In Chinese medicine, constipation is considered to be a condition in which the bowels are constipated, with prolonged defecation time or difficulty in passing stool. In ancient Chinese medicine, constipation has many names, such as “constipation”, “constipated stool”, “difficult stool”, “spleen about “, “cold accumulation” and so on. In modern Chinese medicine internal medicine works, constipation is divided into two categories: actual constipation and virtual constipation, actual constipation is divided into three types of heat accumulation in the intestines and stomach, Qi stagnation, Yin cold stagnation; virtual constipation is divided into four types of Qi deficiency, blood deficiency, Yin deficiency, Yang deficiency.
I. Chinese medicine treatment of actual constipation
1, constipation with heat accumulation in the stomach and intestines
Symptoms: dry stool, abdominal distension and pain, red face and body heat, dry mouth and bad breath, disturbed heart, short urine, red tongue with yellow coating and dry, smooth pulse.
Treatment: Relieving heat and inducing stagnation; moistening and clearing the bowels.
Remedy: Ma Zi Ren Wan.
In this formula, Rhubarb, Citrus aurantium and Thick Park are used to remove heat from the internal organs; fire hemp seed, almond and white honey are used to moisten the bowels and open the stool; peony nourishes Yin and harmonizes Ying. If the fluid has been injured, can add Shengdi, XuanShen, MaiDong to nourish yin and produce fluid; if both depression and anger injury liver, easy to anger eyes red, add to take more clothes pill to clear the liver and pass the stool; if the dry heat is not very much, or after the medicine pass but not cool, available QingScale pill to pass the bowels and slow down, so as to avoid further constipation; if the heat is more serious, full and dry firm, available large ChengQi Tang urgent down to store yin. In addition, the evidence can also be used angelica dragon aloe pill, yellow dragon soup, cold compartment, etc.
2.Qi stagnation type constipation
Symptoms: dry stool, or not very dry stool, not able to get out, or stool but not cool, intestinal sound and loss of gas, abdominal distension and pain, fullness in the chest, belching frequently, little food and dullness, thin and greasy tongue coating, string pulse.
Treatment: Shun qi and guide stagnation.
Remedy: Six-granular formula.
In this formula, muxiang regulates qi, ocimum sanctum smooths qi, sinkiang lowers qi, rhubarb, betel nut and heliotrope break qi and move stagnation. May add thick park, aromatic herb, Chai Hu to help the function of qi. If qi is depressed for a long time, depression and fire, can add scutellaria, gardenia, gentian grass to clear the liver and fire; if vomiting, can add half asia, whirling flowers, ochre; if the seven emotions, depression, depression, add peony, baihu, heliotrope to relieve depression; if fall injury, abdominal surgery, constipation, blood stasis, can add peach kernel, safflower, red peony and so on to promote blood circulation and remove blood stasis.
3.Yin-cold stagnation type constipation
Symptoms: difficult and astringent stools, abdominal pain and constriction, fullness and refusal to press, partial pain under the duress, lack of warmth in the hands and feet, rebellion and vomiting, white and greasy tongue coating, tight pulse.
Treatment: Warming the lining and dispersing cold, relaxing the stool and relieving pain.
Radicals: Warming the spleen and combining with Half Sulphur Pill
In this formula, Radix Aconiti warms the lining and disperses cold, Rhubarb removes stagnation, Hossein disperses cold and relieves pain. It can be added with hedgehog, thick park and wood incense to help the laxative power, and dry ginger and cumin to increase the power of dispersing cold. If the heart and abdominal cramps, mouth silence and violent convulsions belong to the big cold accumulation, available three things to prepare urgent pill to attack and expel the cold accumulation.
Second, the Chinese medicine treatment of deficiency constipation
1.Qi deficiency type constipation
Symptoms: fecal matter is not dry and hard, although the intention to stool, but the toilet struggle weak, difficult to discharge, sweating and shortness of breath, weakness after the stool, white face and fatigue, limbs tired and lazy speech, light tongue with white coating, weak pulse.
Treatment: Tonifying Qi and moistening the bowels.
Remedy: Huang Qi Tang. In this formula, Huang Qi tonifies the Qi of the spleen and lung, fire mace, white honey moistens the bowels and regulates the Qi of Chen Pi. If the deficiency of qi is more serious, can add ginseng, atractylodes; if the deficiency of qi subluxation prolapse, with the tonic in Yi Qi Yang; if the lung qi deficiency, can add with the raw pulse of San; if the kidney qi deficiency for a long time, can be used to tonic yuan decoction.
2.Blood deficiency type constipation
Symptoms: dry stools, dull complexion, palpitation, shortness of breath, insomnia and dreaminess, forgetfulness, light-colored mouth and lips, pale tongue with white fur, thin pulse.
Treatment: Nourishing Blood and moistening dryness.
Remedy: Rundown Pill. In this formula, Radix Angelicae Sinensis and Radix Rehmanniae nourish Yin and nourish Blood, Fire Ma Ren and Tao Ren moisten and open the bowels, and Citrus Aurantium induce Qi downward. Xuan Shen, He Shou Wu and Fructus Lycii can be added to nourish the blood and moisten the intestines. If the blood is deficient in internal heat, add Zhi Mu and Hu Huang Lian to clear the deficiency heat; if the yin blood has been restored and the stool is still dry, use Wu Ren Wan to lubricate the intestinal tract.
3.Yin deficiency type constipation
Symptoms: dry stools, such as sheep stool, emaciation, dizziness, tinnitus, red cheeks, distress and sleeplessness, hot flashes and night sweats, soreness and weakness of the waist and knees, red tongue with little coating and thin pulse.
Treatment: Nourishing Yin and clearing the bowels.
Radix: Zengliang Tang. In this formula, Xuan Shen, Mai Dong and Sheng Di nourish Yin and generate fluid. May add peony, yu zhu, dendrobium to help nourish yin, add fire hemp seeds, cypress seeds, raspberry seeds to increase the effect of moistening the intestines. If the stomach yin deficiency, dry mouth and thirst, can be used to benefit the stomach soup; if the kidney yin deficiency, waist and knee weakness, can be used six flavors of Dihuang Wan; if the yin deficiency, dry knot, heat and injure fluid, can be used to increase the liquid Cheng Qi Tang to increase the water row.
4.Yang deficiency type constipation
Symptoms: dry or non-dry stool, difficult discharge, long clear urine, white face, unheated extremities, cold pain in the abdomen, reduced by heat, cold pain in the waist and knees, pale tongue with white fur, sunken pulse.
Treatment: Warming the Yang and clearing the bowels.
Remedy: Ji Chuan Decoction. In this formula, Cistanches and Niu Knee warm the kidney yang, moisten the bowels and open the bowels; Angelica nourishes the blood and moistens the bowels; Sheng Ma and Ze Xie elevate the clear and lower the turbidity; Citrus aurantium broadens the bowels and lowers the Qi.
If the old man is constipated, use Half Sulfur Pill; if the spleen Yang deficiency, Yin cold accumulation, use the warm spleen soup; if the kidney Yang deficiency, still can use Kidney Qi Pill. It can also be used to identify the evidence of the Rizhong Pill, Sishen Pill, Right Return Pill, etc.
Third, the prognosis of constipation
If constipation is prolonged, it can cause anal fissure, hemorrhoids, and affect the fine function of the spleen and stomach, and even rebellious turbid gas, and change the evidence. Old age and frailty, postpartum disease, body weakness constipation, mostly for the lack of qi and blood, yin and cold cohesion, treatment should be slow figure, it is difficult to seek quick results. In short, constipation if active treatment, and combined with diet, mood, exercise and other conditioning, more can be recovered in the short term.
Fourth, the prevention of constipation and conditioning
For habitual constipation, should maintain a relaxed mood, increase physical activity, pay attention to dietary regulation, and on time to the toilet.