Natural Herbal Remedies for Constipation: Traditional Chinese Medicine Approaches
Constipation is a common digestive issue that can be effectively managed through Traditional Chinese Medicine (TCM). Unlike conventional treatments, TCM focuses on identifying the root cause of constipation through pattern differentiation before prescribing herbal formulations tailored to individual needs. Commonly used herbs include Astragalus (Huang Qi), Hemp Seed (Huo Ma Ren), Angelica Sinensis (Dang Gui), Rehmannia Root (Sheng Di Huang), Codonopsis (Dang Shen), Bupleurum (Chai Hu), Citrus Aurantium (Zhi Shi), Tangerine Peel (Chen Pi), and Calamus Rhizome (Shi Chang Pu).
Several classical herbal formulas are widely applied in clinical practice to treat different types of constipation, such as warm-natured formulas for cold-type constipation or moistening formulas for dryness-related cases. Below are some commonly used TCM remedies:
Ma Zi Ren Wan (Hemp Seed Pill)
This formula contains Rhubarb Root (Da Huang), Citrus Aurantium (Zhi Shi), Apricot Seed (Xing Ren), Hemp Seed (Ma Zi Ren), Magnolia Bark (Hou Po), and Peony Root (Bai Shao). Hemp seed provides lubricating oils that help moisten the intestines, while apricot seed helps regulate lung function, which influences bowel movement. Peony root soothes abdominal discomfort and nourishes yin. This combination works to moisten the intestines, clear heat, and promote smooth bowel movements, particularly for those suffering from internal heat and fluid deficiency.
Wen Pi Tang (Warm Spleen Decoction)
Composed of Rhubarb, Angelica Sinensis, Dried Ginger (Gan Jiang), Aconite Root (Fu Zi), Ginseng, Mirabilite (Mang Xiao), and Licorice Root (Gan Cao), this decoction is ideal for individuals with spleen yang deficiency and cold accumulation. Aconite and dried ginger work together to warm the middle jiao and dispel cold, while rhubarb and mirabilite help eliminate stagnation and promote bowel movement. It's especially effective for chronic constipation caused by cold-damp conditions.
Liu Mo Tang (Six Grinding Powder)
This powerful formula includes Areca Nut (Bin Lang), Agarwood (Chen Xiang), Costus Root (Mu Xiang), Lindera Root (Wu Yao), Rhubarb, and Bitter Orange Peel (Zhi Ke). Areca nut helps break down food stagnation and promote qi circulation, while agarwood supports intestinal motility and relieves pain. The entire formulation is designed to relieve qi stagnation and improve bowel function in patients experiencing constipation due to emotional stress or qi blockage.
Huang Qi Tang (Astragalus Decoction)
Made from Hemp Seed, Astragalus Root, White Honey (Bai Mi), and Tangerine Peel, this gentle yet effective formula supports both digestion and immunity. Astragalus strengthens the body's vital energy, enhancing peristaltic movement, while white honey moisturizes the intestines naturally. This is often recommended for elderly patients or those with weakened immune systems suffering from slow bowel movements.
Run Chang Wan (Moistening Intestine Pills)
Containing Peach Seed (Tao Ren), Notopterygium Root (Qiang Huo), Rhubarb, Angelica, and Hemp Seed, this formula addresses blood deficiency-related constipation. Hemp seed and peach seed both nourish the blood and moisten the bowels, making this an ideal choice for those experiencing dry stools due to insufficient fluids or poor circulation.
It's important to note that these herbal treatments should always be administered under the supervision of a qualified TCM practitioner. Each person's constitution and condition vary, so what works for one may not suit another.
References:
[1] Lv Qian, Liu Tongting, Zhao Zhen. "Advances in the Treatment of Functional Constipation with Traditional Chinese Medicine." Chinese Medicine Modern Distance Education, 2022, Vol. 20(10): 203–205.
[2] Fan Huixia, Zhang Shen, Liu Siqi, Liu Dianwen. "Research Progress on the Treatment of Functional Constipation with Traditional Chinese Medicine." Guangming Journal of Chinese Medicine, 2022, Vol. 37(24): 4581–4584.
[3] Li Jianting. "Effect Analysis of Modified Ma Zi Ren Wan in Treating Functional Constipation." Famous Doctors, 2022(09): 162–164.