Irritable bowel syndrome is a gastrointestinal disorder that refers to a group of syndromes that include abdominal pain, bloating, abnormal bowel habits and stool characteristics, mucus stools, persistent or intermittent episodes, and lack of abnormal morphological and biochemical changes. It is very common clinically and is also known as intestinal dysfunction, allergic colitis, spastic colitis, and mucous colitis. It is estimated that irritable bowel syndrome accounts for about 50-70% of patients with gastrointestinal symptoms, with a male to female prevalence ratio of 1-2:1, mostly in young and middle-aged people, and has been recognized as a physical and mental disease with a specific pathophysiological basis.
Symptoms and symptoms
1, abdominal pain, diarrhea, constipation or alternating diarrhea and constipation, abdominal distention and fullness.
2. burning sensation in the heart fossa, early satiety, dysphagia, frequent belching, nausea, vomiting.
3. anxiety, nervousness, insomnia, fatigue, shortness of breath, palpitations, sweaty hands and feet, low blood pressure, head and facial paroxysms, and dizziness and headache, chest pain, back pain, feeling of dyspnea, frequent and urgent urination.
4, sometimes spastic sigmoid colon or fecal masses, light pressure pain in the colonic area can be found.
5.Anal finger examination suggests increased sphincter tone and the patient has pain.
Diagnosis basis
1, abdominal pain, abdominal distension, diarrhea and constipation as the main complaints, accompanied by anxiety, insomnia and other manifestations of plant nerve dysfunction.
2, general condition is good, no wasting and fever, and only abdominal pressure pain is found on systematic physical examination.
3, repeatedly negative fecal routine and culture (at least 3 times), negative fecal occult blood test.
4, no positive findings on X-ray barium enema or signs of irritation in the colon.
5, fiberoptic colonoscopy shows hyperactive intestinal motility or even spasm in some patients, no obvious mucosal abnormalities, and basically normal histological examination.
6, normal blood and urine routine, normal blood Shen.
7.No history of dysentery, schistosomiasis and other parasitic diseases, and experimental treatment is ineffective.
Treatment of irritable bowel syndrome
Western medicine generally takes symptomatic treatment, abdominal pain is commonly used anticholinergic belladonna, probenecid, etc.. For diarrhea, phenylephrine and emmenagogue are commonly used. In case of constipation, paraffin oil and corkage are commonly used. For insomnia, Valium and Librium are commonly used. Patients with mental depression use amitriptyline or promethazine. The side effects are not easy for patients to accept, and it is easy to repeat. In Chinese medicine, this disease belongs to the category of “diarrhea”, “abdominal pain” and “depression” in Chinese medicine. The discomfort of emotions, the loss of liver drainage, the lack of smooth flow of Qi, the transverse offense of the spleen, and over time may involve the kidney Yang. The disease is characterized by liver depression and spleen deficiency, with a mixture of deficiency and reality, forming a vicious circle that is difficult to cure. I use the classical formula of Chinese medicine: “Painful Diarrhea Essentials” and “Si Jun Zi Tang” with the addition of tonic and diarrhea, taking into account both the symptoms and the root cause, to detoxify the liver and relieve depression, regulate qi and strengthen the spleen. It is believed that, in clinical practice, the treatment of spleen is not only a good way to relieve liver stagnation, but also a good way to improve spleen circulation. Accordingly, it is believed that the clinical treatment of irritable bowel syndrome using Chinese medicine is a good strategy.
Chinese medicine treatment of irritable bowel syndrome
1, the disease mostly develops when the heavy burden of thought, emotional tension, anxiety, anger, depression and other factors. Therefore, avoiding mental stimulation, relieving tension and maintaining an optimistic attitude are the keys to preventing this disease.
2, the suspected intolerant food, such as shrimp, crab, milk, peanuts, etc. as far as possible not to eat, spicy, frozen, greasy and cold food and alcohol and tobacco should be avoided. Also avoid laxatives and physical and chemical factors to stimulate the intestinal tract. Diet rationing, not hungry and full, to develop good living habits.
3, appropriate to participate in sports and cultural activities, and actively exercise to enhance physical fitness, disease prevention, has been disease prevention.
4, eat less and more meals. Patients with diarrhea should eat less slag, easy to digest, low fat, high protein food; constipated people should eat multi-fiber vegetables, coarse grains, etc., to establish the habit of regular bowel movements. Avoid over-eating raw, cold and stimulating foods. The principle is to reduce the adverse stimulation of the digestive tract, avoid allergic reactions to food and less intake of food that can produce gas in the digestive tract. Excessively spicy, sweet, sour, rough and other irritating foods should be avoided. Eat more easily digestible and nutritious foods. Patients with constipation should consume more fiber-rich foods and fruits. For those with a history of allergies, avoid intake of foods that may cause allergies. For those who are suspected of lactose intolerance, avoid consuming large amounts of milk and milk products. It is advisable to chew slowly, quit smoking, and drink less carbonated beverages.