Kai Chen Ph.D. in
Chinese Medicine
TCM Dr. in British Columbia, Canada
205 Burnside Road East, Victoria, B.C. V9A 1A4 Canada
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TCM Dr. in British Columbia, Canada 205 Burnside Road East, Victoria, B.C. V9A 1A4 Canada |
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Ulcerative colitis Introduction Ulcerative
colitis is an
inflammatory, often chronic disease that affects the mucus of the colon. It is
most common in young adults, but can occur at any age. It is found worldwide,
but is most common in the United States, England, and northern Europe. It is
especially common in people of Jewish descent. The exact cause of ulcerative
colitis is unknown. It is currently
believed to be an autoimmune disease, possibly associated with food or bacteria.
The symptoms of ulcerative colitis will vary according to the severity
and extent of the disease. Patients
often have abdominal pain, (often cramp and just prior to bowel movements),
diarrhea (frequent, and mixed with pus, mucous and blood), rectal bleeding,
weight loss, fever, and loss of appetite. Pain and diarrhea usually occur after
meals and may awaken patients at night. Diarrhea
may also be associated with great urgency to defecate and may occasionally lead
to incontinence. Ulcerative colitis
can also cause inflammation in joints, spine, skin, eyes, the liver and its bile
ducts. Most patients with ulcerative colitis will typically experience periods
of flares and remissions of disease activity. The goal of medication treatment
in ulcerative colitis is to bring disease flares into remission, as well as to
prolong or maintain patients in remission. TCM etiology and pathology The common symptom of ulcerative
colitis is diarrhea and often mixed with pus, mucous and blood.
TCM diagnosis may be Xiexei (diarrhea) of Liji (dysentery, mixed with
pus, mucous and blood). The possible etiologies include Pathogenic factors invading, emotion, diet disorders and Yang-qi
deficiency, etc. In TCM, this illness can be diagnosed two types,
excessive and deficient, in the flare period the syndromes often are excessive,
damp-heat and qi movement disorder, and in remission period these often are
deficient, spleen qi or spleen-kidney yang deficiency.
But chronic or in senior patients the syndromes may be deficient mixed
with excessive, such as spleen qi deficiency with damp-heat accumulated in the
large intestine in the flare period. TCM differentiation and treatment 1.
Damp-heat accumulated in the large intestine Clinical
manifestation: Diarrhea mixed with pus, mucous and blood, abdominal pain,
burning sensation in the anus, or tenesmus, or fever, red tongue with yellow
fur, rapid pulse Treatment
principle: Clearing damp-heat and promoting qi movement Herbal
prescription: Modified Gegen Jinlian Tang (Decoction of pueraria, scutellaria
and coptis) Acupuncture:
Tianshu (ST25), Qihai (RN6), Hegu (LI4), Shangquxu (ST37), Yinlingquan (SP9),
Sanyinjiao (SP6) 2.
Un-harmonized the relationship between liver and spleen Clinical
manifestation: Diarrhea often after emotion changes (especially over-stress, or
irritated), mixed with pus, mucous and blood, severe abdominal pain before
diarrhea and relieved after diarrhea, or abdominal and hypochondria distention,
or poor appetite, light red tongue with white fur, taut pulse Treatment
principle: Harmonizing the relationship between liver and spleen Herbal
prescription: Modified Tongxie Yaofu (Important prescription for diarrhea with
pain) Acupuncture:
Ganshu (BL18), Pishu (BL20), Tianshu (ST25), Qihai (RN6), Zusanli (ST36),
Taichong (Liv3) 3.
Spleen qi deficiency Clinical
manifestation: Chronic watery diarrhea or with undigested food, or recurrent
diarrhea, borborygmi, fatigue, poor appetite, emaciation, pale complexion, big
and pale tongue with white greasy fur, weak and thin pulse Treatment
principle: Tonifying spleen qi Herbal
prescription: Shen Ling Baizhu San (Powder of ginseng, poria and bighead
atractylodes) Acupuncture:
Pishu (BL20), Dachangshu (BL25), Tianshu (ST25), Qihai (RN6), Zusanli (ST36),
Guilai (ST29) 4.
Spleen and kidney yang deficiency Clinical
manifestation: Chronic abdominal pain and diarrhea in the early morning, the
pain relieved after bowl movement, or frequent diarrhea even incontinence, cold
limbs, lower back and knees soreness and weakness, intolerance of cold, pale and
tender tongue with white fur, thin, deep and weak pulse Treatment
principle: Warming and tonifying spleen and kidney yang Herbal
prescription: Modified Sishen Wan (Pill of four miraculous drugs) Acupuncture:
Pishu (BL20), Shenshu (BL23), Tianshu (ST25), Qihai (RN6), Mingmen (DU4),
Zusanli (ST36), Guanyuan (RN4) 5.
Qi stagnation and blood stasis Clinical
manifestation: Chronic diarrhea often with bleeding, or abdominal fixed and
sharp pain, even mass on the lower abdomen, purple tongue with white fur,
chopping and thin pulse Treatment
principle: Promoting blood and qi movement to remove stasis Herbal
prescription: Modified Taohong Siwu Tang Acupuncture:
Pishu (BL20), Geshu (BL17), Zusanli (ST36), Yinlingquan (SP9) and Sanyinjiao
(SP6) Copyright by Kai Chen Ph.D. in Chinese Medicine |