Man Aged 58 Successfully Treated for Spleen Qi Deficiency Constipation with Herbal Medicine and Umbilical Acupoint Application
A male patient in his late 50s experienced chronic constipation caused by spleen qi deficiency. After undergoing a comprehensive treatment plan involving customized herbal medicine and umbilical acupoint application, he achieved significant improvement. His bowel movements returned to normal, and symptoms such as abdominal discomfort disappeared completely. The patient remained symptom-free during a two-month follow-up period.
Patient Overview
- Age: 58
- Gender: Male
- Diagnosis: Constipation due to Spleen Qi Deficiency
- Treatment Location: First Affiliated Hospital of Nanchang University
- Visit Date: February 2022
- Treatment Method: Oral administration of Huangqi Tang (Astragalus Decoction) combined with topical application on the Shenque acupoint (CV8 / navel)
- Treatment Duration: One month of outpatient care with a two-month follow-up
- Outcome: Normalized bowel function, no recurrence or abdominal pain observed
Initial Consultation and Symptoms
The patient visited the clinic in February 2022, reporting recurring constipation over the past year. He attributed this to an irregular lifestyle and high work stress. His bowel movements occurred only every 3–5 days, with hard, pellet-like stools. Additional symptoms included abdominal distension, a feeling of tightness in the waist area, poor appetite, post-meal fullness, fatigue, and reduced physical activity. Upon examination, he appeared physically strong but had a pale tongue with a thin white coating and a weak, deep pulse. No major abnormalities were found during physical or auxiliary tests, leading to a diagnosis of constipation due to spleen qi deficiency.
Treatment Approach and Adjustments
After discussing the condition with the patient, he opted for traditional Chinese medicine therapy. A formula based on Huangqi Tang was prescribed to strengthen the spleen and promote bowel motility. Additionally, a topical paste containing Gleditsia sinensis powder, rhubarb, and honey was applied to the Shenque point. Three days later, the formula was adjusted with the addition of Magnolia bark (Houpu) and Citrus aurantium (Zhishi) to enhance gastrointestinal movement, while continuing the acupoint application. By the seventh day, as symptoms improved, the stronger purgative ingredients were removed, and the Shenque application was discontinued.
Progress and Recovery
At the three-day follow-up, the patient reported smoother bowel movements but still experienced occasional dryness and fluctuating bloating. By the one-week mark, he noted multiple bowel movements, relief from abdominal discomfort, and improved energy levels and appetite. His stool became soft and well-formed. Two weeks into treatment, his bowel habits normalized with one daily movement upon waking, and there was no recurrence of pain. During the subsequent two months, the patient maintained steady results without relapse.
Recommendations for Long-Term Management
As the patient's condition improved, it was advised that he maintain a light, balanced diet rich in fiber, fruits, and vegetables. Avoiding spicy foods, alcohol, and smoking was emphasized. Establishing a consistent bathroom routine was also encouraged. For elderly individuals prone to recurrent constipation, having mild laxatives like senna or glycerin suppositories at home can be helpful—but always under medical guidance.
Clinical Insights and Lifestyle Tips
Spleen-related constipation responds well to targeted TCM treatment when properly diagnosed. Patients are encouraged to seek professional herbalists or TCM practitioners for individualized prescriptions. It's important to note that each case may require adjustments depending on the severity and accompanying symptoms. Since the spleen favors sweet flavors, incorporating naturally sweet, nourishing foods such as grains, lean meats, vegetables, and fruits is beneficial for long-term digestive health.