abstract

Acute gastroenteritis is a common and frequently-occurring disease in summer and autumn. Most of them are due to bacterial and viral infections. The main manifestations are diarrhea and abdominal discomfort, and the symptoms and degrees of upper digestive tract are different, followed by the loss of electrolytes and liquids. This disease belongs to the category of "vomiting, abdominal pain and diarrhea" in traditional Chinese medicine.

The cause of disease

Acute gastroenteritis is an acute inflammatory change of gastrointestinal mucosa caused by eating food containing pathogenic bacteria and their toxins, or improper diet, such as food that is too irritating and difficult to digest. In China, the incidence rate is high in summer and autumn, and there is no gender difference. The general incubation period is 12 ~ 36 hours.

Salmonella is the main pathogen causing acute gastroenteritis, among which Salmonella typhimurium, Salmonella enteritidis, Salmonella choleraesuis, Salmonella gallinarum and Salmonella duck are more common.

symptom

The main manifestations are nausea, vomiting, abdominal pain and diarrhea; Have a fever, etc. In severe cases, it can cause dehydration, electrolyte disorder and shock. Most patients first showed nausea and vomiting; Followed by diarrhea, 3-5 times a day or even dozens of days, the stool is mostly water-like, dark yellow or light green, smelly, and may be accompanied by abdominal cramps, fever, body aches and other symptoms.

cheque

Routine stool examination and stool culture;

The white blood cell count can be normal or abnormal.

treat cordially

1. western medicine treatment

(1) General treatment: Try to stay in bed and take oral glucose-electrolyte solution to make up for the loss of body fluids. If vomiting persists or dehydration is obvious, 5%- 10% glucose saline and other related electrolytes should be added intravenously. Encourage people to take light liquid or semi-liquid crystal to prevent dehydration or treat mild dehydration.

(2) Symptomatic treatment: if necessary, antiemetic drugs can be injected, such as intramuscular injection of chloropropanol 25- 100mgl. Spastic drugs: such as belladonna 8nkan 1 1 time, daily 1 time. Antidiarrheal drugs: such as smecta 1 bag, 1 2-3 times a day.

(3) Antibacterial therapy: The therapeutic effect of antibiotics on this disease is controversial. Targeted antibiotics can be appropriately selected for infectious diarrhea, such as berberine O.3g orally, 1 3 times a day or gentamicin 80000 u orally, 1 3 times a day, etc. However, abuse of antibiotics should be prevented. 2. Chinese medicine treatment

(1) Gastrointestinal damp-heat: acute onset, often nausea, vomiting, acid regurgitation, sudden abdominal pain, acute diarrhea, unpleasant stool, yellow and brown stool, thirsty and upset, short urine, yellow and greasy tongue coating, and thready or slippery pulse.

Treatment: clearing away heat and dampness, regulating qi and stopping diarrhea.

Prescription: Radix Puerariae 10g, Radix Scutellariae 10g, Rhizoma Coptidis 6g, Radix Aucklandiae 10g, Poria 12g, Semen Plantaginis 10g, Semen Lablab album 10g, and Coicis Semen10g.

(2) Cold-dampness block: spit clear water. Nausea, diarrhea like water, abdominal pain and bowel sounds with chills and fever, neck or joint pain all over the body, thin white or greasy fur, and rapid pulse.

Treatment: dispelling cold and removing dampness, stopping diarrhea halfway.

Prescription: Pogostemon Pogostemonis 10g, Perilla frutescens 10g, Poria cocos 12g, Pinellia ternata 10g, Atractylodes macrocephala 10g, Perilla frutescens 10g and Magnolia officinalis 10g.

Chinese patent medicine: Huoxiang Zhengqi Water.

(3) Gastrointestinal food stagnation: nausea and anorexia, the more you eat, the faster you vomit; Abdominal pain, foul-smelling diarrhea, dyspnea, pain relief after diarrhea, thick and greasy fur, smooth and firm pulse.

Treatment: digestion and stagnation, regulating stomach and descending adverse flow.

Prescription: burnt hawthorn10g, Massa Medicata Fermentata10g, processed Pinellia tuber 20g, Poria cocos12g, dried tangerine peel10g, radish10g and areca nut peel10g.

Chinese patent medicines: Baohe Pill and Xiang Lian Huazhi Pill.

(4) Spleen and stomach weakness: upper vomiting and diarrhea, loose stool, clear water, dull complexion, listlessness, pale tongue and weak pulse caused by congenital deficiency, spleen deficiency and careless diet 10.

Treatment: invigorating spleen and regulating qi, regulating stomach and stopping diarrhea.

Prescription: 3 grams of ginseng, 3 grams of Atractylodes macrocephala12g, 0/2g of yam/kloc-0, 2g of poria cocos12g, 0/2g of lentils, 0/0g of dried tangerine peel/kloc-0, 3g of Amomum villosum and 0/2g of coix seed/kloc-0.

Chinese patent medicine: Ginseng Jianpi Pill.