Patients with abdominal pain should find out the cause and treat them according to the cause. Some cases, such as strangulated intestinal obstruction, gastrointestinal perforation, necrotizing pancreatitis and acute appendicitis, should be treated by surgery in time.
General treatment of abdominal pain includes:
1. Fasting and blood transfusion to correct the imbalance of water, electrolyte and acid-base.
abdominalgia
2. Actively rescue the shock.
3. Patients with gastrointestinal obstruction should undergo gastrointestinal decompression.
4. Use broad-spectrum antibiotics to prevent and control infection.
5. Spastic analgesics can be used as appropriate, unless the diagnosis has made it clear that narcotic analgesics should be banned.
6. Other symptomatic treatment.
Syndrome differentiation and treatment of TCM
1. Abdominal pain due to cold coagulation
Treatment: Warming the middle warmer to dispel cold, regulating qi and relieving pain.
2. Heat abdominal pain
Treatment: clearing away heat, eliminating dampness, dredging fu-organs and diarrhea.
3. Deficiency-cold abdominal pain
Treating deficiency and warming the middle warmer, and relieving pain.
4. Abdominal pain caused by indigestion
Treatment, digestion and stagnation
5, qi stagnation abdominal pain
Soothing the liver and relieving depression, activating qi and relieving pain
6. Abdominal pain due to blood stasis
Promoting blood circulation, removing blood stasis and relieving pain
Other therapies
1. Off-site treatment
(1) Appropriate amount of Folium Artemisiae Argyi, fried with vinegar, wrapped in cloth and applied to Shenque point and sore spot. It is suitable for cold pain and excess pain.
(2) Appropriate amount of wild chrysanthemum stems and leaves, appropriate amount of cold rice, mashed into cakes, and externally applied to Shenque point of navel. It is suitable for heat abdominal pain.
2. Acupuncture therapy
(1) Acupuncture: Neiguan, Zhigou, Zhongwan, Guanyuan, Shu Tian, Gongsun, Sanyinjiao and Yingu are selected for abdominal pain; Abdominal pain takes gongsun; Accumulation of pain makes you angry, sea, stomach and white.
(2) Moxibustion: navel pain, constipation and moxibustion at Shenque point.
3. Diet therapy
(1) Ginger porridge: Ginger 15g (broken), put into a bowl, add the boiled porridge, cover and fan for a while, and season with salt. It is suitable for abdominal pain caused by internal resistance of cold pathogen.
(2) Rhubarb honey water: Rhubarb 15g, soaked in 200 ml boiling water15min, and added with proper amount of honey to make tea. It is suitable for abdominal pain caused by damp-heat and blood stasis.
(3) Radix Astragali and Rhizoma Alpiniae Officinalis glutinous rice porridge: Radix Astragali 20g, Rhizoma Alpiniae Officinalis 6g, glutinous rice 100g, and appropriate amount of brown sugar. Cook Radix Astragali and Oryza Glutinosa until cooked, then add Alpinia officinarum powder and brown sugar and cook for a while. Serve while it is hot. It is suitable for abdominal pain due to insufficient middle energizer.
(4) Dried ginger porridge: 3 grams of dried ginger, 3 grams of galangal, and 60 grams of japonica rice. First, stir-fry dried ginger and galangal, remove residues, then add japonica rice and cook together into porridge. Sooner or later 1. It is suitable for abdominal pain caused by deficiency and cold of spleen and stomach.
4. Prevention and care
Don't eat too much and catch cold in summer, don't sleep cold, and don't overwork in summer to prevent the invasion of heat and cold and dampness. Don't run or do other strenuous activities after meals, and don't overeat. Patients with abdominal pain should pay attention to rest, keep happy, eat less and eat more meals, and avoid all greasy and hard things.