As we all know, it is not easy to use astringent methods to treat diarrhea, especially for sudden diarrhea, and it is not possible to cure astringent immediately, for fear of leaving behind closed doors. So how to treat diarrhea? First, distinguish whether it is sudden diarrhea or frequent and prolonged diarrhea. Then, according to other clinical manifestations, the diarrhea can be assigned to the corresponding syndrome type, and then syndrome differentiation and treatment can be carried out. However, the general treatment method is to activate the spleen and resolve dampness.
Excessive diarrhea with cold-dampness syndrome
Clinical manifestations: loose diarrhea, sometimes watery, nausea and vomiting, abdominal pain, intestinal borborygmus, or external wind and cold. Aversion to cold, fever, headache, limb aches, white or greasy tongue coating, soft and slow pulse.
Syndrome summary: Excessive cold and dampness, loss of spleen health, and indistinction between clear and turbid conditions.
Treatment: Aromatherapy to reduce dampness, relieve external symptoms and dispel cold.
Syndrome of violent diarrhea caused by dampness and heat
Clinical manifestations: Abdominal pain during diarrhea, urgent diarrhea, or unpleasant diarrhea, yellowish-brown feces, foul smell, burning anus, and dysphoria Thirst, short yellow urine, red tongue, yellow and greasy coating, slippery or wet pulse.
Syndrome summary: Damp-heat stagnation damages the spleen and stomach, causing abnormal transmission and transformation.
Treatment method: Clear away heat and dry dampness, divide benefits and stop diarrhea.
Binge diarrhea and gastrointestinal stagnation
Clinical manifestations: abdominal pain, bowel sounds, diarrhea with feces that smell like broken eggs, pain subsides after diarrhea, epigastric distension, rancidity and odor, and indigestion. Thinking about eating, turbid or thick greasy tongue coating, slippery pulse.
Syndrome summary: Stagnation of food, gastrointestinal obstruction, and loss of transmission and transformation.
Representative party: Baohe Pills.
Syndrome of chronic diarrhea and spleen and stomach weakness
Clinical manifestations: loose stools and repeated diarrhea, less food, epigastric discomfort after eating, and increased stool frequency after eating greasy food. , sallow complexion, tiredness, pale tongue, white coating, thin and weak pulse.
Syndrome summary: Spleen deficiency, loss of luck, no distinction between clear and turbid.
Treatment method: Strengthen the spleen and replenish qi, resolve dampness and stop diarrhea.
Chronic diarrhea due to kidney yang deficiency
Clinical manifestations: Umbilical and abdominal pain before dawn, diarrhea immediately following bowel borborygmi, which persists after the bowel movement is complete, the abdomen likes to be warm, and feels relieved after diarrhea. Cold limbs, soreness and weakness in the waist and knees, pale tongue with white coating, and deep and thready pulse.
Syndrome summary: Mingmen fire is weak and the spleen is not warm.
Treatment: Warm the kidneys and strengthen the spleen, strengthen astringency and stop diarrhea.
Representative party: Sishenwan plus or minus.
Syndrome of chronic diarrhea and liver qi taking advantage of the spleen
Clinical manifestations: diarrhea, intestinal borborygmus, abdominal pain, frequent sagittal qi, accompanied by distension and tightness in the chest and hypochondrium, belching and less food, every reason It occurs due to depression, anger, or emotional stress, with a pale red tongue and stringy pulse.
Syndrome summary: The liver qi is not relaxed, the spleen is violated, and the spleen loses its health.
Treatment: Suppress the liver and strengthen the spleen.
Representative prescriptions: Add and subtract prescriptions for painful diarrhea.
Medical Cases
Finally, let me share a medical case of Teacher Qin Boyei.
Zhao, female, 23 years old. The patient had been suffering from loose stools and diarrhea since 1951, which came and went. He had taken a variety of drugs but was not cured. Since 1961, the frequency of diarrhea has increased, with two or three bowel movements during the day and one or two at night. Bowel sounds before defecation, abdominal distension and pain, frequent gas flow, unbearable embarrassment, and relief in the abdomen after defecation. The pulse is deep and thin, the tongue is light, and the coating is white and slippery.
Syndrome differentiation: chronic diarrhea, kidney deficiency, cold-dampness and heat-blocking knots.
Treatment: Tonify deficiency, warm kidney, clear away heat and regulate qi.