Gastrointestinal neurosis, also known as gastrointestinal autonomic dysfunction or gastrointestinal neurosis, is a gastrointestinal motility disorder without organic lesions. The incidence rate of this disease is relatively high, which is mostly found in young adults, with women in the majority.
The clinical manifestations mainly include gastrointestinal symptoms, plum blossom qi, neurogenic vomiting, anorexia nervosa, and irritable bowel syndrome, often accompanied by other functional symptoms such as inattention, forgetfulness, neuroallergy, insomnia, anxiety, headache, etc.
The records of this disease in traditional Chinese medicine are often found in various categories of diseases, such as "fullness", "stomach pain", "hiccup", "depression syndrome", "lily disease", "plum nucleus qi", "vomiting", "diarrhea", etc. The characteristics that cause symptoms are different, and the specific symptoms seen in traditional Chinese medicine are also different, so it cannot be summarized by one traditional Chinese medicine disease name. The onset of this disease is mostly slow, the course of the disease is long, and it has the characteristics of persistence and recurrent attacks. Traditional Chinese medicine and herbal medicine often have good effects in treating such diseases. Modern medicine has no good treatment methods for this, and only symptomatic treatment has little effect, calling it a difficult and complicated disease.
Firstly, let's take a look at the causes of gastrointestinal neurosis in traditional Chinese medicine?
1. Emotional illness: Worries, thoughts, depression, and anger are the most common, and their main pathogenesis is emotional disorders, depression that harms the spirit, and stagnation of qi. Anger damages the liver, the liver loses its balance, depression turns into fire, and the mind and spirit are disturbed. At the same time, the transverse reversal of liver qi invading the stomach, causing qi blockage, gastric disharmony, worry and spleen damage, and spleen dysfunction can all lead to the occurrence of this disease.
2. Phlegm obstruction: Phlegm is produced due to depression, and phlegm becomes a pathogenic factor. Phlegm obstruction in the middle burner, lack of clear qi, lack of turbid qi, and imbalance in elevation can lead to bloating and belching; There is water vapor in the intestines, but it cannot move. When the water stops, it moves, resulting in a thunderous bowel sound. Qi is obstructed by phlegm, with blocked airways, or in meridians or organs, causing pain when attacking, washing away, or injecting; Drinking under the diaphragm can cause palpitations or coldness in the vest.
3. Phlegm stasis obstructing the meridians and stomach: Neurological disorders are not only characterized by liver qi stagnation and invasion of stomach soil, but also by stasis in the stomach meridians, obstruction of blood flow, cessation of fluid and blood accumulation, and stagnation leading to illness. Tangible phlegm and blood stasis obstructing the stomach lead to disharmony and decline.
Secondly, let's take a look at gastrointestinal neurosis. What are the syndrome types and regulation methods in traditional Chinese medicine?
1. Symptoms of liver qi invading the stomach: vomiting, drowsiness, irritability, worry, palpitations, fatigue, and lack of concentration. The treatment is suitable for harmonizing yin and yang, soothing the liver and stomach, and relieving anxiety and calming the mind.
2. Main symptoms of liver spleen disharmony: bloating and pain in the epigastric region, lack of movement, belching, chest tightness, etc. The treatment is suitable for soothing the liver, relieving depression, strengthening the spleen and stomach, and dispelling dampness.
3. Stop drinking in the intestines and have poor qi circulation. Main symptoms: depressed expression, complaining of gas movement in the abdomen, intestinal sounds in the abdomen, difficulty sleeping and dreaming, yellow urine, and bitter mouth. Treatment is suitable for promoting hydration and promoting qi circulation.
4. Main symptoms of phlegm and stasis: bloating and fullness in the epigastric region, belching, abdominal pain and bowel sounds, dry stools, dull complexion, and fatigue. The treatment is suitable for clearing phlegm, promoting internal circulation, and harmonizing blood.
Thirdly, let's take a look at the treatment methods for gastrointestinal neurosis in Western medicine?
1. Regulating neurological function and improving sleep: Depending on the condition, the following medications can be selected. Limantin, Diazepam, Chlorpromazine, Phenobarbital, Metoclopramide, or Guavizumab.
2. Spasmodic and analgesic effects: anticholinergic drugs can relax smooth muscles and have antispasmodic and analgesic effects; Such as belladonna preparations, atropine, propofol, etc.
3. Neurogenic vomiting: Vitamin B6 can be used, and if vomiting is severe, appropriate medications such as Hibernation Ling, Promethazine, and Motilium can be given.
4. Intestinal neurosis: Lubricating agents such as paraffin oil, magnesium oxide, Antale, and plant mucinous substances can be given to treat constipation; Compound phenethylamine and other drugs can be used to treat diarrhea.
Fourthly, let's take a look at gastrointestinal neurosis and what are the dietary adjustments?
When experiencing gastrointestinal discomfort, a mild diet such as baby food should be chosen.
2. Do not eat before going to bed, and go to bed 1-2 hours after eating.
3. Eating more fresh vegetables and fruits, and drinking more water are important for controlling this disease.
4. Avoid smoking and drinking, as harmful substances in tobacco and alcohol can irritate the stomach and colon mucosa.
5. If constipation occurs, a high fiber diet can be consumed. For diarrhea, a low residue diet should be switched to avoid stimulating foods.
6. Avoid animal fats, butter, carbonated drinks, coffee, candies, chocolate, fried foods, ice cream, oranges, grapes, pomelos, etc., as these foods can irritate the intestinal mucosa.
Fifthly, let's take a look at gastrointestinal neurosis and what are the psychological and behavioral treatments available?
Psychological and behavioral therapy mainly includes cognitive-behavioral therapy, psychological counseling, and supportive therapy. Cognitive behavioral therapy can help patients recognize the sources of discomfort and possible triggering factors of symptoms, and alleviate symptoms by changing negative psychological behaviors and ways of thinking. Psychological counseling and supportive therapy can provide emotional support and psychological advice to help patients alleviate negative emotions such as anxiety, depression, and stress.
In summary, gastrointestinal neurosis is a common digestive system disease that involves the combined effects of multiple factors. The core of treatment lies in comprehensive therapy, including lifestyle adjustments, medication therapy, psychological and behavioral therapy, and traditional Chinese medicine treatment. Patients need to receive treatment based on their condition and doctor's advice to alleviate symptoms, improve their quality of life, and ensure long-term effectiveness. At the same time, patients should actively cooperate with the doctor's guidance, develop healthy lifestyle habits, manage their stress and emotions well, in order to promote the stability and recovery of their condition.