As the saying goes, "deep feelings, boring"?In fact, nutrient solution is more suitable for drinking slowly
Author:Guangdong Provincial Hospital Time:2022.08.03
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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.
In the last issue, we introduced the use of different solvents to rush nutritional powder, thereby improving the digestion related issues caused by oral nutrient solution. Today, the topic of the last issue, in addition to adjusting the solvent method, we can also adjust the purpose of improving the symptoms of indigestion by adjusting the drinking method.
Today's protagonist is a girl studying at the University of Traditional Chinese Medicine. We call her Xiao Peng. Xiao Peng was diagnosed with colon -type Crohn's disease in a three -section hospital in Guangzhou this year. He was stensed with stenosis. The treatment plan was taken orally in the intestinal nutritional treatment at that time.
Based on the doctor's advice, Xiao Peng began to be taken from a small dose nutrition powder to gradually achieve the target dose. However, whether in a small dose or the target dose of dosage, Xiao Peng only needs to oral nutrient solution, and there will be a manifestation of bloating and diarrhea, indicating that there is a state of oral intolerance. Therefore, the supervisor is recommended to use the nasal feeding method. However, Xiao Peng did not accept the way of nasal feeding. Through the introduction of his classmates, he came to the Guangdong Hospital of Traditional Chinese Medicine to see a doctor for help.
At this moment, everyone is estimated that the way we introduce in the previous issue to help Xiao Peng. In fact, there is a simpler way to solve the problem of Xiao Peng. This method does not need to take Chinese medicine or adjust the solvents.
What kind of way is it?
The answer is "Those who want to drink water, less and drinking, so that the stomach qi is healed." This remark from Zhang Zhongjing, the Saint of Chinese Medicine Zhang Zhongjing, translated into vernacular that if the patient wants to drink water, he can only give him a little bit, let him drink slowly, so that the stomach qi can get the stomach qi to get the breath If you reconcile, the disease can be recovered.
Applying this to the oral method of nutritional solution is to adjust the speed of the mouth of the nutritional solution and the amount of liquid per mouth, thereby improving the digestive -related symptoms caused by oral nutrient solution.
Specific operation method: whole intestine nutrition treatment: use 300ml-350ml insulation cup to brew nutrition powder, each use of a straw for a small mouth (adults drink a sip of about 30-35ml of water under normal circumstances, and a small mouth is about 25 -28ml), drink within 30-60 minutes. Part of the intestinal nutritional therapy: The rushing method is the same as the internal nutritional therapy of the whole intestine, and the drinking method of nutrient solution is adjusted to the process of entering with three meals.
Oral nutrient solution is the most common cause of the cause of indigestion related symptoms in the various symptoms of indigestion. In 2021, the "Suggestion of Chinese Inflammatory Intelliginal Diet Diet Management Experts" pointed out that patients often aggravate the patient's abdominal pain and diarrhea because of an excessive intake of intestinal nutritional preparations, and even induced or aggravate stenosis or transparent lesions, causing patients Unable to withstand nutritional therapy in the intestine. The drinking method we introduce can effectively control the speed of the nutrient solution and the amount of liquid per port to avoid various problems caused by excessive intake of nutrient solution at one time.
Why can the patient's oral nutrient solution be improved in this way?
There are three important parts of the Chinese medicine pathogenesis that have been introduced in the past: weak spleen and stomach, weakness of turbidity, and sinking in yang. Using "less and drinking" oral nutrition methods can be consumed in an orderly and appropriate amount of nutrient solution. For patients with Crohn's disease, this method reduces the needs of the stomach and spleen. The recovery of weak spleen and stomach. In addition, the method of "less and drinking" can avoid excessive liquid to enter the body in a short time, causing the problem of inhibiting the process of yang's promotion and aggravating yang. The drinking method of "less and drinking" is conducive to the harmony of the stomach qi and the promotion of yang, so it improves the tolerance and compliance of the patient's oral nutrient solution.
In 2021 "Suggestion of Chinese Inflammatory Intestinal Diet Diet Management Experts" also pointed out that in order to improve the tolerance and compliance of patients with oral intestinal nutritional preparations, we can consider the method of simulating tube feeding. treat. The specific method is as follows: Choose the appropriate intracense nutritional preparation, follow the instructions for 300ml each time, place it in the thermal insulation cup, every 3 to 5 minutes, take 30 to 50ml orally. This improved oral method can significantly improve the patient's tolerance and compliance, so as to effectively implement the intestinal nutritional therapy. The intestinal nutritional therapy in the intestinal nutrition is not only effective in tube feed, no side effects of tube feed, but also cheap and beautiful.
Before Xiao Peng came to our slow illness clinic, the nutritional solution was taken to choose the way to "bite", too fast and too much liquid to enter the body, aggravating the burden on the spleen and stomach, and affecting the positive of yang, so abdominal pain, nausea and nausea and Diarrhea manifestations. Therefore, after we recommend that she adjusts to the way of drinking "less and drinking", on the third day, the above -mentioned gastrointestinal symptoms have basically disappeared. At present, this method is maintained for oral nutritional therapy, and the problem of intubation nose feeding is also avoided.
"Deep feelings and boring" are usually used to persuade alcohol. In fact, even if it is drinking, it is not recommended that this kind of fierce way of irrigation, it is more appropriate to use "long water long flow", the nutritional solution is the same. Nutritional treatment is Cro A very important treatment plan for grace disease is not just as simple as filling the stomach. There are many contents worthy of patients' attention in terms of dating methods and drinking methods. It's better to drink slowly. 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 and Zheng Jie of the Department of Spleen and Stomach Diseases of Guangdong Provincial Hospital of Traditional Chinese Medicine
Executive editor: Wu Yuan Tuan
Audit school pair: Zhuang Yingge
Editor in charge: Song Liping
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