Pre-meal stomach pain is mainly mealtime stomach pain, commonly known as hunger stomach pain. The main disease of hunger stomach pain is duodenal ulcer, duodenal ballooning is more common. Western medicine should give acid suppressants and mucosal protectors, while Chinese medicine will give Chinese medicine evidence-based treatment. Generally speaking, this condition is divided into Qi deficiency stomach pain, blood deficiency stomach pain, Yang deficiency stomach pain, and cold-heat mixed type of stomach pain. The corresponding Chinese medicine and TCM diagnosis treatment can be given respectively. Western medicine treatment in this area is mainly for the cause of ulcers in the duodenal bulb, which is common. This is often given PPI drugs such as omeprazole, rabeprazole, lansoprazole, esomeprazole and other treatment, and then given mucosal protective agents, mucosal protective agents such as bismuth, such as thioglycollate, such as rehabilitation of new liquid to give treatment to restore the mucosa, repair ulcers.