Ang intestinal infection ay dulot ng bacteria, virus, at protozoa, na nagdudulot ng infectious diarrhea. Sa paggamot, ang paggamit ng antibiotics ay kasama ng TCM enema therapy, na maaaring mapabuti ang symptoms at mapabilis ang recovery, at magdulot ng satisfying results. Ang infectious diarrhea ay kasama sa TCM categories tulad ng diarrhea, dysentery, cholera, at abdominal pain. Ang TCM differentiation ay may external and internal causes, at may signs of deficiency, excess, cold, heat. Ang artikulong ito ay tungkol sa integrated treatment ng damp-heat type intestinal infection.
1. Treatment Methods
1.1 TCM Treatment
Primary symptoms: diarrhea, loose stool or bloody stool, urgent bowel movement or unsatisfactory defecation, burning sensation in anus, abdominal pain, tenesmus, irritability, thirst, short and red urine, red tongue with yellow greasy coating, slippery or rapid pulse. Treatment principle: clear heat, resolve dampness, detoxify, promote qi movement, relieve stagnation, and relieve pain. Formula: Bai Tou Weng Tang with modifications: Bai Tou Weng 15g, Huang Lian 10g, Huang Bai 10g, Qin Pi 10g, Ge Gen 10g, Dang Gui 10g, Bai Shao 10g, Mu Xiang 10g, Bin Lang 10g, Cang Zhu 10g, Hou Po 10g, Sheng Gan Cao 10g. In this formula, Bai Tou Weng clears heat in the qi level and cools blood, detoxifies; Ge Gen relieves muscle tension, clears heat, raises yang, stops diarrhea; Qin Pi clears liver heat and stops heat-induced dysentery; Huang Lian and Huang Bai clear heat and resolve dampness, strengthen yin, stop diarrhea; Dang Gui, Bai Shao, and Gan Cao promote blood circulation, nourish blood, and relieve spasms; Mu Xiang and Bin Lang promote qi movement and guide stagnation; Cang Zhu and Hou Po dry dampness and broaden the middle. For more heat, add Yin Hua and Huang Qin; for more dampness, add Fu Ling, Ze Xie, Mu Tong, Che Qian Zi; for food stagnation, add Shan Zha and Shen Qu; for deficiency, add Huang Qi, Dang Shen, and E Jiao. Administration: One dose boiled twice, 100–150ml each time, morning and evening, administered via retention enema. Remove needle from IV tubing, insert into rectum, drip slowly at 30 drops per minute, keep as long as possible. Enema solution must be filtered through gauze to prevent blockage.
1.2 Western Medicine Treatment
(1) Infection control: Select appropriate antibiotics based on causative organism. Commonly used: ampicillin, co-trimoxazole, norfloxacin. Fluid replacement: Mild dehydration can be managed orally with ORS; severe dehydration requires IV fluids. Shock management: correct microcirculatory disturbance and acidosis using vasodilators and alkaline agents. Supportive and symptomatic treatment: for excessive diarrhea, use antidiarrheals; if heart failure, cerebral edema, shock lung, or DIC occurs, provide timely symptomatic treatment.
2. Experience
The damp-heat type intestinal infection is the most common form. It commonly occurs during late summer and early autumn. External damp-heat epidemic toxins invade the intestines and stomach, stagnating in the middle jiao, causing damp-heat accumulation, obstruction of qi and blood, leading to formation of pus and blood. This disrupts normal transmission, resulting in diarrhea. Heat in the intestine causes urgent diarrhea; damp-heat binding leads to unsatisfactory defecation; damp-heat descending causes burning sensation in the anus; internal damp-heat causes irritability and thirst, short and red urine; red tongue with yellow greasy coating and slippery or rapid pulse all indicate damp-heat. This type is common in acute phases.
In the active phase, the condition is severe or at peak severity, with persistent high fever and worsening symptoms. Monotherapy with antibiotics shows limited effect. If diagnosed as damp-heat type intestinal infection, TCM retention enema therapy can yield good results.
Bai Tou Weng, Huang Lian, and Huang Bai have broad antimicrobial effects according to modern research. They inhibit pathogens such as Shigella, Escherichia coli, Bacillus subtilis, Pseudomonas aeruginosa, Salmonella, Paratyphoid, Vibrio cholerae, and Entamoeba histolytica. Bai Tou Weng has astringent effect on intestinal mucosa, thus helping to stop diarrhea and bleeding. Combined with other herbs, it significantly improves symptoms. When combined with Western medicine, it enhances antibacterial effects and helps relieve clinical symptoms. The purposes of TCM retention enema are twofold: first, the medication reaches the affected site directly to inhibit bacterial growth in the intestine; second, enema clears bacteria and their metabolic products and harmful substances, reducing damage to intestinal mucosa, restoring colon function, and maintaining normal internal environment. While TCM retention enema has wide applications, it has strict contraindications: severe hemorrhoids, extreme exhaustion, serious heart disease, or intestinal bleeding patients should avoid it. Patients with intestinal obstruction due to colon or rectal cancer should only use under close physician supervision.
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