Esophageal cancer belongs to the category of “choking and hiccups” in Chinese medicine, which has been described in detail by medical practitioners for many generations. The treatment formulas include Daxianxia Tang, Xiaoxia Tang, Xuanduodaioche Tang and Dingxiang Diaphragmatic San, etc. Esophageal cancer is mainly divided into the following types: 1. Qi-phlegm mutual obstruction type: [main evidence] poor food intake, unpleasant swallowing, belching from time to time, stuffy chest and diaphragm, accompanied by vague pain, dry mouth, light red tongue, thin white coating, thin string pulse. 2.Blood stasis and phlegm stagnation type: [main symptoms] difficulty in swallowing, pain in chest and back, or even difficulty in drinking water, vomiting after eating, vomiting like bean juice, sticky phlegm, dry stool, yellow and red urine, emaciated body, wrong skin, dark red tongue, little fluid or petechiae, yellow and white moss, thin and astringent pulse or thin and slippery 3.Qi deficiency and Yang micro: [main symptoms] advanced esophageal cancer, eating and drinking, vomiting clear saliva and foam, emaciated body, malignant quality, weakness Shortness of breath, lack of color, cold body and limbs, swelling of face and feet, light tongue, weak pulse. Chinese medicine treatment for esophageal cancer can relieve symptoms and pain, but the efficacy of tumor suppression and elimination is limited. Therefore, early and mid-stage esophageal cancer should still be treated with surgery or radiotherapy, and at the same time with TCM to reduce toxicity and increase effectiveness. During long-term recovery after surgery or radiotherapy, the application of TCM can play an important role in preventing recurrence and metastasis, improving survival quality and increasing disease-free survival period. At this time, it is better to use appropriate anti-cancer herbal medicine according to the evidence to support the righteousness.