The pain in the stomach and epigastric region often occurs, and when the pain is accompanied by vomiting, belching, acid vomiting, burning sensation in the stomach, fullness, diet and other discomforts. Most of them are caused by overeating cold, cold stagnation of the stomach, or qi depression injury to the liver, the liver loss of detachment, cross against the stomach, or excessive fatigue, or long illness injury to the spleen, the middle jiao deficiency, cold evil within the birth of the stomach, or stomach yin injury, the stomach loss of moistening, and so on. The dialectic should pay attention to whether it is the external evil that violates the stomach, or whether it is caused by the disorder of internal organs. The common patterns are: ① Cold evil offending the stomach. Sudden onset of pain in the stomach and epigastric region, the pain is reduced by heat, mostly related to cold or overeating cold, white coating and stringy pulse. Treatment should be dispersed cold pain relief, the formula used Liang attached to the pill flavored. Dietary stagnation. The evidence of gastric distension and pain, belching and swallowing acid, thick and greasy coating, smooth pulse. The treatment is to eliminate food stagnation, and the formula is Baohe Pill with additional subtractions. Liver qi offending the stomach. The symptoms include distension and pain in the stomach and epigastric region, including the ribs, which is increased or decreased due to emotional fluctuations, belching and bitterness in the mouth, with white moss and stringy pulse. Treatment should be directed to dredge the liver and regulate the qi, and the formula is Chai Hu Shuo Liver San plus subtractions. (4) Liver and stomach heat. Burning pain in the stomach and epigastrium, irritability, acidity, dry mouth and throat, red tongue with yellow fur, and stringy pulse. To relieve heat and stomach pain, the formula is Huanhe Decoction. (5) Yin deficiency stomach pain. The symptoms include vague stomach pain, dry mouth, dry stool, red tongue with little moss, and thin pulse. The treatment should be to nourish Yin and harmonize the Stomach, the formula is Nourishing Stomach Tang. (6) Cold deficiency of spleen and stomach. The symptoms include stomach pain like warmth and pressure, fatigue and dullness, cold limbs and loose stools, pale tongue and weak pulse, the treatment should be warming the middle and strengthening the spleen, and the formula is Astragalus Jianzhong Tang Plus Flavor. (7) Blood stasis stomach pain. It is characterized by pain in the stomach and epigastric region that does not heal for a long time, the pain is fixed, and the pain is like pins and needles, the tongue is purple and dark with petechiae, and the pulse is astringent. Treatment is recommended to promote qi and blood circulation, resolve blood stasis and relieve pain, the formula is Lost Smile San plus flavor.