Chronic constipation is defined as reduced frequency of bowel movements, reduced stool volume, dry stool and straining to defecate, with a duration of at least 6 months, and belongs to the category of Chinese medicine
“difficult to defecate”, “after unfavorable”, “spleen about”, “constipation” and other categories, of which functional diseases account for 57.1%, mostly caused by bad habits, such as irregular diet, low intake of fiber-containing foods, irregular bowel movements, long-term suppression of bowel movements, etc. According to Chinese medicine, constipation belongs to the abnormal conduction of the large intestine and is related to the dysfunction of the spleen, stomach, liver and kidneys, and can be summarized into four aspects: cold, heat and deficiency. Chinese and Western medicine treatment has greater advantages, reflected in: 1, Chinese medicine internal conditioning from the whole, focusing on the benefit of Qi and intestinal, increase the fluid row boat, facilitate the intestinal bowels, dredge the liver to relieve depression, ascending and descending the turbidity, regulate the spleen and stomach, so the symptoms can be balanced, the treatment of the disease to seek the root to support the right. 2, Chinese medicine retaining enema direct drug into the intestine, improve the bioavailability of drugs, and the proper use of the drug can quickly and significantly improve the quality of life of patients, and combined with the Chinese medicine oral prescription to improve the long-term efficacy, internal and external treatment, can really achieve the purpose of Chinese medicine all-round, multi-target treatment. 3, for patients with functional constipation who rely on stimulant laxatives for a long time, combined with acupuncture can regulate brain-gut axis function, promote intestinal dynamics, and gradually reduce and withdraw stimulant laxatives that destroy the function of the nervous system in the colon wall. There is a synergistic clinical effect, which helps to improve the efficacy, and is effective for both colonic slow transmission constipation and outlet obstructive constipation. 4, biofeedback therapy is an emerging bio-behavioral treatment method, tends to be the preferred treatment for functional constipation, through repeated therapeutic training to help patients re-establish new central control, enhance muscle strength, restore the role of nerve innervation of the pelvic floor muscles, improve their control (urine) and defecation and other physiological functions of the pelvic floor muscles. This method is safe, painless and non-invasive, with satisfactory clinical efficacy, and has obvious advantages compared with drug and surgical treatment. The guidelines for the diagnosis and treatment of chronic constipation in China emphasize that the diagnosis and treatment of constipation should be individualized and comprehensive for different types, and multidisciplinary cooperation in the treatment of constipation is more conducive to improving patients’ symptoms, and the combination of multiple treatment methods will also effectively improve patients’ quality of life.