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APPENDIX K · INTERNAL MEDICINE

便秘

便秘 · Bian Bi

Constipation

Discipline · Internal MedicineHandbook · Appendix KID K-007
FROM KNOWLEDGE TO CLINICAL REASONING

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01症状 / Symptoms & signs

排便间隔延长、粪干、排便困难

Infrequent bowel movements, dry stool and difficulty defecating.

02病因病机 / Etiology & mechanism

肠胃积热、气机郁滞、阴血不足或阳虚寒凝,传导失常

Accumulated Stomach-Intestine heat, qi stagnation, yin-blood deficiency or yang-deficiency cold impairs intestinal transit.

03辨证分型 / Pattern differentiation
01
热秘
Heat constipation

口渴尿黄

Thirst and yellow urine

02
气秘
Qi stagnation constipation

腹胀嗳气

Abdominal bloating and belching

03
虚秘
Deficiency constipation

乏力或便干无力排

Fatigue or inability to expel dry stool

04针灸配穴 / Acupuncture point selection
ST25天枢Tianshu
SJ6支沟Zhigou
ST37上巨虚Shangjuxu
ST36足三里Zusanli

Illustrative study point combinations, not a prescribed treatment or official answer key.

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