Text ◆ Qiu Yufeng (TCM physician), “Ming Pao”
Those who have bowel movements more than 3 times a day, have unbearable bowel movements, have shapeless stools, and are loose and watery are classified as having diarrhea. Long-term persistent diarrhea is a chronic disease. After excluding digestive organ lesions, the cause is mostly related to gastrointestinal dysfunction.
Treatment needs to be based on the cause of the disease and the right medicine, through traditional Chinese medicine, acupuncture and other treatments, combined with adjustments to diet and living habits, to improve gastrointestinal function, rather than blindly astringent and antidiarrheal.
(Hong Kong News) We all have gastrointestinal disorders from time to time, but if diarrhea persists for more than 4 weeks, or if diarrhea occurs half the time within a month, it is considered chronic diarrhea. Chronic diarrhea is related to the imbalance of spleen and stomach transportation. The “Jingyue Complete Book” written by Zhang Jingyue, a Chinese medicine doctor in the Ming Dynasty, pointed out that “the root cause of diarrhea is all due to the spleen and stomach.”
After excluding digestive tract organ diseases such as tumors and inflammation, the causes of chronic diarrhea are mostly related to gastrointestinal motility disorders, gastrointestinal microbial dysbiosis, etc., which are functional disorders of the digestive tract. Improper diet and lack of emotional harmony are common clinical causes of functional chronic diarrhea.
Deficiency of the spleen and stomach leads to poor digestion
Frequent overeating leads to food stagnation in the gastrointestinal tract, or craving for cold and cold food leads to deficiency of the spleen and stomach, or overeating greasy and high-sugar foods leads to dampness in the spleen and stomach, which can lead to repeated diarrhea.
Traditional Chinese medicine believes that “dampness will lead to diarrhea.” Long-term improper eating or excessive eating will increase the burden on the spleen and stomach, hinder digestion and absorption, and prevent the normal transportation of food and water, causing dampness to interfere with gastrointestinal function and cause loose stools. People who often eat cold and raw foods can easily irritate the spleen and stomach, deplete healthy energy, cause spleen and stomach deficiency and coldness, and hinder normal transportation and transformation.
When the spleen and stomach are weak and unable to transport and transform, “internal dampness” will be formed due to poor digestion, causing diarrhea. In addition, people with spleen deficiency often have a yellowish complexion, muscle weakness, and body edema. The tongue body may be swollen, and the tongue may even be covered with tooth marks, and the tongue surface may be bright and moist.
For the former, which is due to dampness in the spleen and stomach, treatment should be to remove dampness and turbidity, digest food and strengthen the spleen. Commonly used Chinese medicines include hawthorn, Shenqu, Atractylodes, Patchouli, etc. For diarrhea caused by deficiency and coldness of the spleen and stomach, treatment requires replenishing qi and strengthening the spleen. Commonly used traditional Chinese medicines include yam, dangshen, atractylodes, lentils, etc. People who suffer from chronic diarrhea due to poor eating habits can protect their spleen and stomach function by actively adjusting their eating habits.
Patients should keep a light diet and eat less irritating foods with too biased properties (such as too cold, too warm, too greasy, and too sweet). It is advisable to eat until you are 8 minutes full to avoid overeating and reduce the chance of gastrointestinal stagnation.
Anxiety and stress affect spleen and stomach function
Long-term emotional discomfort, such as irritability, anxiety and tension, can also affect the function of the spleen and stomach, causing chronic diarrhea. This type of diarrhea can be classified into the category of “irritable bowel syndrome” or “irritable bowel syndrome” in Western medicine. “Jingyue Quanshu” records this disease: “This is a disease of the liver and spleen. It is caused by the liver and wood restraining the earth, and the spleen and spleen are injured.”
Traditional Chinese medicine believes that such patients usually have poor spleen and stomach functions.
Bad emotions can affect liver function.
Causes abnormal rise and fall of Qi.
When liver qi is not relaxed and qi movement is not smooth,
It is easy to interfere with the function of the spleen and stomach.
Common symptoms include chest tightness, stomach bloating,
Belching, acid reflux, loss of appetite, abdominal pain and diarrhea, etc.
The condition often worsens during times of great mental stress.
The patient experienced sudden abdominal pain, bowel rumbling, loose stools, and pain relief after diarrhea.
The unpleasant experience of repeated diarrhea, coupled with the fact that physical examinations such as blood tests and endoscopy did not reveal any lesions, not only brings inconvenience to patients, but also brings a heavy psychological burden, which can further worsen the condition.
Learn to relax, reduce stress, and eat light meals
To treat this kind of chronic diarrhea with “exuberance of the liver and deficiency of the spleen”, it is necessary to soothe the liver, regulate qi and strengthen the spleen. The commonly used Chinese medicine prescriptions are the essential prescriptions for painful diarrhea from “The Complete Book of Jingyue”. In the prescription, Atractylodes macrocephala is used to dry dampness and strengthen the spleen, white peony root nourishes blood and softens the liver, tangerine peel regulates qi and invigorates the spleen, and prevents wind and clears away diarrhea. When combined into a prescription, it has the effects of removing dampness, strengthening the spleen, relieving pain, and stopping diarrhea.
The onset of this type of diarrhea is closely related to mood changes. Patients should pay attention to keeping their mood relaxed and learn to relax and reduce stress. The diet should be light, and it is not advisable to gorge yourself during meals. Take a short walk and rub your abdomen after the meal to avoid getting into intense and busy activities immediately to reduce gastrointestinal irritation.
Moxibustion regulates gastrointestinal Decoction to remove dampness and stop diarrhea
For acupuncture treatment of chronic diarrhea, commonly used acupuncture points include Zhongwan and Qihai located on the Ren channel, as well as Tianshu and Zusanli on the Zuyangming stomach meridian. They have the effect of replenishing qi, regulating qi, and regulating gastrointestinal motility. They can be stimulated by acupuncture or massage. .
For those with severe yang deficiency and cold, moxibustion can be added. Warm moxibustion on each point for 10 to 15 minutes each time, once a day, can warm yang and dispel cold and promote the circulation of qi and blood.
In recent years, it has become popular to take probiotics to adjust the microbial ecology in the gastrointestinal tract, increase intestinal beneficial bacterial strains, improve gastrointestinal function, and treat indigestion problems such as diarrhea, constipation, and flatulence. Although probiotics have intestinal regulation effects, the ecological environment in the digestive tract must be maintained by adjusting diet and living habits. Otherwise, it will be difficult to create a healthy intestinal environment by supplementing probiotics alone.
Moreover, the gastrointestinal ecology of different people can vary greatly, and supplementing specific flora alone may not be effective for everyone.
Maintain good gastrointestinal ecology
To maintain a good gastrointestinal ecology, eat more grains, vegetables, fruits and other foods rich in dietary fiber. Eat meals at regular intervals, chew slowly and take your time when eating. It is recommended that the selection of ingredients and cooking methods refer to the traditional food cultures of different regions and adapt to the time, place and people. Do not follow them blindly, otherwise the body will have difficulty adapting. Pay attention to relaxation and decompression in daily life to avoid being in a state of heavy mental stress for a long time.
Tonify the spleen and stomach, improve transportation and transformation
For people with spleen and stomach qi deficiency and poor transportation and transformation, who are prone to diarrhea due to excessive moisture, it is recommended to use herbs that can strengthen the spleen, replenish qi, and remove dampness, such as yam, lentils, Atractylodes, Poria, etc., to nourish the spleen and stomach and improve the condition. Transport. For dietary therapy, you can drink Huaishan Lentil and Gorgon Lean Meat Soup.