2 English reference chronic diarrhea [Chinese medicine terminology Committee. Terminology of Traditional Chinese Medicine (2004)]
Chronic diarrhea [Chinese medicine terminology examination Committee]. Terminology of traditional Chinese medicine (20 10)]
Chronic diarrhea [Xiangya Medical Dictionary]
3 Summary Chronic diarrhea [1][2] is the name of disease syndrome [3]. Refers to recurrent diarrhea [1].
4 Etiology of Chronic Diarrhea: "Chronic diarrhea is generally caused by a large number of agents used to promote digestion and diuresis, which damages its true yin and its vitality cannot be sustained."
5. Syndrome Differentiation and Treatment of Persistent Diarrhea "Zhang Yitong Dafu Xiaomen": "Persistent diarrhea, lack of communication between the channels of the valley, or proctoptosis, is the sinking of vitality, and the large intestine cannot be closed. Buzhong Yiqi is added with Fructus Chebulae, Flos Caryophylli, Wuwei and Mume as pills, or Sijunzi is added with Radix Saposhnikoviae and Cimicifuga. "
5. 1 Chronic diarrhea with spleen deficiency syndrome (chronic diarrhea with spleen deficiency syndrome [1]), also known as chronic diarrhea with spleen deficiency, refers to weak temper, frequent defecation, repeated procrastination, incomplete eating, reduced diet and slight discomfort after eating.
5. 1. 1 Prolonged diarrhea and symptoms of spleen deficiency syndrome Patients with prolonged diarrhea and spleen deficiency syndrome will have frequent defecation, prolonged diarrhea and Shui Gu's failure, and slightly greasy food will lead to increased defecation times, decreased diet, abdominal distension, dull complexion and weakness of limbs. Pale tongue with white fur and weak pulse [5][6].
5. 1.2 Syndrome analysis: spleen and stomach weakness, insufficient transport: spleen and stomach weakness, insufficient transport, insufficient Shui Gu transformation, turbid and turbid, so the stool is sparse. If the spleen yang is weak and the transport is abnormal, the diet will be reduced, abdominal distension will be uncomfortable, greasy things will be eaten slightly, and the number of defecation will increase. Prolonged diarrhea, spleen and stomach weakness, lack of qi and blood sources, so the face is sallow and the limbs are weak. A pale tongue with white fur and thin pulse is a sign of weakness of the spleen and stomach. [5][6]
5. 1.3 Treating chronic diarrhea with spleen deficiency syndrome 5. 1.3. 1 Treating chronic diarrhea with spleen deficiency syndrome should strengthen the spleen and benefit the stomach [5].
Chronic diarrhea and spleen deficiency syndrome should be based on strengthening the spleen to stop diarrhea [6].
5. 1.3.2 Prescription can be used to treat chronic diarrhea with spleen deficiency syndrome [Remarks] Shenlingbaizhu Powder (Taiping Huimin and Jiju Formula): Ginseng, Poria, Atractylodes macrocephala, Platycodon grandiflorum, Dioscorea opposita, Glycyrrhiza uralensis Fisch, Lentilus lablab, lotus seed, Amomum villosum and Coicis Semen are the main prescriptions. Sijunzi decoction mainly focuses on invigorating qi and spleen, and adds products for regulating stomach, regulating qi and infiltrating dampness to treat both the symptoms and root causes. If you have yang deficiency and spleen deficiency, yin cold, abdominal pain, and tepid hands and feet, you should choose Fuzi Lizhong Pill (Taiping Huimin Hejiju recipe): Fuzi, Ginseng, Atractylodis Macrocephala, Ginger preparata, Radix Glycyrrhizae Preparata, Evodia rutaecarpa and Cinnamon warm the middle and dispel the cold. If long-term diarrhea leads to proctoptosis, Buzhong Yiqi Decoction can be used [Remarks] (Spleen and Stomach Theory (ten medical books in Li Dongyuan) (ten medical books in Li Dongyuan) (ten medical books in Li Dongyuan) (ten medical books in Li Dongyuan)): Ginseng and Astragalus. Yiqi Shengqing, Jianpi Zhixie. [5]
5. 1.3.3 acupuncture treatment 5.1.3.1prescription-The chronic patients are mainly at points such as Pishu, Shu Tian, Zusanli, Shenque (moxa stick moxibustion or salt-separated moxibustion) and Zhongwan [7]. Spleen deficiency plus moxibustion at Zhangmen point and Guanyuan point [7].
5. 1.3.3.2 The principle of two treatments: strengthening the spleen and regulating the intestines, warming the kidney and stopping diarrhea.
Prescription: Pishu Shu Tian Zusanli Sanyinjiao
Fang Yi: Pi Shu is the back Shu point of the spleen, which has the function of strengthening the spleen and benefiting qi; Shutianju point is the large intestine, regulating the qi of gastrointestinal tract; Zusanli is the joint point of the stomach, which strengthens the spleen and stomach, relieves bloating and relieves pain; Sanyinjiao is the intersection of foot and three yin, which strengthens the spleen, eliminates dampness and warms the spleen and kidney.
Matching points and syndromes: Liver depression-Taichong.
Operation: millimeter needle, diarrhea and tonic method for spleen and kidney weakness and liver depression, 1 time per day, 30 minutes each time,1time as a course of treatment.
5. 1.3.3.3 Fang San [8]
Treatment: invigorating spleen and qi, eliminating dampness and stopping diarrhea.
Acupoint selection: Renmai, Zutaiyin Spleen Meridian and Beishu are the main points. Take Zhongwan, Shuishui, Shu Tian, Pishu, Shu Wei, Dashuchang, Zusanli and Sanyinjiao.
Matching points with syndrome: patients with abdominal pain, plus Guanyuan and Shenque.
Acupuncture and Moxibustion: Acupuncture supplemented by moxibustion.
Prescription 1: Zhong Wan, Shu Tian, Shu Wei and Da Shu Chang are the acupoints for Shu Mu to regulate the qi of gastrointestinal tract. Spleen Shu and Zusanli invigorate the spleen and replenish qi. Sanyinjiao, eliminating dampness and stopping diarrhea.
5. 1.3.4 Dietotherapy 5. 1.3.4. 1 Recommended ingredients For patients with chronic diarrhea and spleen deficiency syndrome, it is recommended to eat Coicis Semen, Euryale Semen, lentils, lotus seeds, yam, codonopsis pilosula, Poria, etc. [6].
5. 1.3.4.2 recommended dietotherapy [6]
1. fried noodles porridge (porridge spectrum): fried noodles 15g, 30g of japonica rice. Cook japonica rice porridge first, add fried noodles, stir well and eat on an empty stomach.
2. Apple yam powder (dietotherapy herbal medicine): apple 30g, yam 30g. When the apple is dry, it will be fine with the yam. Take 15 ~ 20g each time, add appropriate amount of white sugar and take it with warm water.
3. Lentils and millet porridge (porridge spectrum): fried white lentils 60g, millet 80g, japonica rice 100g. Cook porridge together until the beans are rotten and the rice is boiled. Take it in the morning and evening
5.2 Chronic diarrhea with kidney deficiency syndrome (chronic diarrhea with kidney deficiency syndrome [1]) is the name of disease syndrome [9]. See "Puji Skill Prescription". Also known as five-stage diarrhea (syndrome pulse theory diarrhea), chronic diarrhea due to kidney deficiency [4], renal diarrhea (Puji medical prescription), five-stage diarrhea (Zhang Yitong Dafu Xiaomen), five-stage diarrhea (no relief) and morning diarrhea (effective prescription by world famous doctors) refer to kidney yang deficiency, which is manifested by abdominal pain before dawn, diarrhea with bowel sounds, endless diarrhea and cold limbs.
Punctuality and Yuanxie: "Those who have diarrhea in five shifts have kidney diarrhea."
5.2. 1 Etiology and pathogenesis of chronic diarrhea and kidney deficiency syndrome: diarrhea occurs at five o'clock in the morning, mostly caused by kidney deficiency [9]. Class 5 bleeding can be caused by many reasons [9]. "Treatise on Syndrome and Pulse Treatment of Diarrhea" points out that diarrhea due to kidney deficiency, diarrhea due to wine accumulation, diarrhea due to cold accumulation, diarrhea due to food accumulation and diarrhea due to liver fire are different [9].
5.2.2 Symptoms of Chronic Diarrhea and Kidney Deficiency Patients with Chronic Diarrhea and Kidney Deficiency generally have diarrhea before dawn, abdominal pain, diarrhea with bowel sounds, dyspepsia, abdominal temperature, safety after diarrhea, cold limbs, soreness of waist and knees, pale tongue with white fur, and deep and thin pulse [5].
5.2.3 Syndrome analysis: Yang deficiency of spleen and kidney loses warmth: diarrhea lasts for a long time, kidney yang deficiency fails, spleen and stomach can not be warm, transport and transformation are abnormal, Yang Qi is weak in the morning, and yin and cold are abundant, so abdominal pain and bowel sounds cause diarrhea. After diarrhea, the qi of viscera will be beneficial, so it will be safe after diarrhea. Cold limbs, soreness of waist and knees, pale tongue with white fur and thin pulse are symptoms of deficiency of yang qi in spleen and kidney. [5][6]
5.2.4 Treatment of chronic diarrhea with kidney deficiency syndrome 5.2.4. 1 The treatment of chronic diarrhea with kidney deficiency syndrome should be to warm the kidney and strengthen the spleen, stop astringency and stop diarrhea [5].
Chronic diarrhea and kidney deficiency syndrome should warm yang to stop diarrhea [6].
5.2.4.2's prescriptions for chronic diarrhea and kidney deficiency, such as Zhenlingdan, stomach tube decoction, Shen Si pill, etc. Or shredded paper jujube soup with a little hollow milk powder [10].
Chronic diarrhea with kidney deficiency can be treated with Shen Si Pill [Remarks] Shen Si Pill (standard of syndrome treatment): Fructus Psoraleae, Nutmeg, Evodia rutaecarpa, Fructus Schisandrae Chinensis, Ginger and Jujube. Psoralea corylifolia in the prescription is used for tonifying kidney and strengthening yang; Evodia rutaecarpa and nutmeg warm the middle and dispel cold; Schisandra chinensis astringent intestine to stop diarrhea. Add aconite root and processed ginger as appropriate to enhance the effect of warming kidney and strengthening spleen. If the elderly are weak, diarrhea can't be cured for a long time, and the middle qi sinks, Astragalus membranaceus, Codonopsis pilosula and Atractylodes macrocephala should be added to replenish qi and strengthen the spleen, and combined with Taohua Decoction [Remarks] Taohua Decoction (Treatise on Febrile Diseases): Halloysitum rubrum, dried ginger and japonica rice to stop diarrhea. [5]
Chronic diarrhea, mostly deficiency syndrome, is mainly treated by warming and nourishing astringency, but there are also those with internal deficiency. Although the number of diarrhea decreases after astringent pain, abdominal distension or pain leads to discomfort, Guizhi Decoction [Remarks] can be used for patients with blood stasis (treatise on febrile diseases): Guizhi Decoction, Paeonia lactiflora, ginger, moxibustion licorice, jujube plus angelica, Chuanxiong, Paeonia lactiflora and so on. To nourish blood and replenish blood. [5]
5.2.4.3 acupuncture treatment of 5.2.4.3.1prescription-The main points selected by chronic patients are Pishu, Shu Tian, Zusanli, Shenque (moxa stick moxibustion or salt-separated moxibustion) and Zhongwan [7]. Moxibustion on Mingmen and Shenshu [7] is added for patients with kidney deficiency.
5.2.4.3.2 The principle of two treatments: strengthening the spleen and regulating the intestines, warming the kidney and stopping diarrhea.
Prescription: Pishu Shu Tian Zusanli Sanyinjiao
Fang Yi: Pi Shu is the back Shu point of the spleen, which has the function of strengthening the spleen and benefiting qi; Shutianju point is the large intestine, regulating the qi of gastrointestinal tract; Zusanli is the joint point of the stomach, which strengthens the spleen and stomach, relieves bloating and relieves pain; Sanyinjiao is the intersection of foot and three yin, which strengthens the spleen, eliminates dampness and warms the spleen and kidney.
Points and syndromes: kidney deficiency-Shenshu, Mingmen.
Operation: millimeter needle, diarrhea and tonic method for spleen and kidney weakness and liver depression, 1 time per day, 30 minutes each time,1time as a course of treatment.
The third party [8]
Treatment: Warming the kidney and strengthening the spleen, arresting astringency and stopping diarrhea.
Acupoint selection: Fishes are the main acupoints. Take Shenshu, Guanyuan, Zhongwan, Pishu, Zhangmen, Shu Tian and Zusanli.
Matching points and syndromes: For those with severe cold pain in umbilicus and abdomen, Mingmen and Shenque are added.
Acupuncture and Moxibustion: Acupuncture supplemented by moxibustion.
Fang Yi: Guan Yuan and Shen Shu warm the kidney and strengthen yang. Spleen Shu, Zhangmen and Zusanli strengthen the spleen and warm the middle. Zhongwan and Shu Tian regulate gastrointestinal qi.
5.2.4.4 dietotherapy 5.2.4.4.1It is recommended that patients with chronic diarrhea and kidney deficiency should eat Lycium barbarum, mutton, sparrow meat, venison, leek and goat's milk. [6].
Recommended diet therapy [6]
1. Guixin Poria Poria Poria Poria Poria Poria Poria Poria Poria Poria Poria Poria Poria Poria Poria Poria Poria Poria Poria Poria Poria Poria Poria Poria Poria Poria Poria Poria Poria Poria Poria Poria Poria Poria Poria Poria Poria Poria Poria Poria Poria Poria Poria Poria Poria Poria Poria Poria Poria Poria Poria Poria Poria Poria Poria Poria Poria Poria Poria Poria Poria Poria (Puji Formula): 0.9g Guixin Poria Poria Poria Poria Poria Poria Poria Poria Poria Poria Poria Juice cinnamon, poria cocos and mulberry bark, and add glutinous rice to cook porridge. Once a day, eat on an empty stomach in the morning.
2. Sheep kidney cistanche decoction (Taiping Shenghui recipe): sheep kidney 1 pair, cistanche deserticola 30g, yellow wine, onion, ginger and salt. Removing the adventitia from sheep kidney, cleaning, and chopping; Soak cistanche deserticola in yellow wine overnight, scrape off wrinkled skin and finely cut for later use. Put sheep kidney and cistanche deserticola into a pot, add water, yellow wine, onion, ginger and salt, and cook until cooked. Eat on an empty stomach.
3. Deer kidney porridge (Taiping Shenghui recipe): deer kidney 1 piece, cistanche deserticola 30g, japonica rice 100g, scallion, pepper and salt. Removing fascia from deer kidney, cleaning, and chopping; Soak Herba Cistanches in yellow wine overnight, scrape off wrinkled skin, and chop. Wash the japonica rice, put it in a pot, cook until it is half cooked, add deer kidney, cistanche deserticola, scallion, pepper and salt, and cook until porridge is served.
5.3 Chronic diarrhea with yin deficiency syndrome (chronic diarrhea with yin deficiency syndrome [1]) refers to diarrhea syndrome characterized by yin deficiency, aggravated fever and excessive drinking at night, night fever and night sweats, red and tender tongue, and rapid pulse [4].
5.3. 1 Symptoms include fever and polydipsia, aggravation at night, excessive diarrhea, night fever and night sweats, red and tender tongue, and rapid pulse [4].
six