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Acupuncture Treatment of
Diseases
Colorectal 2: Constipation
便秘
Definition:
1. Refers to difficulty defecating with a production of
dry and impacted stools.
2. Or even lack of defecation for over 3 to 4 days.
3. In western medicine, constipation results from
medications or a bowel dysfunction such as
habitual constipation, intestinal neurosis, recovery
period from enteritis or a weak constitution and
other diseases include those of the rectum and
anus.
Causes and Pathogenesis :
Constipation is mainly caused by the disturbed transmitting
function of the large intestine.
Excess type:
A. Constitutional yang preponderance or indulgence in spicy,
greasy food leading to accumulation of heat in the stomach
and intestine..
B. Some febrile diseases leading to the remnant heat and
insufficiency of body fluids that gives rise to dryness and
heat in the intestines.
C. Emotional factors such as anxiety and depression or lack of
movement leading to a descent Qi f the lung qi and
stagnation of intestinal qi dynamics.
Causes and Pathogenesis :
Deficiency type:
D. Co-existent deficiency in qi and blood after an illness
or delivery or in elderly leading to weakness of the
large intestine in transmission and a shortage in
body fluids.
E. Yang insufficiency in the lower energizer resulting in
retention of internal cold, obstruction of yang qi and
failure in body fluid distribution and body wastes are
unable to move down..
Clinical Manifestations:
For both excess and deficiency types of
constipation.
Chief symptoms:
i.
ii.
Infrequent and difficult defecation.
Discharge of dry and impacted stools..
Clinical Manifestations:
1. Excess Constipation
A. Constipation due to heat type
i.
ii.
iii.
iv.
v.
vi.
vii.
viii.
ix.
Fullness and distending pain in the abdomen.
Flushed face.
Fever.
Thirst.
Foul breath.
Preference to cold drinks.
Scanty yellow urine.
Red tongue with dry and yellowish coating.
Rapid pulse.
Clinical Manifestations:
B. Stagnation of qi type
i.
ii.
iii.
Urge to defecate but with difficulty.
Frequent belching.
Fullness and distending pain in the abdomen
and hypochondriac region.
iv. Aggravated by emotional disturbance.
v. LOA.
vi. Bitter taste in mouth.
vii. Reddish tongue.
viii. Thin sticky tongue coating.
ix. Wiry pulse.
Clinical Manifestations:
2. Deficiency constipation
A. Qi deficiency type
i.
ii.
iii.
iv.
v.
vi.
Sweating and SOB after straining.
Dry stools.
Pale complexion
Lassitude.
Pale tongue with white coating.
Forceless pulse.
Clinical Manifestations:
B. Blood deficiency type
i.
ii.
iii.
iv.
v.
Pale complexion.
Dizziness.
Palpitation.
Pale lips and tongue with thin coating.
Thready pulse.
Clinical Manifestations:
C. Agglomeration of cold type
i.
ii.
iii.
iv.
v.
Difficult defecation.
Abdominal pain with cold sensation.
Clear and profuse urine.
Pale complexion.
Coldness over limbs with aversion to cold and
preference to warmth
vi. Pale tongue with white coating.
vii. Deep, slow pulse.
Treatment : General principle for both excess
and deficiency constipation.
•
•
•
•
•
Promote flow of qi in the LI.
Promote transmissions in the LI.
Promote flow of qi in the TE.
Regulate spleen and stomach.
Disperse stagnation.
Principle channels:
1. ST channel.
2. TE channel.
Principle acupoints for both excess and
deficiency constipation:
1. ST 25 Tianshu 天枢.
2. ST 28 Shuidao 水道 .
3. ST 29 Guilai 归来.
4. ST 40 Fenglong 丰隆.
5. TE 6 Zhigou 支沟.
Prescription explanation (Principle acupoint):
1. ST 25 Tianshu 天枢:
• Channel acupoint of the ST channel and Front-Mu acupoint
of the LI, chosen to promote the flow of qi in the large
intestines.
2. TE 6 Zhigou 支沟:
• Channel acupoint of the TE channel , chosen to promote
the flow of qi in the TE (when the qi of the TE is in normal
circulation, the qi of the Fu-organs will circulate freely)..
3. ST 28 Shuidao 水道, ST 29 Guilai 归来, ST 40 Fenglong 丰
隆.
• Channel acupoint of the ST channel and Luo-Connecting
acupoint of the ST, chosen to regulate the spleen and
stomach, disperse stagnation and promote qi circulation of
the Fu- organs.
Principle of treatment
Excess Constipation: Constipation due to heat
type:
• Regulate qi dynamics, transmission and disperse
heat evils.
Principle acupoints: as stated
Supplementary acupoints:
1. LI 4 Hegu 合谷.
2. ST 44 Neiting 内庭
Principle of treatment
Excess Constipation: Stagnation of qi type:
• Regulate qi dynamics and promote flow of qi in
the intestines.
Principle acupoints: as stated
Supplementary acupoints:
1. LR 3 Taichong 太冲.
2. CV 12 Zhongwan 中脘.
Principle of treatment
Deficiency Constipation: Qi deficiency type :
• Regulate qi dynamics and tonify spleen.
Principle acupoints: as stated
Supplementary acupoints:
1. BL 20 Pishu 脾俞.
2. CV 6 Qihai 气海.
Principle of treatment
Deficiency Constipation: Blood deficiency type:
• Regulate qi dynamics and vigorate blood .
Principle acupoints: as stated
Supplementary acupoints:
1. ST 36 Zusanli 足三里.
2. SP 6 Sanyinjiao 三阴交.
Principle of treatment
Deficiency Constipation: Agglomeration of cold
type:
• Regulate qi dynamics and disperse cold evils.
Principle acupoints: as stated
Supplementary acupoints:
1. CV 8 Shenque 神阙.
2. CV 4 Guanyuan 关元．
TCM medical advises:
1. Regular light diet habit avoiding raw, cold and
greasy, pungent and spicy food.
2. Eat more vegetables and fruits.
3. Bowel training.
4. Stop smoking and drinking.
5. Exercise regularly.