2 Syndrome of large intestinal dampheat
Syndrome of large intestinal damp-heat refers to the symptoms of diarrhea and dysentery due to invasion of damp heat into the intestinal tract and failure of the intestine to transport. This syndrome is mainly caused by invasion of pathogenic damp-heat in summer and autumn into the intestinal tract, or by improper diet, leading to retention of damp-heat and turbid pathogenic factors in the intestinal tract.
Clinical manifestations: Abdominal pain, yellowish and foul fulminant diarrhea, scorching sensation over the anus, or purulent and bloody dysentery, tenesmus, scanty and yellow urine, reddish tongue, yellow and greasy tongue fur as well as slippery and rapid pulse. Such symptoms are usually seen in acute enteritis, dysentery, ulcerative colitis, intestinal tuberculosis and tumor in the intestinal tract.
Analysis of the symptoms: Abdominal pain, yellowish and foul fulminant diarrhea are caused by retention of damp-heat in the large intestine, stagnation of qi in the intestinal tract and failure of the intestine to transport; scorching sensation over the anus is caused by heat invading the large intestine; purulent and bloody dysentery is caused by damp-heat fumigating the large intestinal tract and impairing the collaterals; tenesmus is caused by stagnation of dampness and qi as well as heat fumigating the intestinal tract; scanty and yellow urine, reddish tongue, yellow and greasy tongue fur as well as slippery and rapid pulse are the signs of internal stagnation of damp-heat.
Key points for syndrome differentiation: This syndrome is marked by abdominal pain, fulminant diarrhea, or purulent bloody dysentery as well as manifestations of damp-heat.