Logout 📊 Admin
🏠 Home

Functional Constipation

How Chinese medicine differentiates functional constipation into the six patterns you'll actually meet in practice, and the points for each. Distinct from this site's Constipation and IBS pages. Acupuncture only — no herbs.

This page is educational, for practitioners and students — it is not a diagnostic tool and does not replace a proper in-person assessment. New constipation with weight loss, blood in the stool, or in someone over 50 needs medical assessment to rule out a structural cause.
General Acupuncture Points

Acupuncture points traditionally used for functional constipation — 3 key points, used across the patterns below rather than tied to just one.

PointKey action
ST-25Regulates the Intestines. Regulates Stomach and Spleen. Moves Qi and invigorates Blood.
ST-36Benefits Stomach and Spleen. Tonifies Qi and Blood. Tonifies the Original Qi.
SP-6Strengthens the Spleen. Resolves Dampness. Promotes the function of the Liver and the smooth flow of Liver-Qi.
The Six Patterns

↑ reinforcing   ↓ reducing   ⊥ even method.

1. Spleen Qi Deficiency View full pattern →

Clinical manifestations: Straining to pass soft stools; bloating after eating; constant fatigue; poor appetite; shortness of breath on exertion.
Tongue: Pale, puffy, tooth-marked, thin white coating. Pulse: Weak, soft, at the right middle position.
Treatment principle: Tonifies Spleen Qi to restore intestinal propulsive force.
Note: moxa is appropriate.

2. Heat in the Large Intestine View full pattern →

Clinical manifestations: Dry, hard, pellet-like stools; a burning sensation during bowel movements; abdominal pain worsened by pressure; thirst for cold drinks; afternoon fever; dark, scanty urine; restlessness.
Tongue: Red with prickly papillae, thick dry yellow coating. Pulse: Rapid, forceful.
Treatment principle: Clears Heat and moistens the intestines to soften the stools.
Note: no moxa.

3. Large Intestine Qi Stagnation View full pattern →

Clinical manifestations: Cramping, colicky abdominal pain that shifts location; a sensation of incomplete evacuation; small, fragmented or ribbon-like stools; excessive gas and belching; symptoms worsen with emotional stress.
Tongue: Normal, light red, thin white coating. Pulse: Wiry, at the left middle position.
Treatment principle: Moves stagnant Qi downward and restores smooth bowel flow.
Note: no moxa.

4. Blood Deficiency View full pattern →

Clinical manifestations: Dry, hard stools; a pale or sallow complexion; dizziness; heart palpitations; scanty, pale menstrual blood; poor memory; shortness of breath.
Tongue: Pale, thin, thin white coating. Pulse: Fine, weak, thread-like.
Treatment principle: Nourishes Blood to moisten the intestines and restore lubrication.
Note: moxa is appropriate. Linked to this site's own Liver-Blood-deficiency slide as the closest general match.

5. Yin Deficiency View full pattern →

Clinical manifestations: Dry, hard, pellet-like stools; night sweats; warm palms, soles and chest; a dry mouth and throat especially at night; evening restlessness and warmth.
Tongue: Red, thin with cracks, little or no coating. Pulse: Fine, rapid.
Treatment principle: Nourishes Yin and generates fluids to lubricate the bowels.
Note: no moxa (Yin deficiency with heat signs).

6. Kidney Yang Deficiency View full pattern →

Clinical manifestations: Difficult stools, dry or sticky; cold lower back and knees; feeling cold throughout the body, especially the limbs; fatigue and depression; waking at night to urinate.
Tongue: Pale, puffy, tender, teeth-marked, wet white coating. Pulse: Deep, slow, weak, at the rear positions.
Treatment principle: Warms Kidney Yang and moistens the intestines to restore propulsive warmth.
Note: moxa is strongly indicated.
Related conditions

Spot an error, or have more to add? Send it to admin on WhatsApp and it'll be corrected/added here.