(Disclaimer: This article is for general use only. In order to protect patient privacy, the information in the following content has been processed) Abstract: Master Du, 79 years old, had vague pain in the right upper abdomen for 4 days, accompanied by weakness, nausea and vomiting, poor appetite, loose stools, clear and long urine, and coldness in the waist and knees. After 3 weeks of treatment, Mr. Du’s abdominal pain improved with good clinical efficacy and did not recur after follow-up. The treatment plan was based on Chinese herbal medicine (Radix et Rhizoma, Radix Codonopsis, Rhizoma Atractylodes, Radix Ginger, Poria, Radix et Rhizoma Glycyrrhizae, Orange Kernel, Lychee Kernel, Jiao Sanxian, Chen Pi, Sha Ren). He complained of vague pain in the right upper abdomen with no obvious cause 4 days ago, which increased in the afternoon and at night, with warmth, weakness, nausea and vomiting, poor appetite, loose stools, clear and long urine, soreness and coldness of the waist and knees, pale tongue, thin white coating, and sunken pulse, etc. On examination, the right upper abdomen was positive for pressure pain and Murphy’s sign was positive. Magnetic resonance imaging of the upper abdomen suggested multiple gallbladder stones and cholecystitis, and the Chinese medicine diagnosis was Taiyin evidence. After identifying the causative factors and giving informed consent, the patient was given treatment to warm the Yang and dispel cold, tonify the Qi and strengthen the spleen. After 2 days, the patient’s abdominal pain was relieved, his spirit improved, his physical strength gradually recovered, and the weakness of his back and knees was relieved, and his stools were formed and light yellow in color. After 1 week of standardized medication, the patient’s symptoms improved significantly, no more abdominal pain and discomfort, food intake, night sleep, and normal bowel movements, and the condition basically improved after 2 weeks of taking the original formula without recurrence. After 2 days, the symptoms of Yang deficiency such as vague abdominal pain and loose stools were alleviated, but the weakness of the waist and knees was obvious, so the patient was given less Radix Aconiti; after 4 days, the weakness of the waist and knees was relieved, and the weakness of the spleen and poor appetite appeared, so the patient was given Jiao Sanxian, Chen Pi and Sha Ren to strengthen the spleen and benefit Qi, and orange kernels and lychee kernels to remove the liver and disperse nodules, move Qi and relieve pain to reduce the lower abdominal cramps. 1 week later, the patient’s symptoms were basically relieved. After 1 week, the patient’s symptoms were basically relieved. The patient’s condition was controlled and stabilized without recurrence for a total of 3 weeks of treatment. After discharge from the hospital, do not eat greasy food to avoid aggravating the condition by promoting bile secretion. Patients should take a light diet, do not smoke or drink alcohol, maintain a healthy lifestyle, and exercise in moderation to help patients improve their health and recover. V. Personal insight Taiyin evidence refers to a type of disease characterized by cold deficiency, that is, whether it is a cold, cholera, pneumonia, coronary heart disease, hepatitis, etc., if a series of symptoms such as abdominal fullness and vomiting, inability to eat, and abdominal pain at times, similar to the patient in this article, is called Taiyin evidence, and its onset also has a certain relationship with the patient’s dietary habits. If eating cold food, easy to cause abdominal discomfort and loose stools and cause Taiyin deficiency cold, often manifesting spleen and stomach Yang deficiency and cold and damp symptoms, care should avoid eating cold fruits, drinks, etc., easy to damage the spleen Yang, spring and summer, the damp season, you can eat some yam, coix seeds, poria, white lentils and other foods to strengthen the spleen and damp.