Objective: To observe the clinical efficacy of warm needling plus tuina in treating senile functional constipation.Methods: Ninety elderly patients with functional constipation were randomized into two groups. Forty-six patients in the treatment group were intervened by warm needling plus tuina; the other forty-four patients in the control group were intervened by San Huang tablet.Results: In the treatment group, 19 patients were cured, 24 cases showed improvement, 3 cases failed, and the total effective rate was 93.5%; in the control group, 16 patients were cured, 18 cases showed improvement, 10 cases failed, and the total effective rate was 77.3%. There was a significant difference in comparing the therapeutic efficacy (P<0.05), and the therapeutic efficacy of the treatment group was higher than that of the control group.Conclusion: Warm needling plus tuina can produce a higher therapeutic efficacy than taking San Huang tablet in treating senile functional constipation.Functional constipation is a common problem in the elderly, manifested by hard or lumpy stools, difficulty defecating or sensation of incomplete evacuation, and decreased defecation times. It often affects more women than man. In China, people over 60 years old has a prevalence rate of 18.0%-23.0%, and the incidence increases with age [