Ang Akupuntura para sa Intestinal Abscess (Changyong)

Ang intestinal abscess ay maaaring kasama ang modernong acute and chronic appendicitis, periaappendiceal abscess, atbp. Ito ay isang karaniwang uri ng surgical emergency. Ang pagkakaroon ng kondisyon ay nauugnay sa anatomical characteristics ng appendix, obstruction sa appendix lumen, at bacterial infection. Ang klinikal na katangian ay matatagpuan sa matatag na pressure pain sa kanan ng lower abdomen, muscle rigidity, at rebound tenderness.
[Cause and Pathogenesis]
Madalas dulot ng pagkain ng mataba, sobrang pagkain ng raw food, at pagkain nang biglaan, na nagdudulot ng pinsala sa digestive system, hindering gastrointestinal function, thus causing stagnation of qi. Or, dahil sa pagkain nang biglaan at agresibong galaw, o pagkakasira, nagdudulot ng trauma sa intestinal vessels, leading to blood stasis, accumulation of heat in the intestines, and formation of abscess due to heat and blood stasis.
[Diagnosis]
Unang sintomas ay kumakalat sa upper abdomen or around the navel, sumusunod na transference sa kanan ng lower abdomen, pagpindot ay nagpapalala ng sakit, matatag na lokasyon, mahirap buksan ang kanan na binti, kasama ang fever, chills, nausea, vomiting, constipation, yellow urine, thin greasy yellow coating, rapid strong pulse. Kung lumala ang estado, makikita ang rigid abdomen, painful upon palpation, possible mass, high fever with spontaneous sweating, large rapid pulse—this is considered severe.
[Treatment]
1. Acupuncture
Treatment principle: Focus on hand and foot Yangming meridian points. Use draining method with filiform needles, leave for 20–40 minutes, typically once or twice daily; for severe cases, every four hours.
Prescription: Zusanli (ST36), Appendix Point, Quchi (LI11), Tianshu (ST25)
Explanation: This formula primarily aims to regulate the qi of hand and foot Yangming meridians, adjust the fu organs, achieve effects of dispersing stasis, reducing swelling, clearing heat, and relieving pain. According to the "Hepatic and Gallbladder Meridians govern internal organs" principle, use Zu San Li (ST36), the He point of Stomach Meridian, to guide the flow of stomach qi and clear heat from the intestines. Appendix Point is effective for treating appendicitis and lies on the Stomach Meridian, capable of clearing intestinal heat. Quchi (LI11), the He point of Large Intestine Meridian, is used to drain heat from the intestine. Tian Shu (ST25), the Mu point of Large Intestine, is used to regulate intestinal qi.
2. Water Acupuncture
Select Points: Appendix Point, Tender Point on Abdomen
Method: Inject 2–5 ml of 10% glucose solution, depth 0.5–0.8 cun, once daily.
3. Auricular Acupuncture
Select Points: Appendix, Lower Foot End, Large Intestine, Shenmen
Method: Intermittent twirling, leave needle for 2–3 hours.