Constipation refers to difficulty in defecation, prolonged defecation, or dysporia though the patient has defecating desire. Tuina therapy is effective for functional constipation.
Diagnosis
(1) No defecation for over 48hours.
(2) Dry and hard stools or difficulty in defecation.
(3) Ruling out hemorrhage of lower digestive tract , etc.
Tuina Treatment
(1) Ask the patient to have a prone position. Apply Gun Fa (rolling method) along bilateral courses of the bladder meridian on the back , especially on Pishu (BL 20), Weishu (BL21), Dachangshu (BL 25), Baliao (BL31,32,33,34).
(2) Apply Yi zhi chan tui fa (Pushing method with the thumb) on zhongwan (CV 12), Tianshu (ST25), Qihai (CV6), Guanyuan (CV 4), while the patient is in a supine position.
(3) Apply Mo Fa (rubbing method in circles on the abdomen ) clockwise.
(4) Manipulation determined according to differentiation
1) Dryness and heat of the stomach and intestine: Add an Rou Fa (Pressing-kneading method ) on Zusanli (ST 36), Dachangshu (BL 25), and dian rou fa (Pointing and kneading method) on Waiguan (TE 5), Hegu (LI 4) and Quchi (LI 11).
2) Stagneation of qi : Add an rou fa (Pressing-kneading method) on Danzhong (CV 17).
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Self-massage treatment constipation
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