Diarrhea is characterized by thin stools and increased frequency, often accompanied by abdominal distension and abdominal pain, nausea and anorexia, bowel sounds, fatigue and fatigue. From the analysis of TCM syndromes, spleen-stomach qi deficiency, spleen-kidney yang deficiency, damp-heat accumulation in the spleen, food stagnation in the stomach and cold-dampness stagnation in the spleen can all cause diarrhea. Diarrhea caused by yang deficiency of spleen and kidney mostly occurs before dawn, so it is also called "diarrhea with five changes". According to different pathogenesis, Chinese medicine can have many treatments, such as invigorating spleen and regulating stomach, warming spleen and kidney, clearing damp-heat, warming middle warmer and dispelling cold. Commonly used Chinese patent medicines include Ling Wei Powder, Baohe Pill and Shen Ling Baizhu Powder. Common Chinese medicines for relieving diarrhea include pomegranate peel, terminalia chebula, Toona sinensis peel, nutmeg and Rosa laevigata. Modern medicine usually refers to diarrhea with a course of more than two months as chronic diarrhea. Patients with colorectal cancer, liver cancer and endocrine tumors often have intermittent diarrhea for a long time, so we should carefully find out the causes of chronic diarrhea. Bloody stools, alternating diarrhea and constipation are often manifestations of colorectal cancer. Diarrhea often occurs after colorectal cancer surgery, and some chemotherapy drugs and radiation enteritis can also cause diarrhea. In addition to paying attention to the etiology and treatment of diarrhea, we should first replenish water and electrolytes in time to correct the acid-base imbalance. Don't taste too strong in your diet. It is necessary to replenish salt in time, drink plenty of water and increase alkaline food appropriately to prevent dehydration and metabolic acidosis caused by diarrhea. Foods with antidiarrheal effects include glutinous rice, millet, yam, lotus seeds, euryales, chestnuts, cherries, Chinese dates, black dates, dried persimmons and so on. Dietary prescription 1: about 200 grams of white flour, stir-fry slowly until it turns yellow, take out a little, boil water and stir-fry noodles, and add sugar and salt to taste as appropriate. Diet 2: 200 grams of japonica rice is cooked with porridge, and about 50 grams of poria powder is added when it is cooked in eight minutes. Mix well, then continue to cook and drink porridge with sugar. Diet 3: Soak glutinous rice 100g and cook porridge. When it is nearly ripe, add yam 100g and cut into pieces, chestnut 100g. After simmering, add sugar to taste. Diet 4: 50 grams of lotus seeds and Gordon Euryale ferox (chicken head rice), first soak for half a day, cook porridge with 50 grams of millet, increase the amount of dates when cooked, and adjust sugar to drink porridge. Diet 5: Persimmons are pedicled, hawthorn and black dates are pitted, cut into pieces and mashed like mud, boiled with water, and then added with sugar. It is sweet and sour and delicious, and can be eaten at any time. Diarrhea patients should not eat too much, so they should ensure nutrition and take care of their stomach and rest. Diet should be less cellulose and less fat, irritating food and fried food, not suitable for meat and smell. Some people drinking milk will aggravate diarrhea, so they can drink yogurt instead. Many adults often have chronic diarrhea, frequent defecation and irregular defecation. Some people go to the toilet as soon as they get up in the morning, and then go to the toilet after breakfast. Abdominal pain before defecation is urgent and unbearable, and it disappears after defecation. Generally, there are more stools in the morning and morning. Diarrhea is often aggravated by eating cold fruits, catching cold in the abdomen, being nervous, eating leeks and drinking milk. Many patients have repeated and prolonged illness, and the course of disease can last for more than several years. When you go to the hospital for examination, there is generally no obvious organic disease, nor is it diarrhea caused by bacterial infection. Medically, this chronic diarrhea is called irritable bowel syndrome, which belongs to the category of gastrointestinal dysfunction. Patients with chronic diarrhea are very painful and afraid to travel. The first thing they do when they go out is to go to the toilet, because they have to go to the toilet as long as they feel comfortable. Traditional Chinese medicine believes that the deficiency of vital qi leads to the weakness of spleen and stomach, spleen deficiency, spleen governing transport and transformation, and steel basking in borage. Fu? Δ Qishan demon? Stealing a mountain? Would you like to cut the dry mother? Pony? Hey? Symptoms of chronic diarrhea: fever and continuous weight loss. Cause: Stress is an important cause of diarrhea. Solution: If diarrhea persists, it may lead to dehydration. So drink plenty of water and replenish water. Be careful not to drink cold water and take some antidiarrheal drugs properly. Eat little or no fried or greasy food. Some women have stool diarrhea before and after menstruation or every menstrual period, and there is pain in the lower abdomen when diarrhea occurs. The number of times a day varies, and it can be loose stool, watery stool or even complete discharge of food. Accompanied by mental fatigue, abdominal distension and poor diet; Several times a day, diarrhea stops, which is clinically called menstrual diarrhea. Modern medicine believes that the cause of this disease is related to the imbalance of female menstrual hormones. But Chinese medicine believes that menstrual diarrhea is mostly related to spleen deficiency and kidney deficiency. The spleen is weak, and the function of transporting water and dampness of the spleen is abnormal, so diarrhea occurs; Kidney deficiency, cold life, not warming spleen and yang, can also lead to diarrhea. TCM treatment of this disease based on syndrome differentiation has a remarkable effect. According to the symptoms, it can be divided into two types: (1) spleen deficiency type: characterized by loose stool, or edema of face and limbs, abdominal distension, red tongue, white and greasy tongue coating, loss of appetite, weakness of limbs, heavy menstrual flow, light and pale menstrual color, fine menstrual quality and slow pulse. The prescription is Shen Ling Baizhu Jianpi Decoction. This recipe has the effects of invigorating spleen and qi, eliminating dampness and regulating menstruation. For diarrhea due to abdominal pain, Radix Paeoniae Alba Tongxie Yaosan can be used: Rhizoma Atractylodis Macrocephalae 15g, Radix Paeoniae Alba 15g, Pericarpium Citri Tangerinae 10g, and Radix Saposhnikoviae 10g. (2) Kidney deficiency type: manifested as dizziness and tinnitus, cold limbs and chills, diarrhea after defecation, or diarrhea after morning, lumbosacral pain, pale menstruation, thin menstruation, white and wet tongue coating and delayed pulse. Prescription Dangshen Baizhu Jiangu Decoction: Dangshen 15g, Evodia rutaecarpa 15g, Psoralea corylifolia 15g, Poria cocos 15g, Atractylodes macrocephala 15g, Nutmeg 15g, Coicis Semen 15g. This recipe has the effects of invigorating spleen, strengthening intestine, warming kidney and strengthening yang. The dining table is getting richer and richer, and there are more and more diseases of "eating". Diabetes and cardiovascular and cerebrovascular diseases have been paid more and more attention, but chronic diarrhea has not been paid attention to. Nutritional deficiency caused by long-term diarrhea not only seriously affects physical function, but also brings great psychological pressure to families with diarrhea. Chronic diarrhea is called diarrhea in Chinese medicine. The main symptoms are increased defecation times, and feces are as thin as paste or even as thin as water. Abnormal spleen and stomach function is its fundamental pathogenesis. Traditional Chinese medicine believes that spleen and stomach control the transport of diet, which is the source of qi and blood biochemistry, and is also called "the foundation of the day after tomorrow". Disharmony between spleen and stomach leads to all diseases. 37-year-old Mr. Feng, with improper diet, spleen deficiency and weak stomach, is a cadre of an administrative unit. His stool was unformed for 6 years, and his front part was normal and his back part was mushy and unformed. When the diet is greasy, cold or spicy, the stool will become thinner or even watery, the number of defecations will increase, the abdomen will be full, and there will be no hunger. Director Yang inquired about the patient's course of disease carefully, and learned that the patient has more work and entertainment, and his diet is greasy, spicy and irregular. He looked at his tongue again and found that it was pale, with white fur and weak pulse. Combined with its symptoms, it is considered that the syndrome is diarrhea due to spleen deficiency and dampness excess. Diarrhea caused by this reason is the most common in clinic. Because of improper diet, the function of the spleen and stomach is impaired, the diet can not be digested normally, and it becomes diarrhea when it goes down to the intestine. Spleen and stomach are the hinge of human qi, and abnormal function of spleen and stomach leads to abdominal distension and discomfort and reduced diet. Due to indigestion, these patients often have symptoms of food accumulation and internal heat, and drugs for promoting digestion, clearing heat and eliminating dampness can be added as appropriate. In recent years, the imbalance of intestinal flora caused by abuse of antibiotics can also be manifested as spleen deficiency and dampness. Improper use of antibiotics will kill the beneficial bacteria in the intestine and destroy the microecological balance in the intestine, so it is very undesirable to use antibiotics when you see diarrhea without asking the reason. Negative emotions can't go away. Ms. Liu, 42, has a bad relationship with her husband. She always feels her breasts swell. Every time she quarrels with her husband and sulks, she will burp repeatedly, with abdominal pain and diarrhea. I took a lot of medicine, but the effect was not good. According to the patient's description, combined with his red tongue and pulse string, Director Yang diagnosed his diarrhea as liver depression and spleen deficiency. Liver can regulate the orderly operation of human qi, and the normal digestive function of spleen and stomach also depends on the regulation of liver. The stimulation of all kinds of bad emotions can make the liver-qi function unfavorable, interfere with the digestive function of the spleen and stomach, and cause abdominal pain, diarrhea and other symptoms. Treatment should be soothing the liver and relieving depression, benefiting qi and strengthening the spleen. The patient's mood has a significant impact on the treatment effect, so patients should adjust their mood and maintain a stable and optimistic mental state while taking medicine. Special recommendation: Chinese medicine topic Chinese medicine health topic Chinese medicine beauty topic Chinese medicine long-term diarrhea is not limited to Yang qi hurting kidney and not warming spleen. Mr. Zhang, 565,438+0 years old, said with distress that he seldom sleeps until seven or eight o'clock in the morning, because every morning at five or six o'clock, he will get up and go to the toilet because of abdominal pain, and the abdominal pain will disappear after going to the toilet. I am usually afraid of cold, and I will have diarrhea when I catch cold. Director Yang looked at the tongue and felt the pulse, and found that the patient's tongue was pale with white fur, and the pulse was heavy and thin. Coupled with the characteristics of diarrhea in the morning, he was diagnosed as diarrhea due to kidney-yang deficiency. Diarrhea lasts for a long time, kidney-yang deficiency can't warm the spleen and stomach, and the transport and transformation are abnormal. Before dawn, the yang is weak and the yin is cold, so abdominal pain, intestinal diarrhea, and the pain is relieved after diarrhea. Therefore, this type of diarrhea is also called "five diarrhea". This type of diarrhea is closely related to the deficiency of the elderly, yang deficiency and excessive sexual intercourse, so patients with deficiency of the elderly should pay special attention to abstinence from sexual intercourse. Life recuperation determines the curative effect. Director Yang particularly emphasized that chronic diarrhea is difficult to be completely cured because the stomach and intestines are tested by diet every day, and the gastrointestinal function of patients with this disease is extremely fragile. A little irregularity in life may make it relapse and it is difficult to heal, so it is very important to develop good living habits, especially eating habits. Patients should eat regularly and quantitatively, and try to avoid cold fruits and vegetables, cold drinks, greasy and spicy foods such as honey and walnuts. Children should completely block snacks and let the spleen and stomach get a full rest. A common cause of recurrent symptoms is that after the symptoms improve, many patients can't wait to increase their diet, so that some recovered spleen and stomach functions are injured again, which should be avoided. Director Yang thinks that it is often said that "spleen and stomach diseases are treated in three ways and nourished in seven ways". Although it is somewhat exaggerated, his view of paying attention to life conditioning is very correct.