Functional dyspepsia is a very common digestive tract syndrome, including belching, flatulence or burning pain in the upper abdomen or chest.
The symptoms of functional dyspepsia are not limited to a single organ or disease process, but can have many causes, and these symptoms are often unrelated to the disease. General gastroscopy and X-ray examination only found "chronic gastritis" or "duodenitis", and no other organic lesions were found.
Functional dyspepsia is mainly manifested as abdominal distension, pain, belching, abdominal distension and bowel sounds in the upper abdomen and behind the sternum. After eating, it often makes abdominal distension or pain worse. In addition, there are nervous system syndromes such as anorexia, nausea, poor defecation and anxiety or depression. However, through various examinations, no organic lesions such as peptic ulcer and tumor were found.
There are many reasons for functional dyspepsia, among which mental factors are more common. In a state of mental stress or depression, the movement and secretion of the stomach are weakened and may even stop. In a state of depression or depression, intestinal peristalsis is inhibited. Anxiety or depression can cause the secretion of some hormones in the body and the change of autonomic nervous function, thus leading to functional dyspepsia.
People with the following conditions can be considered as functional dyspepsia-
1. has the above symptoms of functional dyspepsia;
2. Endoscopic examination is normal or excludes active chronic gastritis (such as bleeding and erosion) and organic lesions such as ulcers and tumors;
3. Laboratory, B-ultrasound or X-ray examination exclude organic diseases of liver, gallbladder, pancreas and other organs;
4. Follow-up for 2 ~ 5 years, and no new organic lesions were found after more than 2 gastroscopy.
Patients with functional dyspepsia should avoid greasy and irritating food, quit smoking and drinking, develop good living habits, and avoid overeating and overeating before going to bed; You can take the method of eating less and eating more meals; Strengthen physical exercise; Pay special attention to keep in a good mood, in a good mood.
The treatment of functional dyspepsia should be based on traditional Chinese medicine and should be treated according to the different conditions of patients. And can be combined with acupuncture, massage, Tai Ji Chuan and other auxiliary therapies. If the symptoms are serious, you can take Modigline or Prebos (Cisapride) and Mosapride at the same time.
Functional dyspepsia is very common in clinic, and the treatment effect of traditional Chinese medicine is ideal. My treatment of functional dyspepsia is mainly based on syndrome differentiation, supplemented by some Chinese medicines that can regulate and enhance gastric motility, and the effect is good. If you want to ask Dr. Hu's experience in traditional Chinese medicine, please see the method.
Related content: flatulence in gastrointestinal tract
Lower abdominal prolapse
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Gastroptosis means that when people stand, the position of the stomach is low, the lower edge of the stomach hangs in the pelvic cavity, and the lowest point of the arc of the gastric minor curvature drops below the iliac crest line (about at the navel level).
Gastroptosis is more common in people with slender figure, weak constitution, loose abdominal wall and weak abdominal muscles. The main reason is the weakness of muscles and ligaments that suspend and fix the position of the stomach and the decrease of abdominal pressure, which reduces the overall position of the stomach and weakens gastric peristalsis. Women with sudden drop in abdominal pressure after delivery, or slim figure, chronic wasting disease, standing for a long time or staying in bed with little exercise are prone to this disease.
Patients with mild gastroptosis generally have no discomfort, while those with obvious gastroptosis often have abdominal discomfort and a heavy feeling of fullness. After every meal, standing or fatigue, the symptoms get worse, accompanied by loss of appetite, nausea, belching, indigestion and constipation. Severe gastroptosis may be accompanied by liver, kidney, colon and other visceral ptosis.
The best way to diagnose gastroptosis is X-ray barium meal radiography, which can show a tensionless stomach: the stomach body is vertical, the peristalsis is weak, there is more liquid in the stomach, and the lowest point of the small curved arc of the stomach is below the iliac crest line; Ultrasonic examination showed that the lower edge of the stomach moved into the pelvic cavity (lower abdomen), and electrogastrogram showed that the amplitude of gastric electric waves before and after meals was lower than normal.
The treatment of gastroptosis should focus on functional exercise and diet recuperation. Often participate in sports activities, focusing on abdominal muscles; If you don't have sports equipment, you can take a simple method and do sit-ups three to five times a day until you are tired. Eat less and eat more, choose digestible and nutritious food, and stay in bed for 45 minutes to 1 hour after meals to reduce the burden on the stomach; Reduce standing time and avoid overwork. Those with obvious abdominal distension and nausea can take motilium, mosapride and vitamin B6 to promote gastric peristalsis and increase gastric tension; For those with loss of appetite and indigestion, use multi-enzyme tablets and yeast tablets to help digestion.
Gastroptosis belongs to deficiency syndrome of traditional Chinese medicine, and deficiency of spleen-qi is the fundamental reason. The treatment is mainly to strengthen the spleen and stomach, supplemented by physical exercise and diet. Chinese medicine treatment is as follows:
A. Spleen and stomach weakness and depression: spleen and stomach weakness, improper diet, overwork, etc. Lead to spleen deficiency and qi stagnation, Buzhong Yiqi Pill strengthens spleen and qi. Chinese dietotherapy: Please browse the dietotherapy of spleen deficiency syndrome.
B. Spleen deficiency and qi stagnation: If the spleen and stomach are not in harmony, the ascending and descending are abnormal, resulting in poor qi movement, which is manifested as fullness of the upper abdomen and comfort after belching. Jianpi Pill and Xiangsha Yangwei Pill are used for invigorating spleen, regulating qi and regulating stomach. Chinese dietotherapy: Please browse the dietotherapy of spleen deficiency syndrome and qi stagnation syndrome.
C. Stop water due to spleen deficiency: spleen deficiency can't transport water and dampness normally, and dampness accumulates in drinking. When water and drinks stay in the stomach, it can be seen that the stomach is bloated, and there is water shaking and bowel sounds in the stomach. Gui Ling Shugan Decoction is used to strengthen spleen and drink. Please browse the dietotherapy of spleen deficiency syndrome and spleen-stomach cold-dampness syndrome.
Gastric mucosal prolapse
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Gastric mucosal prolapse is caused by the mucous membrane at the pylorus of the stomach being too loose, too thick and too long. While the stomach is peristalsis and contraction, the mucosa in this place is pushed and squeezed, thus leaving its original position and hanging into the duodenum. The prolapse of gastric mucosa enters the duodenum, which leads to the tight binding (incarceration) of pyloric sphincter to this part of mucosa, leading to local congestion, edema and erosion, resulting in corresponding symptoms.
The main symptom of gastric mucosal prolapse is epigastric pain, which often occurs after meals and is often paroxysmal. Pain has two characteristics. First, when lying on the right side, the pain is aggravated due to gravity; Second, pain has no obvious periodicity and rhythm, which is different from peptic ulcer. In addition, it is often accompanied by fullness and discomfort in the upper abdomen, belching and heartburn. In severe cases, temporary pyloric obstruction may occur, showing nausea and vomiting.
X-ray barium meal examination of upper digestive tract is the most important basis for diagnosis of gastric mucosal prolapse. When you are lying on the right side, you are most likely to be found. The typical X-ray findings are concave filling defect at the bottom of duodenal bulb, which is vegetable-like; Gastroscopy is also helpful for the diagnosis of this disease.
Spasmodic and analgesic drugs commonly used in western medicine treatment, such as epilepsy tablets, atropine, propofol, etc., can relieve symptoms; If complicated with pyloric obstruction, recurrent bleeding or suspected canceration, conservative treatment is ineffective, and surgery can be performed with good results.
Gastric mucosal prolapse also belongs to epigastric pain in traditional Chinese medicine. Please refer to the relevant part of "Chronic Gastritis" for its etiology, pathogenesis and dialectical treatment.
Gastrolithiasis
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People often hear about gallstones, kidney calculi. So, have you ever heard of gastrolith? Eat a lot of persimmons, black dates, or mental disorders, eat hair, hemp, silk and so on. It is easy to get stomach stones. Next, we will introduce one of the most common stomach stones-stomach persimmon stone.
After people eat a large number of persimmons on an empty stomach (persimmons here refer to persimmons made of persimmons, not tomatoes), due to the interaction between tannins in persimmons and gastric acid, it is easy to form water-insoluble and indigestible lumps, that is, stomach persimmon stones. Stomach persimmon stone stays in the stomach for a long time, which can neither be digested nor discharged into the intestine. Because it is larger than the diameter of pyloric sphincter when expanding and relaxing, it will stimulate the gastric mucosa, cause inflammation, erosion and ulcer, and cause gastric dysfunction. This disease is called stomach persimmon disease.
The incidence of this disease is high in persimmon producing areas and persimmon mature seasons. Immature persimmons have high tannin content, and eating immature persimmons is more likely to suffer from gastrolithiasis.
The incidence of gastric persimmon stone can be divided into acute and chronic. Acute type can appear symptoms within half an hour after eating a large number of persimmons, with fullness and fullness in the upper abdomen, nausea and vomiting, broken persimmons in vomit and hematemesis; Under the stimulation of persimmon stone, chronic gastritis, gastric ulcer and gastric dysfunction can also be produced. The course of disease is chronic for more than half a year. Chronic symptoms are similar to ulcers or chronic gastritis, such as loss of appetite, indigestion, epigastric pain, acid reflux and heartburn. Patients with large persimmon stones can feel a lump in the upper abdomen.
The complication of stomach persimmon stone is that stomach persimmon stone presses the stomach wall to make it necrotic and perforated, and it can also cause intestinal obstruction due to being discharged into the intestine.
If there is a history of eating a lot of persimmons at one time, patients with stomach symptoms after eating for a period of time (within one year) need to have X-ray abdominal fluoroscopy or plain film examination. If there is persimmon stone in the stomach, the shadow of persimmon stone can be found (persimmon stone has high density and is not easy to penetrate X-ray), and dark brown movable persimmon stone can be seen under gastroscope (I want to see pictures), and the accompanying inflammation and ulcer can be found; Some patients have positive fecal occult blood test; The analysis of gastric juice shows that the free acid in the stomach is often higher than that in normal people.
In treatment, gastric lavage with 5% soda water can gradually dissolve persimmon stone, which can be automatically discharged from pylorus after a small amount of dissolution; You can also crush or take out persimmon forceps with biopsy forceps or gastroscope mesh sleeve; If the above methods are ineffective, or there are complications, surgical lithotomy can be considered.
Traditional Chinese medicine believes that stomach persimmon disease is caused by improper diet and gluttony of persimmons, which leads to food stagnation in the stomach, thus causing abnormal and fluctuating stomach intake. If the symptoms are epigastric pain, poor appetite, belching, acid swallowing, nausea, vomiting or diarrhea, and the vomit or stool has undigested sour taste, it can be treated with Zhishi Daozhi Pill, Baohe Pill or hawthorn pill; Chinese dietotherapy: please browse the dietotherapy of food accumulation syndrome. If it is chronic, due to food accumulation and qi stagnation for a long time, blood circulation is not smooth, and blood stasis stops in the stomach, causing stabbing pain in the stomach, firm pain without pressing, purple tongue and so on. Adding Rhizoma Sparganii, Rhizoma Curcumae, Semen Persicae, Flos Carthami and Fructus Crataegi into Fructus Zhishi Daozhi Pill can help digestion, promote blood circulation and remove blood stasis. Chinese dietotherapy: Please browse the dietotherapy of blood stasis and stomach collateral syndrome. For patients with chronic gastritis or gastric ulcer, the treatment can refer to the dialectical treatment of chronic gastritis in traditional Chinese medicine.
Acute gastric dilatation
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Every holiday, patients with digestive tract diseases caused by overeating can always be seen in the emergency room of the hospital, and one of them is more critical, that is, acute gastric dilatation.
Acute bloating refers to that there are a lot of contents in the stomach and duodenum that can't be discharged, which makes the stomach and duodenum extremely swollen, leading to repeated vomiting, dehydration, electrolyte disorder and even death.
The main cause of this disease is overeating, and neuromuscular paralysis and intestinal obstruction in the stomach and intestinal wall are the fundamental causes of this disease. Because of the neuromuscular paralysis of the gastrointestinal wall, the meals after a full meal and the digestive juice secreted by the gastrointestinal tract can not be pushed down in time, which leads to excessive expansion of the stomach and downward movement of the small intestine, which makes the superior mesenteric artery mechanically press the duodenum, thus causing intestinal obstruction. When the contents of the stomach accumulate too much, vomiting occurs, but later, due to the continuous secretion of gastrointestinal digestive juice, the contents of the stomach gradually fill up, so vomiting occurs again, and gastric juice is repeatedly lost, causing dehydration, electrolyte loss, and even shock death.
At the initial stage of the disease, it is often manifested as persistent abdominal fullness and pain, followed by vomiting, which is gradually aggravated and the number of times increases. After vomiting, abdominal distension can not be relieved, defecation and exhaust stop, accompanied by thirst, frigidity, shortness of breath, and even drowsiness and coma; Severe abdominal pain will occur when the stomach wall is perforated. The abdomen is highly inflated, especially in the upper abdomen, and there is vibration sound in the stomach.
Due to a large number of vomiting, potassium, sodium and chloride ions are lost too much, and low potassium, low chlorine and low sodium can be found by laboratory tests; X-ray or plain film of abdomen showed that the gastric bubble was large, the liquid level was wide, the gastric shadow was obviously increased, and the gastric emptying was obviously slowed down or even completely retained.
Suspected diseases should be hospitalized immediately. First of all, drug treatment, fasting and water deprivation, gastrointestinal decompression, fluid and electrolyte supplementation, when drug treatment fails or complications occur, surgical treatment measures should be taken in time.
Traditional Chinese medicine believes that this disease is acute and critical, because the stomach qi does not fall, vomiting occurs on the stomach qi, constipation and short urine are caused on the stomach qi, so it is also called "off-grid" syndrome. The reason is overeating, which seriously damages the function of the spleen and stomach, so that the stomach can't accept it, and the spleen can't transport water and dampness, resulting in phlegm stopping the stomach and abnormal lifting. Treatment must be based on the treatment and supervision of western medicine and surgery, and cooperate with Chinese medicine. Because of fasting and water restriction, traditional Chinese medicine can't be taken orally, so you can keep 100 ml decoction for enema, and the therapeutic effect of intestinal mucosa after absorbing traditional Chinese medicine components is also very good. Generally, Xiaoxinxiong decoction combined with Banxia Xiexin decoction, Gansui and Lepidium are used to eliminate phlegm and adjust the elevation; For those with obvious weakness, American ginseng or Korean ginseng can be added.
enteritis
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There are two kinds of duodenitis, one is an independent disease called primary duodenitis; The other is caused by other diseases, such as Crohn's disease invading duodenal mucosa, or parasitic disease spreading to duodenum, which is called secondary duodenitis. The symptoms of both are the same.
Irritating food, drugs, drinking and other factors can cause primary duodenitis, and patients with chronic gastritis and duodenal ulcer often have duodenitis.
Clinical symptoms may include epigastric pain, pantothenic acid, belching, dyspepsia, nausea and vomiting, and even hematemesis and melena. Symptoms can be similar to duodenal ulcer: fasting stomach pain, eating or antacid drugs can alleviate symptoms.
Diagnosis can be made by gastroscopy. The duodenal mucosa is rough, granular, congested and edematous.
The treatment of primary duodenitis with traditional Chinese and western medicine is the same as duodenal ulcer, and secondary duodenitis is mainly used to treat the primary disease.
acute gastroenteritis
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Acute gastroenteritis is a very common acute gastrointestinal disease, which is characterized by an obvious history of improper diet, sudden onset, rapid recovery, and often manifested as nausea and vomiting, abdominal pain, diarrhea and so on.
The main pathogenic factor of this disease is improper diet. First, eating food contaminated by pathogenic bacteria or viruses or eating toxic food due to unsanitary diet is generally called "food poisoning". Second, drink a lot of alcohol or take some drugs, such as sodium salicylate, ammonium chloride, quinine, iodine, chlortetracycline, foxglove and so on. It directly stimulates the gastric mucosa and even the intestinal mucosa, causing acute gastroenteritis, which is called "acute gastroenteritis caused by chemicals". Thirdly, due to cold and hot stimulation, or overeating, the stomach function is disordered, the stomach capacity suddenly increases, and the gastrointestinal mucosa is damaged. This type of acute gastroenteritis is the most common after the festival, and it is called "acute gastroenteritis caused by physical factors".
The onset of the disease is urgent, and the initial manifestations are discomfort and pain in the upper abdomen; Then nausea and vomiting, often accompanied by diarrhea and abdominal pain, loss of appetite, and even nausea after seeing or smelling food; If symptoms such as vomiting and diarrhea occur repeatedly, dehydration phenomena such as thirst, dry mouth, dry skin, eye socket collapse and hypotension may occur, which may lead to shock in severe cases.
It is very important to know the medical history in detail for the diagnosis of acute gastroenteritis. Those who have a history of eating contaminated food, overeating, drinking, eating cold or toxic food, and suddenly have symptoms such as vomiting, diarrhea and abdominal pain can be initially diagnosed as acute gastroenteritis.
The treatment of this disease is relatively easy and the prognosis is good. After the onset, you need to stay in bed, fast on the same day and drink water on the same day. Generally, you can eat a semi-liquid diet from the next day, and then return to a normal diet. If abdominal pain is obvious, you can use electrocision and centipede to relieve spasm and pain. People with gastrointestinal infection caused by eating contaminated food can be given gentamicin, norfloxacin or oral Bifidobacterium or Livzon Changle. Poisonous food needs vomiting or gastric lavage, and dehydration, electrolyte disorder and shock should be corrected in time.
Traditional Chinese medicine believes that this disease is caused by exogenous cold and dampness, which makes the spleen trapped by cold and dampness, and the temper does not rise, the stomach qi does not fall, and the turbid qi is coherent, which disturbs the gastrointestinal tract and causes vomiting and diarrhea; Or because of the unclean diet. Eating bad food by mistake, or eating cold and cold, eating cold fruits and vegetables, overeating, etc. , leading to spleen and stomach damage, confusion of turbidity, abnormal lifting, vomiting and diarrhea. The treatment is mainly to dispel cold, dry dampness, aromatic turbidity and regulate ascending and descending. Huoxiang Zhengqi Soft Capsule can be taken orally. You can also take Chinese medicine decoction (see Chinese medicine for acute gastroenteritis). Chinese dietotherapy: Please browse the dietotherapy of spleen-stomach cold-dampness syndrome. You can also use 30 grams of purslane, decocted in water, twice a day; For patients with severe heat toxicity, mainly diarrhea, take 20g of Radix Puerariae, 65,438 05g of Scutellariae Radix, 65,438 00g of Rhizoma Coptidis, 6g of Radix Glycyrrhizae and 65,438 05g of burnt Fructus Crataegi and decoct in water for three times. Or Banxiexin decoction, or Radix Puerariae and Radix Qinlian tablets; If the symptoms are not serious, take 6 grams of Folium Perillae and 6 grams of Rhizoma Coptidis in water for three times with vomiting as the main symptom. It can also be combined with acupuncture at Neiguan and Zusanli points to stop vomiting, diarrhea and pain.
Related web pages: TCM treatment of acute gastroenteritis in summer and autumn and prevention of bacillary dysentery
Crohn's disease (Crohn's disease)
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Because this disease was first described by Crohn et al in 1932, it was named Crohn's disease (formerly Crohn's disease) by the World Health Organization. It used to be called "localized enteritis" and "granulomatous enteritis". This disease is more common in young people, and the lesions can occur in any part of the digestive tract (from mouth to anus), but the terminal ileum and right colon are the most common.
The cause of Crohn's disease is still unknown. At present, it is thought that it may be related to infection, heredity and immunity. Mental stimulation, dietary factors and unsanitary habits can all induce the aggravation of the disease. Pathological features are granulomatous inflammatory lesions, combined with fibrosis and ulcer, digestive tract ulcer, paving stone-like mucosa and intestinal stenosis.
Crohn's disease can occur anywhere in the digestive tract, so the symptoms are different. The main symptoms are abdominal pain, diarrhea, fever, emaciation, anemia, loss of appetite, nausea and vomiting, abdominal mass, intestinal obstruction, fistula formation and so on. , accompanied by malnutrition, anemia, arthritis, iritis and liver disease.
X-ray examination and endoscopy can diagnose the disease. Look at the colonoscopy image.
In terms of treatment, Dr. Hu believes that comprehensive conditioning is needed. I think it is feasible to combine traditional Chinese and western medicine. However, medication alone is not enough. We should pay attention to the following points:
1. Establish confidence in overcoming diseases, face diseases bravely and actively cooperate with doctors. Only when doctors and patients work together can we overcome the disease together.
2. A diet with little residue, no stimulation and rich nutrition; Avoid smoking, alcohol, tea, coffee, cold food and seasoning.
3. Pay attention to rest to avoid fatigue and colds; Keep a good mood; Appropriate participation in moderate physical exercise, such as Tai Ji Chuan; Auxiliary physical therapy, such as massage instrument and electrotherapy, can be added; Don't rush to achieve the therapeutic effect, and keep a normal heart.
4. When the condition changes and the symptoms get worse, go to a regular hospital for examination and treatment in time.
5. Western medicine treatment and medication, follow the specialist, and do not stop or increase drugs without authorization; Under the guidance of a doctor, vitamins should be supplemented, and blood transfusion, albumin, fat emulsion, amino acids, etc. should be appropriate. Taking some eggplant tablets and compound phenylephrine tablets before meals can obviously relieve abdominal pain; Abdominal pain and diarrhea are often accompanied by intestinal inflammation, so metronidazole, norfloxacin and other antibacterial drugs can be used appropriately; Adrenal cortical hormone, immunosuppressant, BCG and radiotherapy all have certain curative effects. When the condition is serious, drug treatment is ineffective or complications, such as intestinal obstruction and recurrent bleeding, need surgical treatment.
6. Chinese medicine treatment according to different symptoms, grasp the essence of disease syndromes, and adopt a variety of therapies for comprehensive treatment, such as oral administration of traditional Chinese medicine, acupuncture, ear acupuncture, application of traditional Chinese medicine, acupoint massage, and dialectical feeding. , the effect is very good.
Absorptive disorder syndrome
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Small intestine is the main place to absorb various nutrients. For various reasons, nutrients, especially fat, can not be fully absorbed by the small intestine, leading to diarrhea, malnutrition, weight loss and so on. , also known as malabsorption syndrome.
The main reasons are: insufficient secretion of bile or pancreatic juice, excessive growth of bacteria in small intestine, dyskinesia of small intestine, dysfunction of blood circulation or lymphatic circulation of small intestine, pathological changes of small intestine itself and loss of intestinal mucosa.
Diarrhea and abdominal pain are the main symptoms of this disease. Diarrhea is generally "fatty diarrhea". Fatty diarrhea is characterized by a large amount of stool, light brown or yellow gray, shapeless, smelly, greasy luster or foam on the surface. Because stool contains a lot of fat, stool can often float on the surface of bedpan. Insufficient absorption leads to malnutrition, common weight loss and fatigue.
Laboratory examination shows that if the fecal fat excretion is more than 6 grams and the fat absorption rate is less than 90% within 24 hours, it can be initially diagnosed as malabsorption syndrome.
According to the cause of the disease, treatment is the most effective. For example, if the disease is caused by bacterial intestinal inflammation and treated with antibiotics, the cause disappears and malabsorption is naturally corrected. Diet, high protein, high calorie, low fat, easy to digest, less residue, no stimulation. Patients with celiac disease are given gluten-free diet (celiac disease is an malabsorption syndrome, mainly caused by gluten in wheat, barley, rye and oats, commonly known as "gluten"). If the cause can not be eliminated, it is necessary to supplement calories, essential amino acids, electrolytes, vitamins and other nutrients intravenously to maintain the needs. The antidiarrheal agent can be compound camphor tincture, 4 ml each time, 3 times a day; Zhixiening 5 mg each time, 2 ~ 3 times a day; Propofol 30 mg each time, two or three times a day.
The disease can be divided into three types according to TCM syndrome differentiation.
A. Diet stagnation type: due to improper diet, overeating, or eating greasy and indigestible food, food retention, qi disorder, fluctuation disorder, abdominal distension and pain, diarrhea and dirty stool are caused, so Baohe Pill and hawthorn pill can help digestion and guide stagnation; Chinese dietotherapy: please browse the dietotherapy of food accumulation syndrome.
B. Spleen and stomach weakness type: due to vegetarian spleen deficiency, or overwork and improper diet, spleen and stomach weakness, abnormal transportation, diarrhea, fatigue, abdominal distension and loss of appetite are caused. Shen Ling Baizhu Powder for invigorating spleen and qi, benefiting stomach and stopping diarrhea; Chinese dietotherapy: Please browse the dietotherapy of spleen deficiency syndrome.
C moderate cold-dampness injury: due to the humid climate, sitting in a humid place or wading in the rain, the spleen yang is inhibited, and the spleen and stomach rise and fall abnormally, resulting in diarrhea, loose stool, and cold abdomen. Ling Wei decoction is used to warm the middle warmer and promote diuresis; Chinese dietotherapy: Please browse the dietotherapy of spleen-stomach cold-dampness syndrome.
According to my clinical observation and practice, malabsorption syndrome of traditional Chinese medicine is mainly manifested as weakness of spleen and stomach, mixed deficiency and excess, abnormal elevation, and the effect of taking traditional Chinese medicine is ideal. If you want to ask Dr. Hu's experience in traditional Chinese medicine, please see the method.
Allergic bowel syndrome
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Irritable bowel syndrome (IBS), also known as irritable bowel syndrome. Formerly called "spastic colon", "allergic colon" and "colonic neurosis". It is characterized by abdominal pain, abdominal distension, diarrhea or constipation, which is common in women aged 20-50. The cause of the disease is that the spirit is too nervous and excited, and the work and life are too tired. After dysentery and food poisoning, the abuse of laxatives or enema leads to irregular colon activity, disordered peristalsis rhythm and spasm, which is the internal mechanism of this disease. Drinking alcohol, cold or irritating food will aggravate the condition. Although there are often paroxysmal symptoms, there is no organic lesion in the colon.
Abdominal pain is mostly located in the lower left abdomen. When abdominal pain occurs, it means defecation. Diarrhea is watery or mushy, often occurring after breakfast and dinner. It can also be manifested as constipation or diarrhea alternating with constipation, often accompanied by abdominal distension, bowel sounds, belching and increased exhaust. Systemic symptoms include insomnia, palpitation, shortness of breath, sweating on hands and feet, dizziness and menstrual disorder.
If intestinal bacterial infection is ruled out by stool examination, and organic intestinal lesions are not found by X-ray barium enema and fibercolonoscopy, the disease can be diagnosed.
It is very helpful for the treatment of this disease to calm the mood and eliminate mental tension. When you are nervous, you can take Suleradine Tablets 1-2 mg. People with diarrhea eat less coarse grains, vegetables and fruits with more cellulose, and people with constipation can increase. Drugs used to treat diarrhea include codeine, atropine and phenformin. Can be taken; For constipation, sedatives and antispasmodics such as diazepam and 654-2 can be used, and laxatives should be avoided; In severe cases, 500- 1000 ml normal saline can be used to wash the intestines.
Traditional Chinese medicine has a good effect on irritable bowel syndrome. Traditional Chinese medicine believes that this disease is mainly caused by emotional factors, such as emotional imbalance, depression and anger hurting the liver, liver-qi stagnation, liver-qi blocking the spleen, and liver-spleen imbalance, which leads to imbalance in elevation, chest tightness, anorexia and belching, abdominal pain and diarrhea when depression and anger occur. I often treat irritable bowel syndrome with improved pain and diarrhea method in clinic, and the effect is ideal. Please look at the clinical case-irritable bowel syndrome. If you want to ask Dr. Hu's experience in traditional Chinese medicine, please see the method. Poor mood can also cause qi stagnation, abnormal ventilation, dereliction of large intestine conduction, dregs stagnation, constipation, belching, abdominal distension and so on. Liumo decoction is used to treat qi stagnation. Because spleen deficiency and qi stagnation are the main causes of irritable bowel syndrome, please browse the spleen deficiency and qi stagnation syndrome diet therapy in traditional Chinese medicine.
Acupuncture and moxibustion therapy of traditional Chinese medicine has a good two-way regulation effect on large intestine. Take Dachangshu and Zusanli points. Strong stimulation is effective for diarrhea and weak stimulation is effective for constipation.
Related web pages: clinical cases-irritable bowel syndrome