Herbal Remedies for Constipation and Digestive Health: Expert Advice - Traditional Chinese Medicine

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Traditional Chinese Medicine Consultation


Hello Dr.
Yan: I sometimes experience difficulty in bowel movements or constipation.
I have had gastrointestinal issues since birth, including a history of gastric ulcers, duodenal ulcers, and Helicobacter pylori infection.
Occasionally, my stools are soft and normal, while at other times I experience constipation.
I have also had episodes of diarrhea in the past.
The day before yesterday, I purchased a jar of Peach Kernel Chengqi Decoction from a Chinese herbal medicine shop.
Can I take it daily? Will taking too much cause side effects or harm my intestines? What Chinese herbal medicines are available for treating constipation or regulating gastrointestinal function?

Xiao Qing, 20~29 year old female. Ask Date: 2021/04/30

Dr. Yan Sumei reply Traditional Chinese Medicine


Hello, Xiao Jing! The Peach Pit Chengqi Decoction is commonly used for dysmenorrhea or postpartum abdominal pain.
While it can alleviate constipation, that is not its primary purpose.
It can be taken for one or two days when experiencing constipation or menstrual pain, but it is not advisable to use it daily.
To improve constipation, you can increase your intake of fruits and vegetables (such as papaya, bananas, dragon fruit, pineapple, and sweet potatoes), consume yogurt, drink 2000-2500 cc of water, and engage in physical exercise.
If these methods do not work, it is recommended to consult a Chinese or Western medicine physician for a suitable prescription.
Purchasing over-the-counter medications on your own can lead to unnecessary expenses and health risks.
Wishing you health and safety! Sincerely, Yan Su-Mei, Department of Traditional Chinese Medicine, Nantou Hospital.

Reply Date: 2021/04/30

More Info


When it comes to managing constipation and promoting digestive health, herbal remedies can be a valuable option. However, it's essential to approach them with caution, especially considering your medical history, including past gastrointestinal issues such as peptic ulcers and Helicobacter pylori infection.

Herbal Remedies for Constipation:
1. Peach Kernel (Tao Ren): The herbal remedy you mentioned, 桃核承氣湯 (Peach Kernel Decoction), is traditionally used in Chinese medicine to promote bowel movements. It contains ingredients that can help to moisten the intestines and facilitate stool passage. However, it is crucial to use this remedy under the guidance of a qualified practitioner, as excessive use can lead to diarrhea or abdominal discomfort.

2. Senna (Senna alexandrina): This herb is well-known for its laxative properties. It works by stimulating the muscles of the intestines, promoting bowel movements. However, it should not be used long-term, as it can lead to dependency and may cause electrolyte imbalances.

3. Psyllium Husk: This soluble fiber is often used to treat constipation. It absorbs water in the intestines, forming a gel-like substance that helps to soften stool and promote regularity. It is generally safe for long-term use but should be taken with plenty of water to prevent choking or intestinal blockage.

4. Aloe Vera: Aloe vera juice can also be beneficial for digestive health. It has a mild laxative effect and can help soothe the digestive tract. However, it should be consumed in moderation, as excessive intake can lead to cramping and diarrhea.

5. Ginger: Known for its digestive benefits, ginger can help stimulate digestion and alleviate gastrointestinal discomfort. It can be consumed fresh, as a tea, or in supplement form.

6. Licorice Root: This herb can help soothe the gastrointestinal tract and may assist in alleviating symptoms of indigestion. However, it should be used cautiously, especially in individuals with high blood pressure, as it can cause fluid retention.

Safety and Side Effects:
While herbal remedies can be effective, they can also have side effects, especially if used improperly. For instance, overuse of laxatives (including herbal ones) can lead to dependency, where the bowel becomes reliant on stimulation to function. This can result in chronic constipation when the laxative is not used.

Given your history of gastrointestinal issues, it's crucial to consult with a healthcare provider before starting any new herbal regimen. They can help assess your specific situation and recommend appropriate dosages and combinations of herbs that are safe for you.

Lifestyle Recommendations:
In addition to herbal remedies, consider the following lifestyle changes to promote digestive health:
1. Dietary Fiber: Increase your intake of dietary fiber through fruits, vegetables, whole grains, and legumes. Fiber helps to bulk up stool and promotes regular bowel movements.

2. Hydration: Drink plenty of water throughout the day. Adequate hydration is essential for softening stool and preventing constipation.

3. Regular Exercise: Physical activity can stimulate digestion and promote regular bowel movements. Aim for at least 30 minutes of moderate exercise most days of the week.

4. Routine: Establish a regular bathroom routine. Try to set aside time each day for bowel movements, as this can help train your body to have regular bowel habits.

5. Stress Management: Stress can impact digestive health. Consider incorporating relaxation techniques such as yoga, meditation, or deep breathing exercises into your routine.

In conclusion, while herbal remedies can be beneficial for managing constipation and digestive health, it is essential to use them wisely and under professional guidance, especially considering your medical history. Combining these remedies with lifestyle changes can lead to improved digestive health and overall well-being. Always consult with a healthcare provider before making significant changes to your health regimen.

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