Chinese herbs cure serious case of constipation 中药治愈便秘

Female, 27 years old.  First visit date is March 5^th, 2011

Her main complaint is chronic constipation, which she’s had since she was a young child. Once in her adolescence, she fainted in school because she had not had a bowel movement for one month. The teacher sent her to the hospital and the doctor there had to use an enema to clean her bowel.

When I first saw her, she needed to induce a bowel movement every 3-5days by taking an herb that acts as a laxative, or taking glycerin enema, but there was only a small amount every time.  She felt hungry and thirsty easily, so she ate a lot and drank a lot. She had insomnia, was prone to forgetfulness, and had a strong aversion to heat. She bled 3-5 days when menstruating but the color of her period on the first day was darker than normal.  She had an appendectomy at age 12.

Observation:  thin body type, abdomen felt soft when pressure is applied.

Tongue: bright red, the tongue body is smaller and thinner than normal, red spots on the tongue surface, deep red at the tip of the tongue, white coating.

Pulse: Deep and thin

Analysis: The state of her tongue and her complaint of thirstiness indicates yin deficiency. Her large appetite is one of symptom of hyperactivity of fire, Darker period colour is a symptom of blood stasis.

Diagnosis: Hyperactivity of fire due to yin deficiency, insufficiency of good fluids and blood stasis.

Treatment principle:  Nourish yin to decrease the fire, promote good fluids, circulate the blood and resolve stasis.

Formula:  Zeng Ye Cheng Qi Tang plus Liu Wei Di Huang Tang, and Tianqi, Danggui, Danshen, for five days.

Second visit: March 13th, 2011

Reported: Almost had bowel every day, but not solid. Her body smelled like stool for five days. She still had insomnia and bad memory at this point in the treatment process.

Formula: Zeng Ye Tang plus Suanzaoren, shashen,Yuzhu, Danggui, and rock suger, for three days.

Third visit: March 21th, 2011

Reported: Stool almost once per day, better sleep.

 Formula:  Modification based on Zen Ye Tang, 5 days.

April 3rd, 2011:

 The patient came to visit and reported in the past week she didn’t use herbs , and her bowel was good, once every two days.

After that, the patient came to visit weekly or bi- weekly until May 4^th, 2011. That day she reported her constipation was gone. Since then until now 7 years past, she did not have constipation once.

女性，27岁，2011年3月5日初诊。自述记事起就便秘。中学时曾经有一个月没有大便，在学校晕倒后被送去医院洗肠。现在情况是3-6天才大便一次，吃番泻叶或用开塞露也只能去一点。易饿，口渴，怕热，睡眠差，记性差。月经周期3-5天，量时多时少， 第一天经血色黑。12岁做了阑尾切除手术。

望诊：体型偏瘦，腹部按诊柔软

舌诊：舌质红，舌体廋，红星舌，尖深红，白苔

脉诊 ：沉细

诊断：阴虚火旺 ，津亏血瘀

治疗：滋阴降火，增液祛瘀

中药：增液承气汤合六味地黄汤加田七，当归，丹参 5副

二诊： 2011年3月13日

药后几乎每天有大便，稍稀，同时身体散发粪便一样的味道，持续5天。睡眠记性仍差。

中药：增液汤加沙参，玉竹，酸枣仁，甘草，当归，冰糖。三副

三诊：2011年3月21日

大便基本每天1次，睡眠好转。

中药：仍用增液汤加减 5副

4月3日患者来复诊报告说一周没有用中药，大便也通畅，2天1次。之后一周或两周来复诊一次，每次3-5副中药，5月4日是最后一次复诊报告说便秘已痊愈。现在7年过去了也没有复发。