DGSNT can be useful for constipation when the interior is so cold and contracted that nothing can move. Remember, the liver channel runs across the perineum close to the rectum; DG can reduce urgency; XX decontracts the transverse colon; BS relaxes and moistens the stomach and descends, etc, but as Collin Campbell says, you do need to be careful and sure that it’s the right formula in constipation, as it also has the potential to heat “stuck things” up a lot. Here the pulse fits, but DGSNT shouldn’t have hot flushes, so another possibility is that she may need harmonising first before treating the yin conformations