Constipation- Bian Mi

Question 1

Constipation - Dry Stool, distending sensation in abdomen withb increased gas, hypochondriac pain, irritability , decreased appetite, worse w emotional stress or anger

Answer 1

Liver Qi Stagnation

Rx: Liu Mo Tang

Question 2

Constipation w History of blood loss or long term disease causing, blood deficiency (ex: post partum), dry stool, dry mouth, dry hair, insomnia + Blood deficiency Sx: pale facial complexion, fatigue, palpitations, dizziness, blurred vision, numbness of limbs, pale lips and nails
Tongue: pale
Pulse: thin, can be choppy

Answer 2

Blood Deficiency

Rx: Run Chang Wan

Question 3

constipation - stool is NOT dry - but no urge to defecate maybe up to a week - difficult for patient to push out stool, not enough energy.
if patient has constipation for one week - beginning will be harder, ending will be soft and moist.
+Qi Deficiency Sx (fatigue, poor appetite and loose stool [not really])
more fatigue after BM
Tongue: pale, thin white coating
Pulse: weak

Answer 3

Qi Deficiency

Etiology: LU or HT Qi deficiency (Zong Qi) affects the LI

Rx: Huang Qi Tang
or Bu Zhong Yi Qi Tang (for blood and qi def)

Question 4

constipation w cold Sx, aversion to cold, cold hands and feet, cold abdominal area, KD Def Sx: low back achy, weak legs, copious clear urination
Tongue: pale, thin white coat
Pulse: deep, weak, slow (esp in KD position)

Answer 4

Yang Deficiency

Rx: Ji Chuan Jian

Question 5

Constipation, dry stool, maybe flushed face (yang ming heat along the yang ming channel) abdominal distention/pain (maybe) dry mouth and bad breath
Tongue: red w yellow coat, maybe dry
Pulse: slippery and rapid, forceful (excess accumulation

Answer 5

Heat Accumulation

Rx: Ma Zi Ren Wan - Hemp Seed Pill aka Ma Ren Run Chang Wan (patent name)