Patients who underwent cesarean section from Jan 2000 to Aug 2007 in Guangzhou University of Chinese Medicine affiliated Children and Maternity Hospital.
治疗组 （ the therapeutic group ）
2006年1月－2007年8月通过 剖宫产术分娩产妇，年龄 26.6±4.1岁，胎次1－4胎， 共2300例 （ Patients who underwent cesarean section from Jan 2006 to Aug 2007 ）
Company Logo
产妇不同的术前体质类型加减
1.平和质—祛瘀生新
Equilibrium pattern---stasis dispelling and tissue generating
益气活血生肌汤
QRBAMG
2.气虚质—培补元气，补气健脾
Qi deficiency pattern---nourishing original Qi and replenishing spleen Qi
益气活血生肌汤加当归、桃仁
QRBAMG+Danggui(Radix Angelicae Sinensis), Taoren(Semen Persicae)
6.痰湿质—健脾利湿，化痰泻浊
Phlegm and dampness pattern---invigorate spleen, remove dampness, phlegm and turbidity
QRBAMG+Chaihu(Radix Bupleuri), Yujin(Radix Curcumae)
9.特禀质—益气固表，养血消风或培补元阴元阳
Prenatal deficiency pattern---invigorate Qi and consolidate the external, nourish blood disperse wind or replenish original Yan and Yin
affect patients’ sleep, appetite and lactation. More over, the
prolonged rehabilitative period
Company Logo
我院自2006年以来，在潘佩光教授提出的术科“术前体质 辨证、术后快速整体康复”理念模式的指导下进行产前
Company Logo
情绪紧张
anxiety
交感神经兴奋
synthetic excited
严重影响 产妇术后生活质量
seriously affect the maternal quality of life
麻醉
anesthesia
腹部切口疼痛
abdominal incision pain
影响产妇的休息、 食欲和泌乳，而且 产后康复时间长
益气活血生肌汤加苡米、金银花
QRBAMG+Yiyiren(Semen Coicis), Jinyinhua(Flos Lonicerae)
8.气郁质—疏肝行气，开其郁结
Qi stasis pattern---regulate Liver Qi and disperse nodulation
益气活血生肌汤加柴胡、郁金
Company Logo
研究对象
对照组
（the control group）
2000年1月－2005年12月通 过剖宫产术分娩产妇，年龄 26.3±4.0岁，胎次1－4胎， 共5500例 （Patients who underwent
cesarean section from Jan 2000 to Dec 2005）
E
穴位注射
（术后第一、二日， 每日一次）
acupoint injection
维生素B1穴注 双侧足三里
(Vitamin B1 injection: bilateral side of Zusanli ST36)
Company Logo
益气活血生肌汤加党参或红参
QRBAMG+Renshen(Radix Ginseng) or Dangsheng(Radix codonopsis)
3.阳虚质—补肾温阳，益火之源
Yang deficiency pattern---tonify kidney and reinforce Yang
益气活血生肌汤加附子、肉桂
体质辨证，术后采取快速整体康复，再结合剖宫产后“多虚 多瘀”这一共同特点，从常规的术后被动等待康复转变为积 极进取。
Since 2006, professor Peiguang Pan has put forward the concept of “preoperative pattern differentiation and postoperative fast holistic rehabilitation” model for surgery. Under his guidance, we have done pattern differentiation for maternal patients and applied the integrative treatments of “postoperative fast holistic rehabilitation”, which turns negative postoperative waiting into positive recovery.
益气活血生肌汤加女贞子、旱莲草
QRBAMG+Nuzhenzi(Fructus ligustri lucidi), Hanliancao(Herba ecliptae)
5.瘀血质—活血祛瘀、疏经通络
Blood stasis pattern---blood activating, stasis dispelling and regulate the meridians
“术前体质辨证、术后快速整体康复” 模式在剖宫产的临床应用
The clinical practice of “preoperative pattern differentiation and postoperative fast holistic rehabilitation” model in Cesarean Section patients
QRBAMG +Fuzhi(Radix aconite lateralis praeparata), Rougui(Cortex cinnamomi)
Company Logo
4.阴虚质—滋补肾阴，壮水制火
Yin deficiency pattern---nourishing kidney Yin to eliminateYang
益气活血生肌汤加玉屏风散或参附汤或生脉散
QRBAMG+Jade screen powder or Pulse activating powder or Shenfu decoction
Company Logo
C
耳针
（术后第一日） Ear acupuncture (the first day after
益气活血生肌汤加茯苓、白术
QRBAMG+Fuling(Poria), Baishu(Rhizoma Atractyodis Macrocephalae)
Company Logo
7.湿热质—分消湿浊，清泻伏火
Damp heat pattern---dispel dampness and clear away heat
近年来随着医学发展及各种社会因素的 影响，剖宫产率有所升高；
In recent years, cesarean section has showed an increasing trend since medicine develops and the various social factors infer.
Company Logo
结合术前体质术后辨 证，运用中医活血祛 瘀、健旺脾胃、固本 培元等方法，促进伤 口愈合和整体康复
according to the chief pathology of post cesarean section named “tending to be more deficiency and blood stasis” in TCM theory, by performing pattern differentiation and the according TCM treatments such as “blood activating and stasis dispelling”, “strengthen the spleen and stomach ”, “consolidating the body resistance and nourishing the origin Qi”
Company Logo
治疗方法——治疗组
（ Therapeutic group Therapies ）
A
产前体质辨证
（preoperative pattern differentiation）
根据王琦九型中医体质 辨证标准
according to Qi Wang criteria of TCM 9 pattern differentiation
B
产后中药体质调理
（ postoperative TCM herbal treatment ） “多虚多瘀”的共同特点－－祛瘀生新
主方：益气活血生肌汤 黄芪、丹参各15g，田七5g，鸡血藤30g
“Qi replenishing, blood activating and muscle generating decoction” (QRBAMG): Huangqi (Radix Astragali)15g, Danshen(Radix Salviae Mitiorrhzae)15g, Tianqi(Panax notoginseng)5g, Jixueteng(Cualis Spatholobi)30g