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What Chinese patent medicine should be taken for constipation due to spleen deficiency?

Aug 15, 2025 Source: Cainiu Health
Dr. Sun Lianqing
Introduction
For constipation caused by spleen deficiency, traditional Chinese patent medicines such as Maziren Pill, Shenling Baizhu Powder, Zhishi Da Zhi Pill, and Xiangsha Liujun Pill can generally be taken. Maziren Pill consists of ingredients like Semen Cannabis (Mazhuren), peony, and Fructus Aurantii Immaturus (Zhishi), and functions to moisten the intestines and promote bowel movements, strengthen the spleen, and harmonize the stomach. It is suitable for constipation caused by intestinal dryness due to spleen deficiency, characterized by dry and hard stools, difficulty in defecation, accompanied by abdominal distension and discomfort. Symptoms can be improved through moistening the intestines and enhancing the spleen and stomach's transformation and transportation functions.

Generally, Chinese patent medicines such as Maziren Wan, Shenling Baizhu San, Zhishi Daozhi Wan, Xiangsha Liujun Wan, and Jianpi Wan can be taken for constipation caused by spleen deficiency. If abnormalities occur, timely medical consultation is recommended. Detailed explanations are as follows:

1. Maziren Wan: Composed of Semen Cannabis (Mazhren), Paeoniae Radicis Alba (Baishao), Fructus Aurantii Immaturus (Zhishi), and other ingredients, it functions to moisten the intestines and relieve constipation, strengthen the spleen, and harmonize the stomach. It is suitable for constipation caused by intestinal dryness due to spleen deficiency, characterized by dry and hard stools, difficult defecation, accompanied by abdominal distension discomfort. It improves symptoms by moisturizing the intestines and promoting spleen and stomach transformation and transportation functions.

2. Shenling Baizhu San: Containing ginseng, Poria (Fuling), Atractylodis Macrocephalae Rhizoma (Baizhu), and other components, it has functions of strengthening the spleen and replenishing qi, removing dampness, and stopping diarrhea. Although commonly used for diarrhea, it also helps with qi deficiency-related constipation caused by spleen deficiency. It enhances spleen and stomach functions, promotes intestinal peristalsis, and alleviates weak defecation.

3. Zhishi Daozhi Wan: Contains Fructus Aurantii Immaturus (Zhishi), Radix et Rhizoma Rhei (Dahuang), Rhizoma Coptidis (Huanglian), and others. It helps eliminate food accumulation, relieve stagnation, clear heat, and remove dampness. Suitable for constipation accompanied by food retention due to spleen deficiency, characterized by dry stools, abdominal distension and pain, poor appetite. It promotes defecation by eliminating stagnation and regulating spleen and stomach functions.

4. Xiangsha Liujun Wan: Made from Saussureae Fructus Rotundus (Muxiang), Fructus Amomi (Sharen), Codonopsis Radix (Dangshen), and other ingredients. It functions to invigorate qi, strengthen the spleen, harmonize the stomach, and resolve dampness. It is suitable for constipation caused by spleen deficiency with qi stagnation, accompanied by abdominal fullness, belching, and reduced appetite. It regulates the qi movement of the spleen and stomach, improving intestinal conduction function.

5. Jianpi Wan: Contains Atractylodis Macrocephalae Rhizoma (Baizhu), Saussureae Fructus Rotundus (Muxiang), Rhizoma Coptidis (Huanglian), and other ingredients. It strengthens the spleen and stimulates the appetite, regulating constipation caused by spleen deficiency, poor appetite, and indigestion. It enhances the transformation and transportation ability of the spleen and stomach, reduces food stagnation, and helps restore normal bowel habits.

Selection of the above-mentioned Chinese patent medicines should be based on specific symptoms, and it is recommended to use them under the guidance of professionals to avoid long-term dependency. During medication, it is important to eat more vegetables and whole grains, drink adequate water, develop regular bowel habits, avoid prolonged sitting, increase physical activity appropriately, and assist in improving constipation.

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