Irritable bowel syndrome We often meet patients in the clinic complaining, “My intestines are very ‘delicate’, go out for a meal even if you eat light will come back to upset stomach, work and family pressure a little more, the stomach will be ‘goo’ protest, frequent diarrhea has become a daily compulsory course “. In fact, this “delicate” intestine is the performance of irritable bowel syndrome. What is irritable bowel syndrome? Irritable bowel syndrome is a common functional gastrointestinal disorder. Patients are mostly young adults, with more women than men, and the age of onset is mainly between 20 and 40 years old. Symptoms include abdominal pain, diarrhea, changes in stool characteristics (e.g. mucus stool, watery stool or hard stool), and sometimes strained bowel movements with a sense of urgency or incomplete evacuation. Some patients may have alternating diarrhea and constipation. Although not life-threatening, it can affect people’s quality of life to varying degrees. Why are the bowels “agitated”? Irritable bowel syndrome (IBS) is a functional bowel disease characterized by abdominal pain or abdominal discomfort accompanied by changes in bowel habits, and organic diseases that can cause these symptoms must be excluded by examination. The prevalence of this disease in China is about 5.67%, of which the diarrheal type accounts for about 65%. The main manifestation of diarrheal irritable bowel syndrome is abdominal pain before stool, that is, diarrhea, and abdominal pain relief after diarrhea. Careful questioning of the medical history of patients with diarrheal irritable bowel syndrome reveals that this group of patients often has the following two characteristics: First, before the diagnosis of diarrheal irritable bowel syndrome, this group of patients is more prone to diarrhea in daily life. When we go out for a meal, we eat the same dishes, but others are fine, while we tend to have diarrhea. Some patients usually have more formed stools at first, but when water is flushed, they are loose and unformed, which is what Chinese medicine calls “insubstantial stools”. Some patients also show that the stool sticks to the toilet wall and is difficult to flush out, which is called “stool sticking” in Chinese medicine. In Chinese medicine, this is a sign of Spleen-Qi deficiency and loss of healthy movement, while stagnant stools are considered by Chinese medicine to be caused by Spleen deficiency and dampness. Second, these patients are more sensitive to food or the temperature of the surrounding environment. Some patients will have diarrhea when they eat cold food, while others will have diarrhea when the temperature drops suddenly or when the temperature of the surrounding environment changes dramatically (for example, entering an air-conditioned room from outdoors on a hot day). For this kind of diarrhea that occurs due to cold, Chinese medicine considers it to belong to spleen-yang deficiency or spleen-kidney-yang deficiency. Third, the onset of this type of patient is often related to emotional factors, either due to stress and anxiety or depression due to work stress. Chinese medicine believes that emotional factors are mostly related to the liver, and that either depressed liver qi or hyperactive dry wood qi can cause liver wood qi to offend spleen earth, resulting in a loss of spleen health. Therefore, TCM believes that the underlying pathogenesis of diarrhea-type irritable bowel syndrome is a deficiency of spleen (Yang) qi and disharmony between liver and spleen. Who should be aware of the occurrence of irritable bowel syndrome? Irritable bowel syndrome is a physical and mental disease, and the following 4 types of people are most likely to get it: 1. Introverted people. They tend to be unsociable and like to carry the pressure on their own, and are prone to long-term negative emotions, which affects the plant nerve function, thus inhibiting the gastrointestinal function and slowing down the bowel movement. 2, high stress. Often can not eat, or irregular diet, lack of exercise, will trigger gastrointestinal nerve disorders. 3, people who have suffered major changes and setbacks. May suffer from post-traumatic stress disorder, timid, sensitive, fragile, a little small stimulus may cause plant nerve dysfunction. 4, women. Modern women have to balance family and work, more stress, and therefore more likely to suffer from functional gastrointestinal disease. How do we enrich the “delicate” intestines? 1, avoid mouth patients with gastrointestinal disease should pay attention to avoid mouth, do not eat too cold, too hot, too hard, too spicy, too sticky food, more avoid overeating, quit smoking and alcohol. 2, meditation Stomach disease, duodenal ulcer and other diseases occurrence and development, and human emotions, state of mind is closely related. Keep a happy spirit and emotional stability. Avoid tension, anxiety, irritation and other adverse emotional stimuli. 3, exercise Gastrointestinal patients should combine their physical signs, strengthen moderate exercise to improve the body’s ability to resist disease, reduce the recurrence of disease, and promote physical and mental health. 4, warmth people suffering from chronic gastritis, pay special attention to the stomach warmth, add clothes at the right time, sleep well at night bedding. 5, conditioning The autumn diet of patients with gastric disease should be warm, soft, light, vegetarian, fresh, to achieve regular rationing, eat less and more meals, so that the stomach often have food and stomach acid to neutralize. If the symptoms of irritable bowel syndrome appear, do not take a lot of anti-inflammatory drugs for a long time to aggravate the condition of digestive tract dysbiosis, but go to a professional hospital to clarify the cause and systemic treatment.