As the saying goes | Although the seafood is delicious, you need to eat cautiously to eat

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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.

Mr. Lei is a patient with ulcerative colitis. He has a history of 5 years. He has taken Chinese medicine treatment when he is serious. Last year, the colonoscopy was also in the ease of ease, but the condition suddenly occurred three months ago. The stools had blood 5 or 6 times a day, all of which were blood.

Why did Mr. Lei's condition suddenly repeat?

According to the patient's self -report, the condition suddenly worsened after eating oysters in May this year. Is oyster the cause of repeated diseases? From time to time, it is indeed related to it, but in terms of mechanism, there are still controversials. After all, many foreign patients also eat oysters and have not experienced a similar condition. Therefore, the first thing we consider is whether the oysters are not fresh or unclean, and the intestinal infection is merged, which leads to the worsening of the condition, because intestinal infections are the main causes of the disease that causes the disease. Later, the number of stools of patients did decrease, but the blood had not improved. Therefore, the patient was also anxious, and we also communicated with the patient. If it was not, it might be hospitalized for infection. And the possibility of infection such as difficultyl bacteria, it may need to be treated with anti-infection western medicine if necessary, but in the recent retraining, the patient's condition has improved significantly. The change is just because of taking Chinese medicine for a week. Why did I take Chinese medicine for more than a month before (although the patient changes in May in May, it is July) is effective, and this time it improved significantly after a week? This will start with oysters.

Oyster belongs to seafood, and Guangdong is a coastal city. It is normal to eat seafood. Therefore, it is a very difficult thing to let patients with inflammatory bowel disease not eat seafood. After all, seafood is still delicious), some cases have to be eaten because of communication, and some cases are because the food contains seafood in the food, such as the soup of authentic Guangzhou noodle restaurants, which is boiled with earth fish, and earth fish ( Better fish) is a veritable seafood. Therefore, for Cantonese, it is really necessary to avoid eating seafood.

So, can people who have inflammatory bowel disease (ulcerative colitis and Crohn disease) eat seafood?

This is really a very tangled problem. First of all, there is no problem with the impact of dietary factors on the occurrence of inflammatory bowel disease. Conclusion. Japan's research has found that the risk of sweets and ulcerative colitis (UC) is positive, and the risk of sweets, fat, oil, fish and shellfish is positively related to Crohn's disease (CD). People with butter, eggs, potatoes, sausages, ham and beer are more likely to have inflammatory bowel diseases, while people who eat fruits, vegetables, fish, olive oil and wine are not prone to inflammatory bowel disease; it can be seen that people in different areas The types of diet are also different. Therefore, we can't say that the condition must be the fault of seafood. But in principle, we still recommend that patients with inflammatory bowel disease do not eat seafood as much as possible.

So why doctors do not recommend patients with inflammatory bowel diseases to eat seafood?

Because seafood usually has different degrees of immune, that is, seafood contains a large amount of protein, and certain proteins may be used as antigen -induced perverted reactions (can also be simply understood as allergic reactions). This is why some people eat seafood easily allergic.

For patients with inflammatory bowel disease, there is a situation where the overall immune function is excessive and the intestinal mucosal barrier is destroyed. After eating seafood, it will not only increase the intestinal digestion and absorption load, but even induce or aggravate the digestive mucosal damage. It may be possible. Causes obvious or even severe immune reactions, thereby inducing or aggravating the condition. In addition, many raw seafoods are prone to pathogens that are prone to pathogenicity, and there are also the possibility of secondary infection caused by inflammatory bowel disease. Therefore, the "Suggestion of Chinese Inflammatory Intelliginal Diet Management Experts" clearly states that whether it is the active or ease period, the inflammatory bowel disease (IBD) patients are fasting in fish -raw seafood and river fresh; "Suggestions for Chinese inflammatory bowel diet management experts": "IBD patients for activity should not be eaten, and patients with eased periods are eaten carefully."

From the perspective of traditional Chinese medicine, patients with inflammatory bowel disease are also not suitable for seafood. Why?

In the early stage, we said that Chinese medicine believes that food has four qi and five flavors, and seafood, as the name suggests, is a creature growing in the sea. According to the environment and characteristics of its life, seafood products are mostly cold foods; seafood is rich in protein that is rich in protein. From the perspective of traditional Chinese medicine, it has the characteristics of "wet", so most seafood belongs to cold and damp food.

In the past, we also mentioned that "wet" substances should be transformed into nutrients needed by the human body. The most important thing is the function of spleen and stomach. After the cold and damp foods such as seafood are eaten into the human body, more human spleen and stomach yang can promote transportation, and the digestion and absorption of the nutrients contained in it can be used as the human body. Most patients with inflammatory bowel disease have a long course of illness, and the spleen and stomach function is relatively weak. Especially patients with Crohn's disease have the basis of tempering. Wet "" rich substances. Therefore, when patients with inflammatory bowel disease eat seafood, they will not be digested and absorbed due to decreased spleen and stomach function. Such cold and dampness sticky things remain in the spleen and stomach, and it may occur in the wet and stomach. Uncomfortable symptoms; and when the wet evil is trapped in the body for a long time, it will gather into "turbidity". And "turbidity" is a very special evil qi. Most of them are internal internal organs, and when the righteousness is sufficient, it will not cause it. The occurrence of the period alternately, as in the previous tweet, we are explaining why patients with inflammatory bowel disease are not suitable for drinking milk. This can also show that most people who eat seafood allergies are mostly person with weak spleen and stomach function.

The internal ambush of turbidity and excessive nutrients accumulated in the body, and a lot of pathological products will also be derived, which produces various pathological changes. Increasing heat, some patients may immediately increase the condition, such as abdominal pain and blood in the stool.

Now that Mr. Lei, why does his condition suddenly improve? In fact, in the early treatment, we also adjusted according to the method of dialectical treatment of traditional Chinese medicine, but it has not been relieved. Later, considering that the reason why the patient's condition was repeated is caused by oysters, will it be because of turbid gas staying in the body. Only then did the condition cannot be controlled? Therefore, in the recent treatment, we changed the direction of the treatment and decided to start from the key pathogenesis, and for treatment from the perspective of turbid poison, thus achieved magical results. It is this effect that reminds us to pay attention to the impact of seafood in the process of inflammatory bowel disease.

Is it a patient with inflammatory bowel disease since then with fish and shrimp?

There is no absolute saying, "Suggestions for Chinese inflammatory bowel diet management experts": "Patients with alleviating inflammatory bowel diseases can be eaten in appropriate amount of cooked rivers as appropriate." But it is not recommended to continue to eat after eating discomfort.

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: Chen Yan Zhengjie, Department of spleen and stomach disease in Guangdong Province

Executive editor: Wu Yuan Tuan

Audit school pair: Zhuang Yingge

Editor in charge: Song Liping

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