n patient, male, 66 years old, recurrent epigastric noisy discomfort for three years, has performed five times gastroscopy, only shows chronic superficial gastritis with mild intestinal epithelial hyperplasia, the patient has been repeatedly treated in a famous tertiary hospital in a province for three years, the use of Chinese and Western medicines have been used, usually pay great attention to dietary regulation, maintenance of the stomach, but the symptoms persist, this is very distressing, referred to the psychology department. nAnalysis: The patient had a conflict with a neighbor about making a house before the disease and was very angry, but the patient is usually a timid and fearful person who is not good at expressing emotions, so this anger could not be expressed normally and projected inward, attacking himself and showing symptoms of stomach discomfort. nPersonality measurement showed that the patient had a neurotic obsessive-compulsive personality and a particularly high dysthymia score, so his symptoms also had an element of acting out, and the more concerned the family was, the more severe it might be. The obsessive-compulsive personality indicated his pursuit of details in doing things, double-checking and checking, excessive pursuit of perfection, indecision, and severe internal insecurity. His personality could further explain his experience of repeatedly seeking medical treatment. The patient has been treated repeatedly for three years in a famous tertiary care hospital in a province, and has used all the Chinese and Western medicines, and usually pays great attention to diet regulation and maintenance of the stomach, but the symptoms persist, which is very distressing. He was referred to the psychology department. The patient has been treated repeatedly in a famous tertiary care hospital in a province for three years, and has used all the Chinese and Western medicines.