Ang breast milk ay ang pinakamahusay na pagkain para sa sanggol. Gayunpaman, maraming babaeng bata ang nagkakaroon ng insufficiency ng milk, o ang milk ay mabaho at parang tubig. Ayon sa Traditional Chinese Medicine, ang milk insufficiency ay may dalawang uri:
Qi and Blood Deficiency Type: Ang milk ay galing sa blood, at kinakailangan ng qi para maipasa. Dahil sa weak constitution, malaking pagkawala ng dugo sa delivery, o lack of nutrition, ang qi at blood ay mababa, kaya walang milk. Ang mga sintomas ay milk na mabaho, o wala na, malambot ang dibdib, tired, low appetite, pale complexion, light tongue, at weak pulse. Gamot: double tonify qi and blood, plus promote lactation. Gamot: Tong Ru Dan from Fu Qingzhu’s Women’s Medical Classics, with modifications. Halimbawa: Huangqi 15g, Dangshen 15g, Chao Baizhu 10g, Danggui 12g, Shengdi and Shudihuang each 15g, Tongcao 6g, Jiegeng 10g. I-luto ang gamot sa pork foot broth (or meat broth), alisin ang floating oil, at inumin.
Liver Qi Stagnation Type: After childbirth, depression, or anger affecting the liver, causing stagnation of qi, blocked milk ducts, and impaired milk flow. Sintomas: low milk production, or none, chest and side fullness, slight fever, poor appetite, wiry and fine pulse. Gamot: soothe the liver, regulate qi, relieve depression, promote lactation. Gamot: my experience formula Xieyu Xia Ru Tang (Chaihu 10g, Danggui 12g, Baishao 12g, Danshen 15g, Chuanxiong 6g, Qingpi 6g, Loulu 10g, Xi Mu Tong 6g, Chuanshanjia 10g, Wangbuliuxing 10g, Si Guan Luo 12g, Jiegeng 6g, Gancao 4.5g). Kung may breast pain at mild fever, idagdag ang Pu Gong Ying, Quan Kuadiao, Xia Ku Cao. Ibinalik din ang Lulu Tong, Zhi Ke, Tian Hua Fen, Bai Zhi.
Kung ang patient ay may both qi and blood deficiency at liver qi stagnation, combine both types. Habang ginagamot ang lactation issue, dapat i-adjust ang emotions, maiwasan ang stress at depression, mag-ingat sa diet, at kumain ng more fish like carp, pork feet, chicken, red beans, etc. Mahalaga rin ang proper breastfeeding technique: feed on schedule, make sure baby sucks tightly and empties the breast (or use hand or pump), and gently massage the breast with warm water (or scallion broth) to stimulate circulation.
Ang normal na weaning time ay after one year, or if not willing to continue due to work, can use herbal medicine. There are two methods: systemic and local.
Systemic treatment: 60g of raw barley, 12g of cicada shed, decoct and drink. 15g of raw loquat leaf (remove hair), 60g of raw barley, decoct and drink. 60g of raw barley, 30g of hawthorn, 30g of fermented grain, decoct and drink as tea, once a day.
Local treatment: 300g of mirabilite in cloth bag, apply after emptying milk, wrap around breasts; or dissolve 6g of alum in 1500g of hot water, let cool, rub breasts with this water for 3 minutes, then use clean towel soaked in alum water for wet heat compress on breasts for 15 minutes, once every night for 3 days. Milk will decrease significantly, and breast pain will disappear.
For women whose milk is already low, just stop breastfeeding and eat less food that promotes lactation, milk will gradually decrease and stop completely.
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