2 English references Recurrent dysentery [Chinese Medicine Terminology Committee]. Terminology of Traditional Chinese Medicine (2004)]
Intermittent dysentery [Committee of Chinese Medicine Terminology]. Terminology of traditional Chinese medicine (20 10)]
Recurrent dysentery [Xiangya Medical Dictionary]
3. To sum up, recurrent dysentery (1) and intermittent dysentery (2) are disease names [3][4]. See "Thesis on Pathogens and Stages of Diarrhea". There is a difference between exogenous dysentery and internal dysentery in Volume 4 of Pulse Diagnosis and Treatment Syndrome [3]. This disease can be seen in chronic bacillary dysentery [3]. Ulcerative colitis, chronic amebic dysentery and localized enteritis [3].
4 Definition of Resting Diarrhea "Terminology of Traditional Chinese Medicine" (2004): Resting diarrhea is a chronic dysentery that recurs for a long time [1].
Chinese medical terminology (20 10): Resting dysentery refers to chronic dysentery that occurs from time to time and lasts for a long time [3][2].
The causes of dysentery are mostly due to improper treatment, or deficiency of qi and blood, deficiency of both spleen and kidney, which leads to deficiency of vital qi, deficiency of evil love and stagnation of damp-heat in the stomach [3].
The symptoms of resting dysentery are characterized by intermittent attacks and long-term non-healing [3]. Decreased diet, listlessness, aversion to cold, easy to lie down, severe abdominal pain when going to the toilet, red and white sticky stool or jam-like, heavy abdominal pain, light and greasy tongue, soft or weak pulse [5].
7 Syndrome Analysis Diarrhea lasts for a long time, with insufficient positive energy, aversion to love, mixed cold and heat, and disorientation of gastrointestinal conduction, so lingering is difficult to heal, and it happens from time to time. Spleen and stomach are weak, the healthy exercise of Zhongyang is abnormal, and it is easy to be sleepy, tired and afraid of cold. Dampness and heat persist, and the root of the disease is not removed, so it is caused by exogenous pathogenic factors or improper diet, abdominal pain and urgency, mucus or red stool. The fur is not greasy, and the pulse is soft and weak, which is a sign that the damp-heat is not full and the vital energy is weak. The key point of this syndrome is that it happens from time to time and does not heal after several years. And should ask in detail whether there is a history of dysentery. [5]
8 Stages of Stagnant Dysentery 8. 1 Stagnant Dysentery Intermittent Dysentery [2] refers to stagnating dysentery with abdominal pain, acute diarrhea, pus in the stool, fatigue, chills, drowsiness, anorexia, pale tongue, greasy fur, soft or weak pulse [
8.2 Resting diarrhea in remission [2] refers to resting dysentery in remission, including common spleen-qi deficiency syndrome, spleen-yang deficiency syndrome, cold-heat mixed syndrome and blood stasis internal resistance syndrome [6].
9 Resting diarrhea 9. 1 Intermittent Dysentery Syndrome of Deficiency of Spleen [2] refers to chronic dysentery, weakness of spleen, abdominal distension, anorexia, loose stool or a little mucus, weakness, shortness of breath, laziness, pale face and loss of appetite.
9.2 Resting diarrhea with spleen-yang deficiency syndrome (intermittent diarrhea with spleen-yang deficiency syndrome [2]) refers to chronic dysentery, spleen-yang deficiency, persistent abdominal pain, aversion to warm pressure, loose stool, white and frozen with a little mucus, aversion to cold, tepid limbs, loss of appetite, pale face and pale mouth.
9.3 Intermittent Dysentery Syndrome of Cold and Heat [2] refers to chronic dysentery with mixed cold and heat, which is characterized by heartburn, polydipsia, abdominal pain, loose diarrhea, and sometimes a slight sticky feeling, hunger without eating, and vomiting with strong eating.
9.4 Intermittent Dysentery with Blood Stasis Syndrome [2] refers to long-term and persistent dysentery with blood stasis, abdominal tingling, refusal to press, dark diarrhea color, abdominal tingling, often aggravated at night, dull complexion, or abdominal caking, pushing, purple tongue or ecchymosis.
10 Treatment of Resting Diarrhea 10. 1 Treatment of warming the middle warmer and clearing the intestines, supplemented by regulating qi and relieving depression [5].
10.2 when treating the attack of resting diarrhea, the treatment should focus on clearing heat and drying dampness [3]. Or deficiency of both qi and blood, or deficiency of both spleen and kidney, you can choose Xianglian Pill, Puyuan Pill and Nishi Buli Decoction [3].
Symptoms such as mental fatigue, loss of appetite, emaciation, and tepid limbs may occur during remission. Treatment should be based on strengthening the spleen and stomach and tonifying qi and blood, and Buzhong Yiqi Decoction and Bazhen Decoction can be selected. It belongs to kidney deficiency, Shen Si Pill [3]. "Give inferences by analogy, treat according to syndrome differentiation" repeatedly, but it can't be cured for a long time. Because it is too early and the stagnation is unclear, Xianglian Pills and Poria cocos are used to make it difficult to heal. Because of improper diet, add hawthorn meat and medicated leaven with Xianglian Pill; If the middle qi sinks, use Buzhong Yiqi Decoction; Because it is dirty and cold, it is slippery, so pills are made in large sections [3]. "One Pass" contains a dysentery, which is caused by the accumulation of cold in the large intestine. Fry croton alone and swallow it with wax pills [3].
Li Lian Tang [Remarks] Tang (Zhang Yitong): Ginseng, Atractylodis Rhizoma, Zingiberis Rhizoma, Radix Glycyrrhizae Preparata, Rhizoma Coptidis and Poria are flavored. Ginseng Radix, Atractylodis Rhizoma, Rhizoma Zingiberis Recens and Radix Glycyrrhizae. Coptis chinensis clearing away the evil of damp-heat in intestine. Areca catechu, Radix Aucklandiae and Fructus Aurantii Immaturus can be added to regulate qi and relieve depression. [5]
For example, spleen yang deficiency is extremely severe, and cold accumulated in the intestine can not be resolved, and immediately you will catch a cold, diarrhea is white and frozen, fatigue, pale tongue with white fur and heavy pulse. Warm spleen decoction can be used [Remarks]: Radix Aconiti Lateralis Preparata, Ginseng Radix, Radix et Rhizoma Rhei, Radix Glycyrrhizae, and Zingiberis Rhizoma warm the middle warmer to dispel cold, eliminate stagnation and guide stagnation. This prescription is designed for spleen-stomach yang deficiency syndrome, but the accumulation is incomplete. If you simply warm and tonify spleen yang, it will hurt zhongyang if you can't accumulate it and induce it rashly. Therefore, the method should give consideration to both sides, so it is a method of strengthening the body resistance and eliminating evil spirits. But the kidney is the stomach, and the second yin is the source of enlightenment. If dysentery persists for a long time, it will inevitably involve the kidneys. If diarrhea is accompanied by kidney deficiency syndrome, it is advisable to add products that tonify the kidney, strengthen the spleen and resolve stagnation. Or protracted dysentery with mixed cold and heat, you can take Wu Mei Pills (Treatise on Febrile Diseases) in "Treatise on Febrile Diseases": Mume, Coptidis Rhizoma, Cortex Phellodendri, Ginseng Radix, Angelica, Radix Aconiti Lateralis Preparata, Ramulus Cinnamomi, Zanthoxylum bungeanum, Zingiberis Rhizoma and Asari. [5]
Brugia can also be treated with brucea javanica Adults can take 15 capsules three times a day, respectively after meals, for 7 ~ 10 days. They can be taken alone or in combination with the above prescriptions. [5]
10.3 acupuncture and moxibustion for diarrhea 10.3. 1 prescription 1 focusing on soothing the sky and relieving the upper giant deficiency [7]. Xie Xie plus moxibustion on Pishu, Shu Wei, Guanyuan and Shenshu [7]. Nausea plus internal clearance; After being anxious, add Yu Zhong and Chang Qiang; Heating and meandering pool; Rectal moxibustion Baihui point, Changqiang point [7].
10.3.2 prescription and two treatment principles: clearing away heat and promoting diuresis, dredging intestine and guiding stagnation, and tonifying spleen and kidney for a long time.
Prescription: Shu Tian raises virtual Sanyinjiao.
Fang Yi: Shu Tian raises points for the large intestine, which is the place where the viscera of the large intestine gather and regulate the qi of the gastrointestinal tract; Upper giant deficiency is the lower node of the large intestine, which can transport dampness stagnation and take the meaning of "treating the five internal organs together"; Sanyinjiao is the intersection of the three yin meridians of the foot, which can strengthen the spleen and eliminate dampness. The combination of points can regulate qi and blood in the stomach, regulate qi and eliminate dampness, regulate blood and eliminate dysentery.
Acupoint matching syndrome: dysentery that has not been cured for a long time is matched with spleen Shu, kidney Shu and Guanyuan, and proctoptosis that has not been cured for a long time is matched with Baihui.
Operation: millimeter acupuncture purgation method, daily 1 time, acupuncture for 30 minutes each time. Moxibustion can cooperate with cold-dampness dysentery and dysentery.
10.3.3 Fang San [8]
Acupoint selection: mainly points of Shouyangming large intestine meridian and Beishu. Take Hegu, Shu Tian, Shangjuxu, Pishu, Shu Wei, Shenshu and Guanyuan points.
Acupoint selection according to the syndrome: people with bloody stool, low fever in the afternoon, upset and dry mouth should be treated with sea blood.
Acupuncture and moxibustion: acupuncture combined with reinforcing and reducing, plus moxibustion.
Fang Yi: Hegu, Shu Tian and Shangjuxu are the basic prescriptions for dysentery. Supplementing spleen and stomach to replenish middle qi, thus enriching the source. Shen Shu and Guan Yuanpei tonify the kidney and qi, strengthen the body resistance and eliminate evil. Moxibustion after acupuncture can warm the middle energizer and dispel evil spirits.
10.3.4 dysentery dysentery [2][ 1] is the name of the disease [9]. See Yan's Health Care Prescription. Neijing regards it as "diarrhea", treatise on febrile diseases calls it "diarrhea" and "heat benefit", which is called "diarrhea" by acute elbow, dysentery by disease source and syndrome theory, stagnation by thousands of women and dysentery by later generations [9]. Dysentery is characterized by abdominal pain, severe diarrhea after acute diarrhea and red and white purulent blood [5]. Sudden onset can be accompanied by aversion to cold and fever; Chronic dysentery recurs and persists [8]. Mostly in summer and autumn [7]. The treatment of dysentery should distinguish between deficiency and excess [9]. The empirical methods include clearing heat and promoting diuresis, cooling blood and detoxicating, promoting digestion and guiding stagnation [9]. The treatment of deficiency syndrome is mainly to tonify the middle energizer and replenish qi, to warm yang and to stop astringency [9], and those with insufficient positive energy should strengthen the body resistance and eliminate evil [9]. It can also be used to promote blood circulation and regulate qi. The predecessors said that "promoting blood circulation leads to pus self-healing, and regulating qi leads to self-elimination" [9].
Acupuncture is effective in treating dysentery, which can not only control symptoms quickly, but also eliminate the pathogen of dysentery [8]. However, toxic dysentery is dangerous and needs comprehensive treatment measures [8].
During the onset of dysentery, diet or fasting should be controlled and bedside isolation should be implemented. Always pay attention to food hygiene to prevent infection [8].
This disease is common in bacillary dysentery, amebic dysentery, ulcerative colitis, allergic colitis, food poisoning and intestinal absorption dysfunction [9].
See Diarrhea for details.
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