1. general rules for program development
General rule: treat the symptoms if it is urgent, treat the root if it is slow.
Line: follow the process of diagnosis and treatment of constipation with a combination of Chinese and Western medicine.
Expectation: The treatment should be effective, with no damage to the body or less damage in a short time, and low cost.
2. decreasing medication method
Treatment of constipation should not be rash, without careful identification and diagnosis, they will be rhubarb, senna leaf of diarrhea, often endless problems. Second, avoid a party to the end, a party effective will be taken for a long time, not only can produce adverse reactions, but also can make patients produce drug dependence. The correct treatment method is treatment should start from the maximum effective dose, so that the patient can maintain a daily defecation after the drug, after a certain course of treatment, the taste of medicine, the dose should be reduced to the maintenance amount, and then a certain course of treatment to reduce to stop the drug. Xu Xiaowei, Department of Anorectal Medicine, Liaocheng Hospital of Traditional Chinese Medicine
3. cognitive therapy
Cognitive therapy is psychotherapy, to introduce patients to the science of constipation, so that they understand constipation and can treat it correctly, establish confidence to overcome the disease, to have group communication, to avoid loneliness.
4. Defecation training
Establish good defecation habits, only the morning (upright reflex) and after breakfast (gastrointestinal reflex) defecation is physiological defecation, each defecation time should not be too long, and change the bad habit of reading the newspaper when going to the toilet. Patients with constipation can apply corky, laxative suppositories or saline enemas before going to the toilet during physiological defecation time, and conduct regular defecation training to rebuild physiological defecation habits.
5. Dietary modification, exercise and water intake
Increasing dietary fiber, dietary modification, jumping exercise, drinking 3000ML of water daily and a glass of cold water in the morning will help gastrointestinal motility.
6. Pay attention to enema treatment
Enema treatment is similar to “opening the floodgates and releasing water” to guide the circulation, which is more in line with the physiological characteristics of the large intestine. There are three main benefits: drugs directly to the site, dilute the fecal mass, induce defecation.