If exogenous dampness is evil, strengthen the spleen and dry the dampness, and divide the urine; Exogenous cold and dampness, when dispelling cold and dehumidifying; Exogenous damp-heat, when clearing away heat and dampness; Stomach-heat and spleen-cold or gallbladder-heat and spleen-cold, when both cold and warm are applied, it will be bitter and bitter; Food accumulation in the gastrointestinal tract, when digestion and accumulation; Liver stagnation and qi movement, spleen does not transport, when soothing the liver and regulating qi and transporting spleen; Weak temper, when strengthening the spleen and benefiting qi to help transport; Yang deficiency of spleen and kidney should be used to warm and tonify spleen and kidney.
From the perspective of traditional Chinese medicine, diarrhea is most closely related to dampness, and there is a saying that "no dampness can not be discharged" and "excessive dampness can be discharged into five".
Diarrhea is always caused by abnormal spleen and stomach transport, which is clear and turbid, and Shui Gu does not change, but stops and becomes wet. There are many reasons for the disorder of spleen and stomach transport, including exogenous factors, improper diet, emotional imbalance, congenital or post-illness physical weakness and other factors.
Acute diarrhea is mostly related to exogenous factors and diet, while chronic diarrhea is mostly related to emotional and physical weakness.
The contents of key observation during diarrhea
In the treatment of diarrhea, the following aspects are of great significance in determining syndrome types and selecting prescriptions and drugs, so it is necessary to focus on observation.
Smell of stool: foul gas, mostly heat (fire) diarrhea; Stinky as a defeated egg is indigestion and diarrhea.
The patency of stool: diarrhea is not smooth, and the interior is urgent and then heavy, mostly due to intestinal stagnation or qi deficiency diarrhea.
The amount and color of urine: the amount of urine is not smooth, mostly wet diarrhea; Less urine is yellow or red, mostly due to heat diarrhea.
Whether it is accompanied by abdominal pain and bloating: if the abdomen is distended without pain, or if the bowel sounds, it is mostly wet diarrhea; The pain is mostly heat diarrhea; Colic lasts more than cold diarrhea; The pain is diarrhea, and the pain after diarrhea is slow, which is diarrhea due to liver depression and spleen deficiency.
Whether it is dry mouth: those who want to drink with dry mouth are mostly hot diarrhea; Those who don't do it are mostly cold diarrhea.
Tongue picture: those with light and fat tongue are mostly cold diarrhea, or diarrhea due to yang deficiency of spleen and kidney; Red and dry tongue is mostly heat diarrhea; Thick and greasy fur is damp diarrhea.
Pulse condition: the diarrhea pulse is heavy, with cold diarrhea in the late stage, heat (fire) diarrhea in the heavy stage, and summer dampness diarrhea (Xia Yue's disease) in the slow stage.
A complete collection of prescriptions for diarrhea
1. Damp diarrhea: caused by feeling damp evil. Symptoms: watery diarrhea, abdominal pain, overactive bowel sounds, scanty urine, reddish tongue, thick greasy fur and thready pulse.
Pingwei powder, Wuling powder, Weiling decoction and so on are selected.
2. Cold diarrhea: caused by feeling the evil of cold. Symptoms: fever or no fever, aversion to wind, aversion to cold, stiff neck, cold hands and feet, abdominal pain,
Diarrhea, diarrhea is not smelly, the mouth is not thirsty, the tongue is pale and dark, the coating is thin and moist, and the pulse is slow.
For those who have sweat, Guizhi Decoction or Guizhi plus Pueraria Decoction should be selected. For those who have no sweat, the pueraria decoction is selected.
3. Cold-dampness diarrhea: caused by feeling the evil of cold and dampness. Symptoms: watery diarrhea, abdominal cramps, diarrhea without odor, pale face or
Dark and dull, dizziness, abdominal distension, loss of appetite, nausea and vomiting, dry mouth, or body pain, pale tongue, white and thick coating, and slow pulse.
Prescriptions include Huoxiang Zhengqi Powder (also used to treat summer-heat dampness and diarrhea), Wuji Powder, Glycyrrhiza Dried Ginger Fuling Baizhu Decoction, Glycyrrhiza Dried Ginger Decoction, Fuzi Japonica Rice Decoction, Shufu Decoction, etc. If the pulse is faint, the spirit is extremely poor (but sleepy), and the hands and feet are cold, choose Sini Decoction, Baitong Decoction, Zhenwu Decoction and so on.
4. Deficiency of cold and diarrhea: due to deficiency of spleen yang or deficiency of spleen and kidney yang.
Symptoms of patients with spleen-yang deficiency include diarrhea, indigestion, no foul stool, smooth diarrhea, dull pain in the abdomen, tepid hands and feet, clear urine color, light, fat and slippery tongue, and slow pulse. The prescription is Lizhong Decoction, Fuzi Lizhong Decoction, Guizhi ginseng soup, Sini plus ginseng soup, Xiaojianzhong Decoction, Huangqi Jianzhong Decoction, Weifeng Decoction, etc.
For those with deficiency of spleen and kidney yang, weakness of waist and knees, early morning diarrhea, prolonged years, and weak pulse, Sishen Pill, Shenqi Pill and Weiguan Decoction are selected.
5. Heat diarrhea: caused by exogenous heat evil. Symptoms: diarrhea with paroxysmal abdominal cramps, foul stool, or burning anus, dry mouth, red tongue, thin yellow fur and rapid pulse.
The prescription is Huangqin Decoction and Shaoyao Decoction.
6. Damp-heat diarrhea: due to exogenous damp-heat. Symptoms: diarrhea, foul and sticky stool, or fever, chest pain, dry mouth and thirst,
Breathing and sweating, less urine color Huang Chi; Or diarrhea, purulent blood, red and white, abdominal pain, acute interior and then heavy, red tongue, thick and greasy yellow coating, and rapid pulse.
Prescriptions include Gegen Qinlian Decoction, Pulsatilla Decoction, Gui Ling Ganlu Drink, Liuyi Powder, Muxiang Areca Pill, etc.
7. Diarrhea due to heat accumulation in the intestine. Symptoms: clear water, pure blue color, foul breath, abdominal pain and fullness, press it firmly.
Hard and painful, dry tongue, red tongue, yellow and dry fur, and slippery pulse.
The prescriptions are Daxiao Chengqi Decoction, Sanyi Chengqi Decoction and Zhishi Daozhi Pill.
8. Deficiency-heat diarrhea: caused by body yin deficiency, or postpartum yin injury and relapsing damp-heat. Symptoms: abdominal pain, diarrhea, acute diarrhea, and defecation.
Purulent blood, less urine, yellow color, unsmooth, red tongue, less fur and thready pulse.
The prescription is Pulsatilla plus Glycyrrhiza Ejiao decoction, Huanglian decoction, and Zhuling decoction.
9. Cold-heat diarrhea: due to stomach heat and spleen cold, or gallbladder heat and spleen cold.
The symptoms of patients with stomach heat and spleen cold are diarrhea and discomfort in the stomach, swelling and hardness in the heart, belching and foul breath, nausea and vomiting, hyperactive bowel sounds, dry mouth, desire for warm drinks, diarrhea when eating cold food, or cold hands and feet, and diarrhea for a long time. The prescriptions are Ginger Xiexin Decoction, Pinellia Xiexin Decoction, Glycyrrhiza Xiexin Decoction, Lianli Decoction and Wumei Pill.
Symptoms of patients with gallbladder heat and spleen cold include diarrhea, loose stool, hypochondriac pain, abdominal pain, bitter dry mouth, upset, cold or painful limbs, sweating, etc.
10. Qi stagnation and diarrhea: due to stagnation of liver-qi and stagnation of spleen. Symptoms: abdominal pain, abdominal distension, diarrhea, which persists for a long time, and diarrhea does not occur.
Smelly, cold hands and feet, less sweat, dry mouth; Or abdominal pain before defecation, and the pain is relieved or stopped after diarrhea; Or diarrhea and constipation alternate.
Prescriptions include Sini Powder, Tongxie Yaofang and Qipi Decoction.
1 1. Symptoms: diarrhea, diarrhea is smooth, or there is a feeling of urgency in the interior, but the stool is not smelly and accompanied by fatigue.
Shortness of strength, abdominal distension, poor appetite, belching and nausea, coughing up white phlegm in the morning, or edema of lower limbs, heavy body, pale and fat tongue, thin and white fur, and large pulse, but weak or weak after heavy pressing.
Prescriptions include Buzhong Yiqi Decoction, Sijunzi Decoction, Yigong Powder, Liujunzi Decoction, Qianshi Qiwei Baizhu Powder, Xiangsha Liujunzi Pill, Shengyang Yiwei Decoction, Shenling Baizhu Powder and Qipi Pill.
12. Dysphagia diarrhea: due to overeating and indigestion in the gastrointestinal tract. Symptoms: abdominal pain, diarrhea, diarrhea, rotten eggs, vector odor,
Abdominal distension, sour taste, aversion to eating, greasy tongue coating and slippery pulse.
The party chooses Baohe Pill, etc.
A complete collection of acupuncture and moxibustion for diarrhea
Damp diarrhea due to spleen deficiency:
(1) Syndrome: loose stool or watery stool, lassitude and fatigue, pale mouth, white or thin coating, and thready pulse.
(2) Treatment principle: invigorating spleen and benefiting qi, eliminating dampness and stopping diarrhea. Renmai point, Zutaiyin spleen meridian point and Beishu point are the main points.
(3) Prescription:
1) Main points: Zhongwan, Shuishui, Tian Shu, Pishu, Weishu, Dachangshu, Zusanli and Sanyinjiao.
2) Acupoint matching: Guanyuan and Shenque are added for patients with abdominal pain.
Damp-heat diarrhea:
(1) Syndrome: red and white stool, acute interior, heavy back, sticky and bitter mouth, yellow or greasy fur, and rapid pulse.
(2) Treatment principle: clearing away damp-heat and stopping diarrhea.
(3) Prescription
1) Main points: Hegu, Tian Shu and Shangjuxu. 2) Matching points: Quchi and Neiting.
Other acupoints with deficiency of cold should be supplemented with acupuncture or moxibustion; Needle purgation is used for patients with excess cold.
(5) Fang Yi: Hegu is the original point of Yangming's hand, Tian Shu is the point for recruiting the large intestine, and the upper giant deficiency is below the large intestine.
Combining points, diarrhea is in the large intestine. Take three points to regulate the qi of the large intestine and fu organs, so that the qi can be adjusted and moistened. Quchi and Neiting can clear the damp-heat in the stomach.
Needle purgation is used for patients with excess cold.
(5) Fang Yi: Zhong Wan, Tian Shu, Wei Shu and Da Chang Shu are points matching methods for Yu Mu to regulate the qi of gastrointestinal tract.
Spleen Shu and Zusanli invigorate the spleen and replenish qi. Sanyinjiao, eliminating dampness and stopping diarrhea.
Ear acupuncture for diarrhea;
(1) Point selection: large intestine, small intestine, stomach, spleen, sympathetic and Shenmen.
(2) Methods: I ~ 2 times a day, with moderate and strong stimulation, and the needle was kept for 20 ~ 30 minutes. Chronic diarrhea can be done every other day 1 time.
Moxibustion therapy for diarrhea
Chinese medicine believes that there are five causes of diarrhea, which are spleen deficiency, kidney deficiency, damp cold, damp heat and food stagnation. Prescription based on syndrome differentiation due to human factors during moxibustion.
Commonly used acupoints for regulating diarrhea are Shenque, Tian Shu and Zusanli.
Case 1: Acute diarrhea caused by damp-cold and damp-heat
Main points: Tian Shu, Shangjuxu, Yinlingquan, water.
Matching points: Shenque (ginger moxibustion) is added for those with cold and dampness; Damp-heat, plus inner court; For those who suffer from food stagnation, they will be added with Chinese medicine.
Hot compress after moxibustion: Shenque point
Tian Shu raises acupoints for the large intestine, which can regulate gastrointestinal qi. The upper giant deficiency is the lower joint point of the large intestine, which can transport dampness and stagnation and take the meaning of "treating internal organs together" Yinlingquan can strengthen the spleen and eliminate dampness. Water is beneficial to urination and solid stool.
Chronic diarrhea caused by spleen and kidney deficiency.
Main point: Tian Shu Zusanli Gongsun, Shenque.
Matching points: spleen deficiency, plus spleen Shu and Taibai; For those with liver depression, add too much impulse; Kidney deficiency, plus Shenshu, Mingmen.
Hot compress after moxibustion: Shenque point, Guanyuan
Moxibustion at Shenque can warm and tonify Yuanyang, consolidate the source and stop diarrhea. Tian Shu raises acupoints for the large intestine, which can regulate gastrointestinal qi. Zusanli and Gongsun strengthen the spleen and stomach.
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