| Objective:The purpose of this study is to quantitative evaluate the efficacy and safety on postpartum obesity and constipation treated by Taiwan avocado decotion retention enema and modification of all nourishing decoction oral administration,and explore the function mechanism of them.Methods:We randomly divided 100 eligible subjects into treatment group and control group(each n=50).Control group was treated with modification of all nourishing decoction oral administration,treatment group was treated by avocado decotion retention enema at the base on the control group.Both of them were given instructions about details of life.Therapeutic effects was observed at 2 points(prior treatment,8 weeks after treatment),so was the other indexes including obesity degree,BMI,F%,WC,TCM syndrome score,total cholesterol and triglyceride.We also observed the effect of the therapy on postpartum depression anxiety and postpartum lactation.Any of the untoward effects may occur in the whole study would be observed and recorded.All of the research data was putted into computer to establish database,and data analysis and describe by SPSS 22.0.Results:1.According to the research criteria,59 cases were included,with control group 30 cases and other 29(1 cases were suspended due to a business trip abroad),among whom,the age ranged from 24 to 41 years old,and the course of postpartum obesity was 1.5 ~ 5years.The indexes including obesity degree,BMI,F%,WC,TCM syndrome score,total cholesterol and triglyceride,were compared between the two groups(P>0.05)before treatment,which showed they were comparable.2.After treatment,obesity in treatment group decreased from 0.59±0.17 to0.33±0.14,compared with before and after treatment,the difference was statistically significant(p<0.05);the control group was reduced from 0.58±0.21 to 0.52±0.09,and there was no significant difference between the two groups before and after treatment(p>0.05);compared with the two groups,P<0.05,the improvement of the treatment group was significantly higher than that of the control group.3.After treatment,the treatment group BMI decreased from 34.12±2.14 to 27.88±2.07,compared with before and after treatment,the difference was statistically significant(p<0.05);the control group was reduced from 33.56±2.37 to 32.25±2.29,and there was no significant difference between the two groups before and after treatment(p>0.05);compared with the two groups,P<0.05,the improvement of the treatment group was significantly higher than that of the control group.4.After treatment,F(%)in treatment group decreased from 42.42±5.75 to36.01±3.76,compared with before and after treatment,the difference was statistically significant(p<0.05);the control group was reduced from 41.50±6.61 to 40.34±6.29,and there was no significant difference between the two groups before and after treatment(p>0.05);compared with the two groups,P<0.05,the improvement of the treatment group was significantly higher than that of the control group.5.After treatment,WC(cm)in treatment group decreased from 101.13±10.26 to88.83±11.47,compared with before and after treatment,the difference was statistically significant(p<0.05);the control group was reduced from 100.97±11.17 to 99.27±12.16,and there was no significant difference between the two groups before and after treatment(p>0.05);compared with the two groups,P<0.05,the improvement of the treatment group was significantly higher than that of the control group.6.After treatment,the total effective rate of the treatment group was 100%,the effective rate was 75.86%,the effective rate was 24.14%,while the control group were43.33%,20%,and 23.33%,respectively;compared with the control group,the treatment group was significantly higher than the control group,there was significant difference(P<0.01);there was no significant difference between the treatment group and the control group(P>0.05);the effective rate of the treatment group was significantly lower than that of the control group,there was significant difference(P <0.01);the total effective rate of the treatment group was significantly higher than that of the control group,there was significant difference(P<0.01).7.After treatment,the treatment group of TCM symptoms of constipation score changes in the following indicators,defecation difficulty degree from4.02±1.51 to1.15±1.34,each squat toilet time from 3.77±1.38 to 1.47±1.52,the fecal character decreased from 4.45±1.19 to 1.40±1.01,then the evacuation from 4.44±1.20 to 1.38±1.13,defecation frequency decreased from4.59±1.50 to1.46±1.27;the defecation degree of the control group was reduced from 4.12±1.39 to 2.25±1.39,each squat toilet time from 4.09±1.16 to2.38±1.51,the fecal character was reduced from 4.61±1.05 to 2.49±1.23,defecation emptying decreased from 4.68±1.01 to 2.35±1.36,defecation frequency decreased from5.01±1.04 to 2.54±1.47.Between the two groups,all indexes were P<0.05,the improvement degree of the treatment group was significantly higher than that of the control group.8.After treatment,TG(mmol/L)in treatment group decreased from 1.74±0.29 to1.50±0.14,compared with before and after treatment,the difference was statistically significant(p<0.05);the control group was reduced from 1.78±0.31 to 1.71±0.36,and there was no significant difference between the two groups before and after treatment(p>0.05).TC(mmol/L)in treatment group decreased from 4.79±0.87 to 3.53±0.61,compared with before and after treatment,the difference was statistically significant(p<0.05);the control group was reduced from 4.81±0.62 to 4.25±0.54,and there was no significant difference between the two groups before and after treatment(p>0.05).Compared with the two groups,both TG and TC P<0.05,the improvement of the treatment group was significantly higher than that of the control group.9.After treatment,SAS score in treatment group decreased from 56.52 ± 3.24 to47.16±3.09,SDS score reduced from 53.75±3.88 to 42.11±3.37,compared with before and after treatment,the difference was statistically significant(p<0.05);the control group was reduced from 55.40±3.19 to 48.25±3.17,53.90±3.76 to 43.16±3.26,compared with before and after treatment,the difference was statistically significant(p<0.05),but there was no significant difference between the two groups before and after treatment(p>0.05).10.After treatment,the percentage of women’s lactation score reached more than 4points in treatment group increased from 67.35%(33/49)to 87.76%(43/49),the percentage of maternal breast fullness score up to 4 points increased from 69.39%(34/49) to 91.84%(45/49);the control group from 68.00%(34/50)to 78.00%(39/50),68.00%(34/50)to 76.00%(38/50),compared with before and after treatment,the difference was statistically significant(p<0.05),the treatment group improved better。11.In the course of the study,the two groups were no adverse reaction reports.Conclusion:The use of modification of all nourishing decoction orally can be effective in the treatment of postpartum constipation,postpartum depression,postpartum anxiety,postpartum hypogalactia,but no weight loss.The treatment combined with Taiwan avocado decotion retention enema and modification of all nourishing decoction orally for treating qi and blood deficiency type of postpartum constipation,postpartum depression,postpartum anxiety and postpartum hypogalactia is remarkable effective,at the same time,it can effectively improve the body mass index,body fat percentage,waist circumference and other indicators,whom was postpartum obesity.It is a safe,effective,easy to operate,low price,easy to product and large-scale promotion of non-invasive characteristics of traditional Chinese medicine slimming therapy.Taiwan avocado decotion retention enema therapy can reduce postpartum obesity serum total cholesterol and triglyceride.It can also increase the amount of lactation and breast fullness of the parturient.It has high clinical,academic,economic and social value,and deserves further study. 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