Constipation not only increases pain and aggravates the patient's condition, but its biggest harm is forced defecation, which increases abdominal pressure and blood pressure and easily leads to rebleeding.
Therefore, stroke patients should prevent constipation and keep their stools unobstructed. For stroke patients, it is best to keep 1 stool every day. If there is no stool for 2 consecutive days, we should use intestine-moistening drugs to relieve constipation.
(1) Intestinal moistening drugs: ① Glycerol or liquid paraffin, or sesame oil, peanut oil and soybean oil, each time 10 ~ 30ml, orally (or by nasal feeding). ② Honey, 20 ~ 30ml each time, dissolved in 1 cup of warm water, and taken orally (or by nasal feeding) on an empty stomach in the morning.
(2) Enema method: People who still don't defecate after using intestine-moistening drugs can defecate by enema. Enema is a method of injecting a certain amount of solution from anus into human rectum to stimulate intestinal peristalsis, promote defecation, or soften dry stool and discharge feces. Commonly used enema fluids include glycerin, soapy water, physiological saline, kaisai dew, etc. Among them, the most commonly used enema defecation method is to cut the top of pear-shaped plastic bag, and the incision should be smooth so as not to damage the skin and mucosa. First squeeze out a little medicine to lubricate the tip of the incision, then insert it into the anus. Squeeze all the liquid medicine into the rectum for a while, and let the liquid medicine stay in the rectum for 5~ 10 minutes before defecation. If the hard fecal mass cannot be softened by enema, it is necessary to gently dig it out by hand.
(3) Chinese patent medicine: Chinese patent medicine is generally composed of a variety of traditional Chinese medicines, and should be selected according to its composition, curative effect and specific conditions of patients. ① Constipation due to qi deficiency (general weakness, weak tongue and weak pulse, constipation), take Buzhong Yiqi Pill and Wuren Pill, each in the morning and evening 1 pill. ② Constipation due to deficiency of both qi and blood (general weakness, pale complexion, pale tongue and thready pulse, constipation), take 1 pill in the morning and evening. ③ Constipation due to yin deficiency (dry mouth and throat, thin fur and thin pulse, constipation), taking Liuwei Dihuang Pill and Wuren Pill, taking 1 pill in the morning and evening. ④ Constipation due to deficiency of both qi and yin (general weakness, dry mouth and throat, constipation), Shengmaiyin plus Wuren Pill, 1 Shengmaiyin plus 1 Wuren Pill once in the morning and once in the evening. ⑤ Constipation due to yin deficiency and excessive fire (dizziness, dry mouth and throat, sores on the mouth and tongue, and constipation due to thready pulse), take Baizhi Dihuang Pill and Maziren Pill, each in the morning and evening 1 capsule. ⑥ Constipation due to yang deficiency (abdominal pain, cold limbs, pale tongue and weak pulse, constipation), take Jinkui Shenqi Pill and Wuren Pill 1 pill in the morning and evening. ⑦ Constipation due to qi stagnation and blood stasis (chest tightness, abdominal distension, dark tongue with petechiae, unsmooth pulse and constipation), take Xuefu Zhuyu Pill together with Maren Pill, each in the morning and evening 1 pill. ⑧ Damp-heat constipation (abdominal distension, yellow and greasy tongue coating and slippery pulse constipation), take Fangfeng Tongsheng Pill, 6-9g each time, morning and evening 1 time, etc.
(4) Simple defecation method: ① Pickled strips are inserted into anus. Insert 1 pickled radish strip with root length of 3 ~ 5cm into human anus. ② Soap bar is inserted into anus. Cut 1 soap bar, 3~5 cm long, insert it into anus, keep it for a while, and then relax the bowels. When cutting, make the patient open his mouth and breathe, and the technique should be gentle. It can be used by people who don't defecate for a few days or have fecal impaction.