(1) Dietary treatment:
Diarrhea period should pay attention to supplemental nutrients, appropriately reduce the fiber content of the diet, in order to easy to digest a liquid diet rich in folic acid, iron, calcium, magnesium, zinc and other micronutrients is appropriate. Avoid milk and dairy products. In severe cases, fasting is appropriate for the first few days, and intravenous high-nutrition therapy can be used to give the intestines a rest.
(2) Psychotherapy:
Patient ideological work, try to relax the whole body, mental overstress, can be used to sedatives such as Valium, Xylazine and so on.
(3) dietary therapy:
①Spleen and diarrhea cake:
250 grams of fresh yam, 150 grams of red beans, 30 grams of gravy rice, 20 grams of white lentils, 20 grams of Poria, 4 plums, fruit and sugar. Method: adzuki beans into bean paste with the right amount of sugar. Poria, white lentils, Gorgon fruit rice **** research into fine powder, add a small amount of water steamed. Fresh yam peeled and steamed to add on the powder, mix well into mud, a layer of fresh yam powder in the plate mud, a layer of bean paste, about 6-7 layers, the upper layer of dotted with the right amount of fruit, on the pot and then steamed. Plum, sugar boiled into pus juice, poured on the steamed cake. Divided food has the effect of strengthening the spleen and stopping diarrhea.
② Lily porridge:
Gorgon fruit, lily 60 grams each. On the two medicines into the rice porridge cooked into a porridge, the main treatment of diarrhea of spleen deficiency.
3 purple amaranth porridge:
purple amaranth 100 grams, 50 grams of rice, first boiled amaranth with water, remove the dregs of the juice, with the juice of the rice into a porridge, get up in the morning and do breakfast.
4 silver flowers brown sugar tea:
30 grams of silver flowers, brown sugar, drink water.
5 pomegranate skin brown sugar tea:
pomegranate skin 1-2, brown sugar, moderate, drink water.
6 Plantain 60 grams, 60 grams of Zaoxin soil, 3 grams of ginger, decocted with water.
Ulcerative colitis commonly used western medicine
(1) Liuzasulfanilamide pyridoxine (SASP):
[Actions and Uses]This drug is decomposed into 5-aminosalicylic acid (5-ASA) and iodosulfanilamide pyridoxine in the intestinal tract, and the former is the main active ingredient, which can inhibit the formation of xanthine oxidase or leukocyte-mediated oxygen free radicals, and can eliminate the inflammation.
[Usage and dosage]Oral: 1 gram/dose, 3-4 times/day during an attack, 0.5-1 gram, 2-3 times/day after remission, maintenance therapy for 1 year. Retention enema: take powder 2.0 grams plus 3.0 grams of hyoscyamine, dissolve in saline. 20-30ml in, evenly mix and shake for enema, once a day.
[Adverse reactions and precautions] Occasionally gastrointestinal symptoms, skin rash and other allergic reactions.
(2) Metronidazole:
[Role and use]Mainly used for various anaerobic infections, amoebiasis and filariasis.
[Usage and dosage]Oral, adults 0.4 grams per time, 3-4 times a day, with 15 days for a course of treatment. Intravenous: adults each time 0.5-1.0 grams, divided into 2 times.
[Adverse reactions and precautions]
①Gastrointestinal symptoms are most common and are positively correlated with dose.
②Use with caution in patients with liver disease.
③ Occasional dizziness, abnormal sensation, limb numbness, ****济失调, can be relieved by stopping the drug.
④ Individual patients may have leukopenia.
(3) Hormones (specific drugs: hydrocortisone, prednisone, dexamethasone, etc.):
[Role and use] These drugs can reduce the release of leukotriene B4, inhibit its neutrophil chemotaxis, and prevent the formation of oxygen free radicals.
[Usage and dosage]IV: 200-300 mg/day for 10-14 days. After that, change to oral prednisone 60-80 mg/day, after stabilization of the disease gradually reduced to 10-15 mg/day, maintained for about six months and then discontinued. Patients whose lesions are mainly confined to the rectum and the left side of the colon can be treated with sodium hydrocortisone hemisuccinate 100 mg, prednisolone 21-phosphate 20 mg, or dexamethasone 5 mg plus 100 ml of saline as a retention enema for 1 time/day, and then 2-3 times/week after the condition improves for a period of 1-3 months.
[Adverse reactions and precautions] It is not suitable for those with co-infections, and is contraindicated for those with diabetes mellitus, hypertension, active ulcer disease and renal insufficiency.
(4) Azathioprine
[Role and use]This kind of drugs in the body to produce thiopurine and play an immunosuppressive effect, inhibit protein synthesis and lymphocyte proliferation, the inhibitory effect on the T lymphocytes is stronger.
[Usage and dosage]1.5-2.5 mg/kg per day, divided into 3 oral doses; the course of treatment is about 1 year.
[Adverse effects and precautions]Dose-related, with myelosuppression, leukopenia, granulocytopenia and other effects, nausea, vomiting, a few liver toxicity; teratogenic risk.