Rectal atonic constipation is a common type of chronic constipation in middle-aged and elderly women and is a complex multifactorial disorder that is difficult to treat. Based on clinical experience

this article analyzes the etiology

pathogenesis

syndrome differentiation

treatment strategies and thoughts of this kind of constipation under Chinese medicine theory. The core pathogenesis is sinking of middle Yang and kidney Qi insecurity; the main syndromes are Qi and Yin deficiency syndrome and Yang Qi deficiency syndrome; the deficiency in root is the core

but there also exist the excess in branch such as Fu-organ Qi obstruction and disorder of Qi and blood. The treatment should focus on the deficiency in root as well as the excess in branch. The deficiency in root is the main problem of this disease

so the treatment should mainly focus on boosting Qi and raising Yang as well as warming Yang and supplementing kidney. The prescriptions are mainly about spleen and kidney

which are the keys in improving efficacy and reducing the recurrence.