[Paghulag]
Ang diarrhea ay tumutukoy sa maraming pagbuhos, na may malambot o parang tubig na dumi. Ang pangunahing lugar ng sakit ay sa spleen, stomach, at small and large intestine. Ayon sa kung gaano katagal at kung paano ito nagsimula, ito ay nahahati sa acute at chronic. Ang acute diarrhea ay madalas dulot ng internal diet injury, external cold-damp, na nagdudulot ng malfunction ng transmission; o dulot ng damp-heat sa summer and autumn. Ang chronic diarrhea ay madalas dulot ng spleen-kidney yang deficiency, na nagdudulot ng impaired transformation and transportation.
Ang diarrhea ay karaniwang nararanasan sa acute and chronic enteritis, indigestion, intestinal functional disorder, allergic colitis, intestinal tuberculosis, at neurotic diarrhea.
[Sanhi at Patogenesis]
(1) Acute Diarrhea
1. Cold-damp: Cold-damp invades the intestines and stomach, disrupting the balance of spleen and stomach, causing dampness to descend into the large intestine, resulting in diarrhea.
2. Damp-heat: During summer and autumn, exposure to heat and humidity causes heat to remain in the intestines and stomach, disrupting transmission and causing diarrhea.
3. Dietary injury: Overeating, eating unclean food, or consuming too much raw, cold, fatty, or sweet food damages the middle jiao, injures the spleen and stomach, and impairs their function, leading to diarrhea.
(2) Chronic Diarrhea
1. Spleen deficiency: Spleen yang deficiency leads to weak transformation and transportation, causing dampness to accumulate in the intestines and cause diarrhea.
2. Kidney deficiency: Kidney yang deficiency fails to warm and transform, causing dampness to accumulate and lead to diarrhea.
[Diagnosis at Treatment]
(1) Acute Diarrhea
1. Cold-damp
Key symptoms: watery diarrhea, abdominal pain and rumbling, prefers warmth, fears cold, no thirst, pale tongue with white coating, mostly deep slow pulse.
2. Damp-heat
Key symptoms: abdominal pain followed by diarrhea, yellow, smelly, hot stool, burning anus, short red urine, or fever, thirst, etc., yellow greasy tongue coating, slippery rapid pulse.
3. Dietary injury
Key symptoms: foul-smelling stool like rotten eggs, abdominal pain and rumbling, pain decreases after defecation, fullness in upper abdomen, belching, loss of appetite, greasy tongue coating, slippery rapid or string-like pulse.
Paraan: Gamitin ang points sa Foot Yangming meridian. For cold-damp, use acupuncture and moxibustion (or ginger-separated moxibustion) to warm the center and resolve dampness; for damp-heat, use sedation to clear heat and resolve dampness; for dietary injury, use sedation to regulate digestion and eliminate food stagnation.
Preskripsyon: Tianshu, Zusanli
Supplementary points: For cold-damp, add Zhongwan, Guanyuan; for damp-heat, add Quchi, Yinlingquan; for dietary injury, add Neiguan, Liangmen.
Paliwanag: Tianshu is the mu point of large intestine, regulating its transmission function. Zusanli is the he point of stomach meridian, regulating stomach qi. Acupuncture and moxibustion on Zhongwan and Guanyuan warm the center, dispel cold and dampness, and stop diarrhea. Quchi clears yangming heat, Yinlingquan promotes urination to remove dampness. Together, these two points clear intestinal heat and treat damp-heat diarrhea. Neiguan regulates sanjiao qi, Liangmen eliminates food stagnation. Together, they regulate digestion and eliminate food stagnation.
(2) Chronic Diarrhea
1. Spleen deficiency
Key symptoms: loose stools, sometimes undigested food, lack of appetite, discomfort after eating, pale complexion, fatigue, weak pulse, pale tongue with white coating.
2. Kidney deficiency
Key symptoms: diarrhea every morning before dawn, rumbling in abdomen, pain relieved after defecation, cold abdomen, occasional bloating, cold limbs, pale tongue with white coating, deep fine weak pulse.
Paraan: Gamitin ang points sa Ren meridian at spleen-stomach meridian. Use tonification and moxibustion to warm and tonify spleen and kidney, and strengthen the intestines to stop diarrhea.
Preskripsyon: Zhongwan, Tianshu, Guanyuan, Zusanli, Diji
Supplementary points: For spleen deficiency, add Pishu, Taibai; for kidney deficiency, add Shenshu, Taixi.
Paliwanag: Zhongwan is the meeting point of fu organs and the mu point of stomach, effective in regulating intestines and stopping diarrhea. Tianshu is the mu point of large intestine, regulating intestines to stop diarrhea. Guanyuan warms the kidney, Zusanli strengthens the stomach, Diji strengthens the spleen. These three points work together to warm the center, dispel cold, and stop diarrhea. For spleen yang deficiency, add moxibustion on Pishu and Taibai to strengthen spleen and warm yang. For kidney deficiency, add Shenshu and Taixi to warm the kidney and stop diarrhea.
[Iba pang Therapy]
1. Auriculotherapy
Points: Large Intestine, Stomach
Method: Light stimulation, leave needle for 20 minutes.
2. Cupping
Points: Tianshu, Guanyuan, Dachangshu, Xiaochangshu
Method: Leave cup for 10 minutes, twice daily.
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