(Disclaimer: This article is for general use only. To protect patient privacy, information in the following content has been processed) Abstract: A 30-year-old young adult presented to the clinic with symptoms such as hunger at night and stomach pain after eating during the day. After understanding that the patient had chronic gastritis in the past and also did not undergo standard treatment due to his work, he always ate take-out on weekdays. Gastroscopy was given to show that the patient had duodenal ulcer, chronic atrophic gastritis, and reflux esophagitis. At the same time, according to his tongue and pulse, Chinese medicine identified the evidence of stomach yin deficiency, so he was given herbal soup treatment, and eventually his discomfort improved. [Basic information] Male, 30 years old [Disease type] Stomach Yin deficiency [Hospital] Dongzhimen Hospital, Beijing University of Traditional Chinese Medicine [Consultation date] June 2019 [Treatment plan] Chinese herbal soup (Dai Ochre, Cuttlebone, Raw Oyster, Dendrobium, Yu Zhu, Lu Gen, Mai Dong, Atractylodes, Radix Codonopsis, White Lentil, Huang Lian, Dandelion, Puzzle Nut, Coix Seed, Poria) [Treatment period] 20 days of treatment, 3 months Follow-up 【Treatment effect】Improvement of discomfort I. Initial consultation A young man with a strong body type came to the clinic and reported that he had eaten take-out and drank carbonated drinks for convenience since he started working. Six months ago, he began to experience nighttime hunger without abdominal pain, bloating, acid reflux, belching, etc. Recently, the patient felt that his hunger at night had increased and he was unable to sleep and needed to eat before going to sleep. During the daytime there were no symptoms of abdominal pain, bloating, or vomiting. Recently, symptoms of acid reflux and heartburn occurred, and sometimes abdominal pain after eating, but the symptoms were mild. The patient has a normal temperature, no history of diabetes or hypertension, drinks less alcohol and smokes less, eats well, and has normal bowel movements. According to the patient’s symptoms, gastroscopy was given and the diagnosis was duodenal ulcer, chronic atrophic gastritis and reflux esophagitis. The patient’s tongue was observed to be red, with thin, yellow and greasy coating, and the pulse was stringy and slippery. The Chinese medicine diagnosis was gastric yin deficiency, so the Chinese herbal soup treatment was selected based on the evidence, and the drugs included daidai ochre, cuttlebone, raw oyster, dendrobium, yu zhu, rhizome, maitong, atractylodes, dang ginseng, white lentil, yellow lily, and dandelion. At the second consultation, the patient’s nighttime hunger was reduced, heartburn and acid reflux were alleviated, occasional stomach pain after eating occurred, the tongue changed from red to light red, the yellowish coating of the tongue was reduced, and there was no significant change in the pulse, so the treatment continued with the original formula. At the third consultation, the patient’s symptoms of discomfort basically disappeared and the symptoms of stomach pain after eating disappeared during the day. As the patient had drooling in bed, in order to solve this situation and to consolidate the therapeutic effect, the rehmannia root, maitake and yu zhu were removed from the formula, and puzzle nuts, coix seeds and poria were added. III. Treatment effect According to the patient’s symptoms and signs, the herbal treatment was discriminated, in which daidai ochre and cuttlebone had the effect of stopping acidity, dendrobium and yu zhu could clear heat and nourish yin, white atractylodes and dang ginseng could strengthen the spleen and stomach, while huang lian and dandelion could be bitter and cold to clear and descend. The subsequent addition of puzzle nut, coix seed and poria have the effect of warming the spleen and ingesting saliva, strengthening the spleen and promoting dampness. Therefore, a return visit was made after the patient had taken the last dose of herbs for 3 months, and it was learned that the patient’s symptoms of hunger in the middle of the night had now disappeared, normal sleep had resumed, the drooling in bed had been cured, and the symptoms of acid reflux and heartburn during the day, as well as stomach pain after eating, had been relieved. 4. Precautions We are glad that the patient’s stomach discomfort has been relieved after treatment, but to maintain the treatment effect, the patient should pay attention to the following points in life: 1. In terms of diet, we should reduce the number of take-out meals, try to develop the habit of cooking for ourselves, focus on a light diet, avoid eating spicy and stimulating, greasy food, such as hot pot and spicy hotpot, and avoid overeating and eating too late. 2, in daily life, to quit smoking, quit drinking, develop good habits, avoid strain, stay up late, and keep a happy mood. In addition, you can do appropriate physical exercise according to your own situation, such as jumping rope, etc. V. Personal insight The cause of this patient’s illness is related to his poor lifestyle habits, such as long-term take-out and staying up late to increase the burden on the patient’s gastrointestinal tract. Due to the patient’s previous chronic gastritis and his unchanged work and rest, the disease progressed to duodenal ulcer. If the disease remains untreated, it may further aggravate and even cause duodenal perforation and chronic blood loss. For treatment, both Chinese and Western medicine can effectively control the disease, while maintaining good lifestyle habits and a healthy diet can reduce the chance of recurrence. In addition, regular review of gastroscopy is also an important means to prevent the recurrence of the disease, and patients are recommended to review once a year.