From Cathartic Colon to Cathartic-dependent Constipation： Diagnostic-therapeutic Strategies from Integrative Medicine Perspective
10.13422/j.cnki.syfjx.20250512
- VernacularTitle:中西医结合视角下泻药性结肠到泻药依赖性便秘的认识演变及诊治思路
- Author:
Youcheng HE
1
;
Fengru JIANG
1
;
Yanru WANG
1
;
Minghan HUANG
2
;
Yue WU
1
;
Chunyu ZHOU
1
;
Lian MO
1
;
Lifeng WEI
1
;
Keyi PAN
1
;
Shuyu CAI
1
;
Jianye YUAN
1
Author Information
1. Longhua Hospital， Shanghai University of Traditional Chinese Medicine（TCM）， Shanghai 200032， China
2. The Second Affiliated Hospital of Fujian University of TCM， Fuzhou 350003， China
- Publication Type:Journal Article
- Keywords:
cathartic colon;
cathartic-dependent constipation;
clinical subtype;
syndrome differentiation
- From:
Chinese Journal of Experimental Traditional Medical Formulae
2026;32(11):162-172
- CountryChina
- Language:Chinese
-
Abstract:
Both cathartic colon （CC） and cathartic-dependent constipation （CDC） are caused by the abuse of stimulant laxatives， while their concepts are not completely the same.Starting from the disease name of CC， this article traced the origin and evolution of the concept of CC， summarizes and compared the similarities and differences between CC， CDC， and slow transit constipation （STC）， and called for strict differentiation among the three.Furthermore， this article explored the specific contents of Western medicine clinical subtypes and traditional Chinese medicine （TCM） syndrome differentiation of CDC and delved into the TCM pathogenesis of CDC according to both literature and clinical practice.The relationship between clinical subtypes and TCM syndromes was established， and the syndrome characteristics of CDC of different clinical subtypes and TCM syndromes were summarized.The recommended prescriptions for corresponding syndromes were listed.A systematic CDC diagnosis and treatment approach of "clinical subtypes-syndrome differentiation-syndrome characteristics-recommended prescriptions" was thus formed.Additionally， the paper provides an overview of current research on CDC in both Western medicine and TCM contexts， identifies future research directions， and suggests research pathways for refining and advancing CDC studies.
