OBJECTIVE: To observe the improvement effects of Wenwei tiaochang granule on constipation-predominant irritable bowel syndrome (IBS-C) model rats, and to discuss its mechanism. METHODS: 60 SD rats were randomly divided into normal group, model group, mosapride group (positive drug, 50 mg/kg) and Wenwei tiaochang granule low-dose, medium-dose and high-dose groups (3, 6, 12 g/kg), with 10 rats in each group. Except for normal group, other groups were given ice water mixture intragastrically to induce IBS-C model. After modeling, treatment groups were given relevant medicine intragastrically, and normal group and model group were given constant volume of normal saline intragastrically, once a day, for consecutive 14 d. After medication, 24 h dejection amounts and water rate of manure were measured. The serum contents of 5-HT and CGRP were determined by ELISA. RT-PCR and Western blot assay were used to determine mRNA and protein expression of SERT and CGRP in colon tissue. RESULTS: Compared with normal group, 24 h dejection amounts and water rate of manure were decreased in model group, serum contents of 5-HT and CGRP were increased, and mRNA and protein expression of SERT and CGRP in colon tissue were also increased (P<0.05 or P<0.01). Compared with model group, above indexes of treatment groups were all improved to different extent, with statistical significance (P<0.05 or P<0.01), except the decrease of mRNA expression of SERT in colon tissue was not significant in Wenwei tiaochang granule low-dose group. CONCLUSIONS: Wenwei tiaochang granule can improve the dejection and symptoms of constipation in IBS-C model rats, which maybe associated with decreasing the levels of 5-HT, CGRP and other neurotransmitter in serum and intestinal tissue.