1.What is ulcerative colitis, what are the main symptoms, and what are its causes?
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 cause of the disease is still unclear, and it is believed that there are many factors related to the development of the disease, such as infection, mental factors, enzyme factors, protective substance deficiency factors, genetic factors, immune factors, and so on. 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 with good efficacy for this disease are introduced.
(1) Poppy husk honey sizzling, thick park ginger 120 grams each. 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.
②60 grams each of Gorgon fruit and lily of the valley. Usage: The above two flavors are boiled in thin rice and eaten together. Suitable for patients with spleen deficiency diarrhea.
③Lotus seed meat 500 grams, appropriate amount of 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.
④10 pieces of hen’s nest, roasted and powdered, 4 grams each time, take with warm water, preferably with a light diet. It is suitable for diarrhea caused by spleen deficiency and food stagnation.
⑤ 30 grams of Chinese yam, 30 grams of coic rice, 5 jujubes. Usage: The above three herbs are boiled with thin rice or decocted with water, which also treats spleen deficiency diarrhea.
6) Plantago ovata is fried and powdered, 6 grams are taken, 18 grams are taken three times a day, and rice soup is mixed. It is suitable for patients with persistent diarrhea and inconvenient urination.
(7) 1 pomegranate peel, 50 grams of brown sugar or flake sugar or caramel. Take with water decoction 3 to 4 times a day. For patients with diarrhea with deficiency of spleen and kidney.
(8) Take 2 cloves of garlic gram and pound it, and 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.
195g of persimmon cream and 165g of wuxiangzi. Grind together very finely, 3 grams each time, and swallow in the skin of steamed bun, 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 onset 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 regulated with different types of evidence: 1.
1.Damp-heat type
Symptoms are abdominal pain or bloating, urgency, diarrhea, pus and blood, thick, sticky and smelly, anal burning, urine short and red, dry mouth and sticky, or chills and fever, yellow and greasy tongue coating, pulse number. Diet should be light and less oily liquid or semi-liquid. Do not eat spicy, fatty and sweet meat and fishy, raw and cold fruits and melons and hard and indigestible food. You can always eat: ① charred wild rice juice. Method: Stir fry wild rice seeds, 30 grams per day, water decoction. ② fried eggs with lentil flowers, or lentil flowers roasted and powdered, served with rice soup, 30 grams each time, 2 to 3 times a day. ③Mung bean porridge: Boil mung bean and japonica rice in appropriate amount as 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 are 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 easily digestible 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, heliotrope, lentils.
3.Spleen and kidney deficiency type
The symptoms include prolonged diarrhea, cold fear and cold limbs, abdominal pain at dawn, diarrhea is peaceful, cold abdomen and heat, sore and cold waist and knees, little food and yellow face, pale 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: chopped beef stew into juice; pork kidney cut into fine flowers, add 10 grams of bone marrow, boil for 1 hour, add salt and other seasonings, divided into 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. The treatment course is once a day for 12 times.
Some people also take helium-neon laser to irradiate the Shen Que point once a day for 15 minutes. At the same time, laser acupuncture needles are inserted into the large intestine 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. Generally speaking, patients with ulcerative colitis who are depressed can use music that has the effect of cheering up the chest and relieving depression, such as Beethoven’s Minuet in G Major, Mozart’s Romance, and national music such as Joyful Ocean, Yang Guan San Jian, and Holiday Beach. This kind of music has a bright rhythm and smooth melody, which can naturally dispel depression and open up the chest. If the patient is accompanied by irritability and insomnia, then you can use the music with tranquilizing and hypnotic to eliminate tension and agitation, you can use the melody slow and leisurely, the tune low and soft music, such as lullabies, serenades, plum blossom three, spring river flowers and moonlight night. If the patient has a pessimistic mood, you can use music that makes people relaxed, happy and joyful. You can use melodious, rhythmically bright and varied, beautiful tone music, such as Beethoven’s Symphony No. 5 in the seventh minor, the first movement of fate; national music such as “Birds in the Woods” and “Hundred Birds in the Sky”. If the patient has a decreased appetite and does not think about eating, music that stimulates the improvement of gastric secretion and gastric peristaltic function and helps digestion can be used, and music with beautiful and elegant melodies, natural stretching and smooth, and little change in intensity can be chosen, such as Beethoven’s Spring Sonata first movement, Tchaikovsky’s Four Little Swans, etc.
6, ulcerative colitis patients should be how to prevent and care?
The prevention of ulcerative colitis patients focuses on the prevention of some 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.