Atrophic gastritis in old age prescription is useless, patients should be standardized treatment under the guidance of professional physicians. Atrophic gastritis is a kind of gastric mucosa inherent glandular atrophic gastric disease in elderly patients, the development of this disease is mostly related to Helicobacter pylori infection, bile reflux, drug influence, autoimmune diseases. Due to the individual differences in the patient’s condition, clinically there is not a specific prescription for all patients, the so-called prescriptions are false and useless to the patient. For elderly patients with atrophic gastritis, the cause of the disease needs to be clarified first, and the treatment of the cause is effective. If Helicobacter pylori infection caused by elderly atrophic gastritis, patients need to apply drugs, currently commonly used quadruple program, a proton pump inhibitor + two antibiotics + a bismuth; such as bile reflux caused by the elderly atrophic gastritis, the need to use gastrointestinal dynamics of the drug treatment; some patients with serious conditions can be accompanied by cancer, the need for timely surgical treatment. If the diagnosis of old age atrophic gastritis is confirmed, it is recommended to consult a doctor in a timely manner to clarify the cause of the disease and target treatment under the guidance of the doctor.