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Fuliang

  Fuliang is caused by the accumulation of pathogenic factors in the intestines, blocking the flow of Qi and blood, and the prolonged struggle between the turbid and Qi and blood leads to the formation of Fuliang. It is a mass disease mainly manifested by abdominal pain, diarrhea, and a mass in the lower right abdomen.

  This disease is equivalent to Crohn's disease (also known as regional enteritis, segmental enteritis, granulomatous enteritis) in Western medicine. It can be self-resolving or relieved after treatment, and can be complicated by intestinal obstruction. A few severe cases that do not heal for a long time have a poor prognosis.

 

Table of Contents

1. What are the causes of Fuliang
2. What complications can Fuliang easily lead to
3. What are the typical symptoms of Fuliang
4. How to prevent Fuliang
5. What laboratory tests are needed for Fuliang
6. Dietary taboos for Fuliang patients
7. Conventional methods of Western medicine for treating Fuliang

1. What are the causes of Fuliang (a disease in traditional Chinese medicine)?

  Diagnostic criteria

  1. It is not very common in clinical practice, and the onset is more common in young and middle-aged adults, with males slightly more than females. The onset is gradual, the course is protracted, recurrent, and shows a progressive development.

  2. Abdominal pain often occurs in the lower right abdomen or around the umbilicus, often occurs after eating, accompanied by bowel sounds, and relieves after defecation. It can also be persistent abdominal pain or total abdominal pain. A mass can often be felt in the lower right abdomen or around the umbilicus, with tenderness. Diarrhea, feces are paste-like, generally without mucus, pus, or tenesmus, often accompanied by irregular fever, nausea and vomiting, decreased appetite, fatigue, weight loss, and other symptoms. Some patients may have symptoms such as hematochezia, joint pain, aphthous ulcers, liver spots, and liver congestion, or complicated with intestinal obstruction.

 

2. What complications can fu liang easily lead to

  It can be complicated by intestinal obstruction, and a few severe cases may not heal for a long time. The obstructed intestinal segment has anatomical and functional changes first, followed by fluid and electrolyte loss, intestinal wall circulation disorders, necrosis, and secondary infection. Finally, it can lead to sepsis, shock, and death. Most of them cannot be inactivated by gastric acid and settle in the deep part of the mucosal glands in the intestines to cause disease. The common sites of intestinal tuberculosis are in the ileocecal region, ascending colon, ileum, jejunum, appendix, transverse colon, descending colon, duodenum, sigmoid colon, and rectum, among which the ileocecal region is invaded in 80% to 90% of cases. This may be due to the physiological retention effect of the ileocecal valve and the rich lymphoid tissue in this area.

3. What are the typical symptoms of fu liang

  Symptoms include a mass from the umbilicus to the area below the heart, as large as an arm, which does not heal for a long time, causing distress and sleeplessness. (From 'Difficulties in the Classic of Difficulties, Volume 56'). There is a hard and distended mass in the lower abdomen, with a mass outside the abdominal cavity and intestines, which is not movable when pushed. There is accumulation of pus and blood stasis inside, pain around the umbilicus, body swelling, lower limb edema, and it is forbidden to press. (From 'Su Wen, Discussion on Abdominal Conditions'). The area below the heart can rise and fall, and sometimes there is blood-tinged saliva. (From 'Ling Shu, Article on the Pathogenicity of the Zang-Fu Organs').

4. How to prevent fu liang

  Prognosis

  This disease is a chronic recurrent disease. Due to the unknown etiology, there is no fundamental cure method. Many patients will have one or more complications requiring surgical treatment during their course, and the recurrence rate of surgical treatment is very high, with some reports reaching 90%. The recurrence rate of the disease is related to factors such as the extent of the disease and the strength of the disease invasion. Fortunately, the mortality rate is not high. In addition, with the prolongation of the course of the disease and the increase of age, the recurrence rate gradually decreases while the ratio of healthy individuals increases. In recent years, various treatment measures have been effective for most patients, helping them to get through the difficulties of the active phase of the disease.

 

5. What laboratory tests are needed for fu liang

  1. Blood examination:Common symptoms include anemia, leukocytosis, and accelerated erythrocyte sedimentation rate, etc.

  2. Stool examination:Occult blood test often shows positivity, or there may be an increase in fat content, etc.

  3. Barium meal X-ray examination:Intestinal lesions are distributed segmentally, with intestinal mucosal folds widened, flattened, or even disappeared; there may be linear ulcers, pebble signs, and polypoid changes. The degree of intestinal stricture varies, with the intestine being rigid and showing linear signs. The proximal part of the diseased intestinal segment has dilation and fluid accumulation.

  4. Colonoscopy examination:Visible mucosal congestion, edema, ulcers of varying sizes, intestinal lumen narrowing, intestinal pouch changes, pseudopolyps formation, and stone-like mucosal appearance. There are also grooves and circular ulcers, and the mucosa between the diseased intestinal segments is normal. Biopsy can reveal submucosal microscopic granulomas and fibrous tissue proliferation.

6. Dietary taboos for Fu Liang patients

  One: Fu Liang food therapy formula

  1. Tonifying Qi and Vitality Porridge

  30 grams of Astragalus, 3 grams of ginseng (or 15 grams of codonopsis), 30-50 grams of山药(yam), an appropriate amount of sugar. First, cook red beans until half-cooked, then add peeled and sliced yam, Astragalus, and ginseng, and cook until the porridge is done. Add sugar when the porridge is done and eat it for breakfast. Regular consumption can tonify the body and nourish yin. It is suitable for symptoms of chronic diarrhea, injury of Qi, and consumption of yin.

  2. Ginseng and Poria porridge

  3-5 grams of ginseng (or 15-20 grams of codonopsis), 15-20 grams of Poria cocos, 3-5 grams of ginger, 100 grams of glutinous rice. First, cut ginseng (or codonopsis) and ginger into thin slices, crush Poria cocos, soak for half an hour, then decoct to obtain the juice, and then decoct again. Combine the juice from the first and second decoctions, and take it twice a day with glutinous rice porridge. It is suitable for external diseases with spleen deficiency.

  3. Braised five spices

  750 grams of fresh pork cut into pieces; 6 grams of dried ginger, 3 grams of evodia rutaecarpa, 3 grams of myrobalan, 2 grams of cinnamon, 1 gram of cloves, all ground into powder; Prepare soy sauce, wine, sugar, monosodium glutamate, etc., apply flour to the surface of the pork pieces, add an appropriate amount of soy sauce, wine, sauce, and monosodium glutamate, soak for 2-3 hours, then bake in an oven over low heat for about 15 minutes, turn it over and bake for another 15 minutes, and it is ready to eat. Alternatively, it can be eaten after one week or half a month. This method is suitable for symptoms of spleen and kidney yang deficiency.

  4. Amaranth porridge

  100 grams of amaranth, 50 grams of white rice. First, cook the amaranth with water, filter the residue, and use the juice to cook the rice into porridge. It is used as breakfast in the morning for treatment.

  5. Silver flower brown sugar tea

  30 grams of silver flower, an appropriate amount of brown sugar, soaked in water for drinking.

  6. Other

     60 grams of plantain seed, 60 grams of hearth soil, 3 grams of ginger, decocted for oral administration.

  Two: What foods are good for the body when eating Fu Liang

  1. Staple foods should be mainly refined rice and flour, and coarse grains and dried beans such as corn flour, millet, sorghum, red beans, and mung beans should be avoided. If red beans or mung beans are used, they can be cooked, peeled, and made into bean paste to avoid increasing the burden on the gastrointestinal tract and causing damage.

  2. Subsidiary foods can include lean meat, fish, chicken, liver, eggs, and soy products as the main sources of protein. Fatty and greasy foods such as lard should be limited. Milk should not be used or used sparingly during an acute attack. During an acute attack, vegetables and fruits must be avoided, and if consumed, they can be made into vegetable water, vegetable puree, fruit juice, fruit puree, and fruit porridge. Alternatively, a small amount of vegetables with low fiber content, such as carrots and winter melon, can be consumed. During the remission period, the amount of food should be adjusted according to the condition and individual tolerance. Foods that cause flatulence, such as soybeans, onions, and coarse grains, should not be consumed.

  3. To correct potassium deficiency and anemia in the body, various vegetable juices, fruit juices, fat-free meat broths, date soup, liver soup, etc., can be provided to supplement vitamins B, vitamin C, and inorganic salts such as potassium and iron.

  4. To enhance nutrition without increasing the burden on the intestines, it is recommended to compress the volume of food as much as possible and choose foods with higher nutritional value per unit, such as using beverages instead of drinking water. It is also possible to prepare a meal with two or more ingredients, such as steamed eggs with liver and vegetable juice, instant noodles with chicken broth, juice mixed with lotus root starch, noodles made from eggs and flour, wonton wrappers, and so on.

  Third, what foods should be avoided when eating Fulang

  1. Avoid stimulating foods such as celery, chives, strong tea, and strong meat soup, etc.

  2. Avoid spicy foods such as pepper, chili, etc.

  3. Avoid foods that produce gas, such as raw scallions, ginger, radishes, onions, etc.

  4. Avoid cold foods, large amounts of cold drinks, and cold dishes, etc.

  5. Avoid hard foods such as spicy meat, clam meat, sausages, etc.

7. The conventional method of Western medicine for treating Fulang

  Prevention

  1. Regular daily life and rest

  This disease is often caused by weakness of the body, and the onset is due to external pathogens. Therefore, daily life and rest must be cautious, attention should be paid to weather changes, change clothes and quilts according to weather changes, avoid going out on rainy and cloudy days to prevent external pathogens from attacking. At the same time, there should be a strict system of work and rest, ensuring adequate sleep and rest to promote physical health.

  2. Avoid eating raw and unclean food

  The 'Su Wen · Bi Lun' says: 'If the diet is doubled, the intestines and stomach will be injured.' The saying goes, 'Disease enters from the mouth.' Therefore, regular and quantitative meals should be taken, do not eat and drink excessively, quit smoking and alcohol, and do not eat raw and unclean food. In the case of an acute onset,禁食or intake of fluid food should be adopted according to the severity of the condition, and easy-to-digest food should be eaten during the chronic stage, and food with rich taste should be avoided.

  3. Mental health maintenance

  The 'Jin Gui Yao Lue' says: 'When there is a disease in the liver, it is known that the liver spreads to the spleen.' The key to this disease is the dysfunction of the spleen and stomach, caused by emotional imbalance, anger damaging the liver, and the liver qi flowing in the opposite direction, which is easy to lead to the occurrence or aggravation of the disease. Therefore, attention should be paid to mental health, maintaining a pleasant and happy mood, so that the liver qi can flow smoothly and freely, to ensure the normal function of the spleen and stomach, so that the disease does not occur or shorten the course of the disease, and promote recovery.

  4. Appropriate physical exercise

  People have different physical qualities, interests, and hobbies, so each person can choose to exercise through running, qigong, Tai Chi, and other sports projects according to their own situation. This can enhance physical fitness and improve the ability to resist diseases. Regular physical exercise can also promote the normal peristalsis of the gastrointestinal tract and maintain its normal function.

 

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