Clinically, there is a class of patients with constipation symptoms like this: I always want to defecate, and I feel that the stool has reached the anus, but I can't discharge it, which is particularly uncomfortable to pull up; Often accompanied by poor appetite, loss of appetite, bloating or pain, fullness in the chest and hypochondrium, frequent hiccups, bowel sounds, farting and other symptoms. Some people will also show emotional changes such as emotional instability, irritability or unhappiness. Traditional Chinese medicine calls this constipation intestinal qi stagnation type constipation, which is caused by stagnation of liver and spleen qi and obstruction of Fu Qi.

This type of constipation has symptoms of defecation and bloating. Clinical application of Zhishi Daozhi Pill can relieve constipation by invigorating qi, and can also be used as medicine. Its typical symptoms are: frequent defecation, abdominal distension or pain, belching, loss of breath due to bowel sounds, and decreased diet.

Traditional Chinese medicine believes that whether the conduction function of the large intestine is normal depends on whether the qi moves up and down orderly. If the clear gas rises and the turbid gas falls, then the large intestine can conduct normally, so that the dregs fall and the stool is unobstructed. Otherwise, qi stagnation can not push feces out of the large intestine, which will lead to constipation. Therefore, the treatment of qi stagnation constipation should be based on the principle of promoting qi circulation and guiding stagnation, and patients should choose drugs with the function of promoting qi circulation and guiding stagnation.

Zhishi Daozhi Pill is a commonly used prescription for treating damp-heat in epigastrium due to food retention. Its prescription comes from Jin's Treatise on Febrile Diseases, and consists of eight drugs: Fructus Aurantii Immaturus, Radix et Rhizoma Rhei, Rhizoma Coptidis, Scutellariae Radix, Massa Medicata Fermentata, Atractylodis Rhizoma, Poria and Alismatis Rhizoma. In the prescription, rhubarb is reused, and the bitter cold purges, and the accumulated heat purges, so that the accumulated heat descends from the stool; Fructus Aurantii Immaturus can guide qi to stagnate, promote digestion and eliminate food stagnation, which can not only remove swelling and relieve pain, but also increase the purgative power of rhubarb. Liushenqu can help rhubarb attack accumulation and guide stagnation; Scutellaria baicalensis Georgi and Coptis chinensis are bitter and cold products, which can clear away heat and purge fire; Poria cocos and Atractylodes macrocephala strengthen the spleen and ooze dampness, while Alisma orientalis helps diuresis, ooze dampness and stop diarrhea, and attack accumulation without hurting the body, so that damp heat can be discharged from urine. When used together, these eight herbs can promote digestion, eliminate damp-heat, promote digestion, clear damp-heat, promote qi circulation, and restore the normal conduction function of large intestine. All the symptoms of qi stagnation constipation such as constipation, abdominal distension, insufficient diet and short and red urine are cured.

However, I would also like to remind you that this medicine is very effective in treating constipation caused by damp-heat accumulation, so it is not suitable for constipation patients caused by cold deficiency and cold. In the future, I will introduce other types of constipation to you, pregnant women, the elderly, patients with spleen and stomach deficiency and cold.

Clinically, in addition to Zhishi Daozhi Pill, there are Muxiang Binglang Pill, Muxiang Shunqi Pill and Binglang Xiao Si Pill. However, their respective emphases are different, and doctors need to choose and use them according to the actual symptoms of patients. For example, Zhishi Daozhi Pill is suitable for patients with mild symptoms of qi stagnation and constipation. If the patient is full of abdominal distension, particularly severe pain, constipation is very serious, and the tongue coating is yellow and greasy, then you should choose Muxiang Areca Pill, which is more effective. If the patient has abdominal distension and abdominal pain, pressing it with his hand is particularly painful, and he has poor appetite, eating less, nausea and vomiting, belching and swallowing acid, but his tongue coating is white and greasy, indicating that the patient has phlegm in his body. At this time, we should not only promote digestion and stagnation, but also promote qi and stop diarrhea. Betel nut Xiao Si pill has a good curative effect. If the patient's chest and diaphragm are stuffy, abdominal distension is full, and there are no symptoms of pain, but there are symptoms of spleen and stomach disharmony such as vomiting, nausea, inability to eat, belching and acid swallowing, and then look at the quality of the tongue, red and greasy fur, indicating that dampness and turbidity have blocked the qi movement and led to constipation. At this time, you need to take drugs that can promote qi circulation, eliminate dampness and strengthen the spleen, such as Muxiang Shunqi Pill.