(1) spleen-qi deficiency syndrome: invigorating spleen and benefiting qi. Representative: Sijunzi Decoction. Medicine: Ginseng, Atractylodis Rhizoma, Poria, Radix Glycyrrhizae Preparata. Addition and subtraction: For patients with fullness of chest and diaphragm, Fructus Aurantii and Pericarpium Citri Tangerinae are added to promote qi circulation and broaden chest; For patients with belching, anorexia, fullness and diarrhea caused by spleen deficiency and qi stagnation, Xiangsha Liu Jun Decoction should be used to invigorate qi and spleen, and regulate qi and relax the middle energizer.
(2) Spleen-yang deficiency syndrome: warming middle warmer to dispel cold, benefiting qi and strengthening spleen. Representative: Li Zhongtang. Drugs: Atractylodis Rhizoma, Ginseng Radix, Zingiberis Rhizoma, and Radix Glycyrrhizae Preparata. Addition and subtraction: for those with deficiency cold, add aconite and cinnamon to help yang dispel cold; If qi stagnation stops drinking, add Fructus Aurantii Immaturus and Poria to regulate qi. If the epigastric pain is dull and severe when cold or hungry, you can chew it slowly, and those who like warm pressure can be treated with Huangqi Jianzhong Decoction.
(3) Syndrome of spleen failing to control blood: invigorating qi and enriching blood, invigorating spleen and enriching blood. Representative: Guipi Decoction. Addition and subtraction: according to the bleeding location, time, degree and cold and heat, charcoal of wormwood leaf or cooked ginger is added to warm the channels to stop bleeding in cold patients, and charcoal of rehmannia root or palm charcoal is added to cool blood and stop bleeding in hot patients.
(4) Syndrome of stagnation of middle qi: tonify middle qi, strengthen yang and relieve depression. Representative: Buzhong Yiqi Decoction. Add and subtract: for patients with abdominal pain, add Radix Paeoniae Alba to soften the liver and relieve pain; For those with qi stagnation, add Fructus Aurantii to regulate qi and relieve bloating.
2. Chinese patent medicine treatment:
(1) Sijunzi Pill: It is used for loose stool with deficiency and cold of the spleen and stomach, loss of appetite and less food. (2) Xiangsha Liu Jun Pill: used for dyspepsia, belching, anorexia, abdominal distension and loose stool caused by spleen deficiency and qi stagnation. (3) Shen Ling Baizhu Granule: used for people who are tired and weak and eat less loose stool. (4) Shen Lingjian Spleen and Stomach Granule: used for spleen and stomach weakness, dyspepsia, diarrhea and vomiting, emaciation and mental fatigue. (5) Buzhong Yiqi Granule: used for asthenia, anorexia, abdominal distension, loose stool's chronic diarrhea, proctoptosis or proctoptosis and uterine prolapse caused by spleen and stomach weakness and deficiency of middle qi. (6) Ginseng Jianpi Pill: used for dyspepsia, nausea and vomiting, abdominal pain, loose stool, insufficient diet, mental fatigue and other symptoms caused by spleen and stomach weakness. (7) Bupi Yichang Pill: used for abdominal distension, pain, bowel sounds, diarrhea and bloody stools caused by spleen deficiency and qi stagnation; Chronic colitis, ulcerative colitis, allergic enteritis.
(8) Fuzi Lizhong Pill: used for epigastric cold pain, vomiting and diarrhea, and tepid hands and feet caused by deficiency and cold of spleen and stomach.
(9) Ginseng Guipi Pill: palpitation, forgetfulness, insomnia and dreaminess caused by deficiency of both heart and spleen, sallow complexion, listlessness and lack of food, and light and dripping menstruation of women.
Acupuncture treatment:
1. Spleen deficiency syndrome: Foot Taiyin, Foot Yangming meridian points and corresponding back Shu points are the main points. Such as Taibai, Sanyinjiao, Zusanli, Fenglong, Pishu and Shu Wei.
2. Spleen-yang deficiency syndrome: Foot Taiyin, Foot Yangming meridian points and corresponding back Shu points are the main points. Add Guanyuan and Shenshu, and reuse moxibustion.
3. Spleen deficiency and qi stagnation syndrome: Foot Taiyin, Foot Yangming meridian points and corresponding back Shu points are the main points. Add Qi Hai, Guan Yuan and Baihui, and reuse moxibustion.
4. Syndrome of spleen failing to control blood: Foot Taiyin, Foot Yangming meridian points and corresponding back Shu points are the main points. Invisible white, blood sea, Shu Ge, reuse moxibustion.
Daily care:
1. Don't exercise excessively, pay attention to rest and ensure adequate sleep.
2. Keep warm to avoid catching a cold.
3. Frequent diarrhea, coupled with the stimulation of feces, can easily make the skin around the anus red, swollen and painful, so wipe it with soft paper after each defecation, wash your buttocks with warm water, and apply some glycerin skin care oil or toner if necessary. At the same time, make the sheets clean and tidy, and change the sterilized sheets and underwear every day.
4. Instruct patients and their families to record the frequency, quantity, color and character of stool.