Defecation is a reflex action, which is coordinated by multiple organs under the control of nerves. As an abnormal symptomatic response to defecation, the urge is caused by irritation of the sigmoid colon and rectum, either due to inflammation or to anatomical or pathological factors. In ancient times, dysentery was a common symptom of dysentery, but nowadays it can be seen in the symptoms of many diseases, so we will discuss the content and treatment of dysentery with the following literature.
1.Concept meaning
The term “dysentery” is taken from the book “Difficult Classic – 57th Difficulty”, which says that “there are five types of dysentery”, and that “in the case of diarrhea in the large intestine, the dysentery is followed by heaviness, and the dysentery is painful in the middle of the stem. As a name of the evidence, it means abdominal pain and distress, the desire to have diarrhea at times, the heavy fall of the anus, and the inability to pass stool. The “internal urgency” means that the abdomen is not relaxed. It is called “lixiang” when there is discomfort and abdominal pain in the lower abdomen before defecation, but there is no urgency when one wants to defecate; it is called “lixiang” when there is a sense of distress when defecating, and the anus is heavy and dropping, and there is still a feeling of unclean defecation after defecation. The Su Wen – Zhi Zhen Yao Da Lun said: “All vomiting and vomiting acid, violent injection of the lower compulsion, all belong to heat”.
The so-called down compulsion, that is, the urgent need to defecate and defecation is not smooth feeling of embarrassment, “Su Wen disease machine qi Yi Bao Life Collection – diarrhea theory”: “violent injection, is the injection of the drainage also …… down compulsion, after heavy inside the urgent, embarrassment urgent pain also.” The class of the class of the class of the class of diseases” note cloud: “under the compulsion, after the heavy inside urgent pressing pain also.” Ming Gong Tingxian’s “Ten Thousand Sicknesses Back to Spring” explained: “Tyrannical injection, sudden diarrhea also. The downward pressing, after the acute heavy also.” Therefore, the name of the evidence of “acute posterior heaviness” has the same meaning as the name of the evidence of “downward pressure” in Nei Jing.
2. Disease Location and Mechanism
Jing Yue Quan Shu” says: “Where there is urgency, the disease is in the lowermost part of the wide intestine, but the origin of the disease is not in the wide intestine, but in the spleen and kidney. Where hot dysentery, cold dysentery, deficiency dysentery are all of them, not all of them are thought to be hot. Cover the middle jiao has heat, the hot evil forced down the middle jiao; cold, the cold evil forced down the spleen and kidney; qi deficiency is forced down the qi trap. If you want to treat this, but should check the cause, to treat the spleen and kidney, there is no cure.” The wide intestine refers to the intestinal segment that includes both the sigmoid colon and rectum of modern medical anatomy. The Essentials of Evidence and Treatment says: “Wide intestine means that it is wider than the large and small intestines.” In the sigmoid colon, it is said that it can be urgent, and in the rectum, it is said that it can be heavy.
The external evil caused by the internal urgency after heavy, every stool after the reduction; where the deficiency disease of the internal urgency after heavy, more stool after not reduce; gas deficiency, gas off, the internal urgency and often see dirty clothes; gas trapped, after heavy and stool after turning very; Yin and blood deficiency, every deficiency sitting Nu blame. Therefore, the location of the disease is in the wide intestine, qi and blood evil poison stagnation, the origin of the disease is in the spleen and kidney, liver qi stagnation, spleen and kidney weakness is closely related to its production, so the cold and heat deficiency can be developed.
3, diarrhea and dysentery to identify
The term “diarrhea in the intestine” was first mentioned in the “Diarrhea in the intestine” in the “Difficult Classic”, and in the “Spring of Ten Thousand Diseases”, it is said, “Diarrhea in the intestine is also “diarrhea in the intestine”. There are various interpretations of the term “dysentery”.
① It refers to dysentery. The study of the JingYan says: “Today’s dysentery, that is, the five dysentery in the “Difficult Classic” of the large obstruction discharge.”
②Yin deficiency disease similar to dysentery caused by kidney deficiency. The “Medical Guan – dysentery” said: “There is also a first class yin deficiency like dysentery, that is, five drainage in the large obstruction drainage is also. After the shortness of breath, all like dysentery.”
③ five night kidney drainage. The “Luo’s will be about the medical mirror・miscellaneous evidence” said: “the big obstruction leak, that is, the kidney leak, every time in the five shifts of the time.”
④Heat discharge. The source of miscellaneous diseases rhinoceros candle – the source of diarrhea: “The large intestine leaks, which are urgent and then heavy, …… that is, cold and wet and become hot leaks.”
⑤ abdomen with obstruction. Qing Huaibaoqi’s “Ancient and Modern Medicine – Miscellaneous Diseases” says: “Large obstruction diarrhea is an obstruction in the abdomen, which is sometimes made and sometimes stopped.”
4.Treatment rules
Shen’s Zun Sheng Shu – Source of Spleen Diseases: “It is said that the large intestine diarrhea is caused by urgency and then heaviness, several to the rest and can’t pass stool, pain in the stem, i.e. cold dampness and becomes hot diarrhea. It is advisable to add mucuna pruriens and betel nut to pass it, and secondly to take it with Tian Shui San.” The “Confucianism” says: “First, it is appropriate to clear the agent, cold agent to take away, and then to light agent, sweet agent to divide. This is also true for pain in the stem.” The Essential Readings on Medicine mentions treatment with Cheng Qi Tang. The Six Books of the River said: stagnation under the “down pressing after heavy inside urgent, embarrassment urgent pain also”, “inside urgent after heavy, the pulse is large and flooding real for the heat, is something knotted down also. If the pulse is floating large very should not be under, although the urgent after heavy, but the pulse is sunken and weak, said the cold evil within and gas dispersion, can warm and self-healing. After the urgency of the closed person, large intestine meridian gas does not promote the flow. It is appropriate to add mucuna pruriens, betel nut to promote its qi.”
In the treatment, Liu Heya emphasized the principle that it is appropriate to go down after heavy, abdominal pain is appropriate and, as well as the blood will heal itself, regulate the gas will be removed after heavy. Regulating Qi is to regulate the stagnation of Qi in the large intestine and to encourage the Qi flow in the spleen and stomach. Jing Yue Quan Shu said: “But the method of regulating the gas, such as the gas hot is cooled is adjusted, the gas cold is warmed is adjusted, the gas deficiency is supplemented is adjusted, the gas trapped is lifted is adjusted, must make the gas and, is the regulation of gas. The same applies to the method of blood circulation.” For this reason, for the different types of pathogenesis of the acute and posterior heavy, different treatment rules and prescriptions are used to identify and treat the symptoms.
In the specific treatment, for damp-heat, clearing heat and dampness and regulating Qi can be the treatment, and the formula is Paeonia lactiflora Tang with addition and subtraction; for cold-dampness, warming cold-dampness and regulating Qi and Blood is the treatment, and the formula is Stomach Ling Tang with addition and subtraction; for Qi stagnation, regulating Qi and resolving stagnation is the treatment, and the formula is Mu Xiang Penghu Wan with addition and subtraction; for Qi deficiency, tonifying Qi and fixing astringency is the treatment, and the formula is Tonic Zhong Yi Qi Tang with addition and subtraction; for Blood deficiency, nourishing Yin and nourishing Blood, clearing heat and stopping diarrhea is the treatment, and the formula is Huang Lian Agaricus For Blood deficiency, nourish Yin and Blood, clear heat and stop diarrhea.
5.Present-day view of the disease
Although in the ancient literature, dysentery is the most common cause of dysentery, but the abdominal pain and anorectal pain and increased frequency of stool are closely related to many diseases, except for bacterial dysentery. For example, acute appendicitis, pelvic abscess, ureteral stones, redundant sigmoid colon, female pelvic organ prolapse, ulcerative colorectitis, radioactive proctitis, rectal cancer, anal cryptitis, etc. can all have different degrees of posterior urgency, from this point of view, these diseases have commonalities, but not the same treatment, according to different diseases, choose different treatment plans, symptomatic treatment The “posterior urgency” is only one of the aspects.