Elderly constipation Chinese medicine treatment
Constipation is “the yin of the yin, the abdominal distension is full, after the adverse” (“Nei Jing”), constipation has “yin knot”, “yang knot”, “spleen about” (“Treatise on Febrile Diseases”).
It should be “slip on the medicine”, not “to take advantage of the drug” (Zhu Danxi).
Later generations will summarize constipation as four types: hot secret, secret, secret, and cold.
1 cause and pathogenesis 1.
1 qi and blood deficiency due to old and physical deficiency, spleen and stomach function is insufficient, qi and blood biochemical passive, qi deficiency is weak in colorectal replacement, blood deficiency is exhausted, the large intestine loses phlegm, and constipation is formed.
2 yang deficiency cold coagulation year high body weak, yang deficiency, then yin cold endogenous, stagnation of the stomach, causing yang gas is not transported, fluid is not enough, alternating weakness, constipation.
3 Yin fluid is not enough for the elderly to be weak or chronic, or taking too much drug under the diarrhea, resulting in a serious injury to the body fluid, which is dry, and the stool is difficult to dry.
4 gas stagnation of the elderly people, more worry or sedentary less movement, gas stagnation, suffocation, suffocation and constipation.
5 gastrointestinal heat accumulation body, or excessive drinking, or overeating spicy taste, resulting in gastrointestinal heat, or fever, the heat is not exhausted, the consumption of body fluid, so that the body lost in the sputum and constipation.
2 treatment 2.
1 non-pharmacological treatment should develop the habit of regular bowel movements, pay attention to diet conditioning and physical exercise, especially functional constipation should be the same.
Food should be added to the fiber and drink plenty of water.
2 drug treatment constipation clinically divided into secret, secret, cold and secret.
The secret is divided into two types: qi deficiency and blood deficiency.
1 The characteristics of qi deficiency and constipation are that although there is a sense of convenience, but the lack of strength, the stool is not hard, the god is tired, the tongue is thin and the veins are weak.
Medicinal Astragalus, Poria, Hawthorn, Woody, Bergamot, Citron, Helen, White Honey, etc.
2 blood deficiency constipation is characterized by constipation, pale, pale tongue and fine pulse.
Medicinal Angelica, Ma Ren, Polygonatum, Raw Land, Rehmannia, Yuanshen, Bergamot, Citron, Clam Shell, Raw Astragalus, White Honey, etc.
3 cold secret features difficult to bowel, abdominal pain or cold, like hot and cold, pale tongue, white fur, pulse late.
Medicinal Angelica, Xianling Spleen, Cistanche, Woody, Clam Shell, Helen, Raw Astragalus and so on.
4 gas secret features for constipation, sputum frequency, abdominal pain, chest fullness, thin and greasy fur, pulse string.
Medicinal woody, betel nut, bergamot, turmeric, medlar, hemp, Bupleurum, inner gold, etc.
5 heat secret features dry stool, thirst like cold drink, moss yellow dry, pulse number.Medicinal rhubarb, medlar, white peony, raw land, yuan ginseng, oysters and so on.
3 typical case 3.
1 female patient, 65 years old.
Long-term constipation, with low back pain, cold, bloating, poor appetite.
The pale tongue is white and the veins are heavy.
The card belongs to the spleen and kidney yang deficiency, and the treatment of warming the spleen and kidney.
Recipe: 10 grams of Xianling spleen, 20 grams of Cistanche, 15 grams of raw scutellaria, 10 grams of bergamot, 10 grams of citron, 15 grams of raw hawthorn, 15 grams of angelica, 10 grams of achyranthes, 15 grams of Shouwu.
The patient is weak, the spleen and kidney are yang, the cold is endogenous, and the indirect transmission is weak, so constipation.
Insufficient kidney yang, then low back pain.
If the spleen is weak, it will be bloated and the appetite will be poor.
Xianling spleen, Achyranthes warming kidney to help Yang, Cistanche desertic warming kidney yang, Runchang laxative, bergamot, fragrant phlegm, Shouwu, Angelica blood, qi and bowel.
After 5 doses, the stool was taken once a day.
After the defending party conditioning.
2 male patients, 92 years old.
He had undergone a major gastrectomy for gastric cancer, and he had a bowel movement for several days or weeks.
I used to use laxative laxatives and diarrhea after serving.
When there is abdominal distension, fatigue, pale, coughing, phlegm, thin yellow fur, delicate veins.
Syndrome is a lack of blood, treatment of Qi and blood, laxative.
Recipe: raw radix 15g, 茯苓15g, ginseng 15g, whole melon 蒌 20g, bergamot 15g, citron 15g, woody 10g, fragrant 10g, angelica 15g, raw hawthorn 15g, white peony 15g.
The patient’s qi and blood are insufficient, the spleen is not transported, and it becomes constipation and bloating.
Water drinks can’t be transported and gathered into cockroaches.
The spleen deficiency, blood and biochemistry are passive, but the face is pale and weak.
Raw sputum, medlar, Taizishen spleen and qi, Angelica, white peony nourishing and moistening, bergamot, fragrant scent, woody, turmeric, qi, spleen transport, raw scorpion, stomach and digestion, all melonsHot, but also laxative.
After 1 dose, every 1?
2d normal stool 1 time.
After the defense of the square tailor, to strengthen the spleen and qi, nourishing and moistening dryness as the main conditioning.
4 Discussion The visceral function of the elderly is weakened, and the inherent transmission is weak, so it becomes constipation.
It is mainly secret, cold and secret.
In the treatment, you should not use the medicine of laxative and laxative, but should mainly use laxative and laxative, and add the products of qi and spleen.
Although diet and illness, such as drinking or eating spicy and thick taste, can also appear heat secret, but mostly for the real and mixed.
Therefore, it is advisable to use laxative laxatives and gas-breaking drugs with caution.
If the laxative is used for a long time or the amount is too large, it will interfere with the normal conditional reflection and form a drug dependence. At the same time, it will make the blood and body fluid more serious, causing the dryness of the body fluid, and worsening constipation.
The application of laxatives must be stopped immediately. After constipation rehabilitation, go to laxatives, and according to the cause, continue to strengthen the spleen, benefit Qi, Wenyang, nourishing, moistening and other methods to cure their problems and prevent them.Constipation recurrence.