Unformed Stool: Traditional Chinese Medicine Insights - Traditional Chinese Medicine

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Loose stools?


Hello Dr.
Hou, since I started taking antipsychotic medication over three years ago, my daily bowel movements have been soft, loose, and mushy, almost approaching diarrhea.
It is very difficult to clean properly, and sometimes there is leakage after bowel movements.
I would like to ask you from a Traditional Chinese Medicine perspective, what does it mean when the stool is unformed? (Is it due to excessive dampness in the body?) What kind of Chinese herbal medicine would you recommend for adjustment? (How can I restore normal bowel movements?) Thank you very much for taking the time to answer my questions.

Miss Lin, 20~29 year old female. Ask Date: 2024/05/17

Dr. Hou Yuchang reply Traditional Chinese Medicine


Dear Sir/Madam,
You have been experiencing long-term loose and sticky stools that are close to diarrhea, with occasional leakage.
From a Traditional Chinese Medicine (TCM) perspective, this may not necessarily indicate excessive dampness.
Since TCM does not rely solely on a single symptom to determine the underlying cause or which organ may be deficient, it is still advisable for you to consult a TCM practitioner for a more comprehensive discussion.
Currently, the more likely conditions could include "spleen deficiency," "dampness," "damp-heat," "liver wood overacting on spleen earth," or "deficiency of both spleen and kidney," among others.
Given this complexity, it is challenging to provide a singular treatment or dietary recommendation.
Wishing you a speedy recovery.

Reply Date: 2024/05/17

More Info


Understanding unformed stool from the perspective of Traditional Chinese Medicine (TCM) involves a comprehensive analysis of the body's internal balance, particularly focusing on the concepts of Qi (vital energy), Blood, Yin, Yang, and the presence of dampness or heat within the body. In TCM, unformed stool is often associated with the Spleen and Stomach's ability to transform and transport food and fluids. When these organs are not functioning optimally, it can lead to symptoms such as loose stools or diarrhea.

In your case, the soft, mushy, and unformed stools you describe could indeed indicate an excess of dampness in the body. TCM views dampness as a pathological factor that can arise from various sources, including dietary habits, environmental conditions, and internal imbalances. For instance, consuming excessive cold or raw foods, greasy or sweet foods, or even certain medications can contribute to the accumulation of dampness. The fact that you have been taking antipsychotic medication for over three years may also play a role in this condition, as some medications can disrupt normal digestive function and lead to gastrointestinal side effects.

From a TCM perspective, the Spleen is responsible for the transformation and transportation of nutrients. If the Spleen is weak or dampness accumulates, it can lead to poor digestion and the production of unformed stools. Additionally, if there is an underlying deficiency of Qi or Blood, this can further exacerbate the situation, leading to symptoms such as fatigue, poor appetite, and a feeling of heaviness.

To address your condition, TCM practitioners often recommend herbal formulas that can help strengthen the Spleen, resolve dampness, and restore normal bowel function. Some commonly used formulas include:
1. Ping Wei San (平胃散): This formula is designed to strengthen the Spleen and resolve dampness. It typically contains ingredients like Atractylodes (白朮), Poria (茯苓), and Ginger (生薑), which work together to improve digestion and reduce dampness.

2. Shen Ling Bai Zhu San (參苓白術散): This formula is beneficial for those with Spleen Qi deficiency and dampness. It includes ingredients like Ginseng (人參), Atractylodes (白朮), and Poria (茯苓) to tonify the Spleen and improve digestion.

3. San Ren Tang (三仁湯): This formula is used to clear damp-heat and can be beneficial if there are signs of heat in addition to dampness. It contains ingredients like Apricot Kernel (杏仁) and Job's Tears (薏苡仁), which help to promote urination and resolve dampness.

In addition to herbal remedies, lifestyle and dietary modifications can also play a crucial role in managing your symptoms. It is advisable to avoid cold, raw, and greasy foods, as well as excessive sweets, which can contribute to dampness. Instead, focus on warm, cooked foods that are easy to digest, such as soups and stews. Incorporating foods that strengthen the Spleen, such as rice, lentils, and root vegetables, can also be beneficial.

Furthermore, engaging in gentle physical activities like walking or Tai Chi can help promote Qi circulation and support digestive health. Stress management techniques, such as mindfulness or meditation, may also be helpful, as emotional factors can influence digestive function.

In conclusion, unformed stool in TCM is often linked to dampness and Spleen dysfunction. By utilizing appropriate herbal formulas, making dietary adjustments, and incorporating lifestyle changes, you can work towards restoring normal bowel function and improving your overall digestive health. It is always recommended to consult with a qualified TCM practitioner who can provide personalized guidance based on your specific condition and constitution.

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