The main symptom of peptic ulcer is pain in the stomach and epigastric area, which is classified as “stomach pain”, “fullness”, “regurgitation” and “noisy” in Chinese medicine. The category of “noisy”. The evolution of the pathogenesis is more complex and often involves multiple internal organs. The loss of gastric qi and unfavorable qi flow and loss of gastric moistening is the main pathogenesis of gastric pain and gastritis gastric ulcer, often related to the liver and spleen and other viscera. At the beginning of the ulcer, the lesion of a single viscera, long will interact with each other, from the real to the deficient, false and mixed, and delayed. Clinically, external evil, food stagnation, qi stagnation, heat depression, blood stasis, damp obstruction and so on are mostly real evidence; spleen and stomach deficiency cold, stomach yin deficiency and so on are mostly deficiency evidence. The symptoms of peptic ulcer can be combined and transformed into each other; for example, from actual to deficiency, or from deficiency to actual, mixed with deficiency and actual; or from cold to heat, mixed with cold and heat; from blood deficiency due to qi stagnation; or from qi stagnation due to blood stasis blocking qi flow. The treatment of peptic ulcer in Chinese medicine is often based on the rationalization of qi and stomach pain, and the examination of the evidence for the cause and the treatment of the cause. The actual evil is urgent to get rid of the evil, the deficient to support the positive first, the deficient mixed with the actual should be evil and positive. As the saying goes, “if you don’t pass, it hurts; if you pass, it doesn’t hurt”, in the dialectical treatment, we should understand and apply the “pass method” in a broad sense. Dispersing cold, eliminating food, regulating qi, relieving heat, resolving blood stasis, removing dampness, nourishing yin, and warming yang can all play a role in “pass”. In addition to examining the causes of the disease, we should also use pungent and qi-regulating herbs to achieve the effect of “no pain if you pass through”. Chinese medicine treatment 1, liver qi offending stomach type – the treatment is to dredge the liver, regulate qi and harmonize the stomach, commonly used formulas are Chai Hu Shu Liver San and Si Wei San. 2, Spleen and stomach deficiency cold type – treatment is to warm Yang, benefit Qi and build the middle, commonly used formula is Huang Qi Jian Zhong Tang, Xiang Sha Liu Jun Zi Tang, etc. 3, Yin deficiency and stomach heat – the treatment is intended to nourish Yin and benefit the stomach, commonly used formula is Yixing Stomach Tang, Sha Shen Mai Dong Tang, etc. 4, liver and gallbladder disharmony – the treatment is to harmonize the liver and gallbladder, commonly used formula is Zuo Jin Wan, Han Xia Di Xin Tang, etc. 5. Stagnation of blood and blood stagnation-The treatment is to activate blood and remove blood stasis. 6, deficiency of stomach yin – treatment to nourish stomach yin method, commonly used formula for nourishing stomach soup, Liu Wei Di Huang Tang, etc. 7. Excessive acidity of the stomach-The treatment is to control acidity by astringent method, commonly used formula is Wu Bei San, etc.