Bacillary dysentery of TCM diagnosis and treatment technology

China's traditional Chinese medicine reported

        Bacillary dysentery caused by Shigella flexneri is the common acute intestinal infectious diseases. People generally susceptible, latent period of several hours to 7 days, the majority of 1 to 2 days. Onset before the ingestion of contaminated food or patients with dysentery had close contact history. The major clinical manifestations of sudden onset, chills, chills and fever, abdominal pain, tenesmus, defecate daily times, pus and blood stool, less; the left lower abdominal pain with bowel sound hyperaction, severe manifestations of toxic dysentery. Fecal microscopic examination showed a large number of white blood cells, red blood cells, pus cell. Stool culture positive diagnosis.

        Treatment based on syndrome differentiation

        In the early two thousand years ago, Chinese medicine on dysentery has recorded:" after" call " intestinal Pi"," difficult" called" lag", are dysentery category; formally put forward" dysentery" disease name in the source of" diseases". According to dysentery with exogenous internal injuries when evil, diet, wet resistance of gas, heat injury of blood vessels, long time with Yang deficiency of spleen and kidney damage characteristics of the pathogenesis, treatment of acute heat, dampness, regulating qi, blood, chronic phase by warming and invigorating spleen and kidney as the basic principle; the actual situation mixture, then according to the the actual situation, both specimens, reinforcement and.

        Damp-heat dysentery

        Symptoms: fever, abdominal pain, diarrhea, tenesmus, pus and blood, anal and glowing, scanty dark urine, stool of 10 ~ 30 times a day. Red tongue, yellow and greasy fur, slippery pulse.

        Methods: clearing away heat and toxic material, a gas regulating blood.

        Recipe: Peony Decoction: honeysuckle flower, red peony root 15 grams each, puerarin, Cortex Phellodendri, betel nuts, tree peony bark, wood, Perrin, each 10 grams, Coptis, wine army each 6 grams, 30 grams of Portulaca oleracea. If diarrhea with blood, Fraxinus, Burnet carbon heat hemostasis.

        Fulminant dysentery

        Symptoms: fever sharp, strong heat delirium, or syncope with convulsion, abdominal pain, diarrhea, tenesmus, fresh purple pus. Dark red tongue, yellow dry, slippery pulse.

        Methods: heat-clearing and detoxifying, cooling blood and stopping dysentery.

        Recipe: Pulsatilla Decoction Pulsatilla chinensis, Radix Paeoniae Rubra: each 15 grams, ash, tree peony bark, Coptis, treats each 10 grams, comfrey, Burnet each 12 grams, 6 grams of wine army, purslane, isatis root 30 grams each. If the high fever, delirium, syncope with convulsion by God ( water buffalo, rhinoceros modified stone calamus, honeysuckle, forsythia, dyers woad leaf, tree peony bark, red peony root, Coptis chinensis, radix rehmanniae, antelope horn ), with Qingrejiedu, inducing an antispasmodic, or choose according to the illness of Angong Niuhuang Pill, plus Zixue Dan, Zhibao boluses and so on.

        Stagnation dysentery

        Symptoms: abdominal pain and distension, distention and fullness in chest, diarrhea smell like lost egg, tenesmus, or urine yellow. Opaque greasy tongue fur, slippery pulse.

        Methods: digestion stasis, clearing heat and removing dampness.

        Recipe: Zhishi Daozhi Decoction: citrus, rhubarb, Radix Scutellariae, betel nut, white tuckahoe, each 10 grams, 15 grams each, the Divine Comedy, Alisma Plantago 6 grams each.

        Recurrent dysentery

        Symptoms: diarrhea when hair, hair, blood diarrhea, tenesmus, usually eat less anorexia, fatigue, dry stool dilute not adjustable. Pale tongue, greasy fur, pulse moisten or imaginary.

        Method: to the spleen, clearing dampness heat.

        Recipe: married Tang Hua CD: Coptis chinensis, Radix 6 grams each, dried ginger, licorice root, dangshen, Angelica sinensis, Fructus aurantii Immaturus each 10 grams, white atractylodes rhizome, treats each 12 grams, roasted malt, roasted grain bud 15 grams each. If the accumulated significantly with betel nut, semen Raphani qi stagnation; and yang deficiency, plus aconite Wen Yang cold.

        Of dysentery

        Symptoms: diarrhea with thin, white pus, even the slippage can not help, abdominal pain, limb under temperature, the body tired, weary, reduced food intake, have a cold. The tongue is reddish, moss Bo Bai or white slip, deflection thin veins.

        Methods: warming and invigorating spleen and kidney, removing astringent.

        Medicine: reality viscera-nourishing Decoction: dangshen, Baizhu, Ke Zi fried meat 12 grams each, nutmeg, ginger, woody, halloysite, angelica 10 grams of 3 grams, officer. If Yang Han Sheng, plus aconite Yang deficiency cold; obviously, and astragalus, yellow essence replenishing gas.

        Dysentery with vomiting

        Symptoms: red and white purulent diarrhea, nausea and vomiting, can not eat, eat vomit, abdominal distention and fullness in chest, such as clogging. Fur and thick or yellow greasy, pulse moisten number.

        Methods: Xin Kaiku falls, clearing dampness heat, heweijiangni.

        Recipe: with Banxia Banxia, scutellaria root, dangshen: Law, rhubarb, bamboo shavings, Perrin, Acorus calamus 10 grams each, Coptis, raw licorice 6 grams, jujube 10, 3 pieces of ginger. Vomiting with Lian Su Yin, liver-qi vomiting should Zuojin pill.

        Single secret recipe

        Detoxification wide intestine soup: Angelica, Hangzhou White Peony 12 grams each, wine fried semen Raphani Coptis, each 9 grams, banksia rose 9 grams, 15 grams of Allium macrostemon Bunge, Shuijianbi, an agent, attending burst dysentery.

        And dysentery soup: anemone 15 grams, Coptis chinensis, common ginger, licorice 6 grams each, Radix Scutellariae Fructus toosendan, each 12 grams, ash, wood, bark, orange peel vinegar processed Rhizoma Corydalis, each 10 grams, 30 grams each, Atractylodes japonica rice. An agent, cent is taken two times, for acute bacillary dysentery. Treat dysentery powder : Puerarin, matrine 12 grams each, Pericarpium Citri Reticulatae, radix paeoniae rubra, roasted malt, hawthorn coke each 9 grams, Chen Songluo tea 10 grams, decoct with water, for the onset of dysentery.

        Pain drug: Zingiberaceae Terrier, almond, bitter each 6 grams, fried Radix Scutellariae, Alisma, grass 3 grams each, Coptis, fried treats each 2.4 grams, fried herb, Magnolia, Pericarpium Arecae each 4.5 grams, 9 grams of 1.5 grams of talc, woody. Decoct with water, an agent, used for chronic dysentery.

        Drink: plum, plum myrobalan Terminalia chebula, hawthorn coke, coke Burnet, white peony root, rice husk, licorice amount, water decoction, one agent, treatment of recurrent dysentery.

        Paste umbilical antidiarrheal cake: notopterygium, white pepper, cinnamon, cloves, hawthorn, woody, Jiang Zao, onion, mashed such as well, adding an appropriate amount of honey, a coin size medicine cake, with plastic wrap standby. The medicine cake paste umbilical is fixed with the 6 ~ 8 hours, for the treatment of chronic bacillary dysentery deficiency type.

        Two Vines soup : Sargentgloryvine Stem 50 to L100 g, honeysuckle stem 25 to 50 grams, Shuijianbi, an agent, treatment of acute bacillary dysentery, much less red white.

        Bacillary dysentery: ginseng, dried ginger, dried orange peel, Rhizoma Atractylodis Macrocephalae stir-fried with, licorice, hawthorn, roasted grain malt each 9 grams, 6 grams of Amomum villosum Lour, treatment of dysentery with vomiting.

        Folk recipe

        1 fresh iron amaranth to its roots and stem, adult daily 1000 grams, plus cold boiling water 100 ml pound takes juice, treatment of acute bacillary dysentery.

        2 raw Hawthorn 15 grams each, fried water instead of tea drinks, treatment of acute red and white dysentery. And brown sugar, red dysentery with sugar, dysentery and see red and white sugar.

        3 bitter Lufthansa medicine ( West of Hubei herbal ): leaf, stem into boiling water, cold mix juice; or to be bitter Lufthansa medicine dried, crushed into fine powder capsule, every 0.26 grams, 4 capsules each time, 3 times a day, for the treatment of acute bacillary dysentery.

        4: born in rhubarb with yellow rice wine, uniform spraying, slightly dull moment wok Chinese fire fry black powder, a dose of 6 to 12 grams, beginning with a small, after adaptation can increase hematic dysentery, for abdominal pain.

        5 fresh purslane 32 grams, head of garlic, a total of ramming under boiling water, boil, add 16 grams of brown sugar, meal service, treatment of acute bacillary dysentery.

        At the end of 6 marine research water pan as a bolus, every time 6 grams, daily 3, heat treating dysentery of blood.

        7 Plantago 10 grams, fine grinding for end, rice water delivery service, treating summer diarrhea.

        8 plum meat, picrorhiza rhizome, Frunze liver to equal the late, tea service, every time 6 grams, daily two, treatment of dysentery with blood.

        9 Chen pomegranate peel 3 fine grinding for end, wine delivery service, treatment of red and white scours.

        10 sour pomegranate charcoal for end, every take 6 grams of rice, drinking, treatment of chronic dysentery rectocele.

        Other therapies

        1 enema therapy

        ( 1) 20 grams of rhubarb, red peony root 30 grams, decoct juice 120 ml, two retention enema, two times a day, at the same time, Decoction and pueraria decoction, treatment of acute bacillary dysentery.

        ( 2) 30 grams of Pulsatilla, plum, Coptis, red peony root, betel nuts 6 grams each, bracken 10 grams of water, 200 ml of concentrated decoction, the physic liquor into the anus of about 10 cm, raising the hip to facilitate absorption, two times a day. Children by age reduction. Heat treating dysentery clamping stagnation.

        2 acupuncture therapy

        ( 1): Acupuncture acute dysentery and Shangjuxu or Zusanli, Tianshu, setting pool, Neiguan, line with the needle, 30 minutes. Toxic dysentery add Hegu, large, ten declared phlebotomy; if eating vomit, do not think of eating add zhongwan. Chronic dysentery needles should be Pishu, Yu, Shenshu, Dachangshu, Sanyinjiao, Zusanli, and moxibustion Shenque, Guan yuan, qihai. Using reinforcing-reducing method or reinforcing method, retaining 30 ~ 45 minutes. During the acute phase of daily 2 ~ 3, chronic patient once a day.

        ( 2): take the small intestine, large intestine, ear acupuncture points such as the rectum, strong stimulation of filiform needle, needle for 30 minutes, during which the acupuncturing 3 ~ 4 times, average daily 1 ~ 2 times, serious illness daily 2 ~ 3, 3 ~ 7 days. Chronic diarrhea with spleen, stomach, kidney, Shenmen, sympathetic, choose 3 to 5 point acupuncture needle light stimulus, 10 minutes, once every other day or once daily. Also available with auricular point method, the cowherb seeds in the acupuncture point, adhesive tape fixed daily press, 3 ~ 7, 2 ~ 3 day dressing time.

        ( 3): selected by acupoint injection or Zusanli, with chloramphenicol injection of 2 ml, adding 1% procaine solution 0.5 ml, each side acupoints injected into a ml. To get gas injection, once a day, 7 days for a course of treatment. Or choose long strong, Tianshu ( double ), Zusanli ( double ), will agrimonine 8 ml injected long strong point, berberine 2 ml injected at Tianshu, acupuncture, treating damp-heat dysentery.

        ( 4): take off yuan, moxibustion Shenque, Qihai, spleen, kidney, colon, Yu Yu Wei Shu, Zusanli, each elected 2 to 3 points, with a mild right to point is local, warm sense of. Daily or once every other day, 10 ~ 15 times as one course, suitable for long cure chronic dysentery. ( excerpt from" infectious disease in Chinese and Western medicine clinic technology" )