Patient: The main symptoms recently are diarrhea about 5 times a day (1:30 am, when I wake up early, after 10:00 am, after afternoon nap, after dinner), thin stools, weight loss of 10 pounds, poor appetite, sometimes nausea and vomiting after eating, weakness, sweating in bed at night. The most recent serious is the afternoon and evening fever of 38.3 this way, recently has been eating semi-liquid. The diagnosis was made in May of this year, and herbal treatment and herbal enema were carried out in Jiangsu Provincial Hospital of Traditional Chinese Medicine, and the results were better in July, and the symptoms worsened after August, with the presence of anal fistula, which has recently recurred and is now stable. Next treatment recommendation Colonoscopy report Colonoscopy was inserted to the end of ileum. The end of the ileum and the ileocecal region were seen to be abnormal. The vascular texture of the ascending colon was clear, and the mucosa of the distal transverse colon, descending colon, and sigmoid colon was congested and edematous about 35 cm from the anus, with multiple longitudinal and transverse ulcers along the intestinal axis. The distal sigmoid colon and rectal mucosa had clear vascular texture. Pathological diagnosis report: (descending colon) presence of inflammatory granulation tissue and necrotic tissue, (sigmoid colon – moderate chronic inflammation of mucosa, active, local inflammatory granulation tissue and necrotic tissue. Combined with the clinical, inflammatory bowel disease is considered. The patient: today has been answered in Dr. Zhu, thanks to Dr. Zhu’s care and enthusiasm Patient: Dr. Zhu, more than 10 days is always taking the medicine you prescribed to me, now feel the effect is still very obvious, now the daily temperature back to normal, no longer every afternoon fever, the number of stools also down, a total of 2 times a day in the morning and evening, and the stool becomes dry, no longer the previous thin stool! I feel much stronger now! I would like to express my sincere gratitude to Dr. Zhu. My colonoscopy report will be out next Tuesday, so I was wondering if I could have Dr. Zhu take a look at the test and see if I need to make any more adjustments to my treatment. Patient: Dr. Zhu, I was going to follow up with you on November 10th, but I just read your clinic tips, so it seems that I won’t be able to see you on the 10th, and now I have a question that I need your reply. I’m doing well, basically the same as I described on October 24th, and my weight has increased recently, by about 4 pounds, you’re not in the clinic on the 10th, so I’ll ask here, what about my following medication? The main thing is that there is no more medicine! The patient: there is also the recent intestinal fistula control is also very good, basically there is no liquid outflow, there is another problem, is the recent dry skin, very itchy, especially the legs part by the phenomenon of molting, do not know this and the current symptoms have any relationship General Surgery Zhu Weiming: medicine so stick with it, there are effects. Dry skin may have two reasons, one is the winter itself is dry skin. The other is that it may be related to the use of drugs, then only to the dermatology department to get some medicine to apply.