Spleen and stomach deficiency with cold

　　The main cause of spleen and stomach coldness is poor eating habits, such as uncontrolled eating, frequently eating cold drinks or cold foods. In addition, with a fast-paced life and high stress, it is more likely to lead to gastric disease. Therefore, it is necessary to develop good eating habits, and spleen and stomach coldness patients can eat more pepper and pork stomach soup, ginger water. Pepper and ginger are spices that invigorate and warm the stomach, which can regulate the symptoms of spleen and stomach coldness and restore healthy spleen and stomach. Of course, if there is stomach pain, it is necessary to be vigilant of organic gastric lesions, and it is best to go to the hospital for a gastroscopy.

　　Spleen Yang deficiency, with internal coldness, manifests as a syndrome. Also known as spleen Yang deficiency cold syndrome. It usually develops from a spleen Qi deficiency syndrome, or from overeating cold foods, or from kidney Yang deficiency, fire not generating soil. Clinical manifestations include abdominal distension, decreased appetite, abdominal fullness reduced during rest, abdominal pain preferring warmth and pressure, vomiting of saliva, loose stools, thin and watery, cold extremities, or heavy limbs, or edema all over the body, or difficulty in urination, or abundant, thin leukorrhea, or a sinking sensation in the lower abdomen, or acid and sinking sensation in the lower back and abdomen. The tongue is pale and thick, the coating is white and slippery, and the pulse is deep and slow with weak force. The syndrome of spleen and stomach coldness is characterized by the loss of healthy spleen function and cold manifestation. Insufficient spleen Yang leads to abdominal distension and decreased appetite; Yang deficiency and Yin excess, coldness generates internally, cold congestion, leading to abdominal pain preferring warmth and pressure; internal excess of Yin and cold, water and dampness not transformed, resulting in vomiting of saliva, loose stools, and even complete indigestion, difficulty in urination, and edema. Women with thin leukorrhea and acid and sinking sensation in the lower abdomen and back belong to downward invasion of cold and dampness. Treatment should be to warm the middle and invigorate the spleen, with the recipe of Li Zhong Decoction.

　　Common complications of spleen and stomach coldness include:

　　Gastric hemorrhage: Chronic gastritis hemorrhage is not uncommon: mucosal atrophy and thinning, visible vessels, rough food abrasion, mucosal erosion and hemorrhage, mainly manifested as melena. If the hemorrhage is large, it can suddenly vomit blood, with severe cases presenting dizziness, palpitations, dark vision, excessive sweating, and even shock.

　　Anemia: After massive blood loss in chronic gastritis, two types of anemia are accompanied: 1. Megaloblastic anemia, also known as pernicious anemia, with symptoms of anemia, dizziness, fatigue, palpitations, and pale complexion. 2. Iron-deficiency anemia, which is caused by chronic blood loss; secondly, due to insufficient nutrition caused by eating less and being undernourished; and thirdly, due to the lack of gastric acid.

　　Gastric ulcer: Gastric ulcer coexists with superficial gastritis and erosive gastritis, with obvious inflammatory stimulation. The gastric mucosa atrophies and thins, accompanied by erosion and ulcers. It is necessary to undergo a gastroscopy in a timely manner to avoid delay in diagnosis and treatment.

　　Gastric cancer precursors: The canceration of chronic gastritis is closely related to the gastritis hyperplasia. There are two types of chronic gastritis that are prone to canceration: 1. Chronic gastritis with malignant anemia, where the incidence of canceration is more than 20 times higher than that of other gastrointestinal diseases, and it should be paid attention to by gastrointestinal disease patients. 2. Atrophic gastritis with intestinal metaplasia and severe atypical hyperplasia.

　　Common symptoms of spleen and stomach coldness include:

　　The pain in the stomach is subtle and continuous, cold and uncomfortable, liking warmth and pressure, severe pain in an empty stomach, which is alleviated after eating, pain发作 or exacerbation after fatigue or eating cold food or catching a cold, vomiting of clear water, decreased appetite, fatigue and weakness, cold limbs, loose stools, pale tongue and white coating, weak pulse.

　　The main manifestations of spleen-yang deficiency are abdominal distension, decreased appetite, abdominal fullness, pain that likes warmth and pressure, foamy saliva, loose stools, cold limbs, or heavy limbs, or edema all over the body, or difficulty in urination, or excessive leukorrhea with thin and watery quality, lower abdominal prolapse, soreness and heaviness in the lower back and abdomen. The tongue is pale and bloated, the coating is white and slippery, and the pulse is deep and slow and weak. The syndrome of spleen and stomach deficiency and cold is characterized by the loss of healthy function of the spleen and the manifestation of cold symptoms. Deficiency of spleen-yang leads to abdominal distension and decreased appetite; yang deficiency and yin excess lead to the generation of cold from within, cold coagulation and qi stasis, so abdominal pain likes warmth and pressure; the internal excess of yin cold prevents the transformation of dampness, resulting in foamy saliva, loose stools, and even the inability to digest food, difficulty in urination, and edema. Women with thin and watery leukorrhea and soreness and heaviness in the lower back and abdomen belong to downward invasion of cold and dampness.

　　Spleen and stomach deficiency and cold are generally due to not paying attention to diet, eating too much cold food, causing discomfort in the intestines and stomach. People with spleen and stomach deficiency and cold should pay attention to some details of food in their daily life and develop good eating habits. In terms of diet, we should pay attention to

　　1. Pay attention to eating nutritious foods

　　Eat more high-protein and high-vitamin foods to ensure that various nutrients in the body are sufficient, prevent anemia and malnutrition, and help anemic and malnourished people.

　　2. Avoid taking antibiotics

　　When patients with spleen and stomach deficiency and cold take oral antibiotics to treat certain inflammatory diseases, they should drink yogurt at the same time, which not only supplements nutrition but also avoids the side effects of antibiotics on the human body, because yogurt contains a large amount of active bacteria, which can restore the imbalance of intestinal flora caused by antibiotics and protect the gastric mucosa at the same time.

　　3. Pay attention to the acid-base balance of food

　　When there is excessive secretion of gastric acid, you can drink milk, soy milk, eat steamed bread or bread to neutralize the gastric acid. When the secretion of gastric acid decreases, you can use concentrated meat soup, chicken soup, sour fruits or fruit juice to stimulate the secretion of gastric juice, helping digestion.

　　In addition, more patients with spleen and stomach deficiency and cold can eat more pepper pork stomach soup, ginger water. Paying more attention to some dietary issues will help you achieve a good health condition.

　　The main examination methods for spleen and stomach deficiency and cold are:

　　1. Upper gastrointestinal contrast study

　　Upper gastrointestinal contrast study is one of the commonly used examination methods, and this examination has certain value for the diagnosis of ulcer disease and tumor, but due to the limitation that this examination can only observe the morphological changes of the stomach and cannot observe the pathological changes of the gastric mucosa, it has certain limitations.

　　2. Gastroscopy

　　Gastroscopy is the best method for diagnosing spleen and stomach deficiency and cold. Gastroscopy can observe changes in the gastric mucosa, and at the same time, the gastric mucosal tissue can be clipped for tissue sections to observe the pathological changes under a microscope, and the diagnosis is determined by integrating the results of gastroscopy and pathological examination.

　　Before the gastric tube is withdrawn after lavage, the patient assumes a head-low, feet-high supine position to ensure that the residual fluid in the stomach is completely drained. Lavage cannot be performed on the same day, as lavage can change the color of the gastric mucosa.

　　In daily diet, attention should be paid to eating foods with warm and sweet and spicy flavors, which have the effects of invigorating the spleen and stomach, warming the intestines and stomach, and dispelling coldness. Foods with cold and cool properties and those that easily damage the spleen and stomach yang should be avoided.

　　Red bean glutinous rice porridge: 7 red dates and 50 grams of glutinous rice are cooked together in clean water over low heat until soft, add 10 grams of brown sugar, and serve hot.

　　Tripe Soup: After washing beef tripe or pork tripe, boil it in clean water for 3 minutes, remove the original soup, add clean water, simmer over low heat until seven degrees of maturity, add a moderate amount of salt, cooking wine, Sichuan pepper, and fennel, and boil again, remove it after it is fully cooked, cool it until it is not hot, cut into 100 grams of strips, put it in a large bowl, add three slices of fresh ginger and a moderate amount of monosodium glutamate, pour the second boiled tripe soup into the bowl with tripe strips to the brim, steam for 45 minutes, and it is ready, served hot.

　　Cumin bun: 100 grams of cilantro, chopped, 50 grams of boneless and peeled chicken, chopped, mix well, add a moderate amount of fresh ginger juice, Sichuan pepper powder, monosodium glutamate, salt, and sesame oil, mix well as filling; use wheat flour dough to make the dough, place the filling in the dough, pinch it into buns, steam on a steamer for 20 minutes, and it is ready, served hot.

　　The main Western medical treatment methods for spleen and stomach deficiency and coldness are:

　　Eliminate the cause of the disease, rest in bed, and stop all foods and drugs that irritate the stomach. Short-term fasting may be considered, followed by easy-to-digest, light, low-fiber liquid food, which is conducive to the rest of the stomach and the healing of the injury.

　　Pain relief. Medications such as belladonna tablets, atropine, and 654-2 can be used. Local hot compresses on the abdomen can also be used for pain relief (not used for those with gastric hemorrhage).

　　Encourage drinking water. Due to excessive water loss from vomiting and diarrhea, the patient should drink as much water as possible under the circumstances, to supplement the lost water. Sugar and salt water is preferred (a small amount of sugar and salt added to boiled water). Do not drink drinks with a high sugar content to avoid excessive acid production and exacerbate abdominal pain. Patients with frequent vomiting can drink a small amount of water (about 50 milliliters) after each vomiting, drink it multiple times, and it will not be vomited out.

　　For those with diarrhea and fever, it is appropriate to use antibacterial drugs such as coptis chinensis and flumequine. It is generally not used for those with mild illness to avoid exacerbating the irritation to the stomach.

　　If vomiting and diarrhea are severe and dehydration is obvious, it is necessary to send the patient to the hospital for intravenous fluid therapy in time. Generally, it can recover quickly within 1-2 days.