Yu ×, male, 7 years old History: Gastroparesis for more than 1 month. The child developed gastric and epigastric pain more than a month ago after taking cold food improperly, which did not improve after several Chinese and Western medical treatments. Ultrasound showed chronic superficial gastritis and enlarged mesenteric lymph nodes. At the time of consultation, the child had a yellowish complexion, a thin body, weight loss of tens of pounds in the past month or so, little food and fatigue, holding the abdomen with both hands, showing a painful expression, preferring warmth and pressure, and getting warmth to relax, and getting pressure to reduce pain. No drum sound was heard on percussion of the abdomen. Stool once a day, light tongue, thin white coating. Diagnosis: stomach and epigastric pain, evidence: deficiency-cold type, treatment: strengthening the spleen, warming the stomach and relieving pain, prescription: self-formulated formula plus reduction, cumin 3, fried atractylodes 10, white poria 10, licorice 5, ginseng 10, wide mullein 3, fried grain buds 10, fried rice buds 10, ginger 3, jujube 6 × 4 doses (decoction in water, taken twice daily), advice not to eat cold, cold things. Second diagnosis: the pain in the stomach and epigastric region is greatly reduced, only fatigue and weakness, lower limbs are sore and soft, the tongue is red, the fur is thin and white. The above formula was reduced by mucuna pruriens and added 15g of raw astragalus, 7 doses. Third diagnosis: occasional stomach and epigastric pain, followed by the above 7 doses and healed. Note: Children with deficiency of spleen yang, and improper diet with cold and damage to spleen yang, resulting in spleen yang can not be transported, water and grain stop and not work, congestion, loss of warmth, then the stomach and epigastric pain. The child has less food and dullness, fatigue, warmth and pressure, warmth is soothing, pressure is painful, etc. are all signs of cold deficiency, so we give cumin to warm the middle and dispel cold, princeton ginseng, atractylodes, white poria, ginger, red dates, sweet warmth and tonic middle, wide wood fragrance to move qi and relieve pain, fried grain bud, fried wheat bud to eliminate food and harmonize the middle. Together, it can warm the middle and regulate the spleen, regulate qi and harmonize the stomach.