The traditional Chinese medicine enema with oral treatment of 52 cases of chronic rectitisA subtype of chronic proctitis is chronic nonspeci
The traditional Chinese medicine enema with oral treatment of 52 cases of chronic rectitis
A subtype of chronic proctitis is chronic nonspecific ulcerative colitis, which is within 10cm above the dentate line of the rectum nonspecific inflammation, anorectal is a clinical common disease, frequently occurring disease. In recent years, our department enema with method of syndrome differentiation of oral traditional Chinese medicine decoction treatment of chronic proctitis and 52 cases were treated with traditional Chinese medicine, more satisfactory curative effect, is described as follows:
1 objects and methods
In this group, 52 (male, female, 24), aged from 24 to 60 years old, had a course of disease: (n = 3 months), with a mean of 3 to 6 months, with a mean of 7 to 21 months (n = 9), with a total of 3 cases (n = 12) in the past 1 years. All the cases were confirmed by electronic colonoscopy or pathological examination, which was consistent with the diagnostic criteria established by the National Symposium on chronic non infectious intestinal diseases in Taiyuan in 1995. Clinical manifestations: varying degrees of abdominal pain, diarrhea, mucus and bloody stools, or anal tenesmus, sometimes accompanied by anal pain after sacrococcygeal pain bulge symptoms. The heat accumulation type in 18 cases, the symptoms of anal bulge, pain or abdominal pain, diarrhea and tenesmus, stool frequency, with mucus or blood, red tongue, slippery pulse number. 17 cases of liver and spleen deficiency symptoms, abdominal pain, with chest pain, deep sigh, irritability, anorexia, abdominal distension, constipation or diarrhea with mucus, irregular menstruation, pale dark tongue moss thin, wiry etc.. 10 cases of spleen kidney yang deficiency symptoms, anal tenesmus, abdominal pain, stool after the valley not or mucous, abdominal chills, lower limbs not warm, pale tongue with white fur, thready pulse. Stop in the blood stasis type in 7 cases, the symptoms of anal bulge pain or tingling, or sacrococcygeal pain, prolonged unhealed, dark purple tongue, or string pulse. Enema: Oldenlandia 30g, dandelion 30g, Patrinia 30g, FT 15g, 20g 15g, Burnet, ash, white 20g, Rhizoma Bletillae 10g. Water decoction to 100 - 150ml, 37 - charge temperature of 40 DEG C, retention enema every night 1 times, 15d for a course of treatment. Intermittent 3D after second courses of treatment. Oral: shireyunjiexing treatment should be clearing heat and removing dampness, Pulsatilla medicinal: 15g, 10g 15g, Cortex Phellodendri, cortex Fraxini, plantain 15g, woody 10g (later), 12g 20g of white peony root, Fructus aurantii, Sophora 20g, areca 15g. 1 doses of /d, water to 400ml, sooner or later. The liver and spleen deficiency treated Shuganjianpi dry temperature to four inverse scattered and modified Pingwei powder. Pharmaceutical: Chuanpo 10g, tangerine peel 10g, Atractylodes rhizome 10g, licorice 10g, bupleurum 10g, Radix Paeoniae Alba 15g, Pulsatilla 30g, Oldenlandia 15g, orange 10g, dangshen 15g, Atractylodes 10g. 1 doses of /d, water to 400ml, sooner or later. Spleen kidney yang deficiency in spleen kidney Zhiyi, astringent antidiarrheal, medicinal Astragalus 30g, psoralen 10g, Atractylodes 12g, simmer nutmeg 6G, ripe monkshood 10g, 15g chinensis, Radix Aucklandiae 6G (after), dangshen 30g, Poria 30g, Cimicifuga 9g. 1 doses of /d, water to 400ml, sooner or later. The treatment of blood stasis and internal fixation should be invigorating qi and activating blood circulation, removing blood stasis and relieving pain. Medicinal: 10g red peony root, Chuanxiong 6G, cowherb seed 10g, myrrh 8g, woody 10g (after), bergamot citron 12g, 12g 12g, Taiwan Ukraine, Astragalus 30 grams ~ 45g,. 1 doses of /d, water to 400ml, sooner or later.
2 results according to standard of curative effect of 52 cases of chronic colitis, proctitis patients after 2 days treatment, 42 cases were cured: Anal bulge pain, stool with mucus blood stool and other symptoms disappeared, 1 2D1 times, quality is basically normal, part of endoscopy intestinal mucosa had no obvious lesions; 9 cases were effective: Anal bulge pain. Blood stool with mucus symptoms and stool frequency decreased, and quality are normal, endoscopy intestinal mucosal lesion was reduced; 1 cases were invalid. There are 98.08 percent efficiency.
3 discussion of chronic proctitis is medicine "bowel" and "dysentery", "blood" and other disease areas, by eating raw or cold food to stimulate the internal organs, or damp heat toxin accumulation, bet and large intestine, bowel injury. The following clinical diarrhea, hematochezia, abdominal pain, anal straining pain and main symptom. Treatment of internal and external treatment method. This group of patients with Chinese medicine retention enema plus oral Decoction of Chinese medicine syndrome type, treatment of 52 cases of chronic rectitis, obvious curative effect, low recurrence rate. The retention enema prescription, Oldenlandia, dandelion, Patrinia detoxification, clearing heat and dampness; Burnet, cortex Fraxini, Rhizoma Bletillae, Liangxue astringent Lianyang hemostasis; Radix Paeoniae Alba Rougan wulingzhi Huayuzhitong ensemble, priorities, priorities detoxification, diarrhea, bleeding and pain, and muscle thickness of intestinal work. Traditional Chinese medicine enema in the treatment of proctitis, can make the medicine liquid directly to patients, direct contact with diseased areas, to maximize the comprehensive curative effect of traditional Chinese medicine special. The treatment of chronic proctitis, traditional Chinese medicine is also an important aspect. Through the differentiation of symptoms and signs, the improvement of the patient's viscera function, improve the disease resistance of patients, promote the recovery of the disease. In addition, we observed that the enema with Chinese medicine treatment at the same time should also pay attention to the coordinating role of diet, patients should eat light, easy to digest food, should be drinking, smoking, eat spicy greasy and dry milk products, fast food of shrimp and crab, in order to restore lesions.