Research Article

Hong Kong Chinese Medicine Clinical Practice Guideline for Cancer Palliative Care: Pain, Constipation, and Insomnia

Table 6

Herbal treatment on cancer constipation.

PatternPathogenesis and treatment principleRecipe and ingredient herbsGrading and level

Qi and yin deficiencyPathogenesis: Spleen-lung qi deficiency, fluid-humor deficiency
Principle: Tonify the spleen and lung, enrich yin and increase humor
Modified Zeng Ye Tang:
Xuan Shen (Scrophulariae Radix), Mai Dong (Ophiopogonis Radix), Di Huang (Rehmanniae Radix), Dang Gui (Angelicae Sinensis Radix), Yu Zhu (Polygonatiodoratirhizoma), Bei Sha Shen (Glehniae Radix), Huang Qi (Astragali Radix)
Grading of recommendation: B§
 Level of evidence: IIa [1215]

Qi movement stagnationPathogenesis: Liver and spleen qi stagnation, bowel qi block
Principle: Favor qi and remove food stagnation, direct qi downward to relax the bowels
Modified Liu Mo Tang:
Bing Lang (Arecaesemen), Chen Xiang (Aquilariae Lignum Resinatum), Mu Xiang (Aucklandiae Radix), Wu Yao (Linderae Radix), Da Huang (Rhei Radix Et Rhizoma), Zhi Qiao (Aurantii Fructus)
Grading of recommendation: C§
 Level of evidence: IV

Blood deficiencyPathogenesis: Blood deficiency, intestines with cachexia
Principle: Tonify blood and enrich yin, moisten dryness to relax the bowels
Modified Liu Mo Tang:
Bing Lang (Arecaesemen), Chen Xiang (Aquilariae Lignum Resinatum), Mu Xiang (Aucklandiae Radix), Wu Yao (Linderae Radix), Da Huang (Rhei Radix Et Rhizoma), Zhi Qiao (Aurantii Fructus)
Grading of recommendation: C§
 Level of evidence: IV

Yang deficiencyPathogenesis: Yang deficiency and debilitation, yin and cold congealing and bind
Principle: Tonify the kidney and warm yang, moisten the intestines to relax the bowels
Modified Ji Chuan Jian:
Dang Gui (Angelicae Sinensis Radix), Niu Xi (Achyranthis Bidentatae Radix), Rou Cong Rong (Cistanches Herba), Ze Xie (Alismatis Rhizoma), Sheng Ma (Cimicifugae Rhizoma), Zhi Qiao (Aurantii Fructus)
Grading of recommendation: B§
 Level of evidence: IIa [16]