In clinical work when asking patients about the size of the situation, there are often some patients will say: "Doctor my stools at the beginning of the part is dry, after the loose or soft, this is in the end how it?" In fact, the stool is dry at first and then loose or soft, this situation of stool in Chinese medicine is mainly due to spleen deficiency, due to spleen deficiency, transportation and digestion failure, so there is a loose stool or soft stool, and the large intestine conduction is not smooth, then there will be a knot or dry stool. Today we will talk about this issue from the following points.

The spleen is the master of transportation, likes dryness and hates dampness, and it should be healthy when it rises.

The spleen is the main transportation, can we eat the food into the essence of the material, and can, will be absorbed, transported to the whole body, internal nourishment of the five viscera, external nourishment of the limbs and bones. At the same time also be able to water drink into fluid, through the pivot with the spleen and stomach lift, so that the whole body fluid with the gas lift and upward and downward, in order to irrigate the four evening, to the four sides, play the role of nourishing moistening, the role of the limbs and bones, as well as the internal organs of the metabolism of qi after the water transport, through the triple jiao, down to the bladder, to become urine.

The physiological characteristics of the spleen are like dryness and cleanliness and aversion to dampness and turbidity. If the spleen qi is deficient and weak, the function of water transportation and liquids is derelict, this will lead to the internal storage of water-dampness and phlegm and drink, and at the same time after the water-dampness and phlegm and drink are produced it will in turn restrain the spleen qi, resulting in the spleen qi not being elevated, the spleen yang not being invigorated or the spleen yang is damaged by external feeling of the evil of dampness and the internal dampness is generated, which will then affect the performance of normal physiological function, such as affecting the digestion of food and the absorption of subtle materials and This will affect the normal physiological functions, such as the digestion of food and the absorption of fine substances, as well as the transfer and transportation of these substances, resulting in symptoms such as loose stools and loss of appetite.

Therefore, if the spleen wants to maintain the normalcy of these functions, then the spleen qi must be healthy, and only when the spleen's transport function is built and transported can it be able to normalize the production of water and grains and essence, and can it be able to normalize the absorption of essence and essence and transport it to all parts of the body, so as to ensure the normalcy of the function of the transport of water and liquids.

The large intestine mainly conducts dross and participates in the metabolism of body fluids

The large intestine in our body is known as the "conduction organ", which receives food residues from the small intestine and eventually forms the dregs. If the function of the large intestine to conduct the dregs is not normalized, then there will be abnormal defecation, constipation or diarrhea. However, we also need to know that the normal function of the large intestine in conducting the dregs is closely related to the function of the stomach qi, the lung qi and the spleen qi.

And because the large intestine is also involved in the body's fluid metabolism, if the main fluid function of the large intestine is dysfunctional, fluid will not be able to be absorbed, and with the dregs of the lower intestine, then intestinal tinnitus, diarrhea and drainage, etc. If the heat of the large intestine is abundant, frying the fluid, resulting in deficiency of fluid and loss of moistening of the fluid, then there will be constipation.

Back to the question we were discussing, "What's the deal with the dry stools followed by soft stools as described in Chinese medicine?"

In the above we briefly understand the physiological functions of the spleen and the large intestine, changes in the shape of the stool and the spleen and the large intestine have a close relationship. Then the stool appeared first dry and then dilute situation in the end how is it? I think we must also have a certain eyebrow.

When dietary irregularities, or overwork, or overthinking, or excessive consumption of cold and raw materials, or use of bitter and cold products lead to deficiencies in the spleen and stomach, then the spleen and stomach's function of transportation and digestion will be weakened or dereliction of duty.

When the essence of the spleen and stomach will not be able to transport upward to the lungs, the lungs can not be nourished, there will be a lack of lung qi, and the lungs and the large intestine and each other as a table, lung qi is weak, there is no purging of stool, that is, there is not enough power to peristalsis will be the bowel in front of the bowel to discharge the body, it will be in the large intestine to stay, resulting in water absorption by the large intestine, so that there is a dry stool at the beginning of the case, when the beginning of the harder stools When the harder stools at the beginning are discharged, the peristalsis of the intestines speeds up, and then we will see that the stools at the back will be thinner or softer.

Or when the spleen and stomach deficiency, resulting in the spleen to rise the pivot of the stomach downward failure, fluid can not be transported to the lower, can not go down to moisten the large intestine, the intestinal fluid is insufficient, and the large intestine has the role of absorbing water, coupled with the stomach downward dysfunction, then it will be easy to lead to the first part of the stool appears to be dry in the intestinal tract to stay in the phenomenon of the former part of the stool after the first half of the stool is discharged after the second part of the stool in the large intestine stay for a short period of time, when we bowel movement will be When we have a bowel movement, we will find that the stool is dry and then thin or soft.

summarize

Spleen is the foundation of the later life, spleen qi is healthy to transport, when the spleen and stomach are weak due to improper diet, overexertion, or eating cold and raw food to damage the spleen and yang, then there will be a situation where the stools are dry first and then loose or soft. Therefore, we should pay attention to the protection of the spleen and stomach in our daily life to make the spleen and qi healthy, pay attention to a reasonable diet, do not crave cold or spicy stimulants, regular rest and relaxation, etc., but also in our daily life to eat more food with the effect of strengthening the spleen, such as yam, lentils, cauliflower, and so on.

Lungs and large intestine with the table, the lungs main XuanFaSuShi, obviously the lung's SuShuShi function is poor, guide guide viscera gas is not passable. The large intestine is not necessarily lack of water and liquid, as long as the internal organs of the gas is smooth, gas line water line, in order to change the stool first hard after the soft problem, sometimes due to the cold can also cause constipation, called cold constipation. Or gasification problems, gas can promote, gas can gasification, gas line blood line, gas line water line. It can also be understood as poor bowel movement in Western medicine, especially near the anus.

Hello, I am glad to answer your question. This condition mainly occurs in children and middle-aged and elderly population, which is more common in clinical practice, and the most important reason is still to consider constipation as the cause.

Whether it is children or the elderly, lack of exercise and insufficient activity, coupled with problems with the usual diet, can lead to dysfunction of the spleen and stomach in terms of transportation and digestion.

If the peristaltic function of the stomach declines, gastric power is insufficient, the food eaten can not be transported to the intestines on time, followed by inducing a decline in intestinal function, the intestines, like the stomach, also through constant peristalsis, to carry out normal digestion, absorption and excretion functions.

Once the intestinal dysfunction, then food residues and toxin waste, in the intestinal tract will be prolonged, that is to say, the excretion of stool will be affected, the longer the stay, the stool will be dehydrated obviously, then the direct consequence is that it will lead to abnormal defecation, constipation.

Usually it is manifested as dry stool hair, but the stool behind is normal or even a little bit on the thin side. If the constipation is serious and there is no bowel movement for several days, there will be a sheep's poop like a sheep's poop egg.

To summarize, the main reason for the formation of constipation is due to the decline in the function of gastrointestinal peristalsis. If you want to change this problem, the first task is to improve the function of the spleen and stomach through a number of methods.

For example, diet regulation, meat and vegetables, eat more crude fiber, eat more mixed grains, vegetables and fruits, do not fish and meat too much, remember not to overeat. Usually eaten about half an hour try not to sit or lie in bed, which will delay the food downward push, affecting the peristaltic function of the gastrointestinal tract.

If constipation is more serious, you can take some probiotics, lactulose, or drugs to promote gastrointestinal peristalsis, morpholine, mosapride, aloe vera capsule, gastrointestinal elimination and so on.

People's normal stool should be "banana stool", soft and hard moderately, and the beginning of the stool dry and hard, it shows that there is heat in the body. Accumulated heat upward reversal, the stomach is out of harmony, the internal organs of the gas can not be, the large intestine conduction dysfunction, so abdominal pain and fecal impassable. The front end of the stool is formed for too long, the water is reabsorbed by the intestines, which will lead to dry and hard stools. When there is heat in the large intestine, the yin fluid is burned and the intestine is not moisturized, so the stool is constipated and dry and hard to go down. The softness behind the stool indicates that there is dampness in the body. The spleen is responsible for the transportation of water and liquids, and the water absorbed by the stomach and small intestine and the water absorbed by the large intestine is transferred by the spleen up to the lungs, and then spread throughout the body. If the spleen is not properly transported, dampness stops in the lower jiao, the qi is unfavorable, and the conduction of qi is out of order, which will lead to sticky and unshapely stools. Dampness and heat combined, dampness and heat stagnation in the intestines, resulting in conduction failure, will also appear in the stool first dry and then loose. Therefore, it is generally believed that there are three main reasons for the occurrence of dry and then loose stools: deficiency of the spleen and stomach qi, stomach heat and intestinal dampness and heat.

Spleen is the main transportation, spleen qi is not enough water transportation ability is weak, water accumulation in the body and the formation of dampness, wet sticky, can lead to loose stools; spleen deficiency in the lack of qi, the gastrointestinal downward thrust is weak, stools in the gastrointestinal accumulation over time to generate heat burning Jin, resulting in dry and hard stools. Therefore, the root cause of dry and then loose stools is the deficiency of spleen and stomach qi.

This is Taiyin Spleen deficiency, weak transportation, decay and turbidity, intestines do not transport, drying and becoming dry and hard over time, but after all, it is a Spleen deficiency where water-dampness can not be transported, and the stools are naturally still loose and dilute in the back.

Life Road Public Health believes that the stool first dry and then soft, generally and spleen deficiency relationship is relatively large. Chinese medicine says the spleen is the main rise of the stomach is the main drop, this time the spleen qi is weak, the spleen does not rise, the stomach does not drop, said the intestinal peristalsis down to promote the ability to push the food debris is weak, it will make the food debris is about to form the fecal matter, into the colon after the slow movement of the water in the intestinal wall will be absorbed by the repeat, which will lead to the dry and hard stools.

Sometimes inflammation in the rectal area, such as that caused by hemorrhoids, can also produce heat and draw water from the stool, which can also make the stool hard.

This dry stool may be more difficult to push, may make the back of the food debris can not enter the colon and stay in the small intestine to maintain a thin and soft state, when more and more food debris accumulates in the small intestine, the intestinal pressure will gradually increase, when the pressure reaches a certain level will prompt rapid peristalsis will be discharged, so that the stools will be dry first and then soft state.

This and the liver's excretion also has a certain relationship, life and work pressure, may produce liver qi stagnation, this time the liver's excretion function is poor, the liver offends the spleen and earth, may also make the spleen and stomach to accept the ability to weaken the transportation. This will cause the above problems.

1. Insufficient water metabolism in the body

Some people especially like to eat greasy, spicy stimulation and other heavy food, and in general do not like to drink water, which is likely to lead to a lower rate of metabolism in the body, the body of water metabolism is insufficient, which will affect the peristalsis of the stomach and intestines.

And the intestines will also need water during peristalsis, so it will absorb the water in the stool, and slowly the stool will be hard before and soft after.

2. Gastrointestinal dysfunction

If the human body's gastrointestinal dysfunction, it is easy to make the intestinal flora imbalance, in which case the beneficial bacteria will become less and less, which will affect the state of the stool, coupled with the intestinal tract less and less water, it will be easy to make the stool hard before and soft after the phenomenon, therefore, it will make a lot of people to have difficulty in defecating phenomenon.

3. Decline in the functioning of the digestive system

Food in the human body first passes through the mouth to be chewed, and then enters the esophagus to enter the stomach of the human body. The body will secrete certain digestive juices to break down and absorb the food, and the remaining food residue will enter the intestines, where it will be broken down by the intestinal flora, and finally turn into feces that will enter the rectum and wait for the body to excrete it out of the body.

If the digestive function of the human body has declined, the stomach and intestines in the absorption of decomposition of food, part of the nutrients are not able to be fully absorbed by the body, the human body may appear in the feces before the hard and then soft.

Therefore, usually pay attention to protect the body's digestive system, some spicy and stimulating, greasy food, try not to eat, to prevent affecting the normal operation of gastrointestinal function.

4. Constipation

Constipation is a condition that occurs in many people, and when you are constipated, you feel that it is very difficult to have a bowel movement, and often the front of the stool is also dry, making it difficult to pass out of the body.

If you are only mildly constipated, you can actually have stools that are clean in the front and sticky and soft in the back. So it is important to regulate this symptom in time.

Hello everyone, I am a practicing herbalist.

The Treatise on Typhoid Fever says: the head is hard at the beginning, and then it will be loose, so you can't attack it, and if you do, it will be full and you won't be able to eat. Here is the problem of stools that are dry at first and then soft later.The main reason is that the cause is a deficiency of the spleen, which is distended and cannot be attacked.

The spleen is responsible for transportation and digestion, and when spleen qi is weak, the function of transportation and digestion is weak, and the function of pushing feces out of the body will also be weak. If the patient's feces have been transported to the rectum but not discharged for a longer period of time, they become dry because the water in them has been over-absorbed, so they will be hard at the beginning. At the same time, because the spleen's ability to transport and transform is weak, the absorption of water is also weakened, and a large amount of water will be retained in the intestinal tract, and if the patient is further affected by various factors, such as stimuli from diet, exposure to cold, or emotions, or if he is unfavorable to urination, so that water in the feces has not yet been adequately If the water in the feces is not fully absorbed, it will be pushed to the rectum quickly, and then the feces will be dry in the first part and thinner and softer in the second part.

What should a person with a weak spleen pay attention to?

I: Regular work and rest, good habits

Go to bed early and get up early, don't stay up late, don't snack, don't overeat, and eat three meals regularly.

Two: Eat less bitter and cold food, and more food that replenishes the spleen and benefits the qi.

Bitter cold corrupts the stomach, people with spleen deficiency often lose their appetite, they should eat less cold food, such as kiwifruit, bitter gourd, green beans, ice cream, etc., you can consume more food that replenish the spleen and benefit the qi, such as round-grained rice, yam, lentils, barley, lotus seeds, etc..

III: Appropriate strengthening of exercise and physical fitness

Exercise can increase peristalsis and improve blood circulation in the gastrointestinal tract itself, boosting metabolism and delaying the aging of the digestive system.

IV: Massage conditioning

You can massage your abdomen clockwise regularly, or press the foot-sanli point, and moxibustion can also be considered.

V: Available proprietary Chinese medicines

Ginseng-lingbaijutsu San, Radix Rehmanniae Pills, and Xiangsha Nourishing Stomach Pills all have potential applications.

Stools are first dry and then soft, is wet and sticky and qi deficiency, intestinal physiological functions, environmental influences, changes caused by dysregulation.

In the early stage, intestinal essence does not transform qi. Intestinal essence function is trapped by dampness and does not transform qi, and qi transformation dysfunction.

Because of dampness and heat, or dampness trapped with yin and cold, collection and attraction of the wrong relationship, changes in the complexity, and the essence of the pathology of the properties of the characteristics, prompted the gas in the limitations of the performance of the expression of: gas, dampness, and the next.

Qi up for gasification, dampness under the trapped body is dysfunctional and abnormal and dry, thus the stools are first dry and then soft.

Overall 辡 evidence, may have liver depression and spleen deficiency, intestinal dampness, but also Yang stagnation, Yin deficiency characteristic features.

Provide reference conditioning prescription: Sihui San combining with Jiezhong Yiqi Pill plus Muxiang and Cangzhu plus subtraction.

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Original Creator Dr. Jim Law.

Stools are first dry and then soft, usually because of irregular defecation, drinking less water and eating a diet containing less dietary fiber. Prolonged irregular diet, drink less water, eat less fruits and vegetables, often lead to the lower part of the intestinal tube stool, retained for a long time, resulting in stool water, by the colon reabsorption of more, appearing in the stool dry, after the stool retained for a shorter period of time, stool soft.