UlcerativeColitis

UlcerativeColitis1.1)LiverEffulgence-SpleenVacuitywithDampObstructionPattern

1.1.Episodesofdiarrheabroughtaboutbyworry,anxiety,frustration,oranger,diarrheamostoftenaccompaniedbyabdominalpainwhichsubsidesafterpassingstools,possiblemucusorpusinthestools,possiblerib-side,chest,orbreastdistentionandpain,irritability,sighing,burpingandbelching,menstrualirregularitiesandfemales,torpidintake,fatigue,coldhandsandfeet,apaleorsallowfacialcomplexion1.2.Commonlyfat,palebutdarktonguewithwhitefur1.3.Fine,bowstringpulse1.4.Note:ThispatternisextremelycommoninWesternclinicalpractice.However,itreallypresentsascolitiswithoutatleastoneotherdiseasemechanism.1.5.TreatmentPrinciple:Coursetheliverandresolvedepression,fortifythespleenandovercomedampness

2.2)DampHeatBrewingintheIntestinesPattern2.1.Abdominalpainanddiarrheawithpusandblood,burningheataroundtheanus,tenesmus,foul-smellingstools,possiblefever,abittertasteinthemouth,possiblenauseaandvomiting,yellowurine2.2.Redtonguewithslimy,yellowfur2.3.Slippery,rapidpulse2.4.Note:Thispatternoftendescribesacuteattacksofulcerativecolitisinwhichliverdepressionandspleenvacuityhavebeencomplicatedbydampheatevilstypicallyduetoacombinationof

increasedstressandfaultydiet.2.5.TreatmentPrinciple:Clearheatanddrydampness,regulatetheqiandharmonizetheblood

3.3)Spleen-StomachVacuityWeaknessPattern3.1.Occasionalloosestoolsordiarrhea,adiseasecourseenduringformanydays,recurrentrelapses,mucusinthestoolsand/oroccasionalblood,slightabdominalpain,increasedbowelmovementsduetoeatingoily,slimyfoods,undigestedfoodinthestools,fatigue,lackofstrength,reducedfoodintake,torpidintake,venteroppressionandabdominaldistentionaftermeals,apaleorpossiblysallowfacialcomplexion,prolapseoftherectumifsevere3.2.Paletonguewithwhitefur3.3.Moderate(i.e.,slightlyslow),fine,weakpulse3.4.Note:Thispatternrarelypresentsinthisdiscreteformincolitis.However,spleenvacuitydoescomplicatemanycasesofcolitis.3.5.TreatmentPrinciple:Fortifythespleenandboosttheqi,harmonizethecenterandtransformdampness

4.4)Spleen-KidneyDualVacuityPattern4.1.Repeatedoccurrencesofdiarrheaoveralongperiodoftime,verythin,loosestools,slipperydesertionandincontinenceifsevere,occasionaldark,purplishbloodandpusmixedinwiththestools,asomberwhitefacialcomplexion,lowbackandkneesorenessandcoolness,lackofwarmthinthefourlimbs,fearofcold,dreadofchill,fatigue,lackofstrength,lassitudeofthespirit,torpidintake4.2.Pale,fat,enlargedtonguewithwhitefur4.3.Deep,finepulse

4.4.Note:Thispatternismostlyseenintheelderlyorasacomplicationoflong-termuseofcorticosteroids.4.5.TreatmentPrinciple:Warmandsupplementthekidneysandspleen,secureandastringeandstopdiarrhea

5.5)Stomach&IntestinesPhlegmRheumPattern5.1.Waterydiarrheawithorwithoutfoamymucus,abdominaldistention,borborygmus,possibleheartpalpitationsand/orshortnessofbreath,thesoundofwatersloshinginthestomachwhentheabdomenisjiggledorpalpated,profusesaliva,scantyurination5.2.Paletonguewithglossy,whitefur5.3.Soft,slipperypulse5.4.Note:Thispatternmostlydescribesthecomplicationofexcessivephlegmrheumduetospleenlossofcontrolovermovementandtransformation.5.5.TreatmentPrinciple:Warmthemiddleandseepdampness

6.6)Qi&YinDualVacuityPattern6.1.Enduringdiarrhea,bleeding,ordamagedyinduetocorticosteroids,yellow,waterydiarrhea,brightredblood,lassitudeofthespirit,fatigue,lackofstrength,possibleshortnessofbreath,vexationandagitation,short,scantyurination,dryskin,drymouth,redlips,malarflushing,vexatiousheatinthefivehearts6.2.Crimsontonguewithnoorscantyfluids6.3.Fine,rapidpulse6.4.TreatmentPrinciple:Clearheat,nourishyin,andstopdiarrhea

7.7)BloodStasisObstructingtheNetworkVesselsPattern7.1.Right-sidedlowerabdominalachingandpainorpainwhichisfixedinlocation,palpablelumpsinthelowerabdomen,purplishblackbloodclotsexpelledwiththestools7.2.Dark,purplishtongueorpossiblestaticmaculesorspots7.3.Deep,bowstring,choppypulse7.4.Note:Bloodstasistypicallyonlycomplicatesotherpatternsofthisdisease.ItisnotusuallypresentinthispureformonWesternpatients.7.5.TreatmentPrinciple:Quickenthebloodandtransformstasis,movetheqiandstoppain