Abstract： Objectives： To observe the CT imaging features of intestinal obstruction with different Chinese medicine syndromes. Methods： A total of 100 cases of patients with intestinal obstruction were selected for CT examination and Chinese medicine syndrome diagnosis，and the CT imaging features of intestinal obstruction with different Chinese medicine syndromes were analyzed. Results： Among 100 patients with intestinal obstruction， the distribution of qi stagnation and blood stasis type，interior heat bind type，deficiency of qi and blood type，and disharmony of viscera and bowels type were relatively balanced， and each accounted for 20% ~30% . According to the causes of the disease from the CT diagnosis results，there were 41 cases of mechanical intestinal obstruction，36 cases of paralytic intestinal obstruction，and 23 cases of vascular(strangulated) intestinal obstruction. Among them，patients with mechanical intestinal obstruction were more likely of disharmony of viscera and bowels type or qi stagnation and blood stasis type；patients with paralytic intestinal obstruction were more likely of interior heat bind type or deficiency of qi and blood type；patients with vascular(strangulated) intestinal obstruction were more likely of qi stagnation and blood stasis type. Comparison of distribution of Chinese medicine syndrome types in patients with intestinal of three causes showed significant in the difference(P＜0.05). Conclusion：The CT results of intestinal obstruction patients with different Chinese medicine syndrome have their own features， and the CT examination can be used as objective evidence for rapid diagnosis in Chinese medicine syndrome differentiation.