Constipation Types and Treatments in Traditional Chinese Medicine

In Traditional Chinese Medicine (TCM), constipation is categorized into different types based on underlying causes, and treatment is tailored accordingly. One of the main distinctions is between excess (real) and deficiency (virtual) patterns. Excess-type constipation often involves symptoms such as overeating, internal heat accumulation, and digestive stagnation. For these cases, therapies focus on clearing heat, removing dampness, promoting digestion, and facilitating bowel movements.

On the other hand, deficiency-type constipation is commonly seen in individuals with weak energy or kidney insufficiency. In such cases, replenishing qi, nourishing the kidneys, and improving blood circulation are key strategies. This pattern is especially prevalent among the elderly, who often suffer from spleen and kidney weakness, poor blood supply, or excessive dampness.

For those experiencing constipation due to dampness and blood deficiency, strengthening the spleen, enriching blood, and regulating bowel function can lead to significant improvement. Additionally, when constipation is caused by liver and kidney yin deficiency, accompanied by dry mouth and hard, pellet-like stools, the primary treatment goal is to nourish yin and moisten dryness.

Understanding these TCM classifications helps in selecting more effective and personalized solutions for long-term constipation relief.