Abstract：Objective：To observe the effect of Tongfu Xingqi tang on recovery of gastrointestinal function of patients after gynecological laparoscopy. Methods： A total of 84 cases of patients with gastrointestinal dysfunction after gynecological laparoscopy were selected and divided into the treatment group and the control group according to the random number table method， with 42 cases in each group. The control group was given routine symptomatic treatments， and the treatment group was additionally treated with Tongfu Xingqi tang based on the treatment of the control group. Both groups were treated for two courses， with two days being one course. Clinical effects were evaluated after treatment and were compared between the two groups. The changes of gastrointestinal symptom scores(abdominal pain，abdominal distension，nausea， vomiting and bowel sounds) and levels of gastrointestinal hormones in serum [serum motilin(MTL) and gastrin(GAS)] were compared between the two groups before and after treatment. The recovery time of main clinical indexes and adverse reactions during treatment were observed in the two groups. Results： After treatment， the total effective rate of clinical effect was 92.9% in the treatment group and 76.2% in the control group， the difference being significant(P＜0.05). After treatment，scores of abdominal pain，abdominal distension，nausea，vomiting and bowel sounds in the two groups were decreased when compared with those before treatment(P＜0.05)， and the above four scores in the treatment group were lower than those in the control group， differences being significant(P＜0.05). After treatment， the recovery time of bowel sounds， the first defecation time， the first exhaust time after surgery and the hospitalization time in the treatment group were shorter than those in the control group，differences being significant(P＜0.05). After treatment，levels of MTL and GAS in serum in the two groups were increased when compared with those before treatment(P＜0.05)，and the two levels in the treatment group were higher than those in the control group，differences being significant(P＜0.05). There was no obvious adverse reaction in the two groups during treatment. Conclusion： Tongfu Xingqi tang combined with routine therapy can regulate gastrointestinal hormone disorder after gynecological laparoscopy， improve clinical symptoms and promote the recovery of gastrointestinal function with high medication safety.