Problem description:
I usually defecate once every two or three days, which is sticky and uncomfortable. If I eat more or more, I will defecate. Many methods of relaxing bowels don't work. I seldom have diarrhea, even if I eat a lot of cold food, I won't feel upset in my stomach. The tongue coating is slightly white and greasy. I think it may be spleen deficiency. I don't know what folk prescription or Chinese patent medicine there is, because it is inconvenient for me to eat Chinese medicine at school as a student. Thank you!
Analysis:
Ni Hao;
Drinking cassia seed tea takes effect quickly.
Prescription for treating constipation
1. Constipation Baizhu Powder: Take a proper amount of raw Atractylodes macrocephala, and crush it into very fine powder. Take Atractylodis Rhizoma powder 10g each time, three times a day. This method has a good effect on constipation caused by fatigue. Generally, the stool will return to normal after taking medicine for 3 ~ 5 days, and the medicine can be stopped after the stool is normal. Take medicine for 2 ~ 3 days a week, and the stool can remain normal for a long time.
2. Shaogan Decoction for constipation: Take 30g of raw Radix Paeoniae Alba, 20g of raw Radix Glycyrrhizae, and 2 bowls of Fructus Aurantii Immaturus 15g of water and decoct them into half bowls, one dose per day, and take them twice. 9 5 cases of constipation caused by various reasons were treated with this recipe, and the effect was satisfactory. This method is especially suitable for elderly and frail adult constipation patients, but pregnant women should use it with caution. Komatsu blog-excellent article collection liuhuisong.blogchina
3. Forsythia suspensa for constipation: Take Forsythia suspensa 15 ~ 30g, and boil it into tea, once a day 1 dose. Children can take it with white sugar or rock sugar (no sugar is better). Take/kloc-0 continuously for ~ 2 weeks, and then stop taking the medicine. This prescription is especially suitable for constipation after operation, constipation of women (pregnancy, menstrual period and postpartum), constipation after trauma (craniocerebral injury, lumbar fracture and paraplegia), constipation caused by hypertension, habitual constipation, constipation caused by senile impotence, constipation caused by cerebrovascular disease and cancer constipation.
4. Treatment of constipation with Semen Plantaginis: Take 30g of Semen Plantaginis every day and add water to decoct it into 150ml, three times a day, before meals, 1 week is 1 course of treatment. General treatment 1 ~ 4 courses of treatment can cure. Stop taking other drugs while taking the medicine. This prescription can not only treat constipation, but also lower blood pressure, especially for patients with hypertension and constipation. In addition, plantain seed has obvious short-term and long-term effects on diabetic constipation.
5. Kelp for constipation: 60g kelp is soaked in warm water for a few minutes. After cooking with water, take out the kelp and wait for the right temperature. Add a little Jiang Mo and chopped green onion, add salt, vinegar and soy sauce, and eat/kloc-0 times a day.
6. Treatment of constipation with raw licorice: take 2g of raw licorice and brew it with 15 ~ 20ml boiling water. Every day 1 dose. This method is specially used to treat constipation in children, and the effect is satisfactory. General medication for 7 ~ 15 days can prevent recurrence.
7. Treatment of constipation by boat-fruited Sterculia: Take 5 pieces of boat-fruited Sterculia, put them in a teacup or bowl, and brew them with boiling water of about 150ml 15min. When they grow up, eat a few times, and the swollen boat-fruited Sterculia will eat slowly. If you don't eat the nuts of boat-fruited Sterculia, you usually need 1 day to defecate smoothly.
8. Dandelion for constipation: Take 60 ~ 90g of dried dandelion or fresh dandelion, add water and fry it to 100 ~ 200ml, and cook fresh dandelion for 20min and dried dandelion for 30min, and take it once a day 1 dose. Young people who have difficulty taking medicine can take it in batches and add appropriate amount of sugar or honey to taste.
9. Mulberry for constipation: Take 50 grams of Mulberry, add 500 ml of water, fry it into 250 ml, and add a proper amount of rock sugar, which is 1 day, take it once a day, and take it for 1 course of treatment for five days.
10. Cassia seed for constipation: Take 20g of Cassia seed, put it in a teacup and brew it with boiling water, just like brewing tea. After 20 minutes, the water turns pale yellow, fragrant and ready to drink. After drinking the potion, add 1 times of boiling water to drink.
Professor Wang Qi's Thoughts and Experience in Treating Constipation
Constipation refers to constipation, prolonged defecation, or difficulty in defecation. Constipation can appear as the main symptom, and can also be combined with other diseases, which is a common clinical disease. The author studied with Professor Wang Qi for many years, and often got guidance in clinical practice. For constipation, we should treat it by combining syndrome differentiation with body differentiation, and we should not attack or increase fluid at once, regardless of gender, age and age. The characteristics of teacher Zhang's treatment of constipation are introduced as follows for reference.
1 Syndrome Differentiation and Treatment
Differentiation of body is one of the characteristics of TCM in diagnosis and treatment of diseases. Different constitutions have different effects on the formation, development and treatment of diseases. The formation of constipation of different natures is closely related to its physical characteristics, and different physical characteristics also have an important influence on the treatment and dialectical medication of constipation. For the treatment of constipation, we must first distinguish the human body. If the human body is full of yang, plus drinking paddles indiscriminately, it is easy to form gastrointestinal heat accumulation and dry heat accumulation, so it is appropriate to clear away heat and relieve constipation, and Maziren Pill is often used to add and subtract; If the human body is yang-deficient, it will easily be endogenous due to yin cold, and the yin will coagulate, and the Yang Qi will be blocked, and the intestinal conduction will be unfavorable. Therefore, the treatment should be warming yang, dispelling cold and relaxing bowels, and the prescription is modified by Jichuan Decoction. In the prescription, Cistanche deserticola tonifies the kidney and moistens the intestines, Epimedium tonifies the kidney and helps the yang, and Angelica sinensis nourishes the blood and moistens the dryness. If its vegetarian body is full of phlegm and dampness, it likes eating fat, sweet, thick and greasy, phlegm and dampness are endogenous, which blocks qi movement, stomach qi is irregular, and spleen yang is weak, which leads to large intestine conduction disorder, so it should strengthen the spleen and eliminate phlegm, moisten the intestines and relax the bowels. Its source is spleen and kidney, and it is marked by phlegm-dampness block. Ditan decoction is a commonly used medicine in clinic. Pinellia ternata, Arisaema cum bile, Pericarpium Citri Tangerinae, Codonopsis pilosula, Poria cocos and Glycyrrhiza uralensis Fisch, Fructus Aurantii Immaturus, Caulis Bambusae in harmony with stomach, Rhizoma Acori Graminei in resolving phlegm and invigorating spleen. Clinical syndrome differentiation should also be added and subtracted. If phlegm-dampness constitution is accompanied by blood stasis, Pollen Typhae, Radix Salviae Miltiorrhizae, Radix Angelicae Sinensis, etc. Can be added; For those with severe qi stagnation, Magnolia officinalis can be added; For those with severe phlegm-dampness, white mustard seed and fried radish seeds can be added; For those with severe spleen deficiency, palletization can be added. If the body is deficient in qi and blood, vaginal fluid is insufficient, constipation is mostly due to insufficient nutrition of viscera and body fluid, which can not moisten the intestines, leading to constipation due to intestinal dryness. For this, nourishing blood and qi, nourishing yin and relaxing bowels are more effective. Siwu decoction combined with Zengye Chengqi decoction is commonly used in clinic. If qi deficiency is serious, add qi-invigorating drugs such as Radix Astragali and Radix Codonopsis. If the blood deficiency is serious, the dosage of angelica and astragalus will be aggravated. Colla Corii Asini and Radix Rehmanniae can also be added. In addition, due to the multi-purpose of nourishing yin drugs, it is easy to hinder the spleen and stomach, so the products that promote qi and strengthen the stomach should be added. People of different sexes and ages have different physical conditions, and the causes and treatment methods of constipation are also different. For example, constipation in the elderly is mostly caused by deficiency of spleen and kidney yang, insufficient body fluid and weak transport and transformation, so its treatment principles are mostly nourishing kidney and spleen, benefiting qi and nourishing blood, moistening intestines and relaxing bowels. Teacher Wang likes to reuse Cistanche deserticola for tonifying kidney and strengthening yang, nourishing essence and blood, and relaxing bowels. The child is pure yang. Due to the change of diet structure, such as overeating high-calorie and high-fat foods, the formation of constipation in clinical children has obvious characteristics, that is, excessive accumulation of heat and dry spleen and stomach. To this end, Mr. Wang likes to use aloe pills to relieve summer heat, strengthen the spleen and clear dry knots. The weak constitution of women, combined with the physiological characteristics of maternal milk, should lead to insufficient qi, blood and body fluid. Therefore, the treatment of female constipation is mainly to replenish qi and generate blood, nourish yin and moisten dryness, and moisten intestines and relieve constipation. Clinically, it should also be added or subtracted according to the specific condition. In short, the treatment of constipation is an important link, which should be combined with syndrome differentiation and drug addition and subtraction on the basis of syndrome differentiation and treatment, as stated in Treatise on Febrile Diseases: "People are most afraid of exploitation. Set up a bracket, with one as ten; With ginseng, ten is not equal to one. The old man in Wei Rong is thirsty, and a few tiny qi and blood are easily consumed and difficult to recover. He is not as quick as a teenager's blood, and his Yuan is furious. However, once the pathogenic factors drop, the healthy qi will return. Therefore, the elderly should be careful with diarrhea, and teenagers should be careful. "
2 Shu Li San jiao
In Treatise on Febrile Diseases, there are many treatises on defecation difficulty, with 2 1 article, and the names of diseases such as "yin knot", "yang knot" and "spleen meridian" are put forward. In many cases, defecation whip and dry stool mean difficulty in defecation and non-defecation, so many articles in Sanchengqi Decoction Syndrome and Dachaihu Decoction Syndrome have provisions on difficulty in defecation and non-defecation. Difficulty in defecation is often thought to be due to excess heat of Yangming, burning body fluid, hurting body fluid and dryness, which leads to the loss of moisture in the intestine. As a result, people use Zhongjing's three-bearing gas soup more, and their reputation is "far-reaching". Therefore, sometimes the clinical symptoms of patients are not distinguished, and their physique is not observed. When they have difficulty defecating, they will swallow their words and so on. The reason why Zhongjing has a lot of discussions on defecation and has a variety of prescriptions is that defecation has different causes and people have different syndromes. Treatment should be based on syndrome differentiation. Teacher Wang often tells us that learning Treatise on Febrile Diseases is not only memorizing articles and prescriptions, but more importantly, understanding this dialectical thought and thinking method. Sometimes it seems unreasonable for teacher Ru to treat stool with Xiaochaihu decoction. Zhongjing has long discussed this. For example, "Yangming disease, whipping under the hypochondrium, vomiting without defecation, white tongue coating, can be solved by Xiaochaihu decoction, which can make the upper energizer pass, the body fluid descend, the stomach and qi harmonize, and the body surface sweat." The difficulty in defecation is due to Yangming disease, heat depression in chest and hypochondrium, obstruction of liver and gallbladder, and unfavorable triple energizer, so the hypochondriac ribs are full, the lung and large intestine are different in exterior and interior, the lung and qi in the upper energizer cannot pass, and the conduction in the lower energizer and large intestine is abnormal without body fluid, so defecation is unnecessary. The imbalance of the stomach in the middle energizer, falling and vomiting are treated by Xiaochaihu decoction by clearing away evil and dispersing evil. Xiaochaihu decoction clears exterior and interior, and relieves triple energizer. Dispelling the upper energizer leads to lung qi divergence, dispersing the middle energizer leads to stomach qi harmony and decline, and the upper energizer gets the upper energizer and the body fluid gets the lower energizer, which is difficult to resolve by itself. Another example is one of the three major symptoms that women often have after childbirth, such as hard stool and vomiting, which are also treated with Xiaochaihu decoction. This is due to the deficiency of blood and body fluid, the yang is on the upper side, the stomach is not harmonious, and the intestine is moistened due to the deficiency of body fluid. Xiaochaihu decoction is used to strengthen the body resistance, eliminate pathogenic factors and relieve cardinals. So that qi can be smoothly regulated, and the combination of yin and Yang Can can solve the symptoms by itself. Teacher Wang often emphasizes this idea of lifting the lid when she treats defecation difficulties in clinic. For example, Teacher Ru often adds almonds on the basis of syndrome differentiation, or instructs almond dew. Komatsu blog-excellent article collection liuhuisong.blogchina almonds can not only spread the lungs and clear the way, but also moisten the intestines. Therefore, it is very necessary to pay attention to the combination of syndrome differentiation and body syndrome in the treatment of difficult defecation, and it is also of clinical value. Treatment of constipation with Xiaochaihu should be based on the specific clinical syndromes and physical characteristics, and Xiaochaihu decoction should be used to eliminate constipation caused by dryness and depression, failure of Baihu decoction and depression under the chest and hypochondrium. Xiaochaihu decoction is widely used in clinic. Mr. Wang advocates that Xiaochaihu decoction should not be limited to shaoyang syndrome, let alone equal to shaoyang syndrome. The function of Xiaochaihu decoction should be understood from Zhongjing's original text, scope of application and compatibility of prescriptions. As for the addition and subtraction of Bupleurum, it is more flexible, involving internal medicine, surgery, gynecology, pediatrics, ent and other disciplines, and there are many reports on clinical data at home and abroad [1].
3. strengthen the spleen and help transport.
Although constipation belongs to the abnormal conduction function of large intestine, it is closely related to the function of spleen and stomach. Especially for some patients with habitual constipation, some people can not defecate for several days or even a week without obvious discomfort. Most of these people have weak spleen and stomach function and weak conduction, and their bodies seem to have adapted to this delay. However, this habitual constipation is extremely harmful to the human body. For example, long-term constipation can cause headache, dizziness, loss of appetite, upset and insomnia, and induce anal fissure, hemorrhoids, polyps and proctoptosis. Elderly patients can aggravate coronary heart disease, hypertension and even sudden death. Zhongjing's famous recipe Zhigancao Decoction is used to treat typhoid fever, pulse and palpitation. There are many explanations for the function of centaur, and most of them think that it is to repair blood vessels. However, Mr. Wang believes that this syndrome is mostly due to deficiency of qi and blood, which is easy to cause difficulty in defecation. The purpose of centaur is to moisten the bowels and relax the bowels to prevent it from aggravating the disease. This prescription is the beauty of Zhongjing's use of this medicine. For patients with weak spleen and stomach and weak transport function, Mr. Wang likes to use Fructus Aurantii Immaturus, Atractylodis Rhizoma and Lotus Leaf of spleen and stomach theory as basic prescriptions, and often increases the dosage of Atractylodis Rhizoma, which can be used to 20 ~ 30 g. Mr. Wang said that Atractylodis Rhizoma is slightly pungent, bitter but not firm, with stronger power than scattered, and has a good effect on strengthening spleen and stomach. Spleen can strengthen stomach and regulate stomach, and spleen can regulate stomach and reduce stomach, so the function of transport and transformation is normal. The volatile oil contained in the main components of Atractylodes macrocephala is also beneficial to defecation. Clinically, it often depends on the patient's physique and syndrome differentiation. Cistanche deserticola, angelica sinensis, hemp seed, etc. For elderly patients, Mr. Wang likes to use Cistanche deserticola, the dosage can be 30 ~ 40g；; For those with obvious dry heat, Mr. Zhu likes to treat them with pills and Zengye Chengqi decoction. For those who are obviously weak in spleen and stomach and lack of middle qi (such as gastroptosis), Mr. Zhu treats them with Pill and Buzhong Yiqi Decoction, that is, the yin is blocked.
4. Activating qi and dredging fu organs
If constipation is serious and the condition is serious, the patient will not only have abnormal pain, but also cause other diseases and even death, such as coronary heart disease. For this kind of emergency, emergency is the standard. Such as fecal impaction, that is, a large number of hard or sticky fecal blocks stuck in the ampulla of rectum, patients often have rectal distension and pain, accompanied by irritability and abnormal mental pain. For this kind of emergency, first-aid measures should be taken to stabilize the patient's mood and avoid impatience, and enema and other methods can be used. However, this laxative, such as phenolphthalein, liquid paraffin, glycerol and so on. , should not be used frequently, so as not to interfere with the normal activities and absorption function of the intestine. At the same time, this cathartic can also reduce the stress of nerve sensory cells in the intestinal wall, resulting in sufficient feces in the intestine in the future, which can not produce normal peristalsis and defecation reflex, and may be dependent on cathartic for a long time. For some patients with abdominal distension and constipation caused by intestinal peristalsis, on the basis of syndrome differentiation, Mr. Wang often adds betel nut and bitter orange to relieve qi and guide stagnation. Modern pharmacological studies have also confirmed that it has good functions of invigorating stomach, promoting the secretion of digestive juice and gastrointestinal peristalsis. It is helpful to reduce abnormal fermentation in the intestine and promote the discharge of inflammatory exudates. It has a good effect on dyspepsia, abdominal distension and poor stool. It is equivalent to a gastrointestinal motility drug of western medicine. Paralytic intestinal obstruction, Mr. Wang took a large cup of soup with Zhang Xichun radish seed soup and took it immediately; Dung beetles with severe symptoms. According to Compendium of Materia Medica, radish seed has the functions of "treating phlegm, promoting digestion, relieving flatulence, relaxing bowels and relieving qi pain". "southern Yunnan materia medica" said: "lower qi and relax the middle energizer, reduce flatulence, attack gastrointestinal stagnation, and treat abdominal pain caused by mass." Zhang Xichun pointed out: "Radish, whether eaten raw or fried, can relieve depression, relieve bloating and relieve swelling. It is the product of transforming qi, not the product of breaking qi." Dung beetles have the function of dredging gastrointestinal dryness.
5 Discussion on "Spleen Covenant" [1]
Mr. Wang put forward his own unique opinion on whether the 247th "Spleen Covenant" in Treatise on Febrile Diseases is "stomach is strong and spleen is weak". Because it is different from many academic viewpoints at present, and Maziren Pill is a commonly used prescription for clinical treatment of constipation, it is listed as follows to enlighten clinical thinking. For reference.
Physicians in past dynasties have different opinions on the understanding of spleen Covenant. Since Zicheng Wu put forward the theory of "stomach is strong and spleen is weak", various theories have been put forward continuously, and this theory is still adopted by most people. Teacher Wang thinks it should be understood from the following aspects.
(1) Physiological relationship between spleen and stomach: the spleen and stomach are exterior-interior, the stomach is absorption, the spleen is transport, the spleen and stomach are combined, * * * food and drink are completely digested and absorbed, Shui Gu's essence is transport, the stomach drops, the dregs are transport, the spleen rises, and the essence is transport. The stomach is yang fu-organs, which likes dampness and hates dryness, and the spleen is yin, which likes dryness and hates dampness. Only the combination of dryness and dampness can maintain normal physiological functions. Their likes and dislikes are different, and their diseases also have their own characteristics. Stomach disease is hot and dry, spleen disease is cold and wet. If the stomach is too dry, it will cause disease, and if the spleen is deficient and the dampness is excessive, it will cause bowel sounds and diarrhea. The so-called "turbid gas is on the top, then the moon is really swollen, and clear gas is on the bottom, then diarrhea." Komatsu blog-excellent article collection liuhuisong.blogchina
"Strengthening the stomach" and "Covenant of the spleen": the "strong" in "floating makes the stomach qi strong" does not mean that the stomach qi is strong, which is the same as the pathological reflection that the stomach qi resists the exterior qi. "Strengthening the stomach" is a pathological concept and a pathological description of excessive stomach heat, but there is no description of spleen deficiency syndrome in the original text. The so-called "spleen" and "spleen contract" did not say that the spleen is weak. It means that excessive stomach heat reacts on the spleen and prevents it from transporting body fluids, that is, stomach heat pathogen restricts, hinders and restricts the spleen from transporting body fluids, and restricts, hinders and restricts the normal transport and transformation function of the spleen.
(2) About the formation of spleen constipation: The article "Yang pulse floating but astringent" implies the pathogenesis of spleen hyperactivity, while "floating means stomach qi is abundant and astringent means urination" further explains that floating means stomach heat is excessive and astringent means body fluid is insufficient, which limits and restricts the spleen's function of regulating and absorbing body fluid. The spleen will have limited body fluids, but it will lose fluid to the bladder, resulting in urine excretion. However, because stomach heat can't moisten the intestines, the stool is hard, which means "floating astringent, hard stool". Excessive stomach heat and insufficient body fluid are the pathogenesis of hypersplenism, both of which are indispensable. Moreover, judging from its main prescription Maziren Pill, it not only has less qi for purging heat and dredging fu organs, but also benefits yin and moistens dryness, which also proves this point.
To sum up, Mr. Wang thinks that all cases where excessive stomach heat leads to insufficient body fluid, which restricts the function of spleen to transport body fluid and in turn aggravates stomach dryness can be called spleen hyperactivity syndrome. Its disease is in the stomach but not in the spleen, which is an empirical rather than a deficiency syndrome. Maziren Pill purges its "stomach strength" and moistens its intestinal dryness, which is not a spleen-strengthening agent. Therefore, it is inappropriate to interpret "spleen deficiency" as "spleen deficiency" Therefore, the application of Huomaren Pills should be different. Influenced by the theory of "spleen deficiency", constipation caused by weakness of body fluid, deficiency of qi and blood, and even weakness of temper in the elderly is regarded as a syndrome of "spleen contraction" in clinic. Treating it with Maziren Pill violates Zhongjing's principle of using this prescription. According to the above viewpoint, this prescription is a prescription for treating constipation due to stomach dryness rather than spleen deficiency. Therefore, it is not suitable for people with excessive stomach heat and dry stool, nor for people with excessive qi, or constipation caused by spleen deficiency and weak qi (so-called senile and habitual constipation). As Yuntie Bridge said, "Maziren Pill cures yang because it is superior to bearing qi. If the yin syndrome is used incorrectly, it will harm people. " ■
About the author: Robin, male, 36 years old, master of medicine, attending physician.
New concept of treating constipation
Constipation is a very common disease. Almost everyone has the experience of constipation in his life. Among children, young people and middle-aged people, the prevalence rate of constipation is 5% ~ 15%, the prevalence rate of middle-aged and elderly people is 20% ~ 35%, the prevalence rate of elderly people over 80 years old is as high as 80%, and the prevalence rate of constipation of elderly people who stay in bed for a long time is even as high as 95%. In the past, diarrhea was the main treatment for constipation. Although laxatives can relieve constipation, secondary constipation often occurs after medication. At the same time, laxatives can make the body lose a lot of water and electrolyte, which is easy to cause water and electrolyte disorder in the body. Our hospital treats a large number of elderly patients every year. Many of these patients have suffered from constipation for many years, and are in urgent need of laxative drugs with reliable curative effect and no toxic and side effects. Through a large number of drug screening and clinical observation and research, we have developed a pure Chinese medicine preparation, Biantong Capsule, which has a good effect on constipation.
Biantong capsule contains traditional Chinese medicines for invigorating spleen, tonifying kidney and regulating qi. According to patients' local symptoms and overall state, constipation is treated comprehensively from five aspects: invigorating qi, transporting and transforming, promoting, lubricating and conditioning, forming a new concept of treating constipation.
Invigorating qi: constipation patients, especially middle-aged and elderly constipation patients, are often deficient in qi and blood, so defecation is weak. Although convenient, defecation is very laborious. The traditional Chinese medicine in Biantong capsule has the effect of regulating qi, which can obviously improve the driving force of large intestine and make feces easy to be discharged.
Transport and transformation: Biantong capsule adopts Atractylodes macrocephala, which can obviously enhance the secretion function and peristalsis function of gastrointestinal tract, make the secretion of body fluid in gastrointestinal system exuberant, improve the transport and transformation function of digestive system, support healthy qi, not only relax bowels, but also help digestion.
Push: Biantong capsule also has a good intestinal push effect. Through a lot of pharmacological and clinical research, we extracted a kind of intestinal function regulator (CRF) from traditional Chinese medicine. CRF can not only improve the digestion and transportation capacity of the small intestine, but also promote the absorption of various nutrients by the small intestine, and also make the large intestine retain more water and make the stool soft. At the same time, it can also increase the contraction function of the intestine and make the stool easy to be discharged.
Lubrication: The lubrication function of Biantong Capsule is different from that of commonly used laxative lubricants (such as liquid paraffin and kaisai dew). ). This medicine chooses Cistanche deserticola, which not only has the function of moistening intestine, but also has the function of tonifying kidney and nourishing blood, which is beneficial to strengthening patients' physique. Komatsu blog-excellent article collection liuhuisong.blogchina
Conditioning: From the above functions, it can be seen that Biantong Capsule can not only help patients to defecate easily, but also has a good conditioning function, so that the body can restore and maintain the balance of Yin and Yang, and the qi and blood are vigorous. With the rise of healthy qi, various physiological functions of the whole body also rise, thus fundamentally solving the constipation problem.
In a word, the medicine has the effects of catharsis, purgation, promoting fluid production and nourishing, and has a certain catharsis effect and a good nourishing effect, so as to achieve "catharsis does not harm vital energy and tonify obstruction", so it has a good curative effect on constipation.