(Disclaimer: This article is for general use only. To protect patient privacy, the information in the following content has been processed) Abstract: The patient has been suffering from recurrent constipation for more than 1 year. Based on the patient’s medical history and symptoms, the patient was considered to be suffering from spleen qi deficiency constipation, i.e. constipation caused by spleen qi deficiency evidence, in combination with Chinese medicine identification. After communicating with the patient about her condition, she was treated with tonics and Shen Que point compresses, and obtained good results. The patient came to our hospital in February 2022, and reported that he had been taking Huang Qi Tang orally and using Shen Que points for treatment. He reported that in the past year, due to his busy schedule, irregular diet and life, he had recurrent symptoms of constipation, about once every 3-5 days, with stools like sheep stool, fullness and discomfort in the abdomen, a feeling of tightness in the waist, poor appetite, afraid to eat because he felt fuller after eating, weakness in the limbs and laziness. In the past 1 week, the above symptoms recurred and he came to our hospital for consultation. After careful observation of the patient’s appearance, he had a strong and solid appearance, a pale tongue with white fur, a sunken and weak pulse, and no obvious abnormalities in physical examination and auxiliary tests. After communication with the patient about his condition, the patient expressed his willingness to receive TCM treatment. The patient was given a formula that could benefit the qi and strengthen the spleen, laxative and laxative, such as Huang Qi Tang. On the 3rd day, the prescription was adjusted according to the patient’s symptoms by adding Rhubarb, Huperzine and Citrus aurantium, and continued to be applied to the Shenqu point. on the 7th day, as the patient’s symptoms improved, the prescription was removed from Rhubarb, Huperzine and Citrus aurantium and taken for 1 week, and the Shenqu point was no longer applied. The patient was re-examined on the 3rd day, and her bowels were clear but still dry, her abdominal distension was sometimes light and sometimes heavy, and her pulse was sunken and thin. On the 7th day, the patient reported that he had diarrhea several times, with relief in the abdomen and occasional soft stools, good spirit, improved diet, light tongue, thin white fur, and thin string pulse. on the 14th day, the patient’s stool was normal and he woke up once a day in the morning, and no more abdominal pain. At the follow-up of 2 months, the patient did not recur and basically returned to normal, which was considered a good result. He was advised to have a light diet and regular bowel movements. The patient’s discomfort basically disappeared and the disease was gradually cured after the tonics treatment, and as a doctor, we were sincerely happy for the patient and his family. As the patient is 58 years old and middle-aged, it is advisable to eat more easily digestible food, vegetables and fruits, do not eat spicy and thick flavors, prohibit smoking and alcohol, and develop a good habit of regular toilet. For some elderly people with recurrent spleen qi deficiency constipation, it is also necessary to keep open plug, senna leaves at home, but note that they should be applied under the guidance of a professional doctor. V. Personal insight If you suffer from spleen qi deficiency constipation, you can go to a professional Chinese medicine practitioner for evidence-based treatment, and pay attention to improving lifestyle habits in daily life, the symptoms can mostly be relieved, thus improving your quality of life. It is important to note that because the degree of spleen deficiency and symptoms are different, it is necessary to add, subtract, and tailor the prescriptions for clinical application to give the patient a targeted treatment plan. In addition, since the spleen and stomach are sweet-tasting, the spleen and stomach should be tonified with sweet-tasting foods, such as cereals, meat, vegetables and fruits, and more of these foods can be consumed.