Biliary reflux gastritis is a syndrome caused by loss of pyloric function or incomplete closure of the pylorus that causes bile to flow back into the stomach, causing epigastric distention, pain, vomiting bile, bitter mouth and even weight loss as the main clinical manifestations, commonly seen in patients after gastric resection, gastrointestinal anastomosis, vegetative nerve disorders, belongs to the category of gastric pain, gastric gangrene and acidity in Chinese medicine. The human body is an organic whole, the internal organs are closely related to each other, so although the location of the disease is in the stomach, but its pathogenesis and liver, spleen, bile, intestines and other organs are very close, the author in the clinical evidence based on the different clinical symptoms of the disease combined with its related internal organs, respectively, the use of liver dredging and descending, spleen and stomach, bile and stomach, guide the stagnation through the internal organs four methods of treatment, the efficacy is satisfactory, is not superficial, briefly described below. 1, dredge the liver to lower the rebellion method This method is applicable to bile reflux gastritis with gastric distension and pain, pulling the two sides as the main clinical symptoms. The liver is the general’s official, the strike pole of the book, its nature is strong, the main drainage. If you are worried, depressed and angry, and your emotions are not in order, the liver loses its drainage, and the stomach is offended, and the stomach is congested and reversed, then the disease will develop. The people’s disease of stomach and epigastric when the heart and pain”. This type is often triggered by emotional disorders. In addition to the manifestations of gastric distension and pain, belching and eructation, vomiting of sour water, pale red tongue, thin white fur, slippery pulse, and other manifestations of loss of harmony of stomach qi, it can be accompanied by mood discomfort, sullenness or irritability, pain in the chest and hypochondrium, and stringiness of the pulse, etc. The treatment should be based on the method of draining the liver and lowering the rebellion. This method is suitable for those with bile reflux gastritis in which the main clinical symptom is fullness and discomfort in the stomach and epigastric region. The “Evidence and Treatment Huiwai – Plumpness” points out that “generally speaking, the stuffiness under the heart must be due to the deficiency of the spleen and stomach, the turbidity and phlegm, which cannot be transported and transformed”. The spleen is responsible for transportation and transformation, and the stomach is responsible for absorption, living together in the middle of the continent, as the epitome of each other, a rise and a fall, together to complete the reception and digestion of food and absorption. If the spleen and stomach are weak, the middle qi is not enough, or hunger and satiety are not uniform, the diet is not in order, or the long illness surgery, after the disease is not nourished can cause the spleen and stomach weakness, health and transportation failure, phlegm turbid internal growth, the qi is not conducive to the birth of this disease. The clinical manifestations of this type of patients are fullness and discomfort in the stomach and epigastric region, aggravated after eating, tiredness and fatigue of the limbs, lack of aroma of food, lack of color, lazy speech, discomfort in the throat in the morning, or even vomiting, light red tongue, thin white moss, and slow and weak pulse. Treatment should be based on the method of strengthening the spleen and tonifying the middle, with the formula of Si Jun Zi Tang combined with Xuan Fu Dai Ochre Tang. 15g of Radix Codonopsis, 15g of Atractylodes Macrocephala, 15g of Poria, 15g of Astragalus, 6g of roasted licorice, 10g of Semen Aconite, 10g of Xuan Fu Hua (decoction), 6g of Pericarpium Citri Reticulatae. 10g of Fructus Foetida, 10g of Neem, 10g of Yan Hu Suo if with vague pain in the stomach and epigastrium, 30g of Calcined Walangzi if with panacidity, morning sickness. 3.Clear bile and stomach method This method is suitable for bile reflux gastritis with burning in the stomach and epigastric region, vomiting acid and bitter water as the main clinical symptoms. The bile is the “internal organs of the essence”, which contains bile and is attached to the liver. If the liver is drained and the bile is excreted normally, then the spleen and stomach are in order, and the spleen and stomach are receiving and transporting properly. If the liver loses its circulation due to emotional disorders, the bile is stagnant and turns into heat; or if the diet is not proper, dampness and heat are contained within and burn the liver and gallbladder; or if the bile channel is out of order due to surgical trauma, the bile is depressed and heat is formed, which can lead to internal bile heat, the bile excretion does not follow the normal path, and the disease arises in the stomach. Therefore, “Ling Shu – Four Seasonal Qi” says: “Evil in the bile, rebellious in the stomach, bile liquid drainage, then the mouth bitter, stomach gas rebellious, then vomiting bitter”. Clinical symptoms include burning heat in the stomach and epigastrium, burning heart and chest, dry and bitter mouth, vomiting of sour and bitter water, nausea, vague pain in the ribs, reddish tongue, thin yellow or greasy coating, and string or number of pulse. The treatment is to clear the gallbladder and stomach. The formula is Artemisia Baicalin and Qing Gallbladder Tang combined with Yulian Pill plus and minus, with 15g of Scutellaria Baicalin, 6g of Huang Lian, 10g of Jiao Shan Gardenia, 10g of Zhu Ru, 10g of Citrus Aurantium, 10g of Han Xia, 2g of Wu Ju Ju, 15g of Poria, 5g of Chen Pi, 15g of Persimmon, 15g of Aconite. 12g of Yan Hu Suo is added if the stomach pain is obvious, 3g of Yu Die and 6g of Sheng Gan Cao are added if the throat pain is accompanied by dullness and yellowish moss. The method is applicable to bile reflux gastritis with constipation as the main clinical symptom. The Su Wen – Ling Lan secret code theory said: “large intestine, the conductor of the official, change out of the”. The normal excretion of bile is not only dependent on the drainage of liver qi and the elevation of the spleen and stomach, but also related to the conduction changes of the large intestine, according to the author. The conduction changes of the large intestine is the continuation of the main function of the stomach, and the abnormal transmission and transformation of the large intestine can lead to dereliction of duty of the spleen and stomach, affecting the normal excretion of bile. If over-eating fat, sweet, spicy, internal heat; or lung heat, lung heat to intestine; or liver and spleen depression, or like to sit less mobile, can make the intestines and bowels heat stagnation, abnormal transmission and transformation, gastric gas rebellion, bile does not follow the normal path and the development of the disease. This type of patients with constipation as the main clinical symptoms, often accompanied by abdominal distension and fullness, abdominal tapping, belching and acidity, dark red tongue, yellowish brown moss, sunken string or sunken strong pulse and other symptoms. The treatment is to guide the stagnation and clear the bowels as the method, the formula is selected Xiao Cheng Qi Tang plus flavor, the medicine with raw rhubarb (later into) 10g, Citrus aurantium 10g, Citrus aurantium shell 12g, Chuan Park 10g, the system of half asia 10g, squid bone 15g, dandelion 30g, raw licorice 6g. if accompanied by epigastric pain, add Yan Hu Suo 12g, Jiuxiang worm 6g, feces dry knot difficult to go down, add hemp 15g, Gua Lou Ren 15g, the abdominal attack very add raw white peony 15g.