Xianling Fan1, Xiaohui Yang1, Yifan Yang2, Yongmei Yan2
1Shaanxi University of Chinese Medicine, Xianyang, 712046, Shaanxi, China
2Affiliated Hospital of Shaanxi University of Chinese Medicine, Xianyang, 712000, Shaanxi, China
The study of post-stroke constipation in Chinese medicine has been systematically described and summarized in recent years. Through the study of relevant literature at home and abroad in recent years, we introduced the historical origin, etiology, etiological mechanism and prescriptions of TCM from the aspects of internal treatment, external treatment and other means of treatment, and analyzed and explained various TCM characteristic external treatments such as acupuncture, tui-na, such as acupuncture, tuina, acupuncture point patching, and Chinese medicine enema, and summarizes other treatment methods such as physical stimulation and multi-means combination. The literature shows that timely, reasonable and thorough TCM treatment can relieve patients' symptoms at the root, with good long-term effects and low recurrence rate after drug discontinuation, and reduce the incidence of drug-dependent constipation caused by western drugs, thus improving patients' living standards and quality of life.
post-stroke; constipation; Traditional Chinese medicine treatment; research progress
Xianling Fan, Xiaohui Yang, Yifan Yang, Yongmei Yan. Advances in the treatment of post-stroke constipation in Chinese medicine. International Journal of Frontiers in Medicine (2023), Vol. 5, Issue 5: 39-48. https://doi.org/10.25236/IJFM.2023.050507.
 Li J, Yuan M, Liu Y, Zhao Y, Wang J, Guo W. Incidence of constipation in stroke patients: a systematic review and meta-analysis. medicine (Baltimore). 2017 Jun;96(25):e7225. doi: 10.1097/MD.0000000000007225. PMID: 28640117; PMCID: PMC5484225.
 Leng M T, Wang J, Liu T, et al. A randomized controlled study of acupuncture of gastrointestinal doujian points on post-stroke constipation [J]. Shanghai Journal of Acupuncture and Moxibustion, 2019, 38(2): 178-182.
 Tan BYQ, Paliwal PR, Sharma VK. Gut Microbiota and Stroke. Ann Indian Acad Neurol. 2020 Mar-Apr; 23(2):155-158. doi: 10.4103/aian.AIAN_483_19. Epub 2020 Feb 25. PMID: 32189854; PMCID: PMC7061503.
 Cui W W, Guan Z A. Current status and progress in the diagnosis and treatment of chronic constipation in Chinese medicine [J]. Journal of Modern Traditional Chinese and Western Medicine, 2021, 30(36): 4094-4099.
 Du Hui. Clinical observation of 46 cases of post-stroke constipation treated with Bajhen Tang plus reduction [J]. Clinical Research in Traditional Chinese Medicine, 2019, 11(3): 53.
 Gao Shoubing. Clinical observation on the treatment of post-stroke constipation with the addition and subtraction of tonifying Zhong Yi Qi Tang and Zengyi Tang [J]. Clinical Research, 2016, 8(24): 53-54.
 Xiang Yi, Liu Li, Du Xiaoquan, et al. The treatment of constipation in Chinese medicine[J]. Modern Chinese medicine, 2021, 41(4): 73-76.
 Li ZB. The effect of the Sanjiao method on the quality of life of patients with post-stroke constipation with Qi deficiency and blood stasis [J]. Henan Traditional Chinese Medicine, 2021, 41(9): 1367-1371.
 Zhao Jinhong. Clinical study on the treatment of post-stroke constipation with qi deficiency and blood stasis by tonic yang rewu laxative soup [D]. Shanxi University of Traditional Chinese Medicine, 2020.
 Chen P, Jiang L, Geng H, Han X, Xu Y, Chen Y, Guo J, Wu S, Wang Y, Yan R, Ren Y, Zou Y. Effectiveness of Xinglou Chengqi decoction on constipation in patients with acute ischemic stroke: a randomized controlled trial. J Tradit Chin Med. 2020 Feb; 40(1):112-120. PMID: 32227772.
 Tan J, Ning W, Chen JY, et al. Effects of Tong Sheng Fang on closed-circuit neurological deficits, constipation and hs-CRP in acute stroke[J]. Chinese contemporary medicine, 2018, 25(20): 143-146.
 Zeng Muhuang, Zheng Meiruo, Lu Xiaofei, et al. Xu Shuanghong's treatment of pediatric affective disorders based on the theory of cultivating earth and nourishing the heart [J]. Journal of Guangzhou University of Traditional Chinese Medicine, 2021, 38(9): 1999-2002.
 Wang YZ. Analysis of the effect of Yi kidney and laxative soup in the treatment of slow-transmission constipation of the colon after stroke [J]. Contemporary Medicine Series, 2021, 19(10): 174-176.
 Yang Y, Gu Guanhui. Clinical effects of Jichuan decoction plus reduction based on brain-gut axis theory in the treatment of post-stroke constipation (kidney yang deficiency type)[J]. Henan Medical Research, 2021, 30(4): 595-598.
 Wu GL, He JY. Reconceptualizing the three major roles of acupuncture [J]. Clinical Research in Traditional Chinese Medicine, 2021, 13(7): 45-47.
 Ye Gaxi, Ji Dejiang, Guan Shuting, Dai Yangqian. Study on Clinical Effect of "Waking Up The Mind and Regulating The Intestines and Stomach" Acupuncture in Treatment of Constipation after Ischemic Stroke[J]. Liaoning Journal of Traditional Chinese Medicine, 2021, 48(11): 167-171.
 Zheng Zhenni. Treatment of Post-stroke Constipation by the Kaiqiao Tongfu Acupuncture Manipulation: a Clinical Study [D]. Fujian University of Traditional Chinese Medicine, 2021.
 Wang Bo, Wei Qinglin, Wang Junqiang, et al. Mechanisms of abdominal acupuncture in the treatment of neurological diseases and progress in its application[J]. Chinese Medicine Research, 2022, 35(3): 80-84.
 Xiong Jinhua. Clinical study on the treatment of constipation after stroke with abdominal acupuncture of Lingnan Flying Needle Therapy [D]. Guangzhou University of Traditional Chinese Medicine, 2021.
 Luyang Tonghui. Clinical Observation of "Tiaoshen Tongfu" Acupuncture Combined with Scalp Acupuncture on Post-stroke Constipation [D]. Tianjin University of Traditional Chinese Medicine, 2021.
 Zhang H Y, Liu W, Xing W L, et al. Development and clinical application of the theory of Chinese medicine eye diagnosis [J]. Beijing Traditional Chinese Medicine, 2021, 40(10): 1165-1168.
 Li Siqi. Clinical observation of 60 cases of constipation after stroke treated with eye acupuncture [D]. Liaoning University of Traditional Chinese Medicine, 2016.
 Wu Guangfu, Wang Weiming. Clinical literature study on the main treatment pattern of the eight acupoints [J]. Chinese Acupuncture, 2019(1): 96-102.
 Chen ZQ. Clinical study on the treatment of constipation after stroke by acupuncture at the Eight-shoe point [D]. Guangzhou University of Traditional Chinese Medicine, 2021.
 Wang J, Liu HJ, Ouyang LZ, et al. A brief analysis of "what is not done by needles, is appropriate for moxibustion" in the Ling Shu [J]. Liaoning Journal of Traditional Chinese Medicine, 2021, 48(1): 81-82.
 Li Zangmiao, Dong Xu, Lin L, et al. Effectiveness of moxibustion at Dahuang Shenqui acupuncture point area on patients with constipation during recovery from stroke[J]. Hunan Journal of Traditional Chinese Medicine, 2021, 37(11): 106-109.
 Zhang JY. Clinical analysis of thermal moxibustion for post-stroke constipation [J]. Chinese and foreign medical research, 2018, 16(5): 31-33.
 Chen J, Lv WL. Research progress in the prevention and treatment of functional constipation in Chinese medicine[J]. Journal of Liaoning University of Traditional Chinese Medicine, 2021, 23(6): 134-140.
 Bu Y, Zhang YL, Jiang YZ. Effect of Shen Que acupuncture point with ginger moxibustion combined with Zi Wu Liu Yin Tuina on patients with post-stroke constipation[J]. Journal of Traditional Chinese Medicine, 2021, 27(8): 105-108.
 Fu Yinglan. Clinical study on the treatment of post-stroke constipation by combining conventional therapy with external application of Xing Qi and Laxative Patch to the umbilicus [J]. New Chinese Medicine, 2020, 52(8): 169-171.
 Wu Qinjuan. Clinical effects of Chinese herbal mannitol solution enema for the treatment of constipation after stroke [J]. Inner Mongolia Traditional Chinese Medicine, 2019, 38(8): 91-92.
 Gu R. Application of auricular acupressure in constipation in patients recovering from stroke in the rehabilitation department [J]. Electronic Journal of Integrative Medicine and Cardiovascular Diseases, 2020, 8(35): 153, 165.
 He XM, Cai HZ, Liu YL, et al. Efficacy of intermediate frequency therapy on constipation in patients with ischemic stroke [J]. Clinical Research in Chinese Medicine, 2021, 13(19): 110-112.
 Yang Yanshi, Cheng Yanling. Effect of acupuncture combined with pelvic floor biofeedback on the quality of recovery in patients with post-stroke constipation[J]. Chinese Journal of Anorectal Diseases, 2021, 41(7): 48-49.
 Du J, Yu H, Xu Q, et al. Efficacy of intradermal acupuncture combined with defecation training on constipation after stroke[J]. General Practice Nursing, 2021, 19(20): 2792-2796.