Five-o'clock diarrhea

　　Morning diarrhea occurs at five o'clock in the morning. Every morning before the sky starts to brighten, there is intestinal rumbling and diarrhea, hence the name 'morning diarrhea'. The main cause is kidney yang deficiency, insufficient vital fire, unable to warm and nourish the spleen and stomach, hence also known as 'kidney diarrhea'. Also known as five-o'clock diarrhea, five-o'clock loose stools, morning diarrhea, and Xuan diarrhea. It is often caused by kidney deficiency. 'On the Causes and Treatment of Diseases - Diarrhea Discussion' discusses several types of five-o'clock diarrhea, including kidney deficiency, alcohol accumulation, cold accumulation, food accumulation, and liver fire.

　　Low back pain and leg ache, belching with a foul smell, fatigue and lack of energy.

　　1, Burping with a foul smell, symptom name. Burping with a smell of decay. The smell of food decay in the stomach is exhaled from the mouth, often seen in poor digestion. Chronic gastritis, one should also pay attention to the possible effects of diseases such as tumors.

　　2, Sour regurgitation, symptom name. The acid in the stomach rises to the mouth and throat, not being vomited out but swallowed instead. See 'On the Origins of Various Diseases - Disorders of the Spleen and Stomach'. Also known as throat sourness.

　　3. Lack of energy and fatigue, generally due to insufficient oxygen supply in the aerobic metabolism process of nutrients during intense physical exercise or heavy physical labor, unable to produce enough energy to meet the needs of the body. The lactic acid produced by the metabolism accumulates in the tissues and reaches various parts of the body through the blood circulation. When it exceeds the normal tolerance of the human body, it produces adverse stimulation to the nervous system, causing fatigue. Normal people often have a feeling of fatigue and weakness, but usually it can be eliminated after a certain period of rest, so it belongs to physiological fatigue. Fatigue caused by disease belongs to pathological fatigue.

　　The diarrhea of patients has a clear timing, that is, in the early morning, also known as five-o'clock, that is, from 5 to 7 o'clock in the morning now. Abdominal pain and bowel sounds, pain decreases after defecation, loose stools, mixed with indigestible food, feeling cold in the limbs, cold limbs, sore lower back, fatigue and weakness, clear urine, frequent night urination. Pale tongue, thick tongue body, often with tooth marks, deep and thin pulse.

　　1. For acute diarrhea, a thorough treatment should be carried out to prevent it from turning into chronic diarrhea. Diet should avoid being too cold to prevent injury to the spleen and kidney Yang, so that the disease lingers and does not heal.

　　2. Diet should be moderate, avoid eating rich and greasy foods, as overly greasy diet often aggravates diarrhea. Avoid raw and cold fruits and vegetables.

　　3. Pay attention to keeping warm, be careful about living habits, protect the waist and abdomen, and avoid coldness.

　　4. Develop good hygiene habits, do not eat unclean food.

　　5. Pay attention to observe the condition, look for relevant factors that cause diarrhea or exacerbate the condition, and pay attention to regulating and caring.

　　6. You can eat a little probiotic yogurt containing lactic acid bacteria in your daily life.

　　This disease belongs to the category of traditional Chinese medicine, equivalent to chronic diarrhea in Western medicine, and its etiology is not very clear. It is currently believed to be related to intestinal functional flora disorder.

　　1. Stool examination: bleeding, pus cells, protozoa, eggs, fat droplets, etc.

　　2. Small intestinal absorption function determination: shows malabsorption of the intestines.

　　3. X-ray and endoscopy to detect the location of lesions, the state of movement function, gallstones, etc.

　　4. Ultrasound to determine whether there are other space-occupying diseases in the intestinal tract that stimulate the intestinal mucosa.

　　5. Biopsy of small intestinal mucosa.

　　1. Take 3-5 walnuts, eat them raw or roasted, 2-3 times a day, and after several days of taking them, abdominal rumbling, abdominal pain, and diarrhea will gradually improve. Continue taking for about 20 days can be expected to be cured. This method is especially suitable for people with weak physique and malnutrition.

　　2. Take an appropriate amount of ginger, wash and cut into thin slices, soak in vinegar for 24 hours. Use 3 slices of ginger and an appropriate amount of brown sugar to brew with boiling water as tea, and drink it regularly.

　　3. Take 50g of Euryale ferox, lily, and glutinous rice, add an appropriate amount of water, and cook into porridge. Add a little salt to taste when eating; or take 50g of lychee meat, 10g of yam, and 10g of lotus seeds, mix them, crush them, add water to cook until soft, and then add 50g of rice together, cook into a thin porridge with an appropriate amount of water. Eat it regularly at night with meals, which has the effect of stopping diarrhea.

　　4. Take 60g of Eucommia ulmoides bark, soak it in 500ml of wine for about a week, and drink a small cup every night; or take 10g of Eucommia ulmoides bark, a pair of pork kidneys (cleaned and cut into pieces), and boil it in water for an hour, season it, and eat it in 2-3 doses, once every other day, for several times, which has a certain therapeutic effect on diarrhea.

　　1. Clarify the cause

　　Treating five-o'clock diarrhea as a syndrome is a concept in traditional Chinese medicine. Western medicine believes that five-o'clock diarrhea is just one symptom of elderly chronic diarrhea, and it itself is not a cause of disease, which can be caused by other various causes, such as chronic colitis, intestinal tuberculosis, allergic enteritis, and intestinal dysfunction. Therefore, when suffering from five-o'clock diarrhea, it is necessary to go to the hospital for examination to clarify the cause and then treat it specifically.

　　2. Traditional Chinese Medicine Treatment

　　There are many patients with five-o'clock diarrhea who have normal physical examinations, no bacterial infection factors, and most are intestinal dysfunction, which is called functional diarrhea in Western medicine. For this kind of diarrhea, taking traditional Chinese medicine generally has a good effect, and after a period of treatment, most can improve or be cured.

　　The preferred medicine for treating five-o'clock diarrhea in traditional Chinese medicine is 'Sishen Wan', a Chinese patent medicine composed of 6 kinds of traditional Chinese medicine such as Eucommia ulmoides bark, myrobalan, Evodia rutaecarpa, Schisandra chinensis, ginger, and jujube. It not only has the effect of nourishing the fire of the Shenshu acupoint but also has the functions of warming the kidneys and spleen, and fixing the intestines and astringing. Take 6g each time at noon and in the evening, which can achieve good curative effects, but should be taken under the guidance of a doctor.

　　Three, Diet therapy

　　1. Take 3-5 walnuts, eat them raw or roasted, 2-3 times a day, and after several days of taking them, abdominal rumbling, abdominal pain, and diarrhea will gradually improve. Continue taking for about 20 days can be expected to be cured. This method is especially suitable for people with weak physique and malnutrition.

　　2. Take an appropriate amount of ginger, wash and cut into thin slices, soak in vinegar for 24 hours. Use 3 slices of ginger and an appropriate amount of brown sugar to brew with boiling water as tea, and drink it regularly.

　　3. Take 50g of Euryale ferox, lily, and glutinous rice, add an appropriate amount of water, and cook into porridge. Add a little salt to taste when eating; or take 50g of lychee meat, 10g of yam, and 10g of lotus seeds, mix them, crush them, add water to cook until soft, and then add 50g of rice together, cook into a thin porridge with an appropriate amount of water. Eat it regularly at night with meals, which has the effect of stopping diarrhea.

　　4. Take 60g of Eucommia ulmoides bark, soak it in 500ml of wine for about a week, and drink a small cup every night; or take 10g of Eucommia ulmoides bark, a pair of pork kidneys (cleaned and cut into pieces), and boil it in water for an hour, season it, and eat it in 2-3 doses, once every other day, for several times, which has a certain therapeutic effect on diarrhea.

　　Four, Moxibustion method

　　Auricular therapy is performed at acupoints such as Shenshu, Tianshu (both), Guanyuan, and Zusanli (both). Mugwort is pungent and warm in nature, which can rescue the yang, pass through the meridians, regulate Qi and blood, and eliminate coldness. When it is lit, it has a fragrant smell and a gentle heat, is good at penetrating, and can make the heat reach the deep parts. Because mugwort is hot, it is not suitable to use it too much. Each time, half a stick or one stick of mugwort incense is enough, for 5-10 minutes per acupoint, once every other day or every three days. Ten sessions make up a course. Pay attention to the distance between the flame of the mugwort incense and the skin to avoid adverse reactions such as burns and blisters. After treatment, if the stool forms or constipation occurs, stop using it.