Intestinal obstruction is a disease in which the intestinal contents do not function properly and pass smoothly through the intestine due to a variety of reasons. Among surgical emergencies, its incidence ranks third after acute appendicitis and biliary tract diseases. Clinically, obstruction caused by intestinal adhesions after surgery is the most common. The clinical manifestations of intestinal obstruction can be summarized by four words: pain, vomiting, distension and closure. Pain is abdominal pain, which is mostly paroxysmal, and it is increased when the intestine at the obstruction site is strongly peristaltic and spasmodic. When the peristaltic movement of the intestine at the site of obstruction is weakened, the pain is obviously reduced or disappeared. Vomiting is nausea and vomiting, which is a characteristic of digestive system diseases. When the obstruction site is higher, the vomiting is more obvious, and vice versa, the vomiting is weakened. Distention means abdominal fullness and discomfort, because the intestinal contents cannot operate normally, the abdomen shows distension and discomfort due to the accumulation of gas and fluid in the intestine. The lower the site of obstruction, the more obvious the abdominal distension, the elderly people with intestinal obstruction sometimes come to the clinic with abdominal distension, for the elderly, if there is obvious abdominal distension should be alert to the possibility of intestinal obstruction. Closure means that the anus stops defecating. In complete intestinal obstruction, the anal venting and defecation stop completely, but the feces and intestinal gas remaining in the intestinal canal below the obstruction can still be expelled in small amounts soon after the onset. In incomplete intestinal obstruction, there may be several small amounts of bowel movements. Abdominal surgery is the main cause of intestinal adhesion obstruction, and secondary surgery increases the chance of intestinal adhesion. For early intestinal obstruction, conservative combined Chinese and Western medicine treatment is the main treatment. Its non-operative rate is about 70%, and the mortality rate is reduced to less than 3%. The usual treatment methods are: fasting, gastrointestinal decompression, rehydration to prevent water-electrolyte balance disorder and anti-infection treatment. According to the characteristics of intestinal obstruction, the diagnosis of Chinese medicine is: intestinal knot. Early evidence: the type of gang knot is stagnant dampness obstruction and obstruction of internal qi. According to the principle of Chinese medical diagnosis, the Department of Surgery of our hospital boldly adopted Tongqi Tang, which has the function of promoting the bowel movement and detoxifying the blood, together with acupuncture and massage therapy, to treat intestinal obstruction with remarkable efficacy and improve the quality of life of patients. In case of intestinal obstruction, early surgical treatment is recommended in the following cases, and physicians should master the timing of surgery. 1. increased abdominal pain, frequent pain. 2. elevated body temperature, routine blood tests, obvious infection like, patient’s mental discomfort. 3. obvious intestinal shape in the abdomen. 4. decreased blood pressure, elevated heart rate, manifestation of shock. 5. abdominal muscle tension, obvious pressure pain, rebound pain, abdominal puncture leading to bleeding or intestinal contents. 6. 6. X-ray film shows obvious distended intestinal climb. Early surgical treatment is recommended for those who suspect the possibility of intestinal necrosis. Due to the poor response of the elderly body, the above signs and symptoms of intestinal necrosis are not very obvious, so it is advisable to choose surgery early rather than late to prevent serious consequences. At the same time, elderly people with no history of surgery need to be alert to the possibility of cancerous tumors blocking the intestinal canal, so they need to improve the examination and go to the regular hospital for treatment. In short, the combination of Chinese and Western medicine in the treatment of intestinal obstruction is the current trend in the treatment of intestinal obstruction, and it is an effective method to reduce the rate of surgery.