Habitual+Miscarriage

Concept:

TCM Etiology and Pathogenesis
-Failure of fetus to attach and be carried due to both spleen & kidney deficiency -Loss of nourishment and inability to carry the fetus due to deficiency of both qi and blood -Unconsolidation of the fetus due to Yin deficiency and blood-heat

Spleen & Kidney Deficiency
Frequent miscarriage three or more times, difficult to get pregnant again after miscarriage, history of late menarche, or late periods, or irregular periods with scanty, pale or dark colored menstrual flow Dizziness, tinnitus, sore/weak loins & knees, lassitude, tiredness, shortness of breath, disinclination to talk, poor appetite, loose stools, frequent profuse nocturia, dark black orbit around the eyes, dark spots on the face [Tu Si Zi (12g.), Xu Duan (10g.), Bai Ji Tian (10g.), Du Zhong (10g.), Lu Jiao Jiao (6g.), Dang Gui (8g.), Shu Di (10g.), Gou Qi Zi (12g.), E Jiao (8g.), Dang Shen (12g.), Bai Zhu (12g.), Da Zao (6g.), Sha Ren (6g.)]
 * Tongue:** pale or pale tender tongue
 * Pulse:** deep, weak
 * Treatment Principles:** Tonify the Kidney, Strengthen Spleen, Nourish Essence & Blood
 * Acupuncture:** //BL-20, BL-23, GV-20, GV-4//, KI-3, ST-36, KI-6, LU-7
 * Herbal Treatment:** //Bu Shen Gu Chong Wan// (Tonify Kidney and Consolidate Chong Pill)

Qi & Blood Deficiency
Frequent consecutive miscarriage, three or more times, scanty menstrual bleeding, late menstruation or amenorrhea Pale or sallow complexion, dizziness, palpitations, listlessness, weak limbs [Ren Shen (10g.), Huang Qi (10g.), Bai Zhu (12g.), Zhi Gan Cao (6g.), Dang Gui (8g.), Shu Di (10g.), Bai Shao (12g.), Chuan Xiong (8g.), Sha Ren (6g.), Huang Qin (8g.), Xu Duan (10g.), Nuo Mi [sweet rice] (12g.)]
 * Tongue:** Pale tongue; thin white coat
 * Pulse:** Fine & weak pulse
 * Treatment Principles:** Tonify Qi, Nourish Blood & strengthen Spleen
 * Acupuncture:** //BL-18, BL-20, GV-20, CV-6//, SP-6, LR-8, ST-36, LU-7, KI-6, BL-17
 * Herbal Treatment:** //Tai Shan Pan Shi San// (Powder that Gives the Stability of Mountain Tai)

Blood Heat Due to Yin Deficiency
Frequent consecutive miscarriage three or more times, scanty periods or flooding & trickling, purple-red or bright red and thick in quality Flushed cheeks, 5-palm heat, restlessness, dry mouth & throat or weight loss [Sheng Di (10g.), Di Gu Pi (10g.), Xuan Shen (10g.), Mai Men Dong (10g.), E Jiao (8g.), Bai Shao (10g.)]
 * Tongue:** Red tongue; little coat
 * Pulse:** Fine & Rapid
 * Treatment Principles:** Tonify Qi, Nourish Blood & strengthen Spleen
 * Acupuncture:** //SP-10, BL-17, KI-2, LR-2,// LI-11, LR-3, KI-6
 * Herbal Treatment:** //Liang Di Tang// (Two Di Decoction)

Classical Formulas for habitual miscarriage
Dang Gui San: Dang Gui, Huang Qin, Bai Zhu, Bai Shao Yao, Chuan Xiong Bai Zhu San: Bai Zhu, Chuan Xiong, Chuan Jiao, Mu Li