01. What is intestinal carbuncle and what are its characteristics?
A. Canker sores are canker sores in the intestines, including acute appendicitis, ileal diverticulitis, and Crohn’s disease.
02. What causes intestinal canker sores?
The intestinal canker is caused by rotting flesh.
03. What are the manifestations of intestinal canker sores?
A: The manifestations of intestinal canker sores vary according to the course of the disease, as follows.
Initial stage: Most patients have metastatic abdominal pain. The abdominal pain starts in the stomach or around the umbilicus, and after a few hours or a day, moves to the right lower abdomen, where the pain is fixed and worsens paroxysmally. The majority of patients have pressure pain near the right lower abdomen. In a few patients, the abdominal pain starts in the right hypochondrium, accompanied by slight fever, nausea, vomiting and poor appetite.
Pus-filled stage: abdominal pain, increased abdominal muscle contracture, obvious pressure pain and rebound pain in the right less abdomen, or mass in the right less abdomen, accompanied by strong fever, nausea, vomiting, nausea, constipation or diarrhea.
Fulminant stage: abdominal pain diffuses to the whole abdomen, the whole abdominal muscle contracture, pressure pain, rebound pain. High fever does not subside, sweating and thirst, nausea, vomiting, constipation, or dysentery-like with a feeling of urgency.
The blood count and neutrophil ratio are increased, and the white blood cell count often rises above 18×109/L during the pus-filling and pus-rupture stages.
04. What are the treatment measures for intestinal canker sores?
A: The treatment of intestinal canker sores is based on clearing heat from the internal organs and removing heat, applying early treatment to clear heat and remove toxins and blood stasis.
Internal treatment.
Qi and blood stasis evidence: metastatic right less abdominal pain, persistent, progressive aggravation, Qi stagnation heavy, the abdominal Qi scurrying, tongue and pulse basically normal; blood stasis heavy, pain has a fixed place, right lower abdominal pressure pain and limited mass, accompanied by nausea and poor nausea, or mild fever, tongue petechiae, white greasy tongue coating, tight or slippery pulse; treatment to move Qi and blood, pass through the internal organs to exorcise heat, the formula used rhubarb peony soup combined with red vine decoction plus reduction: rhubarb, danpi The formula is based on rhubarb, tannin, peach kernel, winter melon seed, manganese, red vine, honeysuckle, aconite, forsythia, frankincense, myrrh, yuan hu, licorice, green peel, heliotrope, thick park, salvia, red peony, ginger, and bamboo.
Damp-heat congestion evidence: abdominal pain intensifies, right lower abdomen or the whole abdomen pressure pain, abdominal muscle contracture, right lower abdomen can be found in the mass, heat is heavy, strong fever does not subside, sweating and thirst, constipation and urine red, red tongue with yellow coating dry, pulse string or flood, wet is heavy, body heat does not rise, head heavy vomiting, cavity and abdomen stuffy, diarrhea and dysentery, red tongue with yellow coating greasy, pulse slippery; treatment is to ventilate heat from the internal organs, dampness and detoxification, the formula is used to compound Da Chai Hu Tang plus reduction. The symptoms of heat and toxicity in Yin: abdominal pain, abdominal pain, abdominal pain, abdominal pain, abdominal pain, abdominal pain, abdominal pain.
The abdominal pain is worse, the pain is diffuse, the whole abdomen is contracted, pressure pain, rebound pain or abdominal distension, high fever that does not subside or cold fever, irritability and thirst, nausea and vomiting, the tongue is red, vivid and dry, the moss is yellow and dry, the pulse is flooded or fine; the treatment is to ventilate the internal organs and drain pus, nourish yin and clear heat.
Yin loss and Yang evidence: severe abdominal pain, abdominal muscle contracture, mental atrophy, moaning, cold and sweaty limbs, or body temperature not rising but falling, light tongue, thin white moss, sunken and thin pulse; treatment is to warm Yang and strengthen the spleen, resolve toxicity and drain pus.
External treatment.
Regardless of whether the pus has been formed or not, Jinhuang San, Yulu San or Shuangbai San can be used to make a paste with water or honey and apply externally to the right lower abdomen, or use Anti-inflammatory San with yellow wine or vinegar. The decoction of 150-200ml of Chinese herbal medicine, such as rhubarb peony soup (rhubarb, dandan, peach kernel, dongguazi, manganese, etc.), compound Dachaihu Tang (Chaihu, scutellaria, neem, yanhuosuo, white peony, raw rhubarb (after the next) 9 grams each, heliotrope shell, muxiang, raw licorice 6 grams each, dandelion 15 grams), is slowly dripped into the rectum (the drip tube is inserted into the anus 15cm or more, and the drops are finished in about 30 minutes), so that the medicine reaches the intestinal cavity directly, in order to achieve the purpose of heat removal and detoxification through the internal organs.
After the diagnosis of intestinal canker sores, the patient should be actively hospitalized for a combination of Chinese and Western medicine treatment, strengthening anti-infection treatment, correcting water-electrolyte disorders and other comprehensive treatment measures, and if necessary, timely surgery.
05. How to prevent intestinal canker sores?
A: Prevention of intestinal canker should be avoided by avoiding uncontrolled diet and strenuous exercise after eating, developing regular bowel habits, eliminating intestinal parasites, and preventing intestinal infections. The recurrence rate of intestinal canker is high. In order to prevent recurrence, it is generally advocated to continue to adhere to Chinese medicine for 7-14 days after the disappearance of clinical symptoms and signs, which can significantly reduce the recurrence rate.