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What if the elderly can't defecate?

Constipation in the elderly is mostly caused by the decline of intestinal function and the weakening of excretion mechanism, so it is commonly known as "virtual secret". For constipation in the elderly, you can't use laxatives to attack it, otherwise it will easily hurt healthy qi and cause accidents. When necessary, you can only use laxatives or direct bowel washing, and generally it is appropriate to moisten the intestines and relax the bowels. This paper introduces the use of medicated diet porridge therapy, so we might as well give it a try.

Shenxian porridge

Take 30 ~ 60g of Radix Polygoni Multiflori Preparata, first fry the thick juice, remove the residue, then cook porridge in a casserole with 5 pieces of Polygonum Multiflori juice, 50g of rice and red dates, and add a little rock sugar to taste when taking. This porridge can tonify liver and kidney, tonify qi and blood, moisten intestines and relieve constipation. Modern pharmacological studies have confirmed that Polygonum multiflorum Thunb also has the function of lowering blood lipid and cholesterol. This porridge is suitable for habitual constipation caused by blood deficiency and intestinal dryness in the elderly. It is more suitable for constipation caused by hyperlipidemia and arteriosclerosis.

Fig and honey porridge

Figure 30g, rice 60g. Cook porridge with rice first, then add figs until the porridge boils, and add some honey when taking it. Figs clear intestines and moisten dryness, and treat hemorrhoids well. Honey also has a good nourishing and moisturizing effect. This kind of porridge is suitable for the elderly with constipation and hemorrhoids.

Crispy porridge

20g of ghee (that is, oil extracted from milk or goat's milk), 5g of honey/kloc-0 and 50g of rice are taken. First, add water to the rice and cook porridge. After boiling, mix with ghee and honey until the porridge thickens. Rich in nutrition, it can nourish yin and blood, moisten dryness and produce fluid. It is suitable for the elderly with yin deficiency and strain, such as tuberculosis and constipation in the late stage of infectious diseases.

Rock sugar almond porridge

Sweet almond 15g, soaked in hot water until soft, peeled and mashed, boiled with 50g of rice, added with water, boiled, and added with some rock sugar until porridge was thick. Sweet almonds are mild and nontoxic, nourishing, moistening intestines and nourishing lung qi. This porridge is suitable for the elderly with constipation, lung deficiency, asthma and cough.

Baiziren porridge

Remove impurities from Semen Platycladi 10 ~ 15g, mash, cook porridge with 60g rice, and add proper amount of honey when taking it. Platycladus orientalis is fragrant, slippery, good at nourishing the heart and calming the nerves, moistening the intestines and relaxing the bowels. It is suitable for the elderly with habitual constipation, palpitation and insomnia and forgetfulness.

Generally, the elderly can't defecate because they eat too little food, or the food is too fine, lacking the stimulation of fiber residue on colon movement. At the same time, due to age, the muscles that assist defecation are weak, which can also cause constipation. Therefore, the elderly generally suffer from flaccid constipation.

The diet therapy of flaccid constipation is mainly to increase the amount of feces, stimulate intestinal peristalsis and enhance defecation ability through diet adjustment.

The specific method is:

Eat coarse grains as the staple food and cereal if possible.

In complementary food, eat more foods rich in cellulose. Such as fruits with skins, vegetables with stems and leaves or bamboo shoots, melons and fruits, etc. Some foods, such as raw radish, raw onion, garlic, sweet potato (sweet potato, sweet potato) and so on. It can increase intestinal peristalsis and play a laxative role.

When cooking, add more fat or vegetable oil. Fat decomposition can produce fatty acids and stimulate intestinal peristalsis.

Runchang food, as well as honey, sesame seeds and walnuts.

Drinking warm water, light salt water and fruit juice every morning can keep the moisture in the stool and make it soft and moist.

Often eat some "agar" products. Agar is a kind of plant gum, which is often called "foreign powder" and "watercress". Made of seafood and cauliflower, it is often used as cold food in western food, and also belongs to fiber food. It can absorb moisture in the intestine, make the intestinal contents swell, increase the amount of stool, stimulate the intestinal wall and cause defecation.

Old people who are often constipated can take vitamin B 1, 15mg every day.

References:

Excerpt from Medicinal Diet \ Tan Jiafeng

Causes of constipation:

Defecation is the need of human metabolism.

Constipation means that feces stay in the intestine for too long, which reduces the number of stools; The stool is dry, difficult to remove or endless. Constipation is common in middle-aged and elderly people. One third of the health of the elderly have constipation, and various laxatives need to be used for a long time. Laxatives have become the second largest over-the-counter drug after analgesics. Although constipation is not a serious illness, it often causes pain and occasionally threatens the lives of middle-aged and elderly people.

Causes of constipation:

When you encounter constipation, you can investigate the reasons from the following aspects, fundamentally eliminate the reasons and completely solve the problem.

1, bad eating habits: overeating spicy food and drinking insufficient water.

2. Incorrect toilet habits: not defecating in time, reading books and newspapers during defecation, and poor defecation posture.

3, lack of plant fiber: plant fiber plus enough water can form fecal lumps, stimulate intestinal mucosa and muscles, increase intestinal peristalsis, and promote fecal excretion. Insufficient intake of crude fiber food, reduced stool formation, dry stool, leading to constipation.

4, lack of exercise: people who stay in bed for a long time and sit for a long time have less physical activity, which slows down intestinal peristalsis, muscular atrophy of abdominal muscles and rectum, and weak defecation.

5. Restrain defecation: factors such as inconvenient toilet location, uncomfortable toilet, lack of privacy environment, and difficulty in going to the toilet during long-distance travel can also cause constipation.

6, anal lesions: hemorrhoids, anal fissure, perianal pain, because bleeding and pain should be consciously controlled, constipation will occur over time.

7. Intestinal diseases such as intestinal cancer, pancreatic cancer and intestinal obstruction lead to large intestine stenosis.

8. Drugs: narcotic analgesics (such as morphine and dolantin), antispasmodics (atropine, belladonna and doxepin), tricyclic antidepressants (such as doxepin and amitriptyline), anti-tremor and paralysis drugs (such as Antan and sedative sleeping pills), iron agents and aluminum agents (such as sucralfate and aluminum hydroxide). ), it will affect gastrointestinal motility and lead to constipation.

9, endocrine diseases: patients with hypothyroidism, intestinal peristalsis is often weakened, prone to constipation.

10, central neuropathy: paralysis agitans, multiple sclerosis and stroke can all cause constipation, and cauda equina neuropathy of spinal cord can cause acute constipation or fecal incontinence due to hypoesthesia of buttocks.

1 1, mental illness: cognitive and emotional disorders such as depression, paranoia, dementia, delusion, etc. Will lead to constipation.

The harm of constipation:

Many people think that constipation is just a harmless disease. Even if you get constipation, it doesn't interfere with your diet and you don't need treatment. Constipation seems to be a minor illness, but it is actually very harmful to human health. If constipation is mild, it will bring inconvenience and pain to the lives of middle-aged and elderly people, and even lead to life-threatening diseases.

Common hazards of constipation are as follows.

Cerebral hemorrhage: Because constipation patients need to hold their breath when defecating, abdominal wall muscles contract strongly, which leads to the increase of intra-abdominal pressure and blood pressure, which can lead to cerebral hemorrhage in patients with cerebral arteriosclerosis.

Intestinal obstruction: For patients with constipation, bacteria in food residues ferment to produce a lot of harmful gases and toxins. If it is not discharged in time, it will cause abdominal distension, and the toxin will be absorbed into the blood, which will affect health and life. If constipation is not relieved for a long time, it can also become incomplete intestinal obstruction or even complete intestinal obstruction.

Rectal cancer: It is believed that due to slow intestinal peristalsis, carcinogens in dry feces can stimulate intestinal mucosa for a long time, which can induce rectal cancer. Swedish medical experts have found that people with habitual constipation, especially middle-aged and elderly people with habitual constipation, are most likely to suffer from rectal cancer.

Breast cancer: A study by the University of San Francisco School of Medicine found that a considerable number of abnormal cells can be detected in the breast secretions of women with habitual constipation. People who defecate less than three times a week have more than five times as many abnormal cells in emulsion as women who defecate once a day. This kind of abnormal cells are atypical hyperplasia and abnormal epithelium of breast, and this kind of hyperplasia is often the prophase of breast cancer.

Alzheimer's disease: The bacteria in the intestine can decompose undigested protein into harmful substances, such as helium, hydrogen sulfide and mercaptan. People with long-term constipation can't excrete toxic substances in time, and their absorption increases. When these toxic substances exceed the detoxification ability of the liver, they can enter the brain through blood circulation, destroy the central nervous system, lead to neurological dysfunction and mental decline in the brain, and thus lead to Alzheimer's disease.

Others: Constipation is the direct cause of anal fissure, hemorrhoids and perianal abscess.

Prevention and treatment of constipation;

The prevention of constipation should be carried out from two aspects: living habits and eating habits, and the most important measure to prevent habitual constipation is to change bad living habits:

1, report a cup of warm water or light salt water after getting up every morning;

2. Go to the toilet regularly and change the habit of reading when defecating;

3. Maintain certain physical activity;

4, abdominal muscle training and abdominal massage, sit-ups every day, or massage the abdomen with the thenar rotation of the palm, 32 times clockwise and counterclockwise;

5, increase the intake of dietary fiber, diet should not be too fine.

Diet therapy for constipation:

Traditional Chinese medicine has always emphasized the homology of medicine and food, and there are countless dietotherapy for constipation.

Steamed sweet potato or boiled rice porridge has laxative effect, but it is not suitable for patients with hyperacidity.

Honey mixed with honey can be used for constipation caused by liver heat.

Raw Atractylodes macrocephala porridge fried atractylodes has the function of strengthening the spleen, while raw Atractylodes macrocephala can moisten the intestines and relieve constipation, and can be taken in the morning and evening.

Walnut porridge is mashed with 50 grams of walnut kernel and boiled with 50 grams of japonica rice to make porridge, which is suitable for constipation due to blood deficiency.

Nutritional immune products: Peineng, Changxin, Changjie and Xiaoyao Powder.

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Causes of constipation:

Defecation is the need of human metabolism.

Constipation means that feces stay in the intestine for too long, which reduces the number of stools; The stool is dry, difficult to remove or endless. Constipation is common in middle-aged and elderly people. One third of the health of the elderly have constipation, and various laxatives need to be used for a long time. Laxatives have become the second largest over-the-counter drug after analgesics. Although constipation is not a serious illness, it often causes pain and occasionally threatens the lives of middle-aged and elderly people.

Causes of constipation:

When you encounter constipation, you can investigate the reasons from the following aspects, fundamentally eliminate the reasons and completely solve the problem.

1, bad eating habits: overeating spicy food and drinking insufficient water.

2. Incorrect toilet habits: not defecating in time, reading books and newspapers during defecation, and poor defecation posture.

3, lack of plant fiber: plant fiber plus enough water can form fecal lumps, stimulate intestinal mucosa and muscles, increase intestinal peristalsis, and promote fecal excretion. Insufficient intake of crude fiber food, reduced stool formation, dry stool, leading to constipation.

4, lack of exercise: people who stay in bed for a long time and sit for a long time have less physical activity, which slows down intestinal peristalsis, muscular atrophy of abdominal muscles and rectum, and weak defecation.

5. Restrain defecation: factors such as inconvenient toilet location, uncomfortable toilet, lack of privacy environment, and difficulty in going to the toilet during long-distance travel can also cause constipation.

6, anal lesions: hemorrhoids, anal fissure, perianal pain, because bleeding and pain should be consciously controlled, constipation will occur over time.

7. Intestinal diseases such as intestinal cancer, pancreatic cancer and intestinal obstruction lead to large intestine stenosis.

8. Drugs: narcotic analgesics (such as morphine and dolantin), antispasmodics (atropine, belladonna and doxepin), tricyclic antidepressants (such as doxepin and amitriptyline), anti-tremor and paralysis drugs (such as Antan and sedative sleeping pills), iron agents and aluminum agents (such as sucralfate and aluminum hydroxide). ), it will affect gastrointestinal motility and lead to constipation.

9, endocrine diseases: patients with hypothyroidism, intestinal peristalsis is often weakened, prone to constipation.

10, central neuropathy: paralysis agitans, multiple sclerosis and stroke can all cause constipation, and cauda equina neuropathy of spinal cord can cause acute constipation or fecal incontinence due to hypoesthesia of buttocks.

1 1, mental illness: cognitive and emotional disorders such as depression, paranoia, dementia, delusion, etc. Will lead to constipation.

The harm of constipation:

Many people think that constipation is just a harmless disease. Even if you get constipation, it doesn't interfere with your diet and you don't need treatment. Constipation seems to be a minor illness, but it is actually very harmful to human health. If constipation is mild, it will bring inconvenience and pain to the lives of middle-aged and elderly people, and even lead to life-threatening diseases.

Common hazards of constipation are as follows.

Cerebral hemorrhage: Because constipation patients need to hold their breath when defecating, abdominal wall muscles contract strongly, which leads to the increase of intra-abdominal pressure and blood pressure, which can lead to cerebral hemorrhage in patients with cerebral arteriosclerosis.

Intestinal obstruction: For patients with constipation, bacteria in food residues ferment to produce a lot of harmful gases and toxins. If it is not discharged in time, it will cause abdominal distension, and the toxin will be absorbed into the blood, which will affect health and life. If constipation is not relieved for a long time, it can also become incomplete intestinal obstruction or even complete intestinal obstruction.

Rectal cancer: It is believed that due to slow intestinal peristalsis, carcinogens in dry feces can stimulate intestinal mucosa for a long time, which can induce rectal cancer. Swedish medical experts have found that people with habitual constipation, especially middle-aged and elderly people with habitual constipation, are most likely to suffer from rectal cancer.

Breast cancer: A study by the University of San Francisco School of Medicine found that a considerable number of abnormal cells can be detected in the breast secretions of women with habitual constipation. People who defecate less than three times a week have more than five times as many abnormal cells in emulsion as women who defecate once a day. This kind of abnormal cells are atypical hyperplasia and abnormal epithelium of breast, and this kind of hyperplasia is often the prophase of breast cancer.

Alzheimer's disease: The bacteria in the intestine can decompose undigested protein into harmful substances, such as helium, hydrogen sulfide and mercaptan. People with long-term constipation can't excrete toxic substances in time, and their absorption increases. When these toxic substances exceed the detoxification ability of the liver, they can enter the brain through blood circulation, destroy the central nervous system, lead to neurological dysfunction and mental decline in the brain, and thus lead to Alzheimer's disease.

Others: Constipation is the direct cause of anal fissure, hemorrhoids and perianal abscess.

Prevention and treatment of constipation;

The prevention of constipation should be carried out from two aspects: living habits and eating habits, and the most important measure to prevent habitual constipation is to change bad living habits:

1, report a cup of warm water or light salt water after getting up every morning;

2. Go to the toilet regularly and change the habit of reading when defecating;

3. Maintain certain physical activity;

4, abdominal muscle training and abdominal massage, sit-ups every day, or massage the abdomen with the thenar rotation of the palm, 32 times clockwise and counterclockwise;

5, increase the intake of dietary fiber, diet should not be too fine.

Diet therapy for constipation:

Traditional Chinese medicine has always emphasized the homology of medicine and food, and there are countless dietotherapy for constipation.

Steamed sweet potato or boiled rice porridge has laxative effect, but it is not suitable for patients with hyperacidity.

Honey mixed with honey can be used for constipation caused by liver heat.

Raw Atractylodes macrocephala porridge fried atractylodes has the function of strengthening the spleen, while raw Atractylodes macrocephala can moisten the intestines and relieve constipation, and can be taken in the morning and evening.

Walnut porridge is mashed with 50 grams of walnut kernel and boiled with 50 grams of japonica rice to make porridge, which is suitable for constipation due to blood deficiency.

Constipation refers to decreased stool frequency and/or difficulty in dry stool. Generally, there is no stool for more than two days, indicating constipation. According to the presence or absence of organic diseases, constipation can be divided into organic constipation and functional constipation. Simple constipation and habitual constipation belong to this category. Constipation can occur in any age group, but it is common in middle-aged and elderly people. For constipation patients, they should be encouraged to drink more water and eat more foods rich in cellulose and vegetables, fruits and other foods. In addition, forming regular defecation habits and establishing good defecation reflex, supplemented by necessary Chinese medicine treatment, can generally achieve satisfactory results.

First, the cause of constipation

(A) the main factors

1. Dietary factors Some people eat too little, the food is too fine, the cellulose and water in the food are insufficient, which can't stimulate the intestine to some extent, the intestine peristalsis is slow, the food residue can't be pushed to the rectum in time, the stay time in the intestine is prolonged, and the feces are dried due to excessive water absorption. After the fecal residue enters the rectum, it cannot form enough pressure to stimulate nerve sensory cells to produce defecation reflex and cause constipation.

2. Insufficient defecation motivation. When defecating, not only the relaxation of anal sphincter and the upward and outward pulling of levator ani are needed, but also the descending of diaphragm, the contraction of abdominal muscles and the strength of holding one's breath are needed to push feces out. Old and weak, bedridden after a long illness, postpartum, etc. Because the contractility of diaphragm, abdominal muscle and anal sphincter is weakened, the abdominal pressure is reduced, and the defecation motivation is insufficient, so that feces are not discharged cleanly, feces remain, and constipation occurs. Therefore, constipation often occurs in the elderly.

3. Postpone the defecation time. Some people regard defecation as irrelevant, but it can be early or late, ignoring the habit of regular defecation; Or because of busy work, nervous mood, travel life, etc. The time of defecation is delayed, so that the feces that have reached the rectum return to the colon; Or because of anal diseases such as anal fissure and hemorrhoids, they are afraid of pain, bleeding and defecation. All these may slow down the response of nerve cells on the rectal wall to the oppressive feeling caused by feces entering the rectum, prolong the residence time of feces in the rectum without causing defecation feeling, and form habitual constipation.

4. Excessive water loss, sweating, vomiting, diarrhea, blood loss and fever. It will cause water loss and compensatory dry stool.

(2) Secondary factors

In recent years, a new type of constipation, called outlet obstructive constipation (or pelvic floor muscle dysfunction), has been discovered by means of defecography, anorectal manometry, colon transit time measurement and pelvic floor electromyography. It is characterized by obstruction factors at the outlet of pelvic floor during defecation, some of which can be eliminated or alleviated by surgery. Exit obstructive constipation is not introduced here, and professionals can learn about it at the exit.

2. Allergic colitis, diverticulitis, Hirschsprung's disease and other colorectal diseases can cause large bowel spasm and dyskinesia, leading to constipation due to poor stool passage.

3. Taking calcium carbonate, aluminum hydroxide, atropine, propofol, morphine, phenethylpiperidine, bismuth carbonate and other drugs. And lead, arsenic, mercury, phosphorus and other metal poisoning can lead to constipation.

Long-term abuse of laxatives reduces the stress of nerve sensory cells in intestinal wall. Even if there is enough feces in the intestine, it can not produce normal peristalsis and defecation reflex, leading to intractable constipation.

4. Strong mental stimulation, panic, emotional tension, anxiety or high concentration on a certain job will make the will disappear and form constipation.

In addition, nervous system disorder, endocrine disorder, vitamin deficiency and so on. It can also cause constipation.

(C) TCM understanding of constipation

Traditional Chinese medicine believes that constipation is mainly caused by dryness and heat, qi stagnation, insufficient body fluid and spleen deficiency and cold.

1. Chinese medicine believes that overeating is spicy and sticky, and taking warm tonic products can make the yang flourish and the yin flourish; After a fever, the residual heat lingers in the stomach, consuming body fluids; Or hot and humid heat pours into the large intestine, making the intestine hot and dry, hurting body fluid and constipation, also called heat secret.

2. Qi stagnation is caused by depression, anxiety, sedentary and long illness in bed.

As a result, the conduction of the large intestine failed, and the dregs stopped inside, resulting in a secret knot, that is, the so-called "qi stagnation leads to the decline of things." The excrement is not dry, but it is difficult to discharge, so it is also called gas secret.

3. Insufficient body fluid, chronic illness, postpartum, aging, and deficiency of both qi and blood; Internal injury of spleen and stomach, lack of drinking water, insufficient chemical source, excessive sweating during illness, diarrhea and yin injury. Deficiency of qi leads to weakness of large intestine transport, and deficiency of blood and body fluid leads to malnutrition of large intestine, which makes intestinal dryness difficult, so it is called deficiency of secret.

4. Spleen deficiency and kidney deficiency are chronic diseases in cold years, kidney yang deficiency is damaged, Yang Qi is not transported, and yin evil is condensed; Or spleen yang deficiency and cold attack, leading to spleen and kidney yang deficiency, cold coagulation and qi stagnation, intestinal transmission weakness, constipation, called cold secret.

Second, prevent constipation.

(1) Because feces are mainly composed of digested food, it is a simple and easy method to prevent constipation through diet adjustment. First of all, pay attention to the amount of food. Only a sufficient amount can stimulate intestinal peristalsis and make feces pass and excrete normally. Especially a big breakfast. Secondly, we should pay attention to the quality of diet, and the staple food should not be too fine and fine. Pay attention to eating coarse grains and miscellaneous grains, because there are more residues after digestion of coarse grains and miscellaneous grains, which can increase the amount of stimulation to the intestine and is conducive to the operation of stool. Non-staple food should pay attention to eat more cellulose-rich vegetables, because normal people need 90- 100 mg of cellulose per kilogram of body weight to maintain normal defecation. You can eat more vegetables, leeks, celery, sweet potatoes and so on. Because the fiber rope is not easy to be digested and absorbed, and the residue is large, it can increase the intestinal internal volume, increase the intestinal pressure and increase the intestinal peristalsis, which is beneficial to defecation. You also need to drink more water, especially for heavy manual workers. Because of sweating, heavy breathing and large water consumption, the water in the intestine is bound to be absorbed in large quantities, so drink plenty of water to prevent dry stool. Drinking a glass of water before breakfast or after getting up has a mild laxative effect. Drink plenty of water to make the intestine get enough water, which is beneficial to the passage of intestinal contents. In addition, you can intentionally eat more foods with high fat content, such as walnuts, peanuts, sesame seeds, rapeseed oil and peanut oil. These have a good laxative effect.

(2) Develop a good habit of defecation

Everyone has various habits, and defecation is no exception. It is necessary to defecate at a certain time. If you often delay defecation time and destroy good defecation habits, the defecation reflex will be weakened, causing constipation, so don't artificially control the feeling of defecation. For people who are often prone to constipation, we must pay attention to arranging defecation at a reasonable time and go to the toilet every time to develop good defecation habits.

(3) active exercise

Exercise, exercise, defecation. Walking, running, doing deep breathing exercises, practicing Qigong, playing Tai Ji Chuan, turning around and lifting legs, participating in cultural and sports activities and physical labor can strengthen gastrointestinal activities, increase appetite and exercise diaphragm, abdominal muscles and anal muscles; Improve defecation motivation and prevent constipation. Old people in rural areas who often work are seldom constipated, but they are lazy. There are more elderly people in cities who are pampered, which illustrates this truth.

In ancient times, induction was used to prevent constipation. "The source of miscellaneous diseases, turbid with rhinoceros" said, "The way to preserve one's health lies in holding the upper jaw of the tongue, hanging it, meditating, and letting the body fluid grow by itself. Once your mouth is full, the red dragon stirs, washes and swallows frequently, listens to its sound and descends to the abdomen, keeps quiet and swallows several times. The large intestine is self-lubricating and effective after operation. " Suitable for the elderly and infirm.

(four) timely treatment of related diseases.

The treatment of related diseases also plays a certain role in preventing constipation. Such as allergic colitis, diverticulitis of large intestine, colon tumor and colon stenosis; Hypothyroidism and diabetes; Uterine fibroids; Poisoning by metals such as lead and mercury.

In addition, Chinese medicine can be used to cook porridge and rice to prevent constipation:

1. sweet potato porridge Wash and cut half a catty of sweet potato into small pieces, mix with 2-3 portions of japonica rice, and boil the porridge with appropriate amount of water. When the porridge is ready, add some sugar and cook it for two or three times.

2. perilla mamen porridge: 65,438+00-65,438+05g perilla seeds and hemp seeds are respectively pounded into mud, slowly ground with water, filtered to remove residues, and then cooked with two pairs of japonica rice to make porridge. More suitable for the elderly or postpartum use.

3. Baiziren porridge Baiziren 10- 15g, peeled and mashed, added with 1-2 japonica rice, and boiled into porridge. After the porridge is ready, add the right amount of honey; Cook it again once or twice.

Third, constipation diet

(1) nutritional therapy

Nutritional therapy should be based on different types and given appropriate diet. Develop the habit of regular defecation, avoid taking laxatives and enema frequently, and increase physical activity appropriately.

1. Spastic constipation

(1) Eat a low-residue diet without crude fiber, a semi-liquid diet with low residue, fast vegetables and fruits, and then eat soft rice with low residue.

(2) Appropriately increasing fat can moisten intestines, and fatty acids can promote intestinal peristalsis, which is beneficial to defecation; But not too much, < 100 g per day.

(3) Drink plenty of water, drink plenty of water and drinks, and keep the feces in the intestines moist to facilitate defecation, such as drinking water containing honey in the morning.

(4) Eating powder products can absorb moisture in the intestine, make the feces soft and smooth, increase the volume and facilitate excretion.

(5) Fasting irritating foods It is forbidden to drink irritating foods such as spirits, strong tea, coffee, peppers and curry.

2. Obstructive constipation

If it is caused by organic diseases, we should first treat the diseases and remove the causes, such as rectal cancer and colon cancer. If it is incomplete obstruction, you can consider giving a clean diet. Diet is limited to providing part of heat energy and minimizing food residue. Parenteral nutrition is the main way to supply heat energy and nutrients.

3. Weak constipation

(1) A diet high in dietary fiber supplies more foods high in dietary fiber, stimulates the intestine, promotes gastrointestinal peristalsis, and enhances defecation ability; Such as coarse grains, fruits with skins, fresh vegetables, etc.

(2) Drink plenty of water and beverages to keep enough water in the intestine, which is conducive to excreting feces.

(3) Supplementing B vitamins and eating foods rich in B vitamins can promote the secretion of digestive juice, maintain and promote intestinal peristalsis and facilitate defecation. Such as coarse grains, yeast, beans and their products.

(4) Eat more gas-producing foods and choose foods that are easy to produce gas, so as to promote intestinal peristalsis and facilitate defecation; You can choose onions, radishes, garlic sprouts and so on.

(5) Appropriate addition of high-fat foods to the high-fat diet. Vegetable oil can directly moisten intestines, and decomposed fatty acids can stimulate intestinal peristalsis. Peanut, sesame, walnut, peanut oil, sesame oil and soybean oil can be selected, and the daily total fat can reach 100g. Provide laxative food, such as foreign powder and its products, tremella soup, etc.

(6) diet taboo avoid alcohol, tobacco and spicy food, because these foods are not good for laxatives.

4. Sample recipes

Reference recipes for high-fiber and high-fat diets are as follows.

(1) formula component (g)

The first cereal 120 Fugui powder 50 onions 80 eggs 50 soybean oil 10 salt 2

The second cup of milk is 220, sugar is 20.

Third japonica rice 120 onion 100 beef and lean meat 75 vegetables 150 herring 75 soybean oil 10 salt 3 fourth red dates 50 sugar 20

The fifth japonica rice 100 corn 50 celery 150 lean pork 60 bean 100 mushroom 15 soybean oil 5 salt.

4. Extracts from effective prescriptions of traditional Chinese medicine are as follows:

Fang 1 huangqi Jianzhong decoction

20g of Radix Astragali, 20g of Fructus Ligustri Lucidi, 9g of Radix Platycodi, 6g of Radix Glycyrrhizae, 6g of Ramulus Cinnamomi, 0g of Radix Paeoniae Alba and 5g of Radix Angelicae Sinensis, 0g of Fructus Jujubae 12, and 3g of ginger. Proper amount of maltose. One dose a day, decocting in water for 10 days as a course of treatment, and generally taking 1~2 courses of treatment.

Efficacy: benefiting the temperature and yang, nourishing blood and relaxing bowels.

Prescription source: Excerpted from the magazine new traditional chinese medicine 1996, (2)

Fang 2 Tongbian Siwu Decoction

40g of Atractylodes macrocephala, 20g of Cistanche deserticola, 20g of Radix Rehmanniae, and 0g of fried Fructus Aurantii10g. Decoct with water to get juice, and take it in the morning and evening, one dose a day. Five doses are a course of treatment. Take 1 course of treatment after normal stool to consolidate the curative effect.

Efficacy; Nourishing yin and moistening dryness, promoting fluid production and quenching thirst.

Source of prescription: Excerpted from hebei journal of traditional chinese medicine Magazine 1994, (1).

Fang 3 Zi Pi Geng Yi Tang

20g of roasted licorice, 60g of barley, 30g of Atractylodes macrocephala, 20g of Polygonatum sibiricum, and 0/5g of jujube/kloc. Decoct in water, take it in the morning and evening 150ml. Stop using other Chinese and western medicines during medication. 1 month is a course of treatment.

Efficacy: nourishing spleen and yin, moistening intestines and relaxing bowels.

Source of Prescription: Extracted from Hubei Traditional Chinese Medicine 199 1, (3)

Formula 4 Zhishi Daozhi Pills

9 grams of rhubarb, 9 grams of fried Fructus Aurantii Immaturus, 9 grams of fried Massa Medicata Fermentata, 6 grams of Poria, Scutellariae Radix, Coptidis Rhizoma and Atractylodis Rhizoma, and 6 grams of Alisma orientale. Grind the medicine into fine powder, soak the soup and steam the cake into pills, 1~2 times a day, 1 time, 3 ~ 6g each time.

Efficacy: clearing away heat and promoting diuresis, inducing stagnation and relaxing bowels.