The causes of stubborn constipation are complex. Traditional Chinese medicine has been divided into "yang knot" and "yin knot" in ancient times. Yang knot is characterized by heat syndrome and excess syndrome, while yin knot is cold syndrome and deficiency syndrome, which can be caused by a variety of diseases. , which is caused by the failure of the cardinals to turn and the abnormal transmission of the disease. There is deficiency of Qi in the middle, weak movement or obstruction due to cold evil; there is body fluid loss and blood consumption, dryness of the intestines, loss of moisture and secretion; there is disharmony and depression of the stomach, blockage of Fu-Qi and secretion; there is damp-heat blockage or qi stagnation due to food accumulation. Secret; moreover, if there is liver stagnation or wood qi, liver failure can lead to secretion, etc. Master Zhu treats constipation, first of all, by classifying cold, heat, deficiency, excess, and stagnation. He selects Lianxian's ancient prescriptions, or creates his own pills and powders. Each time Lianxuan's effects are achieved, here is a selection and analysis for the benefit of fellow practitioners.
Deficiency cannot overcome the attack and management of the disease
Sai Yin Pong uses macros with multiple effects
For stubborn constipation, if you use more laxative and attack agents, it is more common to use them for the first time. It is effective, but it is ineffective with continued use. Prolonged use will make constipation worse. Patients who rely on laxatives or vaginal laxatives for a long time will suffer from prolonged illness, severe Qi damage, and even weaker health. My teacher, Professor Zhu Liangchun, often uses the method of using Saiyin, that is, using tonic methods to treat stubborn constipation, or choosing Zhongjing Lizhong Pills (soup) with a flavor, or choosing the local prescription Sijunzi Decoction with a flavor to treat weak spleen and stomach, inability to attack, and qi movement. Symptoms of reverse disorder, loss of power in transportation and transformation, failure of the spleen to rise clear, and stomach failure to reduce turbidity, will always yield good results.
The author has been using multi-functional medicine for many years, and once treated a 40-year-old woman named Huang who had been suffering from constipation for 8 years. She usually relied on fruit guide, diacetophantine or bezoar detoxification tablets for maintenance. No bowel movement for six days, abdominal distension, spleen and stomach severely damaged due to long-term use of purgative medicine, poor appetite, sallow complexion, fatigue, pale tongue with thin white coating, and deep and thready pulse. The syndrome is due to deficiency and coldness of the spleen and stomach, abnormal rise and fall, weak transport and transmission, and long-term use of laxatives, severe damage to the Qi, and lack of fluid in the intestines. Treatment should be to warm the body and awaken the spleen, benefit the stomach and promote fluid production. Just use Zhongjing's "Lizhong Wan" to add flavor to the soup. Prescription: 15 grams of Codonopsis pilosula, 50 grams of Atractylodes macrocephala, 10 grams each of dried ginger, fried Fructus Aurantii, and Pueraria lobata, 6 grams of Zhigancao, take 5 doses, the fullness improves, the stool is once every 3 days, the appetite increases, continue to take 5 doses , the abdominal distension disappeared, and the stool was once every two days. The amount of whitening surgery was 30 grams, and the prescription was kept for 10 doses. The patient had stool once a day, and all symptoms were eliminated. He was instructed to take Xiangsha Liujun Pills to treat the aftermath, and there was no recurrence after two years of follow-up.
"Lushantang Leibian" states that this prescription (referring to Lizhong Wan) can increase the production of body fluids, which was realized by applying the prescription to those who are thirsty and want to drink water. Clinical experience shows that this prescription not only treats deficiency and coldness of the middle Jiao, inability of Qi to transform into body fluids, and abnormal transportation and transmission, but also can be used to treat patients with signs of depression of Qi, abdominal distension, and constipation without food (such as severe cases of liver cirrhosis and ascites mistakenly treated). Qi, save the body fluid, make abdominal distension and constipation disappear, but we must pay attention to the tongue and pulse without signs of Yangming dryness. Lizhong Wan (soup) is Zhong Jingping's prescription for regulating the spleen and stomach. It covers the imbalance of yin and yang and the degeneration of middle qi. Ginseng should be used to benefit the stomach. The pungent warmth of dried ginger can encourage the healthy movement of ginseng and the tortuous movement of licorice. Zhongtu restores functions, invigorates the stomach and refreshes the spleen, and invigorates the middle Qi. The addition of Zhishi in the prescription means "Zhizhu Pills". Atractylodes is used to nourish the spleen fluid and strengthen the spleen. Wu Zhishi can not only tonify the stagnation of movement in the middle, but also has the wonderful effect of lowering the middle and ascending, so that it can strengthen the spleen and help transportation. Big increase. Adding Pueraria lobata to raise yang and promote fluid production coincides with the raising and lowering of Citrus aurantium, which helps the clearness to rise and the turbidity to fall. This prescription is simple and effective, and the dosage is flexible. This is one of the ways to make up for the problem and to use it to block the problem.
Body fat is the cause of constipation and phlegm.
Saponaria and morning glory are very effective.
Constipation in obese people is mostly due to phlegm syndrome. It can be moisturized and used to clear diarrhea. Not true. This syndrome is often characterized by uncomfortable constipation, difficulty in defecation, and even occasional heaviness, abdominal distension, upset, and restlessness. It belongs to the theory of "phlegm secret" and "wind secret" in traditional Chinese medicine. It is mostly caused by improper diet and food cravings. The body is greasy or static and lacks movement, and the body accumulates dampness and produces phlegm, which blocks the Qi mechanism. Or the dampness and phlegm transform into heat, and the dampness and heat are cemented, blocking the fu-organ qi. There are also cases of spleen and stomach qi deficiency, abnormal transportation and transformation, and internal phlegm blocking the fu-organ qi. Covering phlegm is a yin evil. Attacking and nourishing it will improve the disease. Therefore, if the syndrome is not treated properly, constipation will be prolonged for a long time. To treat this syndrome, Master Zhu took the meaning of "Gelatin Pills" from "The Golden Chamber" and Wei Yilin's "Glyptus Pills" to formulate his own "Glyptus and Morning Bull Pills". Take equal portions of roasted honey locust seeds, fried citrus aurantium husk, Amomum villosum, Patriotia grandiflora, morning glory seeds and radish seeds and make powder into powder. Condensate the honey into pills. Each pill weighs about 3 grams. Swallow one pill with jujube soup or rice drink before breakfast and dinner. Every time it is used to treat wind secretion, phlegm secretion, and qi secretion in obese people, the effect is very fast, and there are no side effects after long-term use. The dosage can be reduced or the dosage can be increased or decreased according to the stool. It is also effective in treating constipation in the elderly and plump people.
Honeysuckle seeds moisturize and relieve constipation, dispel wind and reduce swelling, expel filth and cleanse dirt, and cure dry and constipated stools. Li Shizhen said that it "can cure wind-heat and constipation of the large intestine, scrofula, swelling and poison, sores and tinea", and also said that "it can clear the large intestine, Yangming dry gold, which means pungent to moisten it", Li Dongyuan said that it can "harmony the blood and moisten the intestines" . Both honey locust and honey locust seeds contain saponins. Although they both have dry and harsh properties, the amount taken into pills is very small. After taking them, they can regulate the body and strengthen the spleen. Petunia can also regulate the body and strengthen the spleen if used sparingly. The author has used the combination of these two drugs to treat childhood malnutrition over the years, and the efficacy is ideal. Honey locust and morning glory can remove dirt, cleanse blemishes, promote secretion, and dissolve turbid phlegm. Take it with jujube soup or rice drink, which means "ten jujube soup", which contains the moisturizing and soothing method in the strong medicine. Amomum villosum is used in the prescription to calm the spleen and stomach, which is taken from Zhongjing's "Dabanxia Decoction". It covers the moist soil of Taiyin to get Yang's luck, the dry soil of Yangming is used to get Yin Fang'an, and Amomum villosum is used to get white honey. To summarize, it can It can moisten the dryness of Yangming and reduce the inversion of Taiyin. Adding woody incense to the prescription can relieve the stagnant Qi in the triple burner, and help Amomum villosum to unblock the vitality of the spleen and kidneys and relieve phlegm stagnation. And it means "those who are good at curing phlegm will not cure phlegm but cure qi". This powerful medicine is administered lightly and slowly mediates, so it can treat phlegm secretion, wind secretion or senile constipation without any side effects. The author has been satisfied with the efficacy of its use over the years.
People with wood qi often have constipation
It has many effects on calming the liver and stomach
Children with wood qi are more common, and children with immature yin and immature yang often have excess liver. ", the spleen is often deficient." Clinically, it is often seen that the liver is strong and the spleen and stomach are weak, the liver wood qi is strong, the wood is strong, the earth is suppressed, the rise and fall are reversed, the transportation is abnormal, the dregs cannot descend smoothly and are stagnated in the intestines, coupled with improper diet and poor feeding , the spleen and stomach are even more injured, and soil deficiency and horsetail disease gradually lead to stagnation and long-term constipation. Dai Yuanli said: "For depressed people, those who should ascend will not rise, those who should descend will not descend, and those who should be transmitted cannot be transmitted. This is an abnormal transmission, and the disease of the six depressions is seen." If the wood qi is strong, the liver energy is normal. To relieve diarrhea, the spleen rises and the stomach falls, then the dregs will fall smoothly without stagnation, and the stool will be smooth. Therefore, Master Zhu often uses the method of calming the liver and harmonizing the stomach to treat constipation in children with satisfactory results. The author imitated Master Zhu's method and formulated his own "Pinggan Hewei Powder". Prescription: 10 grams of raw rhubarb, 30 grams of raw licorice, 60 grams of poria, 30 grams of tangerine peel, 10 grams of prepared pinellia, 100 grams of Ophiopogon japonicus, ground powder for one month for an 8-year-old child, 3 to 5 servings each time Gram, twice a day, the dosage increases or decreases with age and dryness and loose stools, mixed with honey and water.
This recipe is taken from Zhongjing’s “Rhubarb Licorice Soup” and “Ophiomendong Soup”, and the local recipe “Erchen Soup” is the combination of the recipe. In the prescription, a small amount of rhubarb and pinellia are used to harmonize the stomach and reduce the inverse condition. A small amount of rhubarb and licorice are used to transform the sweetness and bitterness into yin, regulate the stomach and strengthen the stomach, mediate slowly, and slightly induce diuresis. Erchen is a prescription for calming the spleen and stomach, removing phlegm and calming the middle. Li Tucai said: "The pungent nature of Pinellia ternata helps the two bowels and removes dampness. The pungent tangerine peel stimulates the triple burner and regulates qi." The emphasis on Ophiopogon japonicus is because Ophiopogon japonicus is not only fertile but fertile. Dryness increases fluid, and can flourish and decay, so as to nourish the lungs and the source of biochemistry. The mild use of bitter cold in the prescription may benefit the dryness, avoid diarrhea as it may damage the liquid, and do not use heavy drops as it may deplete the qi. Over the years, I have used this recipe to treat various types of constipation in children (including habitual constipation, megacolon, intestinal obstruction, etc.), especially infantile malnutrition constipation, with proven results. Malnutrition in children is mostly caused by spleen deficiency and food stagnation, liver-fire qi stagnation, which accumulates for a long time. In ancient times, it was divided into five kinds of malnutrition, but all of them mainly need to nourish the spleen, eliminate accumulation, calm the liver, and relieve stagnation. Clinical practice has proved that children with malnutrition often have constipation. The ancient sages said that "a strong person does not have accumulation, and deficiency is there." It can be seen that the treatment of infantile malnutrition and constipation should also be based on the principle of "constipation is the sign of deficiency, and deficiency is the root of secretion." The purpose is not to attack Qingxie too much to damage the vitality of life.
The author has selected and analyzed Master Zhu’s experience in treating stubborn constipation based on deficiency, cold, phlegm, and depression. What I have learned quite a lot is that in treating stubborn constipation, we must pay attention to the overall concept and pay attention to "soothing the lungs and reaching the liver." "This method covers the lung qi and releases it, so that the liver qi can be in order, and the gastrointestinal movement will be normal." If the lungs fail to circulate and descend, and the central axis does not rotate, the Qi mechanism will rise and fall abnormally, and there will be no Qi movement, causing waste to remain in the intestines, causing constipation. All diseases are caused by qi, and most of them are caused by qi stagnation. Most of the diseases caused by qi stagnation are caused by liver stagnation. When liver stagnation is not reached, lung qi is not smooth. To open up lung qi, you must nourish the lungs. , if you want to reach the liver qi, you must first relax the lungs. Only by nourishing the lungs can the liver be controlled, and by relaxing the lungs can the liver be reached. Therefore, in the first case, the tonic method of Saiyin and Suppressant is used, and in the last case, ginseng is used to nourish the lung qi. In the last case, Ophiopogon japonicus is used to nourish the lungs. Yin controls the liver. The medicine is expensive and light, and light can remove the excess. To treat the disease, you need to find its mechanism, especially to relax the lungs and liver qi. The medicine should be light and light.
The so-called lungs govern the ascending and descending in and out of qi, the lungs and kidneys absorb and call each other, the spleen and lungs rise and fall, and the liver and lungs ascend to the left and descend to the right. The lungs govern the circulation of blood. Lung qi transforms into blood, and qi is blood. Shuai, the lung is responsible for compressing blood, which is the second part; the lung is responsible for Xuanjiang, and its treatment is to regulate water channels, which is the third part. The lungs are the upper source of water. They govern qi and distribute body fluids. If the lung qi is not released properly, body fluids are lost in compresses, and the intestines are insufficient for moistening, even dryness will cause constipation. Therefore, there are methods of treating upper diseases and internal organs diseases. explain. Ye Tianshi is proficient in the methods of opening lung qi and clearing the large intestine. He often uses aster, almond, trichosanthes, loquat leaves and other medicines. "Three Kinds of Medical Prescriptions of the Song Dynasty" records that Cai Yuanchang suffered from large intestinal secretion and could not be relieved by medical treatment. He ground aster into powder (i.e., simply aster powder) and took it, and the cure was relieved in a moment. Yuan Chang was surprised and asked him what he said, saying that the large intestine is also transported by the lungs. This principle of nourishing the lungs and regulating the liver, soothing the lungs and reaching the liver fully embodies the overall concept of TCM treatment.