Dysentery in remission

　　Dysentery in remission is mostly caused by improper treatment during the acute stage, or due to malnutrition, rickets, intestinal parasitic diseases, and various other reasons such as not paying attention to dietary hygiene. It often manifests as atypical dysentery symptoms, such as abdominal pain, diarrhea, and bloating. When exposed to cold or eating cold food, it can trigger an acute attack, at which time diarrhea, abdominal pain, and stools with pus and blood may occur. The condition may vary between good and bad, and although treatment is given, the effect is not satisfactory, and it may not heal for a long time.

　　Diarrhea comes and goes, not healing for a long time, reduced appetite, fatigue, aversion to cold, liking to lie down, often triggered by improper diet, inattention to daily life, external pathogenic factors, overwork, or mental stress. During an attack, there is abdominal pain and urgency, stools mixed with mucus or red, pale tongue, greasy coating, soft and soft pulse or empty and涩.

　　1. Chronic migratory type

　　Mainly manifested as long-term recurrent abdominal pain, diarrhea, sticky and purulent stools, accompanied by symptoms such as fatigue, malnutrition, and anemia. Constipation and diarrhea may alternate.

　　2. Acute attack type

　　There is a history of chronic dysentery, and acute attacks are caused by triggers such as eating cold food, fatigue, or catching a cold. Abdominal pain, diarrhea, and purulent stools occur, but fever and systemic toxic symptoms are often not prominent.

　　3. Chronic latent type

　　Within one year, there is a history of acute dysentery, with no obvious abdominal pain or diarrhea symptoms.

　　1. Management of the source of infection

　　Patients should be isolated and treated thoroughly.

　　2. Cut off the source of infection

　　Improve food and drinking water hygiene, and personal and environmental hygiene.

　　3. Protect susceptible populations

　　Oral dysentery F2a type 'Yilian strain' live vaccine cannot replicate in the intestinal mucosa without causing disease, but it can stimulate the intestinal mucosa to produce local protective antibodies.

　　For acute bacterial dysentery, blood routine examination may show an increase in white blood cells and neutrophils. For chronic bacterial dysentery patients, blood routine may show mild anemia. Stool routine examination may show a large number of pus cells and red blood cells, with macrophages, and the isolation of pathogenic bacteria is the key to diagnosis; fresh stool in amebic dysentery may contain amebic trophozoites or cysts. Fluorescent antibody staining method can provide rapid diagnosis.

　　1. Glutinous rice

　　According to 'Compendium of Materia Medica': 'Glutinous rice warms the spleen and stomach, stops deficiency-cold diarrhea.' Those with chronic diarrhea due to deficiency-cold of the spleen and stomach are particularly suitable for eating it. 'Experiential Effective Prescriptions' records: 'Treatment of diarrhea: one sheng of glutinous rice, fried to produce white flowers, husked, mixed with ginger juice to moisten, then fried to powder, take one spoonful with soup, three times a day.' This method is indeed effective for those with deficiency-cold diarrhea.

　　2. Buckwheat

　　It can relax the intestines and eliminate accumulation, most suitable for those with chronic dysentery. An ancient recipe recorded in 'Simple and Effective Prescriptions' described a case: 'Mild pain in the abdomen, followed by diarrhea, not much diarrhea, several times a day, can be cured by eating three to four times of millet rice made from millet flour.'

　　Liqing Zhen, a Ming Dynasty physician, also had personal experience, he said: 'I suffered from this for two months in my prime, and I became extremely thin and weak. All the drugs for digestion and Qi transformation were ineffective, but a monk prescribed this and I was cured. Subsequent treatments were also effective.'

　　3. White dolichos lablab

　　It is suitable for everyone with chronic diarrhea and chronic loose stools, as well as for those with acute diarrhea and dysentery. 'Differentiation of Drug Properties' points out: 'Dolichos lablab, as it specializes in clearing summer heat, helps harmonize the middle-jiao and stop dysentery; it is highly beneficial to the spleen, thus it is used to treat dysentery and remove pus and blood. White dolichos lablab can be used in appropriate amounts, fried and ground into powder, taken three times a day, 25 to 30 grams each time, mixed with thick rice gruel and taken.

　　4. Sheep spinal bone

　　It can warm and reinforce the Yang of the spleen and kidney. For those with chronic diarrhea due to deficiency-cold, it is recommended to use 500 grams of sheep spinal bone, boil to make a strong soup, and then cook with 50 to 100 grams of glutinous rice, making a thin porridge and serve warm. 'Compendium of Materia Medica' once introduced: 'Spinal bone, for kidney deficiency, unblocks the Du meridian, cures lumbago and diarrhea.'

　　5. Wild Chicken Meat

　　It is sweet and sour in taste, with the effect of tonifying the middle and invigorating the qi. It is suitable for people with chronic dysentery. 'Bielu' pointed out early, 'It is good for tonifying the middle, invigorating the qi, and stopping diarrhea and loose stools.' 'Shiyi Xinjing' once introduced: 'For chronic diarrhea caused by deficiency of the spleen and stomach qi, diarrhea and loose stools day and night, intestines slippery and unable to eat: one wild chicken, according to the food method, finely chopped, mixed with tangerine peel, pepper, scallion, salt, and soy sauce to make wontons, cooked, and eaten on an empty stomach.'

　　6. Black-bone Chicken

　　It is suitable for people with chronic diarrhea due to spleen deficiency and slippery diarrhea. 'Puji Fang' introduces a method of 'Black Chicken Stewed', which treats lockjaw dysentery and chronic dysentery: 'One black-bone chicken, after removing feathers and intestines, use fennel, galangal, red beans, tangerine peel, white ginger, Sichuan pepper, salt, and cook together until cooked. Eat the soup and meat to open the stomach.'

　　7. White Dried Croaker

　　Also known as dried yellow croaker, it is a dried product of yellow croaker. It can stimulate the appetite, digest food, invigorate the spleen, and tonify deficiency. According to the 'Records of Shuyuan', 'Dysentery is most忌greasy and cold food, only white dried croaker is suitable for eating.' 'Herbals of the Materia Medica' also believes that 'boiled and eaten, it is neither hot nor cold, neither rough nor greasy, it can tonify and clear, invigorate the intestines and stomach, and is a good product for people with weak intestines and stomach, indeed a good product among medicine and food.'

　　8. Crucian Carp

　　It has the functions of invigorating the spleen and draining dampness, and is suitable for chronic dysentery patients. You can choose 1000 grams of big crucian carp, clean it according to common methods, and put in 2 cloves of garlic, 6 grams of pepper, 10 grams of tangerine peel, 10 grams of amomum villosum, 6 grams of Amomum xanthioides, and appropriate amounts of scallion and soy sauce into the belly of the crucian carp. According to common methods, first fry the crucian carp, then add water to boil it, and it can be eaten when the soup is thick and milky white.

　　1. General Treatment

　　Maintain a regular lifestyle, engage in moderate exercise, avoid overexertion and tension, eat nutritious and easily digestible food with little residue and no stimulation, and actively treat coexisting chronic diseases.

　　2. Pathogen Treatment

　　Urgently carry out pathogen isolation and bacterial drug sensitivity test to help reasonably select and apply effective antibacterial drugs.

　　3. Symptomatic Treatment

　　For intestinal dysfunction, tranquilizers and antispasmodic drugs can be used.

　　4. Diet Therapy

　　Encourage normal eating, requiring high-calorie, high-protein, low-lactose, and low-osmotic pressure diet.