White dysentery

　　The 'Taiping Shenghui Fang' Volume 59: 'The white dysentery is caused by the intestine being weak and cold qi invading, colliding within the intestines, causing the fluid to coagulate into white, hence the name white dysentery.' The symptoms include defecation resembling gel or snot, accompanied by abdominal pain, feeling heavy after defecation, inability to eat, clear urine, or cold hands and feet. It is caused by cold and dampness coagulating, and the spleen Yang being injured. Treatment should be to warm the middle and transform dampness, and options such as Danggui Powder, Xuashi Decoction, and Shibu Decoction can be chosen. It is commonly seen in chronic bacterial dysentery and chronic allergic colitis, etc.

　　1, Acute bacterial dysentery is often accompanied by varying degrees of dehydration acidosis and electrolyte disturbance, so in the process of treatment, in addition to anti-infection treatment, it is necessary to actively rehydrate and supplement electrolytes to avoid water and electrolyte imbalance.

　　2, Chronic bacterial dysentery has symptoms such as abdominal pain and abdominal distension. Frequent stools, obvious mucous stools, but no obvious systemic toxic symptoms;

　　3, A few patients may develop joint swelling and pain 1-2 weeks after onset,呈 non-suppurative, migratory. If accompanied by fever, urethritis, and conjunctivitis at the same time, it is called Reiter syndrome, which is related to the immune response induced by infection.

　　3, For children under 5 years old, it can directly lead to toxic encephalitis, manifested as blue-gray complexion, high fever, convulsions, and other central nervous system changes. An immediate cold saline enema can see mucopurulent blood stool, which can be diagnosed as soon as possible.

　　White dysentery is consistent with the symptoms of bacterial dysentery in modern medicine, which is an intestinal infectious disease caused by Shigella, prevalent in summer and autumn. The main clinical manifestations are fever, abdominal pain, diarrhea, tenesmus, and mucopurulent blood stool. In severe cases, infectious shock and (or) toxic encephalopathy may occur. The acute stage of this disease usually recovers within a few days, while a few patients may have prolonged illness and develop into chronic bacterial dysentery, which can recur repeatedly.

       To prevent dysentery, the following points should be observed: to improve the environmental hygiene, strengthen the management of toilets and feces, eliminate the breeding places of flies, and mobilize the masses to eliminate flies. Strengthen the management of food hygiene and water sources, especially to do a good job of hygiene supervision and inspection work for individual and food stalls. For kitchen staff and caregivers in collective units and child care institutions, regular stool examination and bacterial culture should be performed. Strengthen health education, everyone should wash hands before meals and after defecation, not to drink unboiled water, not to eat deteriorated and decayed food, not to eat food contaminated by flies. Do not overeat and overdrink, in order to avoid the reduction of gastrointestinal resistance.

　　When diagnosing white dysentery, in addition to relying on clinical manifestations, auxiliary examinations are also needed. The routine stool examination, fecal leukocyte count, fecal occult blood test (OBT), stool characteristics, fecal microscopic examination, fecal bacterial culture, urine routine, and blood routine should be performed.

　　Food therapy recipe:

　　1, 15 grams of Scutellaria baicalensis, 15 grams of Phellodendron amurense, 15 grams of fried Sanguisorba officinalis, 15 grams of fried Herba epimedii, 30 grams of fried hawthorn fruit, 30 grams of fried wheat sprout, 10 grams of Herba epimedii, 30 grams of Atractylodes macrocephala. Decocted in water for oral administration, one dose per day, divided into two servings. Indicated for bacterial dysentery.

　　2, 30 grams of fried Atractylodes macrocephala, 30 grams of fried Dioscorea opposita, 20 grams of cinnabar, 10 grams of uncaria sinensis, 15 grams of Plantago asiatica (decocted with the package). Decocted in water for oral administration, one dose per day, divided into two servings. Indicated for bacterial dysentery.

　　3, 50 grams of persimmon peel and 50 grams of Sanguisorba officinalis. Decocted in water for oral administration, one dose per day, divided into three servings. Indicated for bacterial dysentery.

　　4. One bitter bile, an appropriate amount of mung beans. Put the mung beans into the bitter bile, wait until the bile juice soaks into the mung beans, pour it out, dry it, and take it orally twice a day, 10 beans each time. It is mainly used for bacterial dysentery.

　　5. 9 grams of ginger, 1 egg. Grind the ginger and beat it into an egg, steam it together, and take it on an empty stomach twice a day. It is mainly used for dysentery at the initial stage with symptoms such as aversion to cold and fever.

　　6. To reduce intestinal irritation, allow the intestines to rest and recover, fasting should be first adopted for 1-2 days after onset, and intravenous fluid replacement should be considered when necessary. If the symptoms are severe, the fasting time should be extended to allow the intestines to rest completely. After the symptoms subside, start with clear liquid diet, the best food is rice gruel, thin lotus root powder, which can be taken 6-7 times a day, and appropriate salted water should be drunk. When the frequency of defecation decreases, it can be changed to liquid food. In addition to rice gruel and lotus root powder, steamed egg custard, egg flower soup, juice, sieved vegetable juice, almond cream, etc. can be added. As the condition improves further, a low-fat, low-fiber semi-liquid diet can be adopted. Foods should be easy to digest and absorb, and foods that cause flatulence or have strong刺激性 spices should be avoided. White rice porridge, thin noodles, thin noodles, baked bread, baked bun slices, and a small amount of easily digestible protein foods such as fish and minced chicken can be used. During the recovery period, a low-fiber soft rice diet can be used. However, coarse grains, beans, and vegetables and fruits with high fiber should not be used before the patient's stool returns to normal. If you want to eat them, they can be made into purees, fruit purees, and fruit juices. Milk should not be used.

　　I. Precautions before the treatment of white dysentery

　　1. Pay attention to personal hygiene and develop good living habits.

　　2. Do not overeat to reduce the resistance of the gastrointestinal tract, and do a good job of intestinal health care work.

　　II. Prognosis

　　Prognosis and treatment are related to the course of the disease. If treatment is not timely or thorough, it is easy to become chronic, and the treatment effect of chronic dysentery is not ideal. Most patients produce immunity in the body after one week of onset, and the symptoms gradually improve. After about two weeks of the course of the disease, they can recover spontaneously. Under the treatment of sulfonamide drugs and antibiotics, the vast majority recover health. Infants and young children, especially those with malnutrition, have poor prognosis. Factors affecting prognosis include the type of bacteria, Shigella dysentery bacteria produce endotoxins and exotoxins, severe toxicemia and intestinal symptoms, and more complications. The type of clinical type and the degree of toxicemia affect the prognosis, such as a single type of dysentery; if not treated in time, death is often caused.