Traditional Chinese Medicine (TCM) expert shares health knowledge

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In TCM, constipation has three meanings:

1. Feces remain in the intestines for too long, leading to blockage and prolonged bowel movements;

2. The bowel movement cycle may not be long, but the feces are hard and difficult to pass;

3. The feces may not be hard, but there is a sense of urgency without smooth passage.

This roughly corresponds to functional constipation, irritable bowel syndrome, constipation due to rectal and anal disorders, and drug-induced constipation in Western medicine. TCM categorizes constipation into four types based on symptoms: Heat-Accumulation in the Stomach and Intestines (Re Jie Chang Wei), Qi Stagnation and Accumulation (Qi Zhi Yu Jie), Fluid Deficiency and Dry Intestines (Jin Kui Chang Zao), and Yang Deficiency with Cold Congealing (Yang Xu Han Ning).

Heat-Accumulation in the Stomach and Intestines (Re Jie Chang Wei)

Symptoms: Hard stools, short and red urine, flushed face and body heat, possibly accompanied by abdominal distension and pain, dry mouth, bad breath, and bitter taste. The tongue is red with a yellow greasy or dry cracked coating, and the pulse is slippery and rapid or wiry and rapid.

Treatment method: Clear heat, moisten the intestines, and open the bowels.

Recommended herbal formulas: Qing Ning Wan (Qing Ning Pill), Yi Qing Jiao Nang (One Clear Capsule), Xin Qing Ning Jiao Nang (New Qing Ning Capsule).

Qi Stagnation and Accumulation (Qi Zhi Yu Jie)

Symptoms: Constipation, inability to pass stool, frequent belching, fullness in the chest and flanks, and possibly severe abdominal distension and pain, reduced appetite. The tongue coating is thin and greasy, and the pulse is wiry.

Treatment method: Move Qi and resolve stagnation.

Recommended herbal formula: Bing Lang Si Xiao Wan (Areca Nut Four Elimination Pill).

Fluid Deficiency and Dry Intestines (Jin Kui Chang Zao)

Symptoms: Constipation, pale complexion, dizziness, palpitations, dry mouth, pale tongue with little coating, and a thin and rough pulse.

Treatment method: Nourish blood and moisten dryness.

Recommended herbal formulas: Ma Ren Run Chang Wan (Hemp Seed Intestinal Moistening Pill), Ma Ren Wan (Hemp Seed Pill), Ma Ren Zi Pi Wan (Hemp Seed Spleen Nourishing Pill), Tong Le Ke Li (Tong Le Granules).

Yang Deficiency with Cold Congealing (Yang Xu Han Ning)

Symptoms: Difficult stool passage, clear and long urine, aversion to cold and preference for warmth, pale complexion, pale lips, and possibly cold abdominal pain. The tongue is pale with a white coating, and the pulse is deep and slow.

Treatment method: Warm and open the bowels.

Recommended herbal formulas: Gui Fu Di Huang Wan (Cinnamon and Prepared Rehmannia Pill) combined with Ma Ren Zi Pi Wan (Hemp Seed Spleen Nourishing Pill).

Medication Precautions

1. Treatment of constipation must distinguish between cold, heat, deficiency, and excess; do not indiscriminately use laxatives;

2. In addition to oral medications, under the guidance of a physician, methods such as herbal retention enemas may be used;

3. Alongside medication, dietary therapies can be employed, such as finely grinding black sesame, walnut, and pine nuts, and mixing with honey for consumption.

Health Guidance

1. Maintain a balanced diet, appropriately increase intake of coarse fiber foods and fruits like bananas and watermelons;

2. Develop good habits and establish a regular bowel movement schedule;

3. Control temper and maintain a pleasant mental state.

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