The Atlas

When you're blocked up

Nobody talks about this one, which is a shame, because everybody has it. You are not going, or you are going and it is hard work, and you have been thinking about it far more than you would like to admit. Here is what people have handed each other about it for two thousand years.

What almost everyone agrees on

  • Something warm and oily, on an empty stomach, first thing
  • Something mucilaginous, soaked in water overnight
  • Dried fruit, rehydrated
  • A warm drink before anything else on waking
  • Clockwise massage of the belly — every tradition specifies clockwise
  • A squat rather than a sit

10 kitchens

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Read in the order the sun finds them — west to east, following the numbers.

from Mexico

Chía fresca

You need

  • A tablespoon of chia seeds
  • Water
  • Lime and a little sugar

Stir into water and leave twenty minutes until it gels. Drink with lime.

Pre-Columbian, and the third independent arrival at soaked mucilage in this list alone.

Clean and limey. The texture takes one glass to get used to.

from Europe

Prunes

You need

  • Five or six prunes, or a small glass of the juice

Eaten in the morning, or soaked overnight first.

The European household answer — and one of the few remedies on this page with good clinical trial evidence behind it.

Sweet, dark, faintly winey.

from The Mediterranean

Olive oil and lemon

You need

  • A tablespoon of olive oil
  • The juice of half a lemon

Taken together, warm, on an empty stomach.

The same warm-and-oily answer as ghee in hot water, from a kitchen that had olives instead of cows.

Grassy and sharp. Go slowly.

from The Levant & Iran

Soaked dates or figs

You need

  • Three dates or two dried figs
  • Water or warm milk

Soak overnight, eat in the morning, drink the liquid.

The same principle as munakka, arrived at with the fruit that grows there instead.

Soft, sweet, and much better than the dried fruit alone.

from India & the Middle East

Isabgol / ispaghula

इसबगोल

You need

  • One to two teaspoons of psyllium husk
  • A full glass of warm water

Stir into a full glass and drink immediately, before it thickens. Then drink a second glass of water.

Used independently in both Ayurveda and Unani practice, and among the best supported by modern trials.

Almost nothing. The texture is the whole experience.

from India

Ghee in hot water

You need

  • A teaspoon of ghee
  • A cup of hot water

Stir the ghee into hot water and drink it on an empty stomach, before anything else.

Ayurveda reads this as dryness and cold in the colon, and answers it directly — put the warmth and the oil back.

Mild and buttery. Less strange than it sounds after the first time.

from India

Soaked munakka

मुनक्का

You need

  • Eight to ten black raisins
  • Warm water

Soak overnight. In the morning eat the raisins and drink the water they soaked in.

Sweet, heavy and moistening — the gentlest of the classical answers, and the one given to children.

Like very soft, very sweet raisins, because that is what they are.

from Thailand

Maeng lak

เมล็ดแมงลักmeng lak

You need

  • A teaspoon of sweet basil seeds
  • Water

Soak in water until each seed swells into a translucent jelly — about fifteen minutes. Drink the lot.

The same mucilage principle as psyllium, from a different plant on a different continent.

Almost none. Slippery, and oddly pleasant.

If you have had falooda, you have met these seeds already.

from China

Black sesame

黑芝麻

You need

  • A tablespoon of ground black sesame
  • Honey
  • Warm water or porridge

Ground, and stirred into warm water or into morning congee.

For dry constipation in particular, and especially in older people. Chinese medicine treats this as moistening rather than pushing.

Nutty and rich, faintly bitter. Very good in porridge.

from Everywhere

Warm water, first thing

You need

  • Three hundred to five hundred millilitres of warm water

Before coffee, before food, before your phone.

This is prescribed by more traditions than anything else in this collection, and ignored by more people than anything else in this collection.

Water.

Now look at them together

Seven answers, arrived at independently on four continents over two millennia, and they line up almost exactly. Warm oil. Soaked mucilage. Rehydrated fruit. A warm morning drink. Clockwise, always clockwise — the direction the colon actually runs. And every one of these traditions also has a strong purgative, and every one of them warns you not to come to depend on it.

Please see someone if

  • There is blood in your stool
  • You are losing weight without meaning to
  • Your bowel habit has changed persistently and you are over 40
  • There is severe pain, vomiting, or you are passing no wind at all — this needs urgent attention
  • It began after starting a new medication
  • Nothing has shifted in two weeks

None of the above is medical advice. These are household preparations, described as the households that make them describe them. They sit alongside medical care and never in place of it.

Also in the Atlas

With warmth, from a great many kitchens.