The treatment of abdominal distension and constipation caused by spleen deficiency should be based on tonifying the spleen and moistening the intestines as a supplement to treat both the symptoms and the root cause, and the appropriate treatment plan should be chosen under the guidance of the doctor. Chinese medicine believes that the spleen is the master of transportation (the spleen has the function of digesting food, absorbing food essence and water and transferring it to the whole body), if the patient’s spleen qi is deficient and unable to transport, his gastrointestinal propulsion function is weakened, which will easily lead to dry stools, weak defecation, accompanied by abdominal distension and other symptoms. Medicines to strengthen the spleen and vital energy such as Ginseng Ling Bai Zhu San and Radix Rehmanniae Pill can be used, together with medicines to strengthen the spleen and moisten the intestines such as Astragalus Rong Lun Intestinal Oral Liquid and Aspergillus Pill to alleviate the symptoms of constipation. It should be noted that during the period of taking the above medicines, avoid indigestible food; forbidden for patients with cold and fever, solid heat disease; pregnant women, old and weak people should be cautious of using. Patients diagnosed with abdominal distension and constipation caused by spleen deficiency should actively cooperate with the doctor’s treatment plan. At the same time, in daily life to develop good habits, strengthen exercise, regular work and rest, regular defecation every day.