Clinical observation on the treatment of non-specific ulcerative colitis with Si Shen Wan and Painful Diarrhea Formula plus reduction. Non-specific ulcerative colitis is a chronic inflammatory disease of the colon of unknown origin, with ulcers as the main lesion, whose main symptoms are clinically manifested as: loose stools and diarrhea, ranging from 3 to 5 times a day, heavy stools of sticky jelly, abdominal pain that is diarrhea, the pain decreases after diarrhea, some have pain in the umbilicus and abdomen before dawn, intestinal sound that is diarrhea, complete grain does not dissolve, the abdomen likes warmth, after diarrhea is safe, that is, the commonly said five-shift diarrhea, this disease belongs to the category of diarrhea disease in traditional Chinese medicine, although not critical, but daily loss and monthly depletion, after years of failure. This disease belongs to the category of Chinese medicine diarrhea disease, although not critical, but daily loss and monthly depletion, through the years do not heal, so that people are tired, mental atrophy, the whole body function is low. The use of antibiotic treatment, symptoms relief, after discontinuation, recurrence, the author clinical more than ten years, the use of four Shen Wan combined with pain and diarrhea to reduce the treatment of this disease, and achieved satisfactory results, is summarized below, for your clinical reference and application, for more of these patients to relieve the pain. (A) clinical data: in my treatment of 60 cases, 42 cases of women, 18 cases of men, age 30-70 years, the duration of the disease 70 days to 10 years, most patients often have a lifetime of bowel movement that must immediately go to the toilet, and can not delay a long time to hold, otherwise easy to defecation incontinence. (B) Treatment: the principle of supporting the righteous and dispelling the evil, supporting the righteous that is to warm the kidneys and strengthen the spleen; dispelling the evil that is to benefit the dampness and suppress the liver. The formula is based on Si Shen Wan with the addition and subtraction of the essential formula for pain and diarrhea. The composition and variations are as follows: 15g of bone marrow, 15g of simmered nutmeg, 5g of Wu taro, 15g of Wu Wei Zi, 30g of fried Atractylodes macrocephala, 15g of white peony, 10g of Chen Pi, 10g of Fang Feng, and 6g of licorice. If you see fatigue, a tasteless mouth, and lazy limbs, add 25g of Radix et Rhizoma Ginseng and 15g of Radix Astragali; if there is pain in the umbilicus and abdomen before dawn, the bowel sounds that is diarrhea, the form is cold and the limbs are cold. If the abdomen is warm, add Radix Aconiti 10g, Ginger 5g; if it is accompanied by chest distension, belching and less food, abdominal pain and attack, every time due to depression and anger, or emotional tension, add Radix Bupleurum 10g, Mullein 10g, Radix Aconiti 10g; if the stool is sticky and freezing with blood, add Sophora 10g, Diyu 10g, Amaranthus 10g. (C) Treatment results and efficacy assessment: Among the 60 patients in this group, 54 cases (81%) were cured, of which 3 cases After taking fifteen doses of medicine, they stopped taking Chinese medicine due to economic constraints. There were 3 cases with no effect. The total effective rate was 95%. Case example: Wang Yufen, female, 60 years old, reported irregular stool in September 2008, 5-10 times a day, with a large amount of pus and blood in the stool, treated with various drugs, but the effect was not good. Now he has loose stools, white and sticky jelly, heavy with pus and blood, a small amount of mucus and jelly is also discharged in exhaustion, painful and abnormal, starting with pain in the umbilicus and abdomen, he has to go to the toilet immediately when he has the intention to defecate for a lifetime, he cannot delay holding it for a long time, he has anxiety and then heaviness, he is tired and weak, his tongue is red, his moss is slightly yellow and greasy, his pulse is string and weak, taking into account his tongue and pulse and main symptoms. The evidence belongs to: deficiency of spleen and kidney yang, liver depression and dampness. The prescription was given to the four gods pill combined with pain and diarrhea to formula plus Huanglian, Mu Xiang, horsetail five doses, after taking the medicine abdominal pain and diarrhea greatly reduced, white mucus jelly reduced, lifetime bowel movement can also be delayed for a long time to hold, the patient was very happy, followed by giving the above plus or minus fifteen payments and the disease healed. (D) discussion: non-specific ulcerative colitis to chronic mostly, its slow onset, the first often diarrhea, up to 5-8 times a day, the stool is not shaped, heavy with mucus and pus and blood, abdominal pain more spasmodic, often in the left lower abdomen, accompanied by a sense of urgency, the use of salazosulfapyridine tablets effective. However, it takes a long time and has a high recurrence rate. In order to seek a radical cure, we apply the theory of Chinese medicine from the motherland and treat it with dialectical evidence. According to Chinese medicine, violent diarrhea is real, prolonged diarrhea is deficient, and no dampness is not diarrhea. The causes of the disease are related to the six evil attacks, dietary injuries, and emotional and mental depression. Spleen deficiency and dampness, kidney yang weakness, liver depression multiplied by spleen, are important factors leading to the occurrence of this disease; spleen deficiency and loss of transportation, water and grain do not turn into essence, dampness and turbidity are generated internally, clear yang does not rise, turbid yin does not descend, mixed and down, and the development of this disease; kidney yang deficiency and fate fire failure, can not warm the spleen and earth, spleen cold transportation failure leads to diarrhea; liver strength and spleen weakness, wood depression multiplied by earth, resulting in spleen deficiency diarrhea. Clinically, the disease is often caused by a combination of pathogenic factors, with complex manifestations. Therefore, it is necessary to grasp the main contradiction of the weakness of the spleen and kidney, and also to take into account the secondary contradiction of dampness and wood stagnation, that is, as the Nei Jing says, “If the righteousness exists within, the evil cannot dry up. The Sishen Pill is mainly for warming the kidney yang. The two are used together to both support the positive qi and dispel the evil qi, and together with the addition and subtraction of treatment, they have the effect of warming the spleen and kidney, dispelling dampness and stopping diarrhea.