Constipation is a condition characterized by prolonged bowel movement intervals, difficulty in elimination, or a sense of incomplete evacuation. In ancient literature, it is also known as “difficult stool”, “spleen about”, “secret astringency”, “secret knot” and so on. It is characterized by prolonged defecation cycle, or dry and lumpy feces, which is difficult to pass or cannot be passed even though there is a desire to pass feces. The disease can be seen in people of all ages, and the prevalence increases significantly with age, and is more common in women. The category discussed in this section is equivalent to chronic functional constipation in Western medicine. The etiology of the disease is mostly due to dietary irregularities, dryness and heat within the knot, emotional disorders or physical deficiency, etc., resulting in the loss of moistening of the large intestine, conduction malfunction, and the knot is difficult to get out of the stool. 1, dry heat internal knot plain yang sheng of the body, spicy and thick taste or heat disease residual evil is not yet exhausted, gastrointestinal heat, fluid depletion, dry heat internal knot. 2, intestinal gas stagnation emotional disorders or sedentary little movement, stagnation of qi and not declared, the internal organs of the qi ventilation and descending disorder, conduction dereliction of duty. 3, qi and yin deficiency labor exhaustion and internal injuries, old age and frailty, women’s postpartum qi and blood depletion, intestinal loss of glory, to promote the lack of power. 4, the card kidney yang deficiency long illness, old age, yang qi deficiency, cold from within the turbid yin cohesion, warming no right, intestinal transmission powerlessness. Western medicine believes that this disease is often caused by drugs, neuroendocrine diseases, diet, environment, psychology and other factors. The body’s digestive function, rectal sensation, coordinated movement of the pelvic floor and anal sphincter brain-intestinal axis and the afferent function of the nervous system in any part of the obstacle, will cause constipation. [Diagnosis] 1, can occur at any age, the performance of: ① defecation cycle abnormalities: the number of bowel movements decreased, days or dozens of days to defecate once, or the number of bowel movements increased but can not effectively empty; ② defecation effort, prolonged time to defecate, lack of desire to defecate, defecation, sense of incompletion, anorectal sensation of distention, etc.; the patient can be dependent on laxative for a long time,, and some patients are accompanied by psychological or psychiatric disorders. 2.Clinical often divided into colon slow transmission type, outlet obstruction type and mixed type, of which the outlet obstruction type can be divided into pelvic floor failure flaccid type and pelvic floor flaccid type. 3, rectal diagnosis, electronic colonoscopy can rule out colorectal organic disease, especially tumor screening play panic OuBoXuan ah (18) back ζ metallurgical glancing helmet, anorectal manometry, colonic transport test, etc. [Differential Diagnosis] 1, intestinal round-grained obstruction, more acute onset of the disease, accompanied by abdominal pain and refusal to press, anus without exhaustion, vomiting, etc., abdominal stance X-ray film can be seen in the intestinal tract, air-liquid planes. 2, congenital megacolon with a long history of constipation, 3, colorectal tumors, colorectal tumors blocking the intestinal tract caused by the difficulty in defecation, often accompanied by blood in the stool, mucus, and other symptoms, palpation, electronic colonoscopy and histological examination of the silk fan atmosphere of the crippling [Diagnostic and therapeutic] constipation of the treatment, when the division of [cold, heat, deficiency, real, to laxative for the purpose of the. The dry heat should be diarrhea heat lubrication, gas stagnation is appropriate to conduct gas stagnation, gas and yin insufficiency when the benefit of yin, yang deficiency when the pass yang through the bowel, mixed solid, the treatment should be attacked and supplemented at the same time. 1, dry heat within the knot evidence Symptoms: dry stools, abdominal distension, pain when pressed. Accompanied by dry mouth and bad breath, red face and heartburn, short and red urine. The tongue is red with yellow fur and dryness, and the pulse is smooth and solid. Treatment: Clear the bowels, remove heat and pass stool. Formula: Hemp Zi Ren Pill plus subtractions. Commonly used hemp seed kernel, peony, Citrus aurantium, rhubarb, thick park, almonds. Depression and anger injury to the liver, easy to anger, red eyes, plus serving more pill [liver laxative; hemorrhoids blood, plus acacia, elm, cedar [intestinal stop bleeding. 2, intestinal gas stagnation Certificate Symptoms: bowel movement is not smooth, want to dissolve can not come out, or stool and not refreshing, or even less abdominal distension. Accompanied by qi l, reduced food intake, chest and hypochondrium plumpness. Thin and greasy tongue coating, thin and stringy pulse. Treatment: Promote Qi circulation, guide stagnation and pass stools. Prescription: Six-mill soup plus reduction. Commonly used Wu Yao, Mu Xiang, Jie Shell, Betel nut, Shen Xiang, Rhubarb. Gas depression fire, bitter mouth and dry throat add scutellaria, gardenia, mudanpi [liver diarrhea fire; emotional discomfort, coercion for bloating, add Xiangsui, chaihu, thick park liver detoxification and relief of depression; after the drug, stools, can go to the rhubarb, turn to regulate the main qi. 3, qi and yin deficiency syndrome Symptoms: dry stools, or although the intention to stool, the toilet is unable to struggle, struggle is sweating shortness of breath. Or after the bowel movement, weakness, fatigue, tiredness and laziness. The tongue is thin and thin, reddish with little moss, with teeth marks on the side, and the pulse is weak. Treatment: Benefiting Qi and nourishing Yin, moistening the intestines and laxatives. Prescription: Enhancing Liquid Soup combined with Astragalus Soup plus q. Commonly used Xuan Shen, Maitong, Radix Rehmanniae, Radix Angelicae Sinensis, Dendrobium, Salviae Miltiorrhizae, Radix Astragali, Radix Astragali, Radix et Rhizoma Polygoni Multiflori, White Honey. If you are weak and sweaty, add atractylodes macrocephala and Radix et Rhizoma Ginseng to replenish the middle and benefit the qi: if you have hemorrhoids and blood in the stool, add Colla Corii Asini and Sophora Japonica to nourish and stop bleeding; if you have heartburn and dry mouth, add Rhizoma Polygonati Odorati and Rhizoma Polygonati Odorati to nourish yin and generate fluid. 4, spleen and kidney yang deficiency Symptoms: constipation, discharge difficulties. Accompanied by yellowish color, dizziness, or lumbar and knee pain and weakness, fear of cold limbs, urination [long. Pale tongue with white coating and sluggish pulse. Treatment: Warming Yang to pass stool. Formula: Jichuan Decoction plus subtractions. Commonly used Angelica sinensis, Achyranthes bidentata, Cistanche, Zedoaria, Ascophyllum officinale, Citrus aurantium dulcis. Cold condensation and stagnation of qi, abdominal pain is more serious, add cinnamon, wood incense to warm the yang dispersal of cold, move qi to relieve pain. [External treatment] Enema Chinese herbal enema or saline enema has good effect on constipation, but it is easy to produce dependence with frequent use. Other therapies] 1, acupuncture ear acupuncture, body acupuncture is an effective method of treatment of constipation in Chinese medicine, commonly used points are Tianshu, foot Sanli, etc.. 2.Biofeedback therapy is mainly applicable to pelvic floor loss and pelvic floor relaxation type constipation. It is a painless, non-invasive, safe and effective method to assist in improving pelvic floor habits by training patients in pelvic floor coordination, sensory threshold recognition and pelvic floor muscle conditioned reflexes. It includes EMG-mediated biofeedback, pressure-mediated biofeedback and other biofeedback modalities. The patient first learns how to regulate sphincter relaxation and contraction accompanied by a therapist, and then practices alone, finally reaching the ability to have a normal bowel movement. 3.Surgery The constipation caused by colorectal and anal canal organic disease is mostly considered for surgical treatment. Functional constipation can be treated by total colectomy or subtotal colectomy, but the operation should be cautious, and may leave persistent diarrhea and fecal incontinence after the operation. Preventive care] 1, reasonable diet, drink more water, eat more crude fiber food; develop the habit of regular defecation, avoid defecation squatting or struggling for a long time. 2, keep in a good mood, strengthen physical exercise; avoid abusing laxatives. [Conclusion] The formation of constipation is mainly due to the formation of dry heat knot, emotional and emotional disorders, physical deficiency and lead to intestinal loss of glory, conduction function malfunction. If the early correct treatment, the bowel operation is normal; if the abuse of laxatives, it can lead to “drug dependence”, positive deficiency and evil love, the course of the disease lingers on for a long time. Identification is often divided into dry heat internal knot, intestinal stagnation, qi and yin deficiency, spleen and kidney yang deficiency four types. Treatment should be divided into [deficiency, real, in order to laxative for the purpose; if with acupuncture, biological counter-indication and other therapies, the results will be better.