Abstract: Constipation is a chronic condition. Mostly seen in the elderly, young and middle-aged women, children and infants. Most of them are caused by old age, deficiency of qi and fluid, weakness of the spleen and stomach, weak transportation, slow peristalsis of the stomach and intestines. Dietary habits, lifestyle, anorexia, stagnation and infants and young children’s gastrointestinal development is not yet perfect and other factors. Constipation is harmful to: ① self-poisoning; ② destroying the balance and stability of the intestinal environment; ③ leading to multiple organs, multiple systems of pathological damage and many diseases. In view of the many factors and mechanisms that cause constipation, we have created the four-word health care therapy of “Tong, Jian, Nourish, Solve” as the basic framework for the purpose of correcting the pathology and restoring the gastrointestinal dynamics and physiological functions, and then we will apply the treatment according to the evidence. The treatment starts with the overall conditioning of the soup, followed by the consolidation of the three-layer dissolution type of concentration. Constipation is a chronic condition in which the time between bowel movements is prolonged for more than 48 hours, and the stools are hard, dry, hard, or sticky, and can only be discharged by drugs or enema. It is mainly constipation and often cause a variety of diseases, can also be a complication of a variety of diseases. Constipation is a common and frequent disease, mostly seen in the elderly, in recent years, the onset of a trend of rejuvenation, young and middle-aged women, children and even infants and young children also have constipation. In most cases, constipation is caused by old age, deficiency of qi and fluid, weakness of the spleen and stomach, weakness of transportation and slow gastrointestinal peristalsis. Dietary habits, lifestyle, more static and less movement, mental stress, anorexia in children, gastrointestinal dysfunction caused by stagnation and infants and young children with gastrointestinal development has not yet been perfected and other factors. Constipation is not to be taken lightly, serious harm to the health of the organism, and disease, aging, rehabilitation, health care, health care (prolonging life, life, health) is extremely close. Serious harm: ① Self-poisoning. Gastrointestinal food digestion and metabolism of waste and toxins, such as can not be discharged in a timely manner, through the liver and intestinal circuits, repeated absorption, and cause self-poisoning. Wang Chong, a famous health practitioner in the Han Dynasty, said, “If you want to live long, you should always be clear in your intestines, and if you want to stay alive, you should be free of dregs in your intestines.” Jin Yuan four Zhu Danxi advocate the “inverted warehouse method”, Zhang Zi and advocate “Chen s go and intestines and stomach clean”. All with clean stomach and intestines method to eliminate intestinal toxicity, in order to get rid of disease and prolong life, to prevent disease in the first place. It can be seen that Chinese medicine has a deep understanding of this early. early 20th century, the Russian scholar Mei? Chiminkov proposed that the human intestines host bacteria, every moment in the production of a large number of toxins, thus promoting aging. Dutch doctors Amsterdam, through the intensive care patients given early treatment of digestive tract cleansing, can effectively prevent future infections that may occur. Clinical studies have also confirmed that healthy people in the blood cholesterol, creatine and other harmful substances so that can be quickly eliminated, so that the blood becomes clean, and through the bowels of the detoxification has a direct relationship. China’s combined Chinese and Western medicine research concluded that the essence of Yangming viscera real evidence (high fever, delirium, fecal occultation, red tongue, moss brown) is “internal toxaemia” conclusion, which occurs on the basis of the stomach, intestines, gallbladder, pancreatic disease in the early stages of the function of the inhibition of secretion and stasis aggravated by visceral qi occlusion, as well as on the liver, stomach, heart, kidneys, lungs and other secondary lesions aggravated. The disease is also exacerbated by secondary damage to the liver, stomach, heart, kidney and lungs. Some people on the internal organs of the real unobstructed number of intestinal bacteria grouping clinical trials have confirmed that: assuming that the person with smooth bowel movements, to maintain 1-2 times a day, 10 days after the intestinal bacilli from 108 to 104. On the contrary, still constipated, 3-5 days before the discharge of a bowel movement, 10 days after the no change. This means that keeping the bowels clear can make the body waste, toxins and harmful bacteria timely discharge, reduce poisoning. ② Destroy the balance and stability of the intestinal environment. According to statistics, the intestinal tract has E. coli, lactobacillus, bifidobacteria, bifidobacteria, gas-producing bacteria and other 100 kinds of bacteria, their flora, interdependence, mutual constraints, to maintain a relative balance, the formation of a natural line of defense, to prevent the invasion of harmful bacteria, to maintain the stability of the intestinal environment, which is conducive to the synthesis of B vitamins, folic acid, vitamin K and so on. Modern medical research has also confirmed that keeping the intestinal tract smooth and clean, with a balanced and stable flora, is a necessary condition for health, treatment and rehabilitation. As mentioned earlier, constipation, visceral Qi is bound to lead to Yangming visceral solid evidence, internal toxemia. Thus destabilizing the intestinal environment. Constipation directly or ask to cause many diseases: such as fullness, belching, abdominal pain, anorexia, heartburn, insomnia, dizziness, forgetfulness, body sleepiness, fatigue, restlessness, etc., for a long time can be hypertension, hyperlipidemia, hyperglycemia, fatty liver, hemorrhoids, pigmentation, acne and other diseases may be. To sum up, domestic and foreign Chinese and Western medicine recognized that the intestinal tract not only has the important function of digestion and absorption, supply of nutrients, but also hide dirt, for the body’s largest detoxification and drainage pipeline, the need to be smooth, in order to maintain a stable and balanced intestinal environment, which is precisely the motherland of medicine more than 2,000 years ago, incisive description of “the stomach and intestines are viscera, diarrhea and not hidden, to pass for use, to diarrhea as a complement! “This is exactly the reasoning of the motherland medicine more than 2000 years ago. The countermeasure for constipation is based on the theory that “the stomach and intestines belong to the bowels, diarrhea is not hidden, and pass is used”, and in the long-term clinical practice, comprehensive and systematic research on the theory of the spleen and stomach and gastrointestinal dynamics, targeting the many factors and mechanisms causing constipation to correct the pathology, and to restore the dynamics of the gastrointestinal and physiological function for the purpose of the creation of “Pass, Strengthen, Nourish, Solve”. The four-word health care therapy of “Tong, Jian, Nourish, Solve” is based on the framework of the prescription, combining with the specific conditions of the patient and individual differences, and treating the patient according to the evidence and the “tailor-made”. First, the overall conditioning of the soup, do not attack the bitter cold, heavy injury to the spleen and stomach. Following the consolidation of three layers of soluble, slow-release, concentrated pill dosage form, from the root to solve the pain of constipation, is the fundamental solution. Through the connotation: through the stagnation can be eliminated, through the heat can be drained, through the blockage, through the pain, through the internal organs so that the gas is smooth, eliminating toxins, flow of qi and blood, exuberant metabolism, activation of functions, enhance gastrointestinal power to promote gastrointestinal motility, it is the “through the use of diarrhea as a complement” principle of the specific embodiment. Connotation of health: health is to strengthen the spleen to replenish qi, spleen qi health is clear yang ascending and turbid yin descending, lifting and lowering in order to enhance gastrointestinal power, in order to restore the function of the spleen and stomach to strengthen the ability to digest and absorb, to ensure that the qi and blood source of adequate to feed the five viscera and bowels of the four limbs and all bones, to give full play to the role of “the basis of the day after tomorrow,” to safeguard the role of the health of the basis of health, and also the recovery of the disease. This is the basis of health, but also the recovery from disease and the source of power. Nutrition has two connotations: a stomach gas, two benefit stomach yin. Stomach qi and lowering, stomach moist also lowering, and the spleen is healthy to match the ascending, can be lifted and lowered in an orderly manner, can restore the function of healthy transportation, enhance the power of the stomach and intestines. Connotation of solving: solving means detoxification, fearing that the remaining poison has not been cleared, and making less sweet and cool detoxification products to collect the full effect. The whole party plays through and does not hurt the positive, complementary and does not stagnate the evil, so that the poisonous evil to go and the positive qi back, the spleen and stomach healthy and transport line, the dregs to go to the bowels and bowels of the Ning, so the name is: “through the bowels of the Ning”. It is the ideal treatment for constipation. Preparation design science is unique, for the three layers, the function of the order: the outer layer, bitter sweet and clear, the first of the dry knot, increase the liquid line boat; the middle layer, replenish qi spleen, ascending and descending turbidity, promote gastrointestinal motility; the inner layer, the water to the canal, through the bowels of the leakage of the next, the obscenity of the detoxification, the total performance of the lubrication of intestines, promote the movement of bowel movements, through the bowels of the bowels of the bowels of the bowels, detoxification, the defecation of the work. “Can not be a drug to rule a hundred diseases”, but to tailor-made, symptomatic, flexible addition and subtraction, so that the preparation is just right, highlighting the characteristics of Chinese medicine and evidence. It is suitable for all kinds of habitual constipation with no change. It is especially suitable for middle-aged and old people or brain workers who are more static and less active, due to the weakness of spleen and stomach, the loss of fluid and gas, and the constipation of weak gastrointestinal motility. Serving method: specific daily 5 p.m. meal before taking 10 to 20 pills, warm water, drink more water to facilitate defecation, the next morning to discharge soft stripes of stool is appropriate. According to the texture of the stool soft and hard, the history of the disease for a long time, physical strength and weakness and increase or decrease the dose of medication and decide the length of treatment. It is necessary to take the medicine regularly, defecate regularly, and develop a benign cycle of defecation. Prevention Constipation should “protect your spleen and stomach function everywhere,” reasonable diet, dietary discipline, eat more vegetables, fruits and multi-fiber food, avoid eating spicy stimulating things. More exercise to enhance physical fitness and other positive significance to the prevention of constipation. Attachment case 3: 1, Zhao, male, 70 years old, spleen deficiency and loss of transportation, gastrointestinal motility, constipation for 8 years, 5-7 days stool once, all need to take laxatives, since the service Tongzhi Ning 1 times a day after the formation of soft stools. The amount of medicine from 5 p.m. every day to take 25 pills, gradually reduced to 8 pills, and finally reduced to 4 pills, continued to serve for more than a year, and ultimately developed a habit of 1 day 1 bowel movement, stop the drug. 2. Guo Mou, female, 4.5 years old, mother’s complaint, since the birth of 5 days without stool, vomiting not breastfeeding, jaundice all over the body, the first time to relieve the stool after the use of medication, and thereafter always rely on laxatives every 5-7 days to have a bowel movement, so long as this is very painful, affecting the appetite and sleep. The child is always afraid of the stool, each time the stool is hard and dry, such as sheep’s feces, so far has been four and a half years old, after examination of the rectum above the colon dilatation, anal fissure. Initial service of 5 pills a time through the bowels of the Ning, the next day is still not stool, change the service 10 pills, abdominal pain and intestinal tinnitus is still not stool, with the daily dose of 5 pills orally, 5 pills of research surface water 30ml, anal injection, 1 day once, then every day there is a bowel movement, there is no abdominal pain, the first 5 days of stools every time there is a dry and knotty hard lumps, such as goat’s feces. A week after the stool is smooth, stop using anal injection of drugs, only to comply with the daily 5 p.m. timed medication 5 pills, the next morning on time to discharge a soft strip of stool, according to the quality of the stool and increase or decrease the amount of drugs, even with 3 months, has developed a good habit of 1 day 1 stool, the child was happy to say to me, “Grandpa, I can go to the toilet on their own, and no longer be afraid of it.” No recurrence after stopping the medicine. 3, Zhao, female, 82 years old, constipation for more than 20 years, aggravated for half a month, due to 10 days without defecation and low fever and vomiting, abdominal pain in a hospital, antibacterial, enema discharged dry nodular fecal matter, 4 days, 4 times, slightly relieved. He was discharged from the hospital on his own for two days and then aggravated, and was first seen on August 10, 2004 in our hospital. Symptoms: abdominal pain, fever (38 ℃), dry vomiting, no food, no stool for three days, red tongue, no moss, tongue and vein stasis, slippery pulse. The evidence belongs to yangming viscera solid, dry heat injury to yin. Surgical consultation was requested for incomplete intestinal obstruction. According to the patient lying down when pulling the abdominal pain is aggravated, deep pressure pain in the abdomen and presumed to have intestinal congestion and edema inflammation exists. When the patient was in a hurry to save the yin, after one dose of Dachengqi Tang, the defecation was as dry as a sheep’s arrow, the second dose was still dry and lumpy, and the third dose was loose after the defecation was dry. Abdominal pain greatly reduced, abdominal distension disappeared, stools become soft, appetite, body temperature 37.5 ℃, followed by nourishing yin and stomach, replenish qi spleen, detoxification and activation of blood stasis, clearing the rest of the toxicity, and with the Tongzhi Ning condensed pills, 1 day, once, 30 pills, half a month, all healed. Single service Tongfangning concentrated pill consolidation, 1 time 20 pills, so far more than half a year, normal stools, physical recovery, able to do household chores.