Diarrhea Chinese Medicine Diagnosis

After overeating, the human body often experiences stomach discomfort, which is a typical case of indigestion. It can also cause diarrhea and abdominal pain. Many diseases can also cause diarrhea, such as intestinal polyps and intestinal cancer, etc. Therefore, we must not be too careless about diarrhea. We must find the cause of diarrhea in time. So what are the key points of TCM dialectics of diarrhea?

First, what are the key points of TCM diagnosis of diarrhea? Differentiation of cold, heat, deficiency and excess. If the stool is clear and watery, or thin and cold, the food is not digested, there is cold pain in the abdomen, intestinal rumbling, fear of cold and preference for warmth, and it is often induced by eating raw and cold food, it is mostly a cold syndrome; if the stool is yellowish-brown, with a strong odor, urgent diarrhea, and burning sensation in the anus, it is often induced by eating spicy and hot food, it is mostly a hot syndrome; if the course of the disease is long, the abdominal pain is not severe and likes to be pressed, the urination is frequent, the mouth is not thirsty, and diarrhea occurs after eating a little greasy food or a little more food, it is mostly a deficiency syndrome; if the onset is acute, the course of the disease is short, the abdomen is bloated, the abdominal pain refuses to be pressed, the pain is reduced after diarrhea, and the diarrhea is foul-smelling, it is mostly an excess syndrome.

Second, distinguish the diarrhea: if the stool is clear or watery, and the stool is fishy and foul, it is mostly a sign of cold and dampness; if the stool is loose, yellowish-brown in color, and the stool is foul-smelling, it is mostly a sign of dampness and heat; if the stool is loose and dirty, with undigested food and a stench like rotten eggs, it is mostly a sign of food poisoning.

Third, distinguish the severity of the disease. Diarrhea with normal diet is a mild disease; diarrhea without food, weight loss, or excessive diarrhea, or long-term diarrhea is a severe disease; acute diarrhea is an acute onset with a short course; chronic diarrhea is a long course with a slow onset.

What are the key points of TCM diagnosis of diarrhea? Differentiate between spleen, liver and kidney. Diarrhea will occur or recur as soon as there is careless eating or overwork. If there is abdominal distension and discomfort after eating, sallow complexion, fatigue and weakness, it is mostly a spleen disease. Diarrhea will recur and will be caused or aggravated by emotional factors. If there is abdominal pain and intestinal rumbling and diarrhea occurs, the pain will be relieved after diarrhea, flatulence will occur frequently, and the chest and flanks will be bloated, it is mostly a liver disease. Diarrhea at dawn, indigestion, cold pain in the lower abdomen, sore waist and cold limbs are mostly kidney diseases. According to the pathogenesis of diarrhea caused by spleen deficiency and dampness and spleen dysfunction, the principle of treatment should be to promote spleen function and eliminate dampness. Acute diarrhea is mainly caused by excessive dampness, so we should focus on removing dampness and supplement with spleen strengthening. Then, depending on the different types of cold and dampness, dampness and heat, we should use the methods of warming and eliminating cold and dampness or clearing and eliminating dampness and heat respectively. If the patient suffers from exterior evil, summer heat evil, and food stagnation, he or she should be supplemented with drugs that can dispel exterior evil, clear away summer heat, and promote digestion.