A female patient with intestinal obstruction due to adhesions that could not be relieved after 4 surgeries came to me for TCM treatment after being recommended by a local doctor. Because the local doctor told her that her intestinal adhesions could not be operated on anymore, and the more she opened them, the worse the obstruction would be, so she had to seek Chinese medicine. After receiving the consultation, I was perplexed not that the patient came to me only when there was really no way to operate, but that I lost many opportunities that could have been cured by prevention without surgery or at once. This is because from the intestinal obstruction we see, 90% of them could have been prevented or cured by a single surgery if they had prior common sense about it. The normal abdominal surface and the organs in the abdominal cavity indicate a thin smooth peritoneum covered with a small amount of fluid that acts as a lubricant between the peritoneum, which effectively prevents the organs in the abdominal cavity from adhering to each other. However, when inflammation and injury occur in the abdominal cavity, especially after abdominal surgery, resulting in peritoneal damage forming rough surfaces and fibrin exudation, adhesions are formed between the intestines and intestinal tubes and between the intestines and organs. It must be stated that adhesions themselves are not always at fault and that adhesions are necessary for the healing of sores and incisions. Moreover, adhesions themselves do not always form intestinal obstruction, but only when they interfere with the passage of food and feces in the intestinal lumen. It can be said that only a part of “improper” adhesions can form intestinal obstruction. The pain caused by obstruction can be large or small, from vague pain after strenuous activity or a full meal in small cases to severe cutting abdominal pain and possibly nausea and vomiting at any time in large cases. Patients who have frequent attacks can often make the diagnosis themselves, while first-time patients can only make the diagnosis after x-ray and thorough examination and analysis by the doctor. In patients with mild adhesions and few episodes, they can sometimes resolve on their own; however, in most patients, they often require treatment by a physician to resolve. It must be clear that treatment by conservative such as antispasmodic, herbal medicine and rehydration can only be the relief of symptoms triggered by obstruction, and cannot cure adhesive bowel obstruction because, once adhesions are formed, conservative treatment cannot eliminate the adhesions formed by fibrous scars. Thus, prevention of adhesive intestinal obstruction is very important. In China, adhesional intestinal obstruction is mostly caused by abdominal surgery, so the key to prevention should be to promote intestinal peristalsis as early as possible after surgery. And for patients operated because of severe intestinal adhesions, prevention should start from the operation, which should be performed gently to reduce the formation of new rough surfaces and adhesion foci, and put some drugs in the abdominal cavity to prevent and control the formation of new adhesions. From the first postoperative day, if the condition permits, it is possible to get out of bed and early exercise is the best way to prevent future adhesions. It is also possible to promote the recovery of intestinal function as soon as possible through oral and nutritional tube dripping of herbs that pass through the lining and move the qi, or through rectal retention of herbs by enema. Acupuncture treatment at the foot San Li point is also effective for the recovery of gastrointestinal motility function. A long-standing saying is “the belly and belly three li stay”. For the occurrence of intestinal obstruction due to formed adhesions, medical intervention is often required. The methods include non-surgical and surgical treatment. For those with few episodes or first episodes and no clinical narrowing of the intestine, non-surgical treatment can be used first. Chinese herbal medicine and acupuncture should be the treatment of choice. Chinese medicine can be applied by oral administration, gastric tube injection, rectal irrigation, and also by external application of mannitol to the umbilical cord, with various methods and positive efficacy. The main mechanism of action of Chinese medicine and acupuncture is to promote gastrointestinal motility and regulate the recovery of gastrointestinal function. It is also possible to wait for the obstruction to be relieved by antispasmodic and rehydration treatment. Non-surgical treatment can relieve the obstruction formed by adhesions, but cannot make the formed adhesion zone disappear. Therefore, surgical treatment must be chosen for some patients with frequent episodes, poor or no relief from non-surgical treatment, or those with symptoms of narrower intestine. It should be recognized that new adhesions are formed with each surgery, which is the reason for the saying “the more surgery the more adhesions”. In order to avoid multiple surgeries in the future, the first adhesion surgery is crucial. It is often necessary to consider multiple aspects, including the implementation of intraoperative preventive measures and the development of effective protocols, such as proper bowel alignment and intraluminal support placement, which can be effective in preventing the risk of future recurrence.