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KMID : 0363320000210010169
Journal of Korean Oriental Internal Medicine
2000 Volume.21 No. 1 p.169 ~ p.180
A Study on Constipation
Cho Nam-Hee

Ryu Bong-Ha
Abstract
Objectives : To satisfy the demand of good treatment of constipation

Methods : we investigated the literatures of Oriental Medicine about Constipation.

Results:
1. There are three categories of etimological factors of constipation, that is, endogenous, exogenous and non-exo-endogenous factor. The endogenous factor is caused by seven emotions, called depression of Ki and stagnation of Ki. The exogenous factor is six excessive atmospheric influences, for example, wind, cold, dampness, heat and dryness. And the non-exo-endogenous factors are overfatigue, improper diet, stagnated blood and deficiency of Ki and blood that comes from old age, long disease and after delivery.
2. Classification: According to cause of disease it is classified by constipation due to cold, heat, wind, dryness, retention of undigested and phlegm. According to Internal Organs there are constipation due to deficiency syndrome of the stomach, excess syndrome of the stomach, deficiency syndrome of kidney and splenic constipation. And Differentiation of syndromes according to Ki and blood, there are constipation of deficiency type and excess type. There are constipation due to stagnation and deficiency of Ki, deficiency of blood and stagnated blood.
3. Principles and Methods of treatment
1) Herbal Medicine
(1) Excess type
[1] Constipation due to heat : Seunggitang(ã¯Ñ¨÷·) and Majainwhan(Ø«í­ìÒü¯)
[2] Constipation due to stagnation of Ki : Samatang(ÞÌب÷·) and Yukmatang(ë»Ø¨÷·)
(2) Deficiency type
[1] Constipation due to deficiency of Ki : Whanggitang(üÜ÷·)
[2] Constipation due to deficiency of blood: Yunjangwhan(ëÈíóü¯)
[3] Constipation due to cold : Jechunjun(ð­ô¹ï¡) and Banyuwhan(Úâ×¼ü¯)
2) Enema therapy: It is a method to induce defecation by honey or pig¡¯s bile juice for weak people.
3) Acupuncture and Moxibustion: Acupoints used to treat constipation are BL25, ST25 and TE6. Moxibustion at CV8, CV6 is good for constipation due to cold.
(4) Diet therapy: It is very important that we eat meals regularly and defecate on the same time even if you don¡¯t. And we have to eat food like fruits, vegetables and beans.
(5) finger pressure: Finger pressing around these points like ST25, SP25, BL25, BL31, BL32, BL33 and BL34 is good for it. (6) Kigong therapy: Abdominal breathing
(7) Old man¡¯ s constipation: Hip bath or diet therapy is commended. Laxation with lubricant like Supungyunjangwhan(â¤ù¦ëÈíóü¯) is used.
(8) Women¡¯ s constipation: After delivery, we have to administer tonifying prescription Sipjundaebotang(ä¨îïÓÞÜÍ÷·) and enema can be used.

Conclusion : We have to examine the cause of disease and bowl movement carefully. After comprehensive analysis of the data gained by the four methods of diagnosis, we diagnose and treat patients on the base of overall of symptoms and signs.
KEYWORD
Constipation, Oriental Medicine
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