There are often symptoms in our lives that are not called diseases, but are similar to diseases that seem to be less important, but affect our health and can even cause many diseases. One of them is constipation, which we will talk about in today’s program. We all know that constipation is endocrine related and is closely related to the detoxification of our body. Usually we use an internal regimen to solve this “internal disease”, but you may not know that an external treatment can also solve this headache. What are the symptoms of constipation? That is, what kind of symptoms occur in the body that can be called constipation? Constipation is a common symptom. Generally speaking, constipation has four meanings: dry stools, infrequent bowel movements, difficult bowel movements and incomplete bowel movements. Medically, the nature of stool is divided into seven types, the fourth being normal, the first three being drier and the last three being thinner. Regarding the number of bowel movements, it is generally considered constipation if the number of bowel movements is less than once every three days, or less than two bowel movements per week. Regarding the difficulty in defecation, generally speaking, it includes the effort to defecate, longer time for each defecation, usually more than 5 minutes, and in serious cases, the use of cork or enema, or even the use of fingers to pick out the feces. There are two possibilities: one is that the stool cannot be completely emptied due to the difficulty of defecation, and the other is that the stool has been emptied and still has the urge to defecate, which may be due to the stimulation reaction of anorectal lesions or psychological factors. In conclusion, constipation is a very complex problem, it can be a concomitant symptom of a serious disease or a secondary manifestation of a disease; it can also be manifested only as constipation and no other disease can be detected; sometimes, temporary constipation can also be a normal physiological change, and sometimes constipation can be the result of psychological abnormalities of the patient. So what causes constipation? A, dietary factors 1, eating too little 2, not enough water 3, fiber intake is not enough 4, other dietary factors Second, life factors 1, bad defecation habits 2, changes in living 3, lack of physical exercise Third, psychological factors 1, excessive mental tension, 2, psychological factors 3, fear of defecation Fourth, laxative abuse 1, weight loss 2, beauty 3, detoxification 4, treatment 5, mismanagement V, drug factors 1, Analgesics: such as morphine, dulcolax, codeine, methadone, right propoxyphene, etc. 2, antispasmodics: such as atropine, belladonna, scopolamine, scopolamine, etc. 3, cough suppressants: such as coughing, codeine. 4, anti-anxiety drugs: such as diazepam, clozapine, etc. 5, anti-tumor drugs: such as vincristine, vincristine, etc. 6, disease factors 1, intestinal diseases such as congenital megacolon, age-related giant colon, colorectal tumors, colorectal diverticula, chronic colitis. 2, intra-abdominal diseases gallstone disease, appendicitis, gastric prolapse, peritonitis, etc. 3.Anal rectal diseases such as hemorrhoids, perianal abscess, anal fistula, anal fissure, anal rectal prolapse, etc. 4.Exit obstructive diseases such as rectal prolapse, rectal intra-mucosal prolapse, puborectalis syndrome, perineal descent syndrome, internal sphincter hypertrophy degeneration, external sphincter disorder syndrome, etc. 5, extra-intestinal diseases diabetes, hypothyroidism, uremia, Parkinson’s disease, cerebrovascular accidents, etc. Since it is not necessary to cause, is it not the classification of constipation is also different? 1, according to the cause of classification 1, organic constipation organic constipation refers to the anatomical abnormalities and organic lesions of the large intestine and anal canal itself, or extra-intestinal organ lesions so that the intestinal tract is under pressure, resulting in slow operation of feces or obstructed discharge. 2, functional constipation Functional constipation refers to the patient’s clinical manifestation is mainly constipation, lack of other characteristic performance, after various examinations still can not detect organic disease. Second, according to the colon transmission function classification 1, colon slow transmission type constipation 2, exit obstruction type constipation Constipation is not plagued by some specific groups, such as the elderly, children? At present, there is no nationwide statistical data, some provincial and municipal survey results show that the prevalence of constipation is 3.19% to 17.60%; women are significantly higher than men, with an increasing trend with age, but there are reports of higher prevalence in people under 10 years old. The prevalence of chronic constipation in Beijing is 6.07%, 2.11% for men and 9.68% for women, and the age group is 30-39 years old. In 2004, the American Journal of Gastroenterology reported that Peter D. R. Higgins systematically reviewed the epidemiological literature on constipation in North America, and the results showed that the prevalence of constipation was 1.9%-27.2%, mostly in the range of 12%-19%, with a female to male ratio of 2.2:1, and the age of 65 years After the age of 65 years gradually increase. Since it has something to do with lifestyle habits, is it that sitting workers are more likely to suffer from constipation due to the nature of their work? Yes, people who work in the office for a long time are prone to constipation, one is because more mental work, less physical activity, resulting in slow transmission of colon constipation; the second is because of sedentary may cause anal diseases, such as hemorrhoids, anal fissures, etc., will also produce constipation. Chinese medicine external treatment: 1, acupuncture point buried wire method, 2, auricular pressure bean method, 3, Chinese medicine compress umbilical method Because of the high incidence of constipation, the causes of constipation is also very complex, there are a variety of methods to treat constipation, but long-term use of stimulating laxatives will produce dependence, aggravate the disease, and even cause colonic nigrosis, surgery has some efficacy, but surgery is painful, complications, there is a certain recurrence rate, patients It is not easy to accept. Because some of the external treatment of constipation using Chinese medicine has certain advantages, with exact efficacy, simple operation, safe and reliable, no hospitalization, low cost. We commonly use methods such as acupuncture point buried wire, ear point pressure bean and Chinese medicine compress umbilical cord. Acupuncture point buried wire therapy is a Chinese medicine external treatment method commonly used in the treatment of constipation, which is to bury different types of sheep intestine wire into different acupuncture points according to the need, and achieve the purpose of treating the disease through the continuous weak stimulation effect of sheep intestine wire on the acupuncture points (equivalent to continuous needle retention). The mechanism is that the physical and biological stimulation of the lamb’s intestinal threads has a therapeutic effect. It can enhance the tension and excitability of the intestinal smooth muscle and promote intestinal peristalsis. Our department has accumulated rich clinical experience in the treatment of constipation with the use of acupuncture points. According to the specific conditions of constipated patients, we analyze the evidence and select appropriate acupuncture points, such as Tianshu, Daoyu and Sansili. She also has a full grasp of the positioning of acupuncture points, manipulation techniques, precautions and aseptic operation techniques, and has relevant countermeasures for postoperative adverse reactions. I. Introduction to the method: 1. Remove the sterile packaged sheep intestine thread, rinse it with physiological saline, cut it into 1 cm thread segments with sterile scissors, place it in a sterile tray, and thread it into the buried needle for backup. 2, the choice of acupuncture points: according to the identification of Chinese medicine can be selected from different acupuncture points, commonly used are Tianshu, foot three li, large intestine Yu, etc.. 3.Take appropriate body position, reveal the selected acupuncture point, sterilize it routinely, put the needle of intestinal thread into the selected acupuncture point, after the sensation of needle, push the needle core while withdrawing the needle tube, inject the intestinal thread into the acupuncture point (about 2 cm), after the needle is released, compress to stop bleeding, and fix it with sterile dressing. Second, the Chinese medicine compresses the umbilical cord The umbilical cord therapy has a long history like other therapies in Chinese medicine. The earliest medical book in China, “Fifty-two Diseases Formula”, has a record of the umbilical cord therapy, and after that, it has been discussed by doctors in all generations. The umbilicus is an important point in the meridian system, and belongs to the Ren Vessel, which is the sea of the Yin Vessel, and is connected to the Zhou body meridians with the Governor Vessel and the Chong Vessel “from one source and three branches”, so there is a saying in Chinese medicine that “the umbilicus connects all the veins”. Modern medical research shows that the epidermal cuticle of the umbilical skin is thin and the barrier function is poor, and there is no fatty tissue under the umbilicus, the skin fascia and peritoneum are directly connected, so the permeability is strong, and the drug molecules can easily pass through the cuticle of the umbilical skin, enter the intercellular matrix and quickly diffuse into the blood to reach the whole body. Our department has been using umbilical cord therapy to treat constipation for many years, with good results. Drug: Shenxiang laxative (homemade) Shenxiang, raw atractylodes, lycopodium, etc. Method: The patient lies on his back, disinfect the navel and the skin around the navel with 75% alcohol, take 5g of the above medicine and mix it with warm water to make a paste and put it on the navel, and fix it with gauze. Change 1 time a day. 2 weeks for a course of treatment. Indications: Colon slow transmission type constipation. The evidence of spleen deficiency and qi stagnation is the main type Third, the ear point pressure bean method to treat slow transmission type constipation The ear point pressure therapy is to use hard and smooth plant seeds or drugs and products with a certain shape and texture to paste on the surface of the ear Guo acupuncture points, and apply a certain pressure, in order to stimulate the ear acupuncture points, prevention and treatment of disease a method. This method is a simple treatment method based on the ear milli-needle treatment of diseases instead of ear acupuncture or buried needles. It is simpler and easier than auricular acupuncture or buried needles, safe and reliable, non-invasive, no side effects, and can play a continuous stimulation effect. Introduction to the method: acupuncture points: main points: lung, spleen, large intestine, rectum, subcortical, constipation points. Supporting points: stomach, abdomen, and triple jiao. Method of operation: After routine sterilization of the auricle, a 0.8×20px2 adhesive tape with Wang Bu Liuxing seeds was applied to the above acupuncture points, and the gentle massage method was used: the acupuncture pills were gently pressed and tightened with the finger belly, and then the pills were gently pressed and rotated in a clockwise direction to the extent that the patient had soreness or swelling or a slight tingling. The patient is also instructed to press the ear points 3 to 5 times a day on his own according to this method. The two ears are treated alternately, changing every other day; 5 times of treatment is a course of treatment. Which is more important: internal treatment or external treatment? Is it more effective? External treatment is characterized by no medication, simple operation, low cost, no side effects and no dependence. However, each external treatment method is not effective for all people. Some internal medications have certain side effects and can produce drug dependence, but they are fast and effective. Patients should choose them under the guidance of a doctor. Is there a possibility of relapse after this external treatment? Since constipation is a symptom that has a variety of causes, it is impossible to be absolutely relapse-free, regardless of the method used. What are the negative consequences if constipation continues for a long time? What diseases can it lead to? A, affect the beauty: constipation patients due to prolonged retention of fecal mass in the intestinal tract, abnormal fermentation, corruption can produce a large number of harmful toxins to the human body deposition, rashes, etc.. Second, lead to obesity: toxins lead to edema of the colon, the lower body blood circulation slowed down, easy to form a pear-shaped body and fat stomach. Third, produce body odor: the accumulation of toxins can cause bad breath and body odor. Fourth, the diet is tasteless: constipation can make the service full, producing nausea, anorexia, food and tasteless. Fifth, neurasthenia: constipation patients can have irritability, restlessness, insomnia and other symptoms. Sixth, trigger dysmenorrhea: chronic constipation patients due to long-term pelvic muscle irritation, often can trigger dysmenorrhea. Seven, hypersexuality: long-term constipation patients can have hypersexuality, leading to impotence, premature ejaculation in men, women’s sexual indifference or lack of orgasm, so that the quality of sexual life is reduced. Eight, concurrent diseases: constipation patients can be complicated by anorectal disease, such as hemorrhoids, anal fissure, rectal prolapse and colonic diverticulum. In addition, not also prone to hives, asthma and other allergic diseases and gallstone disease, headaches and shoulder coagulopathy and many other diseases. Nine, induce cancer: constipation patients harmful toxins, continuous stimulation of the intestinal mucosa, easy to cause colon cancer, in addition, can also induce breast cancer. Ten, cause sudden death: especially hypertension, coronary heart disease and other cardiovascular disease patients, severe constipation of the anal rage earned can cause a sharp rise in blood pressure, resulting in stroke or even sudden death. If taking laxatives can treat constipation? There are various drugs for treating constipation, which are broadly divided into volumetric laxatives, stimulant laxatives, osmotic laxatives, lubricating laxatives, prokinetic laxatives, and polyethylene glycol 4000 bulking agents and lactulose, which are more commonly used nowadays. Because sometimes laxatives are specifically referred to as stimulant laxatives, such as e.g., conductive tablets, senna, rhubarb and cassia. Therefore, other types of laxatives are called laxatives. Many people may think that constipation is not a disease, so we don’t need to care so much. Occasional constipation may be physiological or caused by changes in lifestyle habits, while long-term constipation or changes in bowel habits should be promptly diagnosed by a doctor, except for some organic lesions. Some special tests can be done in the hospital, such as colonoscopy, colon transport function test, fecal imaging, anorectal pressure measurement, etc. How can we prevent and avoid constipation? What are the habits of life that need attention? Constipation prevention and control methods: 1, the correct understanding of constipation Some people lack of understanding of constipation as a disease, often produce some misconceptions, such as the need to defecate once a day, defecation is abnormal, defecation will be less poisonous, eat a lot should be discharged a lot, constipation does not need to consult a doctor, their own medicine will be fine, appropriate diarrhea is good for the body, and so on. In fact, these ideas are inappropriate. 2, the prevention and control of constipation in the prevention and control of constipation should pay attention to the following matters: do not exaggerate the danger of constipation, do not abuse laxatives, timely consultation with a specialist, go to a regular hospital, pay attention to the danger signs of constipation (such as mucus and pus, black stool, fever, wasting, anemia, abdominal pain, etc.). 3, to develop normal eating habits (1) have enough food: the amount of diet is directly related to the function of defecation, too little diet, the formation of fecal components is insufficient, the amount of feces will be low. Intestinal tract is not properly filled, peristaltic function is weakened, easy to cause constipation. Therefore, a certain amount of food should be eaten every day to facilitate the formation of stool and to maintain normal bowel function. (2) Establish good dietary habits, do not be partial to food, not picky. Diet structure should be reasonable, mainly dietary fiber, eat more rice, potatoes, beans, fruits and vegetables, and drink more water. It is not advisable to drink strong alcohol, strong tea, coffee, do not eat chili, curry and other stimulating food. (3) drink more water: water is an essential substance for the body, for people with a tendency to constipation, the intake of sufficient water is more important. Water can lubricate the intestinal tract, can also participate in the formation of stool, and make stool softened to facilitate the discharge. If the water is low, the stool is often dry and difficult to move, so you should consume an adequate amount of water every day. Drinking water should reach about 2000ml per day, and should not drink more tea or drinks containing coffee to prevent excessive diuresis. (4) eat more food containing fiber, fiber in the intestine is not easily absorbed, hydrophilic, can absorb water, so that food residues swell and form a lubricating gel, easy to advance in the intestine, can stimulate the intestine, conducive to stimulate stool and defecation reflex. Maintain normal bowel movements of adults food fiber intake of about 20g per day. 4, to have good defecation habits: to achieve regular bowel movements, do not ignore the intention to stool, not squatting too long. 5, have enough sleep: poor sleep is very detrimental to patients with constipation, because poor sleep when the brain is in a state of excitement, resulting in gastrointestinal secretion and motor function dysfunction, digestive capacity decreased, poor appetite, bloating, stool regular disorder and other symptoms. 6, appropriate to increase the amount of exercise: can promote rectal blood supply and intestinal peristalsis, and therefore conducive to defecation. The content and method of exercise, according to the individual’s gender, physical strength and other circumstances.