How Chinese Medicine Treats Bowel Abnormalities

In medicine, stool is the excretion of food and drink after digestion in the digestive tract, and its normalcy is an important symbol of the normalcy of digestive function. When the stool is normal, the digestive function is normal; when the stool is abnormal, the digestive function is in a state of disease. Normal stools should be yellowish brown, moderately soft and hard in the form of a hard paste, once a day, before and after the stools without additional discomfort (pain). Abnormal stools, in addition to abnormal color, can be seen in the stool quality, frequency of defecation, abnormal defecation process, and the accompanying discomfort before and after defecation. Abnormal stool quality can be seen in dry stools, hard as a ball or watery stools, loose stools, unformed stools, formed stools but soft stools, or dry stools with watery stools, or mucus, bloody stools; abnormal frequency of defecation can be seen in the stools 2-n times a day or once every 2-n days; abnormal process of defecation can be seen in the stools immediately after the intention to have a bowel movement, or waiting for a few minutes to tens of minutes before having a bowel movement; before and after the bowel movement with discomfort Can be seen in the pre-stool abdominal pain, urgency, stool adhesion is unfavorable, stool after the feeling of unclean or drop sensation, and so on. Therefore, when measuring whether the stool is normal or not, the above situations should be combined to judge in order not to make mistakes. For the treatment of stool abnormality, Western medicine is divided into inflammation, functional and organic lesions disposal, most patients still have abnormal stool at the end of treatment, which is the weakness of Western medicine. Chinese medicine in the past, the treatment of stool abnormalities, more than did not recognize that stool abnormalities are caused by the weakness of the spleen and stomach, over-emphasis on the dampness of the spleen and stomach and the obstruction of the evil heat, visceral qi and the use of light seepage of dampness and diarrhea, clearing heat and laxative treatment, especially in the treatment of constipation. When treating abnormal bowel movements, we now argue that the patient’s pathology belongs to coldness in the spleen and stomach, dampness trapping the spleen, lack of Qi in the middle, weakness in promotion, and stagnation of Qi in the large intestine according to the patient’s clinical characteristics, and choose the treatment of warming and tonifying the spleen and stomach, strengthening the spleen and dissolving dampness, tonifying the middle and benefiting the Qi, and promoting Qi stagnation, and use the formulae composed of warming and strengthening the spleen, tonifying and strengthening the spleen and promoting Qi, and absolutely do not need to choose the laxative or diarrhoeal laxative drugs in the past, because bitter cold diarrhoeal drugs will paralyze the patient’s pressure-receiving nerve endings after serving. The reason is that the bitter and cold laxatives will paralyze the patient’s pressure sensing nerve endings in the colon after taking them, so that they will not produce the urge to defecate even if they want to do so in response to the stimulation of the arrival of feces. The treatment takes into account the fact that each patient has a difference in sensitivity to the action of drugs, so a basic prescription is given first. This prescription may not always be the most appropriate for the patient, it carries the subjectivity and experience of the doctor. After the patient has taken the medicine and returned to the clinic, the doctor may make moderate adjustments according to the changes in the patient’s condition after taking the medicine, increasing or decreasing the flavor of the medicine or the dosage of each drug. This process is generally after 3-5 times of follow-up can be achieved after the patient stool once a day, loose feces, no discomfort before and after defecation, and sometimes it is necessary to go through a number of follow-up to achieve the point. In the follow-up, the doctor will increase or decrease the dosage of Deer Antler Cream according to the softness or hardness of the patient’s feces, each time the dosage will be increased or decreased by 3-5 grams, and the dosage will be increased or decreased by Astragalus and Citrus aurantium according to the degree of difficulty in bowel movements, and the dosage will be increased by Astragalus and Citrus aurantium according to the degree of difficulty in bowel movement, and the dosage of Astragalus and Citrus aurantium will be increased according to the degree of difficulty in bowel movement and the dosage of Citrus aurantium will be increased accordingly; Increase the dosage of Citrus aurantium according to the number of days between each bowel movement. Generally speaking, 18 grams is enough for those who have 1 bowel movement in 2 days, 24-30 grams for those who have 1 bowel movement in 3 days, and 35-60 grams for those who have 1 bowel movement in 4-6 or 7 days or longer. From the point of view of Western medicine, constipation and loose stools, diarrhea, the mechanism is completely different, the treatment is also very different. Constipation is caused by hyperabsorption of water from the feces in the colon, low transmission function of the colon, and mechanical blockage of organic lesions. Because Western doctors do not understand the connotation of Chinese medicine deficiency, will not understand the role of qi deficiency in the mechanism of constipation and Chinese medicine treatment of constipation why to use astragalus, ginseng class of Chinese medicine meaning; loose stools and diarrhea is the colon of feces water absorption function is low, the colon transmission function of hyperfunction due to the mechanism of constipation is completely different, and therefore in the treatment and treatment of drugs is very different.