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Acupuncture treatment for Constipation

Acupuncture treat the disorder of constipation by treating the patient by stimulating some acupoints

Acupuncture treat the disorder of constipation by treating the patient by stimulating some acupoints. Dealing with constipation, which is believed caused by some disturbance in internal organ, two acupoints that quite popular are the acupoint Back Shu and Front Mu. [note]A Simple Acupuncture Protocol for Habitual Constipation, abstracted & translated by Honora Lee Wolfe, Dipl. Ac., Lic. Ac., FNAAOM, https://www.goldenneedleonline.com/library/2009/05/26/a-simple-acupuncture-protocol-for-habitual-constipation/[/note] These 2 points are the acupoints that related with large intestine. Other acupoints that use for treating this disease would be the acupoint of He-Sea and Lower He-Sea. These 2 points also related with large intestine organ. The treatment conduct by puncture the acupoints using the filiform needles continued with re-puncture using auxiliary needles 2 mm with a depth of 2 mm. Stimulation of this acupoints will be given using electric stimulator machine. The treatment will be last for 4 weeks with total 16 treatments given. [note]Use acupuncture to treat functional constipation: study protocol for a randomized controlled trial, ncbi.nlm.nih.gov, http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3414758/[/note]

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Constipation refers to bowel movements that are infrequent or hard to pass. Thus, the stool is often hard and dry. In detail, if a person experiences fewer than three bowel movements during one week, he/she might have constipation. However, it should be noted that the normal frequency of bowel movements in adults is between three per day and three per week.¹

CONTENTS

SYMPTOMS

CAUSES

TREATMENTS

SYMPTOMS

Although it is not the same for everyone, there are some common symptoms that come along with the disorder. The common symptoms are fewer bowel movements, difficulty having a bowel movement, hard or small stools, swollen abdomen or abdominal pain, and vomiting. Other symptoms may include bloating and once again feeling as if one has not completely passed the bowel movement.²

CAUSES

The causes of constipation can be divided into congenital, primary, and secondary. The most common cause is primary and not life-threatening. It can also be divided by the age group affected such as children and adults. In the elderly, common causes include: insufficient dietary fiber intake, inadequate fluid intake, decreased physical activity, side effects of medications, hypothyroidism, and obstruction by colorectal cancer. Primary or functional constipation is defined by ongoing symptoms for greater than six months. In adults, such primary causes include: dietary choices such as insufficient dietary fiber or fluid intake, anxiety, depression, or behavioral causes such as decreased physical activity. Secondary causes include side effects of medications such as opiates, endocrine and metabolic disorders such as hypothyroidism, and obstruction such as from colorectal cancer.³

TREATMENTS

Related Acupuncture Points :

CV-6, CV-12, KD-6, ST-36, LI-4, LI-11, PC-6, LV-3, SP-15, SP-16, ST-25.

There are different types of constipations as described in traditional chinese medicine:

Hot Constipation (Maciocia Cold). Signs & Symptoms: Hard, dry stools, likely to feel warm or thirsty, foul breath, irritability, mouth ulcers possible. Tongue: Red, yellow coat. Pulse: Rapid w/strength (if heat is beginning to damage fluids Rapid w/o strength). Treatment Points:
TH-6 – clear heat and conduct qi downwards
LI-11 – cools heat in intestines
KD-6 – nourish fluids, moisten stools
Plus, common points:
ST-25 – LI Mu
BL-25 – LI Shu
SP-15 – augments ST-25
ST-44 – ST Water Point, cools heat in the ST & Intestines and moves the stools.⁴

Qi Constipation. Signs & Symptoms: Distention, costal pain a/or tenderness, belching, emotional involvement. Tongue: Normal or purplish. Pulse: Deep, wiry. Treatment Points:
CV-6 – moves Qi in the lower abdomen
GB-34 – w/CV 6 moves Qi in the lower abdomen
LV-1 – move Qi in the genital area (LV related constipation)
Plus, common points:
ST-25 – LI Mu
BL-25 – LI Shu
SP-15 – augments ST-25
ST-44 – ST Water Point, cools heat in the ST & Intestines and moves the stools.

Wind Constipation. Signs & Symptoms: Not seen very often. Acute onset, fever, dry cough, sore throat, dry skin. Tongue: Red tip a/or thin, yellow coat. Pulse: Floating. Treatment Points:
LI-4 – release the exterior
LU-7 – release the exterior
BL-12 – expel wind
Plus, common points:
ST-25 – LI Mu
BL-25 – LI Shu
SP-15 – augments ST-25
ST-44 – ST Water Point, cools heat in the ST & Intestines and moves the stools.

Food Constipation. Signs & Symptoms:
Etiology – poor dietary habits (eating too much, too little, too fast, etc.) Pain and distention in the abdomen (more distention than pain), dry mouth/lips, stuffy sensation in the chest, flatulence, nausea, desire to vomit. Tongue: Thick, greasy coat. Pulse: Slippery, tight. Treatment Points:
CV-12 – conduct Qi downwards
ST-36 – conduct Qi downwards
LV-13 – SP Mu – good for masses in the abdomen a/or constipation
Plus, common points:
ST-25 – LI Mu
BL-25 – LI Shu
SP-15 – augments ST-25
ST-44 – ST Water Point, cools heat in the ST & Intestines and moves the stools.⁵

Cold Constipation (not in CAM or Maciocia but seen clinically). Signs & Symptoms: Deficiency leading to cold in the lower warmer and stagnation. Abdominal pain, pain is better with the application of heat, pale face, objective sensation of cold. Tongue: Pale. Pulse: Slow, deep. Treatment Points:
CV-4 – with moxa, warm the lower abdomen
SP-6 – with moxa, warm the lower abdomen
Plus, common points:
ST-25 – LI Mu
BL-25 – LI Shu
SP-15 – augments ST-25
ST-44 – ST Water Point, cools heat in the ST & Intestines and moves the stools.

Blood Deficient Constipation. Signs & Symptoms: Dizziness, palpitations, insomnia, dry mouth, weakness. Tongue: Pale, dry possibly peeled (peel more red – moving towards yin def, more pale – blood def). Pulse: Thin, choppy. Treatment Points:
BL-17 – Hui Meeting of the Blood
BL-18 – LV Shu, tonify LV Blood
BL-20 – SP Shu, tonify SP
Plus, common points:
ST-25 – LI Mu
BL-25 – LI Shu
SP-15 – augments ST-25
ST-44 – ST Water Point, cools heat in the ST & Intestines and moves the stools.

Qi Deficient Constipation (Maciocia). Signs & Symptoms: Thin, long stools, difficult defecation, pale complexion, tiredness. Tongue: Pale. Pulse: Empty. Treatment Points:
BL-25 – LI Shu
SP-15 – move bowels
ST-36 – tonify Qi
SP-6 – tonify Qi
CV-6 – tonify Qi
BL-21 – ST Shu.

Yin Deficient Constipation (Maciocia). Signs & Symptoms: Dry stools, thirst, dry mouth/throat, night sweats. Tongue: Red w/o coat, cracks. Pulse: Floating, empty. Treatment Points:
BL-25 – LI Shu
SP-15 – move bowels
ST-36 – tonify Qi
SP-6 – tonify Qi
CV-6 – tonify Qi
BL-23 – KD Shu, tonify KD Yin.⁶

1. What is Constipation? – webmd.com – 2017, http://www.webmd.com/digestive-disorders/digestive-diseases-constipation#1
2. Definition and Facts for Constipation – niddk.nih.gov – 2017, https://www.niddk.nih.gov/health-information/health-topics/digestive-diseases/constipation/Pages/definition-facts.aspx
3. Constipation – Causes – nhs.uk – 2017, http://www.nhs.uk/Conditions/Constipation/Pages/Causes.aspx
4. Acupuncture for Constipation – Treatment Protocols – theory.yinyanghouse.com – 2017, https://theory.yinyanghouse.com/treatments/acupuncture_for_constipation
5. A Simple Acupuncture Protocol for Habitual Constipation – goldenneedleonline.com – 2017, https://www.goldenneedleonline.com/library/2009/05/26/a-simple-acupuncture-protocol-for-habitual-constipation/
6. Use acupuncture to treat functional constipation: study protocol for a randomized controlled trial – ncbi.nlm.nih.gov -2017, http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3414758/