Did Aaron: detailed distinguishes the false or true Weigh the attack to fill

Treating ulcerative colitis

Time: 2015-08-19

Source: China's traditional Chinese medicine

Author: Qiu Min sunke

Ulcerative colitis is a common chronic disease, belongs to the medicine "inflammatory bowel disease, clinical often appear repeatedly diarrhea, abdominal pain, accompanied by purulent blood, stool often appears red blood cells, white blood cells, and so on. Ulcerative colitis in delay often painless, treatment is more trouble. Attack did professor Aaron clinical syndrome differentiation, carefully measured grasp skilled, for the disease, intestinal humid in clean solution at the same time, care and certificate, and pay attention to protect vital qi, the complex factors, pathogenesis, weakness, to benefit from a cure. From case analysis summary experience did Aaron to treat ulcerative colitis

"Typical case"

Wang mou one, female, 44, chongqing people, was on November 6, 2003.

In a May 2003 patients without obvious incentives in purulent blood, at a local hospital after an injection infusion treatment have eased, but defecate deformed, 2 ~ 3 times daily, titian. Appear again in October 2003, purulent blood, on October 28, see a doctor in a 3 armour hospital, stool routine: red blood cells, 300 / HP, pus cells + + / HP, electronic colonoscopy diagnosed with ulcerative colitis. Taking rick beck (gentamycin sulfate zyban), furazolidone, etiasa (Sarah qin), such as montmorillonite powder curative effect is poorer. Yesterday into purulent blood will increase after the cooking soup, 10 times a day, at a local hospital, then check routine blood: HGB is only 39.8 g/L, 11.2 x 109 WBC, neutrophil ratio 81%, lymphocyte ratio 17%, input penicillin, for indications, tobramycin symptoms persist.

Patients with extreme angular (at that time just 44 kg), anal belly, purulent blood, dozens of lines, dry mouth like drinking, known hunger nor to feed, languid, heart palpitations flustered, urinate normally, red tongue front no moss, thin roots yellow moss, pulse count.

Syndrome differentiation of traditional Chinese medicine: damp and hot accumulate knot bowel, qi bo, the wine is purulent blood, and for diarrheal red white; Wet heat resistance indicates, qi activity block, therefore see tenesmus, anal the belly. The relatively long duration, damaged spleen Yang, Yin blood also hurt, hunger is for food, languid, heart palpitations flustered, anemia is obvious.

The appropriate treatment: treatment qingrejiedu, cool blood hemostasis, qi and nourishing Yin. Party with madder root and according tonga subtraction.

Prescription: sanguisorba charcoal 20 grams, 20 grams of madder root, arborvitae charcoal 50 grams, Fried 15 grams, radix rehmannia born 20 grams, 30 grams of white and, donkey-hide gelatin (Yang) 10, 12 grams, cortex phellodendri chinensis 6 grams, 30 grams of raw radix astragali, herba agrimoniae 30 grams, 30 grams of subsoil oven, red paeony root medicine 20 grams, 15 grams of cortex moutan, hovenia dulcis 12 g, 12 g atractylodes, licorice 6 g, 6 g notoginseng powder (blunt). 4 agent, water decoction, daily 1 agent.

On November 13, 2003, two diagnosis: purulent blood decreased significantly after taking medicine, defecate by more than 10 times a day reduced to 2 times daily, abdominal distension, now vest chills, knee joint ache, purulent blood decreases, sore throat, red tongue, moss thin white, pulse count.

Syndrome differentiation of traditional Chinese medicine: patients with purulent blood, intestinal see hot and humid, vest chills for zong qi deficiency.

Treatment: no more party, above and huangqi sijunzi decoction, wei qi, filling of gas.

Prescription: sanguisorba charcoal 30 grams, 30 grams of madder root, arborvitae charcoal 30 grams, radix scutellariae charcoal 12 grams, rhizoma coptidis 10 grams, 15 grams of radix puerariae, 12 grams of cortex phellodendri, radix paeoniae rubra 20 grams, 30 grams of subsoil, oven white and 30 g, 6 g notoginseng powder (blunt), poria cocos 15 grams, 30 grams of coix seed, 30 g, Chinese bulbul hovenia dulcis 12 grams, atractylodes 12 grams, 30 grams of raw radix astragali, radix angelicae 15 grams, licorice 6 grams, 30 grams of refs. 6 agent, water decoction, daily 1 agent.

On November 20, 2003 three diagnosis: defecate daily 1 row, purulent blood disappeared, but still not forming, in the stool with intestinal mucosa, vest chills, limbs cold night, tongue reddish, moss thin white, pulse thin.

Decline of traditional Chinese medicine: purulent blood disappeared, damp and hot, but the course of long lingering, together with their clear, spleen Yang more empty.

Above treatment: cut out, and Yang jiayi temperature.

Above prescription: rhizoma coptidis, cortex phellodendri, radix pulsatillae, cassia twig. Raw radix astragali 30 grams, 10 grams of cassia twig, poria cocos 12 grams, main licorice 6 g, 12 g atractylodes, sanguisorba charcoal 30 grams, 30 grams of madder root, arborvitae charcoal 30 grams, red paeony root, 20 g angelica dahurica 12 grams, 20, raw radix rehmanniae radix puerariae 15 grams, radix scutellariae 12 grams, 30 grams of herba agrimoniae, white and 20 g, notoginseng powder 3 (blunt). 6 agent, water decoction, daily 1 agent.

On December 18, 2003 four: is defecate is constipation, mucus, 1 of 2 ~ 3 times, mouth, now cold, stuffy nose, leave a clear, cough, cough up yellow sputum, general, urinate, red tongue, yellow less moss, pulse count.

Syndrome differentiation of traditional Chinese medicine: the wind hot card table.

Nourish treatment: a cold, but long duration of intestinal damp and hot, long illness into collaterals, bowel relieving chang, runchang purge, not forget that blood bleeding.

Prescription: fructus forsythiae powder, taking maren pills. Yinhua 15 grams, 15 grams of st John's wort, mulberry leaf 12 grams, almond 12 grams, 15 grams of platycodon grandiflorum, xuan 15 grams, the dwarf lilyturf 20 grams, lily magnolia flowers 12 grams, mint 12 grams, 15 grams of fructus arctii, hu before 12 grams, licorice root 6 grams, radix rehmanniae 20 grams, 30 grams of sanguisorba charcoal, madder root 30 grams, red paeony root 20 grams, 20 grams of main loquat leaf. 6 agent, water decoction, daily 1 agent. Taking maren pills 6 grams, 2 times a day.

On December 25, 2003, five diagnosis: cold symptoms disappear, defecate unobstructed, with rich color is red, there is no mucosa, stay, abdominal distension, red tongue moss thin yellow, pulse count.

Syndrome differentiation of traditional Chinese medicine: intestinal hot and humid, intestinal membrane damage is slow, but lose health, spleen stomach still delay.

Treatment: qingrejiedu, cool blood hemostasis, jianwei xiaoshi.

Prescription: madder root powder and according tonga divine comedy, big belly skin. Sanguisorba charcoal 30 grams, 30 grams of madder root, arborvitae carbon 30 grams, 30 grams of subsoil oven, rhizoma coptidis 6 grams, 15 grams of radix puerariae, radix scutellariae 12 grams, 25 grams of raw radix rehmanniae, Fried hovenia dulcis 12 g. Big belly skin 12 g. White and 20 grams. 12 g built 20 grams, red paeony root medicine. 5 agent, water decoction, daily 1 agent.

On December 31, 2003, six diagnosis: is defecate is not greasy, colour to yellow not red, abdomen bilges, not eat better, red tongue, moss thin Huang Run, pulse count.

Syndrome differentiation of traditional Chinese medicine: spleen health, improve appetite, do not forget the foundation of hot and humid embodiment.

Treatment: qingrejiedu, cool blood hemostasis, jianwei xiaoshi.

Above: the formulas and honeysuckle, forsythia, gardenia, angelica. Sanguisorba charcoal 30 grams, madder root 30 grams, 30 grams, arborvitae charcoal stove subsoil 30 grams, 6 grams of rhizoma coptidis, radix scutellariae 12 grams, Fried hovenia dulcis 12 grams, 25 grams of raw radix rehmanniae, honeysuckle 12 grams, red paeony root medicine 12 grams, 6 grams angelica, big belly skin 12 g, 12 g, gardenia built 20 grams, 30 grams of herba agrimoniae, cortex moutan 20 grams, forsythia 12 grams, licorice root 6 grams. 6 agent, water decoction, daily 1 agent.

On January 8, 2004, seven diagnosis: move bowels dry, take a small amount of mucus, did not see obvious mucous membrane, chest MenZhang, tongue numb, the feeling of a little red tongue, moss thin yellow, pulse string.

Syndrome differentiation of traditional Chinese medicine: Yin anaemia empty, no water line, therefore, intestinal dry constipation; Chest tightness tongue hemp, considering the spleen Yang deficiency, the disease and the mother, also micro heart Yang, long illness into collaterals, stop in blood stasis.

Treatment: ziyin yangxue, increases the liquid line boat, activate blood, qi and t2dm.

Prescription: increase fluid decoction and invigorate the circulation of tong Yang fights. Raw radix rehmanniae 20 grams, xuan 20 grams, the dwarf lilyturf 20 grams, 15 grams, red paeony root medicine safflower 3 g and dalbergiae 6 grams, 6 grams, rhizoma ligustici wallichii notoginseng powder (a blunt) 3 g, salvia miltiorrhiza 12 g, 12 g of frutus aurantii immaturus, trichosanthes kirilowii shell 12 grams, licorice root 6 grams, 30 grams of mother of pearl, cedar seed kernel 20 grams. 6 agent, water decoction, daily 1 agent.

On January 18, 2004, eight diagnosis: chest disappear, after taking the drug has not dry stool, mucous, slightly numb, no obvious discomfort when the tongue, tongue reddish, moss white, pulse string.

Syndrome differentiation of traditional Chinese medicine: bowel embellish the heart line, the general principles of the winding tightness, to continue the healthy temper, moist intestinal juice, adjust gastrointestinal function in the aftermath.

Treatment: the spleen and stomach, nourish Yin fluid, and enrolled in t2dm.

: huangqi sijunzi decoction and increase fluid tonga decreases. 20 g bubble 30 grams, poria cocos, atractylodes 12 grams, 30 grams of radix astragali, radix rehmanniae 20 grams, the dwarf lilyturf 20 grams, xuan 20 grams, cedar seed kernel 20 grams, 30 grams of herba agrimoniae, Fried hovenia dulcis 12 g, 12 g of snakegourd fruit shell, mother-of-pearl 20 grams, 6 grams, dalbergiae salvia miltiorrhiza 12 g, 3 g notoginseng powder, licorice root 6 grams, build 20 grams. 6 agent, water decoction, daily 1 agent.

The patient due to exogenous again in January 2013, has been rosy, shape, weight 62 kilograms, review the blood routine: HGB112g/L.

The dialectical thinking and administration 】

Ulcerative colitis belongs to medicine "inflammatory bowel disease", is with colorectal mucosa chronic diffuse inflammation, mainly involving the rectum and sigmoid colon, the continuity of pathological changes, the entire colon can also be affected. Until now does not know the exact cause of ulcerative colitis. Most research suggests that the disease is the result of the effect of internal and external causes, including the following three possible factors: genetic factors, some of the body's immune response is not appropriate, the environmental factors. It is more than a single gene or genetic diseases. Certain factors to activate the body's immune system, the immune system to the outside world into material, this is the beginning of the inflammation, unfortunately, the immune system will not shut down, inflammation to continue as a result, or the body's immune system is to own intestinal mucosa as an enemy, repeated attacks, and then destroy the colonic mucosa, and symptoms of ulcerative colitis. What's worse is the disease can break out repeatedly, deferment painless, seriously affect the patient's physical and mental health.

Did think, traditional Chinese medicine belong to the category of "wet and heat flow field, the disease etiology and pathogenesis of traditional Chinese medicine thinks the disease: damp and hot accumulate knot bowel, bo and qi and blood, blood stasis and heat resistance made for purulent blood, and for the flow field under the red white; Wet heat resistance indicates, poor person, so see tenesmus, anal the belly. The case when the doctor has repeatedly for six months, the long course of disease, trapped within the origin, spleen Yang is impaired, toxic heat embodiment, also injured Yin blood, hunger is for food, languid, heart palpitations flustered, anemia, clinical performance for hot and humid embodiment, spleen Yang deficiency and Yin anaemia empty complex pathogenesis factors. Been alone at this time are more injury of spleen Yang, dissipative Yin blood; Helped spleen Yang, nourishing Yin and blood, to wet heat and bloody more add, treatment of intractable.

In the treatment of the case, did the first diagnostic methods, namelv clear-eyed, considers the patients for wet poison accumulate knot bowel, blood hot burnt blood as the main pathogenesis, damp and hot is not in addition to the bloody hard to stop, so the treatment qingrejiedu, cool blood hemostasis is given priority to; Also virtual patients with long duration, spleen Yang, Yin blood loss, spleen Yang ceased, the system has no right to blood, and blood Yin dissipation, but at the moment, auxiliary spleen Yang wen medicine for wet help fire and reason in qingrejiedu, cool blood hemostatic, joining of qi and nourishing Yin, first helped temper, Yin blood, spleen YangJian temper after, Yin blood filling the intestinal juice.

Did when first option according to the pathogenesis, and set up "qingrejiedu, cool blood hemostasis, qi and nourishing Yin" in the treatment of, accordingly to "qingrejiedu, lishi flow field" and "keep cool blood hemostasis with puerariae and scutellariae and coptidis decoction of madder root powder. Party of radix scutellariae, rhizoma coptidis heat drying wet, thick intestinal check flow field; Kudzu root into the spleen and stomach, fu, the spleen and stomach of QingYang under flow field; Gelatin or insufficiency of Yin blood, and can stop bleeding, licorice priorities, madder root, arborvitae,, is to heat in the blood, can Yin qing in the blood hot, when Yin to fire in port. Sanguisorba charcoal, charcoal, herba agrimoniae function convergence bleeding, notoginseng powder, red paeony root medicine huoxue cool blood bleeding, bleeding and blood stasis.

Did Aaron in the treatment of the case, the most wonderful place to add astragalus, oven subsoil. Astragalus tonifying qi spleen function, rise YangJu trapped, yiqi is who, detoxification, the production of the preventive therapy sores, canker to chronic inflammatory cells attack the role of colonic mucosa has promoted the healing; Focal subsoil XinWen, taste, function releasing cold warm, convergence bleeding, inverse anti-nausea, wen im antidiarrheal. "Ben was reading" refers to the "work into the spleen and stomach, have lifted Yang Yin, fights from evil effect. All the hematic disease, by the ideas of spleen Yang deficiency and cannot, all of the available, this" golden "loess soup is".

The case is hot and humid embodiment bowel relieving is given priority to, but there is also a course of the day for a long time, trapped in the origin, spleen Yang is impaired, toxic heat embodiment, Yin also hurt the pathogenesis of blood; Spleen Yang deficiency, blood system has no right to, Yin blood dissipation, if use medicine helped spleen Yang warm, moist of nourishing Yin is to wet heat and blood stool more add, have above in qingrejiedu, cool blood stanching the medicine adding astragalus, focal subsoil yiqi liters of spleen Yang, first helped temper, litres of spleen Yang, toxic raw muscle, ulcer healing, bleeding of convergence, wen im antidiarrheal, temper after the spleen YangJian, spleen Yang up is Yin blood taken, bloody stop.

"Two JingYue encyclopedia, a patient and his family to" cloud: "d can not expensive in healing, and the more expensive than can difficult disease." Disease status, more medical repeatedly, factors, pathogenesis is complex, theory and help fill virtual to real, with real fear more empty, group d s. Did Aaron alone can shenzheng pathogenesis, weigh the actual situation, the theory of the attack, exorcism to eradicate, righting to help exorcism. Differentiation, legislation, according to the state standard, sent, medication HuoFan to organize it, has its own art, therefore, growing up, so the disease as the whole, is my generation struggling with the example of learning!