Which one is the best group of points to treat constipation due to Yangming heat?

Question

BlackTom AI · Accepted Answer

Yangming channel heat binds the stool and produces constipation, so the best point combination must (1) clear heat, (2) open/clear the Large Intestine, and (3) move stool through the bowel.

1. Relevant knowledge points and concepts
- Yangming organ-channel pattern: Stomach/Large Intestine (abundant Yang, heat signs: high fever, constipation, dry stool, yellow tongue coating).
- LI11 (Quchi): major distal point to clear excess heat and fire from the limbs and torso; strongly clears Yangming heat.
- ST25 (Tianshu): front-mu of the Large Intestine; regulates intestinal function, moves bowel qi locally.
- ST37 (Shangjuxu): Lower He-Sea point of the Large Intestine; regulates the intestines, clears heat and damp-heat of the LI, and moves stool.

2. Step-by-step reasoning
- Yangming heat requires a heat-clearing distal point → choose LI11 to reduce heat burden.
- Local regulation of the bowel is essential → ST25 as front-mu directly regulates LI qi and motility.
- Reinforce intestinal clearance and promote bowel movement → ST37 as the lower He-Sea of LI clears heat/damp and restores downward movement.
- Together LI11 + ST25 + ST37 clear heat, regulate and purge the Large Intestine, and treat constipation caused by Yangming heat.

3. Intermediate steps (acupuncture logic)
- Clear systemic Yangming heat: LI11 → reduces interior heat causing stool binding.
- Regulate local intestinal function: ST25 → moves qi in the abdomen and stimulates bowel transit.
- Directly treat the Large Intestine channel/organ: ST37 → complements ST25 by clearing heat and promoting defecation.

4. Why the correct answer is correct
Option c contains the optimal triad targeting both heat (LI11) and intestinal regulation/clearance (ST25, ST37). This addresses the pathological mechanism (heat binding the stool) and restores bowel function.

5. Why other options are incorrect
- a (LI4, LI11, SP9): SP9 treats dampness; LI4 is for pain/face and general release but does not specifically regulate the LI or act as ST25/ST37 do.
- b (LI11, ST36, SP15): ST36 tonifies Stomach (more for deficiency), SP15 treats qi stagnation of the abdomen but does not clear Yangming heat as directly as ST25/ST37.
- d (ST25, SP6): SP6 nourishes Yin and moves blood—useful for deficiency/dryness but not the primary heat-clearing distal point (LI11) or the LI lower He-Sea (ST37).

Conclusion: The best group is LI11, ST25, ST37 — option c, which matches the provided answer.

Which one is the best group of points to treat constipation due to Yangming heat?单项选择题

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