Its pathogenesis is mostly congenital deficiency and/or acquired malnutrition, and emotional imbalance, improper diet and exogenous pathogens are the main causes. Diarrhea irritable bowel syndrome has the highest incidence. Irritable bowel syndrome diarrhea can be divided into liver-qi deficiency syndrome, spleen-deficiency syndrome, spleen-kidney yang deficiency syndrome and large intestine damp-heat syndrome.
The manifestations are: abdominal pain is diarrhea, and the pain is relieved after diarrhea; Seizures are related to emotional changes; Bowel sounds arrogant; Chest pain; Abdominal distension and discomfort. The tongue is reddish or dull, and the coating is thin and white; The pulse string is thin.
Chinese patent medicine: Tongxiening Granule
Ingredients: Radix Paeoniae Alba, Pericarpium Citri Reticulatae Viride, Bulbus Allii Macrostemon, Atractylodis Rhizoma.
Indications: softening liver, soothing liver, activating qi, regulating spleen and removing dampness. It can be used for abdominal pain, diarrhea, abdominal distension, abdominal discomfort and irritable bowel syndrome (diarrhea type) caused by liver qi invading spleen.
Usage and dosage: Take 5g after meals, three times a day, with occasional mild nausea.
The manifestations are: diarrhea after meals; Fear of cold diet; Abdominal distension and bowel sounds; Easy to sweat; Eat less and accept differences; Weak and lazy. The tongue is light, or has teeth marks and white fur; Pulse is very thin.
Chinese patent medicine: Shen Ling Baizhu Granule, Ginseng Jianpi Pill.
1. Shenling Baizhu Granules
Comprises ginseng, poria cocos, largehead atractylodes rhizome, Chinese yam, white hyacinth bean, lotus seed, coix seed, Amomum villosum, platycodon grandiflorum and liquorice.
Indications: invigorating spleen and stomach, benefiting lung qi. Used for spleen and stomach weakness, anorexia, loose stool, shortness of breath, cough and limb weakness.
Usage and dosage: Take it with boiling water, 3g each time, 3 times a day. Patients with cold and fever should not take it.
2. Ginseng Jianpi Pill
Comprises ginseng, largehead atractylodes rhizome, poria cocos, Chinese yam, dried tangerine peel, radix aucklandiae, fructus amomi, radix astragali, radix Angelicae sinensis, semen ziziphi spinosae and cortex et radix Polygalae.
Indications: invigorating spleen and qi, regulating stomach and stopping diarrhea. Can be used for treating dyspepsia, nausea and vomiting, abdominal pain, loose stool, anorexia, and fatigue caused by spleen and stomach weakness.
Usage and dosage: 8g for Shuimi Pill and 2g for Dami Pill, twice a day. Patients with cold and fever should not take it.
The performance is: diarrhea at dawn; Abdominal cold pain, warm pain relief; Pain in the waist and knees; Stool or indigestible food; The body is cold and the limbs are cold. The tongue is light and fat, with teeth marks on the edge and white and smooth fur; The pulse is heavy and thin.
Chinese patent medicines: Bupi Yichang Pill, Shen Si Pill and Guben Yichang Tablet.
1. Bupi Yichang Pill
Comprises Radix Astragali, Radix Codonopsis, Fructus Amomi, Radix Paeoniae Alba, Radix Angelicae Sinensis, Atractylodis Rhizoma, Cortex Cinnamomi, Rhizoma Corydalis, Semen Litchi, Zingiberis Rhizoma, Glycyrrhrizae Radix, Radix Saposhnikoviae, Radix Aucklandiae, Fructus Psoraleae and Halloysitum rubrum.
Indications: Supplementing qi and nourishing blood, warming yang and activating qi, astringing intestines and stopping diarrhea. Used for diarrhea caused by spleen deficiency and qi stagnation, characterized by abdominal distension and pain, diarrhea with bowel sounds.
Usage and dosage: 6g each time, 3 times a day. It is forbidden for pregnant women, for those with abdominal fever and pain due to diarrhea, and for those with cold and fever, it should be used with caution.
2. Shen Si pills
Ingredients: Nutmeg, Psoralea corylifolia, Schisandra chinensis, Evodia rutaecarpa and Jujube.
Indications: Warming kidney to dispel cold, astringing intestine to stop diarrhea. It can be used for diarrhea caused by deficiency of kidney-yang, with symptoms such as bowel sounds, abdominal distension, diarrhea at night, anorexia, persistent diarrhea, yellow complexion and cold limbs.
Usage and dosage: 6g each time, twice a day. Contains poppy shells, which may be dependent on long-term use; It should not be taken together with poppy shell, morphine hydrochloride, codeine phosphate, papaverine hydrochloride and other dependent products.
3. Guben Yichang Tablets
The medicine comprises Radix Codonopsis, Atractylodis Rhizoma, Fructus Psoraleae, Rhizoma Dioscoreae, Radix Astragali, Rhizoma Zingiberis Preparata, Radix Angelicae Sinensis, Radix Paeoniae Alba, Rhizoma Corydalis, Radix Aucklandiae, Sanguisorba Charcoal, Halloysitum Rubra, Catechu and Glycyrrhrizae Radix.
Indications: Strengthening the spleen and warming the kidney, astringing the intestine and stopping diarrhea. It can be used for diarrhea caused by deficiency of spleen and kidney yang, with symptoms of abdominal pain, loose stool or mucus, anorexia, abdominal distension, backache, cold limbs, pale tongue with white fur and weak pulse. Chronic enteritis with the above syndrome.
Usage and dosage: 8 tablets each time, 3 times a day. People with abdominal fever and pain during diarrhea should not take it.
The manifestations are: abdominal pain and diarrhea; Vent urgency or discomfort; Abdominal discomfort; I don't want to drink when I am thirsty; Dry mouth and sticky mouth; The anus is burning. Red tongue, yellow and greasy fur; Pulse slip or pulse slip number.
Chinese patent medicines: Gegen Qinlian Pill, Xianglian Pill, Weichang 'an Pill.
1. Gegen Qinlian Pill
Ingredients: Radix Puerariae, Rhizoma Coptidis, Scutellariae Radix, Radix Glycyrrhizae Preparata.
Indications: relaxing muscles and tendons, clearing away heat and toxic materials, inducing diuresis and stopping diarrhea. It can be used for diarrhea, abdominal pain, yellow and sticky stool, and burning anus caused by damp-heat accumulation.
Administration and dosage: Take orally, 3g each time, 3 times a day. It should not be used with Chinese patent medicines containing Kansui, Euphorbia, Daphne genkwa or seaweed, such as purple chips, Rupixiao tablets and Xintong oral liquid.
2. Xianglian pills
Ingredients: Radix Aucklandiae and Rhizoma Coptidis (made from Evodia rutaecarpa).
Indications: clearing away heat and promoting diuresis, promoting qi circulation and relieving pain. Diarrhea, abdominal pain, yellow and sticky stool.
Administration and dosage: take orally, 3~6g each time, 2~3 times a day. Use with caution for those with spleen and stomach deficiency and cold.
3. Weichang 'an Pill
Comprises Radix Aucklandiae, Lignum Aquilariae Resinatum, Fructus Aurantii (parched with bran), Lignum Santali Albi, Radix et Rhizoma Rhei, Cortex Magnolia Officinalis (parched with ginger), artificial musk, croton paste, Fructus Jujubae (enucleated) and Rhizoma Chuanxiong.
Indications: aromatic turbidity, regulating qi and relieving pain, invigorating stomach and guiding stagnation. Can be used for diarrhea, anorexia, nausea, vomiting, abdominal distension and abdominal pain caused by dampness and indigestion. Dyspepsia, enteritis and dysentery are seen in the above syndromes.
Administration and dosage: Take orally, 4 capsules for adults once, 3 times a day. It is forbidden for pregnant women and stored in a cool and dry place. It contains stimulants, so athletes should use it with caution.
Irritable bowel syndrome should pay attention to the adjustment of lifestyle, eating habits and psychology, which can alleviate the symptoms of irritable bowel syndrome. Such as reducing alcohol and tobacco intake, paying attention to rest and getting enough sleep. Irritable bowel syndrome should avoid long-term overwork; In winter and spring, it is especially necessary to pay attention to the adjustment of life to avoid catching cold; It is advisable to exercise regularly; Keep a good mood, cultivate a positive attitude towards life and avoid the stimulation of bad emotions.
Restricted food types include:
① Foods rich in FODMAP (i.e. sugar, lactose, polyol, fructan, galactooligosaccharide and other short-chain carbohydrates that are difficult to absorb);
2 foods with high fat, spicy, spicy and heavy spices;
③ Foods high in dietary fiber may be effective for constipation (but unfavorable for abdominal pain and diarrhea); Cold food may aggravate diarrhea;
(4) If food allergens are identified, food containing allergens should be avoided.