Acute pancreatitis is a common type of acute abdomen, divided into the mild acute edema type and the severe hemorrhagic necrosis type, the former being the most common clinically, and the latter being aggressive and with a high mortality rate. Therefore, the accurate diagnosis of these two types is the key to treatment. Acute pancreatitis is caused by biliary disease, heavy alcohol abuse, uncontrolled diet and certain infections, which firstly destroy the pancreatic self-defense mechanism and activate a series of pancreatic enzymes, thus causing self-digestion, vascular destruction, organ damage, tissue edema and necrosis in the pancreas and peripancreatic area. The director of the treatment of acute pancreatitis after the individual body is early fasting and gastrointestinal decompression, early prevention of infection control with antimicrobial agents, after active and effective treatment continues to aggravate the condition, we should request a surgical consultation or refer to a higher level hospital for further treatment. In Chinese medicine, it is easy to identify the disease and difficult to identify the evidence, and the treatment is based on the principle that “if there is gastric qi, one will live, if there is no gastric qi, one will die”.