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Pub date
2010-01-31
TCM treatment of senile constipation
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TCM treatment of senile constipation
The elderly weakened organs, intestinal transmission weakness, so as constipation. With virtual secret, cold-secret, secret gas main. In therapy, must not compromise with the Xiehuo catharsis of medicine, but should be mainly Runchang catharsis, while adding the product spleen qi. Constipation line "lunar falls, then the abdominal distension full, after the negative" ( "Nei Jing"), constipation, the "yin knot", "Yang knot", "the spleen is about," said ( "Treatise on Febrile Diseases"). Should be "slip of the drugs," while not "jump to medicine by Chun-li's" (Zhu Dan-xi). Future generations will be summed up as hot secret constipation, gas and Peru, virtual secret, cold secret four categories.
An etiology and pathogenesis
1.1 The lack of blood physically weak due to old age, stomach insufficiency, blood biochemistry passive, then the large intestine conduction qi weakness, blood deficiency is depletion of body fluid, moisten the large intestine to lose moisture, hence the phenomenon of constipation.
1.2 Yang-deficiency Hanning high in frail health, yang, then the chill of endogenous, stagnate stomach, caused by yang is not transportation, body fluid not, intestinal conduction inability to form a constipation.
Less than 1.3 Yinye frail elderly or chronic illness or taking too much diarrhea drugs, resulting in large fluid injury, intestinal dry, dry guitar stool and difficult.
1.4 air-Yu Zhi elderly persons, many worry less good filtered or sedentary animals caused by air-Yu Zhi, bowel gas unreasonable, dross within the stop Erzhi constipation.
1.5 Gastrointestinal integrated thermal ferrite yang, or drinking to excess, or too spicy food Atsumi, cause gastrointestinal product heat, or fever, the heat not entirely, Hao Shang body fluid, so lost to moisten Run Erzhi intestinal constipation.
2 Treatment
2.1 Non-drug treatment should develop regular bowel habits, diet and physical exercise conditioning, especially in functional constipation and even more so. Food should be rich in fiber and more water.
2.2 Drug treatment of constipation clinically divided into gas-secret, virtual secret, cold and hot secret secret. Virtual Peru is divided into two kinds of qi and blood deficiency.
2.2.1 Qi is characterized by constipation, although it is intended, but the clinical and Nu earned fatigue, dry stools are not hard, Shenpi air of confidence, tender tongue fur is thin, veins empty. Medicinal Astragalus, Poria, hawthorn, costas, bergamot, Citron, hemp seed, white honey.
2.2.2 Blood Deficiency is characterized by constipation, constipation, pale, pale tongue, thin pulse. Medicinal angelica, hemp seed, Polygonatum, habitat, Shude, Yuan ginseng, bergamot, Citron, Citrus aurantium, the Health and astragalus, white honey.
2.2.3 Peru is characterized by cold hard stool Shibuya, belly or Leng Tong, hi hot bad cold, pale tongue fur white, pulse Shen Chi. Medicinal Angelica, Epimedium, Cistanche, costas, Citrus aurantium, hemp seed, raw Astragalus so.
2.2.4 Gas secret is characterized by constipation, frequent gas to belch, bloating pain, fullness Xiong Xie, thin greasy moss, pulse string. Medicinal woody, betel nuts, bergamot, turmeric, citrus aurantium, hemp seed, Bupleurum, internal payment.
2.2.5 Peru is characterized by hot dry stool, thirst-hi cold, dry yellow moss, pulse a few. Medicinal rhubarb, Sunburn citrus aurantium, white peony root, raw land, Yuan Participation, the Health Qi so.
Three typical cases
3.1 women suffering from the age of 65. The long-term constipation, low back pain associated with lumbar cold, when the abdominal distention, poor appetite. Pale thin white tongue fur, pulse Shen. Card is a spleen deficiency, and in administering to Warming spleen. Recipe: Epimedium 10g, Cistanche 20g, Health Astragalus 15g, finger citron 10g, Citron 10g, Health Hawthorn 15g, Chinese angelica 15g, Achyranthes 10g, Shouwu 15g.
Frail patients with spleen deficiency, cold from the endogenous, intestinal transmission weakness, it is constipation. Kidney-yang, then the back pain and lumbar cold. Spleen transportation of weakness, while abdominal distention, poor appetite. Epimedium, Achyranthes Wenshen to help Yang, Cistanche Warming kidney-yang, relax bowel, bergamot, Citron qi, Shouwu, Angelica blood-line gas, Runchang catharsis. Five stools a day after a meeting. Shou-Fang after conditioning.
3.2 male patients, 92-year-old. Zengyin subtotal gastrectomy gastric cancer, after a few days or weekly bowel movements a second. Have used Xiehuo catharsis of the goods, after serving more than diarrhea. When there is abdominal distension, fatigue, pale, when coughing, phlegm, thin yellow slightly greasy moss, pulse fine. Syndrome is a blood shortage, governance Supplementing Qi and blood, relax bowel. Recipe: raw Astragalus 15g, Poria 15g, Taizishen 15g, Trichosanthes whole 20g, finger citron 15g, Citron 15g, costas 10g, Yu Xiang 10g, Chinese angelica 15g, Health Hawthorn 15g, white peony root 15g.
In patients with inadequate blood, spleen deficiency does not transport, and subsequently into the constipation, abdominal distension. Drink of water can not be shipped, poly made sputum. Spleen qi and blood biochemical passive, then pale and weak. Health Astragalus, Poria, Taizishen spleen Qi, Chinese angelica, TGP nourishing Runzao, bergamot, Citron, costas, turmeric qi to help the transport of the spleen, the Health and hawthorn Jianweixiaoshi whole Trichosanthes phlegm heat, but also Runchang catharsis. 5 after every 1 ~ 2d normal stool 1. After the defensive side of the CD in order to spleen Qi, nourishing Runzao-based conditioning.
4 Discussion
The elderly weakened organs, intestinal transmission weakness, so as constipation. With virtual secret, cold-secret, secret gas main. In therapy, must not compromise with the Xiehuo catharsis of medicine, but should be mainly Runchang catharsis, while adding the product spleen qi. Although the diet and diseases, such as excessive drinking or eating spicy Atsumi, it may appear hot secret, but the actual situation, mostly mixed. And should therefore be used with caution Xiehuo purge and gas-breaking of the drug. Such as laxative use or excessive drug a long time, then interfere with the normal conditioned reflex, the formation of drug dependence, but also makes blood more fluid damage, caused by intestinal fluid dry, but heavier constipation. Laxative drug application to the disease lasts, constipation, after mitigation, that is to purge drugs and, according to the cause, respectively, to continue application of spleen, replenish qi, warming yang, nourishing the blood, Runzao other law to rule at their to prevent recurrence of constipation.
The elderly weakened organs, intestinal transmission weakness, so as constipation. With virtual secret, cold-secret, secret gas main. In therapy, must not compromise with the Xiehuo catharsis of medicine, but should be mainly Runchang catharsis, while adding the product spleen qi. Constipation line "lunar falls, then the abdominal distension full, after the negative" ( "Nei Jing"), constipation, the "yin knot", "Yang knot", "the spleen is about," said ( "Treatise on Febrile Diseases"). Should be "slip of the drugs," while not "jump to medicine by Chun-li's" (Zhu Dan-xi). Future generations will be summed up as hot secret constipation, gas and Peru, virtual secret, cold secret four categories.
An etiology and pathogenesis
1.1 The lack of blood physically weak due to old age, stomach insufficiency, blood biochemistry passive, then the large intestine conduction qi weakness, blood deficiency is depletion of body fluid, moisten the large intestine to lose moisture, hence the phenomenon of constipation.
1.2 Yang-deficiency Hanning high in frail health, yang, then the chill of endogenous, stagnate stomach, caused by yang is not transportation, body fluid not, intestinal conduction inability to form a constipation.
Less than 1.3 Yinye frail elderly or chronic illness or taking too much diarrhea drugs, resulting in large fluid injury, intestinal dry, dry guitar stool and difficult.
1.4 air-Yu Zhi elderly persons, many worry less good filtered or sedentary animals caused by air-Yu Zhi, bowel gas unreasonable, dross within the stop Erzhi constipation.
1.5 Gastrointestinal integrated thermal ferrite yang, or drinking to excess, or too spicy food Atsumi, cause gastrointestinal product heat, or fever, the heat not entirely, Hao Shang body fluid, so lost to moisten Run Erzhi intestinal constipation.
2 Treatment
2.1 Non-drug treatment should develop regular bowel habits, diet and physical exercise conditioning, especially in functional constipation and even more so. Food should be rich in fiber and more water.
2.2 Drug treatment of constipation clinically divided into gas-secret, virtual secret, cold and hot secret secret. Virtual Peru is divided into two kinds of qi and blood deficiency.
2.2.1 Qi is characterized by constipation, although it is intended, but the clinical and Nu earned fatigue, dry stools are not hard, Shenpi air of confidence, tender tongue fur is thin, veins empty. Medicinal Astragalus, Poria, hawthorn, costas, bergamot, Citron, hemp seed, white honey.
2.2.2 Blood Deficiency is characterized by constipation, constipation, pale, pale tongue, thin pulse. Medicinal angelica, hemp seed, Polygonatum, habitat, Shude, Yuan ginseng, bergamot, Citron, Citrus aurantium, the Health and astragalus, white honey.
2.2.3 Peru is characterized by cold hard stool Shibuya, belly or Leng Tong, hi hot bad cold, pale tongue fur white, pulse Shen Chi. Medicinal Angelica, Epimedium, Cistanche, costas, Citrus aurantium, hemp seed, raw Astragalus so.
2.2.4 Gas secret is characterized by constipation, frequent gas to belch, bloating pain, fullness Xiong Xie, thin greasy moss, pulse string. Medicinal woody, betel nuts, bergamot, turmeric, citrus aurantium, hemp seed, Bupleurum, internal payment.
2.2.5 Peru is characterized by hot dry stool, thirst-hi cold, dry yellow moss, pulse a few. Medicinal rhubarb, Sunburn citrus aurantium, white peony root, raw land, Yuan Participation, the Health Qi so.
Three typical cases
3.1 women suffering from the age of 65. The long-term constipation, low back pain associated with lumbar cold, when the abdominal distention, poor appetite. Pale thin white tongue fur, pulse Shen. Card is a spleen deficiency, and in administering to Warming spleen. Recipe: Epimedium 10g, Cistanche 20g, Health Astragalus 15g, finger citron 10g, Citron 10g, Health Hawthorn 15g, Chinese angelica 15g, Achyranthes 10g, Shouwu 15g.
Frail patients with spleen deficiency, cold from the endogenous, intestinal transmission weakness, it is constipation. Kidney-yang, then the back pain and lumbar cold. Spleen transportation of weakness, while abdominal distention, poor appetite. Epimedium, Achyranthes Wenshen to help Yang, Cistanche Warming kidney-yang, relax bowel, bergamot, Citron qi, Shouwu, Angelica blood-line gas, Runchang catharsis. Five stools a day after a meeting. Shou-Fang after conditioning.
3.2 male patients, 92-year-old. Zengyin subtotal gastrectomy gastric cancer, after a few days or weekly bowel movements a second. Have used Xiehuo catharsis of the goods, after serving more than diarrhea. When there is abdominal distension, fatigue, pale, when coughing, phlegm, thin yellow slightly greasy moss, pulse fine. Syndrome is a blood shortage, governance Supplementing Qi and blood, relax bowel. Recipe: raw Astragalus 15g, Poria 15g, Taizishen 15g, Trichosanthes whole 20g, finger citron 15g, Citron 15g, costas 10g, Yu Xiang 10g, Chinese angelica 15g, Health Hawthorn 15g, white peony root 15g.
In patients with inadequate blood, spleen deficiency does not transport, and subsequently into the constipation, abdominal distension. Drink of water can not be shipped, poly made sputum. Spleen qi and blood biochemical passive, then pale and weak. Health Astragalus, Poria, Taizishen spleen Qi, Chinese angelica, TGP nourishing Runzao, bergamot, Citron, costas, turmeric qi to help the transport of the spleen, the Health and hawthorn Jianweixiaoshi whole Trichosanthes phlegm heat, but also Runchang catharsis. 5 after every 1 ~ 2d normal stool 1. After the defensive side of the CD in order to spleen Qi, nourishing Runzao-based conditioning.
4 Discussion
The elderly weakened organs, intestinal transmission weakness, so as constipation. With virtual secret, cold-secret, secret gas main. In therapy, must not compromise with the Xiehuo catharsis of medicine, but should be mainly Runchang catharsis, while adding the product spleen qi. Although the diet and diseases, such as excessive drinking or eating spicy Atsumi, it may appear hot secret, but the actual situation, mostly mixed. And should therefore be used with caution Xiehuo purge and gas-breaking of the drug. Such as laxative use or excessive drug a long time, then interfere with the normal conditioned reflex, the formation of drug dependence, but also makes blood more fluid damage, caused by intestinal fluid dry, but heavier constipation. Laxative drug application to the disease lasts, constipation, after mitigation, that is to purge drugs and, according to the cause, respectively, to continue application of spleen, replenish qi, warming yang, nourishing the blood, Runzao other law to rule at their to prevent recurrence of constipation.
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