Traditional Chinese Medicine for Constipation Relief: Choosing the Right Herbal Remedies

Constipation can stem from various causes, and identifying the right treatment is key to effective relief. In Traditional Chinese Medicine (TCM), constipation is broadly categorized into two types: Heat-type constipation and Deficiency-type constipation. Each requires a different approach when selecting over-the-counter herbal remedies.

Understanding Heat-Type Constipation

Heat-type constipation typically presents with symptoms such as dry, hard stools resembling sheep droppings, dark and scanty urine, fatigue, abdominal bloating or pain, dry mouth, bad breath, and a red tongue with a yellow, dry coating. This type of constipation is often linked to excessive internal heat that dries out the intestines.

For this condition, herbal medicines with heat-clearing and bowel-moistening properties are recommended. Examples include Wu Ren Run Chang Wan, Ma Ren Run Chang Wan, Shi Wu Zhi Qing Ning Wan, and Qing Huo Capsules.

Identifying Deficiency-Type Constipation

Deficiency-type constipation can be further divided into Qi deficiency, blood deficiency, and kidney deficiency subtypes, each with its own distinct symptoms:

- Qi Deficiency: Stools may not be particularly dry or hard, but individuals often experience difficulty passing stool, post-defecation fatigue, and a pale tongue with a thin white coating. Bu Zhong Yi Qi Wan may be beneficial in these cases.
- Blood Deficiency: Characterized by dry, hard stools accompanied by dizziness, palpitations, and a pale tongue. Wu Ren Run Chang Wan may also be suitable here.
- Kidney Deficiency: Symptoms include constipation, clear and frequent urination, lower back or knee weakness, tinnitus, and heart palpitations. Cong Rong Tong Bian Oral Liquid is commonly used for this pattern.

Additionally, Chang Tong Shu Granules may be appropriate for those suffering from habitual or postpartum constipation.

Lifestyle Adjustments to Support Bowel Health

Beyond medication, managing constipation effectively involves making conscious lifestyle choices. Here are some practical tips:

- Dietary Changes: Increase your intake of fiber-rich foods like fruits, vegetables, and whole grains. Stay well-hydrated by drinking plenty of water or natural juices. Incorporate gas-producing foods moderately to stimulate bowel movement. Healthy fats found in avocados, nuts, and seeds can also support digestion.

Snacking on small portions of nuts such as walnuts, pine nuts, sunflower seeds, almonds, and peach kernels daily can help lubricate the intestines and ease bowel movements.

- Establish Regular Bowel Habits: Try to have a bowel movement at the same time every day to build a consistent routine. Respond promptly to the urge to defecate and ensure you're in a comfortable environment to avoid suppressing natural signals.

- Stay Active: Physical activity, especially exercises that engage the core muscles, can promote healthy digestion and prevent stagnation. Avoid prolonged sitting and aim for regular movement throughout the day.

Final Thoughts

Whether opting for TCM or Western medicine, it's essential to consult a healthcare professional before starting any treatment for constipation. Self-medication without proper diagnosis could potentially worsen symptoms or mask underlying health issues.

References:
[1] Zhang Shige. Medication Guide for Common Diseases for Pharmacists. Beijing: China Medical Science and Technology Press, 2020:150-151.
[2] Liu Depei, Zhang Bol Li. Encyclopedia of Chinese Internal Medicine. Beijing: Peking Union Medical College Press, 2019:292.