The elderly are often constipated, constipated how to do, often eat hemp capsule, aloe vera capsule, supplement some beneficial bacteria, anal use of open plug, and then can not enema it. There are still many methods, but how effective, sometimes to solve the problem, sometimes feel that there are many patients in the clinical constipation is not good conditioning, how to make the patient pull comfortable is not really a small proposition, it is likely to be related to the patient’s general condition, that is, related to the patient’s qi and blood yin and yang. Case 1: Sun, male, 68 years old, repeatedly constipated and incontinent for 2 years, aggravated for 4 days. The patient was repeatedly constipated and incontinent for 2 years, difficult to relieve constipation for a week, incontinent after taking oral laxatives, repeatedly alternating and painful, and was hospitalized in the gastroenterology department of an outside hospital 4 days ago, feeling increased abdominal distension after taking paraffin oil because of constipation, accompanied by repeated dizziness, difficulty in urination, walking less stable than before, and MRI of the head showed left insula infarction. He had type 2 diabetes mellitus for more than 30 years and had undergone vitrectomy of the left eye and surgery for fundus hemorrhage in the right eye. Symptoms: recurrent dizziness, blurred vision, abdominal distension, incontinence of stool for several days, difficulty in urination, poor sleep, and a slight fear of heat. The tongue is light red with white greasy coating and scattered petechiae under the tongue with smooth pulse. The formula is as follows: Fa Han Xia 10g Chen Pi 10g Fu Ling 30g Tian Ma 10g Angelica Sinensis 10g Tao Ren 10g Safflower 10g Huang Qi 30g Di Long 10g Gui Zhi 10g Atractylodes 30g Cistanches 20g Ge Gen 15g Sheng Ma 10g Citrus Aurantium 10g Chuan Niu Kne 10g Roasted Licorice 10g 5 doses, 1 dose per day orally. At the same time, acupuncture and moxibustion were performed according to the above evidence, and western medicine such as anti-atherosclerosis, hypoglycemia and nerve nutrition were administered. Identifying the evidence: The patient’s young work and fatty sweet and thick taste injured the spleen (early onset of diabetes mellitus), and the disease has long affected the kidney (eye lesions with fixed pupils and irregular bowel movements are supporting evidence), and the spleen and kidney deficiency, phlegm and turbidity are contained within, phlegm blocking qi stagnation, stasis of blood within, phlegm and stasis of blood, and the condition is difficult to predict. The phlegm and mucus are not coming out of the stool, and after oral administration of paraffin oil, the phlegm and mucus become more concentrated, so that the urinary tract is blocked and it is difficult to urinate. After comprehensive treatment, the patient’s condition improved and the volume of urine was more than usual, which felt that the TCM thinking was correct. The second prescription on the basis of Ji Chuan Decoction to increase the efficacy of warming the spleen and kidney, as follows: Ginseng 20g Bacopa monniera 10g Gan Jiang 10g Angelica sinensis 10g Cistanches 10g Atractylodes macrocephala 50g Radix et Rhizoma 15g Zedoary 10g Radix Platycodon 10g Puerariae 15g Citrus aurantium 10g Guaouzi 10g Roasted licorice 10g After oral intake, the patient still did not relieve stool for a week, feeling no bowel movement, auscultation bowel sounds are slightly weak, but be The patient was able to relieve formed stools after the anal application of Cecropia, and relieved without incontinence. I felt that the patient’s overall condition was improving, so I comforted the patient’s emotion, and considered that the local use of opium can play a role in laxative effect, so the original prescription was added with Madonnas 10, Ginger Houpo 10 to laxative effect, and continued to give 5 doses orally, the patient’s condition improved, and now after several days, he can relieve more formed stools by himself without incontinence. The patient was instructed to keep taking the prescription and moxibustion at home to warm the spleen and kidneys with acupuncture points such as Taixi, Sanyinjiao, Feosanli, Guan Yuan and Zhonggui. Qi deficiency and dampness is not a one-time success, so called a thousand cold is easy to remove, a dampness is difficult to get rid of, if not to deal with the aftermath, I am afraid that its previous work will be abandoned. Case 2: Peng, male, 56 years old, repeatedly constipated for many years, complaining of business trips, obvious, once a day or every other day stool, abdominal distension, occasionally pull out a little, normal nature, three to five days to pull out slightly more. Urine clear, can be light, no cold or heat abnormal sleep normal. Tongue light red coating white greasy pulse string smooth. TCM diagnosis: Qi deficiency constipation The basic formula is Ji Chuan Decoction with discretionary warming and spleen-supplementing products, as follows: Raw selenium ginseng tablet 10g bran fried Atractylodes macrocephala 50g roasted licorice 10g bran fried Citrus aurantium shell 10g Chuan Niu Knee 10g Angelica sinensis 10g Poria 50g Sha Ren 6g Liquor Cistanches 20g Zegna 10g Sheng Ma 10g Sheng Di Huang 15g Ge Gen 15g The condition improved after oral administration, and the formula was still effective after subsequent relapses. The constipation is a common symptom in the middle-aged and elderly people. With age, the elderly gradually lose their yang energy, which can also be combined with the deficiency of yin and yang. In the above two cases, the author took Ji Chuan Decoction as the basic formula, taking it to tonify the kidney and laxative, deficiency of yang is a common factor, therefore, adding ginseng, Atractylodes Macrocephala, Poria, dry ginger and other warm spleen and yang products, of which Atractylodes Macrocephala should be especially noted, more than 30 grams can laxative, the dose is afraid that it is too dry need to add raw earth to control it. Poria in large doses can benefit dampness, intestinal dampness is diffuse qi obstruction, so see abdominal distension stool is not, the tongue and pulse will be reflected. Constipation and living, eating habits are related, should pay attention to its comprehensive regimen to improve.