Constipation is a common disease. About 10% of healthy people have experienced constipation of varying degrees. According to incomplete statistics, chronic constipation in Beijing and other large cities in China is as high as 15%-20%. Women are significantly more harmful than men. Constipation can cause many cardiovascular and cerebrovascular diseases and aggravate the primary diseases, such as uremia and hepatic encephalopathy. ; Lead to colon cancer, Alzheimer's disease, memory loss, affective mental disorders, hemorrhoids, anal fissures, etc.
General constipation can be divided into secondary constipation and primary constipation. Secondary constipation is caused by intestinal tumors and inflammation, metabolic and endocrine diseases, neurological and mental diseases, systemic diseases or drug factors. The primary disease is also called functional constipation. From the pathogenesis, it can be divided into three types: slow transmission type, outlet obstruction type, and mixed type. Slow transit type decreased gastrointestinal motility, also known as colonic weakness. Mostly manifested as reduced bowel movements and dry stools. Outlet obstruction refers to the abnormal function of the rectum or anal orifice, which leads to temporary anatomical obstruction of the rectum and anus, and poor stool outlet. Most of the manifestations are that the defecation time is significantly prolonged, the defecation is abnormally laborious, and even the stool is still difficult to defecate, and there is a feeling of incomplete defecation. The hybrid type has both. It can be used for identification such as digital rectal examination, total gastrointestinal transmission test, defecography, anorectal pressure measurement, colon pressure measurement, and balloon discharge test. If the patient is over 50 years of age, acute onset or progressive constipation, or stool with fresh blood or mucus, or anemia, melena, weight loss, etc., be alert to the presence of organic diseases, especially tumors, as soon as possible For related examinations, such as colonoscopy and barium enema, the causes of obstructive constipation are usually diagnosed with defecation imaging.
Poor export habits are related to it, such as squatting for too long, long-term forcefulness, and inattentive reading and newspaper reading when going to the toilet. It is also related to the patient's physical state, such as weak physique, and maternity. Pelvic floor spasm syndrome or other types of outlet obstructive constipation can be resolved by biofeedback and behavioral therapy in mild cases, but in severe cases it must be resolved by surgery. Biofeedback therapy is to establish people's normal bowel behavior through sound or image feedback. At present, Jingzhou Hospital of Traditional Chinese Medicine has developed this technology.
So what exactly is biofeedback therapy? what is the purpose? What diseases can be treated? Under normal circumstances, humans cannot perceive various physiological activities in the body, such as the digestion of food, the contraction of smooth muscles, etc., and biofeedback treatment can allow patients to observe their own physiological activity information. In short, biofeedback therapy is a biological behavior therapy method, which is to use special equipment to collect information about one's own physiological activities, process and amplify it, and display it with familiar visual or auditory signals, so that the cerebral cortex can establish a relationship with these organs. Feedback connection; enable the patient to "know the self", and under the condition of self-knowledge, through countless feedbacks, continuous positive and negative attempts, learn to control physiological activities at will, correct physiological activities that deviate from the normal range, and make the patient achieve " The purpose of changing yourself.
Generally, the treatment of constipation should be a comprehensive treatment. First of all, you should adjust your diet and drink a lot of water. The daily drinking amount is about 2000-3000ml. In the morning, it should account for 1/4 to 1/3 of the whole day drinking. Eat more crude fiber Vegetables and fruits, eat less high-fat, high-calorie, low-fiber foods, followed by improving life and bowel habits, defecate regularly every day, preferably in the morning after getting up. Do not defecate too long or too hard each time, otherwise it will cause prolapse in the rectal mucosa and aggravate constipation. Massage the abdomen 200 times in a clockwise direction before going to bed every night. The primary disease should be treated for the primary disease, such as diabetes and hypothyroidism. For slow transit constipation, you can usually drink porridge with raw atractylodes, raw astragalus, lily, etc., or use cassia seed and raw rhubarb to soak in boiled water instead of tea, but note that these laxatives are irritant laxatives and cannot be taken for a long time, otherwise they will Cause melanosis of the colon. Constipation is an independent disease and a clinical symptom of many diseases. Most of the onset takes a long time, with intermittent onsets, with light and heavy periods, which are related to people's diet, living habits, and mood changes. Syndrome differentiation of TCM is based on the deficiency of the underlying evidence. Essential deficiency refers to weakness of the spleen and stomach or deficiency of both spleen and kidney, or deficiency of liver and kidney yin, while the sign of solid refers to stagnation of liver and qi, stagnation of food and phlegm, and stagnation of qi and blood. The treatment should be based on the specific conditions to invigorate the spleen and qi, warm the kidneys and help yang, or nourish water and nucleus, combined with the treatments such as regulating qi and relaxing the liver, eliminating food and promoting stagnation, resolving phlegm and reducing stress, and promoting blood circulation and stasis. Usually rectal protrusion, rectal mucosal prolapse, pelvic floor hernia, perineal descent syndrome, most of which are weak spleen and subsidence of qi, can be treated with Buzhong Yiqi Decoction during treatment; pelvic floor spasm syndrome, internal anal sphincter Most patients with achalasia have psychological disorders. The treatment focuses on soothing the liver, regulating the qi, calming the nerves, and can be treated with Chaihu Shugan powder; puborectalis syndrome has muscle cell degeneration, which can be treated by promoting blood circulation and removing blood stasis, or reducing abdomen Treatment with Zhuyu Decoction or Dahuang Mudan Decoction; isolated rectal ulcer syndrome, which is mostly damp-heat betting, can be treated with Baitouweng Decoction, Gegen Qinlian Decoction, etc.; if the rectal protrusion is caused by puerpera or elderly physical weakness, It can be treated with Sijunzi Decoction and Zengye Decoction or Bazhen Decoction. The young people's constipation is mostly caused by abnormal bowel habits, which can correct bad bowel habits. Chinese medicine is given to Chaihu Shugan Powder and Didang Pills.