Abstract：Objective：To observe the clinical effect of Wenyang Tongbian tuina method for senile functional constipation complicated with insomnia. Methods： A total of 100 cases of senile patients with functional constipation complicated with insomnia were selected as the study objects ， and randomly divided into the observation group and the control group ， 50 cases in each group. The control group was given the oral administration of mosapride citrate capsules and estazolam tablets， and the observation group was additionally given Wenyang Tongbian tuina method based on the treatment of the control group. Both groups were treated for four weeks. Symptom scores of constipation and scores of Pittsburgh Sleep Quality Index(PSQI) before and after treatment，as well as the total effective rates of treating constipation and insomnia after treatment were compared between the two groups. The incidences of adverse reactions were recorded in the two groups. Results：After treatment，each symptom score of constipation along with the total score in the two groups was decreased when compared with that before treatment； symptom scores of constipation including difficult defecation， the time and frequency of defecation， as well as the total score in the observation group were lower than those in the control group， differences being significant(P＜0.05). After treatment，the PSQI scores in the two groups were decreased when compared with those before treatment(P＜0.05)，and the score in the observation group was lower than that in the control group(P＜ 0.05). The total effective rates of treating constipation and insomnia were 92.00% and 94.00% respectively in the observation group，and 76.00% and 80.00% respectively in the control group；the two rates in the observation group were higher than those in the control group(P＜0.05). During treatment，three cases of sensation of lumbodorsal pain due to inappropriate tuina manipulation occurred in the observation group； after regulation of strength of manipulation， the pain disappeared. During treatment，two cases of diarrhea occurred in the control group；the adverse reaction disappeared after medication dosage was reduced. Conclusion：Wenyang Tongbian tuina method can improve symptoms of constipation and insomnia of senile patients with functional constipation complicated with insomnia.