What is Constipation?

Constipation is a common digestive condition characterized by infrequent bowel movements, hard stools, and difficulty passing stools. It can vary from acute to chronic, severely impacting an individual's quality of life.

Sub-symptoms include chronic constipation, severe constipation, postpartum constipation, and constipation in the elderly, each presenting unique challenges in both diagnosis and treatment.

How does TCM view Constipation?

Traditional Chinese Medicine (TCM) interprets constipation as a symptom of underlying disharmony within the body's organ systems, particularly the Spleen, Liver, and Kidneys.

TCM emphasizes the importance of identifying the specific pattern of disharmony causing constipation to effectively restore balance. This approach contrasts with Western medicine by focusing on the root cause rather than merely addressing the symptom.

Root Causes of Constipation in TCM

TCM identifies several patterns that can lead to constipation, such as the Heat in the Blood, which manifests as dry stools and an overall sensation of heat; Interior Wind, characterized by neurological symptoms alongside constipation; and Yin Deficiency, where a lack of fluid in the body leads to Dryness and constipation.

Each pattern reflects an imbalance in the body’s Qi, Blood, Yin, or Yang, requiring a targeted approach to treatment that addresses both the symptoms and their underlying causes.

Explore below more details about what might cause Constipation according to TCM.

  • By Syndrome
  • By Organ
  • Heat
  • Wind
  • Yin Deficiency
  • Qi Stagnation
  • Phlegm
  • Cold
  • Yin Collapse
  • Yang Deficiency
  • Yang Excess
  • Dryness
  • Stomach
  • Liver
  • Large Intestine
  • Kidney
  • Small Intestine
  • Lung
  • Uterus
  • Heart
Detailed description of the cause

Heat

In TCM "Heat" signifies an excess of Yang energy, leading to an imbalance where heat predominates over the body's cool Yin aspects. This condition is metaphorically akin to an internal over-heating. Symptoms indicative of Heat can include feelings of warmth, fever, sweating, irritability, red face, thirst with a preference for cold drinks, and a rapid pulse. The tongue may appear red with a yellow coating. Unlike the common interpretation of heat in terms of temperature, in TCM, it represents a state of hyperactivity or inflammation in the body.... see more

Heat Patterns That Can Lead to Constipation

Common Symptoms: Thirst Flushed Face Dry Stools Irritability Dark Urine Dizziness Feeling Of Heat Fever

Pattern Name Relevant Symptoms Relevant Formulas
Heat in the Blood Constipation, Feeling of heat, Red skin eruptions, Thirst, Frequent bleeding, Bloody sputum, Hematochezia, Hematuria, Vomiting blood, Cough of blood, Nosebleeds, Excessive menstruation... see more Qing Jing San | Long Dan Xie Gan Tang | Liang Di Tang | Di Gu Pi Yin
Bright Yang Fire in Stomach and Intestines Constipation, Afternoon fever, Excessive sweating, Sweating on limbs, Abdominal fullness, Abdominal pain, Dry stools, Thirst, Dark urine, Anal burning, Irritability, Delirium... see more Tiao Wei Cheng Qi Tang | Xiao Cheng Qi Tang
Heat in the Large Intestine Constipation, Mouth burning sensation, Anal burning, Scanty and dark urine, Dry stools, Dry tongue... see more Ma Zi Ren Wan
Heat in Uterus Blood Constipation, Excessive menstruation, Sudden period before schedule, Dark menstrual blood, Sticky menstrual blood, Thirst, Flushed face, Anger, Anxiety, Dark urine... see more Qing Re Gu Jing Tang | Huai Jiao Wan | Gu Jing Wan
Liver Fire Blazing Constipation, Irritability, Anger, Tinnitus, Deafness, Temporal headache, Dizziness, Flushed face, Eye hyperemia, Thirst, Bitter taste in the mouth, Vivid dreaming, Dry stools, Dark urine, Nosebleeds, Cough of blood, Vomiting blood... see more Long Dan Xie Gan Tang | Dang Gui Long Hui Wan | Xie Qing Wan
Liver Fire insulting the Lungs Constipation, Shortness of breath, Asthma, Hypochondriac pain and discomfort, Cough with yellow or blood tinged sputum, Headaches, Dizziness, Flushed face, Thirst, Bitter taste in the mouth, Eye hyperemia, Scanty and dark urine... see more Long Dan Xie Gan Tang | Ke Xie Fang
Liver Wind agitating Internally due to Liver Fire Constipation, Tremors, Irritability, Anger, Tinnitus, Deafness, Temporal headache, Dizziness, Flushed face, Eye hyperemia, Thirst, Bitter taste in the mouth, Vivid dreaming, Dry stools, Dark urine, Nosebleeds, Vomiting blood, Cough of blood... see more Ling Jiao Gou Teng Tang | Zi Xue Dan | Feng Yin Tang
Stagnant Liver Qi turning into Fire Constipation, Hypochondriac distention, Upper abdominal distension, Stifling sensation in the chest, Irritability, Melancholia, Depression, Mood swings, Globus sensation, Feeling of heat, Flushed face, Thirst, Anger, Pre menstrual tension, Irregular periods, Pre menstrual breast distension, Excessive menstruation... see more Long Dan Xie Gan Tang | Dan Zhi Xiao Yao San
Stomach Heat or Fire Constipation, Upper abdominal burning pain, Excessive thirst, Craving for cold beverages, Restlessness, Dry stools, Dry mouth, Mouth ulcers, Acid reflux, Nausea, Vomiting after eating, Excessive hunger, Bad breath, Feeling of heat, Acne... see more Tiao Wei Cheng Qi Tang | Qing Wei San | Xie Huang San | Fei Er Wan | Hua Ban Tang
Toxic-Heat Constipation, Fever, Edema, Pus and discharge, Boils, Carbuncles, Pustule, Red skin eruptions, Sore throat, Eczema, Perineum swollen, Prostate swollen, Testicular swelling, Mouth ulcers, Tonsil swelling... see more Long Dan Xie Gan Tang | Xi Jiao Di Huang Tang | Yin Qiao San | Sang Ju Yin | Bai Hu Tang | Qing Ying Tang | Huang Lian Jie Du Tang | Xin Yi Qing Fei Yin | Gan Lu Xiao Du Dan | Shi Wei Bai Du San | San Zhong Kui Jian Tang | Zi Dang Gao | Er Qing Gao | Bing Peng San | Pu Ji Xiao Du Yin
Toxic-Heat Stagnation Constipation, Pustule, Carbuncles, Fever, Red skin eruptions, Sore throat, Throat pain, Eczema, Perineum swollen, Prostate swollen, Testicular swelling, Mouth ulcers, Tonsil swelling... see more Huang Lian Jie Du Tang | Xin Yi Qing Fei Yin
Phlegm-Heat in the Lungs Constipation, Coughing, Shortness of breath, Wheezing, Stifling sensation in the chest, Sputum, Feeling of heat, Thirst, Head and body heaviness, Dizziness, Copious thick yellow sputum... see more Xiao Xian Xiong Tang
Excess-Heat Constipation, Fever, Flushed face, Red skin eruptions, Mottled skin, Irritability, Thirst, Arthritis, Scanty and dark urine, Lupus... see more Xi Jiao Di Huang Tang
Stomach Fire or Stomach Heat Constipation, Toothache, Headaches, Stomatitis, Periodontitis, Glossitis, Trigeminal neuralgia, Diabetes, Viral myocarditis, Breast engorgement, Breast lumps... see more Gua Lou San | Yu Nu Jian | Wen Dan Tang
Disharmony between Heart and Kidneys Constipation, Dizziness, Tinnitus, Insomnia, Palpitations, Poor memory, Lower back pain, Knee pain, Night sweats, Menopausal hot flashes, Blurry vision... see more Liu Wei Di Huang Wan | Tian Wang Bu Xin Dan
Heat in Yang brightness Organs Severe constipation, Excessive gas and flatulence, Focal distention, Abdominal fullness, Abdominal pain worsened by pressure, Abdominal tightness, Pancreatitis, Appendicitis, Cholecystitis, Bacillary dysentery, Icteric hepatitis... see more Da Cheng Qi Tang
Detailed description of the cause

Wind

In TCM "Wind" is a concept that represents a pattern of disharmony, often characterized by its sudden and unpredictable nature, much like a gusty wind changing direction without warning. This pattern is associated with symptoms that come and go quickly or move around the body, such as itching, tremors, or even certain types of pain. Wind is considered to be a primary cause of illnesses that have these rapidly changing characteristics. In TCM, external Wind often refers to illnesses that start suddenly, like the common cold, believed to be caused by external pathogenic factors like climatic changes. On the other hand, internal Wind can be linked to internal imbalances and can manifest in conditions like dizziness or spasms. ... see more

Wind Patterns That Can Lead to Constipation

Common Symptoms: Irritability Dizziness Anger Dry Stools Thirst Dark Urine Tremors Headaches

Pattern Name Relevant Symptoms Relevant Formulas
Bright Yang Fire in Stomach and Intestines Constipation, Afternoon fever, Excessive sweating, Sweating on limbs, Abdominal fullness, Abdominal pain, Dry stools, Thirst, Dark urine, Anal burning, Irritability, Delirium... see more Tiao Wei Cheng Qi Tang | Xiao Cheng Qi Tang
Interior Wind Constipation, Convulsions, Hand tremor, Dizziness, Paralysis, Coma, Tic disorder, Mouth deviation, Eye deviation, Tremors, Headaches, Limb numbness... see more Tian Ma Gou Teng Yin | Ling Jiao Gou Teng Tang | Liu Wei Di Huang Wan | Qi Ju Di Huang Wan | E Jiao Ji Zi Huang Tang | Zhen Gan Xi Feng Tang | Bu Gan Tang | Si Wu Tang
Liver Wind agitating Internally due to Liver Fire Constipation, Tremors, Irritability, Anger, Tinnitus, Deafness, Temporal headache, Dizziness, Flushed face, Eye hyperemia, Thirst, Bitter taste in the mouth, Vivid dreaming, Dry stools, Dark urine, Nosebleeds, Vomiting blood, Cough of blood... see more Ling Jiao Gou Teng Tang | Zi Xue Dan | Feng Yin Tang
Wind-Phlegm Constipation, Dizziness, Stifling sensation in the chest, Aphasia, Coughing and wheezing with copious sputum, Noisy breathing, Limb numbness... see more Ban Xia Bai Zhu Tian Ma Tang
Detailed description of the cause

Yin Deficiency

Yin deficiency in TCM is a pattern of disharmony characterized by a depletion of the body's Yin energy, which represents the cooling, moistening, and nurturing aspects of our physiology. This condition often arises from factors like chronic stress, overwork, insufficient rest, or prolonged illness. Symptoms of Yin deficiency can include a sensation of heat, especially in the afternoon or evening, night sweats, insomnia, a dry mouth or throat, and a red tongue with little coating. There might also be a general feeling of restlessness or irritability. Since Yin is essential for balancing the body's active and warm Yang energy, its deficiency leads to a relative excess of Yang, manifesting as heat or dryness symptoms.... see more

Yin Deficiency Patterns That Can Lead to Constipation

Common Symptoms: Dry Mouth Dry Throat Dry Stools Lower Back Pain Anxiety Flushed Cheekbones Menopausal Hot Flashes Preference For Sipping

Pattern Name Relevant Symptoms Relevant Formulas
Kidney Yin Deficiency Constipation, Excessive sweating, Back pain, Hearing loss, Dry mouth and throat at night, Lower back pain, Scanty and dark urine, Infertility, Premature ejaculation, Generalized fatigue, General weakness, Depression, Anxiety, Heat sensation in palms, Evening heat sensation, Flushed cheekbones, Menopausal hot flashes, Preference for sipping, Evening anxiety... see more Liu Wei Di Huang Wan | Qi Ju Di Huang Wan | Zuo Gui Wan | Zhi Bo Di Huang Wan | Bai Zi Yang Xin Tang | Qi Bao Mei Ran Dan | Zuo Gui Yin | Dang Gui Di Huang Yin | Dan Zhi Xiao Yao San
Stomach Yin Deficiency Constipation, Lack of appetite, Preference for sipping, Slight abdominal distension after eating... see more Mai Men Dong Tang | Yi Wei Tang | Shen Ling Bai Zhu San
Disharmony between Heart and Kidneys Constipation, Dizziness, Tinnitus, Insomnia, Palpitations, Poor memory, Lower back pain, Knee pain, Night sweats, Menopausal hot flashes, Blurry vision... see more Liu Wei Di Huang Wan | Tian Wang Bu Xin Dan
Detailed description of the cause

Qi Stagnation

Qi Stagnation in TCM is like having a traffic jam in your body's energy system. Qi, the vital life force that flows through your body, is supposed to move smoothly to maintain health and balance. But with Qi Stagnation, this flow gets blocked or slowed down, like cars stuck on a highway. This can lead to symptoms like feeling stressed, emotional mood swings, and physical discomfort, often described as a feeling of fullness or tightness, especially in the chest or abdomen. It's as though the body's internal energy circulation is disrupted, causing various issues. TCM sees this as an energy flow problem, different from modern medicine's focus on specific physiological processes.... see more

Qi Stagnation Patterns That Can Lead to Constipation

Common Symptoms: Abdominal Pain Abdominal Distention Anxiety Hypochondriac Distention Upper Abdominal Distension Melancholia Depression Mood Swings

Pattern Name Relevant Symptoms Relevant Formulas
Large Intestine Qi Stagnation Constipation, Abdominal distention, Abdominal pain, Anxiety, Bitty stools Chai Hu Shu Gan San
Liver Qi Stagnation Constipation, Hypochondriac distention, Chest distension, Upper abdominal distension, Abdominal distention, Sighing, Melancholia, Depression, Mood swings, Irregular periods, Globus sensation, Pre menstrual breast distension, Pre menstrual tension, Anxiety, Anger... see more Gua Lou San
Stagnant Liver Qi turning into Fire Constipation, Hypochondriac distention, Upper abdominal distension, Stifling sensation in the chest, Irritability, Melancholia, Depression, Mood swings, Globus sensation, Feeling of heat, Flushed face, Thirst, Anger, Pre menstrual tension, Irregular periods, Pre menstrual breast distension, Excessive menstruation... see more Long Dan Xie Gan Tang | Dan Zhi Xiao Yao San
Detailed description of the cause

Phlegm

In TCM "Phlegm" as a pattern of disharmony is a complex concept that extends beyond the physical manifestation of mucus. It represents a pathological factor that can disrupt the flow of Qi (vital energy) and blood, leading to various health issues. Phlegm in TCM is seen as a sticky, turbid substance arising from the body's inability to metabolize fluids properly, often due to a dysfunction of the spleen. It's not only associated with respiratory problems like cough and congestion but also with systemic issues. Symptoms can include a feeling of heaviness, mental cloudiness, dizziness, and in some cases, the formation of lumps or masses. Phlegm can even be "invisible," contributing to emotional disturbances like depression or stress. ... see more

Phlegm Patterns That Can Lead to Constipation

Common Symptoms: Dizziness Stifling Sensation In The Chest Chest Pain Aphasia Coughing And Wheezing With Copious Sputum Noisy Breathing Limb Numbness Itchy Ears

Pattern Name Relevant Symptoms Relevant Formulas
Wind-Phlegm Constipation, Dizziness, Stifling sensation in the chest, Aphasia, Coughing and wheezing with copious sputum, Noisy breathing, Limb numbness... see more Ban Xia Bai Zhu Tian Ma Tang
Phlegm-Heat in the Lungs Constipation, Coughing, Shortness of breath, Wheezing, Stifling sensation in the chest, Sputum, Feeling of heat, Thirst, Head and body heaviness, Dizziness, Copious thick yellow sputum... see more Xiao Xian Xiong Tang
Detailed description of the cause

Cold

In TCM "Cold" as a pattern of disharmony refers to a specific type of imbalance within the body's systems, often linked to a deficiency or weakness. It's not about feeling physically cold or having a common cold, but rather a metaphorical description of certain symptoms and underlying conditions. When a TCM practitioner says someone suffers from "Cold," it usually implies that the body's Yang energy, which is warm and active, is insufficient or overpowered by Yin energy, which is cool and passive. Symptoms of Cold in TCM can include a general feeling of coldness, cold limbs, pale complexion, low energy, slow metabolism, and a preference for warmth. ... see more

Cold Patterns That Can Lead to Constipation

Common Symptoms: Abdominal Pain Afternoon Fever Excessive Sweating Sweating On Limbs Abdominal Fullness Dry Stools Thirst Dark Urine

Pattern Name Relevant Symptoms Relevant Formulas
Bright Yang Fire in Stomach and Intestines Constipation, Afternoon fever, Excessive sweating, Sweating on limbs, Abdominal fullness, Abdominal pain, Dry stools, Thirst, Dark urine, Anal burning, Irritability, Delirium... see more Tiao Wei Cheng Qi Tang | Xiao Cheng Qi Tang
Exterior Cold invading the Interior Constipation, Abdominal pain, Hypochondriac pain, Chills, Low grade fever, Cold extremities, Sweating that doesn't reduce fever, Epigastric palpitations, Dizziness, Twitching, Unsteadiness... see more Da Huang Fu Zi Tang
Detailed description of the cause

Yin Collapse

Yin Collapse in TCM represents an extreme form of Yin deficiency and is considered a serious and critical state of imbalance. It occurs when the body's nourishing and cooling Yin energy is so depleted that it can no longer counterbalance the active and warm Yang energy. This leads to a surge of uncontrolled Yang, manifesting as severe heat signs. The symptoms of Yin Collapse are more intense than those of a simple Yin deficiency. They include profuse sweating (especially at night), a severe sensation of heat and burning, often in the palms, soles, and chest, a very red tongue with little or no coating, a rapid and thin pulse, and potentially severe restlessness or agitation. There might also be symptoms of severe dryness, like dry throat, thirst, and dry skin. Yin Collapse is considered an emergency in TCM and requires immediate intervention. Treatment aims to rapidly nourish and replenish Yin while simultaneously subduing the excessive Yang.... see more

Yin Collapse Patterns That Can Lead to Constipation

Pattern Name Relevant Symptoms Relevant Formulas
Collapse of Yin Constipation, Low grade fever, Night sweats, Restlessness, Dry mouth with desire to sip liquids, Heat sensation in palms, Flushed cheekbones, Emaciation, Urinary retention... see more Da Bu Yin Wan
Detailed description of the cause

Yang Deficiency

Yang deficiency in TCM refers to a state where the body's Yang energy, which is responsible for warmth, activity, and function, is weakened or diminished. This pattern of disharmony often arises from chronic illness, aging, or inherent constitutional weakness. Symptoms of Yang deficiency are typically associated with cold and sluggishness, such as a feeling of coldness, cold extremities, pale complexion, low energy or fatigue, and a desire for warmth. Digestive issues like poor appetite, loose stools, and water retention can also be indicative of Yang deficiency.... see more

Yang Deficiency Patterns That Can Lead to Constipation

Pattern Name Relevant Symptoms Relevant Formulas
Kidney Yang Deficiency Constipation, Lower back pain, Dizziness, Tinnitus, Weak and cold knees, Lower back coldness, Chills, Weak legs, Bright pale face, Generalized fatigue, General weakness, Leg edema, Female infertility, Diarrhea, Depression, Erectile dysfunction, Premature ejaculation, Oligospermia, Low sex drive, Pale and abudant urination... see more Ji Chuan Jian | Ba Wei Di Huang Wan | You Gui Wan | Er Xian Tang | Shen Qi Wan | Wu Zi Yan Zong Wan | Tu Si Zi Wan
Detailed description of the cause

Yang Excess

Yang Excess in TCM refers to a state where there is an overabundance of Yang energy, leading to symptoms of heat and hyperactivity in the body. This pattern of disharmony often arises from factors like stress, excessive physical activity, overconsumption of spicy or heating foods, or an internal imbalance that causes Yang to flare up. Symptoms of Yang Excess include a feeling of heat, red face, irritability, restlessness, thirst, constipation, and a rapid, forceful pulse. Treatment in TCM for Yang Excess aims to cool down and subdue the excessive Yang while nurturing Yin energy to restore balance.... see more

Yang Excess Patterns That Can Lead to Constipation

Pattern Name Relevant Symptoms Relevant Formulas
Yang Excess or Full Yang Constipation, Feeling of heat, Hyperactivity, Lack of sweating, Heat intolerance Da Cheng Qi Tang
Detailed description of the cause

Dryness

"Dryness" in TCM refers to a state where there is a lack of moisture in the body, much like how the land feels during a drought. It's a pattern of disharmony that can arise from external factors like dry weather or internal issues, such as insufficient fluid intake or certain lifestyle habits. When your body experiences this dryness, you might notice symptoms like dry skin, a scratchy throat, dry eyes, or even constipation. It's similar to the feeling of being parched or having dry, chapped lips in a very dry climate. TCM views this as an imbalance where the body's yin - often associated with moisture and cooling - is depleted.... see more

Dryness Patterns That Can Lead to Constipation

Pattern Name Relevant Symptoms Relevant Formulas
Dryness in Large Intestine Constipation, Thirst, Dry stools, Dry mouth, Dry throat, Poor constitution, Dizziness, Bad breath, Irritable bowel syndrome, Hemorrhoids, Aphthous stomatitis... see more Zeng Ye Tang
Detailed description of the cause

Stomach

In TCM the Stomach is regarded as the "sea of nourishment," pivotal for digesting food and transforming it into Qi and blood. It works closely with the Spleen to distribute these essential nutrients throughout the body. When the Stomach is out of balance or malfunctions in TCM, it often leads to digestive problems such as bloating, nausea, vomiting, poor appetite, or a feeling of fullness. There may also be issues like acid reflux or a sour taste in the mouth. Emotionally, an imbalanced Stomach can contribute to excessive worry and overthinking, reflecting the TCM belief that physical and emotional well-being are deeply interconnected.... see more

Stomach Patterns That Can Lead to Constipation

Common Symptoms: Dry Stools Thirst Dry Mouth Bleeding Gums Abdominal Fullness Irritability Diabetes Restlessness

Pattern Name Relevant Symptoms Relevant Formulas
Bright Yang Fire in Stomach and Intestines Constipation, Afternoon fever, Excessive sweating, Sweating on limbs, Abdominal fullness, Abdominal pain, Dry stools, Thirst, Dark urine, Anal burning, Irritability, Delirium... see more Tiao Wei Cheng Qi Tang | Xiao Cheng Qi Tang
Stomach Heat or Fire Constipation, Upper abdominal burning pain, Excessive thirst, Craving for cold beverages, Restlessness, Dry stools, Dry mouth, Mouth ulcers, Acid reflux, Nausea, Vomiting after eating, Excessive hunger, Bad breath, Feeling of heat, Acne... see more Tiao Wei Cheng Qi Tang | Qing Wei San | Xie Huang San | Fei Er Wan | Hua Ban Tang
Stomach Yin Deficiency Constipation, Lack of appetite, Preference for sipping, Slight abdominal distension after eating... see more Mai Men Dong Tang | Yi Wei Tang | Shen Ling Bai Zhu San
Stomach Fire or Stomach Heat Constipation, Toothache, Headaches, Stomatitis, Periodontitis, Glossitis, Trigeminal neuralgia, Diabetes, Viral myocarditis, Breast engorgement, Breast lumps... see more Gua Lou San | Yu Nu Jian | Wen Dan Tang
Heat in Yang brightness Organs Severe constipation, Excessive gas and flatulence, Focal distention, Abdominal fullness, Abdominal pain worsened by pressure, Abdominal tightness, Pancreatitis, Appendicitis, Cholecystitis, Bacillary dysentery, Icteric hepatitis... see more Da Cheng Qi Tang
Detailed description of the cause

Liver

In TCM the Liver is viewed as the organ responsible for the smooth flow of Qi, Blood, and emotions throughout the body. It plays a key role in regulating mood, storing blood, supporting digestion, and ensuring the health of tendons and eyes. When the Liver malfunctions or is imbalanced in TCM, it can lead to a range of issues such as irritability, mood swings, menstrual irregularities, eye problems, and muscular stiffness or pain. A malfunctioning Liver in TCM reflects not only physical disturbances but also emotional and mental disharmony, emphasizing the holistic approach of TCM in addressing health and wellness.... see more

Liver Patterns That Can Lead to Constipation

Common Symptoms: Irritability Anger Dizziness Flushed Face Eye Hyperemia Thirst Bitter Taste In The Mouth Dry Stools

Pattern Name Relevant Symptoms Relevant Formulas
Liver Fire Blazing Constipation, Irritability, Anger, Tinnitus, Deafness, Temporal headache, Dizziness, Flushed face, Eye hyperemia, Thirst, Bitter taste in the mouth, Vivid dreaming, Dry stools, Dark urine, Nosebleeds, Cough of blood, Vomiting blood... see more Long Dan Xie Gan Tang | Dang Gui Long Hui Wan | Xie Qing Wan
Liver Fire insulting the Lungs Constipation, Shortness of breath, Asthma, Hypochondriac pain and discomfort, Cough with yellow or blood tinged sputum, Headaches, Dizziness, Flushed face, Thirst, Bitter taste in the mouth, Eye hyperemia, Scanty and dark urine... see more Long Dan Xie Gan Tang | Ke Xie Fang
Liver Wind agitating Internally due to Liver Fire Constipation, Tremors, Irritability, Anger, Tinnitus, Deafness, Temporal headache, Dizziness, Flushed face, Eye hyperemia, Thirst, Bitter taste in the mouth, Vivid dreaming, Dry stools, Dark urine, Nosebleeds, Vomiting blood, Cough of blood... see more Ling Jiao Gou Teng Tang | Zi Xue Dan | Feng Yin Tang
Liver Qi Stagnation Constipation, Hypochondriac distention, Chest distension, Upper abdominal distension, Abdominal distention, Sighing, Melancholia, Depression, Mood swings, Irregular periods, Globus sensation, Pre menstrual breast distension, Pre menstrual tension, Anxiety, Anger... see more Gua Lou San
Stagnant Liver Qi turning into Fire Constipation, Hypochondriac distention, Upper abdominal distension, Stifling sensation in the chest, Irritability, Melancholia, Depression, Mood swings, Globus sensation, Feeling of heat, Flushed face, Thirst, Anger, Pre menstrual tension, Irregular periods, Pre menstrual breast distension, Excessive menstruation... see more Long Dan Xie Gan Tang | Dan Zhi Xiao Yao San
Detailed description of the cause

Large Intestine

In TCM the Large Intestine is primarily seen as responsible for the absorption of fluids and the excretion of waste. It is closely related to the Lung in terms of energy flow and function, reflecting the interconnectedness of organ systems in TCM. When the Large Intestine malfunctions, it can lead to issues such as constipation or diarrhea, abdominal pain, and an inability to let go of emotional waste, like holding onto grief or stress. This is in line with the TCM view that the physical and emotional aspects of health are deeply connected. An imbalanced Large Intestine can also manifest as skin problems, signifying the organ’s role in eliminating toxins and maintaining balance in the body’s internal environment.... see more

Large Intestine Patterns That Can Lead to Constipation

Common Symptoms: Dry Stools Hemorrhoids Mouth Burning Sensation Anal Burning Scanty And Dark Urine Dry Tongue Anus Swelling Abdominal Distention

Pattern Name Relevant Symptoms Relevant Formulas
Heat in the Large Intestine Constipation, Mouth burning sensation, Anal burning, Scanty and dark urine, Dry stools, Dry tongue... see more Ma Zi Ren Wan
Large Intestine Qi Stagnation Constipation, Abdominal distention, Abdominal pain, Anxiety, Bitty stools Chai Hu Shu Gan San
Dryness in Large Intestine Constipation, Thirst, Dry stools, Dry mouth, Dry throat, Poor constitution, Dizziness, Bad breath, Irritable bowel syndrome, Hemorrhoids, Aphthous stomatitis... see more Zeng Ye Tang
Heat in Yang brightness Organs Severe constipation, Excessive gas and flatulence, Focal distention, Abdominal fullness, Abdominal pain worsened by pressure, Abdominal tightness, Pancreatitis, Appendicitis, Cholecystitis, Bacillary dysentery, Icteric hepatitis... see more Da Cheng Qi Tang
Detailed description of the cause

Kidney

In TCM the Kidneys are regarded as the body's most fundamental reservoir of Essence, known as Jing, which influences growth, reproduction, and aging. They are not just organs for filtering blood, but a holistic system governing vital life forces. When the Kidneys malfunction in TCM, it can manifest as a variety of health issues, such as chronic fatigue, reproductive problems, imbalances in fluid metabolism leading to edema or dryness, lower back pain, and a sense of fear or insecurity.... see more

Kidney Patterns That Can Lead to Constipation

Common Symptoms: Lower Back Pain Dizziness Tinnitus Menopausal Symptoms Night Sweats Menopausal Hot Flashes Poor Memory Generalized Fatigue

Pattern Name Relevant Symptoms Relevant Formulas
Kidney Yang Deficiency Constipation, Lower back pain, Dizziness, Tinnitus, Weak and cold knees, Lower back coldness, Chills, Weak legs, Bright pale face, Generalized fatigue, General weakness, Leg edema, Female infertility, Diarrhea, Depression, Erectile dysfunction, Premature ejaculation, Oligospermia, Low sex drive, Pale and abudant urination... see more Ji Chuan Jian | Ba Wei Di Huang Wan | You Gui Wan | Er Xian Tang | Shen Qi Wan | Wu Zi Yan Zong Wan | Tu Si Zi Wan
Kidney Yin Deficiency Constipation, Excessive sweating, Back pain, Hearing loss, Dry mouth and throat at night, Lower back pain, Scanty and dark urine, Infertility, Premature ejaculation, Generalized fatigue, General weakness, Depression, Anxiety, Heat sensation in palms, Evening heat sensation, Flushed cheekbones, Menopausal hot flashes, Preference for sipping, Evening anxiety... see more Liu Wei Di Huang Wan | Qi Ju Di Huang Wan | Zuo Gui Wan | Zhi Bo Di Huang Wan | Bai Zi Yang Xin Tang | Qi Bao Mei Ran Dan | Zuo Gui Yin | Dang Gui Di Huang Yin | Dan Zhi Xiao Yao San
Disharmony between Heart and Kidneys Constipation, Dizziness, Tinnitus, Insomnia, Palpitations, Poor memory, Lower back pain, Knee pain, Night sweats, Menopausal hot flashes, Blurry vision... see more Liu Wei Di Huang Wan | Tian Wang Bu Xin Dan
Detailed description of the cause

Small Intestine

In TCM the Small Intestine plays a critical role in receiving partially digested food from the Stomach and further separating the clear from the turbid, essentially distinguishing nutrients from waste. This process is vital for proper absorption and assimilation of food. The Small Intestine is also associated with clarity of judgment and decision-making. When it malfunctions or is imbalanced in TCM, it can lead to digestive issues such as abdominal pain, bloating, poor appetite, or irregular bowel movements. Additionally, a malfunctioning Small Intestine may manifest as mental confusion or difficulty in making decisions, reflecting its role in discernment and clarity in both physical and mental realms. ... see more

Small Intestine Patterns That Can Lead to Constipation

Common Symptoms: Abdominal Fullness Afternoon Fever Excessive Sweating Sweating On Limbs Abdominal Pain Dry Stools Thirst Dark Urine

Pattern Name Relevant Symptoms Relevant Formulas
Bright Yang Fire in Stomach and Intestines Constipation, Afternoon fever, Excessive sweating, Sweating on limbs, Abdominal fullness, Abdominal pain, Dry stools, Thirst, Dark urine, Anal burning, Irritability, Delirium... see more Tiao Wei Cheng Qi Tang | Xiao Cheng Qi Tang
Heat in Yang brightness Organs Severe constipation, Excessive gas and flatulence, Focal distention, Abdominal fullness, Abdominal pain worsened by pressure, Abdominal tightness, Pancreatitis, Appendicitis, Cholecystitis, Bacillary dysentery, Icteric hepatitis... see more Da Cheng Qi Tang
Detailed description of the cause

Lung

In TCM the Lungs are seen as the organ responsible for controlling Qi and respiration, as well as being a key part of the body's defensive system. They are thought to maintain the balance and flow of air and moisture, and are closely linked to the skin and hair. When the Lungs are imbalanced or malfunctioning in TCM, it can lead to respiratory issues like coughing or asthma, a weakened immune system, dry skin, and emotional disturbances such as sadness or grief. These symptoms are believed to arise from disruptions in the Lungs' ability to regulate Qi and protect the body, highlighting their central role in maintaining overall health and well-being.... see more

Lung Patterns That Can Lead to Constipation

Common Symptoms: Shortness Of Breath Asthma Dizziness Thirst Bitter Taste In The Mouth Hypochondriac Pain And Discomfort Cough With Yellow Or Blood Tinged Sputum Headaches

Pattern Name Relevant Symptoms Relevant Formulas
Liver Fire insulting the Lungs Constipation, Shortness of breath, Asthma, Hypochondriac pain and discomfort, Cough with yellow or blood tinged sputum, Headaches, Dizziness, Flushed face, Thirst, Bitter taste in the mouth, Eye hyperemia, Scanty and dark urine... see more Long Dan Xie Gan Tang | Ke Xie Fang
Phlegm-Heat in the Lungs Constipation, Coughing, Shortness of breath, Wheezing, Stifling sensation in the chest, Sputum, Feeling of heat, Thirst, Head and body heaviness, Dizziness, Copious thick yellow sputum... see more Xiao Xian Xiong Tang
Detailed description of the cause

Uterus

In TCM the Uterus (or "Bao Gong") is not just a reproductive organ but a vital system closely linked to Kidney energy, responsible for menstrual health, fertility, and pregnancy. It's also connected to the Heart and Liver, reflecting the importance of emotional and blood health in reproductive wellness. In TCM, the Uterus is seen as a reservoir of Blood and Qi, crucial for reproductive health and general vitality. When the Uterus malfunctions or is imbalanced, it can lead to menstrual irregularities, infertility, miscarriages, or menopausal symptoms. Additionally, there might be symptoms like lower abdominal pain or emotional disturbances such as mood swings, often linked to Liver Qi stagnation. These manifestations highlight the TCM perspective that the health of the Uterus is intertwined with the overall balance of energy and blood in the body, as well as emotional well-being.... see more

Uterus Patterns That Can Lead to Constipation

Pattern Name Relevant Symptoms Relevant Formulas
Heat in Uterus Blood Constipation, Excessive menstruation, Sudden period before schedule, Dark menstrual blood, Sticky menstrual blood, Thirst, Flushed face, Anger, Anxiety, Dark urine... see more Qing Re Gu Jing Tang | Huai Jiao Wan | Gu Jing Wan
Detailed description of the cause

Heart

In TCM the Heart is considered the "emperor" of all organs, primarily responsible for governing Blood and housing the mind, known as "Shen." It plays a crucial role in maintaining mental-emotional equilibrium and controlling the circulation of Qi and blood throughout the body. When the Heart is imbalanced or malfunctions in TCM, it can lead to a range of issues like heart palpitations, insomnia, dream-disturbed sleep, anxiety, and a flushed complexion. Emotional disturbances such as excessive joy or lack of joy are also seen as signs of Heart disharmony. These symptoms reflect not just physical heart conditions but also the state of one's Shen, indicating the interconnectedness of physical and emotional well-being in TCM.... see more

Heart Patterns That Can Lead to Constipation

Pattern Name Relevant Symptoms Relevant Formulas
Disharmony between Heart and Kidneys Constipation, Dizziness, Tinnitus, Insomnia, Palpitations, Poor memory, Lower back pain, Knee pain, Night sweats, Menopausal hot flashes, Blurry vision... see more Liu Wei Di Huang Wan | Tian Wang Bu Xin Dan

TCM Herbal Formulas for Constipation

In addressing constipation, TCM utilizes a variety of herbal formulas tailored to the specific disharmony present. For Heat in the Blood, formulas like Qing Jing San, with cooling herbs such as Goji Tree Root Bark, help clear Heat and moisten Dryness. Wind patterns may be treated with Tian Ma Gou Teng Yin, which pacifies Internal Wind and alleviates constipation.

For Yin Deficiency leading to Dryness and constipation, Liu Wei Di Huang Wan nourishes the Yin of the Kidneys and Liver, promoting regularity. These formulas exemplify TCM’s holistic approach, focusing on restoring balance to the body’s systems.

Explore below some TCM herbal formulas used to address constipation, organized by cause and by formula type.

  • By Cause
  • By Formula Type
  • Heat
  • Wind
  • Yin Deficiency
  • Qi Stagnation
  • Phlegm
  • Cold
  • Yin Collapse
  • Yang Deficiency
  • Yang Excess
  • Dryness
  • Formulas that nourish yin and tonify
  • Formulas that clear heat from the organs
  • Formulas that moisten intestines and unblock bowels
  • Formulas that pacify and extinguish internal wind
  • Formulas that warm yang and tonify
  • External formulas for external disorders
  • Formulas that warm and purge
  • Formulas that purge heat accumulation
  • Formulas that tonify blood
  • Formulas that clear heat and resolve toxicity
  • Formulas that stop bleeding
  • Formulas that clear wind-Heat
  • Formulas that tonify yin and yang
  • Formulas that nourish the heart and calm the mind
  • Formulas that clear nutritive-level heat
  • Formulas that enrich yin and moisten dryness
  • Formulas that clear external abscesses and sores
  • Formulas that clear blood-Heat
  • Formulas that clear heat from deficiency
  • Formulas that secure irregular uterine bleeding and stop vaginal discharge
  • Formulas that warm the middle and dispel cold
  • Formulas that promote qi movement
  • Formulas that clear heat and open sensory orifices
  • Formulas that dredge and disperse external wind
  • Formulas that clear liver-Heat
  • Formulas that dry dampness and transform phlegm
  • Formulas that clear lung-Heat
  • Formulas that reduce food accumulation and transform stagnation
  • Formulas that clear heat from qi and blood
  • Formulas that tonify qi
  • Formulas that clear qi-level heat
  • Formulas that clear heat and expel dampness
  • Formulas that transform phlegm and extinguish wind
  • Formulas that clear heat and transform phlegm
  • Formulas that simultaneously attack and tonify
  • Formulas that invigorate blood and dispel blood stagnation
  • Formulas that release the exterior and purge the interior

All Formulas Recommended for Constipation Caused by Heat

Formula Patterns Suitable For
Long Dan Xie Gan Tang Heat in the Blood, Liver Fire Blazing, Liver Fire insulting the Lungs, Stagnant Liver Qi turning into Fire, Toxic-Heat... see more
Tiao Wei Cheng Qi Tang Bright Yang Fire in Stomach and Intestines, Stomach Heat or Fire
Xi Jiao Di Huang Tang Excess-Heat, Toxic-Heat
Huang Lian Jie Du Tang Toxic-Heat, Toxic-Heat Stagnation
Xin Yi Qing Fei Yin Toxic-Heat, Toxic-Heat Stagnation
Liu Wei Di Huang Wan Disharmony between Heart and Kidneys
Ling Jiao Gou Teng Tang Liver Wind agitating Internally due to Liver Fire
Gua Lou San Stomach Fire or Stomach Heat
Dan Zhi Xiao Yao San Stagnant Liver Qi turning into Fire
Da Cheng Qi Tang Heat in Yang brightness Organs
Qing Jing San Heat in the Blood
Liang Di Tang Heat in the Blood
Di Gu Pi Yin Heat in the Blood
Xiao Cheng Qi Tang Bright Yang Fire in Stomach and Intestines
Ma Zi Ren Wan Heat in the Large Intestine
Qing Re Gu Jing Tang Heat in Uterus Blood
Huai Jiao Wan Heat in Uterus Blood
Gu Jing Wan Heat in Uterus Blood
Dang Gui Long Hui Wan Liver Fire Blazing
Xie Qing Wan Liver Fire Blazing
Ke Xie Fang Liver Fire insulting the Lungs
Zi Xue Dan Liver Wind agitating Internally due to Liver Fire
Feng Yin Tang Liver Wind agitating Internally due to Liver Fire
Yu Nu Jian Stomach Fire or Stomach Heat
Wen Dan Tang Stomach Fire or Stomach Heat
Tian Wang Bu Xin Dan Disharmony between Heart and Kidneys
Qing Wei San Stomach Heat or Fire
Xie Huang San Stomach Heat or Fire
Fei Er Wan Stomach Heat or Fire
Hua Ban Tang Stomach Heat or Fire
Yin Qiao San Toxic-Heat
Sang Ju Yin Toxic-Heat
Bai Hu Tang Toxic-Heat
Qing Ying Tang Toxic-Heat
Gan Lu Xiao Du Dan Toxic-Heat
Shi Wei Bai Du San Toxic-Heat
San Zhong Kui Jian Tang Toxic-Heat
Zi Dang Gao Toxic-Heat
Er Qing Gao Toxic-Heat
Bing Peng San Toxic-Heat
Pu Ji Xiao Du Yin Toxic-Heat
Xiao Xian Xiong Tang Phlegm-Heat in the Lungs

All Formulas Recommended for Constipation Caused by Wind

Formula Patterns Suitable For
Ling Jiao Gou Teng Tang Interior Wind, Liver Wind agitating Internally due to Liver Fire
Liu Wei Di Huang Wan Interior Wind
Tiao Wei Cheng Qi Tang Bright Yang Fire in Stomach and Intestines
Qi Ju Di Huang Wan Interior Wind
Xiao Cheng Qi Tang Bright Yang Fire in Stomach and Intestines
Tian Ma Gou Teng Yin Interior Wind
E Jiao Ji Zi Huang Tang Interior Wind
Zhen Gan Xi Feng Tang Interior Wind
Bu Gan Tang Interior Wind
Si Wu Tang Interior Wind
Zi Xue Dan Liver Wind agitating Internally due to Liver Fire
Feng Yin Tang Liver Wind agitating Internally due to Liver Fire
Ban Xia Bai Zhu Tian Ma Tang Wind-Phlegm

All Formulas Recommended for Constipation Caused by Yin Deficiency

Formula Patterns Suitable For
Liu Wei Di Huang Wan Kidney Yin Deficiency, Disharmony between Heart and Kidneys
Qi Ju Di Huang Wan Kidney Yin Deficiency
Dan Zhi Xiao Yao San Kidney Yin Deficiency
Zuo Gui Wan Kidney Yin Deficiency
Zhi Bo Di Huang Wan Kidney Yin Deficiency
Bai Zi Yang Xin Tang Kidney Yin Deficiency
Qi Bao Mei Ran Dan Kidney Yin Deficiency
Zuo Gui Yin Kidney Yin Deficiency
Dang Gui Di Huang Yin Kidney Yin Deficiency
Tian Wang Bu Xin Dan Disharmony between Heart and Kidneys
Mai Men Dong Tang Stomach Yin Deficiency
Yi Wei Tang Stomach Yin Deficiency
Shen Ling Bai Zhu San Stomach Yin Deficiency

All Formulas Recommended for Constipation Caused by Qi Stagnation

Formula Patterns Suitable For
Long Dan Xie Gan Tang Stagnant Liver Qi turning into Fire
Gua Lou San Liver Qi Stagnation
Dan Zhi Xiao Yao San Stagnant Liver Qi turning into Fire
Chai Hu Shu Gan San Large Intestine Qi Stagnation

All Formulas Recommended for Constipation Caused by Phlegm

Formula Patterns Suitable For
Ban Xia Bai Zhu Tian Ma Tang Wind-Phlegm
Xiao Xian Xiong Tang Phlegm-Heat in the Lungs

All Formulas Recommended for Constipation Caused by Cold

Formula Patterns Suitable For
Tiao Wei Cheng Qi Tang Bright Yang Fire in Stomach and Intestines
Xiao Cheng Qi Tang Bright Yang Fire in Stomach and Intestines
Da Huang Fu Zi Tang Exterior Cold invading the Interior

All Formulas Recommended for Constipation Caused by Yang Deficiency

Formula Patterns Suitable For
Ji Chuan Jian Kidney Yang Deficiency
Ba Wei Di Huang Wan Kidney Yang Deficiency
You Gui Wan Kidney Yang Deficiency
Er Xian Tang Kidney Yang Deficiency
Shen Qi Wan Kidney Yang Deficiency
Wu Zi Yan Zong Wan Kidney Yang Deficiency
Tu Si Zi Wan Kidney Yang Deficiency

All "formulas that clear heat from the organs" recommended for constipation

Formula Patterns Suitable For (if applicable)
Long Dan Xie Gan Tang Heat in the Blood, Liver Fire Blazing, Liver Fire insulting the Lungs, Stagnant Liver Qi turning into Fire, Toxic-Heat... see more
Xin Yi Qing Fei Yin Toxic-Heat, Toxic-Heat Stagnation
Dang Gui Long Hui Wan Liver Fire Blazing
Xie Qing Wan Liver Fire Blazing
Yu Nu Jian Stomach Fire or Stomach Heat
Qing Wei San Stomach Heat or Fire
Xie Huang San Stomach Heat or Fire

All "formulas that nourish yin and tonify" recommended for constipation

Formula Patterns Suitable For (if applicable)
Liu Wei Di Huang Wan Interior Wind, Kidney Yin Deficiency, Disharmony between Heart and Kidneys
Qi Ju Di Huang Wan Interior Wind, Kidney Yin Deficiency
Liang Di Tang Heat in the Blood
Di Gu Pi Yin Heat in the Blood
Da Bu Yin Wan Collapse of Yin
Ba Wei Di Huang Wan Kidney Yang Deficiency
Zuo Gui Wan Kidney Yin Deficiency
Zhi Bo Di Huang Wan Kidney Yin Deficiency
Zuo Gui Yin Kidney Yin Deficiency
Yi Wei Tang Stomach Yin Deficiency

All "formulas that purge heat accumulation" recommended for constipation

Formula Patterns Suitable For (if applicable)
Tiao Wei Cheng Qi Tang Bright Yang Fire in Stomach and Intestines, Stomach Heat or Fire
Da Cheng Qi Tang Yang Excess or Full Yang, Heat in Yang brightness Organs
Xiao Cheng Qi Tang Bright Yang Fire in Stomach and Intestines

All "formulas that clear heat and resolve toxicity" recommended for constipation

Formula Patterns Suitable For (if applicable)
Gua Lou San Liver Qi Stagnation, Stomach Fire or Stomach Heat
Huang Lian Jie Du Tang Toxic-Heat, Toxic-Heat Stagnation
Pu Ji Xiao Du Yin Toxic-Heat

All "formulas that moisten intestines and unblock bowels" recommended for constipation

Formula Patterns Suitable For (if applicable)
Ma Zi Ren Wan Heat in the Large Intestine
Ji Chuan Jian Kidney Yang Deficiency
Run Chang Wan Not applicable
Wu Ren Wan Not applicable

All "formulas that pacify and extinguish internal wind" recommended for constipation

Formula Patterns Suitable For (if applicable)
Ling Jiao Gou Teng Tang Interior Wind, Liver Wind agitating Internally due to Liver Fire
Tian Ma Gou Teng Yin Interior Wind
E Jiao Ji Zi Huang Tang Interior Wind
Zhen Gan Xi Feng Tang Interior Wind

All "formulas that tonify blood" recommended for constipation

Formula Patterns Suitable For (if applicable)
Bu Gan Tang Interior Wind
Si Wu Tang Interior Wind
Dang Gui Di Huang Yin Kidney Yin Deficiency

All "formulas that stop bleeding" recommended for constipation

Formula Patterns Suitable For (if applicable)
Huai Jiao Wan Heat in Uterus Blood
Ke Xie Fang Liver Fire insulting the Lungs

All "formulas that tonify yin and yang" recommended for constipation

Formula Patterns Suitable For (if applicable)
Er Xian Tang Kidney Yang Deficiency
Qi Bao Mei Ran Dan Kidney Yin Deficiency

All "formulas that nourish the heart and calm the mind" recommended for constipation

Formula Patterns Suitable For (if applicable)
Bai Zi Yang Xin Tang Kidney Yin Deficiency
Tian Wang Bu Xin Dan Disharmony between Heart and Kidneys

All "formulas that clear nutritive-level heat" recommended for constipation

Formula Patterns Suitable For (if applicable)
Xi Jiao Di Huang Tang Excess-Heat, Toxic-Heat
Qing Ying Tang Toxic-Heat

All "formulas that enrich yin and moisten dryness" recommended for constipation

Formula Patterns Suitable For (if applicable)
Mai Men Dong Tang Stomach Yin Deficiency
Zeng Ye Tang Dryness in Large Intestine

All "formulas that warm yang and tonify" recommended for constipation

Formula Patterns Suitable For (if applicable)
You Gui Wan Kidney Yang Deficiency
Shen Qi Wan Kidney Yang Deficiency
Wu Zi Yan Zong Wan Kidney Yang Deficiency
Tu Si Zi Wan Kidney Yang Deficiency

All "external formulas for external disorders" recommended for constipation

Formula Patterns Suitable For (if applicable)
Yin Qiao San Toxic-Heat
Zi Dang Gao Toxic-Heat
Er Qing Gao Toxic-Heat
Bing Peng San Toxic-Heat

All "formulas that warm and purge" recommended for constipation

Formula Patterns Suitable For (if applicable)
Da Huang Fu Zi Tang Exterior Cold invading the Interior
Ban Liu Wan Not applicable
San Wu Bei Ji Wan Not applicable

All "formulas that clear wind-Heat" recommended for constipation

Formula Patterns Suitable For (if applicable)
Sang Ju Yin Toxic-Heat
Jing Jie Lian Qiao Tang Not applicable

All "formulas that clear external abscesses and sores" recommended for constipation

Formula Patterns Suitable For (if applicable)
Shi Wei Bai Du San Toxic-Heat
San Zhong Kui Jian Tang Toxic-Heat

Acupoints for Constipation

TCM also employs acupuncture as part of constipation treatment, targeting specific acupoints to stimulate Qi flow and relieve symptoms. Points like Dadu (SP-2) on the Spleen Channel can regulate digestion and clear Heat, while Daheng (SP-15) strengthens the Spleen to aid bowel movement.

On the Liver Channel, Taichong (LIV-3) is used to soothe Liver Qi Stagnation, a common cause of constipation. These acupoints are selected based on the individual’s pattern of disharmony, offering a personalized treatment approach that addresses the root of the problem.

Explore below some acupoints used to address constipation, organized by meridian.

  • By Meridian
  • Spleen Channel
  • Bladder Channel
  • Kidney Channel
  • Stomach Channel
  • Liver Channel
  • Gall Bladder Channel
  • Extra Points: Back (EX-B)
  • Directing Vessel
  • Triple Burner Channel
Dadu SP-2

Dadu SP-2

On the medial aspect of the big toe, at the junction of the shaft and the base of the proximal phalanx, distal to the 1st metatarsophalangeal joint.

Taibai SP-3

Taibai SP-3

Proximal and inferior to the head of the 1st metatarsal bone, at the border of the red and white skin.

Shangqiu SP-5

Shangqiu SP-5

In the depression distal and inferior to the medial malleolus, midway between the navicular bone tubercle and the tip of the medial malleolus.

Sanyinjiao SP-6

Sanyinjiao SP-6

3 cun directly above the tip of the medial malleolus, on the posterior border of the tibia, on the line drawn from the medial malleolus to Yinlingquan SP-9.

Fushe SP-13

Fushe SP-13

0.7 cun above Chongmen SP-12, 4 cun lateral to the anterior midline.

Fujie SP-14

Fujie SP-14

On the mamillary line which is 4 cun lateral to the anterior midline. 3 cun above Fushe SP-13, 1.3 cun below Daheng SP-15, on the lateral side of rectus abdominis muscle.

Daheng SP-15

Daheng SP-15

On the mammillary line 4 cun lateral to the umbilicus center.

Fuai SP-16

Fuai SP-16

3 cun above the umbilicus center and 4 cun lateral to the anterior midline, on the mamillary line.

Dachangshu BL-25

Dachangshu BL-25

1.5 cun lateral to the lower border of the spinous process of the 4th lumber vertebra (L4).

Xiaochangshu BL-27

Xiaochangshu BL-27

At the level of the 1st posterior sacral foramen, 1.5 cun lateral to the posterior midline.

Pangguangshu BL-28

Pangguangshu BL-28

At the level of the 2nd posterior sacral foramen, 1.5 cun lateral to the posterior midline, in the depression between the medial border of the posterior superior iliac spine (PSIS) and the sacrum.

Ciliao BL-32

Ciliao BL-32

In the 2nd posterior sacral foramen, about midway between the posterior superior iliac spine (PSIS) and the midline.

Zhongliao BL-33

Zhongliao BL-33

In the 3rd posterior sacral foramen, between the posterior superior iliac spine and the midline.

Xialiao BL-34

Xialiao BL-34

In the 4th posterior sacral foramen, between the posterior superior iliac spine and the midline.

Chengjin BL-56

Chengjin BL-56

5 cun inferior to Weizhong BL-40 which is the midpoint of the popliteal crease. In the center of the belly of gastrocnemius muscle, midway between Heyang BL-55 and Chengshan BL-57.

Yongquan KID-1

Yongquan KID-1

In the depression between the 2nd and 3rd metatarsal bones on the sole when the foot is in plantar flexion, approximately at the junction of the anterior and middle third of the sole.

Siman KID-14

Siman KID-14

2 cun below the umbilicus, 0.5 cun lateral to the anterior midline.

Zhongzhu KID-15

Zhongzhu KID-15

1 cun below the umbilicus, 0.5 cun lateral to the anterior midline.

Huangshu KID-16

Huangshu KID-16

0.5 cun lateral to the center of the umbilicus.

Shangqu KID-17

Shangqu KID-17

2 cun above the umbilicus, 0.5 cun lateral to the anterior midline.

Shiguan KID-18

Shiguan KID-18

3 cun above the umbilicus, 0.5 cun lateral to the anterior midline.

Guanmen ST-22

Guanmen ST-22

3 cun above the umbilicus and 2 cun lateral to the anterior midline.

Tianshu ST-25

Tianshu ST-25

2 cun lateral to the center of the umbilicus.

Jiexi ST-41

Jiexi ST-41

At the junction of the dorsum of the foot and leg, between the tendons of extensor digitorum and the extensor hallucis longus muscle. Approximately at the level of the tip of the external malleolus.

Neiting ST-44

Neiting ST-44

Between the 2nd and the 3rd toes, proximal to the interdigital fold.

Xingjian LIV-2

Xingjian LIV-2

Between the first and second toe, on the dorsum of the foot, 0.5 cun proximal to the interdigital fold.

Taichong LIV-3

Taichong LIV-3

On the dorsum of the foot, between the 1st and 2nd metatarsal bones, in the depression proximal to the metatarsophalangeal joints and the proximal angle between the two bones.

Zhangmen LIV-13

Zhangmen LIV-13

On the lateral side of the abdomen, below the free end of the 11th rib.

Wushu GB-27

Wushu GB-27

In the lateral side of the abdomen, in the front of the anterior superior iliac spine (ASIS), 3 cun below the level of the umbilicus.

Yaoyan EX-B-7

Yaoyan EX-B-7

3.5 cun lateral to the lower border of the spinous process of the 4th lumbar vertebra (L4).

Yinjiao REN-7

Yinjiao REN-7

On the midline of the abdomen, 1 cun below the umbilicus.

Zhigou TB-6

Zhigou TB-6

3 cun above Yangchi ST-4 at the dorsal wrist joint space, between the radius and ulna.