Objective  To analyze the efficacy of Jianpi Shugan Tongru prescription combined with staged medicinal diet therapy in the treatment of postpartum hypogalactia of qi and blood deficiency pattern.

Methods  Patients with postpartum hypogalactia of qi and blood deficiency pattern who gave birth in Jinhua People's Hospital from March 2022 to March 2023 were selected as the research subjects, and were divided into control group (conventional treatment) and test group (treated with Jianpi Shugan Tongru prescription combined with staged medicinal diet therapy). The clinical efficacy, TCM syndrome scores, lactation-related indexes, prolactin (PRL) and estradiol (E2) levels were compared between the two groups.

Results  A total of 100 patients were included in the study, including 50 patients in the test group and 50 in the control group. After treatment, the total effective rate and the TCM syndrome scores in the test group were better than those in the control group (P<0.05), the time to initiation of lactation, breast filling score and milk production in the test group were better than those in the control group (P<0.05), the PRL level in the test group was higher than that in the control group, the E2 level was lower than that in the control group, and the differences were statistically significant(P<0.05).

Conclusion  Jianpi Shugan Tongru prescription combined with staged medicinal diet therapy has a good effect on the treatment of patients with postpartum hypogalactia of qi and blood dificiency pattern, and can improve the TCM syndrome scores and lactation-related indexes of patients, and can regulate the levels of PRL and E2.

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