Case analysis of systemic sclerosis

Systemic sclerosis (SSc) is a rare disease common in rheumatology and immunology, also known as scleroderma, which is a chronic connective tissue disease characterized by localized or diffuse skin thickening and fibrosis, which is a "skin paralysis"
in Chinese medicine.

The etiology of systemic sclerosis is complex, and environmental factors, genetic predisposition, and epigenetic factors are thought to be involved
.
That is, susceptible people are induced by external stimuli, such as infection, smoking, drugs, endocrine and other factors, which leads to vascular lesions and ultimately leads to the activation of fibroblasts and the occurrence of fibrosis, this immune process often involves multiple organs and systems
.
Gastrointestinal involvement occurs in about 90% of these patients, which is the most common complication
of systemic sclerosis outside the skin.

Any part of the digestive tract can be affected, and clinical dysphagia, acid reflux, and slow gastrointestinal peristalsis often occur
.
Among them, the slow peristalsis of the gastrointestinal tract will lead to the excessive growth of microorganisms in the gastrointestinal fluid, and symptoms such as indigestion, abdominal pain, diarrhea and constipation alternately, which has a great impact on
the quality of life of patients.

First of all, according to the changes in the condition of the disease, you should choose semi-liquid, liquid and other dietary methods, avoid eating dry and hard irritating food, eat small and frequent meals, eat slowly and chew slowly, do not stay in bed immediately after eating, and prevent food reflux
.

Secondly, you can eat more fresh vegetables, fruits and other foods that are easy to digest, rich in nutrition and rich in dietary fiber to promote gastrointestinal peristalsis, reduce blood cholesterol, and improve the intestinal bacterial plexus
.
For example, mulberries, apples, bananas, papayas, etc.
can strengthen the spleen and stomach, aid digestion, and contain dietary fiber, vitamins, etc.
, which help intestinal peristalsis, regulate gastrointestinal disorders, endocrine disorders
.
However, it should be noted that clinically systemic sclerosis people are mostly immune dysfunction, more have cold skin, cold limbs, sore waist and knees and other symptoms of spleen and kidney yang deficiency, studies have shown that the plasma cortisol and adrenocorticotropic hormone levels in such people are lower than normal people, daily diet should pay attention to warm supplementation, try not to eat cool vegetables and cool fruits, such as watermelon, pineapple, pear, etc
.

Moreover, it is advisable to eat a high-protein, low-fat diet
.
Too much intake of fatty foods, especially animal fats, can hinder gastrointestinal peristalsis and aggravate the condition
.
You can eat gluten foods, such as barley and oats, which can better promote gastrointestinal peristalsis and reduce gastrointestinal burden
.

When the condition allows, appropriate exercise can increase the body's metabolic capacity, promote gastrointestinal function, accelerate intestinal peristalsis, reduce muscle tension, and increase joint mobility
.
You can often walk and walk on the ground, and do flexion and extension exercises
such as elbow flexion, arms, knees, and leg lifts.

Clinically, when diarrhea and constipation alternate, broad-spectrum antibiotics such as tetracycline are often used for sequential treatment
.
Gastric motility drugs, such as morpholine, cisapyril, and mosapride are also taken, which can promote gastrointestinal peristalsis
.

Traditional Chinese medicine also has certain advantages
in terms of treatment.
Among them, studies have shown that traditional Chinese medicine compounds such as Dachengqi decoction have a stronger gastrointestinal motility effect than xissabili in animal experiments, and traditional Chinese medicines such as rhubarb, baishu, citrus aurantium, lai li seed, huli, wood incense, belly bark, sand kernel, senna, salvia, etc.
also have a clear gastrointestinal motility effect
.
Acupuncture treatment can also be performed, abdominal acupuncture points such as Qi Hai Point, Guan Yuan Point, Zhongyu Point, Tianshu Point, and other parts such as Zusanli Point, which can consolidate the essence of Peiyuan, improve abdominal metabolism, promote gastrointestinal peristalsis, and relieve symptoms
such as bloating and constipation.

Finally, we should maintain a good attitude, avoid emotional fluctuations, develop a good work and rest, actively cooperate with professional doctors for effective treatment, and strictly implement the doctor's orders, which is more conducive to improving the health and quality of life of patients!

： ，
。   ， ，