Objective To explore the application effect of auricular holographic copper spatula scraping in functional constipation (FC) patients with qi stagnation-pattern. Methods A total of 60 FC patients with qi stagnation-pattern admitted to the Department of Spleen-Stomach and Liver Diseases in the First Affiliated Hospital of Guangxi University of Chinese Medicine from June 2023 to February 2024 were selected as the research subjects. They were divided into an observation group or a control group by the random number table method, with 30 cases in each group. The control group received only routine constipation nursing, based on which the observation group received auricular holographic copper spatula scraping therapy additionally, and both groups were intervened for 15 days. The total effective rate of intervention, as well as traditional Chinese medicine (TCM) syndrome scores, Cleveland Clinic Constipation Score (CCS) scores, and Patient Assessment of Constipation-Quality of Life (PAC-QOL) scores before and after intervention were compared between the two groups, and the occurrence of adverse reactions in the two groups during the intervention was recorded. Results The total effective rate of intervention in the observation group was higher than that in the control group (P<0.05). Before intervention, there was no statistically significant difference in the TCM syndrome score, CCS score, or PAC-QOL score between the two groups (all P>0.05). After 15 days of intervention, the TCM syndrome scores, CCS scores, and PAC-QOL scores in both groups were lower than those before intervention, and the scores in the observation group were lower than those in the control group (all P<0.05). No adverse reactions occurred in the two groups during the intervention. Conclusion Auricular holographic copper spatula scraping can effectively alleviate clinical symptoms in patients with qi stagnation-pattern, improve their quality of life, and demonstrate high operational safety.