Acute Constipation: Warm sesame oil as enema is very effective for immediate relief in case of acute constipation.
Massage of the abdomen with sesame oil is also helpful. Glycerine can also be used to massage the abdomen. Fasting, anti-ama diet and detoxifying herbs are also beneficial. After the digestion has improved strong purgative like senna, castor oil and rhurbarb should be given.
Chronic Constipation: Triphala is a combination of three myrobalan fruits: amalaki, haritaki and bibhitaki and makes a good laxative. This can be given in dose of 1 to 3 gm at night with warm water. Abhayrishta is also an effective medicine for chronic constipation.Drinking a glass of warm milk with one teaspoonful of ghee every night for three months is advised. Alternatively four teaspoons of warm sesame oil can also be taken every night.
Vata Type: Medicated enema of sesame oil is the best remedy and should be given on alternative days in the evening. Cleansing enema alternating with oil enema is also beneficial.Bulk laxatives such as bran, flaxseed and psyllium seeds should be given in 1 to 3 gms with milk or sweet fruit juices at night.
Pitta Type: Anti-Pitta diet is advised. In Pitta type constipation is the result of High Pitta due to inflammation. Use cleansing enema of licorice and shatavari. Aloe, echinacea, gentian, rhubarb and yellow dock are useful.