This kind of health preservation project called "intestinal therapy Spa" is to inject warm water, coffee and other liquids into consumers' intestines from the anus, so as to achieve the effect of "detoxification and weight loss" claimed by businesses. Yang Hong, 29, although only occasionally has slight constipation, but "after reading so many praise of 'intestinal therapy', she decided to try it. The whole process lasted about half an hour, and Yang Hong didn't feel too much discomfort. After a tube enters the anus, warm water begins to flow into the intestines. Different from hospital enema, the other end of the tube is connected with a color screen to display water volume, water temperature and time. In the picture, she can see how the warm water gushing out of the instrument flows in her intestines, and finally eliminate the stool like a stream washing away the "mud". "It has a strong taste visually, but it's a little comfortable in the heart." Yang Hong couldn't find a suitable word to summarize the experience, but she had a strong sense of control. The youngest was 13 years old, "safe liquid" enema According to an Internet group buying platform, there are more than 10 stores that clearly provide "intestinal therapy Spa" services in Beijing alone. Among them, some stores hang silver signs of platform certification. According to the listing rules published by the platform, the silver medal is obtained according to the comprehensive calculation of store product richness, customer satisfaction and transaction heat. What is the difference between "enterotherapy spa" and hospital enema? The publicity information of a store shows that the hospital uses some chemical reagents, which is not only easy to rely on, but also has poor safety, and the risk of accidents is high; The machines used in beauty salons are comfortable and safe liquids will not make people dependent. In the experience notes and consumption evaluation on the Internet, the appearance rate of intestinal therapy machine is very high. This is a C-shaped device. Consumers lie in the machine and can see the whole process of enema on the opposite screen. The reporter of Zhongqing daily · zhongqing.com contacted an agent selling commercial intestinal therapy machines. The agent told reporters that one intestinal therapy machine is about 20000 yuan, and the use training will not take a long time. "Installation and training are basically completed in one day". "Taken together, the cost of an intestinal treatment is about 20 yuan," he said In a residential building in Chaoyang District, Beijing, the reporter found a "intestinal therapy Spa" shop. According to the store, the "safe liquid" they use is "nano small molecular water". In a "intestinal therapy" package priced at 388 yuan, in addition to 30-35 minutes of "nano small molecule water" enema, there is also 15 minutes of probiotic water enema. The store suggested to the reporter, "clean the intestines for the first time for 3 days, and then every 2 to 3 weeks." Many customers lose about 7 kg when they do it three times in a row. In addition, the "safe liquid" used in the store is "mineralized small molecular water". As for the difference between "mineralized small molecular water" and ordinary water, a customer service responded to the reporter, "this is developed by machine manufacturers, and no specific comparison has been made." "This is the pseudo concept." Chen Wenpu, deputy chief physician of the weight loss clinic of the Affiliated Hospital of Guangdong Medical University, said in an interview with reporters that there are many types of minerals. Let's not talk about whether minerals are really added. If it is not clear what minerals are, the effect is impossible to talk about. "Ironically, if the calcium content is too high, it will aggravate the constipation of users." He said. Chen Wenpu said that enema is actually a medical treatment method. The colon is filled with liquid through a catheter from the anus through the rectum, so as to facilitate defecation and exhaust. Enema therapy has clear indications and is mostly used in patients with intestinal obstruction or severe constipation. However, the customer service of several "intestinal therapy Spa" stores said that "many young people" came to "detoxify and lose weight". In the impression of a shopkeeper, their youngest customer is "13 years old". "Big and complete" enema supply chain on e-commerce platform Search for keywords such as "enema" and "enema" on multiple e-commerce platforms to find various needs on the enema chain such as household enema bags and enema solutions. In this massive selection, the reporter found that warm water is only the "first generation product" of enema. A shop provides probiotics, green tea powder, coffee and other solutions for enema users, with prices ranging from tens of yuan to thousands of yuan. For example, when introducing "pure plant green tea powder", customer service said, "enema green tea powder has the effect of repairing intestinal mucosa. Pure plant extraction has no additives and dependence." Consumers who buy "enema package" here need to fully master the enema time, speed, water temperature and water pressure. "The filling speed can be controlled by itself. Slowing down the filling speed is conducive to long-term patience," said the customer service of the above store. "The experiment found that after clearing the stool from the intestines, the enema can lose 1-15 kg." Zeng weigen, chief physician of general surgery of Beijing Chaoyang Hospital, once explained that enema can promote defecation, but it is only applicable to very serious constipation, which can not achieve the effect of weight loss or beauty. However, the seemingly immediate effect still attracts many people, and some wechat merchants even set up a "punch in group". A blogger who calls himself an "anti-aging expert" gets up and runs at 2:55 a.m. every day in the wechat group, and then leads product distributors and other group members to coffee enema. In the knowledge sharing of coffee farmers, coffee enema can not only "beautifying and beautifying the face", but also have a fever, allergic dermatitis, diabetes and high blood pressure. For the symptoms of "panic", "nausea" and "insomnia" reflected by members of the group, The blogger's "explanation" has a sense of picture: "this is because the spoilage bacteria in the stomach are struggling for the last time. They shouted, please don't get me out of the body. I want to continue to proliferate and destroy your cells in your body. Therefore, when they are driven away, they will make you painful, keep you awake and let you give up." This "explanation" did not convince Dr. Chen Wenpu. In his opinion, the caffeine contained in coffee is very easy to stimulate the fragile intestine, promote intestinal peristalsis, lead to water and electrolyte disorders, and even irreparable damage to the body. Wang Siping, deputy chief physician of the Nutrition Department of the General Hospital of the Chinese people's Liberation Army, said that coffee enema has never been used or heard of clinically. He also said that the rectal mucosa will absorb caffeine. As for the therapeutic effect, he thinks this statement is unreasonable, "there is no therapeutic effect". Medical behavior has become a beauty and health project, which is full of risks It can not only "full self-service", but also "semi self-service" services in physical stores. "Safety and privacy protection" is the publicity point of some businesses: consumers can not only see the discharge of waste in the intestine, but also operate the "intestinal therapy" machine independently without the presence of staff. The staff of a self-service "intestinal therapy" shop told reporters that even customers who come to the store for the first time can plug the pipe of the intestinal therapy machine into their anus, "it's not difficult. We'll help if necessary." This worries professionals. "Hospitals dare not ensure the absolute safety of invasive operations, not to mention beauticians and consumers without doctor qualification certificates?" Chen Wenpu said that without the necessary basic examination, enema may induce bacterial infection, sepsis, and even intestinal wall rupture, bleeding and perforation. On December 20, 2021, the people's Court of Hanjiang District, Yangzhou City, Jiangsu Province announced the judgment of a criminal case. Sun was engaged in enema diagnosis and treatment activities in the "hydrotherapy enema and detoxification health center" opened by sun. When he enema Liu, Liu had abdominal pain, bloody stool and other symptoms. The hospital diagnosed him as rectal perforation, and Liu's injury constituted a grade 9 disability. Finally, the court found that sun committed the crime of illegal medical practice and was sentenced to fixed-term imprisonment for one year, suspended for one year and fined 1000 yuan. The "enema accident" of health care and beauty institutions is not uncommon on the judgment document online. "Enema is a medical behavior. Operators providing enema services need the qualification of medical institutions, and personnel providing services need the qualification of medical personnel." Lawyer Zhang Wenbo, senior partner of Beijing Jundu Shanghai law firm and director of the legal department of life science and health care, said that if the enema service provider fails to follow the corresponding diagnosis and treatment norms when providing the enema service and causes personal damage consequences such as intestinal perforation of consumers, he should bear the corresponding tort liability for personal damage. If the service provider does not have the corresponding diagnosis and treatment qualification, it shall bear the corresponding administrative liability in addition to civil compensation. If the circumstances are serious, if it causes the death of the customer and is the direct and main cause, it shall bear corresponding criminal responsibility. He said that the "measures for the administration of medical advertisements" clearly stipulates that the manifestations of medical advertisements shall not contain contents involving medical technology, diagnosis and treatment methods, disease names and drugs. Therefore, if the shop exaggerates that enema can prevent cancer, lose weight and detoxify, it is suspected to constitute an illegal medical advertisement. In Chen Wenpu's view, many unscientific weight loss methods are eager for quick success and instant benefit and unreliable. After more than 20 years of medical experience, the truth of weight loss is simple - balanced diet, reasonable exercise and regular work and rest. When obesity affects life, medication and surgery should be considered. He believes that in addition to strengthening the supervision of beauty agencies by relevant departments, it is very important and urgent to improve public health literacy. "If you want to maintain intestinal health, enema is by no means a long-term solution. To lose weight, you should return to the origin of life, develop good living habits, and hand over the control of your body to yourself, so as not to fall over." (outlook new era)