Pseudomembranous colitis is the Diarrhea [3] after taking broad spectrum antibiotics; patchy pseudomembrane can be seen in the stools by naked eye; if it is the mucous stool, soak stools in 20ml water, and there is pseudomembrane in the upper layer; mottled yellowish-white pseudomembrane with different sizes can be seen on the colonic surface by sigmoidoscopy; besides, exclude other type of diarrhea. All the patients are divided into treatment group and contract group. There are 20 cases in treatment group.
Treatments: all the patients stop taking original antibiotics and take Yin Chen Bai Zhi [4] Tang: Yin Chen, Bai Zhi, Qin Pi, Fu Ling [5] Pi, Huang Bai [6] and Huo Xiang [7]. Modification: add Chuan Lian Zi [8] and Yan Hu Suo [9] for abdominal pain; add Rou Gui [10] and Chen Xiang [11] for abdominal distention due to excess of cold and damp; add Dang Shen [12], Huang Qi [13], Fu Ling and Bai Zhu [14] for deficiency of spleen and stomach; add Chai Hu [15] and Long Dan Cao [16] for excess of damp and heat; add Ban Xia [17] and Xuan Fu Hua [18] for vomiting. One dose a day, be decocted with water for three times, blend them and take in half hour after meal. 7 doses-treatment is one course. Apply vancomycin of 0.5g with intravenous drip for control group, twice a day. Do fluid infusion for the both groups accordingly to keep water electrolyte balanced and correct disorder acid-base balance.
Results: there are 20 cases cured in treatment group with 6 days in shortest and 15 days in longest. There are 6 cases cured, 2 cases improved and 2 cases failed in 10-case control group.
Key words: pseudomembranous colitis, Yin Chen Bai Zhi Tang
Writer: Jixiang Hou
People's hospital of Heng ren county, Liaoning province
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