Constipation is a common clinical disease, refers to the feces in the intestines retained for too long, secret and impassable, so that the defecation cycle is prolonged, or the cycle is not long but the fecal matter is dry, difficult to get rid of or fecal matter is not hard, although there is a desire to poop but the stool is not smooth symptoms. Slow Transmission Constipation (STC) is a kind of chronic stubborn constipation which is more common in clinic, it is caused by the weakening of the colon transmission function which causes the intestinal content to be retained in the colon, it has the characteristics of chronic, primary, functional, with the weakening of the sense of intention, abdominal bloating, long-term use of laxatives as the main clinical Zhengzhou. Slow transmission type constipation is a more difficult to treat chronic intestinal diseases, the cause of dietary disorders, emotional disorders, external evils against the stomach, endowment deficiency, etc.; the mechanism of the disease is mainly due to the intestinal conduction malfunction caused by heat junction, stagnation of qi, cold condensation, qi, blood, yin and yang deficiencies. It is related to the physiological functions of the spleen, lung, liver and kidney, and the disease is located in the large intestine, which is often treated with the theory of deficiency. Through clinical observation, 200 cases of constipation of slow-transmission type in colon were treated with comprehensive therapy of Chinese medicine, and the therapeutic effect was remarkable. Now report as follows: 1, slow transmission type constipation etiology and pathogenesis Chinese medicine believes that constipation, although a symptom in the large intestine, but is the human body yin and yang, organs and qi and blood imbalance of a local manifestation of the internal organs and meridians, qi, blood and fluids, spirit and emotion are closely related. Such as gastrointestinal heat, fluid depletion, resulting in intestinal loss of moisture; liver qi stagnation, can not be declared, it is through the descending dysfunction, conduction dereliction of duty, dregs of the internal stop; lung and spleen qi is weak intestinal transmission powerlessness, renal yin insufficiency is lack of fluid loss, conduction powerlessness, renal yang insufficiency can not be vaporized fluid, moist intestinal tract; can all affect the conduction of the large intestine and hair for this disease. The pathology of constipation can be summarized as four aspects of cold, heat, deficiency and solidity, dryness and heat in the gastrointestinal knot is hot secret, gas stagnation is solid secret, qi, blood, yin and yang deficiency for the false secret, cold stagnation for cold secret. Among the four and to the outline of the real, hot constipation, gas constipation is real, qi and blood deficiency is a deficiency of constipation, yang deficiency is called cold constipation, clinically common multiple types of evidence at the same time. 2, slow transmission type constipation Chinese medicine treatment slow transmission type constipation diagnosis and treatment has attracted widespread social attention, China’s constipation clinical diagnosis and treatment level and basic research are constantly improving. The use of Chinese medicine integrated therapy dialectical analysis of symptomatic treatment of slow transmission type constipation, efficacy is remarkable. At present, Chinese medicine therapy used for the treatment of slow-transmission constipation can be divided into typecasting, traditional Chinese medicine umbilical cord treatment, acupuncture and massage therapy, behavioral therapy, dietary therapy, surgical treatment and so on. 2.1 Types of treatment ① Heat constipation: dry stools, short and red urine, red face and body heat, or with abdominal distension and pain, dry mouth and halitosis, red tongue with yellow fur or yellow dryness, and slippery pulse. Treatment: clearing heat and moistening the intestines; prescription: hemp seed kernel pill plus reduction. ② gas secretion: constipation, want to stool can not, belching frequently, chest and hypochondrium fullness, or even abdominal distension and pain, food reduction, tongue coating thin and greasy, pulse string. Treatment: Shun Qi and move stagnation; formula: Six Mill Tang plus reduction. Cold secret: hard and astringent stools, difficult to pass, long and clear urine, white color, lack of warmth in the limbs, preference for heat and fear of cold, cold pain in the abdomen or soreness and coldness in the lumbar ridge, pale tongue with white coating, and sluggish pulse. Treatment: Warming Yang to pass stool; formula: Jichuan Decoction with cinnamon or half-sulfur pill. Deficiency of Qi: deficiency of Qi: although there is the intention to go to the toilet, there is a lack of strength in struggling to go to the toilet, sweating and shortness of breath when struggling to go to the toilet, fatigue after going to the toilet, stools are not dry and hard, the face is white, fatigue and timidity of Qi, the tongue is pale and tender, the moss is thin, and the pulse is weak. Treatment: benefiting Qi and moistening the intestines; formula: Astragalus Soup. If Qi deficiency is obvious, add Codonopsis and Atractylodes Macrocephalae to strengthen the qi tonic function; if Qi deficiency is subsiding and the anus is distended, use Tonifying the Middle Jiaozhong and Benefiting the Qi Soup to benefit the qi and lift the subsidence. Blood deficiency: constipation, colorless face, dizziness, palpitation, pale lips and tongue, thin and astringent pulse. Treatment: nourishing Blood and moistening dryness; formula: moistening intestines pill. 2.2 Traditional Chinese Medicine Umbilical Cord Treatment ① 30g of ginger, 9g of black beans, 6g of salt, 1 onion, pounded together as mud, and then applied externally to the umbilicus after baking and heating. ② rhubarb powder 10g, add water, apply to the umbilicus externally. (③) 2g of powdered halibut, 10g of jujube, pounded into a paste, external application of the umbilicus. ④ Angelica sinensis 60g, rhubarb 30g, mannite 15g, licorice 15g. boil the paste and apply externally to the umbilicus. 2.3 Acupuncture and massage treatment Acupuncture and massage have good curative effect on slow transmission type constipation, which can adjust the function of autonomic nerves, improve and strengthen intestinal peristalsis and defecation function. ① body acupuncture: take the large intestine Yu, Tianshu, Zhigou, on the giant virtual points, solid constipation needle with diarrhea, false constipation needle with tonic method, cold constipation can be added moxibustion. ② Acupuncture point buried thread: take the upper giant deficiency, large intestine Yu, Tianshu, or with the foot Sanli, Sanyinjiao points. After local anesthesia, with a No. 9 lumbar puncture needle, 0/1 2cm long medical sheep’s intestines vertically implanted in the above points, repeat the burial of the line once every 15 days. ③Massage: exclude all kinds of thoughts and distractions before going to bed every night, breathe naturally, and massage the foot Sanli point for 10min by yourself, clockwise massage for 5min, counterclockwise massage for 5min. 2.4 Behavioral therapy Behavioral therapy is to designate the time for defecation exercise, so as to cultivate a good defecation habit, enhance the strength and coordination of defecation muscles, and to promote the passage of the contents of the colon and the smooth discharge of the bowels. The exercise is usually carried out after breakfast to simulate the process of defecation and rebuild the defecation mechanism. 2.5 Diet therapy Correct bad dietary habits, eat more food with high crude fiber content, mainly vegetables and fruits, with cabbage, spinach, radish and garlic having the highest content. Crude fiber increases the weight and volume of feces, enhances the physiological stimulation of the digestive tract, promotes intestinal peristalsis, and shortens the time for the passage of intestinal contents. Drinking more water can soften the stool and can play a certain lubricating effect, the amount of water should reach 3000ml per day, 500ml of water on an empty stomach in the morning, causing gastric dilatation and gastrocolic reflex, inducing the production of defecation reflex to promote defecation. 2.6 Surgical treatment This disease is stubborn constipation, generally only in the conservative treatment is ineffective, the patient’s constipation symptoms seriously affect the normal life, work, study, the patient strongly request surgery, then consider surgical treatment. However, surgery has a certain degree of pain and danger, and surgical treatment has a certain recurrence rate, so it should be careful. 3, Summary Slow transmission constipation is a common clinical chronic intractable constipation with abdominal distension and indifference to bowel movement as the main symptom. The treatment should start from regulating the internal organs and treat the deficiency and reality. The real evidence to eliminate the main evil, were applied to diarrhea, cold, the method of qi, supplemented by stagnation of the products; false evidence to raise the first, according to the different yin and yang qi and blood deficiency, the main use of nourishing yin, nourish the blood, benefit qi, warming yang method, discretionary use of sweet and warm intestinal drugs, both symptoms and symptoms of the treatment. It is worth noting that, constipation should be based on evidence-based treatment, to moist down the main, in order to slow down the appropriate, careful use of offensive products. Can not see constipation, will use rhubarb, mannite, BaDou genus, so as not to deplete the qi and injure the fluid, the formation of a vicious cycle. Through a long time of clinical observation, traditional Chinese medicine treatment of slow transmission type constipation has a unique efficacy, both laxative effect, can also adjust the function of the gastrointestinal tract disorders, and no laxatives lead to electrolyte disorders of the risk, and is not easy to cause drug dependence, has a potential and wide range of prospects for application.