Dietary therapy for ulcerative colitis
(1) Dietary treatment:
During the diarrhea period, attention should be paid to nutritional supplements, and the fiber content in the diet should be appropriately reduced. An easily digestible liquid diet rich in folic acid, iron, calcium, magnesium, zinc and other trace elements is appropriate. Avoid milk and dairy products. In severe cases, it is advisable to fast for the first few days, and intravenous hypernutrition treatment can be used to rest the intestines.
(2) Psychotherapy:
Do a good job in the patient’s ideological work and try to relax the whole body. For those who are overly nervous, sedatives such as diazepam and diazepam can be used.
(3) Diet therapy:
①Spleen-strengthening and antidiarrheal cake:
250 ??grams of fresh yam, 150 grams of adzuki beans, 30 grams of glutinous rice, 20 grams of white lentils grams, 20 grams of Poria cocos, 4 ebony plums, appropriate amount of fruit ingredients and sugar. Preparation method: Make adzuki beans into bean paste and add appropriate amount of sugar. Grind poria cocos, white lentils, and gordon rice into fine powder, add a small amount of water, and steam until cooked. Peel and steam the fresh yam, add in flour, mix well to form a puree, put a layer of fresh yam powder puree and a layer of bean paste on the plate, about 6-7 layers, garnish the upper layer with appropriate amount of fruit, put it in the pot and steam it again. Boil ebony plums and white sugar into juice and pour it on the steamed cake. Sharing food has the effect of strengthening the spleen and stopping diarrhea.
②Lily porridge:
60 grams each of Gorgon fruit and lily. The above two herbs are put into rice porridge and cooked together to form porridge. It is mainly used to treat spleen deficiency and diarrhea.
③Purple amaranth porridge:
100 grams of purple amaranth, 50 grams of white rice. Boil the amaranth in water first, remove the juice, use the juice to cook the rice into porridge, and make it for breakfast in the morning. Of.
④ Silver Flower Brown Sugar Tea:
30 grams of Silver Flower, appropriate amount of brown sugar, soak in water and drink.
⑤Pomegranate peel and brown sugar tea:
Put 1-2 pomegranate peels, appropriate amount of brown sugar, soak in water and drink.
⑥ 60 grams of plantain, 60 grams of Zaoxin soil, 3 grams of ginger, decoct in water and take.
Commonly used Western medicines for ulcerative colitis
(1) Sulfasalazine (SASP):
[Action and use] This medicine is decomposed in the intestines It is 5-aminosalicylic acid (5-ASA) and iodamine pyridine. The former is the main active ingredient, which can inhibit the formation of oxygen free radicals mediated by xanthine oxidase or leukocytes, and can eliminate inflammation.
[Usage and dosage] Oral administration: 1 gram/time, 3-4 times/day during attack, 0.5-1 gram, 2-3 times/day after remission, maintenance treatment for 1 year. Retention enema: Add 2.0 g of powder to 3.0 g of Bletilla striata and dissolve it in physiological saline. 20-30ml, mix evenly and then perform enema, once a day.
[Adverse reactions and precautions] Occasionally, gastrointestinal symptoms, rash and other allergic reactions may occur.
(2) Metronidazole:
[Function and use] It is mainly used for various anaerobic bacterial infections, amebiasis, filariasis, etc.
[Usage and dosage] Take orally, 0.4 grams each time for adults, 3-4 times a day, 15 days as a course of treatment. Intravenous infusion: 0.5-1.0 g each time for adults, divided into 2 times.
[Adverse reactions and precautions]
①Gastrointestinal symptoms are the most common and are positively correlated with dose.
② Patients with liver disease should use with caution.
③ Occasionally, dizziness, abnormal sensation, numbness of limbs, and dystaxia can be relieved by stopping the medication.
④Individual patients may have leukopenia.
(3) Hormones (specific drugs include: hydrocortisone, prednisone, dexamethasone, etc.):
[Function and use] These drugs can reduce white blood cells The release of triene B4 inhibits the chemotaxis of neutrophils and prevents the formation of oxygen free radicals.
[Usage and dosage] Intravenous infusion: 200-300 mg/day, maintained for 10-14 days. Later, he switched to oral prednisone 60-80 mg/day. After his condition stabilized, he gradually reduced the dosage to 10-15 mg/day, maintained it for about half a year, and then stopped taking it. For patients whose lesions are mainly limited to the rectum and left colon, 100 mg of hydrocortisone sodium hemisuccinate, 20 mg of prednisolone 21-phosphate, or 5 mg of dexamethasone plus 100 ml of normal saline can be used as a retention enema, once /day, after the condition improves, it is changed to 2-3 times / week, and the treatment course is 1-3 months.
[Adverse reactions and precautions] It is not suitable for use in patients with concurrent infections. It is prohibited for those with diabetes, hypertension, active ulcer disease and renal insufficiency.
(4) Azathioprine
[Action and use] This type of drug produces thiopurine in the body and exerts an immunosuppressive effect, inhibiting protein synthesis and lymphocyte proliferation, and The inhibitory effect of T lymphocytes is strong.
[Usage and dosage] 1.5-2.5 mg/kg per day, orally divided into 3 times; the course of treatment is about 1 year.
[Adverse reactions and precautions] It is dose-related, with effects such as bone marrow suppression, leukopenia, and granulocytopenia. Nausea, vomiting, and a few liver toxicity may occur; there is a risk of teratogenesis.
Answer: michealee3721 - Grand Magister Level 13 11-17 17:52
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Chronic colitis, also known as chronic non-specific colitis, is what Chinese medicine calls diarrhea. This disease mainly occurs in the inflammatory lesions of the colon mucosa, mainly ulcers and erosions. The clinical manifestations are abdominal pain, diarrhea, sticky or purulent stools, dawn diarrhea, unformed stools, frequent stools a day or tenesmus, and abdominal pain after defecation. It can temporarily relieve abdominal distension, lack of appetite and fatigue. Some patients may suffer from anemia, weight loss, and underlying fever. Traditional Chinese medicine believes that this disease is caused by improper diet, mental stimulation, exposure to seasonal epidemics, improper treatment, long-term prolongation, and the accumulation of cold, dampness and heat. According to clinical statistics, the cancer conversion rate is as high as 5%-10%.
Food therapy methods
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Bupleurum Guizhi Drink
Recipe: 25g Bupleurum, 10g ginseng, 20g Pinellia ternata, 15g Guizhi, 10g Scutellaria baicalensis, 10g white peony root, 10g ginger, 10g jujube, 6 grams of licorice, 20 grams of sugar
Preparation:
1. Wash the above medicines, put them into an aluminum pot, and add an appropriate amount of water.
2. Place the aluminum pot on a high fire and bring to a boil, simmer over low heat for 20 minutes, stop the fire, filter out the residue, add sugar to the liquid and stir well.
How to eat: Drink 50 grams three times a day.
Efficacy: anti-inflammatory, pain relieving. It is especially good for patients with blood in the stool.
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Corn porridge
Recipe: 50g corn, 15g angelica, 15g white peony root, 15g chuanxiong, 15g ginseng, 15g atractylodes, 20g poria, 10g cassia
Production:
1. Put angelica root, white peony root, Chuanxiong root, ginseng, Atractylodes macrocephala, poria cocos and cassia twig into an aluminum pot, add an appropriate amount of water, cook for 25 minutes, stop the fire, filter out the residue, and keep the medicinal liquid.
2. Wash the corns, put them into an aluminum pot, add the medicinal solution and an appropriate amount of water, and cook for 30 minutes.
How to eat: Eat 50 grams of corn once a day.
Efficacy: relieve pain and stop dysentery. It is especially suitable for patients with rectal ulcers, colic, and blood in the stool.
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Bletilla striata and bird's nest soup
Recipe: 10 grams of Bletilla striata, 3 grams of bird's nest, 15 grams of rock sugar
Preparation:
1. Soak the bird's nest in warm water, use tweezers to remove the bird's hair; rock sugar Crush; cut bletilla into thin slices.
2. Put the bird's nest and Bletilla striata into a stew cup, add 300 grams of water, bring to a boil over high heat, then simmer over low heat for 15 minutes, add rock sugar crumbs, and cook for another 3 minutes.
How to eat: One cup a day, taken alone.
Efficacy: Stop bleeding, reduce swelling, and promote muscle growth. It is especially suitable for patients with large bowel bleeding.
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Bletilla striata porridge
Recipe: 10 grams of Bletilla striata, 100 grams of rice
Preparation:
Wash the Bletilla striata and cut it into 2 cm square pieces; rinse the rice.
Put the rice and Bletilla striata into an aluminum pot, add an appropriate amount of water, put it on a high fire and bring it to a boil, then simmer over a slow fire for 30 minutes.
How to eat: Eat 100 grams of porridge once a day.
Efficacy: Nourish the stomach, stop bleeding and reduce swelling. It is especially suitable for patients with large intestinal ulcers and bloody stools.
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Stewed quail with water chestnuts
Recipe: 60 grams of water chestnuts, 2 quails, 10 grams of cooking wine, 6 grams of ginger, 4 grams of salt
Preparation:
1. Peel and wash the water chestnuts. Cut everything in half; wash the quail, remove the stumps, internal organs and claws; slice the ginger.
2. Put the water chestnuts, quail and ginger into the stew cup, add an appropriate amount of water, stew for 50 minutes, add salt and stir well.
How to eat: Eat 1 quail and 50 grams of water chestnuts once a day. Serve as an accompaniment to a meal.
Efficacy: clearing away heat and detoxifying, dissipating stagnation and relieving pain. It has certain curative effects on patients with large intestinal ulcers and bloody stools.
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Wumei Juice
Recipe: 1000g ebony plums, 50g sugar Macerate for 10 days.
2. Take out the plum juice and put it into an empty bottle.
Efficacy: Stop bleeding and reduce swelling. It has certain curative effect on patients with colitis.
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Vinegar Peanuts
Recipe: 500 grams of peanuts, 1000 grams of rice vinegar
Preparation:
1. Wash the peanuts and put them into a bottle, then put the rice vinegar into the bottle and soak them for 10 days.
Just take it out of the bottle when eating.
How to eat: 2 times a day, 30 grams of peanuts each time.
Efficacy: Reduce swelling and stop diarrhea. It has better effect on colitis.
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Commonly used Western medicines for ulcerative colitis
(1) Sulfasalazine (SASP):
[Action and use] This drug is decomposed into 5-aminosalicylic acid (5-ASA) and iodamine in the intestines , the former is the main active ingredient, which can inhibit the formation of oxygen free radicals mediated by xanthine oxidase or leukocytes, and can eliminate inflammation.
[Usage and dosage] Oral administration: 1 gram/time, 3-4 times/day during attack, 0.5-1 gram, 2-3 times/day after remission, maintenance treatment for 1 year. Retention enema: Add 2.0 g of powder to 3.0 g of Bletilla striata and dissolve it in physiological saline. 20-30ml, mix evenly and then perform enema, once a day.
[Adverse reactions and precautions] Occasionally, gastrointestinal symptoms, rash and other allergic reactions may occur.
(2) Metronidazole:
[Function and use] It is mainly used for various anaerobic bacterial infections, amebiasis, filariasis, etc.
[Usage and dosage] Take orally, 0.4 grams each time for adults, 3-4 times a day, 15 days as a course of treatment. Intravenous infusion: 0.5-1.0 g each time for adults, divided into 2 times.
[Adverse reactions and precautions]
①Gastrointestinal symptoms are the most common and are positively correlated with dose.
② Patients with liver disease should use with caution.
③ Occasionally, dizziness, abnormal sensation, numbness of limbs, and dystaxia can be relieved by stopping the medication.
④Individual patients may have leukopenia.
(3) Hormones (specific drugs include: hydrocortisone, prednisone, dexamethasone, etc.):
[Function and use] These drugs can reduce white blood cells The release of triene B4 inhibits the chemotaxis of neutrophils and prevents the formation of oxygen free radicals.
[Usage and dosage] Intravenous infusion: 200-300 mg/day, maintained for 10-14 days. Later, he switched to oral prednisone 60-80 mg/day. After his condition stabilized, he gradually reduced the dosage to 10-15 mg/day, maintained it for about half a year, and then stopped taking it. For patients whose lesions are mainly limited to the rectum and left colon, 100 mg of hydrocortisone sodium hemisuccinate, 20 mg of prednisolone 21-phosphate, or 5 mg of dexamethasone plus 100 ml of normal saline can be used as a retention enema, once /day, after the condition improves, it is changed to 2-3 times / week, and the treatment course is 1-3 months.
[Adverse reactions and precautions] It is not suitable for use in patients with concurrent infections. It is prohibited for those with diabetes, hypertension, active ulcer disease and renal insufficiency.
(4) Azathioprine
[Action and use] This type of drug produces thiopurine in the body and exerts an immunosuppressive effect, inhibiting protein synthesis and lymphocyte proliferation, and The inhibitory effect of T lymphocytes is strong.
[Usage and dosage] 1.5-2.5 mg/kg per day, orally divided into 3 times; the course of treatment is about 1 year.