Constipation is a common clinical condition. As early as in the Han Dynasty, there are “Yang knot”, “Yin knot”, “spleen contract” and “difficult to pass stool” in the “Jin Kui Yao”. In modern Chinese Medicine Internal Medicine, there are “hot constipation”, “gas constipation”, “deficiency constipation” and “cold constipation”. The modern “Internal Medicine of Chinese Medicine” also has “hot constipation”, “Qi constipation”, “deficiency constipation” and “cold constipation”. Diabetic patients mostly have constipation symptoms, the etiology and pathogenesis is more complex, not only affects the patient’s blood sugar, quality of life, and easily lead to a variety of serious illnesses, must be paid attention to. The author studied the sages, combined with modern medical knowledge, clinical diagnosis and treatment, a little experience, now discuss the following, please correct me. 1, the etiology of the complex examination of the source of the same in the search for differences constipation refers to constipation, prolonged defecation time or fecal matter dry and hard, difficult discharge. The author summarized as three less two fees a trigger, such as less intention, less stool, less defecation and defecation time and effort, easy to induce heart, brain, eye and intestinal accidents. Patients are often ashamed to talk about it because of the dirtiness, and doctors also consider it trivial not to pay attention to it. The symptoms may seem simple, but the causes are very complex. Modern medicine broadly divides constipation into three major categories for both sexes, namely primary and secondary. Primary constipation is subdivided into ① functional: (slow transmission type, outlet obstruction type and mixed type). ②Neurological: mainly congenital anal neuropathy. ③Obstructive: such as segmental anal stenosis, etc. ④Gynecological: pelvic floor muscle relaxation, anterior rectal protrusion, etc. Secondary: ①Diabetes mellitus, hypothyroidism, hypokalemia, uremia, hypercalcemia, heavy metal poisoning, etc. in metabolic diseases. (ii) connective tissue diseases such as systemic sclerosis, etc. ③Neurological aspects: such as auto-neurological dysfunction, multiple sclerosis, Parkinson’s disease and spinal cord injury. ④Lifestyle-induced food fiber deficiency, water deficiency (including insufficient drinking water and dehydration), and artificial suppression of bowel movements. ⑤ Drug-induced: such as diuretics, anticholinergics, antihistamines, antidepressants, antipsychotics, sedative-hypnotics, antitussive paralytics, acid-control astringents, calcium channel blockers, iron supplements, nonsteroidal anti-inflammatory drugs, opiates, certain antibiotics and long-term laxative use. (6) Psychological aspects: such as eating disorders, mental stress, anorexia, depression, etc. Three major categories are divided into: ① intestinal lesions themselves: such as functional or organic diseases of the anus, rectum and colon, and there are differences between flaccid, tense and obstructive. ② Extra-intestinal diseases: such as neurological, psychiatric, endocrine and metabolic disorders. ③ Poor diet and habits: such as insufficient water, partial diet, too little crude fiber in food, neglect of bowel movement, lack of exercise, environmental factors, etc. There is also a classification of constipation into conscious, functional, and hypotonic conditions. From the clinical point of view, the constipation of diabetic patients, both its own hyperglycemia, hyperlipidemia, hyperosmolarity and hyperviscosity factors, but also after the disease is easy to anxiety and tension, mental depression, combined with hypertension, insomnia medication; more because of long-term constipation, but also can lead to functional, neurological and organic lesions of the anus, rectum, in turn causing a vicious circle of constipation. Therefore, diabetic constipation is difficult to explain by purely functional or endocrine. Detailed consultation, careful physical examination, taking into account the complexity of the etiology, seeking differences in the same, avoiding misdiagnosis and mistreatment, and dealing with them separately. 2, the disease suffering persistent disease prognosis and regression has a huge impact constipation, commonly known as “internal emergency”. Some people think that a small disease, usually neglected to pay attention to, or even think that habit and do not treat. In fact, the ancients have long been “closed”, “two stool” as “difficult to treat the symptoms” of the discussion. The basic pathological changes of diabetes are metabolic abnormalities, arteriosclerosis, and microcirculatory disorders, which affect all tissues and organs of the body, and the intestine is often involved, and constipation occurs. The intuitive symptoms are abdominal distension and pain, nausea and vomiting, irritability and anxiety, restlessness, pain, and even suicidal tendencies. The patient’s greatest wish at this time is to be able to discharge stool smoothly in time. Of course, if the problem is not solved, it is bound to cause a variety of complications. As stated in the “Clinical Guide to Medical Cases”: “The anus is as big as money, and the dry feces is as big as a fist, even though they try their best to struggle, they refuse to come out. Both under can not out, then can not eat and sue dangerous carry on”. Long-term constipation can lead to headache and tinnitus, toothache and gum swelling, sore throat and bad breath, dry tongue and dry mouth, cough and phlegm; eye congestion, blurred vision, vision loss; in the digestive system caused by abdominal pain and bloating, food can not be eaten, liver and gallbladder stones, and even hernia, intestinal tumors, intestinal obstruction; in the lower cause of hemorrhoids and anal fissures, rectal or uterine prolapse, fecal incontinence, prostate hypertrophy, impotence and premature ejaculation; can also cause the whole body Itchy skin, canker sores and abscesses, chest tightness and palpitations, insomnia, arrhythmia, depression, etc. On the basis of the complications of these combined diseases, if the patient strives strongly when defecating, it can cause a sudden increase in intraocular pressure, blood pressure and abdominal pressure, often resulting in fundus hemorrhage, glaucoma, blindness; perforation of intestinal obstruction or cerebrovascular accident (cerebral hemorrhage or infarction), myocardial infarction, heart failure, cardiac arrest and other serious consequences, which directly lead to patients’ lives in danger. Therefore, the prevention and control of constipation in diabetic patients can not only relieve the patient’s pain and improve the quality of life, but also has an important significance to the prognosis of the patient’s regression and long life with the disease. 3, the identification of prescriptions, internal and external treatment, slow and orderly For chronic constipation, the Chinese Medical Association of Surgery, the Anorectal Surgery Group and the Society of Digestive Diseases, Gastrointestinal Dynamics Group has formulated the corresponding constipation treatment guidelines. In 2005, the international Rome also proposed the III standard, according to the degree of constipation into three types: mild, moderate and severe. However, compared to diabetic constipation, the treatment measures are relatively brief. The author found that diabetic constipation has complex causes and various manifestations, so the treatment should firstly focus on achieving the blood glucose standard, and adopt the “five carriages”, including diet, exercise, oral hypoglycemic drugs, until the use of insulin, and try to adjust the patient’s blood glucose in the normal range. According to the symptoms associated with the patient, the symptoms should be treated urgently and the root cause should be treated slowly. The symptom of urgency generally refers to constipation for more than 3 days, abdominal distension and pain, nausea and vomiting, difficulty in defecation, struggling to go to the toilet, and turning over and over. If not dealt with in a timely manner, not only increase the pain, but also easily lead to heart, brain, intestines, eyes and other organ complications, at this time to pass intestine as important. Can be given: ① clean wash (enema): ancient use of pig bile, honey decoction method of defecation or use the middle finger dyed oil, probe into the anus, dry feces gouging and digging out. ②Chinese herbal medicine emergency formula: preferred to increase the liquid Cheng Qi Tang, regulate the stomach Cheng Qi Tang, new plus Huang Long Tang, or even compound large Cheng Qi Tang plus reduction. ③ western medicine of 25% magnesium sulfate 20-30 ml orally, cautiously use dehydrating agent of mannitol, sorbitol and other laxatives. All of the above is the treatment of the symptoms, should not be used for a long time, so as not to become addictive habits and vicious circle. The root cause of the treatment is due to different concurrent symptoms, comprehensive consideration, in order to individualize the appropriate. The author generally selects the medicine according to the qi, blood, yin and yang, five organs and six internal organs. For example, for qi deficiency, ginseng and astragalus are the main ingredients; for qi stagnation, hedgehog, thick park and betel nut are often used; for yin deficiency, raw earth, maitong and xuan shen; for blood dryness, angelica, rehmannia and white peony are suitable; for lung qi failure, almond, purple skimmer, lycopodium and perilla; for stomach heat, rhubarb, yellow lily, raw gypsum and kudzu; for spleen deficiency, white atractylodes are mainly used; for liver deficiency, chestnut and yujin, for heart deficiency, jujube seeds and cypress seeds are added; for stasis, peach kernel and red flowers are used; for kidney essence deficiency, white hyssop and If the kidney essence is insufficient, add Cistanches, Cistanches, and locking yang. In case of combined rectal protrusion, mucosal prolapse, anal canal stenosis, hemorrhoid fistula and anal fissure, the anorectal surgeon should be invited to cooperate with surgery, anal dilation, injection, ligation and other therapies. Such specimens are slow and orderly, smooth defecation in time, reduce or delay the occurrence of complications, and help improve the quality of life of patients. 4, prevention and protection of a method of light nourishment health and longevity of constipation is a clinical problem, the cause of complex, stubborn symptoms, easy to relapse, a few people are prone to laxative dependence and a vicious circle, therefore, to avoid or reduce the application of laxatives, careful use of laxatives. Usual prevention should educate patients about medicine and hygiene, appropriate physical exercise, and cultivate good defecation habits (regular daily defecation, concentration, no reading books and newspapers, no phone calls, no thinking about problems, no other things to interfere while defecating). To tell the patient that tension and anxiety is an important cause of constipation, tension causes constipation, constipation aggravates anxiety. Therefore, patients with constipation must be calm and quiet (generally do not go out, prevent excessive excitement and sadness, do not worry, less depression). Drinking more water is one of the typical symptoms of diabetes. Not drinking water does not cure diabetes, but aggravates it and constipation, therefore, usually drink more water. Food with coarse fiber vegetables (such as leek, celery, cabbage, spinach, hollow cabbage, cauliflower, cabbage, bean sprouts); melon (winter melon, bitter melon, cucumber, gourd, loofah, etc.); radish, mushrooms are good. Cooking methods to raw food cold, steamed, stewed, as far as possible not fried, baked, baked, especially dry charcoal fine food (such as barbecue, potpourri, light cakes, doughnuts, pancakes and so on). Fruit to fresh low-sugar tomatoes, strawberries, poppy peaches, green fruit, Yu Ganzi, figs, guava, etc.; eat less prunes, cone chestnuts, longan, litchi and other dried fruits. In addition, abdominal massage, anal lift training, biofeedback therapy, which is also helpful in the treatment of chronic constipation, can be introduced to patients for application. Through multi-faceted prevention and treatment, there is a great improvement for diabetic constipation, which plays an important role for patients to live longer and improve their quality of life.