Constipation may be regarded as a single disease or as a complication of other diseases. There are six common causes of constipation: deficiency, excess, wind, cold, Qi stagnation, and heat. Deficiency implies a Yang or Yin deficiency of the lower Jiao (Xia Jiao). If deficiency of Yang occurs, Yin-Qi may stagnate and fail to circulate. If deficiency of Yin occurs, secretion of the body fluid may become unbalanced giving rise to dryness in the intestines. Excess refers to excess syndrome of the stomach, which causes constipation through poor food digestion. Wind implies an unbalanced circulation system, which cannot easily eliminate waste. Cold implies the accumulation of pathogenic cold, which impairs the functional activities of Qi. Qi stagnation implies the energetic impairment of Qi. Heat refers to the heat that hinders the secretion of the body fluid.
Symptoms. Symptoms of constipation are usually dry and hard stool, prolonged duration or infrequency of defecation and difficulty in defecation though the patient has strong desire to defecate. Infrequency of defecation usually means every 3—5 days or even 6—7 days. Clear urine, dry stool, and difficulty in defecation are usually found among patients with constipation due to cold and deficiency. Dark urine and preference for cold food are seen among patients with constipation due to excess and heat. Cough, difficulty in breathing, cold extremities, fullness and distention of the abdomen and difficulty in defecation are found among patients with constipation due to wind and cold. Belching, depression in the chest and abdomen, and fullness and distention in the chest and hypochondrium are found among patients with constipation due to Qi stagnation.
Patients with constipation due to excess, heat, deficiency, or cold should also practice Rubbing Zhongwan and "Hu" described in Spleen Regulation Exercise.
2. Treatment with Outgoing Qi. Press and knead the points Dachangshu (U.B. 25), Shenshu (U.B. 23), Ciliao (U.B. 32) and the eight-liao points (on the sacrum) to induce movement in the back (Shu) points. Then, push Qijiegu, the seven-segment bone, 50 times.
Break through the point Lanmen (Extra 33) with the thumbs and the middle fingers of both hands. Next, emit Qi using Flat Palm gesture and vibrating manipulation, toward the point Zhongwan (Ren 12) for a period of 14 normal respiration cycles. Emit Qi with the Dragon Mouth gesture and pushing-rotating manipulation towards the point Tianshu (St. 25) for a period of 14 normal respirations. Continue by emitting Qi, with the same gesture and manipulation, towards the point Guayuctn (Ren 4) for a period of 8 normal respirations. Guide Qi to rotate clockwise. Emit Qi with the hands above the area to be treated for a period of 8 normal respirations using Flat Palm gesture and pushing-pulling-rotating manipulation, and then guide Qi to rotate clockwise to get its functional activities normalized.
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