Enteritis is a general term for inflammation of the intestinal tract. According to the characteristics of the onset of the disease can be divided into two categories: acute and chronic. Acute enteritis is an acute catarrhal lesion of the intestinal mucosa; chronic enteritis is a disease in which the inflammatory process of the intestinal wall mucosa is extremely slow and recurring and lingering, and it is transformed from acute enteritis, with diarrhea as its main symptom.
This disease belongs to the category of “diarrhea” in Chinese medicine.
I. Etiology and pathogenesis
Acute enteritis due to dietary irregularities, eating cold and unclean things, damage to the spleen and stomach, transport and transformation dereliction of duty or summer humidity and heat evil, guest in the gastrointestinal, spleen by wet trapped, evil stagnation interlocked, adverse qi, gastrointestinal transport and conduction malfunction, so that the clear and turbid indistinguishable, water and grain mixed and down. Chronic enteritis, from the spleen and stomach deficiency, long illness, or external evil delayed for a long time, the spleen and stomach to receive, transport and transformation of dereliction of duty, water and dampness within the stop, clear and turbid and down; or emotional and mental disorders, liver loss of drainage, cross-reverse multiplied by the spleen, resulting in transport and transformation of dereliction of duty; or kidney Yang deficiency, the life of the fire failure, can not warm the spleen and earth, ripening water and grain and caused.
The location of the disease is in the intestine, but the key organ of disease is the spleen and stomach, in addition to the liver and kidney have a close relationship. Spleen deficiency and dampness is the key.
The identification and typing
The Chinese medicine believes that acute enteritis is mostly actual evidence, while chronic enteritis is deficiency evidence or mixed evidence of deficiency and reality. The main symptoms are increased frequency of stools, thin stools or even watery stools, or incomplete grain, accompanied by abdominal pain, intestinal tinnitus and other symptoms.
1.Actual evidence
Rapid onset, short duration, abdominal pain and refusal to press, relief after diarrhea.
(1) Cold and dampness trapped spleen: feeling cold and dampness and the onset of the disease, the stool is thin or watery, abdominal pain and intestinal tinnitus, vicious cold and little food; white slippery coating, moist and slow pulse.
(2) Dampness and heat in the intestinal organs: abdominal pain and diarrhea, urgent diarrhea, yellow-brown foul stools, burning in the anus, may be accompanied by fever; red tongue with yellow and greasy coating, moist pulse.
(3) Food stagnation in the stomach and intestines: abdominal fullness and swelling pain after overeating, foul-smelling stools like defeated eggs, pain decreases after diarrhea, dullness, belching and swallowing acid; moss is dirty or thick and greasy, pulse is slippery.
(4) Liver qi stagnation: abdominal pain, intestinal tinnitus and diarrhea, each occurring due to emotional discomfort; red tongue with thin white coating and string pulse.
2.Void evidence
Slow onset, long duration of illness, vague pain and tendency to press.
(1) Spleen qi deficiency: loose stools with indigestible food, slightly into the greasy diet will increase the number of stools, accompanied by fatigue; light tongue with thin white coating, thin pulse.
(2) Kidney Yang deficiency: morning diarrhea with indigestible food, cold pain in the umbilicus and abdomen, preference for warmth, cold form and cold limbs; light and fat tongue, white fur, sunken and thin pulse.
Basic treatment
Treatment: Strengthening the spleen, relieving dampness, and regulating the intestinal tract.
Prescription: Tianshu, Shenqu, Shangjuxu, Yu of the Large Intestine, Sanyinjiao.
Add and subtract: add Spleen Yu and Yin Ling Quan for cold and dampness trapped in the spleen; add He Gu and Lower Ju Xu for dampness and heat in the intestines; add Zhong Gu and Jian Li for dietary stagnation; add Qi Qi stagnation in the liver, add Qi Yu and Tai Chong; add Spleen Yu and Foot San Li for Spleen Qi deficiency; add Bai Hui for Spleen Qi sinking; add Kidney Yu and Guan Yuan for Kidney Yang deficiency.
Operation: Shen Que point with interval salt moxibustion or interval ginger moxibustion, other acupoints conventional acupuncture; cold dampness trapped spleen, spleen qi deficiency, can be applied interval ginger moxibustion, mild moxibustion or warm acupuncture; kidney yang deficiency can be used to interval epiphytic cake moxibustion. Acute diarrhea l to 2 times a day, chronic diarrhea daily or once every other day.
Other treatments
1.Ear acupuncture
Acupuncture points: large intestine, small intestine, abdomen, stomach, spleen, Shen Men.
Operation: take 3-5 points each time, milli-needle acupuncture acute enteritis stay for 15 minutes, 1 to 2 times a day; chronic enteritis stay for 30 minutes.
2. Navel therapy
Point: Shen Que.
Operation: grind the appropriate amount of five times, vinegar into a paste to apply to the umbilicus, wound dampness pain relief paste fixed, 2 to 3 days a change. Applicable to prolonged diarrhea.
3.Acupoint injection
Acupuncture points: Tianshu, Shu Sanli, Shang Ju Xu.
Operation: Take 1 to 2 pairs of acupuncture points each time, use vitamin B10.3 to 0.5 ml, or 3 to 5 ml of distilled water, and inject into the acupuncture points after acupuncture, for 3 to 5 days. Take Tianshu and Shang Juxu, use Huangliansu injection or vitamin B1 and vitamin B12 injection, and inject 0.5 to l ml per point each time.
4.Moxibustion method
Acupuncture points: Tianshu, Guanyuan, Shenqu.
Operation: Use direct moxibustion method, with large moxa cones of tung seeds, 5-7 strong for each point, once a day or every other day, 10 times as a course of treatment. The moxibustion method can be used alternately for Tianshu and Guangyuan, or after the acupuncture, moxibustion can also be added, such as moxibustion Shenqu must be used across the salt or ginger moxibustion. This method has good effect on cold and damp type of enteritis or spleen and stomach weak type of enteritis. In addition, acute enteritis, can also be used moxa for bilateral external ankle tip suspension moxibustion, moxibustion until the local skin burning, flushing, can continue to fumigate 10-20 minutes.
5.Trigeminal needle
Acupuncture points: foot three miles, Gong Sun, Nei Ting, Li Tui.
Operation: choose 2-3 points each time, use the three-pronged needle to pierce the skin quickly, about a minute deep, and then quickly pull out, the technique should be light and quick, fast and painless, bleeding 5-15 ml after the needle, the blood color turns red is good, bleeding is not smooth, can be cupped after the needle, in order to get out the bad blood.
6.Buried thread
Acupuncture points: Tianshu, Daeyu, Guangyuan.
Operation: choose two points each time, according to the operation routine of the buried wire method, the point buried in two centimeters of lamb’s intestine thread, after the operation, local dressing with sterile gauze to prevent infection, 20 to 30 days of treatment once.
V. Appropriate technology
Interdigitated moxibustion for ulcerative colitis technology
Acupuncture points: Tianshu (double), Qihai, Guangyuan.
Operation: Patients take a supine position, expose the abdomen, put a good medicine cake on the point to be moxibustion, ignite the upper part of the moxa section and then placed on the cake to apply moxibustion, each time each point two strong moxibustion, each strong about 15 minutes, feel hot when appropriate to move the cake. Once a day, 12 times as a course of treatment, with a 3-day break between courses, for a total of 6 courses of treatment.