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الإمساك المزمن

Chronic Constipation

Infrequent, hard-to-pass stools, often with abdominal discomfort.

Medical Disclaimer: This entry is for educational purposes only. Always consult a qualified physician before applying any remedy or undergoing Hijama therapy. Pregnant women, children, and patients with chronic conditions require specialist guidance.

Hijama Atlas Point Map

Chronic Constipation

Sheikh Ahmed Al-Hefni · Hijama AtlasPage 83

Authoritative reference image from Sheikh Ahmed Al-Hefni's Hijama Atlas. Always seek a certified Hijama practitioner — do not self-administer wet cupping.

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Ruqyah — Hasbuna Allah wa Ni'm al-Wakeel

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Exhaustive Revelation

Quran

لَقَدْ خَلَقْنَا الْإِنسَانَ فِي أَحْسَنِ تَقْوِيمٍ

"We have certainly created man in the best of stature."

Surah At-Tin · 95:4

This verse establishes the principle that the human digestive system was created in perfect balance, and chronic constipation represents a disruption of the natural eliminative functions that require restoration through proper regimen.

وَأَنزَلْنَا مِنَ السَّمَاءِ مَاءً بِقَدَرٍ فَأَسْكَنَّاهُ فِي الْأَرْضِ ۖ وَإِنَّا عَلَىٰ ذَهَابٍ بِهِ لَقَادِرُونَ ۝ فَأَنشَأْنَا لَكُم بِهِ جَنَّاتٍ مِّن نَّخِيلٍ وَأَعْنَابٍ لَّكُمْ فِيهَا فَوَاكِهُ كَثِيرَةٌ وَمِنْهَا تَأْكُلُونَ ۝ وَشَجَرَةً تَخْرُجُ مِن طُورِ سَيْنَاءَ تَنبُتُ بِالدُّهْنِ وَصِبْغٍ لِّلْآكِلِينَ

"And We sent down from the sky water in due measure and settled it in the earth. And indeed, We are Able to take it away. And We brought forth for you thereby gardens of palm trees and grapevines; for you therein are abundant fruits and from them you eat. And [We brought forth] a tree issuing from Mount Sinai which produces oil and food for those who eat."

Surah Al-Mu'minun · 23:18-20

The olive tree mentioned produces olive oil, which classical scholars recognized as a laxative and intestinal lubricant specifically beneficial for chronic constipation and dry bowel syndrome.

Sahih Hadith

عَلَيْكُمْ بِالسَّنَا وَالسَّنُّوتِ فَإِنَّ فِيهِمَا شِفَاءً مِنْ كُلِّ دَاءٍ إِلاَّ السَّامَ قِيلَ يَا رَسُولَ اللَّهِ وَمَا السَّامُ قَالَ الْمَوْتُ

"You must use senna and sanoot (cumin), for in them is healing for every disease except as-sam (death). It was said: 'O Messenger of Allah, what is as-sam?' He said: 'Death.'"

Sunan Ibn Majah · 3457SahihNarrator: Umm Salama

This hadith specifically mentions senna (sanā), which has been the primary prophetic remedy for chronic constipation throughout Islamic medical history due to its potent laxative properties.

قَالَ رَسُولُ اللَّهِ صلى الله عليه وسلم بِمَ تَسْتَمْشِينَ قَالَتْ بِالشُّبْرُمِ قَالَ حَارٌّ حَارٌّ قَالَتْ ثُمَّ اسْتَمْشَيْتُ بِالسَّنَا فَقَالَ النَّبِيُّ صلى الله عليه وسلم لَوْ أَنَّ شَيْئًا كَانَ فِيهِ شِفَاءٌ مِنَ الْمَوْتِ لَكَانَ فِي السَّنَا

"The Messenger of Allah asked [Asma]: 'What do you use as a laxative?' She said: 'Shubrum (spurge).' He said: 'Hot, too hot!' She then said: 'I used senna as a laxative,' and the Prophet said: 'If anything were to contain a cure for death, it would be senna.'"

Sunan Abi Dawud · 3834HasanNarrator: Asma bint Umays

This hadith directly addresses the treatment of constipation (istimsha), with the Prophet specifically recommending senna over harsher purgatives for chronic bowel irregularity.

كُلُوا الزَّيْتَ وَادَّهِنُوا بِهِ فَإِنَّهُ مِنْ شَجَرَةٍ مُبَارَكَةٍ

"Eat olive oil and anoint yourselves with it, for it is from a blessed tree."

Sahih Muslim · 2052SahihNarrator: Abu Hurayrah

Olive oil consumption is a prophetic remedy that classical physicians applied specifically to chronic constipation as it lubricates the intestines and softens hardened stools.

Classical Medical Sources

Ibn Sīnā · Al-Qānūn fī al-Ṭibb

Ibn Sina, Al-Qanun fi al-Tibb, Book 3, Fann 9 (Diseases of the Digestive Organs), Chapter on Constipation of the Bowels (Ihtibās al-Tabt') — Ibn Sina classifies chronic constipation according to humoral predominance (hot-dry or cold-dry), recommending gentle lubricants (olive oil, sweet almond oil) for dry types, and mild laxatives (senna, prunes, figs) combined with abdominal massage and increased fluid intake.

Ibn al-Qayyim al-Jawziyyah · Al-Ṭibb an-Nabawī

Ibn al-Qayyim al-Jawziyyah, At-Tibb an-Nabawi, Chapter on Senna (Al-Sanā wa al-Sanoot) — Ibn al-Qayyim explains the Prophet's emphasis on senna as the premier laxative, describing it as hot and dry in the second degree, effective for evacuating black bile and phlegm that cause chronic constipation, and recommends combining it with sanoot (cumin) to reduce griping and enhance its action on stubborn bowel blockage.

Hijama Map

Sites: 1, 55, 11, 12, 13, 28, 29, 30, 31.

indicates Sunnah-documented point

Source:Sheikh Ahmed Al-Hefni · Hijama Atlas· Atlas page 83

Prophetic Pharmacy

Senna leaves

سَنَا

Preparation: 7-10 dried senna leaves (or 1-2 grams powder) steeped in hot water for 10 minutes, taken as an infusion in the evening after dinner, or mixed with honey and warm water

Duration: Use for 1-2 weeks intermittently; not for continuous long-term use due to potential bowel dependency

Source: Ibn al-Qayyim, At-Tibb an-Nabawi, Chapter on Senna (Al-Sanā); Ibn Sina, Al-Qanun, Book 2, Materia Medica entry on Sanā makkī

Olive oil

زَيْت الزَّيْتُون

Preparation: 1-2 tablespoons of pure olive oil taken on an empty stomach in the morning, or mixed with warm lemon water, or consumed with food throughout the day

Duration: Daily use until bowel function normalizes, typically 2-4 weeks, then reduce to maintenance dose 3-4 times weekly

Source: Ibn Sina, Al-Qanun, Book 3, Fann 9 (Diseases of the Intestines), Chapter on Constipation (Ihtibās al-Tabt'); recommended as intestinal lubricant (mulayyīn)

Cumin (Sanoot/Kammoun)

كَمُّون / سَنُّوت

Preparation: 1 teaspoon ground cumin seeds boiled in 1 cup water for 5 minutes, strained and drunk warm twice daily before meals; or half teaspoon ground cumin mixed with honey

Duration: 2-3 weeks continuously, then as needed for maintenance

Source: Hadith in Sunan Ibn Majah 3457 mentioning sanoot; Ibn al-Qayyim, At-Tibb an-Nabawi, Chapter on Senna and Sanoot, noting its carminative and intestinal stimulant properties

Sunnah Lifestyle

  • Increase fiber and water
  • Daily walking
  • Sit in Sunnah squat posture (qa'da) during toilet

2026 Clinical Proof

· Peer-reviewed modern research

Senna for chronic constipation: a systematic review

Cirillo C, et al. · World Journal of Gastroenterology (2018)

Senna is effective and safe for short-term management of chronic functional constipation.

DOI: 10.3748/wjg.v24.i17.1828

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