Clinically for patients with constipation, Chinese medicine according to the patient’s physical condition to identify and treat, often can play a good effect, not simply take intestinal tea or herbal tea to treat. Chinese medicine is clinically divided into deficiency and actual evidence. Can not simply use the method of herbal tea to treat constipation.
The common clinical evidence of actual symptoms are.
1, gastrointestinal heat accumulation type that is heat constipation type.
The clinical manifestations of this type are characterized by dry stools in the form of strips, abdominal distension and abdominal pain, red face and body heat, dry mouth and bad breath, disturbed heart, yellow urine, yellow or dry tongue coating, red and red tongue, and slippery pulse. This type is mainly due to heat accumulation in the stomach and intestines, depletion of fluids, dryness of the intestines, dry feces, and difficulty in expulsion. The treatment is mostly based on the principle of removing heat and directing stagnation, moistening the intestines and opening the bowels. This type can be effective if you use the method of herbal tea made by Cai Da Ma, which can make the heat and fluid clear. Most of the clinical use of commercially available hemp seeds and nuts pill or Tongtai capsule. The formula has rhubarb, hedgehog and thick park to vent heat from the internal organs, fire hemp seed, almond and white honey to laxative, and peony to nourish yin and camp.
2.Qi stagnation type, i.e. Qi constipation type.
The stool is dry or not very dry, the stool is not allowed to come out, the abdomen is distended and painful, the stool is unpleasant, the chest is full and stuffy, belching is frequent, the tongue is thick and greasy, the pulse is string. This type is mostly due to frequent bad mood, or long-term sitting in the office, lack of exercise and the intestinal tract motor function is reduced, qi stagnation, intestinal tract ventilation and descending function malfunction and constipation, or want to stool but not smooth. Treatment is mostly based on the principle of smooth qi flow and stagnation. Most of the clinical use of six mill soup or commercially available oral solution of constipation, Baoji pill and other drugs. In Liu Mao Tang, Mu Xiang regulates Qi, Wu Yao smoothes Qi, Shen Xiang lowers Qi, Da Huang, Citrus aurantium and Betel nut break Qi and move stagnation.
Among the deficiency evidence are.
1, Qi deficiency constipation.
Clinical features are not dry and hard stools, with bowel movements, but the toilet is weak and difficult to discharge, usually prone to sweating, fatigue and weakness after defecation, and even prolapse during defecation. The tongue is light with white coating and the pulse is weak. This type is mostly due to physical weakness, weakness of the large intestine movement, conduction failure, weak propulsion, and difficult stools. Treatment is mostly based on the principle of tonifying qi and moistening the bowels. Huang Qi soup or commercially available pills are mostly used clinically. Astragalus soup in the astragalus tonifies the spleen and lung qi, fire marijuana, white honey laxative, Chen Pi regulate qi. If the qi deficiency is very, can add ginseng, white atractylodes.
2, blood deficiency constipation type.
Clinical features are dry stools, pale complexion, palpitation, shortness of breath, insomnia and dreaminess, forgetfulness, light-colored mouth and lips, pale tongue with thin white coating and thin pulse. This type is mostly due to physical deficiency in old age, deficiency of yin and blood, and blood deficiency cannot nourish and moisten the large intestine, resulting in dry stools. Clinically, it is often treated with Rundown Pill. The formula includes angelica and raw earth to nourish yin and nourish blood, fire marijuana and peach kernel to moisten the bowels and open the bowels, and hedgehog shell to draw down the qi. In case of Blood deficiency, Xuan Shen, He Shou Wu and Lycium barbarum may be added. If yin blood has been restored, the stool is still dry, available five pills (peach kernel, almond, cypress kernel, pine kernel, Yu Li kernel, orange peel).
3, Yin deficiency constipation type.
Clinical characteristics are dry stools, such as sheep stool, emaciation, heat in the hands and feet, sleeplessness, hot flashes and night sweats, or soreness and weakness of the waist and knees, red tongue with little coating, and fine pulse. This type of dry stool is mostly due to old age and physical deficiency, lack of yin and fluid to moisten the intestines, resulting in dryness of the large intestine and dry stools. Most of the clinical cases are treated with Zengliang Tang or commercially available Liouwei Dihuang Wan or Cistanche Laxative Oral Liquid. In Zengliang Tang, Xuan Shen, Mai Dong, and Sheng Di nourish Yin and produce fluid. It can add He Shou Wu, Bai Shao, Dendrobium to help nourish Yin, and add fire hemp seed, cypress seed, rasberry seed to increase the effect of laxative.
4, Yang deficiency constipation type.
Clinical features are dry or non-dry stools, difficult discharge, clear urine, unheated limbs, cold pain in the waist and knees, pale tongue with white fur and sunken pulse. It is mainly due to old age and weakness, deficiency of Yang Qi, loss of Yang Qi warmth in the intestines, resulting in weakness of the bowel movement. Treatment is mostly based on warming Yang and relaxing the bowels. In clinical practice, we use Jichuan Decoction or the commercially available Cistanches Oral Liquid. In Ji Chuan Decoction, Cistanches and Niubizi warm the kidney yang, moisten the bowels, Angelica nourishes the blood and moistens the bowels, Shengma and Ze Xie elevate the clear and lower the turbidity, and Citrus aurantium regulate the qi and relax the bowels.
Dietary regimen.
1, diet should be rich in crude fiber, drink more water, avoid spicy, fried food, do not eat too much cold.
2, spleen weakness, spleen and kidney Yang deficiency, Yin deficiency intestinal dryness (blood deficiency constipation), can drink a cup of warm water every morning honey.
3, intestinal heat, intestinal Qi stagnation, can drink a cup of cold boiled water every morning.
Health conditioning.
1.Guide the patient to choose the correct recipe and change the previous bad eating habits.
2, to develop the habit of regular bowel movements, even if no bowel movement, also adhere to the regular squatting toilet.
3.Do not abuse laxatives in case of constipation.
4, appropriate exercise, avoid sitting and lying for a long time.