Q My lochia seems to have ended. How does the next stage of treatment change?
A Once the lochia ends, treatment shifts mainly to postpartum tonic herbs that replenish qi and blood (formulas in the Samul-tang and Bojungikgi-tang families), along with joint warming therapy (large-moxibustion and deep heat). The goal is for cold sensations and joint pain to improve gradually as qi and blood are replenished.
Detailed Answer
Once the lochia discharge stage is complete, treatment enters the full qi-and-blood replenishment (bo-gihyeol) stage. Prescriptions in the Samul-tang and Bojungikgi-tang families replenish both blood and qi, while at the same time large-moxibustion and deep heat therapy push out the cold that has penetrated the joints (ongyeong, warming the channels). When these two treatments are combined, the body's defensive capacity rises as qi and blood are replenished, and cold sensations and joint pain ease step by step.
Korean Medicine Clinic Perspective
At a Korean medicine clinic, stages 2 and 3 are run simultaneously on the principle that "cold leaves only when qi and blood are full." A two-track approach that replenishes qi and blood with tonic herbs while driving out the joint cold with large-moxibustion and deep heat is the core of postpartum wind treatment. The more thoroughly this stage is carried out, the more recovery is maintained afterward without recurrence.
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