How to treat hyperemesis gravidarum? Experts tell you the scientific method

It is a common phenomenon for women to experience vomiting during pregnancy. If the vomiting is severe, it needs to be solved from many aspects. First of all, you need to adjust your mood and have a good mental state without too much psychological burden. In addition, diet and medication can help relieve it.

1. General treatment

1. Spiritual comfort and emotional guidance Patients with hyperemesis gravidarum should be comforted, pay attention to their mental state, understand their emotions, and relieve their worries.

2. Diet adjustment: The diet should be light and easy to digest, and avoid fatty, sweet, greasy and spicy foods. Eating is encouraged but should be in small, frequent meals.

2. Traditional Chinese Medicine Treatment

The treatment principle of this disease is to regulate Qi and harmonize the middle, reduce adverse effects and stop vomiting. Attention should also be paid to regulating diet, regulating emotions, and paying attention to the method of taking medicine. During treatment, remember to “stop when the disease is cured” and strictly control the dosage of the medicine, “stop when the dosage is mostly reduced” to avoid hurting the fetus.

(I) Treatment based on syndrome differentiation

1. Weak spleen and stomach

Main symptoms: early pregnancy, nausea, vomiting and loss of appetite, even vomiting after eating, tasteless mouth, vomiting of clear saliva or food, abdominal distension, dizziness, fatigue, lethargy and drowsiness, pale tongue, white fur, and slow, slippery and weak pulse.

Treatment method: Strengthen the spleen and stomach, reduce adverse effects and stop vomiting.

2. Liver heat

Main symptoms: early pregnancy, nausea and vomiting, vomiting of sour or bitter water, fullness and stuffiness in the chest and flanks, sighing with heat, head swelling and dizziness, bitter mouth and dry throat, thirst and preference for cold drinks, yellow and red stools, red tongue, yellow and pale tongue coating, and stringy, slippery and rapid pulse.

Treatment method: Clear the liver and harmonize the stomach, reduce adverse effects and stop vomiting.

3. Phlegm stagnation

Main symptoms: In early pregnancy, vomiting of phlegm, a tasteless and greasy taste in the mouth, chest fullness and tightness, loss of appetite, dizziness, palpitations and shortness of breath.

Fatigue, pale and fat tongue, greasy white tongue coating, slippery pulse.

Treatment method: Resolve phlegm and dampness, reduce adverse effects and stop vomiting.

(II) Disease differentiation and treatment with specific prescriptions

1. Xiaobanxia Jiahuotai Decoction (Golden Medical Essentials)

Ingredients: Pinellia, Poria, and ginger.

Efficacy: Resolving phlegm and dampness, relieving adverse effects and stopping vomiting.

2. Pingni Qingwei Recipe (Selected Works of Cai's Gynecological Experience)

Ingredients: stir-fried Atractylodes macrocephala, Pinellia ternata with ginger, Apple tree, tangerine peel, white peony root, Sophora japonica stem, Inula flower, and white Poria cocos.

Efficacy: Soothes qi and stomach, relieves nausea and stops vomiting.

Add or subtract: If the stomach is cold, remove the apple and add ginger and Fuluogan; if the stomach is hot, add ginger, Coptis chinensis and living water reed root; if there is vomiting blood, add fresh Rehmannia glutinosa and lotus root charcoal to cool the blood and stop bleeding; if there is low back pain, add Eucommia ulmoides and Dipsacus asper to strengthen the kidneys and waist.

3. Western medicine treatment

Patients with severe symptoms but metabolic stability can be treated as outpatients. 'In addition to general treatment, drug treatment can include vitamin B6 10 mg, 3 times a day. Vitamin C 100 mg, 3 times a day. Severe cases should be hospitalized. Patients with dehydration or acidosis should fast for at least 24 hours and receive intravenous glucose solution and glucose saline solution for a total of 3000 ml per day. Potassium chloride, vitamin C and vitamin B6 should be added to the infusion, and vitamin B1 can be injected intramuscularly at the same time. Patients with metabolic acidosis should be given intravenous sodium bicarbonate solution according to the blood carbon dioxide binding capacity or blood gas analysis results. The daily urine volume should be at least 100 ml. Generally, the condition will improve rapidly after 2-3 days of the above treatment. After the vomiting stops, you can try eating. If the food intake is insufficient, appropriate fluid replacement should be given.

After the above treatment, if the condition does not improve, the body temperature rises above 38°C, the heart rate exceeds 120 beats/minute, and jaundice and other phenomena appear, you should consider whether to terminate the pregnancy in time to ensure the safety of the mother.