The information provided here is not a replacement for a doctor. You shouldn't use it for the purpose of self-diagnosing or self-medicating but rather so you can have a more informed discussion with a professional TCM practitioner.
Constipation can be the consequence of several so-called “patterns of disharmony” in Chinese Medicine.
Chinese Medicine sees the body as a system, not a sum of isolated parts. A "pattern" is when the system's harmony is disrupted, leading to symptoms or signs that something is wrong (like constipation here). It is similar to the concept of disease in Western Medicine but not quite: a Western disease can often be explained by several Chinese patterns and vice-versa.
A pattern often manifests itself in a combination of symptoms that, at first glance, do not seem necessarily related to each others. For instance here constipation is often associated with dizziness, irritability and tinnitus in the pattern “Liver Fire Blazing”. As you will see below, we have in record five patterns that can cause constipation.
Once identified, patterns are treated using medicinal herbs, acupuncture, and other therapies. In the case of constipation we’ve identified five herbal formulas that may help treat patterns behind the symptom.
We’ve also selected below the five medicinal herbs that we think are most likely to help treat constipation.
The five "patterns of disharmony" that can cause constipation
In Chinese Medicine constipation is a symptom for 5 patterns that we have on record. Below is a small explanation for each of them with links for more details.
The Liver is a so-called "Zang" Organ. Learn more about the Liver in Chinese Medicine
Liver Fire Blazing
Pulse type(s): Rapid (Shu), Wiry (Xian), Full (Shi)
In addition to constipation, other symptoms associated with Liver Fire Blazing include dizziness, irritability and tinnitus.
Liver Fire Blazing is often treated with Long Dan Xie Gan Tang, a herbal formula made of 10 herbs (including Chinese Gentian - Long Dan Cao - as a key herb). Long Dan Xie Gan Tang belongs to the category of "formulas that clear heat from the organs", which might be why it is often recommended for this pattern. Its main action as a formula is: "Clears Heat and Fire from the Liver and Gallbladder".
The Kidneys is a so-called "Zang" Organ. Learn more about the Kidneys in Chinese Medicine
Kidney Yin Deficiency
Pulse type(s): Rapid (Shu), Empty (Xu), Floating (Fu)
Tongue coating: Complete absence of coating
Tongue color: Red
Tongue shape: Cracked
Kidney Yin Deficiency causes false Heat symptoms, such as night sweats, thirst and five palm heat. These signs are from a depletion of Body Fluids and Essence. It can be caused by prolonged overwork, excessive sexual activity, chronic long term illnesses, consumption of Body Fluids by Heat, prolonged blood loss, overdosage of Kidney Yang tonics herbs, smoking and Kidney depleting foods such as coffee, alcohol, sugar, and fruit juices.
In addition to constipation, other symptoms associated with Kidney Yin Deficiency include dizziness, irritability and tinnitus.
From a Western Medicine standpoint Kidney Yin Deficiency is associated with health issues such as Menopausal Syndrome, Prolonged Periods or Irregular Menstruation.
Kidney Yin Deficiency is often treated with Liu Wei Di Huang Wan, a herbal formula made of 6 herbs (including Prepared Rehmannia - Shu Di huang - as a key herb). Liu Wei Di Huang Wan belongs to the category of "formulas that nourish yin and tonify", which might be why it is often recommended for this pattern. Its main action as a formula is: "Nutritive tonic for the Liver and Kidney Yin Essence (nourishes the parasympathetic nervous system)".
The Stomach is a so-called "Fu" Organ. Learn more about the Stomach in Chinese Medicine
Stomach Yin Deficiency
Pulse type(s): Empty (Xu), Floating (Fu)
Tongue coating: Partial absence of coating
Tongue color: Red
Stomach Yin Deficiency causes Dryness and Heat, which harms the Organ's ability of receiving and ripening foods and drinks. It is the result of prolonged unbalanced diet and irregular eating habits.
In addition to constipation, other symptoms associated with Stomach Yin Deficiency include dry mouth, dry stools and poor appetite.
Stomach Yin Deficiency is often treated with Mai Men Dong Tang, a herbal formula made of 6 herbs (including Dwarf Lilyturf Roots - Mai Dong - as a key herb). Mai Men Dong Tang belongs to the category of "formulas that enrich yin and moisten dryness", which might be why it is often recommended for this pattern. Its main action as a formula is: "Nourishes the Stomach".
The Stomach is a so-called "Fu" Organ. Learn more about the Stomach in Chinese Medicine
Stomach Heat or Fire
Pulse type(s): Rapid (Shu), Slippery (Hua), Full (Shi)
Tongue coating: Yellow coating
Tongue color: Red centre
Stomach Fire indicates a true Excess of Heat in the Stomach, creating symptoms such as mouth ulcers, bad breath, intense thirst and gum bleeding. Stomach Fire can be the result of excessive intake of hot, spicy, greasy and deep fried foods or other factors such as alcohol, tobacco and sugar.
In addition to constipation, other symptoms associated with Stomach Heat or Fire include irritability, dry mouth and dry stools.
Stomach Heat or Fire is often treated with Tiao Wei Cheng Qi Tang, a herbal formula made of 3 herbs (including Rhubarb - Da Huang - as a key herb). Tiao Wei Cheng Qi Tang belongs to the category of "formulas that purge heat accumulation", which might be why it is often recommended for this pattern. Its main action as a formula is: "Removes Heat and Dryness in the Lower Burner".
The Stomach is a so-called "Fu" Organ. Learn more about the Stomach in Chinese Medicine
Stomach Deficiency
Pulse type(s): Weak (Ruo)
Tongue color: Pale
In addition to constipation, other symptoms associated with Stomach Deficiency include dry mouth, depression and poor appetite.
From a Western Medicine standpoint Stomach Deficiency is associated with health issues such as Morning Sickness.
Stomach Deficiency is often treated with Xiang Sha Liu Jun Zi Tang, a herbal formula made of 9 herbs (including Ginseng - Ren Shen - as a key herb). Xiang Sha Liu Jun Zi Tang belongs to the category of "formulas that dispel phlegm", which might be why it is often recommended for this pattern. Its main action as a formula is: "Tonifies Spleen and Stomach Qi".
Five herbal formulas that might help with constipation
Dang Gui Long Hui Wan
Source date: 1172 AD
Number of ingredients: 11 herbs
Key actions: Drains Liver and Gallbladder Fire Excess.
Why might Dang Gui Long Hui Wan help with constipation?
Because it is a formula often recommended to treat the pattern 'Liver Fire Blazing' of which constipation is a symptom.
Other symptoms characteristic of Liver Fire Blazing include dizziness, irritability and tinnitus.
Dang Gui Di Huang Yin
Source date: 1640 AD
Number of ingredients: 7 herbs
Key actions: Nourishes Blood. Tonifies Kidney and Liver Yin. Regulates the menstrual cycle.
Why might Dang Gui Di Huang Yin help with constipation?
Because it is a formula often recommended to treat the pattern 'Kidney Yin Deficiency' of which constipation is a symptom.
According to Chinese Medicine, Kidney Yin Deficiency can contribute to many health issues, including Menopausal Syndrome.
Mai Men Dong Tang
Source date: 220 AD
Number of ingredients: 6 herbs
Key actions: Nourishes the Stomach. Generates Body Fluids. Directs Rebellious Qi downward.
Why might Mai Men Dong Tang help with constipation?
Because it is a formula often recommended to treat the pattern 'Stomach Deficiency' of which constipation is a symptom.
According to Chinese Medicine, Stomach Deficiency can contribute to many health issues, including Morning Sickness.
Yi Wei Tang
Source date: 1798 AD
Number of ingredients: 5 herbs
Key actions: Strengthen the Stomach. Creates Body Fluids.
Why might Yi Wei Tang help with constipation?
Because it is a formula often recommended to treat the pattern 'Stomach Yin Deficiency' of which constipation is a symptom.
Other symptoms characteristic of Stomach Yin Deficiency include dry mouth, dry stools and poor appetite.
Tiao Wei Cheng Qi Tang
Source date: 220 AD
Number of ingredients: 3 herbs
Key actions: Removes Heat and Dryness in the Lower Burner. Removes constipation.
Why might Tiao Wei Cheng Qi Tang help with constipation?
Because it is a formula often recommended to treat the pattern 'Stomach Heat or Fire' of which constipation is a symptom.
Other symptoms characteristic of Stomach Heat Or Fire include irritability, dry mouth and dry stools.
Acupuncture points used for constipation
The five Chinese Medicinal herbs most likely to help treat constipation
Why might Dong Quai (Dang Gui) help with constipation?
Because it is both specifically indicated to treat constipation and also because it is an ingredient in herbal formulas known to treat constipation as a symptom (such as Dang Gui Long Hui Wan for instance).
Dong Quai is a Warm herb that tastes Pungent and Sweet. It targets the Spleen, the Heart and the Liver.
Its main actions are: Tonifies the Blood. Lubricates the Intestines. Relieve constipation. Promotes circulation and dispels Bi Pain. Reduce Dysmenorrhea and help with irregular menstruation.
Why might Rhubarb (Da Huang) help with constipation?
Because it is both specifically indicated to treat constipation and also because it is an ingredient in herbal formulas known to treat constipation as a symptom (such as Tiao Wei Cheng Qi Tang for instance).
Rhubarb is a Cold herb that tastes Bitter. It targets the Spleen, the Stomach, the Large intestine, the Liver and the Pericardium.
Its main actions are: Drains Excess Heat and eliminates Dampness, especially when in the Sunlight Yang stage. Cools the Blood and stops bleeding. Invigorates Blood, breaks up Stasis and relieves pain. Clears Heat and toxins from Excess. Applied topically for Hot sores and Blood Stasis.
Why might Dwarf Lilyturf Root (Mai Dong) help with constipation?
Because it is both specifically indicated to treat constipation and also because it is an ingredient in herbal formulas known to treat constipation as a symptom (such as Mai Men Dong Tang for instance).
Dwarf Lilyturf Roots is a Cool herb that tastes Bitter and Sweet. It targets the Stomach, the Heart and the Lung.
Its main actions are: Replenishes Yin Essence and promotes secretions. Lubricates and nourishes the Stomach. Soothes the Lung. Nourishes the Heart.
Why might Anemarrhena Rhizome (Zhi Mu) help with constipation?
Because it is both specifically indicated to treat constipation and also because it is an ingredient in herbal formulas known to treat constipation as a symptom (such as Zhi Bo Di Huang Wan for instance).
Anemarrhena Rhizomes is a Cold herb that tastes Bitter and Sweet. It targets the Stomach, the Kidney and the Lung.
Its main actions are: Clears Heat and Fire from the Qi level. Clears Heat and Fire from the Lung and Stomach. Clears Heat and tonifies the Yin.
Why might Ningpo Figwort Root (Xuan Shen) help with constipation?
Because it is both specifically indicated to treat constipation and also because it is an ingredient in herbal formulas known to treat constipation as a symptom (such as Zeng Ye Tang for instance).
Ningpo Figwort Roots is a Cold herb that tastes Bitter. It targets the Stomach, the Large intestine and the Liver.
Its main actions are: Expels true or Internal Heat and cools the Blood. Tonifies the Yin. Reduces inflammations and drains Fire toxicity. Reduces hard nodules, especially associated with the lymph.
Conditions associated with constipation
Mastitis Abnormal uterine bleeding Menopausal syndrome Spontaneous flow of breast milk Lupus Morning sickness
Other symptoms often associated with constipation
Dizziness Abdominal pain Irritability Tinnitus Fever Night sweats Dry mouth Dry stools Insomnia Depression