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Chronic Constipation Treatment Ideas Needed

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Hi everyone,

 

I have a 49 yo patient who has chronic constipation as her chief

complaint.

She also has a history of fibromyalgia and states that she is under

a lot of stress which she manages with difficulty. Her tongue is red,

without coating in the front and with a thick white coating mid to

rear region. Her pulse is 88, irregularly irregular being thready

and wiry. It also seems to disappear with deep palpation. She is

slightly overweight mostly in the lower extremties. She uses

laxatives in pill form, and as enemas which she is using now without

much relief. She feels bloated most of the time. Her stools recently

have been pebble like and very dry. Her urine is cloudy. My

diagnosis was Liver Qi Stagnation with accumulation of damp in the

lower jao and heart fire. I used Lv3, LI4,G20, SJ6, St 37, St 25, St

28, St 29 and R6 to move the Qi and promote bowel evacuation without

success. She has had one acupuncture treatment for this problem so

far. Any ideas on other acupoints as well as herbs found effective?

Her medications taken are Adderall for ADD and Cymbalta and the

former for fibromyalgia daily plus a sleeping medication prn.

 

Thank you,

 

Carole

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