Postoperative ileus (POI) is a syndrome that fails to effectively transmit gastrointestinal contents due to changes in gastrointestinal motility after an abdominal or non- abdominal surgery. The main clinical manifestations are nausea

vomiting

abdominal distension and delayed exhaust and defecation.In traditional Chinese medicine

disharmony of the spleen and stomach is the basic pathogenesis of POI in abdominal surgery

and Chong Ren deficiency is the main pathogenesis. Accordingly

as for its clinical treatment

the harmonizing method is suggested.If the Middle Qi is harmonious

the upper and lower parts of the body will be unblocked

the spleen (qi) will ascend and the stomach qi will descend

and the Bowel Qi will be unblocked. Chong and Ren will be hurt in patients with POI after a gynecological abdominal surgery

which is the syndrome of both deficiency and excess

in which deficiency is embodied in deficiency of Chong Ren’s Qi and blood; excess is the medal blade cutting the uterus

which hurts Chong and Ren

leading to blood stasis. As for the treatment

we should pay attention to the pathological essence of deficiency and excess

and adopt the methods of removing blood stasis and promoting the spleen and stomach to promote the recovery of gastrointestinal and Chong Ren functions.