Xu Jingfan: three dirty with cure giuly

Source: China's traditional Chinese medicine

Author: Liu Weimin Xiao-bo zhou Xu Dan China

Ulcerative colitis is a kind of reason is not fully clear inflammatory bowel disease, closely associated with colon cancer, who is listed as one of the refractory disease. The first national physician master Xu Jingfan professor thinks its disease between "diarrhea", and "dysentery", diagnosed as "under the" more practical, if the course of more than 3 months, and can be referred to as the "giuly". The author hereby treatment based on the experience summarized below.

Xu Jingfan thinks, spleen in medium with stomach, if spleen health delivery, is water to wet, valley to lag, QingZhuo mixed, water walk between intestinal and for diarrhea. If the origin implication, bowel relieving transmission loss, reduced adverse, qi and blood stasis, and damp heat damage lipid membrane, winding with blood, and the discharge with red white sticky frozen, such as "diarrhea". The course of the day for a long time, the spleen and stomach is weakening.

At the same time, the spleen to transport, l need to depend on the pathogenesis of liver. If modern depression, liver, and down stasis, unreasonableness of spleen, can make the spleen dereliction of duty, and the next. And kidney is the foundation of the birth, the curse of fire can help the spleen and stomach rotten food. If the kidney Yang deficiency, virtual life fire failure, is not warming spleen earth, transport and dereliction of duty, causes the. Pixu (spleen deficient), if the disease for a long time, the recurrent and lead to kidney Yang deficiency, spleen and kidney empty, WenYun division, is the day under heavy.

Anyhow, raw wet pixu (spleen deficient), transport and dereliction of duty for the key pathogenesis of the disease, and liver wood by spleen, kidney and spleen disease and pathological changes of cannot be ignored. Long required no more, the pathogenesis, liver and spleen kidney three dirty influence each other, eventually leading to three dirty with disease. And he believes that pathological factors dehumidification, hot outside, if the disease and in blood, blood heat and blood stasis are two main pathological factors.

Spleen and liver kidney, ensures the suppression, blood stasis and thanh hoa

Despite the disease of diseases and the shortage of Ming in the card and terminal based on pixu (spleen deficient), therefore, Xu Jingfan quasi astragalus sweet ginseng soup, even the fat clear bowel of soup, etc. And common astragalus fill gas poison abscess, convergence muscle; Atractylodes, poria cocos spleen wet; Fill yam without delay, profit lung qi zi spleen and kidney, and can prevent the wet medicine dry injured Yin; Song jiao this spleen to help transport.

For a long time, he also pointed out that the disease symptoms complex, only from the spleen wet giuly patients is difficult to solve, must give attention to both liver kidney, even not yet and liver and kidney, slightly with use, also have types.

Such as fat even clear bowel liver soup with radix paeoniae alba and camp, licorice and suitable, pain, diarrhea, salty; With yam, which can benefit the Yin of the spleen and liver, played a dry shade. Wind scattered, can assist in radix paeoniae alba and atractylodes in liver and spleen; And because the wind medicine can wet ", and the work of wet antidiarrheal. Hard, malaytea scurfpea fruit into the kidney meridian and kidney and antidiarrheal.

Patients with the disease activity visible mucous purulent blood, or pure blood, accompanied by mouth, red tongue, yellow greasy coating on the tongue, treatment should not be pure tonifying spleen kidney, should be both, and fever.

As his astragalus sweet soup, sophora (their) heat drying wet, functions of insecticidal, costus XinWen (bitter) pain, qi and amuse oneself appetizing; Two fungicides, take Ye Tianshi incense ginseng pills, clear heat gas flow field. And the combination of astragalus root, without delay, sophora wu astragalus membranaceus, cold and warm, and supplement. And even the fat colon cleansing soup with coptis Fairbanks, purging fire dry wet, heat-clearing and detoxicating.

If the disease and in blood, blood heat and blood stasis is the two main pathological factors, the cool blood, blood stasis must be persistent. Cool blood such as garden burnet, arborvitae, sophora japonica, cortex moutan, etc., are commonly used. Herba agrimoniae diarrhea grass, also can cool blood hemostasis, and make free line stasis, tonify deficiency on acute and remission of the disease are proper use; When the daily 30 grams, disease gradually back to more 15 grams a day. Radix arnebiae seu lithospermi cool blood stasis, with conventional cold blood efficacy, owe the author join the radix arnebiae seu lithospermi often obtain good effect. Improved after, still can use continuously, in order to prevent recurrence, good for the healing of intestinal mucosal ulcer lesions. When stool, but not free, but with peach kernel, angelica, radix et rhizoma rhei refs. Onset of disease, abdominal pain remarkableness, can be based on syndrome differentiation combined with red vine, cortex moutan, sauce cool grass colon cleansing blood stasis. In a word, don't forget to treat blood, camera and use medicine, thereby to one of the method.

Giuly injured Yin, beneficial to raise The spleen Yin stomach Yin when distinguishing

Giuly is more performance for patients with qi, Yang deficiency, but often involving the Yin of the spleen and stomach. As "JingYue encyclopedia, diarrhea" cloud: "cold diarrhea, this not fire, because of lack of water." Visible two virtual Yin and Yang are two aspects of the disease pathogenesis, no Yang deficiency and Yin deficiency, just different levels, different symptom successively primary and secondary.

Xu Jingfan thinks, giuly spleen Yin deficiency syndrome, not heavy, general meaning is urgent but quantity is not much, not comfortable womb, dry mouth to drink, eat less stay, upset, god labial red dry, the skin is dry, red tongue less moss, very red and crimson light strip, pulse count. Due to this, never buy YinShang, constantly temperatures yi Yang. Appropriate raise spleen Yin and boost the spleen Yang and gradually achieve the relative balance of Yin and Yang, is the fundamental diagram.

He often to yam, pseudostellaria root, lentils (or lentils), stone lotus seed, root of herbaceous peony, pomegranate peel, liquorice is complementary, the divine comedy, millet sprout to assist. And believes that the spleen Yin deficiency generally remains both insufficient temper, treatment at the same time of tonifying spleen Yin must consider tonic temper, give tonifying spleen Yin and not too zi greasy, but not too warm dry air, healthy and vigorous temperament, is advantageous to the spleen Yin reflex, spleen Yin, also helps to turn to lose temper.

The wind dampness, phlegm cure Lung and large intestine list

Xu Jingfan advocated in spleen medicine with notopterygium, wind, wind medicine such as radix gentianae macrophyllae, every can improve the curative effect. The cicada and batryticated silkworm are functions of allergy, the abrupt onset (or recurrence) and borborygmus, abdominal pain, the blood, "wind" of intestine (wind sex good, bowel peristalsis, water vapor in the muscle in lumen, bowel and drainage, this phenomenon is that the "wind") is also available. Wind medicine more than slightly sweet and partial dry gas, not only can inspire elevating spleen Yang, flooding wind dampness, make the qing qi of the spleen, turbidity was so angry, the sanjiao (triple energizer) through the wet is not easy to stay; At the same time, the wind in the medicine can remove intestinal "wind", can make the bowel peristalsis slow, improve digestion and absorption function, alleviate bowel, etc. If the spleen Yin deficiency and liver Yin deficiency, also the functions of medicine with radix paeoniae alba, ebony, lotus products such as meat, Fried papaya, wu dryness, clearing damp the folding of the Yin, mutual consideration, does not have the disadvantages of too dry.

Patients with clinically and some giuly, mucus stool is more, or have chronic cough phlegm syndrome of asthma. This, he thought, is the "phlegm xie" of "introduction to medicine. These patients don't remove the mucus is difficult to alleviate, so put forward "phlegm, cure" point of view, namely, on the basis of syndrome differentiation with phlegm method. With platycodon grandiflorum, pinellia, dried tangerine or orange peel, poria cocos, etc of phlegm cough, not only can treat lung disease cough phlegm, can remove mucus in the stool or pus, is beneficial to control giuly, this is Xu Jingfan of "lung and large intestine list" of another interpretation.

Traditional Chinese medicine enema combined with the patient's powder, increase efficiency

For the disease caused by giuly, Xu Jingfan often adopt the method of traditional Chinese medicine decoction concentrate retention enema, the gut local inflammation, ulcer has good curative effect. Commonly used: the formulas sanguisorba 30 grams, the stone calamus 20 grams, white and 10 grams. In three medicine has qingrejiedu, cool blood hemostasis, convergence raw muscle. ,

Purulent blood was obvious, and cortex phellodendri 15 grams, with sauce grass 30 grams, 15 grams of radix arnebiae seu lithospermi; Number of diarrhea frequency, pomegranate peel 20 grams, cortex fraxini 10 grams; Have a blood stool stem node, with raw rhubarb 10 grams. Such as ulcers, yunnan baiyao, notoginseng powder, tin powder, or other suitable amount of powder, ensure soluble powder in the solution, not blocking the lumen. Of the patient's solution enema is conducive to improve the curative effect. It is a supplement on the spleen and stomach disease treatment.

Giuly decoction in patients with medicinal broth, such as diarrhea times larger, medicine should be Fried, reduce the amount of liquid. Or by giuly gave birth to the pathological characteristics of wet, pixu (spleen deficient) with powder to increase curative effect. Generally patients with spleen deficiency, the prescription with yam, dangshen, atractylodes, tuckahoe, licorice total about 500 grams, with Fried, research at the end of the very fine sieve. Another told a patient and his family prepare rice 1000 grams, respectively stored in dry container, in the airtight moistureproof. Every time take about 30 grams of powder, rice flour, about 60 grams, add sugar is right amount, add water to make, and cook, stirring, cooked paste take, 1 ~ 2 times a day. The advantage of this dosage form is in various parts of the stomach and intestine play efficacy, spleen benefit stomach antidiarrheal, can not only improve curative effect, and nourishing effect, if red jujube decoct soup for water is a plus.