Constipation for more than 10 years, 5-6 days once. The former medical diagnosis for habitual constipation, had repeatedly served fruit guide tablets, three yellow tablets, senna and other laxative drugs, can be temporarily effective, stopping the drug is constipation as usual. The patient’s mood is not good, sleeplessness at night, insomnia is worse after constipation. Diagnosis: 5 days of unresolved stool, abdominal distension, sometimes hidden pain, want to stool can not, bitter and dry mouth, five heart heat, sleep at night sleeplessness, tongue light red, moss less fluid, pulse string fine. Laboratory tests showed no abnormality. Diagnosis of constipation, identified as depression and heat injury to yin, deficiency of yin and fluid, intestinal dryness and constipation. Treatment is to nourish yin and clear heat, moisturize the intestines and pass stool. The formula used to increase the liquid hemp seed five kernel soup plus reduction, medicine with XuanShen 12g, raw land 15g, maitake 15g, hemp seed kernel 15g, white peony 20g, citrus aurantium dulcis, almonds, YuLiJin, pine nuts, peach kernel, thick Park 12g, rhubarb 10g, cypress seed kernel 15g, ChaiHu 12g, licorice 6g. 1 dose per day, boiled water to take. The second diagnosis, after serving 2 doses of 1 stool, abdominal distension and pain is significantly reduced. After 4 doses of service, and then defecate 1 time, food has been warm, abdominal distension basically disappeared. Keeping the prescription to continue to serve l2 doses, 1 time a day stool, stool soft and smooth, the elimination of all the symptoms and was cured. [Commentary] Constipation is mostly caused by Yin deficiency, fluid deficiency, or after fever, fluid depletion, or old age, Yin and blood deficiency, or women’s birth, damage to Yin and blood, overeating spicy and thick flavors, alcohol, wine, sizzling Bo, etc., can lead to insufficient fluid, dryness and astringency of the large intestine, for the mechanism of the disease should be nourishing Yin and replenishing blood, clearing the heat and generating fluids, lubricating the intestines and laxatives. In the formula, XuanShen is to strengthen the water to control the fire, nourish the liquid and moisten the intestine to solve the heat knot; MaiDong can moisten and pass to facilitate the smooth flow of stools; ShengDi nourishes the liquid without being greasy and can go to the kidneys. Three drugs together, diarrhea in the complement, to complement the body as a laxative, both can attack the real, but also to prevent the virtual, for the increase in the water rowboat plan. Hemp seed kernel laxative, supplemented by almonds to lower the gas and moisten the intestines, ascending and lifting the lung qi to perform the duty of purging and lowering, to help the large intestine to transport; white peony convergence of yin and spleen, nourish blood and promote the production of fluids; Chenpi qi stagnation, thick Park bitter pungent temperature, eliminate bloating in addition to full, Hovenia bitter cold, break the knot and eliminate ruffles, the three medicines in addition to the bloating of the gas, gas line the large intestine to be transported and化;more to take texture moist and more fat hemp seed kernel, cypress kernel, pine nut nut kernel, Ullei nut kernel, peach kernels, almond kernels, peony, etc., one of which is to increase the benefit of yin! Increase the liquid to lubricate the bowels, so that the internal organs of the gas through, fluid line, the second is sweet and moist to slow down the dryness of rhubarb, Citrus aurantium, thick Park, Chen Pi, so that the next does not hurt the right. The combination of all the drugs in the formula, the total performance of nourishing yin to increase fluid, line gas laxative effect. This formula can be used flexibly in clinical application, and can be added or subtracted according to the evidence. If there is both plumpness and dry solid firm, add Dachengqi Tang; if sweating shortness of breath, weakness after defecation, white face, fatigue, tired and lazy speech, pale tongue, white moss, weak pulse and other symptoms of qi deficiency add Astragalus 30g, Atractylodes Macrocephalae 15g; if the face is colorless, palpitations, shortness of breath, insomnia and dreaming, pale lips and mouth, thin pulse, etc., blood deficiency obvious addition of Angelica sinensis 20g, ripened earth 15g, 15g of Chinese wolfberry; if the face is white, limbs are not warm, abdominal cold and pain, heat, reduced, lumbar soreness, sleepy, and the abdomen, the abdomen and the bowel is cold, the bowel is cold, the bowel is cold, the bowel is cold, the bowel is cold, the bowel is cold, the bowel is cold. If the face s white, the limbs are not warm, cold pain in the abdomen, get the heat to reduce, lumbar pain and sleepiness, urine clear and long, tongue pale moss white, pulse slow and weak symptoms of yang deficiency such as add Cistanchis 12g, hyssop 30g, lock yang 12g; if the stool is dry and knotty, or want to stool can not come out, or stool and not refrain from, abdominal distension and pain, the tongue coating is thin and greasy, stringy pulse, etc., the stagnant qi obvious people add wood 12g, betel nut 9g, 15g adenosine; if the hard and astringent bowel movements, abdominal pain, refusal to press the fullness of tongue coating is white and greasy, the pulse is tight and so on. Yin cold stagnation obvious add 6g, fine Xin 3g; if dry stools, abdominal distension, abdominal pain, short red urine, red tongue, yellow dry, slippery pulse and other gastrointestinal stagnation of heat obvious add 12g of rhubarb, thick Park to 20g. If distension of light can be removed from the Hovenia, abdominal pain, add white peony; abdominal distension obvious aggravation of Park, Hovenia to 20g; rhubarb dosage should be different depending on the person with the disease to the degree of soft stools, can not be precipitous diarrhea. Although rhubarb has the nature of steep down, but grasp the use of proper, false, solid evidence are available. Stool dryness and knotting difficult to solve, face color less gorgeous, dizziness, palpitation, tongue pale, pulse thin and weak, such as partial Yin blood deficiency, add the production of Shouwu 10g, black sesame 30 g, Chinese wolfberry 10g, hyssop 10 g; heat, add Huanglian 6g, dandelion 20g; distension and pain refuses to be pressed, the tongue is dark red or there are petechiae, the pulse is astringent, add Salvia divinorum 12g, frankincense, myrrh 9g each; belching, emotional upset triggered by the moss is thin white or yellowish dryness, add Chaihu 12g, white peony to 15g, white peony to 15g. Add 12g of Chai Hu, 15g of Paeonia lactiflora, and 12g of Xiang Fu; add Jiao San Xian for dullness.