Abstract： AIM To observe the curative effect of abdominal massage combined with Qingning pills in the treatment of elderly coronary heart disease patients with constipation. METHODS Atotal of 92 elderly coronary heart disease patients with constipation who were hospitalized at our department from August 2016 to November 2017 were selected as the study subjects, and they were randomly and equally divided into a control group and an observation group. Both groups were treated with oral Qingning pills (one pill once, three times daily). The observation group additionally received abdominal massage for 10 consecutive days. The clinical efficacy, symptoms of constipation, and symptoms of angina were observed in the two groups. RESULTS The clinical effective rate was significantly higher in the observation group than in the control group (95.65％ vs73.91％, P ＜ 0.05). After treatment, the scores of symptoms of constipation such as difficulty in defecation, fecal traits, defecation time, distention, and frequency of defecation were significantly lower than those before treatment in both groups (P ＜ 0.05), and the score of symptoms of constipation in the observation group was significantly lower than that of the control group (P ＜ 0.05). Before treatment, there were no significant differences between the two groups of patients with regard to the degree of activity limitation, angina, seizure, treatment satisfaction, or disease awareness (P ＜ 0.05). After treatment, the scores of all these indexes in the observation group were significantly decreased compared with the control group (P ＜ 0.05). CONCLUSION Abdominal massage combined with Qingning pills can improve the symptoms of constipation and Seattle Angina Questionnaire score in elderly coronary heart disease patients with constipation.