Tian Moumou, male, 70 years old, from Zhengzhou City, Henan Province, initial diagnosis: March 6, 2013. Lu Yongkun, Department of Cerebral Diseases, The First Affiliated Hospital of Henan College of Traditional Chinese Medicine, the patient was left with unfavorable speech and constipation for many years after cerebral infarction, repeatedly treated with poor results, and now has unfavorable speech, forgetfulness, tinnitus, lumbar and knee weakness, constipation, urine can be, light red tongue, little moss, weak pulse. Identification: this is a deficiency constipation, qi, blood, yin and yang are deficient and the deficiency of both yin and yang is dominant, in the internal organs to the kidney deficiency is dominant, the kidney is the main two stools. Treatment: Nourish Yin and Yang, benefit Qi and Blood, moisten the bowels and open the stool. Prescription: Radix Rehmanniae 30g, Radix Paeoniae Alba 30g, Fructus Cistanches 30g, Fructus Cistanches 30g, Fructus Ligustrum 15g, Radix et Rhizoma Polygonati 15g, Radix et Rhizoma Ginseng 30g, Radix Macrocephalae 15g, Radix Codonopsis Pilosulae 15g, Rhizoma Atractylodis Macrocephalae 30g, Rhizoma Yam 45g, Radix Citrus Aurantium 15g, Pericarpium Citri Reticulatae 12g, Aster 30g, Almond 12h, Fructus Fritillariae 15g Acorus Calamus 15g Radix et Rhizoma Polygonati 15g. ): 7 payments of the above medicine, constipation was alleviated, unfavorable speech as before, forgetfulness, tinnitus, lumbar and knee weakness was alleviated, still using the previous method, remove the almonds, long-standing disease into the ligament, add Salvia miltiorrhiza, safflower to invigorate blood circulation, resolve blood stasis and open the ligament, improve unfavorable speech. Prescription: Shu Di Huang 30g, Sheng Bai Shao 30g, Lock Yang 30g, Cistanches 30g, Fructus Cistanches 15g, Dried Lotus Grass 15g, Xuan Shen 30g, Mai Dong 15g, Dang Shen 15g, Sheng Bai Zhu 30g, Sheng Shan Yao 45g, Citrus Aurantium 15g, Chen Pi 12g, Aster 30g, Fire Ma Ren 15g Calamus 15g Yuan Zhi 15g Salviae 15g, Safflower 15g Third Consultation (2013) (March 20, 2013): After the above medicine, constipation basically disappeared, tinnitus, lumbar and knee weakness was reduced, and speech was slightly improved, still using the previous method, remove the fire flaxseed, Xuan Shen, Chen Pi and Sheng Bai Shao. Prescription: Radix Rehmanniae Praeparata 30g, Cnidium Lonicerae 30g, Herba Cistanches 30g, Radix et Rhizoma Lonicerae 15g, Radix et Rhizoma Drynariae 15g, Radix et Rhizoma Macrocephalae 15g, Radix Codonopsis Pilosulae 15g, Radix et Rhizoma Polygonatum 45g, Radix Citrus Aurantium 15g, Radix et Rhizoma Aster 30g, Radix Acorus Calamus 15g Radix et Rhizoma Polygonatum 15g, Radix et Rhizoma Safflower 15g. Note: Elderly constipation to deficiency constipation, deficiency mixed, mostly due to deficiency of qi, blood, yin and yang, large intestine conduction malfunction. The kidney opens the orifice in the second yin, the main two stools, stool conduction must be stimulated and nourished by the kidney qi, in order to play a normal role. The elderly are old and weak, the internal organs function gradually loss, Qi and blood biochemical lack of sources, resulting in blood deficiency, kidney weakness, kidney Yang weakening, Qi deficiency, the large intestine transmission powerless, blood deficiency, Jin withered can not moisten the large intestine; Jin deficiency large intestine loss of moistening, resulting in dregs stagnation in the intestine, such as “no water rowing boat”, conduction difficulties, resulting in constipation. They promote conduction, so as to tonify without stagnation. The combination of all the herbs focuses on treating the root of the problem, and is complemented by laxative to treat the symptoms. The whole formula has laxative in the middle of tonicity, with laxative in tonicity, and laxative does not harm the righteousness, focusing on supporting the righteousness and consolidating the root, with a moderate laxative effect, avoiding the precaution of attacking the bottom and committing deficiency, which can obviously improve the function of the internal organs. It is especially suitable for senile constipation. As Zhang Jingyue said, “Those who are good at tonifying yang must seek yang in yin, so that yang can be assisted by yin and biochemically endless; those who are good at tonifying yin must seek yin in yang, so that yin can be raised by yang and the source of water is inexhaustible.” Key words: constipation in the elderly, yin and yang together, tonic