Li, male, 55 years old. He has been suffering from erratic reflux for 3 years and has been treated in Gansu, Ningxia and Qinghai for many times. Gastroscopy indicated chronic atrophic sinusitis combined with bile reflux and fundic erosion and abdominal ultrasound indicated chronic cholecystitis. He was treated with Western medicine such as gastrofacial, morpholine, mosapride and Chinese medicine such as spirulina ochre soup, butternut and persimmon, 654-2 injection in the foot, and buried threads in the foot and Neiguan acupuncture points, etc., all to no avail. Each attack can only be relieved by drinking half a kilogram of white wine or 8 pounds of hot boiling water. The symptoms include fullness and distension of the abdomen, high-pitched erratic sound, uncontrollable, stagnant food, loose stools, once or twice a day, pain in the abdomen, fat tongue with teeth marks on the side, dark and light red quality, petechiae with petechiae, thin white slippery coating, and thin and astringent pulse. This case was diagnosed as liver-depression, spleen-deficiency, cold-dampness and stasis, and internal movement of deficiency wind. The medicine includes 10 grams each, 15 grams each of fried white peony, fried atractylodes, danshen, hen’s nest, ochre (first decoction), betony, squid bone, 6 grams each of galangal and silkworm, 3 grams of Cornus officinalis, 30 grams of fried malt. 7 doses, one dose per day, with water decoction. He was also advised to stop smoking, alcohol, cold and stimulating food, reduce water intake and keep the abdomen warm. Seven days later, he came to the clinic again and reported that his condition was significantly relieved after the medicine, the episodes could be relieved by placing a hot water bag on the abdomen, the number of episodes was reduced, the duration was shortened, the stool was formed, the tongue was fat with tooth marks on the side, the quality was light and dark red, the moss was thin and white, and the pulse was thin. Then on the basis of the above, add 15 grams of Radix et Rhizoma Ginseng and Radix Astragali, 30 grams of Poria and Coix seeds to strengthen the spleen and dampness. Then take 7 doses. Half a month after the third visit, complained that the symptoms basically disappeared after the medicine. 3 months after the follow-up, no more episodes of erratic rebellion. In the above case, according to Ye Tianshi’s “long-standing disease into the ligament theory”, the patient was considered to have internal obstruction of blood stasis and should be treated with blood-vitalizing and blood-clearing drugs. From the viewpoint of the pathological mechanism of erratic flow, it is due to the loss of harmony and descent of the stomach, the stomach Qi rebellious, rushing to the diaphragm, with the clinical characteristics of erratic sound in the throat, short and frequent sound, people can not control it, when it is a Chinese medicine “wind” move the symptoms, the treatment should be added to calm the liver and quench the wind products, so the effect. This shows that the method of quenching the wind and activating the blood, lowering the rebellion and stopping the erratic has obvious efficacy on the stubborn erratic, similar patients can try. Of course, there are many causes of erratic reflux, for continuous uninterrupted erratic reflux, attention should be paid to exclude liver cancer, esophageal cancer, gastric cancer and other digestive tract tumors.