Wind constipation

　　Wind constipation is caused by wind attacking the lung, transmitted to the large intestine, and fluid dryness leading to constipation. The lung governs the large intestine, and the lung and large intestine are the exterior and interior. The large intestine is the place to absorb water, and the lung heat dries up the water in the large intestine, making the stool dry.

　　If the course of wind constipation is long, it can cause the stimulation of intestinal mucosal epithelial cells by carcinogenic substances produced by bacterial fermentation in the intestines, leading to atypical hyperplasia and prone to carcinogenesis.It can also cause perianal diseases such as proctitis, anal fissure, hemorrhoids, etc., due to constipation, difficulty in defecation, and dry stools, which can directly cause or worsen anal and rectal diseases.. Hard fecal masses block the intestinal lumen, causing narrowing and compression of the surrounding structures of the pelvic cavity, obstructing colonic peristalsis, leading to circulatory disorders in the rectum or colon, and can also form fecal ulcers, in severe cases, it can cause intestinal perforation..

　　Wind constipation is manifested as dry and hard stool, difficult defecation, and is more common in the elderly with weak physique and those with a history of wind disease. Wind constipation patients need to adopt comprehensive treatment according to the severity of constipation, etiology, and type, including general lifestyle treatment, medication, biofeedback training, and surgical treatment, to restore normal defecation physiology.

　　To prevent wind constipation, the elderly and those with a history of wind disease should pay attention to the following points in their daily lives:

　　1, Develop the habit of defecating at a fixed time every day.

　　2, Avoid excessive emotional fluctuations and maintain mental comfort.

　　3, Drink a glass of warm water in the morning to facilitate defecation.

　　4, Eat more vegetables and fruits high in fiber, such as: spinach, sweet potato leaves, konjac, banana, papaya, tangerine, etc.

　　5, Avoid overcooking, roasting, frying, spicy, dry cheese, chocolate, potatoes, and other foods that easily cause constipation.

　　6, Avoid alcohol and do not overeat cold and raw foods.

　　7, Avoid sitting for a long time and being inactive in daily life, and it is advisable to be more active to circulate Qi and blood, walk at least 30 minutes a day, and drink at least 2000cc of water per day, and do so in small amounts multiple times.

　　8, Constipation patients can massage in a clockwise direction around the navel in the abdomen.

　　9, Do not misuse herbal decoctions for constipation, as improper use may worsen constipation.

　　10, After a fever, if defecation is not timely due to less intake of food, there is no need to rush to defecate, just nourish the stomach Qi, and wait for the amount of food to gradually increase, and defecation will be normal.

　　When diagnosing wind constipation, in addition to relying on its clinical manifestations, auxiliary examinations are also needed. Patients should undergo rectal examination, abdominal plain film, colonoscopy, stool routine, and other digestive system examinations.

　　Wind constipation patients should drink a glass of warm water in the morning to facilitate defecation, eat more vegetables and fruits high in fiber, such as spinach, sweet potato leaves, konjac, banana, papaya, tangerine, etc. Avoid overcooking, roasting, frying, spicy, dry cheese, chocolate, potatoes, and other foods that easily cause constipation. Avoid alcohol and do not overeat cold and raw foods.

　　Wind constipation is divided into 9 types in traditional Chinese medicine, and treatment is based on syndrome differentiation, as follows:

　　One, heat-toxin wind

　　1, Syndrome: Dry defecation, as well as heart wind amnesia, liver wind eye dimness.

　　2, Treatment principle: regulate Qi and benefit the large intestine.

　　3, Main formula: antelope horn pills.

　　4, Medication: antelope horn (pounded), safflower rhizome (without head), bitter atractylodes (chopped), prevention wind (without fork), raw rehmannia, salvia miltiorrhiza, rhubarb (chopped), cannabis, coptis, dried rehmannia.

　　Two, congestion of cold and heat, less body fluid

　　1, Syndrome: Difficult defecation due to old age and weak Qi, as well as wind people with dry defecation.

　　2, Treatment principle: smooth the Sanjiao, harmonize the five zang organs, moisten the intestines and stomach, and expel the wind.

　　3, Main formula: hemp seed pills.

　　4, Medication: hemp seed, bitter apricot kernel, rhubarb, braised aurantium, ginger magnolia, fried white peony. Adjuvant is honey.

　　Three, Internal Stagnation of Wind-Qi, Obstruction of the Large Intestine

　　1. Syndrome: Constipation, and itchy rash on the limbs, restless at night.

　　2. Treatment Principle: Promote Qi, guide stagnation, relieve heat and promote defecation.

　　3. Principal Prescription: Areca Nut Pill.

　　4. Prescriptions: Areca Nut (roasted, chopped), Rhubarb (chopped, fried), 木香, 陈橘皮(soaked in water, remove white, roasted), Cowhage Seed.

　　Four, Wind-Qi, Middle Abdomen Not Flowing

　　1. Syndrome: Constipation, dryness.

　　2. Treatment Principle: Search Wind and relax the intestines.

　　3. Principal Prescription: Search Wind Powder.

　　4. Prescriptions: Cowhage Seed, Rhubarb, Prunus salicina Seed (peeled and pointed), 川芎, Bupleurum (remove seeds and chaff, fried), Green Tangerine Peel (soaked in water, remove white, roasted), 胡麻仁, Areca Nut (chopped), 木香, Inula flower, Capillary Fungus (remove fork).

　　Five, Wind-Constipation in the Large Intestine

　　1. Syndrome: Stagnation is blocked.

　　2. Treatment Principle: Disperse Wind and relieve stagnation.

　　3. Principal Prescription:戟Xiang Powder.

　　4. Prescriptions: Areca Nut (chopped),羌活(chopped and slightly fried), Prunus salicina Seed (soaked in water, peeled and ground separately), 木香, Rhubarb (chopped and fried), Cowhage Seed (ground), Green Tangerine Peel, 大麻仁(chopped separately).

　　Six, Wind-Heat in the Large Intestine

　　1. Syndrome: Secretion is blocked, heart and abdominal stagnation.

　　2. Treatment Principle: Calm惊Anxiety and relieve stagnation.

　　3. Principal Prescription: Rhinoceros Horn Powder.

　　4. Prescriptions: Rhinoceros Horn Shavings, White Peony Bark, Capillary Fungus (remove fork), 木通(chopped), 大腹皮(chopped) Ophiopogon (remove heart), 大麻仁(chopped).

　　Seven, Stagnation of Wind-Qi

　　1. Syndrome: Constipation, dryness.

　　2. Treatment Principle: Treat Wind-heat stagnation.

　　3. Principal Prescription: Green Tangerine Pill (from Shengji Zonglu).

　　4. Prescriptions: Green Tangerine Peel (remove white and roast), Areca Nut (chopped), Prunus salicina Seed (fried and peeled), 木香,羌活(chopped and slightly fried), powder. Honey and pill.

　　Eight, Wind-Heat Stagnation in the Large Intestine

　　1. Syndrome: Constipation, abdominal胁胀闷.

　　2. Treatment Principle: Adjust营San and promote the Triple Burner.

　　3. Principal Prescription: Clematis Pill.

　　4. Prescriptions: Clematis (remove soil), Bupleurum (remove chaff and fry), Green Tangerine Peel (remove white and roast), Cowhage Seed (fried), Capillary Fungus (remove fork), Prunus salicina.

　　Nine, Stagnation of Qi and Wind in the Intestines

　　1. Syndrome: Constipation.

　　2. Treatment Principle: Regulate Qi and digest food, remove phlegm and fluid.

　　3. Principal Prescription: Bupleurum Pill.

　　4. Prescriptions: Mungo (peeled string bean roasted), Bupleurum (fried to remove seeds), Rhubarb (chopped and slightly fried),羌活(chopped and slightly fried), 木香(not exposed to fire), 橘红, 桑米饮 or ginger soup.