Dry stools according to Chinese Medicine
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.
Dry stools 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 dry stools 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 dry stools is often associated with dizziness, night sweats and irritability in the pattern “Yin Deficiency”. As you will see below, we have in record five patterns that can cause dry stools.
Once identified, patterns are treated using medicinal herbs, acupuncture, and other therapies. In the case of dry stools 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 dry stools.
The five "patterns of disharmony" that can cause dry stools
In Chinese Medicine dry stools 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.
Prepared Rehmannia (Shu Di huang) is the king ingredient for Liu Wei Di Huang Wan, a formula used for Yin Deficiency
Yin Deficiency
Pulse type(s): Rapid (Shu), Empty (Xu)
Tongue coating: Thin white coating
Tongue color: Red
In the case of Yin Deficiency, the body is short in the cooling, moistening and nurturing aspects. This leads to Heat and Dryness accompanied by weakness and lack of strength and resistance. Yin becomes Deficient by over-working, lack of sleep, over-exercising, overindulgence in sex, long-term chronic diseases, internal injury due to the seven emotions, and the over-eating of dry and hot-natured foods.
In addition to dry stools, other symptoms associated with Yin Deficiency include dizziness, night sweats and irritability.
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 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 dry stools, other symptoms associated with Kidney Yin Deficiency include dizziness, tinnitus and night sweats.
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 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 dry stools, other symptoms associated with Liver Fire Blazing include dizziness, tinnitus and irritability.
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 and Liver Yin Deficiency
Pulse type(s): Empty (Xu), Floating (Fu)
Tongue coating: Partial absence of coating
Tongue color: Red
In addition to dry stools, other symptoms associated with Kidney and Liver Yin Deficiency include dizziness, tinnitus and night sweats.
From a Western Medicine standpoint Kidney and Liver Yin Deficiency is associated with health issues such as Absence Of Menstruation, Menopausal Syndrome or Vaginal Itching.
Kidney and Liver Yin Deficiency is often treated with Zuo Gui Wan, a herbal formula made of 8 herbs (including Prepared Rehmannia - Shu Di huang - as a key herb). Zuo Gui 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: "Nourishes the Yin".
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 dry stools, other symptoms associated with Stomach Heat or Fire include irritability, dry mouth and constipation.
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".
Five herbal formulas that might help with dry stools
Liu Wei Di Huang Wan
Source date: 1119 AD
Number of ingredients: 6 herbs
Key actions: Nutritive tonic for the Liver and Kidney Yin Essence (nourishes the parasympathetic nervous system).
Why might Liu Wei Di Huang Wan help with dry stools?
Because it is a formula often recommended to treat the pattern 'Yin Deficiency' of which dry stools is a symptom.
Zuo Gui Wan
Source date: 1624 AD
Number of ingredients: 8 herbs
Key actions: Nourishes the Yin. Strengthens the Kidneys. Fills the Essence. Augments the marrow.
Why might Zuo Gui Wan help with dry stools?
Because it is a formula often recommended to treat the pattern 'Kidney Yin Deficiency' of which dry stools is a symptom.
Long Dan Xie Gan Tang
Source date: 1682 AD
Number of ingredients: 10 herbs
Key actions: Clears Heat and Fire from the Liver and Gallbladder. Clears and drains Damp-Heat from the Lower Burner.
Why might Long Dan Xie Gan Tang help with dry stools?
Because it is a formula often recommended to treat the pattern 'Liver Fire Blazing' of which dry stools is a symptom.
Qi Ju Di Huang Wan
Source date: 1350 AD
Number of ingredients: 8 herbs
Key actions: Nourishes Kidney and Liver Yin. Improves vision.
Why might Qi Ju Di Huang Wan help with dry stools?
Because it is a formula often recommended to treat the pattern 'Kidney and Liver Yin Deficiency' of which dry stools is a symptom.
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 dry stools?
Because it is a formula often recommended to treat the pattern 'Stomach Heat or Fire' of which dry stools is a symptom.
Acupuncture points used for dry stools
The five Chinese Medicinal herbs most likely to help treat dry stools
Why might Liquorice (Gan Cao) help with dry stools?
Because Liquorice is an ingredient in several formulas indicated to treat dry stools as a symptom, like Tiao Wei Cheng Qi Tang or Feng Yin Tang for instance.
Liquorice is a Neutral herb that tastes Sweet. It targets the Heart, the Lung, the Spleen and the Stomach.
Its main actions are: Tonifies the Basal Qi and nourishes the Spleen Qi. Clears Heat and dispels toxicity. Moistens the Lungsexpel phlegm and stop coughing. Relieves spasms and alleviates pain. Harmonizes and moderates the effects of other herbs.
Why might Unprepared Rehmannia (Di Huang) help with dry stools?
Because Unprepared Rehmannia is an ingredient in several formulas indicated to treat dry stools as a symptom, like Tian Wang Bu Xin Dan or Liang Di Tang for instance.
Unprepared Rehmannia is a Cold herb that tastes Sweet. It targets the Heart, the Kidney and the Liver.
Its main actions are: Expels Heat by Cooling Blood. Tonifies Yin by promoting Fluid production. Soothes the Heart by calming Blazing Fire. Cools and nourishes.
Why might Dong Quai (Dang Gui) help with dry stools?
Because Dong Quai is an ingredient in several formulas indicated to treat dry stools as a symptom, like Dang Gui Liu Huang Tang or Dang Gui Long Hui Wan for instance.
Dong Quai is a Warm herb that tastes Pungent and Sweet. It targets the Heart, the Liver and the Spleen.
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 White Peony Root (Bai Shao) help with dry stools?
Because White Peony Root is an ingredient in several formulas indicated to treat dry stools as a symptom, like Xuan Yu Tong Jing Tang or Jia Wei Xiao Yao San for instance.
White Peony Roots is a Neutral herb that tastes Bitter and Sour. It targets the Liver and the Spleen.
Its main actions are: Tonifies the Blood and preserves the Yin. Nourishes the Liver and assists in the smooth flow of Qi. Regulates the meridians and eases the pain.
Why might Poria-Cocos Mushroom (Fu Ling) help with dry stools?
Because Poria-Cocos Mushroom is an ingredient in several formulas indicated to treat dry stools as a symptom, like Shen Ling Bai Zhu San or Jia Wei Xiao Yao San for instance.
Poria-Cocos Mushrooms is a Neutral herb that tastes Sweet. It targets the Heart, the Kidney, the Lung and the Spleen.
Its main actions are: Encourages urination and drains Dampness. Tonic to the Spleen/Stomach. Assists the Heart and calms the Spirit.
Other symptoms often associated with dry stools
Dizziness Tinnitus Night sweats Irritability Dry throat Dry mouth Constipation Scanty periods Malar flush Restlessness