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Stagnation of appetite

  Stagnation of appetite refers to the dysfunction of stomach acceptance, with decreased appetite and reduced intake of food. The spleen and stomach are the root of the postnatal body, which receives the Qi of grains and vegetables to generate life. Overwork, fatigue, and excessive thinking consume body fluid, leading to disharmony in the spleen and stomach, disordered metabolic function, and ultimately causing stagnation of appetite.

 

目录

目录
1. What are the causes of poor appetite of the stomach
2. What complications can poor appetite of the stomach lead to
3. What are the typical symptoms of poor appetite of the stomach
4. How to prevent poor appetite of the stomach
5. What laboratory tests need to be done for poor appetite of the stomach
6. Diet taboos for patients with poor appetite of the stomach

7. Conventional methods of Western medicine for the treatment of poor appetite of the stomach. 1

  What are the causes of poor appetite of the stomach

2. How is poor appetite of the stomach caused? Briefly described as follows: The ability of the stomach to accept food is called 'stomach Qi'. 'Nai dai' is the abbreviation of 'poor stomach Qi', indicating poor appetite and no desire for food. Nai Qi strengthens Yang, in traditional Chinese medicine, the clear Qi inhaled by the lung should descend to the kidney, which is called 'Nai Qi'. Nai Qi helps to replenish kidney Yang, which is called 'Nai Qi strengthens Yang'. The spleen is often insufficient, as the foundation of the body's postnatal constitution, it is responsible for transporting and metabolizing nutrients, and is the source of Qi and blood generation. Children, due to their rapid growth and development, vigorous vitality, and more urgent need for nutrients than adults, have weak spleen and stomach function and poor digestion. If the diet is inappropriate, milk and food are unclean, overeating, or under-eating, it is easy to affect the normal physiological function of the spleen and stomach, leading to illness. Common symptoms include vomiting, diarrhea, malnutrition, anorexia, and abdominal pain.. What complications can poor appetite of the stomach lead to

  The complications of poor appetite of the stomach mainly include indigestion, loss of appetite, and other symptoms. If left untreated for a long time, patients may develop diseases such as malnutrition, which seriously affects the health of patients, so it is necessary to treat it in a timely manner.

3. What are the typical symptoms of poor appetite of the stomach

  What are the symptoms of poor appetite of the stomach? Briefly described as follows:

  1. Poor appetite and reduced food intake, accompanied by abdominal distension, loose stools, fatigue, and weakness, and a pale tongue, indicates Qi deficiency of the spleen and stomach.

  2. Poor appetite and epigastric stuffiness, accompanied by heavy and stiff sensation in the head and body, loose stools and greasy coating, belongs to damp-evil affecting the spleen.

  3. Poor appetite and aversion to food, accompanied by belching of sour and putrid gas, epigastric and abdominal pain, and thick, greasy, turbid coating, indicates retention of food residue.

  4. Poor appetite and aversion to oil, accompanied by aversion to cold and fever, is caused by a cold; accompanied by fatigue, body weakness,胁肋distension and pain, or jaundice, it belongs to damp-heat in the liver and gallbladder.

  5. Lack of appetite, accompanied by stomach unrest and heat, red tongue with little coating, and thin pulse indicate insufficient stomach Yin; internal disturbance of虚 fire, if accompanied by chest and hypochondriac distress or abdominal fullness, restlessness, and a desire to vomit, and a wiry pulse, it indicates Shaoyang gallbladder heat or disharmony between the liver and stomach.

4. How to prevent poor appetite of the stomach

  The liver governs the dispersal and the rise and fall of the spleen and stomach's Qi, once the liver is diseased, the Qi of the stomach cannot reach, the turbidity of the stomach does not descend, which will inevitably lead to symptoms such as abdominal distension, poor appetite, nausea, and vomiting. In clinical practice, it is not uncommon to see cases where liver disease affects the stomach, or where the stomach disease precedes the liver disease. Familiarity with the physiological relationship between the liver and stomach, and the mutual influence in pathology, emphasizes 'treatment of the liver should not forget the treatment of the stomach', pointing out that 'the treatment of hepatitis cannot be confined to one organ or one method, it must be treated by dispersing the liver and harmonizing the stomach, but only according to the different course, disease condition, and disease situation to determine the priority'. Moreover, the earth gives birth to all things, and wood flourishes with the earth. The ancients also have the caution 'he who gets the grain prospers, and he who loses the grain perishes', and 'man takes the stomach Qi as the root'. If the earth Qi fails, not only will the vital Qi not support, but the patient will also find it difficult to accept the treatment of decoctions, and there is no hope of curing hepatitis.

5. 27, 5

  26, What laboratory tests should be done for poor appetite and indigestion?

  25, What examinations should be done for poor appetite and indigestion? Briefly described as follows:

  24, 1, Presence of upper abdominal pain, distension, early satiety, belching, nausea, and vomiting, symptoms lasting at least 4 weeks or accumulating more than 12 weeks in 12 months;

  23, 2, Endoscopy did not find ulcers, erosions, tumors, and other organic lesions in the stomach and duodenum, and no esophagitis was found, nor was there a history of such diseases;

  22, 3, Laboratory, ultrasound, and X-ray examinations to exclude liver, gallbladder, and pancreas diseases;

  21, 4, No diabetes, kidney disease, connective tissue disease, and mental illness;

20, 5, No history of abdominal surgery. When selecting research cases, those with irritable bowel syndrome should be excluded at the same time to avoid affecting the comparability of the study; no new organic lesions have been found during regular follow-up, and the follow-up time is more than 1 year.. 19, 6

  18, Dietary taboos for poor appetite and indigestion patients

  17, What should be paid attention to in the dietary health care for poor appetite and indigestion patients? Briefly described as follows:

  16, 1, Foods to eat for poor appetite and indigestion patients

  15, The diet of patients with poor appetite and indigestion should be light, with more vegetables and fruits, a reasonable diet, and attention to sufficient nutrition.

  14, Foods to avoid for poor appetite and indigestion patients

  13, Abstain from smoking and drinking, spicy and greasy foods, and cold foods.

  12, 3, Food therapy

  11, This dish is light, fresh, fragrant, crisp, and delicious, with the effects of invigorating the spleen and stomach, clearing heat, and benefiting the intestines. It is suitable for symptoms such as poor appetite and indigestion, decreased food intake, abdominal distension, and constipation. Bitter orange flower stir-fried sliced bamboo shoots: 200g of bitter orange flowers, 150g of peeled bamboo shoots, 100g of preserved pork, and appropriate amounts of scallion slices and ginger slices. Wash the bitter orange flowers and blanch them; slice the bamboo shoots diagonally; cut the preserved pork into small cubes; heat oil in a pot to 60 degrees Celsius, add bitter orange flowers, bamboo shoots, and preserved pork to the pot, stir-fry several times, add scallion slices and ginger slices, and stir-fry until cooked, add a little monosodium glutamate and salt as needed.

10, 7. 9, Conventional western treatment methods for poor appetite and indigestion

  8, What are the traditional Chinese medicine treatment methods for poor appetite and indigestion? Briefly described as follows:

  7, Treatment of实证 is to eliminate evil. Once the evil is eliminated, the qi of the spleen and stomach will recover and the patient will be able to eat and drink. The treatment of虚证 is to invigorate the body, and it is necessary to differentiate between Yin and Yang, qi and blood, and to determine whether it is due to the intrinsic deficiency of the spleen and stomach or due to diseases of other organs affecting them.

  6, Liver stagnation and qi stasis

  5, Syndrome: There are often mood inducements such as depression and resentment, followed by fullness in the epigastrium, loss of appetite, even fullness in the chest and hypochondrium, or chest and hypochondrial pain. Symptoms may alleviate after belching, bitter taste in the mouth, dry throat, and astringent and slippery pulse.

  4, Treatment principle: The treatment of this syndrome should differentiate between chronic and acute conditions and辨别虚实. Generally, for the early onset, it is due to liver stagnation and insufficient qi, and the main treatment should be to soothe the liver and regulate qi. If the liver stagnation is chronic and the spleen and stomach are damaged, it is advisable to soothe the liver, regulate qi, harmonize the stomach, and strengthen the spleen.

  3, Prescription: Modified Chaihu Shugan San, for those with spleen deficiency, use Xiaoyao San.

  2, Dampness-affected spleen and stomach

  1, Syndrome: Poor transformation of the spleen, failure of the stomach to descend, manifested as poor appetite, sticky mouth, stuffy epigastrium, heavy and tired body, loose stools. White greasy tongue coating, soft pulse.

  2. Treatment Principle: Transform dampness and strengthen the spleen.

  2. Treatment Principle: Eliminate dampness and strengthen the spleen.

  3. Formula: Pingwei Powder or Jianpi Pill.

  1. Syndrome: Irregular diet, food retention in the middle jiao, which can cause loss of appetite, even vomiting, accompanied by belching, acid regurgitation, belching with food odor, epigastric pain and distension, thick and greasy coating, slippery pulse.

  2. Treatment Principle: For those with symptoms above the diaphragm, the main treatment is to eliminate food and harmonize the stomach; for those below the diaphragm, the main treatment is to promote the movement of the bowels and intestines. If the spleen and stomach are injured due to overeating, severe vomiting and diarrhea, excessive attack, or prolonged illness, and it is difficult to preserve the deficiency syndrome, treat it according to the deficiency syndrome.

  3. Formula: Modified Zhishi Douchi Pill. Prepared medicine options include Jianwei Xiaoshi Tablet, Dashanzha Pill, or Baohe Pill.

  4. External Pathogenic Factors Affecting the Stomach

  1. Syndrome: Sudden loss of appetite and aversion to oil, accompanied by symptoms of common cold such as aversion to cold, fever, headache, or fatigue and body discomfort, or rib pain and distension, or jaundice and other manifestations of damp-heat in the liver and gallbladder, with bitter taste and yellow coating, constipation.

  2. Treatment Principle: Expelling external pathogenic factors, awakening the stomach and promoting the spleen's function.

  3. Formula: Modified Huoxiang Zhengqi Powder for those with concurrent cold, modified Dazhuhuang Decoction for those with concurrent damp-heat in the liver and gallbladder.

  5. Deficiency of Spleen and Stomach Qi

  1. Syndrome: Stagnation and loose stools, shortness of breath and fatigue, muscle relaxation, weak pulse.

  2. Treatment Principle: Invigorating the spleen and strengthening the stomach, ascending the clear and descending the turbid.

  3. Formula: Modified Liujunzi Decoction, available prepared medicine such as Xiangsha Yangwei Pill and Ren Shen Jianpi Pill.

  6. Deficiency of Spleen and Kidney Yang

  1. Syndrome: Stagnation and aversion to cold, loose stools, even complete indigestion, cold limbs and waistache. Pale tongue, weak pulse.

  2. Treatment Principle: Warming the kidney-yang, reinforcing the spleen and benefiting the qi.

  3. Formula: Modified Jin Gui Shen Qi Wan and Li Zhong Wan.

  7. Deficiency of Stomach Yin

  1. Syndrome: Stagnation and noise in the stomach, dry mouth and constipation.

  2. Treatment Principle: Nourishing Yin and strengthening the stomach, invigorating the spleen and promoting its function.

  3. Formula: Modified Yiguan Decoction.

  Stagnation of the stomach is a common clinical symptom, and treatment should differentiate between deficiency and excess, cold and heat. Generally speaking, for excess syndrome, the course is short, the condition is mild, and it is easy to be cured; for deficiency syndrome and both deficiency and excess, the course is long, easy to recur, and difficult to treat.

  At the same time, patients should be guided to 'nourish the stomach' consciously when taking medication for treatment. The saying 'three parts of treating and seven parts of nourishing the stomach' is based on this principle. Eat less and more frequently, chew slowly, choose appropriate food types and process them reasonably, quit smoking and limit alcohol, pay attention to the temperature, speed, softness and hardness of eating, and massage the abdomen and Zu San Li after eating. Patients with cold symptoms can apply ginger moxibustion to acupoints such as Shenque, Zhongwan, and Zu San Li.

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