Constipation: a widespread health disorder


02.11.2022
Severin Bühlmann

According to reports by the SGGSSG (Société Suisse de Gastroentérologie _ Società Svizzera di Gastroenterologia) and other experts, 14% of people worldwide suffer from constipation, women more than men, and only in comparatively rare cases is there a serious illness behind it, such as a tumour blocking the bowel.

Verstopfung

There is a definition of so-called functional constipation, i.e. constipation that is not caused by a serious illness. If more than 2 criteria occur in more than a quarter of the defecations, constipation is present. The criteria are as follows

  • strong pushing
  • hard stools
  • Feeling of incomplete evacuation
  • Feeling of anorectal obstruction
  • Manipulation for defecation (evacuation with fingers, etc.)
  • Less than 3 bowel movements per week
  • Rarely soft stools without laxatives
  • Exclusion of IBS (irritable bowel syndrome)

People who perceive their bowel movements as constipation are probably more numerous than the number of people who fulfil the above criteria. This means that the subjective perception differs from the number of 'genuinely' constipated people.

Conventional medical experts say: "The ultimate cause of constipation is not understood". TCM takes a different view and knows the reasons very well.

Certain examinations can be used to clarify underlying, sometimes dangerous diseases, especially if there was no initial suspicion of the presence of such a disease, but treatment attempts with laxatives were unsuccessful.

It is therefore legitimate to use a laxative on a trial basis after an initial evaluation. Conventional medicine offers many products with different mechanisms of action: osmotic, stimulating,CO2-generating, softening, those targeting certain serotonin receptors, enzyme-activating, etc.

The stimulating laxatives include Rheum(Da Huang) and Senna(Fan Xie Ye), to name the most commonly used remedies for this purpose in TCM, namely Da Huang, and in conventional medicine, namely Senna. Anthraquinones (= anthranoids) are held responsible for the laxative effect.

Rheum officinale

Rheum officinale

Da Huang

Da Huang

Prescriptions, i.e. combinations of TCM medicinal plants and minerals -minerals, often contain rhubarb root (Da Huang) to treat constipation. Others in the TCM chapter of downward-draining remedies are Mang Xiao(Mirabilitum) and Fan Xie Ye (Senna) and Lu Hui (dried concentrate of aloe). The latter is not available from Complemedis available at Complemedis. These four remedies are so-called purgatives. In the section of downward draining agents are also the moisturising laxatives Huo Ma Ren (cannabis) and Yu Li Ren (Pruni semen). A third group in this chapter are the harshly which are also not included in the Complemedis product range range, as their use can be risky.

Yu Li Ren

Yu Li Ren

The formulations most commonly used to treat constipation are:

  • Ma Zi Ren Wan (Apricot seed & Linum Combination)
  • Xiao Cheng Qi Tang (Minor Rhubarb Combination)
  • Da Cheng Qi Tang (Major Rhubarb Combination)

These three formulations treat syndromes with Heat, Yin and Xue deficiency, Qi stasis.

Xiao Cheng Qi Tang and Da Cheng Qi Tang differ only in that the that the latter also contains Mirabilitum (= Natrii sulfas anhydr.). was added, so this remedy is present in addition to Da Huang, Hou Po and Zhi Shi is present. Ma Zi Ren Wan also contains the three basic components Da Huang, Hou Po and Zhi Shi, but also contains Huo Ma Ren (Cannabis Semen), Bai Shao (Paeonia lact.) and Ku Xing Ren (Armeniacae amarae).

Syndromes that mention constipation as a symptom should be mentioned:

Indications according to Chen/Chen:

Ma Zi Ren Wan: Dryness and heat in the stomach and intestines (moistening)

Xiao Cheng Qi Tang: (mild) fullness-heat in the stomach and intestines

Da Cheng Qi Tang: (strong) Fullness-Heat in the Stomach and Intestines

Syndromes according to Cheng Shi:

  • Heat in the Yangming or in its conducting pathway
  • Liver Qi stagnation
  • Spleen-Qi weakness
  • Xue deficiency
  • Yin deficiency
  • Yang deficiency (of Kidney and/or Spleen)
  • Lung heat

Syndromes according to Maciocia:

  • Heat (internal heat in the stomach and large intestine / heat in the liver / heat in acute febrile illness)
  • Qi (Liver-Qi stagnation)
  • Deficiency (Qi deficiency / Spleen and/or Lung Qi weakness / Xue deficiency / Yang deficiency / Yin deficiency)
  • Cold

Therapy according to Cheng Shi:

  • Heat: Ma Zi Ren Wan
  • Yin deficiency: Ma Zi Ren Wan
  • Xue deficiency: Ma Zi Ren Wan
  • Heat with Qi stasis: Xiao Cheng Qi Tang
  • Yangming Heat with Excessive Fire and Yin deficiency: Da Cheng Qi Tang
  • Liver Qi stagnation: Wu Mo Yin Zi / Si Ni San
  • Spleen Qi weakness: Wu Wei Yi Gong San
  • Xue stasis: Run Chang Wan
  • Kidney Yang deficiency: Ji Chuan Jian
  • Yin deficiency (Kidney and Stomach): Zeng Ye Tang

Therapy according to Maciocia:

  • Internal Heat in Stomach and Large Intestine: Ma Zi Ren Wan
  • Liver Fire: Dang Gui Long Hui Wan (not available) / Long Dan Xie Gan Tang / Run Chang Wan
  • Acute Feverish Heat: Da Cheng Qi Tang
  • Liver Qi stagnation: Xiao Yao San
  • Qi deficiency Spleen and/or Lung: Huang Qi Tang
  • Xue deficiency: Run Chang Tang / Ba Zhen Tang
  • Yang deficiency: Ji Chuan Jian
  • Yin deficiency: Zeng Ye Tang
  • Cold: Ji Chuan Jian

In Compleweb www.compleweb.ch you can find the following recipes:

  • Ma Zi Ren Wan
  • Xiao Cheng Qi Tang
  • Xiao Cheng Qi Tang (according to Versluys)
  • Si Ni San
  • Si Ni San (according to Versluys)
  • Run Chang Tang
  • Ba Zhen Tang
  • Ji Chuan Jian
  • Zeng Ye Tang
  • Long Dan Xie Gan Tang
  • Xiao Yao San

When prescribing in Compleweb, it is sufficient to call up a prescription. Click on it to see the composition.

Information on all the above formulations can also be found in the Compleweb Compendium compendium. This knowledge database contains the best-known TCM textbooks.

Of course, you can also prescribe the following formulations at any time by entering their components individually. You can then conveniently save them as templates for later use. for later use. Quantities in %.

  • Wu Mo Yin Zi
  • Wu Wei Yi Gong San
  • Huang Qi Tang

Wu Mo Yin Zi:

  • Wu Yao 20
  • Zhi Shi 20
  • Mu Xiang 12
  • Da Huang 18
  • Chen Xiang 10
  • Bing Lang 20

Wu Wei Yi Gong San:

  • Ren Shen 18
  • Bai Zhu 15
  • Fu Ling 15
  • Chen Pi 9
  • Da Zao 15
  • Sheng Jiang 10
  • Gan Cao 6
  • Hei Zhi Ma 12

Huang Qi Tang:

  • Huang Qi 40
  • Chen Pi 25
  • Huo Ma Ren 35