In long-term clinical practice, Zhu Lao realized that raw gardenia is especially good at treating acute pancreatitis.
Acute pancreatitis belongs to the category of epigastric pain, heart and spleen pain, hypochondriac abdominal pain and chest and diaphragm pain in traditional Chinese medicine. Its onset is sudden, the pain can spread to the whole abdomen, accompanied by nausea and vomiting, fever (low fever, hot flashes or high fever), abdominal distension and constipation, Huang Chi's urine and so on. It is mostly caused by overeating (drinking too much or eating too much greasy food), sudden injury of spleen and stomach, accumulation of damp heat, and spread to gallbladder and pancreas. Zhu Lao believes that damp-heat is in the spleen and stomach, which is the key to this disease.
Raw gardenia purges triple energizer fire, which can not only enter qi, clear heat and purge fire, but also enter blood, cool blood and promote blood circulation, so it is the first choice.
Supplemented with raw rhubarb, dandelion, turmeric, Patrinia scabiosaefolia, raw coix seed, peach kernel and other products for clearing the intestines and purging heat, its benefits are obvious.
Rhizoma Corydalis and Radix Paeoniae Rubra can be added for patients with severe pain; When swelling, Radix Aucklandiae, Fructus Aurantii and Cortex Magnolia Officinalis are added; For patients with severe vomiting, Pinellia ternata and ginger can be added, and a small amount can be taken several times. If necessary, gastrointestinal decompression can be performed first, and then injection through gastric tube; Patients with serious illness, bleeding and necrosis, fasting and water restriction can be treated by intravenous enema. For the mild patients, the daily dose is 1 1 dose, which is taken twice; Severe cases can be enema twice a day at 1, often with good results.
Examples of medical records
Zhu X, male, 76 years old, cadre. The primary disease of bile reflux is often uncomfortable. In recent months, due to continuous participation in banquets, I frequently smelled the smell of cream, and suddenly my upper abdomen swelled, I vomited, and my limbs were cold and sweaty. So I went to the hospital for examination. B-ultrasound showed enlargement and exudation of pancreas.
Blood chart:
Leukocyte15×109/l (15000/mm3), neutral 0.86 (86%); 950 units of blood amylase and 460 units of urine amylase.
The thermal potential is gradually rising. After gastrointestinal decompression, the upper abdominal distension and dysmenorrhea were relieved, but the abdominal muscles were obviously tender. Because of age and history of coronary heart disease, the operation was temporarily conservative, fasting and water prohibition, and intravenous drip of 5 grams of Fudaxin. The next day, the fever rose to 39.9℃, the sclera turned yellow, the white blood cells rose to 23.5×109/(23,500/mm 3), the neutrality reached 0.95 (95%), and the blood amylase reached 2,000 units. CT examination showed edema, necrosis and bleeding in the head of the pancreas, and there were two exudates in the abdominal cavity, and the condition was still progressing. After 6 days of continuous use of Fuxin, the total number of white blood cells and neutral percentage did not decrease at all, and abdominal tenderness was obvious, with 3 exudates.
The hospital issued a notice of critical illness, and the family members asked Zhu Lao for consultation: damp-heat stagnation, stagnation of qi in the middle energizer, condensation of toxic pathogens, obstruction of stool for 5 days, no way out for evil pathogens, and the condition was difficult to solve. Yellow and greasy fur, scanty body fluid, dry mouth and thready pulse. Treatment should clear away heat and toxic materials, dredge fu organs and guide stagnation, and it is good to be able to cope with hands.
20g of raw gardenia, 20g of raw rhubarb, 20g of Polygonum Multiflori Radix, 0g of radix Paeoniae Rubra15g, 30g of dandelion, 30g of patrinia herb, 30g of oriental wormwood herb, 40g of raw coix seed and 4g of fried bitter orange. 2 doses, 200 ml of decoction each, drip enema, morning and evening 1 time.
After enema 1.5 hours, there were more black paste stools. After enema twice, the patient's abdomen felt comfortable. The next day, the heat potential decreased, and the total number and neutrality of white blood cells began to decline, so enema 1 time was changed to daily.
On the third day, the fever dropped, and the white blood cells decreased to 8.5× 10 9/L (8500/mm 3), with a neutral level of 0.78 (78%).
On the fourth day, the rhubarb was reduced to 10g, and enema was continued, once a day 1 time.
On the seventh day, the biochemical indexes were all normal, and the operation had been approved, and the enema was changed to/kloc-0 times a day; Abdominal effusion, has absorbed two, but the pancreatic head is wrapped by effusion, only slightly reduced. Surgery thought it was impossible to completely absorb it and required surgery to take it out after 3 months.
Patients still insist on enema 1 time every day. Results After 40 days, the encapsulated effusion was absorbed by B-ultrasound, and only one trace was found.
Patients should pay attention to diet control, eat less fat and sweets, and eat less meals. It has been more than four years now, and no recurrence has been found.
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Zhu Lao's experience in treating hemorrhagic necrotizing pancreatitis by enema attracted the attention of surgical experts, and put forward the establishment of scientific research topics for further practice summary, with a view to summarizing and popularizing. (This subject has been listed as a provincial scientific research plan in Jiangsu and is being implemented. It can be identified in 1998. )
According to the recent research by Professor Jia Yujie of Dalian Medical University, Gardenia has obvious therapeutic effect on acute hemorrhagic necrotizing pancreatitis, which can reduce the pathological damage of pancreas, correct the pathological obstacles such as edema and congestion of pancreas, promote metabolism, improve blood flow and contribute to the recovery of pancreatic function. This coincides with Zhu Lao's practice.
This article is excerpted from Zhu Liangchun's Collection of Medication Experience edited by He Shaoqi.