As the saying goes | Choose the treatment plan to think about it?Spleen and stomach function is the key!

Author:Guangdong Provincial Hospital Time:2022.06.15

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"As the saying goes" is the first Chinese medicine department with inflammatory bowel disease in China, which means "enteritis"; the creative team of "often saying" is the inflammatory bowel disease of Guangdong Hospital with Professor Chen Yan as the main body. The slow disease management team, Professor Chen Yan is the popular popularization of the Chinese Chinese Medicine Society, emphasizing that the professionalism of traditional Chinese medicine science is his style, so this column can also be understood as "intestinal extension"; , Choose a Chinese medicine plan for patients with inflammatory bowel disease.

After the introduction of the first two issues, we know that in addition to conventional western medicine treatment schemes, there are two ways to solve the problem of this world: Exclusive Entertainment (EEN) and "Spleenic Sominios) "Turning turbid detoxification method" combined with traditional Chinese medicine recipes. These two methods have their own advantages and disadvantages, and the nutritional effects of the whole intestine are stable, but the process of taking is uncomfortable. The "Spleen Spleen Sominiosuction and turbidity and detoxification method" can be eaten with Chinese medicine recipes. As a patient, how can you make the most conducive to your choice? Let's explain to you through a case.

The patient Xiaohuang is a teenager who is studying in the third junior. One afternoon in the summer of 2020, Xiao Huang was waiting for the doctor at an uneasiness of the inflammatory bowel disease at Fangcun Hospital in Guangdong Provincial Hospital of Traditional Chinese Medicine. He was restless because the waiting time was too long, but it was related to pain. Every time he touched a stool, the facial features on the face would gather together because of pain. In order to relieve the pain, he could only sit on the stool half of his buttocks, and half of the other half. The buttocks are in a state of space.

What happened to Xiao Huang who was suffering?

It turned out that Xiao Huang began to have anal swelling and pain on the anus 3 months ago. At that time, anal -to -check the peridine ultrasound reminder: conforming to the sound image of the perianal abscess. The reason was not standardized at the time. After the summer, the perianal leakage and swelling and pain were further aggravated. In order to relieve pain, they could only sleep on the side while sleeping. At the same time, it was accompanied by performance such as weight and loss of appetite, which seriously affected the review of the third middle school entrance examination.

In order to clarify the diagnosis, Xiao Huang in August 2020 checked in our department for systematic diagnosis and treatment. When he admitted to the hospital, he had only 46kg. For a young man with a height of 170cm, it was not too much to use "skinny" to describe it.

After admission, the pelvic MR enhanced the complex anal fistula (sphincter type, inter -sphincter type), and the perianal abscess of the anus of the right front edge of the anal canal. Small intestine CTE shows multiple intestinals and the intestinal wall of the intestinal wall thickened, intestinal cavity, and jumping. The thickest part is about 1.1cm. After the enhancement, it is obvious and even more enhanced. The short diameter is about 0.7cm.

In the end, Xiao Huang was diagnosed as: Crohn's disease (backworthiness stenosis non -penetrating perianal abscess+anal fistula moderate activity period), according to the guidelines of Crohn's disease diagnosis and treatment, the anorectal abscess and anal fistula were combined with anorectal. Biological preparations were used for treatment after surgery. However, after we communicated with Xiao Huang and parents, they did not agree with such a plan, because if he handled it, his middle school entrance examination would be affected, and it was possible to take a year of school for one year.

Young, first hair, and perianal lesions must be effectively controlled as soon as possible. Otherwise, for a junior high school student, it will seriously affect his future quality of life; when family members deny the treatment of biological preparations, they can choose to choose Xiaohuang to choose There are not many schemes. The treatment of hormones+immunosuppressants is not too suitable for patients with anal fistula infections, and they are not willing to try their families. At this time, only nutritional therapy can help Xiaohuang.

However, another practical problem is in front of us -how to choose a plan for nutritional therapy?

Is it like to choose whole gastrointestinal nutritional treatment like the third phase of patients, or do you choose the "Spleen Spleen Sominomy and Detoxification Method" like the fourth phase of the fourth phase? From the perspective, Xiao Huang and their families want to use a subsequent solution. After all, for a junior high school student, the temptation of diet is still relatively large. But we consider it again and again, but still deny this solution, and persuaded him to implement orally in -intestinal nutritional support treatment (oral execution) as inducing relief solutions. Periodism.

Making such a choice is mainly based on the following three considerations:

First, it is necessary to ensure that Xiao Huang cannot be lost in the growth and development and the review of the middle school entrance examination under the premise of ensuring the efficacy.

Second, it is to ensure safety. Classmate Xiaohuang has inflammatory stenosis. If the "Spleen Spleen Sominiosuction" is directly combined with the traditional Chinese medicine recipe plan, it is difficult to choose the choice of dietary fiber for ordinary diet.

Third, and the most critical point. Through we evaluated the physique of Chinese medicine in Xiaohuang, we found that he has the characteristics of physical weight loss, less diarrhea, pale tongue, and weak pulse. In particular, there is a state of deficiency at the level of spleen and yin. At this time, the spleen and stomach function is difficult to connect the water valley efficiently, and it can be used to eliminate the turbid gas in the food through the operation. Effect of gastrointestinal nutrition.

Because of the above situation, we chose the whole protein formula (semi -factor formula) as a recipe for nutrition in the whole intestine for treatment. The recipe is that if the transportation function of too much spleen and stomach is needed, disease treatment can be used as the growth and development of adolescents. The total energy value of the nutrient solution is effectively absorbed and utilized. At the same time, the formula does not contain dietary fiber, which avoids the occurrence of narrow -related obstruction accidents. In the process of execution, our team followed up on WeChat to follow up with the specific situation of the disease and plan. The multi -dimensional entrance examination for the middle school of Xiaohuang was escorted. Huang Tian lived up to the people. After the implementation of the implementation plan of Xiao Huang, the perianal condition gradually improved. At night, he could sleep flat, the weight gradually increased, and his appetite improved significantly. For a junior high school student in the middle school entrance examination, he slept well. Eat is just important.

In January 2021, the winter vacation was finally released. Xiao Huang was admitted to the hospital for a condition assessment. During the period of waiting for the results of the inspection and evaluation, Xiao Huang's feelings in his heart were as nervous as he was waiting for high school admission.

Fortunately, the results of the relevant inspection improved before, especially the small intestine CTE showed that the perianal abscess was obviously absorbed compared with the front. The hospitalization also improved the small colonoscopy, showing that the empty bowel erosion was seen in the (meridian), (through the anal) 1. The mucosa swelling and rough erosion of the ileum part of the intestinal part, 2. The sausage mucous membrane bridge, below the horizontal colon can be seen in Afry as small as small as small The ulcer manifestation, no abnormality in the residual mucosa. The result of blood drawing indicates that the inflammatory indicators are significantly reduced. The weight rose to 54kg, which was 8kg higher than the first hospitalization, and the nutritional state was significantly improved compared to the previous.

After evaluation, the treatment has reached the expected goal. In order to meet the growth needs of Xiao Huang's growth and development, psychological status adjustment, and the needs of the middle school entrance examination, the adjustment plan is a characteristic plan for traditional Chinese medicine (the "Spleen Spleen Sominoma" combined with traditional Chinese medicine recipes) to further promote fistula Healing and inducing the condition into the stage of deep relief.

In June 2021, Xiao Huang successfully completed the middle school entrance examination, and was admitted to the hospital in July to evaluate the condition again. Reviewing the pelvic MR enhancement prompts that the complex anal fistula had healed, and the perianal abscess of the anal pheasa on the right front edge of the anal pipe had been absorbed, and a little fiber stove was formed. Small intestine CTE indicates that the intestinal cavity stenosis improves. The mucosa of the rectal section is slightly erosion.

Xiaohuang's academic academic post -hospital inflammation and nutritional indicators are as follows:

At the same time, the good news came, and after his efforts, Xiao Huang was eventually accepted by the school he liked to truly realize the double joy!

Through the diagnosis and treatment of Xiao Huang, everyone should be able to appreciate that before EEN and the traditional Chinese medicine special scheme, they need to evaluate the disease -related diseases, and the patient's spleen and stomach transportation ability should be evaluated. Demand must also meet the needs of people. When both needs are met, they are more in line with the requirements of "each desire from their desires, all wished" in the health of Chinese medicine. The concept of traditional Chinese medicine in this model is both cure and treatment, and also health.

Medical Guidance:

Chen Yan, a chief Chinese medicine doctor, a master's degree instructor, director of the Department of Gastroenterology, Fangcun Hospital of Guangdong Provincial Hospital of Traditional Chinese Medicine, the heir of academic experience in the academic experience of old Chinese medicine experts, and youth famous Chinese medicine medicine in Guangdong Provincial Hospital of Traditional Chinese Medicine. The person in charge of the management team of inflammatory bowel disease in Guangdong Province. The head of the research team of the Earth Academic College Research Team of Guangdong Hospital of Traditional Chinese Medicine. Popular Popularity of the Chinese Medicine Society, member of the Gastroenterologist Branch of the Guangdong Medical Association, executive director of the World Lianlian Gastroenterology Commission, member of the Chinese Medicine Culture Branch of the Chinese Medicine Society, Deputy Chairman of the Communication Professional Committee of the Guangdong Academy of Traditional Chinese Medicine, The Wu Jieping Medical Foundation of the China Inflammation Intestinal Disease Alliance Traditional Chinese and Western Medicine Integrated Professional Committee, a member of the Spleen and Stomach Disease Branch of the Chinese Academy of Chinese Medicine.

At present, the theoretical research of academic genre in TCM supplement soil supplementation has certain advantages in the theory of traditional Chinese medicine; as the person in charge of the management team of inflammatory bowel diseases, the use of traditional Chinese medicine to treat inflammatory bowel disease (Crotn disease, ulcerative colitis ), Professor Yu Shaoyuan, a famous Chinese medicine medicine in Guangdong Province, is good at using Chinese medicine to treat chronic digestive system diseases such as full, diarrhea, and constipation. The editor -in -chief has 9 monographs in traditional Chinese medicine and wrote more than 60 related papers.

Flame -inflammatory bowel disease clinic: Thursday afternoon, 4th floor of Fangcun Hospital, Fangcun Hospital of Guangdong Provincial Hospital of Traditional Chinese Medicine. (Clarifying patients with inflammatory bowel disease, you can add the number to the outpatient clinic.)

Supply: Huang Zhibin Zheng Jie, Department of spleen and stomach disease in Guangdong Province