Esophageal hiatal hernia can be categorized under the category of “choking” in Chinese medicine, and can be relieved with the use of traditional Chinese medicine (TCM). Symptoms of hiatal hernia include vague stomach pain, unrelenting vomiting and water retention. The treatment is based on warming the middle and strengthening the spleen, harmonizing the stomach and relieving pain. Astragalus Jianzhong Tang can be used to replenish the center of the body and benefit the qi with Astragalus in the formula. In addition, we can also use Xiao Jianzhong Tang to achieve the purpose of warming the spleen, dispersing cold, and pain relief, vomiting water is heavier, can be added with dry ginger, Wu Zhuying half summer to warm the stomach to dissolve the drink. However, not blindly with Chinese medicine, if necessary, you can be under the guidance of the doctor symptomatic medication dialectic medication, the use of the correct method of treatment, in order to improve the problem in a timely and correct in place.