The treatment of constipation has a history of more than 2,000 years, and its treatment method has been from the “Treatise on Typhoid and Cold”, where the identification of evidence and the formation of prescriptions began, to the later enrichment of a variety of treatment methods, basically the main aspect of the contradiction is the inability to pass stool, with laxative and laxative drugs as the main component of the combination, and then according to individual differences in the combination of Qi, nourishing Yin, warming the lining and other drugs, then the formation of the name Yi Qi laxative, nourishing Yin laxative, warming the lining The different formulas are named as Yi Qi laxative, Yin nourishing laxative, and Wen Li laxative. However, how is the effectiveness of this treatment evaluated? Nowadays, Chinese medicine textbooks and ancient Chinese medicine medical books on constipation, the nature of the symptoms are on the actual evidence, the treatment method is mainly to clear heat and laxative, the efficacy is the recent laxative effect, defecation process patients feel very painful; and from the actual clinical point of view, constipation, especially intractable constipation (including habitual constipation, drug-dependent constipation, etc.) mostly occurs in the vegetative weakness (qi deficiency, yang deficiency), or old age and physical decline, after a major illness, The weakness of the body after a serious illness. What is more puzzling is that the more difficult-to-treat constipation patients are all treated by herbalists of various qualifications, have used multiple methods of treatment, have a longer duration of illness, and have a common characteristic of being sicker than they were initially. At the beginning, the patient has only mild difficulty in defecation, such as: no bowel movement, poor defecation, abdominal distension or with poor nausea, coldness in the epigastrium and abdomen, fatigue and weakness; after treatment, the difficulty in defecation may be relieved, but soon the patient is still constipated, and the degree of constipation gradually increases after repeated treatment. The patient’s constipation may be relieved after treatment, and soon the constipation may still worsen after repeated treatment. The patient’s period of no bowel movement is prolonged, often more than 2-3 days or even 8 or 9 days. Due to the excessive accumulation of feces in the intestines, the urge to defecate appears only when the abdominal distension is unbearable, and when using the toilet, it is felt that it not only takes longer to defecate, but also feels more laborious. Many people need the assistance of laxative medicine to complete the bowel movement, dry or loose stools, accompanied by poor nausea, cold stomach and abdomen, fatigue and weakness than before. Chinese medicine for many years on the constipation of the Tongxia treatment in the “more pass the more impassable, the more treatment is not to cure” state. Discharge of stool belongs to the spleen and stomach function master. The main function of the spleen and stomach is to transport, digest, absorb and transport food, including ascending the clear and descending the turbid, ascending the clear and descending the turbid are two interrelated forms of spleen and stomach function. The spleen qi rises to raise the clear yang, to transport the water and grain essence and maintain normal physiological functions; the stomach qi descends to excrete the dregs, to keep the internal qi flowing smoothly and to carry out the normal intake of water and grain. Rising clear benefits from descending turbid to form the conditions for normal intake of water and grain, absorbing water and grain essence in order to make the spleen qi sufficient to raise the clear yang; descending turbid benefits from the spleen qi sufficient (provided energy) to complete the excretion of dregs to maintain the smooth flow of the stomach and intestines. The normalcy or otherwise of the decline of stomach qi is mainly manifested in the normalcy or otherwise of stool excretion. Chinese medicine’s discussion of the pathogenesis of constipation is too simplistic, ignoring the significance of the propulsive effect of Qi in maintaining normal bowel movements and the occurrence of constipation. On the one hand, there is no mention of the fact that gastric descent is a specific form of function produced by qi in the broad sense, i.e., the transformation of qi (energy) into the function of gastric descent and excretion of dregs, a process that requires qi consumption, and that the function of gastric descent and excretion of dregs is bound to be impaired when qi is deficient, preventing normal excretion of dregs and leading to constipation; on the other hand, there is no recognition that the occurrence of constipation is the same as that of external diseases, with the same “the right qi is stored within, the evil can not dry; evil, its qi will be deficient”, there is not disease before the deficiency factor. Therefore, doctors do not think constipation is a symptom of deficiency, clearing heat and diarrhea treatment, so that the right qi benefit from deficiency and constipation is bound to reappear, repeated treatment eventually turn a mild constipation into intractable constipation. In the past, doctors in the diagnosis and treatment of constipation, always think that constipation is a solid evidence, heat evidence based, also clear laxative laxative medicine will damage the right qi, along with constipation appears deficiency symptoms think and constipation is an isolated two aspects, identification as a deficiency of both evidence, and then use the treatment method of both attack and supplementation, is considered perfect. However, the patient after the identification and treatment of constipation but gradually aggravated the results, never get a reasonable explanation, and can not come up with a better way to treat, in the face of the patient’s suffering doctors are very confused. The deficiency is caused by the actual evidence of the disease, that is, because of the actual and deficiency, in fact, constipation is due to deficiency and the actual symptoms. From the actual clinical situation, the clinical constipation patients appear symptoms, and not like the textbooks of Chinese medicine said that the main actual evidence, or the beginning of the actual evidence, after the failure to treat, mis-treatment of deficiency evidence. When a patient is constipated, he often has abdominal distension and poor appetite, cold stomach and abdomen, sticky and unrefreshing mouth or tasteless mouth, preference for hot food, pale white tongue, fat tongue with teeth marks, thick and greasy white or yellow tongue coating, or abdominal distension and pain, dry mouth without relief after drinking water, constipation or loose stools, lethargy with little food, fatigue, fear of eating cold or discomfort after eating cold, fear of cold extremities, nausea and vomiting, erratic and panacid, easy to catch a cold, and not easy to recover after catching a cold. The symptoms of heat are rarely seen. The pathogenesis of the disease is the weakness of the spleen and stomach, the inability to transport and transform, the internal stagnation of dregs, and the blockage of qi. The dry mouth is not relieved after drinking water, which is caused by the deficiency of cold in the spleen and stomach, the malfunction of qi-transformation, and the inability to carry fluid upward; the sticky and unrefreshing mouth (foul breath) or the tasteless mouth are signs of deficiency of cold in the spleen and stomach and internal obstruction of dampness, while most patients have difficulty in understanding the symptoms and describe them as bitterness in the mouth. These two symptoms are easily mistaken for the symptoms of heat, but if you know the reason for this, you can clarify its properties by asking detailed questions to identify it, and after analysis and identification, you will realize that constipation is a pure deficiency of cold, and it should be said that constipation does not occur when the spleen and stomach are strong and healthy, and the low transport function of the spleen and stomach is a prerequisite for constipation. In other words, the beginning of constipation is inevitably accompanied by Yang and Qi deficiency, and constipation is a symptom of deficiency cold in the spleen and stomach, and the spleen is not healthy and functional (a symptom of digestive dysfunction), which is more in line with the pathogenesis of “if the righteous qi exists within, evil cannot dry up; where evil comes together. Its Qi must be deficient” principle of pathogenesis. The proposed treatment is to warm the middle of the body, benefit the qi, strengthen the spleen, resolve dampness, and move the qi to channel stagnation. The formula is based on Radix Aconiti and Ginger with large doses of Astragalus and Ginseng, supplemented by Citrus aurantium and Hau Pak. The effect of this treatment has been observed clinically for many years, not only in the recent period, but also in the process of defecation without discomfort, which is essentially different from the laxative process of clearing heat and diarrhea, and the long-term effect is mainly in the improvement of digestive function, physical ability and resistance to external evil. It should be said that this treatment is not aimed at laxation, it is aimed at the cause of constipation treatment, belong to the symptoms and the root cause of the same treatment, good long-term effect must be inevitable.