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  • Current location: home>> Life Cultivation and Rehabilitation of TCM(PREVENTION) >> Rehabilitation Examples of Commonly-Seen Diseases >> Rehabilitation for sequelae
    10 Diarrhea
    Diarrhea after the recovery from a disease is mostly chronic and of repeated recurrence.
    Syndrome differentiation and treatment
    Asthenia of the spleen and stomach
    It manifests loose stool with undigested food, increased frequency of defecation in the case of ingestion of slight greasy food, poor appetite, epigastric and abdominal distension and oppression, sallow complexion, lassitude, hypodynamia, pale tongue with white fur, thready and weak pulse. It is advisable to strengthen the spleen and stomach. The prescription used is the modified Shenling Baizhu Powder (Powder of Ginseng, Poria and Bighead Atractylodes). In the case of concurrent food stagnation, add Shenqu ( Massa Fermentata Medicinalis ), Maiya (Fruztus Hordei Germinatus ) and Shanzha (Fructus Crataegi); in the case of splenogastric yang deficiency, complicated by abdominal cold and pain, cold hands and feet, use Fuzi Lizhong Decoction (Decoction of Radix Aconiti for Regulating Middle Energizer) with additional ingredients; in the case of lingering chronic diarrhea, sunken qi of the middle energizer and concurrent proctoptosis, use Buzhong Yiqi Decoction (Decoction for Reinforcing Middle Energizer and Replenishing Qi).
    Residual dampness and heat
    It manifests diarrhea accompanied by abdominalgia, simultaneous onset of pain and diarrhea with scanty amount of stool and urgent defecation, perianal calor aggravated by depression and anger with concurrent thoracic and hypochondriac distension and tightness, eructation, poor appetite, yellowish and thin fur, taut, thready and slightly rapid pulse. It is advisable to eliminate the residual pathogenic factors, strengthen the spleen and check the liver. The prescription used is the combined application of Gegen Qinlian Decoction (Decoction of Pueraria, Scutellaria and Coptis) with Tongxie Yaofang Prescription (Important Prescription for Diarrhea with Pain). Fuling (Poria) and Muxiang (Radix Aueklandiae) may be added. In the case of red tongue tip without fur due to concurrent gastric yin deficiency, add Huaishanyao (Rhizoma Diosoreae), Yuzhu (Rhizoma Poly9onati Odorati) and Shihu (Herba Dendrobii).
    Deficiency of the kidney yang
    It manifests occasional diarrhea with undigested food, abdominal cold and pain relieved by warming and pressing, or diarrhea immediately after abdominalgia and borborygmus before dawn relieved by defecation, cold body and limbs, soreness and flaccidity of the waist and knees, pale tongue with white fur, deep and thready pulse. It is advisable to warm and strengthen the spleen and kidney, stop diarrhea with astringents. The prescription used is Sishen Pill (Pill of Four Miraculous Drugs) with additional ingredients. Besides, Fuzi (Radix Aconiti Praeparata) and Paojiang (baked ginger) may be accordingly added. In the case of old age and weak constitution, chronic diarrhea and sunken qi of the middle energizer, add Renshen ( Radix Ginseng), Huangqi ( Radix Astragali seu Hedysari ) and Baizhu (Rhizoma Atractylodis Macrocephalae), or the prescription is used in combination with Taohua Decoction (Pink Decoction).
    Rehabilitation methods
    Regulating emotions and recreation therapy
    The disease is mostly due to asthenia of the spleen and dysfunctional activities of qi which cause the abnormal emotional changes like melancholy and anxiety. Regulating emotions should be adopted to regulate the functions of the spleen and stomach and promote rehabilitation. The doctor can not only adopt the methods of straightening out the patient, checking one emotion with another, but also guide him to take part in recreational activities such as listening to music, appreciating calligraphy and painting and playing a musical instrument and chess.
    Physical training
    The movements like taking a walk, jogging, doing setting-up exercises to radio music and practicing Taijiquan can strengthen constitution, promote the recovery of the splenogastric functions. Besides, the patient may take a sun bath locally to solarize the abdomen.
    Acumox and massage
    Acumox: Select Pishu (BL 20), Zhongwan ( CV 12), Zhangmen (LR 13), Tianshu (ST 25) and Zusanli (ST 36). In the case of deficiency of the kidney yang, add Mingmen (GV 4) and Guanyuan (CV 4), with the reinforcing method and additional moxibustion; in the case of residual dampness and heat, it is advisable to remove dampness and heat by selecting Zhongwan (CV 12), Tianshu (ST 25), Zusanli (ST 36) and Yinglingquan (SP 9) with the reducing method or the uniform reinforcing-reducing method.
    Massage: Select Zhongwan (CV 12), Tianshu (ST 25), Qihai (CV 6) and Guanyuan (CV 4) of the abdomen with the pushing manipulation with one-finger meditation and rubbing manipulation; select Pishu (BL 20), Weishu (BL 21 ), Shenshu (BL 23 ), Dachangshu ( BL 25 ) and Changqiang (GV 1) of the back with the rolling, pressing, kneading and scrubbing manipulations. In the case of asthenia of the spleen and stomach, press and knead Zusanli (ST 36) and rub the epigastric region; in the case of deficiency of the kidney yang, horizontally scrub Shenshu (BL 23), Mingmen (GV 4) and Baliao; in the case of residual dampness and heat, press and knead Ganshu (BL 18), Danshu (BL 19), Geshu (BL 17), Taichong (LR 3) and Xingjian (LR 2), and obliquely scrub the bilateral hypochondriac regions additionally.
    Self-massage:Persist in kneading the abdomen after getting up in the morning and before bed time in the evening. The method is as follows: Press the region around the navel slowly and forcefully with the alternate hands while rubbing and scrubbing the part for over one hundred circles without the directional limitation. Apply the force increasingly strongly and knead slowly.
    Dietary therapy
    In the case of splenogastric asthenia, select Huaishanyao Biandou Gruel (Gruel of Rhizome Dioscoreae and Semen Dolichoris); in the case of residual dampness and heat, select Gegenfen Gruel (Gruel of the Powder of Radix Puerariae);in the case of deficiency of the kidney yang, select Lianzi Qianshi Gruel (Gruel of Semen Nelumbinis and Semen Euryales) or Huaishanyao Yangrou Gruel (Gruel of Rhizoma Dioscoreae and Caro Caprae seu Ovis). Select the bland, thin, soft and light diet with less lipid and fibre as the principle in daily life. Take meals at the regular time and quantity, and avoid craputence so as to lessen the gastrointestinal burden and promote the absorption of nutrients. Abstain from the uncooked, cold, greasy, thick, hard and unhygienic food and the food which has more dregs and easily produces air.
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