Functional constipation refers to clinical constipation that persists or has intermittent episodes and lacks an explainable organic lesion and biochemical basis. This disease has been neglected as a physical and mental health problem, but with the development of social economy, improvement of medical level and change of health concept, its medical status and importance have gradually increased. In recent years, related epidemiology, pathogenesis, clinical diagnosis and treatment have been gradually reported at home and abroad, and there is a consensus that the prevalence rate of women is higher than that of men, but the consultation rate of male and female patients is basically the same. In fact, many patients do not pay attention to the problem of constipation, and most of them consult Chinese medicine practitioners because of the fear of organic diseases or the desire for beauty and weight loss. The following are some of my experiences in treating functional constipation, and I hope my colleagues and patients will correct me. Qi constipation is treated from the liver and spleen. Patients with Qi constipation are mostly in the age group of 18 to 55 years old, which is also a period of life with heavy study, work or family tasks. Long years of social and family pressure can easily lead to worry or depression and anger, resulting in what Chinese medicine calls “thought leads to qi knot” and “anger leads to qi up”, resulting in symptoms such as chest and abdomen fullness, belching frequently, less food and dullness, intestinal tinnitus and vexation, greasy tongue and stringy pulse. Many patients can also see facial acne and restless sleep at night. In patients with constipation, the stool may be dry or not very dry, unable to pass stool or unpleasant to pass stool, but there is no obvious abdominal pain and urgency, dry mouth, bad breath, warm hands and feet or red face and body heat, etc. There is no abnormality in colonoscopy or barium enema. This kind of constipation is mostly seen in subhealthy people. Qi constipation is mostly caused by liver depression, spleen stagnation, Qi disorder, intestinal conduction, abnormal circulation and descent, and internal stagnation of dregs, which is in accordance with the “Jin Kui Wing. Constipation” said: “gas constipation, gas stagnation, and things do not work.” Treatment of this evidence, although we know to regulate the intestinal bowel qi, but need to comply with the “Nei Jing” the meaning of “earth to wood will reach”, to dredge the liver and spleen, moisten the intestines and smooth the qi first, the medicine selected Chai Hu, Citrus aurantium (real), Xiang Shen, Yu Jin, white herbs, Mu Xiang, betel nut, August Zha, large belly skin, thick park, Huai Shan medicine, Atractylodes macrocephala, Chen Pi, chicken neijin, lycopodium, etc.. If the belching is frequent, the chest is full of chagrin, panic acid, then add spineflower, ochre, half ansia, codonopsis, scutellaria and so on; if you see acne, restless sleep at night, irritability and other signs of liver stagnation and fire or heart and liver fire, then add danpi, gardenia, raw earth, xuan shen, scutellaria, Huanglian, Fu Shen, lily, mother of pearl, green dragon tooth and so on; in any case, the prescription will often end with the addition of Guahuo Ren, Yu Li Ren, Huo Ma Ren, peach kernel, cypress kernel and so on. The last prescription will often add Guaou Ren, Yu Li Ren, fire Ma Ren, peach kernel, cypress kernel and other benevolent laxative products. Although constipation is a real evidence of constipation, but generally do not easily choose nitrous, yellow, senna and so on or western medicine for the effect of the momentary steep attack. The first use of harsh drugs can still laxative, followed by the effect is not only reduced and vain injury to the vital energy, unless the patient is difficult to down, only intermittently selected as appropriate, but often in the disease that is stopped. In addition, often easy hedgehog shell for hedgehog and heavy use to 30 g, in order to enhance the function of breaking the gas and swelling, eliminating stagnation, clinical test use has not seen any significant adverse reactions. The above-mentioned drugs are reasonably combined and treated with evidence, patients can take them for one or two weeks to achieve results, and for two or three months, they can keep the stool once every 1-2 days, with soft texture, and improve the accompanying symptoms, basically eliminating the problems caused by long-term constipation. Although deficiency constipation is caused by deficiency of qi, blood, yin and yang, resulting in loss of intestinal warmth and conduction, clinically, deficiency of spleen and lack of biochemical sources, resulting in deficiency of qi, fluid, and blood, is more common in patients with chronic deficiency, such as the elderly or weak, whose colonoscopy or barium enema occasionally shows “chronic colitis” or no The patient’s colonoscopy or barium enema occasionally shows “chronic colitis” or no abnormal findings. These patients often do not defecate for three or five days to a week or even longer, dry or not very dry, difficult to defecate, sitting on the toilet, most of them are accompanied by deficiency of Qi and blood, such as weakness after defecation, easy to sweat, shortness of breath, head and face, insomnia and forgetfulness, laziness and lazy speech, sluggishness and easy satiety, light tongue with thin white fur and weak pulse, etc. The clinical practice is to strengthen the spleen, tonify the qi, moisten the intestines and open the bowels, with a little help from nourishing the kidneys to encourage the yin and vital energy of the whole body. The formula often selects roasted Astragalus, Radix Codonopsis, Rhizoma Atractylodis Macrocephalae, Radix et Rhizoma Fu Ling Shen, Pericarpium Citri Reticulatae, Radix et Rhizoma Glycyrrhizae, etc. as the basic medicine, and according to the different focus on the deficiency of Qi, blood and fluid add the corresponding drugs. If the deficiency of qi is very serious, often increase the dosage of roasted astragalus to 30-45 g or even 60 g, party ginseng to 30 g. It is worth mentioning that when heavy use of roasted astragalus, party ginseng and other qi tonic products, it is advisable to add 10-15 g of lai suanzi to eliminate swelling and stagnation to prevent the fullness of qi blockage; if you see the fluid withered blood, then add angelica, raw earth, red peony, xuan ginseng and the medicine of all the nuts to nourish blood and moisten dryness; a few elderly patients can be seen in the kidney Yang deficiency or kidney essence deficiency of the disease In a few elderly patients with deficiency of kidney yang or deficiency of kidney essence, it is customary to use Cistanches, He Shou Wu, Radix et Rhizoma Polygonati, and Araliaceae to nourish the kidneys and nourish the essence, moisten the bowels and open the bowels. Since it is old and frail or weak, lack of vital energy to promote weakness due to deficiency constipation, more emphasis should be placed on the protection of gastric energy, cautiously used under the steep so as not to hurt the positive, only to strengthen the spleen and nourish the kidney, moisten and tonic the constipation as the key, so the clinical evidence treatment of this constipation is not light with nitrous yellow forced attack, but adhere to the “treatment of the disease to seek the root”, “slow then cure the root “and so on Chinese medicine treatment rule, to wait for qi benefit pylorus, intestine and internal organs from the smooth. Treatment of constipation does not forget to manage the lung lung for Huagai, and the large intestine as each other, and large intestine conduction is closely related. Intestinal bowel pass down both on the transmission of the spleen and stomach, but also on the purification of the lung, the upper orifice is closed, the lower orifice is not accessible, the lung is not purified, the intestinal bowel is closed and not accessible, the former so-called “open the upper orifice to pass the lower orifice”, “open the weather to pass the ground gas”, “kettle on the uncovered lid The method of “opening the upper orifice to open the lower orifice”, “opening the weather to open the ground qi”, “uncovering the lid on the kettle”, refers to the slightly pungent and slightly bitter products pungent open and bitter descend, promote the purification of the lung qi, regulate the qi flow, the intestines and bowels are open and constipation will be removed. Patients admitted to the ward with chronic branch and emphysema often see asthma and chest tightness with constipation due to pulmonary Qi occlusion, using Su Zi (stems), Ephedra, Almond, Gua Pao Ren, Mandarin, Citrus aurantium, Hou Pu, Aster and the like to purify the Lung Qi, which will open the paralysis and calm the asthma and pass the stool. After all, there are only a few patients with obvious occlusion of lung qi in the outpatient clinic, but while treating the above-mentioned qi constipation and deficiency constipation with Shun Run and Supplementary Run, we always add Su Zi (stems), Hovenia husk, Hou Pu, almonds, whole Gua Gua Pao (kernel), etc. to open the lung and lower the qi, which is clinically tested with good results. Emphasis on health care is appropriate, emphasizing the psychological factors The onset of functional constipation is often closely related to personality and temperament, lifestyle habits, social pressure. If a person lives in a peaceful environment and takes good care of his health, the qi of the five organs will be smooth, the intestines and stomach will be moistened, and the large intestine will be conducted normally to avoid the pain of constipation. Regimen, living irregularly, diet, sitting lazy, thinking, worrying and anger and other bad habits, can lead to intestinal conduction and gasification of the internal organs and into the problem of constipation. Constipation patients, especially the combination of work and rest, reasonable arrangements for work and life, appropriate to participate in some physical exercise, pay attention to dietary regulation, and develop the habit of boarding the toilet as time. In addition, especially need to emphasize the important role of psychological factors in the development and prevention of functional constipation. Take functional constipation cure expectation as an example, many patients have too high expectations, so it is necessary to realistically emphasize that the purpose of treatment is not to “cure” constipation, but to alleviate clinical symptoms and reduce the frequency of symptoms, which on the one hand can enhance the patient’s tolerance to triggers and improve the quality of life, but also facilitate the patient to establish At the same time, it also facilitates patients to establish realistic treatment expectations, so that some refractory patients do not lose confidence because they cannot achieve the expected results with prolonged treatment. In conclusion, the important role of psychological factors in functional constipation, like many other functional disorders, is a good example of psychosomatic research. Modern people living and working in the city, due to the pressure of social competition, often lament “unable to cope”, “worry is difficult to dispel”, and thus more need to find a suitable way to relax, in order to relieve the nervous state of mind, the overall promotion of physical and mental health. Undoubtedly, constipation, although suffering, but not difficult to treat, Chinese medicine from the mind and body with the treatment is a better choice, patients may wish to try.