My case-constipation in the elderly

Constipation in the elderly: mainly manifested as decreased defecation times and difficulty in defecation. Many patients defecate less than twice a week, and in severe cases, defecate for 2 ~ 4 weeks 1 time. If you see simple symptomatic treatment here, the effect is often not obvious. Because in Chinese medicine, constipation is only a symptom, not a source of disease. If you just relax your bowels for this symptom, it may be effective at first, but if you don't find the hidden problem, the problem will never be cured.

This is the case with the old man I visited in March 20 19. When I came to the clinic, my chief complaint was that constipation was very painful from June 20 19. I took Chinese medicine and was hospitalized for some time. Because I didn't find any special problems, I prescribed some medicines to strengthen the stomach and promote digestion. After taking it, the effect is not obvious, I lost more than ten kilograms, and my mouth is bitter and dry.

The following is the whole process of my treatment, syndrome differentiation and conditioning:

Meixian County, Shaanxi Province:

Uncle Fan: 79 years old. Walking slowly and feebly, needing the help of daughter-in-law, speaking in a low voice, listlessness, poor defecation, loss of appetite and poor sleep. Hospitalization and taking traditional Chinese medicine have no obvious effect. Come to see me on the recommendation of my family. Physical examination found that the abdomen was swollen and hard, the exhaust was not smooth, the blood circulation of lower limbs was damaged, accompanied by bruises on soles and toes, and edema of ankles and feet. Tongue diagnosis shows that the tongue is purple and dark, the tongue body is fat, and those with cracks in the front of the tongue are tender, and the tongue coating at the base of the tongue is thick and greasy. Pulse diagnosis shows that the right inch floats up, the right pulse is heavy and slippery, and the foot is heavy and late. In the process of pulse diagnosis, I found an important detail: the left chord is tight and slippery, and the gallbladder reflex area has obvious sharp points. This is the pulse of bile damage. After communicating with the elderly, have you checked your gallbladder except for defecation? He said that when he was hospitalized, he had an examination and found out that he had gallstones. He is usually thirsty and bitter, and then he loses his appetite and doesn't even want to drink water. The old man was very worried, saying that he himself had read Huangdi Neijing. "Those who have stomach qi live, and those who have no stomach qi die. . . "The old man didn't say anything more, but I looked into his eyes and my heart was full of anxiety and fear.

Knowing the treatment process of the old man's illness, I patiently explained to him the crux of her illness, which is the disharmony between gallbladder and stomach. Because gallstones accumulate in the gallbladder, it affects the normal release of bile gas. If bile gas cannot be turned off, it will affect the digestion and metabolism of the downstream gastrointestinal tract, and there will be digestive and defecation disorders, which are manifested as decreased appetite and difficulty in defecation. Disharmony between gallbladder and qi will also affect the normal decline of stomach qi, which will disturb the mind and cause sleepless nights. At the same time, the stagnation of middle jiao will further affect the transpiration and gasification of kidney qi in lower jiao, hinder the circulation of water and liquid, and lead to edema and bruising of feet.

I suggest that the elderly should use scraping therapy as much as possible, which can quickly clear the cholestasis, open the mechanism of middle jiao transport and make the qi machine run normally. The circulation area of qi and blood in the shoulder and neck should be unobstructed, and at the same time, liver qi should be induced to rise, lung qi and stomach qi should be decreased, so that the function of middle jiao can be restored, which can drive the gasification and promotion of kidney qi in lower jiao. In this way, the qi of the whole body is normal, and the human body will gradually return to normal. At this point, the old man's eyes flashed a glimmer of light, indicating that he understood and made clear the path of recovery.

Adjustment scheme:

The first group: scrapping: dredging the shoulder and neck, Shaoyang meridian and Yangming meridian.

The purpose of this conditioning is: first of all, open the gas in the body. After gallbladder surgery, the gallbladder of the elderly is depressed, which leads to disharmony between gallbladder and stomach, and then gets up in the morning with dry mouth and bitter taste, and constipation can't stop in the later period, which makes people feel abnormal pain. He calls his son three times a day and asks him to come back to see him. Traditional Chinese medicine believes that the shoulder and neck are the crossroads of qi and blood operation, and the meridians that rise and fall on the back must pass through it. Clearing this place is equivalent to opening the hub of qi and blood operation, so that the upper and lower qi and blood can run smoothly. With this running torrent of qi and blood, together with scrapping Shaoyang Meridian and Yangming Meridian, one is the hinge of opening and closing viscera, and the other is the meridian with more qi and blood, which has a great guiding and improving effect on the ascending and running amount of qi and blood in the elderly. Wherever the torrent of qi and blood goes, it can repair, nourish viscera and metabolize garbage, so the old man feels much better the next day. After conditioning twice, the bruises and edema of the soles of the feet disappeared. I can eat it after conditioning for half a month, and I am very happy to tell us that it is a big bowl of noodles, not the original thin soup noodles! Defecation has returned to normal, sleep is good, people are no longer anxious, and children can go to work with peace of mind. He can recuperate without the help of his family. He can come alone.

Group II: Scraping: Lung Meridian, Yangming Meridian and Kidney Meridian, with external application of traditional Chinese medicine mud, spleen mud and kidney mud.

The purpose of this conditioning is to continue to consolidate the above results, so that the rise and fall of qi will be deeper, and the lung, stomach and kidney will accelerate the generation and promotion of qi and blood along this axis, so that the symptoms of deficiency and obstruction in the whole body can be quickly alleviated and disappeared. External application of traditional Chinese medicine mud can increase the temperature of meridian points, accelerate the cooperation and support of spleen and kidney, and the perfect combination of congenital and acquired roots can greatly improve the biochemistry of yang and blood, so all diseases will inevitably improve.

Regulatory effect:

Mr. Fan Lao insisted on conditioning, and his mental outlook has undergone earth-shaking changes. His face is ruddy and his steps are light. In his own words, it is "eat well, sleep well and pull", which is very happy. He gained 5 pounds, which was completely unexpected. His old man was happy to personally send a banner and a thank-you letter, and later recorded a special video to express his gratitude again!