Chronic Proctitis with Spleen-Kidney Yang Deficiency: Understanding the Main Symptoms

Chronic proctitis associated with spleen-kidney yang deficiency is a condition often seen in traditional Chinese medicine (TCM). One of the most prominent symptoms is persistent diarrhea, where bowel movements may occur as frequently as 20 to 30 times a day. The stool is typically loose, unformed, and may contain white mucus or undigested food particles. Some patients also experience a feeling of incomplete evacuation, with the urgent need to defecate again shortly after finishing.

Common Physical Symptoms

Abdominal discomfort is another key feature of this condition. Patients often feel a dull, lingering pain in the abdomen and may find relief by applying a warm compress or using a hot water bottle. Additional symptoms include bloating, reduced appetite, poor digestion, cold extremities, and weakness in the lower back and knees. These signs point to an underlying pattern of internal cold and deficiency.

Characteristic Tongue and Pulse Signs

In TCM diagnostics, the tongue and pulse provide important clues. The tongue typically appears pale and swollen with tooth marks along the edges. The coating is thin and white. The pulse is usually deep and fine, reflecting the body's weakened yang energy and internal dampness.

Traditional Treatment Approaches

The therapeutic strategy in TCM focuses on strengthening the spleen and kidney, warming yang energy, and resolving dampness. A commonly used formula is Fuzi Lirong Wan (Aconite Center Regulating Pill) from the classical text Taiping Huimin Heji Jufang, which helps to warm the middle jiao and restore digestive function. Another key formula is Sishen Wan (Four Gods Pill), sourced from Zheng Zhi Zhun Sheng, which is effective in treating chronic diarrhea due to kidney deficiency.

These two formulas are often combined and adjusted based on individual symptoms to enhance efficacy. Herbal modifications may be made to address specific imbalances, such as adding herbs to strengthen digestion or reduce dampness. This holistic approach aims to restore balance and improve long-term digestive health.