(1) Diet therapy:
During diarrhea, we should pay attention to supplementing nutrition, appropriately reducing the cellulose content in the diet, and properly digesting the liquid diet rich in folic acid, iron, calcium, magnesium, zinc and other trace elements. Avoid milk and dairy products. Severe cases should be fasted for the first few days, and intravenous hypernutrition treatment can be used to rest the intestines.
(2) psychotherapy:
Do a good job in patients' ideological work and try to relax. Those who are overly nervous can use sedatives such as diazepam and diazepam.
(3) Dietotherapy:
① Jianpi Zhixie Cake:
250g of fresh Chinese yam, 0/50g of adzuki bean/kloc-,30g of Euryale ferox, 20g of white lentils, 20g of poria cocos, 4 slices of ebony, fruit and proper amount of sugar. Method: Add proper amount of sugar into red bean paste. Poria cocos, white lentils and Euryale ferox are ground into fine powder and steamed with a little water. Peel fresh yam, steam, add flour, and mix well to make a paste. Put a layer of fresh yam powder paste and a layer of bean paste, about 6-7 layers, decorate the upper layer with appropriate fruit materials, and then steam in the pot. Boil the dark plum and sugar into pus and pour it on the steamed cake. Eating separately has the effect of strengthening the spleen and stopping diarrhea.
② Lily porridge:
Euryale ferox and lily each 60g. The latter two drugs are put into rice porridge to make porridge, which is mainly used for diarrhea due to spleen deficiency.
③ Purple amaranth porridge:
Amaranth100g, white rice 50g. First, boil the amaranth water, remove the juice from my body, and cook the rice with juice into porridge for breakfast in the morning.
④ Honeysuckle brown sugar tea:
30 grams of honeysuckle, appropriate amount of brown sugar, soaked in water to drink.
⑤ Pomegranate peel brown sugar tea:
Pomegranate peel 1-2, appropriate amount of brown sugar, soaked in water.
6. 60 grams of plantain, 60 grams of kitchen soil, 3 grams of ginger, decoction.
Ulcerative colitis commonly used western medicine
(1) sulfasalazine (SASP):
【 Action and Use 】 This product is decomposed into 5-aminosalicylic acid (5- ASA) and iodophor in intestine. The former is the main effective component, which can inhibit the formation of oxygen free radicals mediated by xanthine oxidase or leukocytes and eliminate inflammation.
[Usage and dosage] Oral administration: 1g/ time, 3-4 times/day during the attack, 0.5- 1g/ day after remission, 2-3 times/day, and maintenance treatment 1 year. Retention enema: dissolve 2.0g of medicinal powder and 3.0g of bletilla striata in normal saline. 20-30ml, mix and shake well, and then enema, daily 1 time.
【 Adverse reactions and precautions 】 Allergic reactions such as gastrointestinal symptoms and rashes are occasionally seen.
(2) Metronidazole:
【 Function and use 】 It is mainly used for various anaerobic infections, amoebiasis and filariasis.
[Usage and Dosage] Take orally, 0.4g for adults, 3-4 times a day, 15 days as a course of treatment. Intravenous drip: 0.5- 1.0g for adults, twice.
[Adverse Reactions and Precautions]
① Gastrointestinal symptoms are the most common, which are positively correlated with dosage.
② Use with caution in patients with liver disease.
③ Occasionally dizziness, paresthesia, numbness of limbs and ataxia can be relieved after stopping taking medicine.
④ Leukopenia may occur in some patients.
(3) Hormones (specific drugs: hydrocortisone, prednisone, dexamethasone, etc. ):
【 Action and Use 】 These drugs can reduce the release of leukotriene B4, inhibit the chemotaxis of neutrophils and prevent the formation of oxygen free radicals.
[Usage and dosage] Intravenous drip: 200-300mg/ day, for 10- 14 days. After that, prednisone was taken orally for 60-80mg/ day, and gradually decreased to 10- 15mg/ day after the condition stabilized, and then the drug was stopped for about half a year. Lesions are mainly confined to patients with rectum and left colon. Hydrocortisone sodium hemisuccinate 65,438+000 mg, prednisolone phosphate 265,438+20 mg or dexamethasone 5 mg plus physiological saline 65,438+000 ml can be used for retention enema, 65,438+0 times a day, and 2-3 times a week after improvement, with a course of treatment of 65,438.
【 Adverse Reactions and Precautions 】 It is not suitable for patients with concurrent infection, and it is forbidden for those with diabetes, hypertension, active ulcer and renal insufficiency.
(4) Azathioprine
【 Action and Use 】 These drugs produce thiopurine in vivo to play an immunosuppressive role, inhibit the synthesis of protein and the proliferation of lymphocytes, and have a strong inhibitory effect on T lymphocytes.
[Usage and dosage] 65438+ 0.5-2.5 mg/kg daily, taken orally for 3 times; The course of treatment is about 1 year.
[Adverse reactions and precautions] are dose-related, including bone marrow suppression, leukopenia and granulocytopenia, nausea and vomiting, and a few hepatotoxicity; There is a risk of teratogenesis.
Interviewee: Michael ee 372 1- Great Magician1Level 311-17: 52.
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Chronic colitis, also known as chronic nonspecific colitis, is what Chinese medicine calls diarrhea. The disease mainly occurs in inflammatory lesions of colonic mucosa, mainly ulcer erosion. The clinical manifestations are abdominal pain, diarrhea, sticky stool or purulent blood, diarrhea at dawn, deformed stool, frequent defecation in one day, or severe diarrhea after defecation. Abdominal pain can be temporarily relieved after defecation, with full abdominal distension and fatigue after taking it. Some patients may have anemia, emaciation and fever at the bottom. Traditional Chinese medicine believes that the disease is caused by three evils: improper diet, mental stimulation, four-season epidemic, improper treatment, persistent treatment and cold, dampness and dampness. The disease has a long course, recurrent attacks, stubborn and difficult to heal, and it is easy to turn into cancer. According to clinical statistics, the cancer conversion rate is as high as 5%- 10%.
dietotherapy
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Chaihu Guizhi decoction
Formula: Radix Bupleuri 25g, Ginseng 10g, Rhizoma Pinelliae 20g, Ramulus Cinnamomi 15g, Scutellariae Radix 10g, Radix Paeoniae Alba 10g, Ginger 10g, Jujube 10g, Glycyrrhrizae Radix 6g, and sugar 20g.
Making:
1. Wash the above medicines, put them into aluminum pot, and add appropriate amount of water.
2. Bring aluminum pot fire to a boil, simmer for 20 minutes, then cease fire, filter out the residue, and add sugar into the liquid medicine and stir evenly.
How to eat: 50g three times a day.
Efficacy: anti-inflammatory, analgesic. Especially patients with bloody stool.
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Millet gruel
Formula: 50g of millet, 0/5g of angelica sinensis, 0/5g of Paeonia lactiflora, 0/5g of Ligusticum chuanxiong, 0/5g of ginseng, 0/5g of Atractylodes macrocephala, 0/5g of poria cocos and 20g of cassia twig.
Making:
1. Put Radix Angelicae Sinensis, Radix Paeoniae Alba, Rhizoma Chuanxiong, Ginseng Radix, Rhizoma Atractylodis Macrocephalae, Poria, and Ramulus Cinnamomi into aluminum pot, add appropriate amount of water, cook for 25 minutes, cease fire, and filter off residues to leave liquid medicine.
2. Wash the millet, put it in aluminum pot, add the liquid medicine and boil it for 30 minutes.
How to eat: 65438+ 0 times a day, 50 grams of millet each time.
Efficacy: relieving pain and dysentery. It is especially good for patients with rectal ulcer, colic and hematochezia.
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Bletilla striata bird's nest soup
Formula: Bletilla striata 10g, bird's nest 3g, rock sugar 10g.
Making:
1. Soak the bird's nest in warm water and remove the feathers with tweezers; The rock sugar is broken; Bletilla striata slices.
2. Put the bird's nest and Bletilla striata in a stew, add 300g of clean water, boil with strong fire, then simmer15min, add the rock sugar crumbs and cook for 3min.
How to eat: one cup a day, taken alone.
Efficacy: hemostasis, detumescence and granulation. Especially for patients with hematochezia in large intestine.
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Bletilla striata porridge
Formula: Bletilla striata 10g, rice 10g.
Making:
Cleaning Bletilla striata, and cutting into 2 cm square pieces; The rice is washed clean.
Put rice and bletilla striata into aluminum pot, add appropriate amount of water, bring to a boil with strong fire, and then simmer for 30 minutes.
How to eat: Eat100g of porridge once a day.
Efficacy: nourishing stomach, stopping bleeding and reducing swelling. It is especially good for patients with colorectal ulcer and bloody stool.
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Stewed quail with horseshoe
Formula: 60g water chestnut, 2 quails, 10g cooking wine, 6g ginger and 4g salt.
Making:
1. Wash the horseshoe and cut it in half; Wash quail, remove hair piles, internal organs and claws; Slice ginger.
2. Put water chestnut, quail and ginger into a stewing cup, add appropriate amount of water, stew for 50 minutes, add salt and stir well.
How to eat: daily 1 time, each time 1 quail, 50g horseshoe. Dinner with food.
Efficacy: clearing away heat and toxic materials, dispersing stagnation and relieving pain. It is effective for patients with colorectal ulcer and hematochezia.
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Mume juice
Formula: ebony1000g, sugar 50g.
Making:
1. Select 1000g of unripe ebony, wash it, put it in a bottle, and soak it with ebony for 10 day.
2. Take out the dark plum juice and put it in an empty bottle.
Efficacy: stop bleeding and reduce swelling. It has certain curative effect on patients with colitis.
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Vinegar peanut
Formula: 500g of peanuts and 0/000g of rice vinegar/kloc.
Making:
1. Wash peanuts and put them in bottles, then put rice vinegar in bottles and soak them for 10 day.
You can take it out of the bottle when you eat it.
How to eat: eat 30 grams of peanuts twice a day.
Efficacy: detumescence and diarrhea. It has good curative effect on colitis.
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Ulcerative colitis commonly used western medicine
(1) sulfasalazine (SASP):
【 Action and Use 】 This product is decomposed into 5-aminosalicylic acid (5- ASA) and iodophor in intestine. The former is the main effective component, which can inhibit the formation of oxygen free radicals mediated by xanthine oxidase or leukocytes and eliminate inflammation.
[Usage and dosage] Oral administration: 1g/ time, 3-4 times/day during the attack, 0.5- 1g/ day after remission, 2-3 times/day, and maintenance treatment 1 year. Retention enema: dissolve 2.0g of medicinal powder and 3.0g of bletilla striata in normal saline. 20-30ml, mix and shake well, and then enema, daily 1 time.
【 Adverse reactions and precautions 】 Allergic reactions such as gastrointestinal symptoms and rashes are occasionally seen.
(2) Metronidazole:
【 Function and use 】 It is mainly used for various anaerobic infections, amoebiasis and filariasis.
[Usage and Dosage] Take orally, 0.4g for adults, 3-4 times a day, 15 days as a course of treatment. Intravenous drip: 0.5- 1.0g for adults, twice.
[Adverse Reactions and Precautions]
① Gastrointestinal symptoms are the most common, which are positively correlated with dosage.
② Use with caution in patients with liver disease.
③ Occasionally dizziness, paresthesia, numbness of limbs and ataxia can be relieved after stopping taking medicine.
④ Leukopenia may occur in some patients.
(3) Hormones (specific drugs: hydrocortisone, prednisone, dexamethasone, etc. ):
【 Action and Use 】 These drugs can reduce the release of leukotriene B4, inhibit the chemotaxis of neutrophils and prevent the formation of oxygen free radicals.
[Usage and dosage] Intravenous drip: 200-300mg/ day, for 10- 14 days. After that, prednisone was taken orally for 60-80mg/ day, and gradually decreased to 10- 15mg/ day after the condition stabilized, and then the drug was stopped for about half a year. Lesions are mainly confined to patients with rectum and left colon. Hydrocortisone sodium hemisuccinate 65,438+000 mg, prednisolone phosphate 265,438+20 mg or dexamethasone 5 mg plus physiological saline 65,438+000 ml can be used for retention enema, 65,438+0 times a day, and 2-3 times a week after improvement, with a course of treatment of 65,438.
【 Adverse Reactions and Precautions 】 It is not suitable for patients with concurrent infection, and it is forbidden for those with diabetes, hypertension, active ulcer and renal insufficiency.
(4) Azathioprine
【 Action and Use 】 These drugs produce thiopurine in vivo to play an immunosuppressive role, inhibit the synthesis of protein and the proliferation of lymphocytes, and have a strong inhibitory effect on T lymphocytes.
[Usage and dosage] 65438+ 0.5-2.5 mg/kg daily, taken orally for 3 times; The course of treatment is about 1 year.