Chronic atrophic gastritis with erosion requires, first of all, H. pylori killing treatment. The main treatment for erosion is to give acid suppressants, gastric mucosal protectors, and acid neutralizing drugs. There is no good western medicine for chronic atrophic gastritis, and the choice of gastroscopy follow-up time is mainly based on the severity of intestinal atypical hyperplasia. Traditional Chinese medicine, through evidence-based treatment, focuses on symptoms such as gastric and epigastric pain, spleen distension and fullness, combined with other concurrent evidence and the overall situation, identifying cold, heat, deficiency and actuality, in the qi, in the blood and visceral disease location, is also able to reverse chronic gastritis to chronic superficial gastritis.