Wu Wenbo, Shijiazhuang Hospital of Traditional Chinese Medicine, Hebei Province, China

Diarrhea

Diarrhea is a common symptom that refers to an increase in the number of bowel movements per day or a change in the nature or shape of the stools (the stools become thinner or contain substances such as mucus, pus and blood, and they may also contain undigested food and other pathologic contents), and the patient will The patient will have a sense of urgency and heaviness.

According to Western medicine:

There are many causes of diarrhea, which can be divided into infectious diarrhea and non-infectious diarrhea in terms of etiology. Infectious diarrhea (the pathogens include bacteria, viruses, parasites, and fungi, etc.) is mostly caused by infectious factors, and the bowel movements can be up to a dozen or more times a day, and the feces are often thin and watery. Infectious material is often mixed with the feces. Non-infectious diarrhea (e.g., dietary diarrhea, allergic diarrhea, symptomatic diarrhea, etc.) is mostly caused by improper diet. If different from the progress of the disease, can be divided into acute diarrhea and chronic diarrhea, acute diarrhea onset of acute, short cycle, mainly and infection and poisoning related, chronic diarrhea onset of slow, is due to long-term chronic infections and intestinal inflammation itself caused by infection.

According to Chinese medicine:

Diarrhea belongs to the category of "vomiting, abdominal pain, diarrhea" in Chinese medicine.

In ancient times, loose stools and slow momentum for the leakage, stools as thin as water and straight down for diarrhea, now collectively referred to as diarrhea. This disease can occur throughout the year, with summer and fall being the most common. It is mainly caused by the congestion of dampness and the dysfunction of the spleen and stomach, which leads to a lack of separation of clear and turbid, and the mixing of water and grains, and go to the large intestine and cause.

(1) feel the external evil: six obscene injuries, spleen and stomach dysfunction, can cause diarrhea, but which is mainly wet, and often both cold, heat, summer and other evils. Spleen hate wet like dry, dampness is most likely to injure the spleen, so there is "no wet no leakage" said. (2) Dietary injuries: Where the food is too full, the food stops, or wanton food cold, cold and food obstruction, overfeeding fat, dampness and heat, or eating unclean things, injury to the stomach and intestines, transport and transformation is not normal, the water and grain stops for the stagnation of wet, the formation of diarrhea. (3) Emotional disorders: the spleen and stomach are weak, but due to depression, anger and anxiety, the liver is depressed and not able to reach, the liver qi is against the spleen, the spleen and stomach are restricted, and the transport is out of order, resulting in diarrhea. (4) Weakness of the spleen and stomach: the spleen is the main transport, the stomach is the main sodium, can be due to dietary disorders, fatigue and internal injuries, chronic illness, can lead to the spleen and stomach weakness, can not receive the water and grain and transportation of the essence of the stagnation of the water and grain, the turbidity is not differentiated, mixed and down, and then into diarrhea. (5) kidney yang deficiency: long-term disease and kidney, or old age, or kidney yang is not vibrant, the fate of the fire failure, yang qi deficiency, the spleen is not warm, can not be ripened water and grain, then the water and grain not to become diarrhea.

Drugs for diarrhea

Western medicine

1. Commonly used in acute infectious diarrhea drugs: cotrimoxazole, haloperidol (norfloxacin), ciprofloxacin (ciprofloxacin), fluocinonazole (oxfloxacin) is effective against bacillary dysentery, salmonella or toxin-producing Escherichia coli, Helicobacter infections, and metronidazole is effective against lysosomal amebae, and Pearly Flagellate infections.

2. Oral rehydration salts treatment: Commonly, there are Bo Ye oral rehydration salts III, which treats mild to moderate dehydration caused by diarrhea, replenishes body fluids, and replenishes water, sodium, potassium, and chlorine.

3. Antidiarrheal drugs: commonly used activated charcoal, tannin, bismuth subcarbonate, aluminum hydroxide gel, etc., 3 4 times a day.

4. Mucosal protective agents: montmorillonite, aluminum sulfate, etc..

5. Microecological agents: such as Bifidobacterium bifidum can regulate intestinal flora, such as enterosan, Pepcid, Mamma Mia, Rejuvenate, etc., which can improve intestinal immunity, protect the growth of beneficial bacteria, promote gastric secretion, enhance digestion and other functions.

Proprietary Chinese medicines

1. Ginseng, Poria, Atractylodes macrocephala, Chinese yam, lentils, lotus seeds, Semen Coicis, Semen, Platycodon grandiflorus, licorice, Pericarp, etc., has a very good qi, spleen, regulating the effect of diarrhea.

2. Ginseng spleen pill: ginseng, atractylodes, licorice, yam, lotus seeds, white lentils, wood, nutmeg, pericarp, green peel, and six Shenqu, buds, hawthorn, gorgonzola, Coix lacryma, Angelica sinensis, Hovenia sinensis, and other common traditional Chinese medicines, has the spleen, and the stomach to stop diarrhea, diarrhea, can be taken.

3. Six Gentlemen Pill: composed of Codonopsis, Poria, Rhizoma Atractylodis Macrocephalae, Glycyrrhiza Uralensis, Semen Haematocrit, Pericarpium Citri Reticulatae, Ginger, Jujubes and so on, which strengthens the spleen and stops diarrhea.

4. Pianzi Lizhong Pill, the main ingredients of this drug are Pianzi, Radix et Rhizoma Ginseng, Rhizoma Atractylodis Macrocephalae, dried ginger, licorice, and other mild herbs, which can warm up the middle of the body and strengthen the spleen when taken appropriately.

5. tonifying the spleen and intestines pill: from astragalus, ginseng, radix et rhizoma, radix et rhizoma, angelica sinensis, atractylodes macrocephala, cinnamon, fenghusuo, lychee kernel, ginger, licorice, windbreaks, as well as wood sorrel, bone marrow, hematite and other traditional Chinese medicines, the drug can play a good tonifying qi, astringent intestines and stopping diarrhea and other effects.

6. Sishenwan: composed of tonic bone resin, nutmeg, schizandra, Wu Zhu Zi, and so on, if you take it can play a diarrhea effect.

7. Feng polygonum gastroenterology Kang tablets: the main ingredient is the cow's ear maple, spicy polygonum, sugar-coated tablets, remove the sugar coating showed dark brown; taste astringent. Regulates qi and strengthens the stomach, removes dampness and resolves stagnation. It is used for acute gastroenteritis caused by unhealthy transportation in the middle, stagnation of qi and dampness, and the dyspepsia caused by abdominal distension, abdominal pain and diarrhea.

8. Ge Gen Baicalin Lian Wei Pill: composed of Ge Gen, Scutellaria baicalensis, Huang Huanglian, and Radix et Rhizoma Glycyrrhizae. Relieve muscle, clear heat, stop diarrhea and dysentery. Used for diarrhea and dysentery, body heat and thirst, dysentery odor; bacillary dysentery enteritis.

9. Xianglian pill: composed of Cornu Cervi Pelargonium, Wood Fragrance. It has the efficacy of clearing heat and drying dampness, promoting qi and relieving pain. Used for diarrhea and abdominal pain, yellow and sticky stool.

10. Solid root and intestinal tablets: composed of codonopsis, fried atractylodes, bone marrow, fried yam and so on. It has the effect of strengthening the spleen, warming the kidney, astringing the intestines and stopping diarrhea. It is used for diarrhea caused by Yang deficiency of spleen and kidney, symptoms include abdominal pain, loose stools or mucus and mucus blood stools, low food intake, abdominal distension, lumbar pain and weakness, cold limbs, pale tongue and white moss.

11. Patchouli Zhengqi Pill: patchouli, perilla, Angelica dahurica, thick Park, abdominal skin, half-summer, Chen Pi, Cangzhu, Poria, etc., has the effect of relieving the surface of dampness, regulating qi and neutralization. It is used for cold and flu caused by external wind-cold, internal dampness or summer dampness, with headache, heaviness, chest and diaphragm constriction, epigastric distension, vomiting and diarrhea, and gastrointestinal cold and flu with the above symptoms.