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Diarrhea & Dysentery



Picture
Neue Artznei und Practicierbuchlin, Bock, 1551

Diarrhea is a large problem is the developing world. It is the second leading cause of death in children with over 500,000 children under the age of 5 dying annually according to WHO figures. It is also the leading cause of malnutrition in children. It is both preventable and treatable.

Diarrhea is most commonly cause by an intestinal infection, either bacterial, viral or parasitical.

In Traditional Medicine, Diarrhea is generally divided into Hot and Cold types. Heat–type Diarrhea is typically associated with Infection and/or inflammation such as Gastroenteritis. It may be the result of Food or Water poisoning and often comes with Fever, abdominal pain, and burning, foul-smelling, loose, watery stool. Because it is associated with Fever, Inflammation and Infection, it is classed as a Heat disease. Because the Fluids are also involved, it is classed as Damp-Heat in TCM. Treatment uses bitter and dry medicines to clear Damp-Heat and stop Diarrhea.

Cold–type Diarrhea is associated with internal Coldness and Damp. In Wetsern Tradition it might be referred to Coldness in the Stomach and Intestines. In TCM, it may be associated with Cold and Damp attacking the Stomach and Intestines, or in severe cases, Spleen and Kidney Yang deficiency. The stool is loose and watery, but without burning or foul smell. There may be undigested food in the stool (due to lack of Heat). Treatment uses Warm and dry Stomachic medicines to increase digestion, stimulate digestive fire (Agni or Spleen Yang), as well as drying medicines to restrain excess fluid.

Diarrhea with Blood may occur in prolonged Damp-Heat type infective Diarrhea, or in serious infections such as Amoebic Dysentery. In these cases, medicines to clear Heat and combined with demulcents to sooth the membranes and with drying medicines that stop Bleeding, for example Red Earth.

Dysentery is a particular dangerous, especially in developing countries where it is still responsible for many fatalities.


Some Herbs with Proven Anti-amoebic Activity:
Pomegranate rind
Garlic
Long Pepper
Nutmeg
Bael (Agele) fruit
Cotton seed
Plantain seed
Galls
Wormwood
Cyperus rontundus
Holarrhena
Barberry

Coptis
Scutellaria Huang Qin
Pulsatilla Bai Tou
Chebula


Western Tradition

TCM Classification

Diarrhea
General for Diarrhea and Dysentery

Syrup of Quince with Spices (Nicholas)
Syrup of Dry Rose
Conserve of Pomegranate flower
Quince Conserve
Micleta (Nicholas)

Athanasia Greater (Nicholas)
Triphera Minor (Triphera Phoenonis) (Mesue)
Powder for Dysentery (Nicholas)
Powder for Dysentery (Riverius)
Powder for Dysentery of Galen
Troches of Sealed Earth

Troches of Ramich (Mesue)
Pills Against Fluxes (Nicolas)



Diarrhea, Chronic

Electuary of Scoria Ferri
Athanasia Magna
Syrup of Myrtle Simple
Syrup of Myrtle Compound


Coptis 5 Pill (Tibetan Medicine)


Diarrhea, Bilious (from Bile Humor)

Syrup de Agresta
Rob of Currant
Rob of Barberry
Troches of Ramich (Mesue)

Troches of Spodium (Avicenna)

Coptis 5 Pill (Tibetan Medicine)
Crystal Moon 37 (Zla shel so bdun) (Tibetan Medicine)



Diarrhea, Pituitous (from Phlegm Humor)

Syrup of Mint

Triphera Minor (Triphera Phoenonis) (Mesue)





Acute Cold Damp
acute diarrhea, cramping abdominal, epigastric and abdominal distension, loss of appetite, nausea, lethargy.

Huo Xiang Zheng Qi Shui



Acute Damp Heat
acute or recurrent diarrhea, burning and smells badly, maybe violent diarrhea, fever, restless, cramping abdominal pain, high colored urine, thirst.

Ge Gen Qin Lian Tang



Liver Qi Invading the Spleen
recurrent diarrhea, stomach pain after diarrhea, abdominal distension, poor appetite, nausea, indigestion, flatulence, irritability.

Bai Zhu Shao Yao San
Tong Xie Yao Fang



Spleen and Stomach Deficiency
frequent loose stools or diarrhea, abdominal distension, poor appetite, fatigue, sallow complexion, puffiness around the eyes, weight loss.

Bu Zhong Yi Qi Tang
Xiang Sha Liu Jun Zi Tang
Li Zhong Wan
Ling Gui Zhu Gan Tang



Yang Deficiency
diarrhea, especially early in the morning, cold and pain of the abdomen, fear of cold, cold feet, lower back pain, weak knees, poor digestion, poor appetite, fatigue, always tired.

Ling Gui Zhu Gan Tang
Fu Zi Li Zhong Wan
Si Shen Wan



Food Stagnation
acute diarrhea or chronic intermittent diarrhea, foul smelling stools, abdominal distension and pain, bad breath, acid reflux, nausea, foul smelling flatulence.


Bao He Wan




Dysentery

Dysentery

Syrup of Marshmallow (Fernel)
Powder of Chebula and Rhubarb (Philon)
Powder of Tormentil Compound (Grieves)
Powder for Dysentery (Nicholas)
Powder for Dysentery (Riverius)
Powder for Dysentery of Galen

Philonium Persicum
Electuary of Micleta (Nicholas)
Troches of Coral (Diacorallium) (Nicholas)



Diarrhea or Dysentery with Blood

Athanasia Greater (Nicholas)

Troches of Coral (Galen)


Damp Heat
frequent foul-smelling diarrhea with blood and mucus, burning feeling when defecating, abdominal pain, scanty urine, red eyes, fever, restless, dry mouth.

Bai Tou Weng Tang
Ge Gen Qin Lian Tang
Huang Qin Tang
Shao Yao Tang
Lian Po Yin



Epidemic Heat and Toxin
explosive diarrhea with blood, high fever, severe abdominal pain, thirst, dehydration, headache, nausea, vomiting, irritable; in severe cases delirium, convulsion, severe cramping, cold limbs.

Huang Qin Tang
Huang Lian Jie Du Tang
Bai Tou Weng Tang
Zhi Bao Dan



Liver Qi Invading the Spleen
chronic or recurrent diarrhea with blood or mucus, abdominal distension, irritable, depression, headache, red eyes, red face, night sweats, hot feeling, bitter taste, dry mouth.

Dan Zhi Xiao Yao San


Spleen Qi Deficiency

chronic diarrhea with blood and mucus, fatigue, poor appetite, indigestion, weak pulse

Bu Zhong Yi Qi Tang
Jian Pi Wan



Yang Deficiency

chronic dysentery, diarrhea is worse in the cold or after cold food, mild tenesmus, abdominal pain, feels cold, poor appetite, fatigue, pale complexion, cold extremities, lower back and legs pain and weak, deep, slow and weak pulse

Fu Zi Li Zhong Wan
Zhen Ren Yang Zang Tang
Si Ni Tang
Si Ni Jia Ren Shen Tang
Si Shen Wan



Yin Deficiency
chronic diarrhea with little mucus and blood, mild lower abdominal pain, tenesmus, nausea, poor appetite, dry mouth, tidal fever, night sweats, emaciation.

Huang Lian E Jiao Tang



Food Stagnation
diarrhea, foul smelling stools, abdominal distension and pain, bad breath, acid reflux, nausea, foul smelling flatulence.

Mu Xiang Bing Lang Wan


Other Formulas for Dysentery

1. Barberry, Chebula, Boerhaavia, Tinospora, Ginger


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