Constipation

Question 1

Definition

Answer 1

Difficulty passing stool with dry and hard stool

Question 2

Causes for Constipation

Answer 2

1. Diet: eat only meat, lack fiber, greasy foods
2. Medications: Pain Meds
3. Supplements: Calcium
4. Poor bowel habits: won’t go to washroom when they need to
5. Not active
   * if no bowel movement in 7-10 days can lead to impacting in large intestine *

Question 3

Excess Patterns

Answer 3

1. Heat in Yangming Organs

2. Qi Stagnation

Question 4

Deficiency Patterns

Answer 4

1. Qi Deficency
2. Blood Deficiency
3. Yang Deficiency

Question 5

Heat in Yangming Organs Symptoms

Answer 5

Constipation with dry stools, fullness/distension/pain in the abdomen which is aggrevated by pressure, halitosis, thirsty
Scanty yellow urine, mouth sores, fever, red complexion

Question 6

Heat in Yangming Organs Tongue and Pulse

Answer 6

Red with dry coating

Slippery and Rapid Pulse

Question 7

POT for Heat in Yangming Organs

Answer 7

Clear Yangming heat to promote bowel movement

Question 8

Heat in Yangming Organs Points

Answer 8

LI 4
LI 11
SP 14
ST 37

Question 9

Qi Stagnation Symptoms

Answer 9

Constipation, frequent belching, fullness in the hypochondriac and abdomen
Distending pain in the abdomen

Question 10

Qi Stagnation Tongue and Pulse

Answer 10

Thin and greasy coat

Wiry Pulse

Question 11

POT for Qi Stagnation

Answer 11

Regulate Qi to remove stagnation

Question 12

Qi Stagnation Points

Answer 12

RN 12
RN 6
GB 34
LIV 2

Question 13

Qi Deficiency Symptoms

Answer 13

Constipation, SOB, fatigue, spontaneous sweating

Pale and puffy complexion, listlessness, worse after movement

Question 14

Qi Deficiency Tongue and Pulse

Answer 14

Pale and tender tongue with thin coating

Weak Pulse

Question 15

POT for Qi Deficiency

Answer 15

Tonify Qi and moisten Large Intestine

Question 16

Qi Deficiency Points

Answer 16

UB 20
UB 21
ST 36
RN 4

Question 17

Basic Constipation Points

Answer 17

UB 25
ST 25
SJ 6
KID 6

Question 18

Blood Deficiency Symptoms

Answer 18

Constipation with dry stools, sallow complexion, pale lips

Dizziness, blurred vision, palpitations, insomnia

Question 19

POT for Blood Deficiency

Answer 19

Nourish Blood

Moisten the intestines

Question 20

Blood Deficiency Points

Answer 20

UB 18
UB 20
SP 6
ST 36

Question 21

Blood Deficiency Tongue and Pulse

Answer 21

Pale Tongue

Thready Pulse

Question 22

Yang Deficiency Symptoms

Answer 22

Difficulty in defecation, abdominal cold pain, intolerance to cold, cold limbs, sore back/knees
Frequent pale long urination, pale and puffy complexion

Question 23

Yang Deficiency Tongue and Pulse

Answer 23

Pale tongue with thin coating

deep and slow pulse

Question 24

POT for Yang Deficiency

Answer 24

Warm yang to promote bowel movement

Question 25

Yang Deficiency Points

Answer 25

``` RN 6 RN 8 KID 18 UB 23 UB 26 ```

Question 26

Etiology of Constipation

Answer 26

1. Irregular Diet 2. Yang excess constitution 3. Warm Diseases 4. Emotional Frustration 5. Overwork 6. Elderly - less active, yin deficiency, decrease body fluids 7. Postpartum - Loss of Blood/Qi 8. Long term illness/Loss of blood 9. Yang Deficiency Constitution ``` HEAT = decreased body fluids EMOTIONS = liver Qi stag. Creating lung/Spleen Deficency ```

Question 27

Chief Pathology

Answer 27

Large Intestine failing to descend stool

Question 28

Main Organ Involved

Answer 28

Large Intestine

Question 29

Secondary Organs Involved

Answer 29

Spleen Stomach Liver Kidney

Question 30

Western Disease Diagnosis

Answer 30

I.B.S Tumor Diverticulitis Hemmeroid

Question 31

Pattern Differentiation

Answer 31

1. Tongue 2. Stool 3. Palpation

Question 32

Tongue Differentiation

Answer 32

``` Body = Good Qi Coating = Xie Qi ``` 1. Red tongue no coat = blood and body fluid deficiency 2. Pale tongue, little coating = Qi/Blood Deficiency 3. Coating white slippery = Retention of Cold in Intestine 4. Yellow thick greasy= damp heat in Intestine

Question 33

Stool Differentiation

Answer 33

1. Dry, hard, burning sensation = Dry Heat 2. Small stool thats hard to eliminate = Retention of Cold 3. Loose stools, difficult to eliminate = Qi Deficiency

Question 34

Palpation Differentiation

Answer 34

Abdomen check if likes pressure or not to determine excess or deficiency * postpartum and elderly are usually a deficiency pattern

Question 35

Treatment Principle

Answer 35

Yangming is a FU organ which likes to circulate and move to promote a bowel movement * Tonify if deficent or reduce if excess

Question 36

Treatment

Answer 36

``` 1. Electro Acupuncture to ST 37 and SP 15 2. Auricular Acupuncture - Rectum, SJ, Lrg Int., lung, Spleen, stomach 3. Plum Blossom Needle - Lumbar/Sacral region bilaterally 4. Herbal - 3 grams but not Long term 5. Elderly use 60 gram black Sesame seeds with honey 7. Eat bananas and nuts to Lubricate intestine ```

Question 37

Education

Answer 37

1. Avoid spicy, greasy food, alcohol, smoking 2. Excercise 3. Abdominal massage - 32 times after a meal 4. regular bowel habit 5. Prevent and treat hemmeroids 6. Regulate Emotion