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CONSTIPATION
NESA Int Med CONSTIPATION
| Question | Answer |
|---|---|
| What is constipation? | Difficulty in passing stools, prolonged interval between BMs, infrequent BMs or a desire to defecate without the ability to do so partially or completely. |
| What are the five major etiologies and pathologies of constipation? | Accumulation of heat in the Stomach and Large Intestine; qi stagnation; accumulation of yin-cold; qi or yang xu; and yin or blood xu |
| What is the major site of disease and the related organs in constipation? | Large Intestine is the major site of disease and the related organs are Stomach, Spleen, Liver and Kidney. |
| What are the crucial points in diagnosing constipation? | Differentiate excess from deficiency; identify the types of constipation; collect detailed info about the stools |
| What are the general treatment strategies in the treatment of excess-type constipation? | Eliminate evil qi |
| What are the general treatment strategies in the treatment of deficiency-type constipation? | Tonify the right qi. |
| What are the three patterns associated with excess-type constipation? | Heat accumulating in the Stomach and Large Intestine; qi stagnation; cold accumulating in the interior |
| What are the s/s, treatment strategy and formula for constipation due to heat accumulating in the Stomach and Large Intestine? | Dry stools, difficult/infrequent BMs, low abd pain, hunger, thirst, dark scanty urine, bitter taste, mouth sores, T:red w/dry ytc, P:rapid, slippery; Drain heat, promote movement of qi, moisten the intestine and unblock the bowels with Ma Zi Ren Wan |
| What are the s/s, treatment strategy and formula for constipation due to qi stagnation? | Dry stool, sluggish BM, aggravated by emotional stress, belching, focal distension in the chest and hypochondrium, distending abd pain; Promote the movement of qi, eliminate stagnation and unblock the bowels with Liu Mo Tang. |
| Which herbs can be added to Liu Mo Tang to enhance the qi regulating action? | Hou Po, Xiang Fu, Chai Hu |
| What are the s/s, treatment strategy and formula for constipation due to cold accumulating in the interior? | Infrequent BMs, difficulty opening the bowels, bloating, distension, abd cramping and pain, cold body, large, hard abd, T:thick wtc, P:wiry,tight,slow; Warm the interior, disperse cold and unblock the bowels with Da Huang Fu Zi Tang |
| What are the four patterns associated with deficiency-type constipation? | Qi xu; blood xu; yin xu; yang xu |
| What are the s/s, treatment principle and formula for constipation due to qi xu? | Difficulty opening the bowels, straining, normal stools, sweating or exhaustion around BM, T:pale, P:thin, weak; Tonify the qi, moisten the intestine and open the bowels with Huang Qi Tang |
| What are the s/s, treatment principle and formula for constipation due to blood xu? | Dry, pebble-like stool that is difficult to evacuate, constipation during menses, palpitations, dizziness, insomnia, pale face, T:pale, P:thin, choppy; Nourish the blood, moisten the intestine and free the stools with Run Chang Wan |
| What are the s/s, treatment principle and formula for constipation due to yin xu? | Very dry, pebble-like stools, difficulty opening the bowels, infrequent BM, small stools, thin body, malar flush, night sweats, 5-palm heat, T:red,peeled, P:thin,rapid; Nourish yin, moisten the intestine and unblock the bowels with Zeng Ye Tang |
| What are the s/s, treatment principle and formula for constipation due to yang xu? | Difficult, sluggish BM requiring great effort, abundant, clear urine, cold intolerance, cold limbs, cold abd, T:pale, moist, P:deep, slow; Warm the Kidney yang, moisten the intestine and unblock the bowels with Ji Chuan Jian |
| What are the ingredients in Ma Zi Ren Wan? | Huo Ma Ren, Xing Ren, Bai Shao, Zhi Shi, Hou Po, Da Huang |
| What are the ingredients in Liu Mo Tang? | Dang Shen, Mu Xiang, Zhi Ke, Da Huang |
| What are the ingredients in Da Huang Fu Zi Tang? | Fu Zi, Da Huang, Xi Xin |
| What are the ingredients in Huang Qi Tang? | Huang Qi, Huo Ma Ren, Chen Pi, Bai Mi (white honey), Gan Cao |
| What are the ingredients in Run Chang Wan? | Huo Ma Ren, Tao Ren, Dang Gui, Sheng Di Huang, Zhi Ke |
| What are the ingredients in Zeng Ye Tang? | Xuan Shen, Mai Men Dong, Sheng Di Huang |
| What are the ingredients in Ji Chuan Jian? | Rou Cong Rong, Dang Gui, Niu Xi, Ze Xie, Zhi Ke, Sheng Ma |
Created by:
rswain
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