Constipation is a clinical condition that is always present. The author found a kind of constipation caused by spleen deficiency, liver blood deficiency, and liver exuberance over spleen. Through the treatment of dozens of patients, I have accumulated some experience and have gained insights into its clinical manifestations, etiology and treatment methods, and have formulated my own “spleen transportation and wood tempering drink” to treat the disease with more satisfactory results. With the improvement of people’s living standard day and night, full of fatty, sweet, thick and greasy, increasing work pressure, lazy exercise and other factors, resulting in constipation a disease in the clinic is not uncommon. And in the young and middle-aged population incidence is increasing. Constipation has a wide range of causes, treatment varies. Unfortunately, today’s patients do not know what to do, every think “hot heavy” greedy for a moment of pleasure; doctors do not identify treatment, simply to meet the patient’s requirements, where constipation a disease, is rhubarb, Huanglian, three yellow tablets, hemp pill, Huanglian on the clear pill and other bitter cold laxatives, at the fingertips. I do not know that the bitter cold laxatives for a long time, more, will hurt the spleen and stomach vitality, and will even produce its drug resistance. But the doctor is at ease, and the patient is convinced, woe! The author found a clinical evidence of constipation, which is rarely mentioned in the medical books of the past generations. Through the treatment of more than ten cases of this disease patients, gradually grasp the characteristics of its pathogenesis, and the evidence of the proposed prescription, repeatedly effective. The clinical symptoms, tongue and pulse characteristics, etiology and mechanism of this constipation, as well as the prescriptions and medicines are recorded below for the reference of our colleagues. This kind of constipation is common in young and middle-aged women. Its typical clinical symptoms are habitual long-term constipation, stool a few days a line, or even a line a week. But the shape of the stool is mostly dry and then loose, or hard and then soft, or even the whole dry as sheep stool, the grain is clear. The accompanying systemic symptoms may include irritability, excessive thinking, or dry mouth without bitterness, or no abnormalities. The tongue is mostly normal or slightly fat and tender, with tooth marks, light red or slightly red at the tip, and thin white or thin white and yellow tongue coating. The pulse is most characteristic: the left hand Guan pulse is either string, or floating large, or string thin, while the right hand Guan pulse is either sinking thin, or floating large, with sinking taking weakness. The comprehensive pulse symptoms, I identified as liver and spleen disharmony of spleen deficiency, liver blood deficiency, liver vigor over spleen evidence. The spleen deficiency is unable to transport the dregs, and the dregs are not allowed to go down. In the lighter cases, the water in the lower part of the dregs is absorbed, so it is dry first and then loose, and in the heavier cases, the water is absorbed to the point of exhaustion, so it is dry and knotted like goat shit. The tongue is fat and tender, or has tooth marks, and the tongue is not red, which is a clear evidence of spleen deficiency. The pulse image of the two guan floating large, heavy to take weak, “endangered lake pulse” cloud: “guan floating earth failure and wood prosperity”, or the right pulse sinking thin, the left pulse string or thin string, but also to identify the key to this evidence. The spleen is responsible for transportation and transformation. Later medical books often emphasize the function of the spleen in transporting and dispersing the essence of water and grain, while ignoring its function of transporting the dregs; emphasizing the characteristics of the spleen in ascending the clear, the stomach in descending the turbid, ignoring the function of the stomach in ascending and dispersing, the spleen in descending the diarrhea. I am not aware that the sages have already mentioned this. For example, Su Wen. The twenty-first chapter of the meridians and veins: “Drinking into the stomach, overflowing essence, upward transmission to the spleen 。。。。。。” The stomach’s function of raising and clearing. The Treatise on Typhoid. Taiyin Diseases Chapter”, “。。。。。。 Although the violent annoyance, the downward profit day more than ten lines, will stop since, to spleen family real, decay and filth when to go also.” The spleen’s function of discharging filth and diarrhea is described. Another example is “Ling Shu. Miscellaneous Diseases Twenty-sixth” in the cloud: “abdominal fullness of food can not be turned 。。。。。。 Cannot defecate, take the foot Taiyin.” Another cloud: “heart pain, abdominal distension, unfavorable bowel movements, take the foot Taiyin.” The article “Gui Zhi and Phyllanthus Soup” in the chapter of Sun disease treats the evidence of wind-dampness: “If the person has hard stools and spontaneous urination, remove the Gui Zhi and add Bai Zhu Tang.” This is wind-dampness trapped in the spleen, the spleen loss of health, transport disadvantage, dregs stay in the intestines for a long time, the stool because hard. The chapter on Yang Ming disease repeatedly suggests, “If the stool is hard at first, then it will be loose, do not attack it.” Describes the symptomatic features of deficiency of the spleen that leads to inability to transport stools. It is a pity that later generations of doctors did not pay attention to it, and that the sage’s intention was not widely understood. The liver is the master of drainage, the body of yin and use of yang. The liver blood is insufficient, the yin does not converge the yang, the liver yang liver with hyperactivity, the natural invasion of the spleen earth and insult. The spleen and earth are deficient in the first place, and the liver wood is insulted in the second, so how can we expect it to transport and transform normally, and the dregs to flow? The formula is based on Zhongsheng’s idea, and is based on a sutra formula, with the addition and subtraction of Gui Zhi plus Shao Yao Tang and the essential formula for pain and diarrhea. This formula uses 40-60g of Atractylodes macrocephala as the ruler, following Zhongjing’s idea, to greatly nourish the spleen and lung qi, dry dampness and transport the spleen, so that the spleen can be healthy, qi and blood can be flushed and harmonized, so that water and grain can all travel in their own way, and feces can go down on time; peony and angelica as the minister can nourish blood and soften the liver, softening the liver’s urgency, so that liver blood can be nourished and can converge yang, and 30-60g of peony can be used with Angelica Sinensis also helps Bai Zhu to have the ability to open the bowels, taken from the “Treatise on Typhoid Fever. Taiyin disease chapter, “Taiyin for the weak pulse, the person continues to facilitate, set when the line of rhubarb peony should be reduced, to the person’s stomach is weak, easy to move.” Later medical practitioners have always used it, so I will not repeat it here. The adjuvant is Gui Zhi, Fang Feng and Aster. Gui Zhi with Atractylodes can enhance the function of warming and transporting the spleen and Yang, with Bai Shao to strengthen the power of transporting the lower part of the body, and with Fang Feng, it can calm the liver and unblock the liver qi, so that the liver does not lose its nature in restraint, and take the meaning of wind blowing the boat. Aster purifies the lung qi, thus reaching the large intestine, moistening the bowels and opening the stool, which has been discussed before, and also helps the lung to pacify the liver. The spleen is healthy, the liver is calm, and the bowels can flow freely. The full formula of “Spleen Transporting and Adjusting Wood Drink” is as follows: Gui Zhi 15g Bai Shao 30-60g Atractylodes Macrocephala 40-60g Angelica Sinensis 15g Chen Pi 10g Fang Feng 6g Aster 20g Roasted Licorice 10g Clinical use of this formula, as long as the patient meets the above pulse symptoms, you can let go of the use of The formula, in which the dose of Atractylodes Macrocephala and Paeonia lactiflora must be used in full, at least 30g or more, is often effective in one dose, which is tried and true. But cut the end of this stop, need to continue to take four or five doses, and then every two or three days to take a dose or the formula boiled paste for a long time, to a period of one month, the pulse is calm before stopping the drug. Take the king’s way without near work. This formula is relatively calm and will not cause great diarrhea. Typical cases: 1, Zhang Moumou, female, 27 years old, obese, since the cloud habitual constipation, stool four or five days or a week a line, first hard and then soft, effort to solve, often propped up the anus, cheeks forehead fluoracne point, very distressed. Long-term use of marijuana pill, Huang Lian Shangqing pill and other drugs, the initial effect, stopping the drug as before. He was treated with Fu Ling, bamboo leaf, mulberry and mulberry for five doses. The second diagnosis, the cloud medicine after the line, one to two times a day, soft and shaped stool, face fluoracne also disappeared a lot. Diagnosis of his pulse is not much change, told him to take a dose of the above every two days, even in January, do not interrupt, in order to consolidate the effect of treatment. After the patient because of other diseases to find my diagnosis and treatment, cloud now stool has been normal, basic daily line, etc.. 2, Li so-and-so, female, 48 years old, long-term constipation, each time the toilet at least half a little time to “finish”, false sitting Nou responsibility, dry stool such as goat shit, grain distinct, according to the Nai Ma Ren Wan formula slightly for ease. There is no other suffering. The tongue was pale with white fur, the pulse was floating and large in the two gates, heavy pressure was weak, and the left ruler was sunken and weak. So he was given a spleen-transferring and wood-transferring drink, adding light cistanches and black sesame, for five doses. He was told to boil the paste in front of him and take two spoonfuls daily, which can be taken for a long time to break the root of the disease.