Synopsis

Source of validity: Traditional
Rating (out of 5): 2

Atractylodes, particularly Atractylodes macrocephala (Bai Zhu), is a well-known herb in Traditional Chinese Medicine (TCM). Its use for treating constipation, especially in children, is primarily based on traditional practice rather than strong scientific validation. In TCM theory, Atractylodes is believed to "tonify the spleen" and "dry dampness," which can help in regulating digestive function and improving bowel movements. Constipation in children is often attributed to spleen Qi deficiency or dampness accumulation, and formulas containing Atractylodes are commonly prescribed by TCM practitioners to address such imbalances.

Historical texts and modern TCM compendiums list Atractylodes as an ingredient in various pediatric herbal formulas aimed at supporting digestive health and relieving mild constipation. These formulations are said to gently stimulate digestion and promote healthy stool passage in children with weak constitutions. However, clinical trials or robust scientific studies specifically validating Atractylodes’ effectiveness for pediatric constipation are limited. Most available evidence is anecdotal, based on case series, or derived from traditional use patterns rather than controlled clinical research. As such, while its use is well-established in TCM, the overall strength of evidence supporting its efficacy for childhood constipation is modest, meriting a rating of 2 out of 5.

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