Constipation
Terms
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Diet:
Hot foods dry fluids
Cold foods block Sp function
Insufficient Fiber
Emotional Stress:
Liver: anger resentment or frustration
Spleen: Excessive mental work, worry,
brooding
Lack of Exercise -
Aetiology for
Constipation - Stool shape: round & small like pebbles
-
Very Dry: Heat
Not Dry: Liver Qi Stagnation - Stool Shape: Long & Thin like pencils
-
Spleen Qi Xu
Could indicate
carcinoma of bowel - Stool shape: long and flat
-
Could indicate
prostate or
bladder cancer - Dry stool with intense thirst with desire to drink large amounts of cold water
- Constipation from Heat
- Dry stool with dryness of mouth and desire to sip water
- Yin Xu
- Loose stools hesitant & difficult to come out.
-
Spleen Qi Xu
with
Liver Qi Stagnation - Watery, explosive stools splashing in all directions
-
Damp Heat
(stools yellow and frothy)
Damp-Cold - Constipation with Pale Stools indicate?
- Dampness, usually damp-heat in GB
- Constipation with dark stools?
- Heat
- Constipation with green stools in children?
- Cold
-
Clinical Manifestations:
Dry stools, infrequent bowel movements, thirst, scanty-dark urine, red face, feel hot, abdominal pain, dry mouth, foul breath.
TB: Red with red points around center & root
TC: yellow
Pulse: Rapid & Sli -
Constipation from
Heat in Stomach & LI
Clear Heat, drain Fire of LI,
moisten intestines -
Clinical Manifestations:
Dry stools, infrequent bowel movements, thirst, bitter taste, dark urine, headache, irritability, red face, blood-shot eyes
TB: Red, redder on sides
TC: dry-yellow
Pulse: Wiry & Rapid -
Constipation from
Heat in Liver
Clear Heat, Drain Fire of Liver,
Moisten Intestines -
Acupuncture:
LI-4: clears heat in LI & move stools
LI-11: clear heat in LI
TB-6: clear heat, open SJ, promote BM
SP-14, SP-15: move downwards
ST-44: clear stomach heat
ST-28, ST-29: clear heat, promote BM (left side only -
Treatment for
Constipation from
Heat in St & LI -
Clinical Manifestations:
Constipation, dry stools, abdominal pain & fullness, red face, thirst, dry mouth, profuse sweating, feeling of heat, high fever
TB: red
TC: dry yellow
Pulse: Overflowing & Rapid -
Constipation from
Acute Heat in
Febrile Disease
Drain Fire & move downwards -
Acupuncture:
SJ-6: drain fire from SJ, move downwards
SP-15: moves downwards
LI-11: clear heat in intestines
ST-44: clears Stomach heat
LI-4: clears heat in intestines & moves downwards
ST-28, ST-29: clear Heat & pro -
Treatment for
Constipation from
Acute heat in febrile disease -
Clinical Manifestations:
Constipation, with stools shaped like pebbles but not dry, desire to open bowels but difficulty in doing so, belching, abdominal distention, irritability
TB: normal or slightly red sides
Pulse: Wiry, ~ on left side -
Constipation from
Liver Qi Stagnation
Pacify Liver, Regulate Qi,
Descend Qi, Eliminate Stagnation -
Acupuncture:
CV-10: descend qi
GB-34, CV-6: move Lv qi in lower abdomen
LV-3: move qi, pacify Lv
SP-15: move downwards
Herbal:
Liu Mo Tang -
Treatment for
Constipation from
Liver Qi Stagnation -
Clinical Manifestations:
Desire to open bowels but difficulty in so doing, great effort to open bowels, feeling of exhaustion afterwards, thin & long stools which are NOT dry, pale complexion, tiredness
TB: Pale
Pulse: Empty -
Constipation from
Spleen or Lung Qi Xu
Tonify Qi & Moisten Intestines -
Acupuncture:
BL-21: tonify St qi & thus descend St qi
BL-25: LI back shu, stimulate BM
SP-15: stimulate BM
ST-36, SP-6: tonify qi & promote BM
CV-6: tonify qi in lower jiao
BL-13, LU-7: tonify Lu qi
BL-20: tonif -
Treatment for
Constipation from
Spleen or Lung Qi Xu -
Clinical Manifestations:
Dry stools, difficulty of defecation, dull-pale complexion, dizziness, numbness of the limbs, blurred vision
TB: pale or normal
Pulse: empty -
Constipation from
Blood Deficiency
Nourish Blood &
Moisten Intestines -
Acupuncture:
ST-36, SP-6: nourish blood
ST-36 promotes BM
CV-4: Nourish Blood
SP-15: promote BM
BL-23, BL-20: KI/SP shu nourish blood
BL-25: LI shu, promote BM for chronic
Herbal:
Run Chung Wan -
Treatment for
Constipation from
Blood Deficiency -
Clinical Manifestations:
Difficult defecation, exhaustion & sweating after defecation, stools NOT dry, sore back & knees, feeling cold, frequent & pale urination
TB: pale & wet
Pulse: deep & weak -
Constipation from
Yang Xu
(usually Kidney)
Tonify Kidneys,
warm the lower jiao,
& moisten the Intestines -
Acupuncture:
ST-36, SP-6: moxa needle, tonify yang,
(ST-36 promotes BM)
BL-23, KI-7: tonify Ki-Yang, direct moxa on BL-23
BL-25: stimulate intestines, promote BM
CV-4: direct moxa, tonify Ki-Yang and Original qi
Her -
Treatment for
Constipation from
Yang Xu
(usually Kidney) -
Clinical Manifestations:
Dry stools, thirst with desire to sip water, dry mouth & throat (especially evening), sore back & knees, dizziness, tinnitus, night sweats
TB: Red, cracks
TC: none
Pulse: floating-empty -
Constipation from
Yin Xu
(usually Kidney)
Nourish Yin,
Tonify Kidneys,
& moisten Intestines -
Acupuncture:
ST-36, SP-6: nourish St yin. ST-36 also promotes BM
CV-4, *KI-3, *KI-6: nourish Ki-yin, KI-6 also promotes BM
BL-23: tonify Kidneys
BL-25, SP-15: promote BM
Herbal:
Zeng Ye Tang (chronic)
Tong You Tan -
Treatment for
Constipation from
Yin Xu
(usually Kidney) -
Clinical Manifestations:
Difficult defecation, stools not dry, no bowel movement for several days, spastic abdominal pain, pale urine, pale face, cold limbs, feeling cold
TB: pale & wet
TC: thick, white
Pale: deep, slow, ful -
Constipation from
Cold
Warm the Yang,
Scatter Cold,
promote BM -
Acupuncture:
CV-6: moxa, moves qi & expel cold from lower jiao
CV-8: moxa (salt) scatters cold from intestines
KI-18: expels cold from abdomen & promote BM
BL-23: moxa, tonify Ki-Yang
BL-25: moxa, LI back shu, expels cold -
Treatment for
Constipation from
Cold