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How to treat habitual constipation?
Traditional Chinese medicine treatment

This disease is due to food stagnation caused by incomplete digestion of food in the stomach or intestine or weakened peristalsis of digestive tract, which leads to excessive gas and liquid accumulation in the gastrointestinal tract and expansion, and also leads to constipation due to the failure of qi to decrease. It is advisable to activate qi and guide stagnation in this disease.

Prescription: Magnolia officinalis15g, Pogostemon rugosa12g, Perilla frutescens12g, and rhubarb 5g.

One dose a day, decocted in water, three times a day.

Prescription 2: 20g of Astragalus membranaceus, 0g of Atractylodes macrocephala15g, 20g of roasted Cimicifuga rhizome10g, 20g of angelica sinensis, 20g of codonopsis pilosula, 20g of mulberry seeds, 20g of Ligustrum lucidum15g, 20g of Bupleurum chinense, 20g of black sesame seeds, 20g of liquorice and 20g of radix rehmanniae.

Habitual constipation is caused by dryness and heat of large intestine, deficiency of kidney, deficiency of qi and blood, stagnation of qi and cold coagulation, and there are different witnesses. Our main cause of constipation is both deficiency of qi and deficiency of body fluid. It can be seen that the stool is dry and hard, and it is difficult to discharge, shortness of breath and fatigue. In the prescription, Radix Codonopsis, Radix Astragali and Bai Shu are used to invigorate qi and spleen; Cimicifuga foetida and Bupleurum chinense are uplifted and trapped; Radix Angelicae Sinensis, Radix Rehmanniae, Fructus Ligustri Lucidi, Semen Sesami, and Fructus Mori can nourish blood and increase fluid, replenish steam and lift depression to boost swinging force, nourish blood and increase fluid to moisten dryness of large intestine, and constipation can be cured. In practice, the prescription must be taken for 30 doses, and it is easy to relapse after interruption. ? [3]?

Massage therapy

Rubbing abdomen: sleep in bed, relax all over, press the palms of both hands on the navel, first press 100 times clockwise, then press 100 times counterclockwise, with moderate force, gentle movements and natural breathing.

Abdominal massage: sleep on the bed, bend your legs and relax your abdominal muscles. Place one palm directly above your navel and massage along the colon from right to left with your four fingers other than your thumb. When you massage to the lower left abdomen, you should properly strengthen the finger pressure (pressure food), so as not to feel pain, exhale when you press it, and inhale when you relax, each time for about 10 minutes. Abdominal rubbing and abdominal massage can be carried out at any time, but generally choose to urinate before going to sleep at night or getting up in the morning, and it is not advisable to do it under the condition of being too full or too hungry.

Shiatsu-related acupoints: When the stool is not coming out, overlap your hands around Shenque (that is, navel), press the clockwise clock to massage 15 times, and then pat your stomach 15 times. When the stool will not come out, press the Huiyin point (the midpoint between the two yin points) with your right hand, which can help the stool to be discharged slowly. You should be relaxed and never be anxious. In addition, sitting on the toilet, calming your mind, taking a deep breath, drawing your mind to the intestine, and doing levator ani exercises 15 times can also have a good defecation effect. ? [4]?

Magnet therapy

Traditional Chinese medicine (TCM) has its unique form in treating constipation, and magnet therapy is in the form of black plaster and magnet.

Magnetism therapy

It is externally applied to Shenque point (navel) to stimulate meridian qi, dredge meridians, promote qi and blood circulation, improve intestinal peristalsis, clean intestines, and eliminate bad phenomena such as poor defecation, constipation and abdominal distension.

biotherapy

Biological agents extracted from plants have the following three advantages in treating constipation:

1, stachyose is not decomposed by digestive enzymes, harmful bacteria can not be utilized, and it can adjust the balance of gastrointestinal flora in a targeted manner and reorganize a benign microecological environment;

2. Stachyose produces short-chain fatty acids such as acetic acid and lactic acid to promote intestinal peristalsis and enhance the ability of intestinal propulsion;

3. It is rich in water-soluble fiber, which can supplement the human body's insufficient dietary fiber intake, effectively moisten the intestines and relieve constipation, clean up intestinal toxin garbage and prevent constipation.

Western medicine treatment

Irritating laxatives

This kind of laxatives and their metabolites directly stimulate the intestinal wall, strengthen intestinal peristalsis, and thus promote fecal excretion. If the guide, castor oil, rhubarb, etc. This kind of laxative is the most commonly taken medicine by constipation patients. If it is used for a long time, it can cause the side effect of reducing intestinal stress, so it is not suitable for common use.

Dilution laxative

Also known as volume laxatives. This kind of laxative can prevent the intestinal tract from absorbing water and increase the intestinal internal volume. At the same time, they are difficult to be absorbed after oral administration, which can form a high osmotic pressure in the intestine and increase the water content and chyme capacity. Because of the large capacity, the intestine is expanded, which mechanically stimulates the intestine, causing intestinal peristalsis to increase and defecate. Such laxatives include magnesium sulfate and sodium sulfate (mirabilite).

Lubricating laxative

Such as liquid paraffin, edible oil, etc. This kind of laxative can lubricate the intestinal wall, soften the stool, and make the stool easy to be discharged. Liquid paraffin is not absorbed after oral administration or enema, and it can hinder the absorption of water in the intestine. As an ideal laxative, it has the phenomenon of oil stains polluting underwear, and long-term application can interfere with the absorption of vitamins A, D, K, calcium and phosphorus.

The above laxatives can be selected and applied according to the action time. Dilute laxatives have a quick action time, and can excrete watery feces in 4-6 hours after taking them, often accompanied by abdominal pain. They are mainly used for acute constipation and intractable constipation, and should not be used for a long time. Drink plenty of boiled water after taking the medicine. Irritant laxatives have a slow effect, so they should be taken before going to bed and defecate 6-8 hours after taking them. Lubricating laxatives are suitable for the elderly and infirm. Liquid paraffin should be taken 10-20 ml every night before going to bed and get up to defecate the next morning, which is beneficial to develop conditioned reflex of regular defecation.

Choose over-the-counter drugs

1, western medicine: lactulose, bisacodyl, glycerin suppository, kaisai dew.

2. Chinese patent medicines: Maren Pill, Maren Runchang Pill, Wuren Runchang Pill, etc.

Practical folk prescription

1, eat 2 pears on an empty stomach after getting up every morning for more than two weeks, which has the effect of moistening the intestines.

2, 500 grams of fresh sweet potato leaves, peanut oil, salt, stir-fried and eaten as a dish, daily 1 time or more.

3. Fructus Aurantii Immaturus 1 0g, daily1dose, decocted in water. You can also add a little more and soak in boiling water as tea.

4, senna leaves 20~30 grams, decoction, daily 1 dose instead of tea. It is not suitable for the elderly, weak and postpartum.

5, 500 grams of winter melon pulp, 300 ml of water decoction, taken several times a day, laxative.

6. Raw aconite root15g, kudingcha 9g, processed aconite root 9g, angelica dahurica 9g, pepper 3g, garlic10g, mashed and fried, put into a cloth bag, put it on the navel, and add a hot water bottle to keep the temperature twice a day to treat habitual constipation in the elderly.

7, take 200 grams of spinach, pig blood 150 grams with cooking, put a little salt after cooking, and then drink soup.

8. Take 30g of cassia seed, stir-fry it to moderate degree, grind it, and brew it in boiling water for 5~ 10 minutes, daily 1 dose instead of tea.