Puffiness in the face of the elderly can have both pathologic and physiologic factors. Pathologic causes require medication and other treatments. Physiologic causes need no special treatment. 1. Pathological factors: (1) Kidney diseases: when suffering from certain kidney diseases, such as nephritis, in addition to the symptoms of facial swelling, there are clinical manifestations such as hematuria, proteinuria, hypertension and so on. Medications should be applied, such as captopril and other drugs. (2) Liver diseases: certain liver diseases can also cause facial swelling, such as hepatitis. When suffering from hepatitis, liver cells are damaged due to various pathogenic factors, which causes clinical manifestations such as facial swelling, abdominal distension, nausea and vomiting. Hepatitis should be treated individually, and commonly used drugs include glycyrrhizic acid preparations. (3) other diseases: such as heart failure patients, can also have the manifestation of facial edema, take cardiotonic, diuretic, vasodilator treatment. 2. Physiological factors: when the elderly drink too much water or consume too much salt, it will also cause facial edema, when reduce the amount of water and salt intake, this situation will improve, no special treatment. When the elderly face swelling, should go to the hospital in time to find out the cause of the disease, so as not to delay the next step in the treatment.