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Stagnation

  Stagnation refers to a kind of spleen and stomach disease caused by unregulated milk and food intake in children,停滞中脘stagnation in the middle jiao, and the failure to digest food. The clinical characteristics are the lack of desire for milk and food, the failure to digest food, abdominal distension, and irregular bowel movements. This disease belongs to chronic dyspepsia in Western medicine.

 

Table of Contents

1. What are the causes of stagnation
2. What complications can stagnation easily lead to
3. What are the typical symptoms of stagnation
4. How to prevent stagnation
5. What kind of laboratory tests need to be done for stagnation
6. Diet restrictions for patients with stagnation
7. Conventional methods of Western medicine for treating stagnation

1. What are the causes of stagnation

  1. Children do not know how to regulate their milk and food intake, or are fed improperly, with excessive milk and food intake, or overeating fatty, greasy, cold, and indigestible foods, all of which can damage the spleen and stomach. The stomach is responsible for receiving and storing food, known as the sea of grains and vegetables; the spleen is responsible for transformation and transportation, known as the source of Qi and blood generation. If the spleen and stomach are damaged, their functions of receiving and transforming food are impaired, causing the coordination of rising and descending to be out of balance, leading to the stagnation of milk and food, which does not digest, and eventually becomes stagnation. After illness, if the body is weak and the spleen and stomach are weak, it can also lead to the indigestion of milk and food, and the formation of diseases with retention.

  2. There is a close relationship between stagnation and overeating, malnutrition, and consumptive diseases. Injury from milk and food, if not digested for a long time, can become stagnation. If the stagnation is not digested for a long time, it will produce heat, and the consumption of body fluid can be transformed into consumptive diseases, hence the saying 'stagnation is the mother of consumptive diseases', and 'without stagnation, there is no consumptive disease'.

2. What complications can stagnation easily lead to

  Not thinking about eating, eating without digestion, abdominal distension, and irregular bowel movements, etc. According to traditional Chinese medicine, the causes of stagnation include both spleen and stomach damage and spleen and stomach weakness. On the other hand, in terms of traditional Chinese medicine terminology, Qi deficiency includes the depletion of Yuan Qi, Zong Qi, and Wei Qi, as well as the decline in the functions of Qi's propulsion, warming, defense, retention, and transformation, leading to low or degenerative activities of certain functions in the body and a decrease in the body's ability to resist diseases, etc. To put it simply, Qi deficiency may lead to: easy sweating, general fatigue, lack of vitality, dizziness, tinnitus, excessive phlegm, or edema. Qi deficiency can also lead to a decline in the functions of the internal organs, thus showing a series of signs of internal organ weakness. Here, it can be seen that Qi deficiency is the cause, and internal organ weakness is the result, and internal organ weakness leads to symptoms such as 'accumulation and stagnation' in the gastrointestinal tract. If it is said that 'there is no accumulation and stagnation due to Qi deficiency', it means that there is the 'cause' of 'Qi deficiency' existing, but there is still no state of 'accumulation and stagnation'. Because Qi deficiency can have the phenomena listed above, but not necessarily all reflected.

3. What are the typical symptoms of constipation?

  1. Lack of appetite for milk and food:Epigastric and abdominal pain, acid and foul-smelling vomit, loose stools, and a foul smell like rotten eggs.

  2. Restlessness and anxiety:Crying at night or fever and other symptoms.

  3. There is milk injury:History of food injury. Fecal examination shows undigested food residue or fat balls.

4. How to prevent constipation?

  1. Control diet, as the spleen and stomach are weak, there is yellowish face and fatigue, lack of appetite for milk and food. The spleen is weak and the transformation and transportation are not in order, resulting in abdominal fullness and a desire to press, loose stools. The tongue is pale with white greasy fur, and the pulse is thin and slippery, all of which are signs of spleen deficiency with retention. Avoid eating rich, sweet, and greasy foods. Easy-to-digest and nutritious foods should be taken.

  2. The child should eat at regular intervals and in appropriate amounts. As the baby grows older, the corresponding complementary foods should be gradually increased.

  3. Keep the bowels smooth. For those prone to constipation, 10 to 20 milliliters of honey should be taken daily.

 

5. What laboratory tests are needed for constipation?

  According to different situations, X-ray, endoscopic examination, gastric juice analysis, and fecal examination are adopted. Necessary, ultrasonic, CT and other examinations should be performed to exclude the lesions of abdominal organs such as liver, gallbladder, and pancreas. Gastrointestinal X-ray examination shows that the movement of the entire gastrointestinal tract accelerates, the colon pouches deepen, and the tension increases. Sometimes, due to colonic spasm, the descending colon and below show linear shadows.

  1. Endoscopic examination:Endoscopy is an optical instrument, which is sent into the body through the natural cavity of the human body from the outside. It is used to examine diseases inside the body and can directly observe the changes in the lumen of the organs, determine their location and scope, and can also take photographs, perform biopsies, or brush samples, greatly improving the accuracy of cancer diagnosis, and can also be used for some treatments. The optical fiber endoscope uses optical fibers to transmit cold light sources, has a small diameter, and can be bent, resulting in less pain for the patient during the examination.

  2. X-ray examination:Gastrointestinal X-ray examination shows that the movement of the entire gastrointestinal tract accelerates, the colon pouches deepen, and the tension increases. Sometimes, due to colonic spasm, the descending colon and below show linear shadows. Colonoscopy examination shows no obvious abnormalities in the colon mucosa.

  3. Fecal examination:When collecting fecal specimens, it is generally first to the laboratory to obtain a small waxed paper box, and at home, a paper box or plastic box can be used. Prepare a clean wooden stick for collecting feces. If it is a watery stool, it can be first defecated in a clean basin and then poured into a clean bottle for testing.

  4. Gastric juice analysis:The amount of gastric juice secretion is most affected by food. The normal amount of gastric juice in an empty stomach is about 30 to 50 ml. Without eating, the amount of gastric juice increases significantly, indicating excessive gastric secretion and reduced gastric motility. For example, during gastroscopy on an empty stomach, some patients have a large amount of fluid in the stomach, some in colorless and transparent foamy form, some in turbid and sticky form, and some in yellow-green. All these situations suggest the presence of gastric disease.

6. Dietary taboos for retention patients

  Control diet, spleen and stomach deficiency, so yellowish complexion and lack of strength, no desire for milk and food. Spleen deficiency leads to malnutrition, abdominal fullness and preference for pressing, loose stools. A pale tongue with white greasy coating and a thin, slippery pulse are all signs of spleen deficiency with retention. Avoid fatty, sweet, and thick foods. Feed easily digestible and nutritious foods. Children should eat at regular times and in appropriate amounts. Infants should gradually increase complementary foods as they grow older. Spicy and greasy foods should be avoided because pneumonia is an acute febrile disease that consumes the body's vital energy, affects the function of the internal organs, and is prone to reduce digestive function.

 

7. Conventional methods of Western medicine for treating retention

  Treatment principle for milk and food retention:

  1. Main formula:Modification of Xiaorou Wan.

  2. Modification:For abdominal distension, add Muxiang 6 grams and Dafupi 10 grams; for restlessness, crying, and hot palms of hands and feet, add Huhuanglian 6 grams and Fushen 10 grams; abdominal fullness.For constipation, add Shangshi 10 grams and Shengdahuang 6 grams (added later)..

  3. Analysis of the main formula:The Xiaorou Wan is a medicine for eliminating retention and regulating qi. In the formula, Shengfu and Maiya eliminate food retention and promote digestion, Xiangfu and Shaoren regulate qi and harmonize the middle burner, Chenpi invigorates the spleen and dries dampness.

  4. Example of prescription:Shengfu 10 grams, each of Gumaoyi 10 grams, Xiangfu 10 grams, Muxiang 6 grams, Jishexiang 6 grams, Shaoren 3 grams (added later), Chenpi 6 grams, Shanzha 10 grams, Lianqiao 10 grams, Jineijin 10 grams, treatment principle for spleen deficiency with retention: invigorate the spleen and eliminate retention..

  5. Main formula:Modification of Jianpi Wan.

  6. Modification:For abdominal fullness and distension, add Dafupi 10 grams and Jishexiang 6 grams; for thick, white, greasy tongue, add Jineijin 10 grams and Houpu 6 grams; for vomiting, add Banxia 10 grams and 2 slices of ginger.

  7. Analysis of the main formula:The Jianpi Wan is a medicine for invigorating the spleen, eliminating retention, and regulating qi. In the formula, Ren Shen and Baizhu tonify qi and invigorate the spleen, Chenpi and Jishexiang regulate qi and harmonize the stomach, Shengfu, Shanzha, and Maiya eliminate food retention and promote digestion.

  8. Example of prescription:Dangshen 10 grams, Baizhu 10 grams, Fuling 10 grams, Shengfu 10 grams, Shanzha 10 grams, each of Gumaoyi 10 grams, Chenpi 6 grams, Jineijin 10 grams, Jishexiang 6 grams, Gancao 6 grams,. Due to retention, various diets can cause injury. Injury from milk and food, commonly use Shanzha, Maiya; injury from wheat food, use Shengfu, Maiya; injury from grain food, use Shengfu, Gubaoyi; injury from cold and raw fruits and vegetables, use Shanzhi, Chenpi; injury from meat and eggs, use Jineijin, Shanzha..

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