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Diarrhea
strong odor or burning anus
strong odor doesn't burn anus
no strong odor nor burning anus
mucus with burning anus
mucus without burning anus
yellow and explosive
aggravated by stress
alternating with constipation
doesn't feel done
aggravated by activity
aggravated by cold, raw, or any food
appears soon after eating
pencil or ribbon shaped
undigested food visible
early morning only
dark or purple stools
Constipation
pellet shaped
aggravated by stress
alternates with diarrhea
with heart burn
severe pain
better with warmth
dry and hard, short term
dry and hard, long term
aggravated by diet
lined with mucus
difficult to finish
causes exhaustion
Abdominal Pain
sharp and fixed
aggravated by eating
aggravated by stress
with bloating
better with activity
severe
better with pressure
Gas
with strong odor
without strong odor
burns anus
aggravated by stress
Bloody stools
strong odor
no strong odor
mucus with strong odor
mucus without strong odor
less than six months
more than six months
Heartburn
aggravated by stress
worse when bending or laying down
aggravated by eating
with excessive saliva
Nausea
aggravated by stress
with severe cramping pain
worse when bending or laying down
with bloating, belching, and bad breath
with excessive saliva
mostly clear fluid
with undigested food
Bloating
with constipation or sluggish stools
worse with fatigue
relieved by gas with strong odor
relieved by gas with light odor
relieved by belching with strong odor
relieved by belching with light odor
aggravated by stress
worse in the afternoon
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IBS due to Internal Dampness
Damp, also known as dampness, is a
common outcome of digestion that isn't so efficient.
The best metaphor that I can think of is when your car needs a tune up, it puts
out more exhaust fumes. The dampness is the exhaust fumes in your body, and
in addition to coming out the tailpipe in the form of loose stools, mucus lined
stools or diarrhea with mucus, there are a variety of damp symptoms that can
manifest just about anywhere in the body.
It is even said that "strange diseases"
without any discernible cause are most likely due to dampness, or it's child
known as tan-yin in Chinese and phlegm-mucus in English.
The damp tongue usually has a thick tongue coating. The coating is so thick that you can't see through it to the tongue body proper. However, dampness doesn't always manifest in a thick tongue coating. Sometimes, it will show up as a tongue that is larger than it should be which is kind of like saying that the tongue is full of dampness. It will take on the shape of the teeth around it when this is the case. You can see from this image that this person has both the thick tongue coating as well as the teethmarks indicating dampness.
There is a saying in traditional
Chinese medicine. "The earth element creates damp and the metal element stores
it." The organs associated with the earth element are the Stomach and Spleen/Pancreas.
The organs associated with the metal element are the Lungs and Large Intestine.
When damp is created by bad digestion, it likes to end up in the Lungs and Large
Intestine. When its in the Lungs we get the usual phlegm coming up while coughing
especially after eating something that is inherently difficult to digest such
as a milk shake, other cold dairy products, or greasy foods. When the damp is
stored in the Large Intestine, we find mucus lined stools, loose stools, sticky
stools that are difficult to clean up after, or diarrhea with undigested bits
of food in it. Even intestinal rumblings are due to dampness in the intestines.
These are all forms of dampness.
There is a formula that serves to
treat the damp in the intestines that shows up as diarrhea. This formula is
called
Shen Ling Bai Zhu San (Ginseng, Poria, Atractilodys Powder). Its a great
formula that can do wonderful things. They sell it on every street corner in
China, right next to the KFC. I'm not sure if that is significant, however it
is no secret that fried foods, greasy foods and fatty foods are known damp producing
foods.
Damp is a funny animal. If you have
a rash and when you scratch it, it feels wet, that is damp. When clear thought is difficult or your head feels foggy, that is damp. When you can hear water sloshing around in your stomach, that is damp. Motion sickness is also an outcome of dampness. High cholesterol could be a
Western expression of interior dampness as well.
Dampness can also get in the way of the natural downward movement of the contents of the stomach which can give rise to heartburn, often times associated with excessive saliva production.
The difficult thing to deal with
when treating dampness is determining the cause of the inefficient digestion.
Basically we call that Spleen Qi deficiency. Spleen Qi
can become deficient due to a variety of factors. Determining which one applies will insure that the herbal treatment will
treat both the cause of the problem as well as the symptoms associated
with the dampness that the Spleen Qi deficiency produces.
A few of the factors that deplete
the Spleen Qi include:
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Overthinking. Think about the archetypal student buried in his books; someone with little muscle definition who lives in an intellectual world and is perhaps overweight. Weight gain is considered an accumulation of dampness in Chinese medicine incidentally. So, living in your head robs your Stomach and Spleen of energy that should be used to digest food. When you're using your head all the time, all of that Spleen Qi is being used to digest information rather than food and this is what gives rise to the dampness accumulation. Sometimes, we're required to study and memorize, at these times of course there's nothing you can do, but when you're not under the gun, it would be wise to set aside some time each day for your meals. Don't read or study while you're eating. This aggravates the problem. Enjoy your food. Be present at the meal. Turn off the television and computer!
-
Stress. This is basically
the wood overacting on earth scenario that is discussed
elsewhere. To put this into simple terms, this is a stress induced deficiency
of Spleen Qi. A stress induced digestive disorder. Stress has a way of messing
with the neurology that makes the digestion work. When there is stress,
there are digestive problems. Simple as that.
-
Diet. You thought I was
going to miss this one? Sorry, here goes. Stuff that really taxes the Spleen
energy giving rise to dampness include: Dairy, try switching over to soy
based milk products. Fried foods. Deep fried ice cream is completely out.
Deep fried anything is going to be tough to digest. Then comes all the fatty
foods. Don't let that salad fool you, look at the fat you're dumping
on when you reach for that Bleu Cheese Dressing. By the way, if you want
to find out if a restaurant has healthy food, take a look at the people
who are eating there. Do they look healthy to you? Don't let the salad bar
fool you, especially if the salad comes with an ice cream bar and garlic
cheese toast. (I'm talking to you, Sizzler!) Finally, Chinese medicine says
that raw foods are more difficult to digest than cooked foods. That's why
you don't see salad bars at Chinese restaurants. They prefer to cook the
foods, at least partially which assists in its digestion. Some of the nutrition
is lost, but much more is gained because of the increased efficiency in
the body's ability to digest this food. So, if you have the choice between
raw or cooked vegies, go with the cooked, even if they're just cooked a
little. But not deep fried with cheese sauce on top, okay?
-
Kidney Yang Deficiency.
This gives rise to Spleen Qi deficiency. This is another example of pathology
that is addressed elsewhere in this series of articles.
Basically, the Spleen needs warmth to function correctly, and it gets this
warmth from the Kidneys. This is something like the thyroid function in
Western medicine. Something like it. This is also an example of treating
the cause and the symptom at the same time. We can strengthen the Spleen
Qi all we want, but if the problem is really due to a lack of warm energy
to help the Spleen do its job, then until we warm up the Spleen through
the Kidneys, the benefits of any medicine simply will not arrive.
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Living in a damp area.
That doesn't mean that just because you live near the ocean you can eat
your chili cheese fries without taking responsibility for your interior
dampness, but living in a high humidity location can most certainly add
to the problem of internal dampness. Living in a damp area can also give
rise to dampness located in your channels and meridians. This is the kind
of arthritis that is aggravated by cold and damp weather. Try the formula
called Du Huo Ji Sheng Tang for some help with that. Another option would be to relocate to an area that is
warm and dry which is obviously the opposite of cold and damp. Many
retirees relocate to the desert Southwest of the USA for this very
reason.
Formulas for the sensation of water
in the stomach which is due to a deficiency of Spleen Qi (another way of saying
inefficient digestion) include
Er Chen Tang (Two Cured Decoction)
and
Ping Wei San (Calm the Stomach Powder.
Ping Wei San is more for dampness and
Er Chen Tang is more for phlegm, but these two pathologies are related and these two formulas
have many herbs in common.
All of the formulas mentioned in
this article are widely available at Chinese medicine pharmacies, though the
so-called patent medicines that you'll find there aren't always as strong as
they could be. These formulas come in a variety of different forms and strengths
and your friendly neighborhood herbalist can assist you in obtaining them as
is appropriate.
You can purchase any of the formulas mentioned in this article by simply clicking on their names. Another option is to obtain this formula modified for your unique situation from Beyond Well Being.
Be Well.
Other symptoms that could be due
to dampness include:
-
Diarrhea mucus without burning
anus
-
Diarrhea with no strong odor nor burning
anus
-
Diarrhea doesn't feel "done"
-
Constipation lined with mucus
-
Gas without a strong odor
Be Well.
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