1. What are the causes of ulcerative colitis?
Ulcerative colitis is an inflammatory disease of the colon characterized by extensive ulceration of the colonic mucosa, also known as chronic non-specific ulcerative colitis. It is a multi-causal or unexplained inflammatory colon disease that involves mostly the rectum or distal colon, and may invade the entire colon. The main manifestations include diarrhea, mucus and blood stools, and abdominal pain. According to Chinese medicine, the disease is mainly caused by the external influences of the six sexes and the internal injuries of the seven emotions, or the loss of health and fitness of the spleen due to raw and cold food, labor and fatigue, or the damage of the blood channels of the large intestine by the evil of dampness and heat, resulting in diarrhea and pus and blood in the stool. Western medical research on the etiology of the disease is still unclear, and there are many factors related to the pathogenesis, such as infection, mental factors, enzyme factors, protective substance deficiency factors, genetic factors, immune factors, etc. The majority of scholars believe that the cause of ulcerative colitis is mainly immune factors and genetic factors, other factors are only the causative or secondary factors of the disease.
The main symptoms of ulcerative colitis are diarrhea, mucus stool and abdominal pain. According to traditional Chinese medicine, the disease is mostly caused by a deficiency of the spleen that cannot overcome dampness, external exposure to the evil of summer and dampness or the internal growth of evil in the large intestine; or emotional and mental disorders that damage the liver and spleen, resulting in stagnation of qi and blood stasis. If the disease is prolonged, the spleen and kidneys are injured, the spleen qi is sunken, the kidney yang is weakened, the positive qi is weak, and both yin and yang are injured. Therefore, the treatment should identify the prevalence of dampness, heat and qi stagnation, and the deficiency of the diseased organs. The following specific prescriptions are introduced to treat this disease with good efficacy.
(1) 120 grams each of poppy husk honey sizzle and thick park ginger. For fine powder, take 3 grams per serving, drink rice soup, avoid cold, spicy and oily products. It is suitable for patients with prolonged diarrhea.
(2) Gorgonian, lily of the valley 60 grams each. Usage: The above two flavors are boiled in thin rice and eaten together. Suitable for patients with spleen deficiency diarrhea.
(3) 500 grams of lotus seed meat and honey. How to use: Stir-fry and grind, refine honey into pills, 4 grams each time, 3 times a day. It is suitable for patients with prolonged diarrhea.
(4) 10 pieces of hen’s nest, roasted and powdered, 4 grams each time, warm boiled water, suitable for light diet. It is suitable for diarrhea caused by spleen deficiency and food stagnation.
(5) 30 grams of Chinese yam, 30 grams of coix seeds and 5 jujubes. Usage: The above three herbs boil thin rice or decoction to eat together, also treats spleen deficiency diarrhea.
(6) Plantain fried, powdered, take 6 grams, 3 times a day a total of 18 grams, rice soup mix. It is suitable for patients with persistent diarrhea and unfavorable urination.
(7) 1 pomegranate peel, 50 grams of brown sugar or flake sugar or caramel. Take with water decoction 3 to 4 times daily. For patients with diarrhea with deficiency of spleen and kidney.
(8) Take 2 cloves of garlic gram and pound it, paste it on the heart of the foot or in the umbilicus. It is suitable for patients with prolonged diarrhea due to deficiency of cold.
(9) Take 20 grams of Shen Qu in water twice a day. For patients with spleen deficiency and food stagnation.
(10) 195g of persimmon cream and 165g of wu bai zi. Grind together very fine, 3 grams each time, and swallow with steamed bun skin, 3 times a day. For patients with prolonged diarrhea.
3.What is the evidence-based dietary therapy for ulcerative colitis?
Ulcerative colitis is characterized by diarrhea, mucus and bloody stools, and abdominal pain. The Chinese medicine believes that its development is due to poor diet, excessive thinking, injury to the spleen and stomach, resulting in the failure of transport and transformation, water dampness does not transform, tend to the large intestine. Therefore, the regulation of diet, especially the identification of food therapy is very important for the control and improvement of this disease. Clinical practice has proved that ulcerative colitis is mostly divided into the following three types, and its diet is also adjusted with different types of evidence: (1) damp-heat type
(1) Damp-heat type
Symptoms include abdominal pain or distension, urgency, diarrhea with pus and blood, thick, sticky and smelly, burning in the anus, short and red urine, dry and sticky mouth, or cold and fever, yellow and greasy tongue coating, and number of pulse. Diet should be light and less oily liquid or semi-liquid. Avoid eating spicy, fatty and sweet meat and fishy, raw and cold fruits and melons, and hard and indigestible food. Can often eat.
① charred wild rice juice: method: wild rice seeds fried charred, 30 grams per day, water decoction.
②Egg fried with lentil flowers: or lentil flowers roasted and powdered, served with rice soup, 30 grams each time, 2 to 3 times a day.
(3) Mung bean porridge: Boil mung bean and japonica rice in appropriate amounts to make porridge, and urge the patient to drink more water or strong tea or sugar and salt water to replenish fluid in time to prevent injury to fluid.
(2) Spleen deficiency type
The symptoms include intestinal tinnitus and diarrhea, which sometimes occur and sometimes stop, loose stools and sometimes diarrhea, incomplete grain, sometimes with blood, abdominal distension and lack of desire to eat, fatigue and weakness, white fur and thin pulse. It is advisable to eat nutritious, light and easy to digest products, and warm and soft food, not cold food, especially avoid slippery, cold products such as sesame, celery, etc.. Eat more red (black or sour) date soup, more hot porridge of Coix seeds, Citrus aurantium and lentils.
(3) Spleen and kidney deficiency type
Symptoms include prolonged diarrhea, cold fear and cold limbs, abdominal pain at dawn, diarrhea is peaceful, cold abdomen and heat, waist and knees are cold, little food and yellow face, light tongue with white fur and sunken pulse. Can often eat yam glutinous rice soup. Method: 60 grams of yam, research fine powder, and then heat glutinous rice powder 1 liter, and well, every morning take 4 spoons, add sugar and water as appropriate, cooked into a paste for breakfast. Later, the dose can be increased as appropriate. Another can often eat beef juice, pork kidney soup. Method: beef chopped stew into juice; pork kidney cut into fine flowers, add 10 grams of bone marrow, boil for 1 hour, add salt and other seasonings, eaten in meals.
4, ulcerative colitis available acupuncture and other therapies?
Most of the conservative treatments for ulcerative colitis are oral treatment with Chinese herbs and western medicine, or treatment with Chinese herbs and western medicine with reserved enemas. In order to improve the efficacy of conservative treatment, medical professionals have continuously practiced and researched that other therapies such as acupuncture can enhance the therapeutic effect of the above methods. The acupuncture points commonly used in clinical practice are: Sanyinjiao, Sansili, Spleen Yu, Guan Yuan, etc. The method is to use the tonic method for deficiency, and the diarrhea method for actuality, 10 days for a course of treatment. If the dysentery is pus and blood, abdominal pain is obvious, Dantian, Small Intestine Yu, Tianshu and Fuyao can be used; if the internal urgency is obvious, Hegu and Waiguan can be added, and moxibustion with moxa or cumin can be added.
In recent years, some people also use JYY-1 type meridian point moxibustion therapy instrument to irradiate acupuncture points such as Tianshu and Daoyu, and irradiate them for 15 to 30 minutes a day. At the same time, acupuncture points such as Zhongshu, Tianshu, Qihai and Gongsun are also used. Once a day, 12 times for a course of treatment.
Some people also take helium-neon laser irradiation of the Shen Que acupoint once a day for 15 minutes. At the same time, laser acupuncture needles are pierced into the Great Intestine Yu, and irradiated once a day for 15 minutes each time for 4 times as a course of treatment.
In addition, it has also been treated with vitamin C 500 mg slowly injected into bilateral secondary points, and satisfactory results were achieved.
5.What is the therapeutic effect of music on ulcerative colitis?
In addition to symptoms such as diarrhea, abdominal pain and mucopurulent stools, patients with ulcerative colitis often have varying degrees of various pathological manifestations mentally, especially in patients with chronic ulcerative colitis, whose manifestations are mainly depression, irritability and insomnia, or even pessimism and anorexia, and decreased appetite. Therefore, in addition to the targeted treatment of the various symptoms of ulcerative colitis with drugs, music has a very miraculous effect on improving the psycho-spiritual disorders of patients. In general, the melancholy ulcerative colitis patients can use the music that has the effect of opening the chest and relieving depression.
6, ulcerative colitis patients should be how to prevent and care?
The prevention of ulcerative colitis patients focuses on the prevention of some of the causes that may trigger the disease. You should avoid fatigue and emotional excitement; if an intestinal infection occurs, active treatment should be carried out according to the pathogenic bacteria to prevent it from turning into a chronic intestinal infection; for those who are allergic to drugs or food, you should prevent further exposure and consumption, and pay attention to dietary nutrition to prevent the lack of protective substances such as folic acid.
If the diarrhea is severe, the patient should be put to bed to rest, maintain the patient’s stable mood and relieve the mental burden.
It is best to give high-calorie, high-protein, low-digestible food that is less irritating to the gastrointestinal tract.
On the other hand, the patient with ulcerative colitis should establish a good living system and diet, and strengthen physical exercise.
In case of severe ulcerative colitis patients, it is more important to observe the appearance of serious complications such as intestinal perforation and hemorrhage. For example, if there is a sudden onset of severe pain in the abdomen, or a sudden large amount of blood in the stool, the patient should be kept in bed, fasted, and quickly sent to the hospital for observation in order to be rescued in a timely and effective manner.