What is enema therapy?

With the rapid development of medicine, the application of enema therapy is becoming more and more widespread. As early as the Han Dynasty, enema medical therapy appeared in Zhang Zhongjing's "Treatise on Febrile Diseases". Nowadays, enema therapy is commonly used to treat diseases such as uremia, ulcerative enteritis, and bronchopneumonia. So what exactly is enema therapy?

Basic content

1. Drug preparation

Enema prescriptions are usually prepared temporarily based on the different conditions of the patients. After decoction, it is concentrated to a certain dosage and put into a container for later use. If using powder, just add and mix thoroughly when using.

2. Usage

First, prepare an anal tube and apply a small amount of paraffin oil on the outside to make it lubricated so as not to irritate or damage the anus and intestinal mucosa during insertion; then insert the anal tube into the anus. The insertion depth depends on the disease and the site of the lesion, generally about 10-30 mm; then inject the prepared medicine through a syringe or drip it through an enema tube. The amount of enema solution and the retention time also need to be determined according to the condition of the patient. For example, in uremia, the volume is generally about 200-500 ml, which should be retained for 2-3 hours; intestinal obstruction, the volume is generally about 500 ml, which should be retained for 1-2 hours; and in ulcerative colitis, the volume is generally about 30-100 ml, which should be retained for 4-8 hours.

3. Clinical Application

In addition to laxatives, this therapy is also used for the following diseases:

Renal failure

1. Take raw rhubarb, oyster and dandelion for enema, and do not use other influential drugs under controlled conditions. For patients with non-terminal renal failure, nitrogen can be reduced, symptoms can disappear or be alleviated. A small number of patients with severe renal failure can survive up to 8 months, and moderate patients can survive for more than 1 year. Rhubarb can also be used as the main medicine in combination with other medicines to relieve constipation. 2. Take rhubarb, Sophora japonica flowers, and Bengdawan, decoct them in water, and use them for enema.

3. Take rhubarb and cinnamon twigs, decoct them in water, and use them for enema.

4. Take rhubarb, radish seeds, licorice, decoct in water, and use for enema.

Ulcerative colitis

1. Take red peony root, salvia miltiorrhiza, motherwort, chuanxiong, Achyranthes bidentata, turmeric, frankincense, myrrh, peach red, and Panax notoginseng, decoct in water, and apply for enema.

2. Take chrysanthemum, sanguisorba officinalis, mahonia leaf, sophora flavescens, scutellaria baicalensis, and radix scutellariae, decoct in water, add 654-2 and retain enema.

3. Take raw dandelion, geranium, gallnut and alum, decoct them in water and use for enema.

4. Take gallnut and purslane, decoct them in water, add indigo powder (or tin powder) and ginseng and notoginseng powder for enema.

5. Take Bletilla striata, Sanguisorba officinalis, Lithospermum officinale, Catechu, Gallnut, Licorice, Indigo, decoct in water, and use for enema.

6. Take dandelion, honeysuckle, phellodendron, red peony root, angelica and licorice, decoct them in water and use for enema.

7. Take Atractylodes macrocephala, Citrus aurantium, Magnolia officinalis, Ophiopogon japonicus and Cistanche deserticola, decoct them in water and use for enema.

intestinal obstruction

Take Magnolia officinalis, Citrus aurantium, Rhubarb, Coptis chinensis, Areca catechu, Aquilaria sinensis, Magnolia officinalis, and Tangerine peel, decoct them in water, and retain the ingredients for enema. Used for paralytic ileus.

4. Precautions

1. When preparing enema solution, avoid using drugs that are corrosive to the intestinal mucosa.

2. When inserting into the anal canal, the technique should be gentle to avoid scratching the mucosa. If you have hemorrhoids, you should be more cautious. 3. The enema solution should be retained for a period of time depending on the condition of the patient. If some patients cannot retain it, they can adopt a supine position with the head low and feet high, and the dose of the enema solution should also be reduced. The best time for enema is generally before going to bed at night.