠胀隐痛。胞宫未复，内有淤血，淤血不去，新血不能为经而致下血。面色晦暗，舌质紫黯，脉弦涩。

患者年龄28岁，女性。产后5日恶露不行，伴腹中阵痛、形寒恶风、项背强几几。中医病名产后恶露不净，证型营卫不和，气血瘀滞。病因病机为气血亏虚，血行不畅；体虚感受风寒，营卫失和。望诊未提及，闻诊未提及，问诊含恶露、腹痛、形寒、恶风、项背强几几，切诊未提及。

产后恶露不净，腹胀纳谷减少，宿瘀未去，新血不得归经。面色苍白，脉象虚弦。舌质淡，苔薄白。形寒，纳少。病程持续，气虚血瘀，冲任不固，气血运行失常，脾虚失运。