Clinical Information For the Treatment Of Diarrhea
What Is Diarrhea?
Diarrhea - Basics
Diarrhea occurs when an individual passes loose, watery stool. Acute diarrhea can last for 1-2 days, and resolve itself without medication, while chronic diarrhea can be an indicator of an underlying chronic condition. There are many causes of diarrhea, including parasites, food intolerances, reaction to medicines, intestinal disease, bacterial or viral infection, and irritable bowel syndrome.
Below you will find alternative and natural treatment options including those from a Chinese Medicine perspective for Diarrhea.
What Patterns Are Related To Diarrhea?
Diarrhea - Diagnostic Patterns
The Chinese Medicine treatment of diarrhea generally involves arriving at the appropriate TCM diagnosis or pattern. This pattern within the individual is what treatment is based on not the general condition (see treating the cause and not the symptoms).
The following patterns may represent the underlying contributing factors for the development of diarrhea:Kidney Yang DeficiencyLiver Attacking the SpleenSpleen Qi DeficiencyStomach ColdStomach DampnessStomach FireStomach Food StagnationStomach Qi Deficiency
Which Acupuncture Point Protocols May Be Applied For Diarrhea?
Diarrhea - Acupuncture Protocols
The treatment of conditions with acupuncture can be a complicated endeavor that should only be undertaken by individuals with a deep understanding of the underlying Chinese Medicine theory (and/or whatever system being used for treatment). There are many approaches, but generally speaking few viable approaches are involved on a point to condition basis. Rather using proper diagnostic procedures the patients diagnostic pattern is ascertained and that is what is treated. The protocols listed here exemplify some of these clinical approaches.
The following acupuncture treatment protocols may be used with diarrhea:
Which Tam Healing and Tongren Therapy Protocols Apply To Diarrhea?
Diarrhea - Tam Healing and Tongren Therapy Protocols
Tong Ren Therapy is the energy healing/medical qi gong aspect of the Tam Healing System. The areas of focus for diarrhea that we would use in Tong Ren techniques form the basis for our acupuncture treatments as well. Generally you would mix these primary points with points specific to the patients underlying TCM pattern and then our tuina (medical massage) would be largely focused on these points as well.
The following Tam healing and tong ren therapy protocols may be used with diarrhea:
27 Points Are Empirically Important For Diarrhea
27 TCM Herbs Are Potentially Used With Diarrhea
The Following (15)Formulas TCM Herbal Formulas May Be Useful For Diarrhea
Bao Ji Wan (Protect and Relieve Pills)
- Cramping and/or painful distension of the abdomen.
- Foul smelling belching or gas with diarrhea due to heat in the intestine.
- May alleviate some hangover symptoms.
- Also useful to treat food poisoning.
Fu Zi Li Zhong Wan (Aconite Regulate Middle Pills)
- Spleen yang deficiency resulting in coldness of the limbs and/or interior, borborygmus, and possible loose stools or diarrhea.
- Feeling full even with small amounts of food, bloating, epigastric/abdominal pain, possible decrease in appetite.
- Vomitting and nausea especially if it occurs shortly after eating.
Huo Xiang Zheng Qi Wan (Agastache Powder to Correct the Qi)
- Acute flu or cold symptoms including fever, aversion to cold, headaches, sinus pressure, runny nose.
- Vomitting and diarrhea from interior damp with possible abdominal cramps or pains.
- Not suitable for patients that present with yin and/or blood deficiency.
Jian Pi Wan (Strengthen Spleen Pills)
- For stomach and spleen qi deficiency with dampness that has potentially generated mild interior-heat - diarrhea, abdominal pain, poor appetite, epigastric pain.
- May be used in early pregnancy for more deficient patients particularly with a tendency towards miscarriage.
- May be used with pediatric patients for poor appetite and looser stools.
Ping Wei Wan (Calm the Stomach Powder)
- Damp cold stagnation in the middle jiao - poor appetite, indigestion, gastritis, loose stools, heavy sensation of the limbs, fatigue.
- Can be used to induce labor with appropriate underlying diagnoses.
- Avoid in pregnancy and in yin deficient and/or blood deficient cases due to the warming and drying nature.
Qing Shu Yi Qi Tang Wan (Clear Summer Heat and Augment the Qi)
- Please note that there are two formulas with the same name but slightly different compositions. One is from Wang's Wen Re Jing Wei and tonifies the yin more strongly, the other (which is the one discussed here) is from Li's Pi Wei Lun (Discussion of the Spleen and Stomach) and tonifies the spleen more strongly. Both have similar usages but are not directly interchangeable.
- Clears summerheat and dries dampness - summer colds and flus, heatstroke - fever, fatigue, excessive sweating with loose stools and heaviness in the body.
- Along with respiratory infections in the right cases certain types of asthma may be appropriate for this formula.
- Dampheat related inflammatory condtions such as Colitis are approprirate with the right underlying factors.
- Chronic Fatigue Syndrome with symptoms of spleen deficiency and heat.
- Wtih the right underlying factors the range of perimenopausal symptoms may be appropriate - low libido, fatigue, water retention, fibroids, heavy cycles. Where this appear with spleen qi deficiency signs and kidney weakness, this formula may be appropriate.
Shen Ling Bai Zhu Wan (Ginseng, Poria & Atractylodes Pills)
- Diarrhea, loose stools, or mucus/greasy stools from damp accumulation in the spleen/stomach.
- Borborygmus, low appetite, fatigue, and/or pale complexion resulting from spleen qi deficiency.
- Colitis, IBS, gastritis, and other types of gastro intenstinal disorders where the predominant TCM pattern is spleen qi deficiency and damp accumulation.
- Use with caution during pregnancy.
- Use with caution with patients that present with yin deficiency.
Si Ni Tang Wan (Frigid Extremities Formula)
- Aversion to cold, very cold limbs, sensations of deep cold, fatigue, lethary resulting from kidney yang deficiency.
- Diarrhea with undigested food, vomiting, abdominal pain.
Wu Mei Wan (Mume Fruit Pill)
- Generally used with roundworms - abdominal pain, irritability, stifled chest w/heat, vomiting after eating, cold hands and/or feet.
- Chronic diarrhea, IBS, or other digestive disorders characterized by both heat and cold.
Xiang Lian Wan (Aucklandia and Coptis Pills)
- Diarrhea expecially with bright blood or mucus and foul smelling resuling from damp heat.
- Nausea, abdominal cramps or bloating, with possible loss of appetite from damp accumulation.
- Vomitting, hiccups, excessive belching, acid reflux due to rebellious stomach qi and heat.
- Use with caution during pregnancy.
Xiang Sha Liu Jun Zi Wan (Aucklandia, Amomi & Six Gentlemen Pills)
- A modified version of the base, zhi zhu wan, which is used to treat qi stagnation and food retention from qi deficiency. This modification includes herbs which add more movement and damp drying.
- Distention and fullness in the epigastric area - bloating, indigestion, gastritis, gastric prolapse.
- Poor appetite (from Spleen Qi Deficiency), anorexia.
- Avoid raw and cold food when taking this formula (and generally for Spleen Qi Deficiency).
Xiang Sha Yang Wei Wan (Aucklandia Amomi Nurture Stomach Pills)
- Low appetite, apathy towards eating due to spleen qi deficiency.
- Acid reflux, indigestion, epigastric pain, tendency to feel full even with small quantities of food.
- Food stagnation due to overeating.
Xie Xin Wan (Drain the Epigastrium Formula)
Signs of damp-heat with interior clumping which may settle into the abdominal region and/or rise upward to the head. Fever, irritability, red eyes, constipation, dark urine, flushed face - middle warmer issues - jaundice, dysentery, tongue/mouth ulcers.
Pulse will be be wiry and rapid and the Tongue will be red, swollen with a yellow greasy tongue coating.
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