Constipation in elderly people can be improved through traditional Chinese medicine diagnosis and treatment. Common causes include qi deficiency and fluid deficiency, spleen and stomach weakness, kidney yang deficiency, liver depression and qi stagnation, and intestinal dryness and heat.
1. Qi deficiency and fluid deficiency:
Old age and weakness lead to lung and spleen qi deficiency, causing weakness in propulsion; Insufficient Yin fluid causes the intestines to become moist. The treatment mainly focuses on nourishing qi and moistening the intestines, and the formula is Huangqi decoction with modifications, containing Huangqi, Huomahen, etc; Acupuncture and moxibustion: Zusanli, Guanyuan; You can eat honey sesame Congee every day, and massage your abdomen.
2. Weakness of spleen and stomach:
Decreased digestive function leads to abnormal transport and retention of waste. It is advisable to use the method of strengthening the spleen and stomach, and choose the formula of Shen Ling Bai Zhu San combined with Fructus Aurantii; Moxibustion of Zhongwan and Tianshu acupoints; Recommended dietary therapy is yam and red date soup, and practicing the Eight Section Brocade technique of "regulating the spleen and stomach with a single lift" appropriately.
3. Insufficient kidney yang:
The decline of the fire in the gate of life causes Yin cold stagnation and difficulty in defecation. To warm and nourish kidney yang, use Jichuan decoction containing Cistanche deserticola and Angelica sinensis; Moxibusting the Mingmen acupoint with ginger; Add walnut kernels to stew lamb in the diet, and rub the waist and kidney shu points hot in the morning.
4. Liver Stagnation and Qi Stagnation:
Emotional disorders lead to qi stagnation and obstruction of conduction. The treatment is suitable for soothing the liver and relieving depression. The formula selected is Liu Mo Tang, which contains wood fragrance and black medicine; Acupuncture at Taichong and Zhigou acupoints; Drink rose tangerine peel tea and engage in daily soothing Tai Chi exercises.
5. Intestinal dryness and heat:
Yin deficiency and internal heat or excessive consumption of spicy food can burn body fluids. When nourishing yin and clearing heat, the formula is Zengye Tang combined with Maziren Wan; Scraping the acupoints of the large intestine meridian; Eat more snow pear Broth of white fungus, avoid frying food, and develop the habit of going to the toilet regularly.
Elderly constipation should pay attention to comprehensive regulation, and the diet should increase dietary fiber such as oats and celery, with daily water intake of more than 1500ml; Exercise options include walking and anal lifting training; Massage the navel area clockwise 100 times on an empty stomach in the morning; Avoid prolonged sitting and lying down, and maintain a relaxed mood. When symptoms continue to worsen or accompanied by rectal bleeding or weight loss, it is necessary to seek medical attention promptly to investigate organic lesions. Traditional Chinese medicine external treatment methods such as acupoint application of rhubarb powder mixed with vinegar to Shenque acupoint, and medicinal ironing of fennel coarse salt hot compress on the abdomen can all assist in improving symptoms.
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