It was a bit embarrassing for Du Jiang to say his wife was sick in front of an outsider.
But Yan Ting had no such scruples and blurted out, "Du Heng, it’s been almost a month since I gave birth. Why is there still so much lochia?"
Upon entering diagnostic mode, Du Heng put aside any thoughts about gender, focused entirely on his role as a doctor, and felt no awkwardness.
Hearing Yan Ting’s account, Du Heng’s mind raced, and knowledge about postpartum conditions quickly surfaced. "Lochia that recedes slowly usually lasts for three to four weeks," he explained. "You’ve just finished your confinent period, so it’s normal to still have so."
At this point, Yan Ting said, "I looked it up online, and it said the sa thing you did—that so won do take longer. But by this stage, the amount is usually minimal for most, while mine is still quite a lot."
"Hasn’t it decreased at all?"
"It had already beco very little, but then it suddenly increased a few days ago."
"Increased? How much more?"
As Yan Ting spoke, she kept her hand on her lower abdon, rubbing it gently, clearly in discomfort. Frowning, she thought for a mont before saying, "I can’t say exactly how much, but I have to change my underwear four or five tis a day, and I go through more than half a roll of toilet paper."
Du Heng listened, his own brow furrowing. For this stage postpartum, that amount was indeed excessive and abnormal.
Du Heng walked closer to the bedside. "Could you move over a bit? Let take your pulse." He then sat on a stool by the bed.
Yan Ting shifted to the edge of the bed. Du Heng observed her posture and said, "Actually, it would be better if you lie down on the bed and extend your arm out flat."
Yan Ting did as instructed.
Du Heng began the pulse diagnosis, his fingers moving slowly over the Cun, Guan, and Chi positions on Yan Ting’s wrist. The Cunkou pulse was tight, fine, firm, and long, extending to the Guan position. This indicated a Ren ridian pulse pattern.
"What does the lochia look like?"
"It’s particularly dark and dirty, and the fishy sll is also very strong."
"Does your lower abdon hurt a little too?"
"Yes, it’s been a constant, dull ache."
Du Heng withdrew his hand. "Haven’t you been to the hospital to have it checked? Didn’t you ask your attending doctor who handled your delivery?"
"You’re not supposed to go out during the confinent period, so I didn’t go to the hospital. But I did call and ask. My attending doctor said it was normal and just told to pay attention to hygiene and ensure I was getting enough nutrition."
Du Heng nodded. "Did they prescribe any oral dication for you?"
"No, they didn’t."
"Postpartum lochia is the waste blood that surrounded the fetus and should be expelled during delivery. So won might clear it in three or four days, while others take longer, perhaps until the end of their confinent period. By then, however, the amount should be negligible."
Du Heng frowned slightly; Yan Ting’s situation was genuinely puzzling. "But the amount you’re experiencing is far too large. That’s not right."
Seeing Du Heng’s frown, Du Jiang asked worriedly, "Is this problem serious?"
"That depends." Du Heng stood up. "The duration isn’t the main concern; the problem is the excessive quantity. The pulse indicates a deficiency in the Ren ridian, which would explain persistent lochia. However, we need to understand why the volu is so high before any dication can be prescribed."
Du Jiang looked at Du Heng with anxious eyes.
"Persistent lochia, or lochiorrhea, primarily stems from three causes. First, retained placental fragnts from delivery. Second, poor uterine contractility. And third, bacterial infection."
Du Heng paced back and forth a couple of tis, then said thoughtfully, "You delivered in a hospital. With current dical techniques and standards, retained placental fragnts are highly unlikely. As for the second point, uterine contraction issues..."
Du Heng looked at the couple. "It was a natural birth, correct? How did the delivery go?"
Du Jiang was stumped; how would he know the details? He could only turn his gaze to his wife.
Yan Ting, however, rembered it clearly. "Yes, it was a natural birth. There weren’t any particular issues. After my contractions started, they took to the delivery room, and I waited there for my cervix to dilate. If anything, it was actually very fast—maybe half an hour from start to finish."
"Yes, yes, 37 minutes! I was timing it," Du Jiang chid in, as if finding his chance to contribute, eagerly continuing Yan Ting’s account. "She went into the delivery room, and I called my mom and my sister. She was out before they even arrived!"
Could it be an infection?
Du Heng glanced at the bedding and other items on the bed, which all appeared clean. He turned to Yan Ting and asked, "Do you change your undergarnts frequently?"
The baby started to fuss, no longer content to lie quietly on the bed. Yan Ting had no choice but to sit up again, cradling the baby and gently soothing him. "Oh, very frequently," she replied. "As soon as they get even slightly soiled, I change them imdiately. Like I said, I change four or five tis a day."
"Have you been bathing?"
"Of course, I bathe every day. Otherwise, the sll would be unbearable."
Du Heng thought he might have found the issue. Bathing during the confinent period could potentially lead to infection.
"Showers?"
"No, my doctor told to take sitz baths and even gave a dicinal soak to add to the water."
Du Heng was taken aback. Sitz baths, and with a dicinal soak—that practically eliminated the possibility of external infection.
If her personal hygiene is good and she’s using dicated sitz baths, how could an infection still occur? Du Heng couldn’t understand. Or maybe it wasn’t caused by an infection? But then, he couldn’t think of any other reason for this situation.
Moreover, Yan Ting’s pulse indicated a deficiency in the Ren ridian, and that her blood was not being properly contained.
"Wait here for a mont. I need to get my dicine Box."
With no other imdiate ideas, Du Heng decided he had to start with the most basic examination.
He left the confinent room and found Wu Buwei to get the car keys. Ma Zichen, who was nearby, was looking at Du Heng strangely.
Du Heng felt a bit baffled by her stare. "What are you looking at for?"
Ma Zichen’s mouth twitched. She reached up to cover the corner of her own mouth. "Du, what happened to you?"
Du Heng touched the corner of his mouth and finally felt a small cluster of blisters there. There weren’t many, just around the corner of his mouth. But once he touched them, the sensation of blisters intensified, and his entire lip area felt fiery hot.
Du Heng knew that before long, his mouth would be covered in them again.
What the hell, there’s just no explanation for this, he thought, thoroughly frustrated. He took the car keys and went to retrieve his dicine Box.
Upon returning, he didn’t imdiately examine Yan Ting. Instead, he pulled Du Jiang aside and asked, "Do you have any Bezoar Antidotal Tablets at ho?"
"Yes, we do. You need..." Du Jiang’s voice trailed off as he suddenly noticed the shiny blisters at the corner of Du Heng’s mouth. He stared in astonishnt. "Hey, man, what happened to you?"
At Du Jiang’s exclamation, Yan Ting also looked over.
When she saw the blisters on Du Heng’s mouth, she flushed with embarrassnt.
Early in her pregnancy, elders had warned her that won in confinent could supposedly ’clash’ with others. Therefore, she should avoid visiting other new mothers’ confinent rooms, and similarly, only those very close to her should visit her own.
Now, seeing the blisters on Du Heng’s mouth, she couldn’t help but feel that she had sohow caused this, and she felt terribly awkward.
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