Chronic colitis, irritable bowel syndrome has a longer course of disease, so it is more difficult to treat, Western medicine for this disease mainly use antibiotics for anti-inflammatory pain, anti-infection treatment. According to the overall concept of Chinese medicine, it can be treated from multiple perspectives for different etiological factors, giving full play to the advantages of Chinese medicine's diagnosis and treatment, and thus the therapeutic effect is remarkable. As this disease is characterized by mixed deficiency and reality, mixed cold and heat, it is important to regulate the patient's liver, kidney, spleen and stomach, and to enhance the body's physical condition, so as to achieve the purpose of the body's anti-virus. Can accordingly choose wu zhu, cinnamon, warming diarrhea, Huanglian, cypress clearing heat and anti-inflammatory, hematite, five times the astringent intestinal solid, chronic diarrhea both symptomatic and curative, astringent antidiarrheal effect.
The internal treatment of Chinese medicine
1, liver qi insults the spleen type: diarrhea and emotional changes occur after the chest and hypochondriac distension pain, abdominal pain that is diarrhea, diarrhea, pain after the reduction of the bowel movement is characterized by a thin white coating, the pulse is thin. The formula is to add and subtract the formula of "Easy San" and "Essentials of Pain and Diarrhea". Add white peony and roasted licorice to relieve diarrhea, and add betel nut and jiao sanxian to eliminate and replenish diarrhea at the same time.
2. Spleen deficiency and dampness: characterized by fatigue, dullness and stuffiness in the epigastric region, intestinal sounding and diarrhea, and indigestible matter in the feces, with a pale tongue and white moss, and a slow and moist pulse. The formula is Ginseng Ling Bai Zhu San or Xiang Sha Liu Jun Zi Tang plus subtractions. Add cinnamon and ginger for cold; add Huang Lian, Scutellaria baicalensis and ginger for heat.
3, the spleen and kidney deficiency type: is the serious and difficult to treat the disease stage, the course of the disease is longer, to fear the cold, face 晄white, waist and knees cold, intestinal chirping diarrhea more in the pre-dawn, or diarrhea, diarrhea, diarrhea, the finished grain does not change the characteristics, the tongue is pale moss white slippery, the pulse is thin and feeble. The formula is Four Spirit Pills combined with Lian Li Tang plus subtractions. Changing dry ginger to shelled ginger, and adding umeboshi, gorgonzola, and aconite to warm and astringe the intestinal tract.
4, damp-heat injection type: for the beginning and attack of the disease, characterized by fever, abdominal pain, abdominal pain, diarrhea, red-white sticky jelly or pus and blood, the tongue is red with yellowish greasy fur, and the pulse is slippery. The formula is Bai Tou Weng Tang combined with Paeonia Lactiflora Tang plus subtractions. Add honeysuckle and red vine for heavy heat; add Houpu and Cangzhu for heavy dampness.
Chinese medicine enema therapy
1, chrysanthemum 30g, atractylodes macrocephala 15g, windproof 10g, licorice 10g, dahuric dahuricae 8g, rice shell 15g. blood in the stool when the addition of windproof charcoal, Yunnan Baiyao appropriate amount of more extensive ulcers, plus Lei Gongteng 6g. the above medicines decoction filtered through double gauze slagging, and then back to the pot to concentrate to 60 ~ 80ml, to the medicine to retain the enema, once a night for 7 to 10 days as a treatment. 7～10 days for 1 course of treatment.
2, astragalus, atractylodes macrocephala, danshen, white peony 20g each, Huang Huanglian, scutellaria, cyperus, windproof 15g each, honeysuckle, forsythia, white and, 10g each, each dose of medicine decoction 3 times, each decoction of 250ml of medicinal liquid, 3 **** 750ml, which is 250ml of morning, 250ml of pre-lunch, the remaining 250ml of medicinal liquid in the evening at night before bedtime for enema.
3, 30g of bitter ginseng, 15g of elm, 15g of acacia. water decoction concentrated to 100 ~ 250ml, another 6g of pearl layer powder dissolved in the liquid, retaining the enema. If the abdominal pain is obvious can add myrrh, curcuma in order to move qi and activate blood circulation, dissipate blood stasis and relieve pain; if the number of stools increases, the colon edema is obvious, can add raw coix seed to promote water retention and reduce swelling, strengthen the spleen to stop diarrhea and remove heat and pus.
4, raw Pu Huang 10g, cranesbill, sepiola, frankincense 15g, myrrh 6g, calcined keel 10g first decoction, raw oyster 10g first decoction, red stone 10g first decoction. The above medicine will be decocted into 200ml of liquid, every night before bedtime enema, 15 days for a course of treatment.
5, the gecko research and white and, decocted into a viscous broth retained enema, every 3 days 1 time, 5 times for a course of treatment. Another gecko, white and each half of the powder into a capsule, each time 2 to 3 capsules, taken between enemas, 1 course of treatment after the end of the capsule for 2 weeks, the treatment can be discontinued during the period of other Western medicines. Chinese medicine enema should be carried out every night before going to bed, empty the bowels before enema, the temperature of the liquid to 36 ℃ ~ 39 ℃ is appropriate.
Chinese medicine enema therapy for the treatment of colitis, can make the drug directly to the lesion site, but also play a role in local flushing and cleaning, in order to achieve antidiarrheal and anti-inflammatory, antispasmodic and analgesic, to improve the local blood circulation and metabolism, to enhance intestinal immune function, and to promote the healing of ulcers.
Operating matters
Preservation enema should be selected before going to bed, the patient was asked to empty the bowels, lying down for about 15 minutes after the implementation of the enema, the operator should be done gently, slowly, softly in order to reduce the irritation of the intestinal mucosa of the tube wall.
l)Position: When administering the drug, the patient should take the left side lying position. After the administration of the drug should be maintained in the knee-chest position for half an hour, and then take the left side of the lying position, after the right side of the lying position, the arm should be padded, in the administration of the drug should generally be lying down for a few hours, in order to reduce the intestinal mucosa stimulation, intestinal peristalsis increased spasm, to prevent premature discharge of the drug to the spasm is alleviated, can be appropriate activities to promote the absorption of the drug as soon as possible. Lesions in the lower end of the rectum, get out of bed activities can be earlier.
2)The depth of catheter insertion: generally inserted into 15-30cm is appropriate. Too shallow is the liquid seepage, so that the amount of medicine into the insufficient, and inconvenient to retain, affecting the efficacy of treatment, the big deep is easy to make the intestinal mucosa friction damage, aggravate the lesion.
3) the amount of medicine: the amount of enema should vary from person to person, such as lesions closer to the anus, the range is smaller, the enema should be less, on the contrary, such as lesions in a wider range, it is appropriate to enema more, but also can not be enema of most, or else not easy to get the desired effect. Generally 100-150ml per time is appropriate. For patients with high foci, the amount of medicine can be increased to about 200ml; note that the amount of medicine should be less and more, according to the patient's ability to adapt, and gradually increase the amount.
4) retention time: the longer the retention time, the better the therapeutic effect, so the liquid is required to thick decoction, generally retained for at least 4 hours or more, preferably in the evening before going to bed with the drug, retained until the next morning. Or you can add appropriate amount of lotus root powder to make a paste when using powder, retention effect is better than water.
5)Temperature of the medicine: in general, the temperature of the medicine should be maintained at about 40 ℃, but it should be adapted to the person, the time to do adaptive changes. Such as winter temperature should be high, can be about 45 ℃; summer temperature should be low, can be about 38 ℃. Damp-heat obstruction type patients, medicine temperature is low, deficiency cold patients medicine temperature is high.
6) course of treatment: generally two weeks for a course of treatment, rest for two days after continuing to apply, the length of the course of treatment and the recurrence rate of the high and low has a great relationship, so in the process of treatment, when the effect of taking, but still have to adhere to a period of time to one month for a course of treatment, generally in the drug 2 to 3 courses of treatment, gradually reduce the number of enemas, from the original once a day to every other day or twice a week, until half a year. The drug can be discontinued after about half a year.