What Are the Different Types of Dysentery Treatment?

Dysentery, TCM disease name. It is characterized by sub-diarrheal pus and blood, abdominal pain, and relapse. The main cause is the epidemic poison when exogenous, unclean diet. The disease is in the intestine, which is closely related to the spleen and stomach. The pathogenesis is damp-heat, epidemic, cold-dampness in the bowel, stagnation of qi and blood, damage to the lipid membrane and blood network, pus and blood, loss of conduction in the large intestine, and dysentery. There is more evidence of violence and more false evidence for a long time. For the treatment of dysentery, it is advisable to use it at the beginning, to be astringent for a long time, to clear at the hot, and warm at the cold, and to apply both astringent and warm and clear at the same time. For infectious bacterial dysentery and amoebic dysentery, the focus should be on prevention and control of infection.

Chinese Medicine Name: Dysentery
Related Western Medicine Diseases: Bacterial dysentery, amoebic dysentery
Main cause: Exogenous poison and unclean diet

Other name: Intestines
Multiple groups: all
Disease classification: Internal MedicineSpleen and Stomach Diseases
Contagious: no

Dysentery noun explanation

Dysentery is characterized by an increase in the number of stools, abdominal pain, severe anxiety, and red and white sticky frost. Is a common infectious disease in summer and autumn.

History of dysentery

1. The Nei Jing called the disease "intestinal dysentery" and "red fertility", and pointed out that the feeling of external evils and inadequate diet are two important links that cause disease. ^[1]

2. The Difficult Scriptures called it "Da Xie Xie", and pointed out that "the man who bleeds to the Xuan dynasty should be in a hurry and count, but can't make it easy to count."

3. "Treatise on Febrile Diseases" and "A Brief Guide to Jinkui" collectively refer to dysentery and diarrhea as "lower benefits", and its effective prescriptions for treating dysentery, Baitouweng Decoction, have been used by future generations. ^[2]

4. In the Eastern Jin Ge's "Elbow Reserve Emergency Formula", there is a saying that "the gas is poisonous, and the abdominal pain is diarrhea caused by heat." The disease is referred to as "", and it has gradually been accepted by future medical practitioners.

5. Qian Qian Yao Fang called the disease "stagnation."

6. In the Song Dynasty, "Ji Sheng Fang" formally used the disease name of "dysentery": "The so-called dysentery of today is also called stagnation in ancient times."

7. The "Danxi Heart Method" further clarified that dysentery is epidemic and infectious, pointing out that "the epidemic is dysentery, and one side is the same, and the top and bottom are similar." It also discusses the cause of dysentery as "damp-heat-based" and proposes a general treatment for common causes. Principle. ^[3]

8. There are monographs on dysentery in the Qing Dynasty, such as Wu Daoqiong's "Dysentery Confluence" and Kong Yuli's "Dysentery Theory".

The relationship between dysentery and dysentery and disease names in western medicine

The content discussed in this section is mainly based on bacterial dysentery and amoebic dysentery in western medicine, but clinical symptoms such as ulcerative colitis, radiation colitis, bacterial food poisoning, etc., which are similar to dysentery described in this section, can be used. Refer to this section for dialectical treatment.

disease cause

1. Evil when exogenous

The disease is mostly caused by the feeling of seasonal evils. The nature of the evils is three: one is the evil of epidemic poisoning, which invades the stomach and intestines, and the disease is sudden, forming the epidemic poisoning; the second is the evil of hot and humid. Damp stagnation and hot steaming, gastrointestinal dysfunction, and dampness-heat dysentery; third, summer and cold sensation, cold and dampness, gastrointestinal discomfort, qi and blood stagnation, and stagnation and coldness.

2. Unclean diet (section)

Usually eat fat and thick taste, or eat rotten and unclean things by mistake, produce hot and humid, or eat cold melon and fruit in summer and summer, damage the spleen and stomach, be trapped in the center, hot and cold or damp, the evil content of food accumulation, intestines Qi block, qi stagnation and blood stasis, fight with rot in the intestine, turn into pus and blood, and cause the disease.

disease machine

Diseases are located in the large intestine, are related to the spleen and stomach, and can involve the kidneys. The pathological factors are mainly the hot and humid epidemic virus, and the pathological properties are cold and heat. The basic pathogenesis is intestinal dysentery caused by evil, stagnation of qi and blood, loss of conduction, and injury from fat. Pathological properties: Most of the initial evidence is due to damp heat or cold. The next day is long and can be changed from real to virtual or mixed with virtual and real. Pathological evolution: Damp-heat epidemic invades, poison spreads inside, fumigates intestines, consumes blood, and becomes epidemic poison. Such as dysentery is incurable, it is delayed for a long time, or it is too early to close the astringent, and it is closed to stay in the army, and it is true and evil.

Essentials of Dysentery Diagnosis

Basis of diarrhea diagnosis

1. Symptoms include abdominal pain, severe anxiety, increased stool frequency, and discharge of red and white pus and blood.

2. The onset of dysentery is sudden and short, and it may be accompanied by chills and fever. The chronic dysentery has a slow onset, recurrence, and persistence; the epidemic and dysentery is severe and dangerous, and it is common in children. When abdominal pain and diarrhea have not yet appeared, there is high fever and fatigue, cold limbs, pale gray, superficial breathing, fainting and convulsions, and diarrhea and vomiting are not necessarily serious.

3. There is a history of unhealthy diet; acute onset occurs mostly at the turn of summer and autumn, and can occur in all seasons.

disease identification

Dysentery and diarrhea

The two are more common in summer and autumn. The disease location is in the stomach and intestines. The etiology is also similar. The symptoms are abdominal pain and increased stool frequency. However, diarrhea is caused by frequent and small stools. And the diarrhea stool is thin, the stool is thin, or it is like water, or the valley is not melted, and there is no red and white pus and bloody stool. Abdominal pain is often accompanied by bowel sounds. Under certain conditions, diarrhea and dysentery can transform each other, or diarrhea first, and then diarrhea. It is generally believed that the condition of diarrhea first and then diarrhea worsens, and the condition of diarrhea first and then diarrhea decreases.

Dysentery- related tests

Regular stool and blood tests. Stool culture of pathogenic bacteria is the key to a confirmed diagnosis. If necessary, X-ray barium and colonoscopy can help differential diagnosis.

Dialectical treatment of dysentery

Main points of dysentery syndrome

1 identify long storms, check false real primary and secondary

Violent onset is short, the course is short, abdominal pain is full, refusing to press, painful embarrassment, temporary relief after the pain is temporary; it is true that abdominal pain is continuous, mild and severe, long duration, abdominal pain is continuous, pain and joy After the emergency, the weight of the urgency is not reduced, and those who fall and swell are often stubborn.

2, distinguish between cold and heat

Stool pus and blood, bright red, even purple-black, thick smelly, abdominal pain, severe after anxiety, thirst, bad breath, yellow urine, red tongue, yellow greasy tongue, slippery pulses are hot; the stool is red and thin , More white and less red, abdominal pain like to press, after the emergency, the weight is not obvious, the white limbs are cold-shaped cold, pale tongue, white fur, thin pulses are cold.

3.Distinguish gas and blood

The lower diarrhea is more white and less red, and wet evil hurts Qi; the red is more white and less, or those with blood as the main, heat evil hurts blood.

Dysentery treatment principles

The heat is clear, the cold is warm, the first is real, and the long-empty is supplemented. The cold and hot interlaced are used in combination with cooling, and the false and real are mixed. At the beginning of dysentery, it is common to use evidence and heat to clear away heat and detoxify; for a long time, deficiency and cold syndrome should be supplemented with deficiency temperature, conditioning the spleen and stomach, and clearing the intestines, collecting astringent solids. As shown below, those who have both evidence should be combined with anti-removal agents, dredging outside and inside, and stagnation can be combined with antidote to eliminate the stagnation. Liu Hejian proposed: "Regulating Qi then removes itself, and the blood will pus self-heal." The method of regulating Qi and blood can be used for multiple syndromes of dysentery, red blood is used multiple times, white blood is used multiple times. . In the process of mastering the dialectical treatment of relieving the evil, we should always take care of the stomach qi.

The contraindications for the treatment of dysentery: avoid premature astringency, avoid aggressive attack and avoid urination.

Classification of dysentery syndrome

(A) hot and humid

Symptoms: Abdominal pain, severe back pain, severe white pus and blood, sticky like jelly, stench, burning anus, short urination, yellow greasy tongue coating, slippery pulses.

Governing method: clearing intestines and dampening, regulating gas and blood.

Recipe: Shaoyao Decoction.

Commonly used drugs: Paeonia lactiflora, angelica, licorice, woody incense, betel nut, rhubarb, scutellaria baicalensis, Coptis chinensis, cinnamon, honeysuckle.

(2) Epidemic poison

Symptoms: rapid onset, hot thirst, headache, irritability, nausea and vomiting, frequent stools, purple purulent blood under the crotch, severe abdominal pain, severe post-severe feeling, even fainting convulsions, red tongue, yellow tongue , Slippery pulse number or slightly waning.

Governing Law: clearing away heat and detoxifying, removing cold blood.

Recipe: Baitouweng Decoction and Shaoyao Decoction.

Commonly used medicines: Pasqueflower, Coptis chinensis, Cork, Qinpi, Yinhua, Elm, Peony Bark, Paeonia lactiflora, Licorice, Muxiang, Areca.

(Three) cold and wet

Symptoms: Abdominal pain, urgency, frosty and frosty under the crotch, whiteness and redness, or pure white frosty, heavy after anxiety, dull mouth, bloating and fullness, heavy head and body, tongue or pale, tongue greasy, pulse Slowly.

Method of treatment: warm and dry, regulating gas and blood.

Recipe: Do not change Jinzhengqi San addition and subtraction.

Commonly used medicines: Huoxiang, Atractylodes macrocephala, Pinellia ternata, Magnolia officinalis, Artichoke ginger, cinnamon sticks, Chenpi, date, licorice, woody incense, Zhishi.

(4) Yin deficiency

Symptoms: His diarrhea is white, healed for a long time, thick pus and blood, or under the blood, burning under the umbilicus, sitting absently, eating less, upset, dry mouth, turning to the night, red tongue, shaojin, greasy Or flower peeling, pulse count.

Governing law: nourishing yin and camp, clearing intestines and dampening.

Recipe: Huanglian Ejiao Decoction plus Zheche Pill.

Commonly used drugs: Coptis chinensis, Scutellaria baicalensis, Ejiao, peony, licorice, angelica, dried ginger, melon.

(5) Desolation

Symptoms: Abdominal pain, lingering endlessly, hi and hi, sire is pale and white, no fishy odor, or white frost, even slipping, anus swells, even worse in the stool, chills, cold limbs , Shi Shao Shen fatigue, weak waist and knees, pale tongue and thin white fur, thin pulses.

Governing method: warm the spleen and kidney, close astringent solid off.

Recipe: peach blossom soup and real-life dirty soup.

Commonly used drugs: ginseng, atractylodes, dried ginger, cinnamon, japonica, licorice, gardenia, poppy husk, nutmeg, erythritol, angelica, white peony, woody incense.

(6) Rest

Symptoms: the onset of the chancre is delayed, the delay does not heal, it is often caused by improper diet, cold, and tiredness, and the number of stools is increased, with red and white sticky jelly, less bloating and food, tiredness, sleepiness, and pale tongue. The pulse is soft or imaginary.

Governing Law: Wenzhong clears the intestines, regulates Qi and stagnates.

Recipe: Lian Li Decoction.

Commonly used medicines: ginseng, atractylodes, dried ginger, Poria, licorice, Coptis chinensis, Coix root, Muxiang, betel nut.

Other treatments for dysentery

Acupuncture

Main points: Tianshu, Xiayu, Shangjuxu, Guan Yuan, Hegu.

Acupoints: Hot and humid plus Quchi, inner court; cold and wet plus Zhong , Qi Hai; plus Zhong , inner court; rest plus Pishu, Weishu, Guan Yuan, Shenshu.

Operation: Pingbu and Pingxie method for Guan acupoints; Pelvic method for other main points. Acupoints are operated according to the method of deficiency tonifying and purging. Patients with acute dysentery should be treated twice a day for 30 minutes each time. Those with cold, dampness, rest, or long-time prolapse can cooperate with moxibustion; Dazhui, Shixuan point stabbing bleeding.

Outcome of Dysentery

As for the prognosis of dysentery, the ancients often judged by the color and quantity of dysentery. Those who have faeces in the diarrhea are light, those who have no faeces are heavy, and those with diarrhea like fish brain, such as pig liver, such as red bean juice, those with pure blood in the diarrhea, or those with house leaks. At the same time, we should distinguish the severity of the disease according to its clinical manifestations, determine the prognosis of the patient, and pay special attention to observe its fiery poison, whether the stomach gas is deteriorating, whether Yin and Jin are exhausted, and whether Yang Qi is depleted. Generally speaking, those who can eat are lighter than those who cannot. The diarrhea is accompanied by fever, thirst, irritability, shortness of breath, or even dizzy slang. Although the frequency of diarrhea is reduced, those with abdominal distension such as drums are common in the epidemic poison and hot and humid heat. Certificates, if not treated in a timely manner, can develop into closed and external decertification.

Dysentery Prevention

1. For infectious bacterial and amoebic dysentery, active and effective preventive measures should be taken to control the spread and epidemic of dysentery; such as good water and fecal management, diet management, and elimination of flies.

2. In the epidemic season of dysentery, you can eat raw garlic cloves appropriately, 1 to 3 cloves each time, 2 to 3 times a day; or put garlic cloves in dishes; you can also use purslane and mung beans in an appropriate amount and drink in decoction. ; Have a certain effect on preventing infection.

3. Patients with dysentery must fast fast appropriately. After the condition is stable, it is advisable to take a light diet, avoiding greasy and fishy products.

Dysentery Literature Abstract

1. "Su Wenqi Qiqi should be life-saving set · diarrhea theory": "After the heavy weight should be lowered, abdominal pain should be moderate, body weight is dehumidified, pulse string is removed from the wind. Blood pus is sticky, exhausted with heavy medicine. "

2. "Tricks of Zhengzheng · ": "The ancient name of dysentery stagnates, and the qi stagnates into a product, and the product builds up into a stagnation. The rule of law should be to smooth the qi first, and it must be appetizing, so there is no satiety.

3, "Danxi Heart Method · ": "The evidence that the diarrhea is incurable. Those who die like fish brains are half dead and half lives, those who die like dust and rot, those who die under pure blood, those who die like house leaks, and those like bamboo sticks. The person is dead. " ^[3]

4. "Jisheng Fang · Dysentery": "The dysentery that is called today is also called stagnation."

5. "Shou Shi Bao Yuan · Dysentery": "Every sickness in the first stage of illness has vitality, and it must be lowered, and it will not heal afterwards, and it will be adjusted according to the disease. Those who are a little older can not be lowered, and the gas is flat. If there is heat, there are also those who are weak and cold. Those who are weak should be replenished, those who are cold should be warm. The elderly and the weak should not be allowed to go. Those who can't afford to have a bowel movement are also deficient in blood.

6. "Classification of syndromes and dysentery": "Earthquake occurs frequently in the autumn, that is, the intestinal tract of the" Inner Canon ", and the symptoms are caused by gastric phlegm moistening and steaming, which causes coagulation of qi and blood, stagnant dregs accumulate, and enter the small and large intestines. Fat liquid, purulent blood bet, or white, red, stained purple, 5 color, abdominal pain, vomiting, dry mouth, drowning, after anxiety, air trapped anus, because of its stagnation, it is also known as stagnation. . "