Stomach cold and vomiting

　　The etiology of cold stomach and vomiting should be divided into two aspects of deficiency and excess. 'Jingyue Quanshu · Vomiting' once said: 'Vomiting is a disease, the most important thing is to distinguish deficiency and excess. The excess has evil, and the disease is cured by removing the evil; the deficiency has no evil, and it is all due to the deficiency of stomach Qi. So-called evil, or sudden attack of cold and cool, or sudden injury of diet and food, or due to upward冲胃 fire, or due to internal reverse of liver Qi, or due to the accumulation of phlegm, water, and Qi in the chest, or due to the transmission of superficial evil to the interior, accumulating between Shaoyang and Yangming, all have vomiting, this is the real evil of vomiting. So-called deficiency, or there is no internal injury, no external attack, and often vomiting, this is no evil, must be stomach deficiency. Or meet a little cold, or meet a little work, or meet a little diet is not adjusted, or liver Qi slightly reverse, it is vomiting, all due to stomach deficiency. For all kinds of deficiency and excess of vomiting, it is all about stomach Qi.

　　Cold stomach and vomiting can cause diseases such as abdominal pain and distension, as well as a series of systemic discomfort symptoms brought by vomiting, which seriously affects the patient's daily life. Therefore, patients should treat cold stomach in a timely manner.

　　Cold stomach and vomiting often has overeating of cold and cool as a trigger, and the vomit is mostly sputum, saliva, or clear water. The实证者 onset is acute, often sudden, with a short course, a large amount of vomiting, vomiting like a jet, or accompanied by superficial symptoms, pulse is strong and powerful. The虚证者 often due to spleen and stomach deficiency cold, onset is slow, or seen after the disease, long course, little vomit, vomiting is weak, often accompanied by depression, fatigue, and other weak symptoms, pulse is weak and无力。Cold stomach and vomiting often accompanied by nausea, aversion to food, chest and epigastric stuffiness, preference for warmth and heat, etc. The实证多偶然发生，虚证多反复发作。

　　How to prevent cold stomach and vomiting? Briefly described as follows:

　　1. Have a reasonable diet, maintain a good schedule, and go to bed and get up early.

　　2. Maintain good physical and mental health, and be optimistic.

　　3. Do some moderate aerobic exercise.

　　By doing the above points, the body's Qi and blood can be kept in a healthy state, making diseases far away from oneself.

　　What examinations should be done for cold stomach and vomiting? Briefly described as follows:

　　I. Physical examination

　　In general, attention should be paid to the patient's consciousness, nutritional status, dehydration, circulatory failure, anemia, and fever. Abdominal signs should pay attention to the appearance of pyloric stenosis such as gastric shape, gastric peristalsis waves, and splash sound; also pay attention to whether there are signs of acute intestinal obstruction such as increased borborygmi and intestinal shape; whether there are signs of acute abdomen such as abdominal muscle tension, tenderness, and rebound tenderness; in addition, attention should also be paid to whether there are abdominal masses, hernias, etc.

　　II. Other

　　1. Pay attention to nystagmus of the eyes, measurement of intraocular pressure, and whether there is papilledema of the optic disc at the fundus.

　　2. Pay attention to pathological reflexes and peritoneal irritation signs, etc. Auxiliary examinations mainly include laboratory tests related to inflammation, endocrine metabolism, and disorders of water and electrolyte metabolism.

　　3, B-ultrasound, X-ray, gastroscopy, and other optional methods may be selected when necessary.Pancreatico-biliary ductography. Special examinations such as ERCP, ultrasound endoscopy, colonoscopy, CT, and magnetic resonance imaging are required to determine the diagnosis.

　　What foods should patients with cold stomach and vomiting avoid? Briefly described as follows:

　　1, Kiwifruit.Cold in nature, sweet and sour in taste. Those with cold stomach pain should avoid it.

　　2, Sugar cane.Cold in nature, sweet in taste. Although it has the effect of clearing heat and producing saliva, those with cold stomach should not eat it.

　　3, Xun Cai.Cold in nature, sweet in taste. 'Compendium of Materia Medica' records: 'Xun Cai cools the stomach, ... should not be eaten too much or for a long time, as it may generate cold Qi, weaken the spleen and stomach, and also damage the body.' 'Compendium of Medical Herbs' also points out: 'Eating too much can cause abdominal cold pain.' Those with cold stomach pain should avoid eating it.

　　4, Watermelon.Extremely cold, can clear stomach fire. 'Yunnan Herbal' says it can 'treat all heat symptoms', and is known as the 'Natural White Tiger Decoction'. 'Chinese Materia Medica Dictionary' points out: 'Those with internal cold should avoid taking it.' Therefore, those with cold stomach pain should not eat it.

　　5, Zao Bai.Also known as Zao瓜, the famous food doctor Meng Xian of the Tang Dynasty once pointed out: 'Zao Bai is cold, slippery, generates cold Qi, and should not be eaten too much.' 'Compendium of Materia Medica' also said: 'Those with weak spleen and stomach cold should not eat it.' Therefore, those with cold stomach pain should avoid it.

　　6, River snail.Cool in nature, sweet in taste. Those with cold stomach pain should avoid eating it.

　　7, Ophiopogon.Cold in nature, those with cold stomach pain should avoid eating. Just as Ming·Li Shizhen early warned in 'Compendium of Materia Medica': 'Those with weak Qi and cold stomach should not take it.'

　　8, Snails.Extremely cold, those with cold stomach pain should avoid it. The 'Compendium of Materia Medica' early warned: 'This substance is extremely cold, and those with cold drinks in the stomach should not eat it.' Yao Kecheng's 'Food Materia Medica' also said: 'Eating too much can cause abdominal pain that does not subside.' The snail is similar to the螺蛳, and those with cold stomach pain should also be on the list of foods to avoid.

　　What are the Western medicine treatment methods for cold stomach and vomiting? Briefly described as follows:

　　The Western medicine treatment for this disease is as simple as taking medicine. Therefore, the drugs used for each patient with each condition are different. Patients should actively cooperate with the expert's medication guidance and nursing during the treatment process to facilitate the expert's detailed understanding of the patient's post-treatment recovery, adjust the treatment drugs in time, and achieve the therapeutic effect better and faster.