Analysis of the phenomenon of “habitual constipation that cannot be cured clinically
Habitual constipation is the phenomenon of dry stools, which are difficult to pass or not dry, but the rhythm of defecation becomes slower and does not pass stools for more than two days. There are even cases where the bowel movements do not occur for half a month without any urgency. When encountering this problem, food or medicine is usually used to promote defecation to solve the problem. Such foods include bananas, apples, sweet potatoes, honey, sesame oil and many others. This aspect of the drug is more than a lot, common such as laxative, diarrhea leaf tea, mahren zhi spleen pill, fruit guide tablets, lactulose liquid, etc.; Chinese herbal medicine rhubarb, hemp, cistanches, etc. can not be counted. But the common feature is that the drug is effective, stopping the drug as before. Or a long time to use need to increase the amount. None of them can fundamentally solve constipation and achieve the effect of once and for all. Why is this? This begins with the basic physiological characteristics of the human body and the principle of action of drugs.
We humans are coelenterates. The common feature of coelenteric animals is that they have a digestive tract. And the master of this digestive tract is the intestinal brain, not the human brain. This is the same for both humans and coelenterates in general. This gut brain is the original foundation of all coelenterates. It has the key to self-protection and maintenance of natural functions. For example, we eat, delicious, difficult to eat; hungry, full; food taste sweet, sour, bitter, like or dislike all rely on the intestinal brain to decide rather than our rational brain to decide. Our intestinal brain is the “Emperor Qianlong”, the brain is only dedicated to the “and|”. When we want to eat spicy food, we usually don’t even notice that our intestinal brain wants to eat this “spicy”, so we go to look for “Sichuan hot pot”, for example, this is the brain “and| ” in the search, and also calculated the money in the pocket enough, which is more comfortable, etc.. When the “emperor” after eating, no longer have to ask for it, “and|” will no longer look for restaurants. So the physiological “decision” is made by the gut brain rather than the brain. Because the brain is only a computer and not a desire generator. The brain is thinking and making decisions only superficially.
Because our gut brain is always inside and cannot express itself; and the brain makes decisions because the brain understands all the desires of our gut brain and can only be expressed by it. There are many facts to illustrate this phenomenon. For example, we saw a beautiful fruit in the mountain, picked it and ate it, but an hour later we had abdominal pain and vomited, and threw up all the food, and then we were fine. Here, rationally, “eating” is the desire of the intestines and the brain, and there is no intention to “spit it out” after eating. But we do not know the toxicity of the fruit, and of course the brain does not know at first. Instead, the brain “realizes” that it is bad after eating it! And the gut brain decided to vomit. Because it produces a malignant stimulus to the intestinal brain and causes the intestinal brain to produce “abdominal pain” changes, “nausea and vomiting” is the intestinal brain’s protective measures. At this point if you think I should not throw up, well, you can not do. Your “brain” is not the master, so it doesn’t count. Only listen to the “gut brain”. So the brain is not a decision maker, it’s just an executor. For example, vomiting caused by drinking too much alcohol is self-protection; vomiting caused by accidentally taking pesticides or drugs is self-protection of the intestinal brain. If you do not vomit in time, it will be absorbed and endanger your life. Therefore.
Attention all great physicians! Do not see vomiting to stop vomiting. Vomiting is often its own protective reaction, which facilitates the removal of substances harmful to the body, and is a good phenomenon. If you do vomiting treatment at this time, it is often ineffective, and worse if you do stop vomiting!
So what does all this have to do with constipation treatment?
Now you can see what kind of things are common laxatives on the market. For example, rhubarb, gas smoked and bitter taste, smell long head are not comfortable. Mannitol, although no gas, but tasted on the tongue salty and disgusting. Laxative leaf gas is very thin, but also little taste, but it is a great stimulus to the lower digestive tract. In addition, anything that is too strong can produce vomiting or diarrhea. Chinese medicine clinical famous salt soup to explore vomiting method, is the large salt boiled into saturated concentrated salt water to the patient to produce nausea and vomiting to achieve an emetic effect. Imagine scooping out a bowl from a pot of dissolving salt soup, tongue licking it all salty and unbearable, and then drinking it again, throat being cholera hot and spicy …… hard to drink! These I have personally tried! After trying it, you will understand why salt soup tantrum can produce vomiting.
This is the use of the body’s intestinal brain protection reaction to enter the digestive tract of “malignant substances” salt soup, out of the body. Thus, it appears to produce “vomiting” from the outside. The same is true for diarrhea after taking laxatives. We eat into the laxative are some gas, taste vicious “malignant substances”, they produce malignant stimulation of the intestinal tract, triggering the protective response of the intestinal brain, in order to expel these malignant substances, the intestinal tract enhanced peristalsis and secretion. So, we see the appearance of “laxative” this is the principle of action of this kind of medicine has “laxative effect”. Of course, if we look at it from a Western medical point of view, these “malignant substances” have to be analyzed for their composition, which is another angle of discussion. When these malignant substances are excreted, the self-protective action of the intestinal brain ends, and of course there is no need to increase peristalsis anymore, so the bowel pattern is restored as before, which is the reason why these drugs have no long-term efficacy. If you want to continue to use this method to laxative, you have to take the medicine again. So the vicious cycle continues. Then again, knowing that it is a pawn, there is no better way to fall for it again. “The people are pooped!”
Knowing this, we have clear boundaries for treatment to restore bowel function and not just to temporarily relieve difficult stools. In my opinion, constipation can be cured after several important factors are adjusted. The common causes of habitual constipation are: deficiency of the middle qi without the ability to push; a state of cold condensation in the lower jiao inhibiting normal bowel movements; and cold or qi stagnation in the liver and gallbladder meridians inhibiting bowel movements. This is what I think is common. Other causes can vary from person to person, to be specific.
Treatment: improve the state of cold condensation in the lower jiao with warming medicines such as dry ginger and aconite soup; warm the liver with warming decoction to move the qi of the sympathetic yin meridian; increase the power to regulate the rise and fall of the middle qi with tonics and qi soup. If the middle qi is not deficient and the lower jiao is not cold, but to move the qi of the sympathetic yin; but if the middle qi is deficient and depressed, to tonic the middle yi qi soup to gain it and to harmonize it. However, if the lower jiao is cold, ginger and herbs can be used to warm it. Depending on the appropriate plus or minus. There is no better principle to be said later when my insight has progressed.
After the above treatment, if there are still ineffective people, then I recommend what I think is a reasonable so-called.
”Comprehensive Solution for Habitual Constipation”
Non-causal medication will not fundamentally cure constipation, so I have to use it frequently. This creates a problem of “drug fatigue” that is becoming less and less effective! The reason is that long-term use of a drug leads to insensitivity of the intestine to it. To solve this phenomenon, we should alternate the use of a variety of drugs with different properties, which may prolong their sensitivity.
Specific practices.
1, rotation of drugs: such as aloe vera or rhubarb preparations (such as laxative, hemp capsule is mainly aloe vera rhodopsin to act, belong to the same class of drugs). Cistanche (galactinol works); Western medicine fruit guide tablets (phenolphthalein works); lactulose oral solution (lactulose works), etc. Food: bananas, yams, honey (oral), sesame oil (oral), vinegar, etc. are effective. Anyone who has any other experienced recipes can use them. Whatever works for you should be used alone, for short periods of time, alternating with each other. Too long and the intestinal response will be sluggish. If one method is used for a week and then changed, it is equivalent to using one round for two or three months. It delays the generation of drug fatigue and can greatly extend the effective cycle of the use of a single method;
2, to avoid daily medication: as far as possible, more than two days to use the drug once, in favor of extending the drug sensitivity cycle.
3, it is appropriate to focus on taking drugs: should not allocate the drug to multiple times a day (such as twice a day or three times a day to take), but should be taken once, which is conducive to increasing the concentration of drug action and avoiding too frequent stimulation of the intestinal tract and reduce sensitivity.
4, take the drug before meals: laxative must be taken before meals, so that the stimulating effect of the drug itself is effective in enhancing intestinal peristalsis, and eating action will also play a synergistic role in promoting.
Commonly used prescriptions for the treatment of constipation on account of.
Warm liver decoction: angelica 30g Chinese wolfberry cumin ocimum mucilaginum each 15g cinnamon 9g (party out of “Jing Yue Quan Shu” original formula has poria.)
Dried ginger and fenugreek soup: Dried ginger 15g raw fenugreek 10g (or gun fenugreek 20 g). (Party out of the “Theory of Typhoid Fever”, with the appropriate decoction for more than 1 hour is good. In order to avoid poisoning with Radix et Rhizoma Polygonati).
Tonifying Zhong Yi Qi Tang: Ginseng 10-20 g Atractylodes macrocephala 30-45 g raw Astragalus membranaceus 60-120 g Chai Hu 30 g Sheng Ma 20 g Angelica sinensis 30 g Chen Pi 3 g roasted licorice 30 g (Discourses on Internal and External Injuries). The dose indicated is not the original dose of the formula, which can be adjusted according to the patient’s condition when prescribing.
Honey bolus for constipation (originally from “Treatise on Typhoid”)
Method: Place 200ml of honey in a wide mouth pot (if the pot is small, it will easily boil out when heated) and decoct it over a slow fire so that it is continuously consumed. About half of the original amount, use chopsticks to dip a little honey in the air to cool, feel the honey has become hard and does not stick to the hands that ceasefire (if sticky hands have to fry again, try again, to become hard as degree). Lower the temperature of the refined honey. When it is warm enough to hold in your hand and is paste-like, apply a little sesame oil on your hand and then take a small piece of honey and twist it into the size of two knuckles of your little finger, with one end pointed and one end thick, like a bullet. Wrap the remaining honey in plastic wrap to avoid sticking together and store it away from the air so that it does not dissolve.
Usage: Place a bolus in the anus when it is difficult to defecate. After a few minutes, you can go to the toilet if you feel irritated and want to defecate. Smooth defecation is possible.
Features: mild raw materials, gentle action, and sure effect. Non-toxic. This method is mentioned in the lecture of Professor Hao Wanshan of Beijing University of Traditional Chinese Medicine, an old aunt used this method to cure constipation and achieved healing effect.
Good luck to constipation patients to get the right treatment early and get rid of constipation!