Abnormal esophageal dynamics due to diabetes mellitus occur mainly in patients with severe diabetes mellitus with coexisting nerve damage. The cause of this is not known. It has been suggested that the most characteristic diabetic esophageal lesion is Candida esophagitis. Most diabetic patients with abnormal esophageal function have no clinical symptoms. Commonly, patients complain of heartburn and epigastric discomfort, and dysphagia is relatively uncommon. In patients with dysphagia, it is important to pay attention to organic esophageal lesions and Candida esophagitis. The diagnosis of this disease is mainly based on the history of diabetes mellitus, combined with clinical diagnosis. The main examination methods are barium esophagogram and esophagoscopy. For those who are suspected of having Candida esophagitis, culture of pharyngeal secretion mycobacteria can be performed. For those who have more pronounced dysphagia, attention should be paid to exclude the possibility that it is caused by anxiety, depression and other mental factors. After diagnosis, the treatment is divided into two main areas, one is western medical treatment: the principle of treatment is to actively control diabetes, with the control of diabetes, the esophageal dynamic state can be improved. For patients without esophageal symptoms, no treatment is needed. For those with heartburn, antacids such as aluminum hydroxide can be tried; for those with dysphagia, gastroflucan fire morpholine can be tried; for candida esophagitis with positive bacterial culture, ketoconazole can be used as treatment. The second is Chinese medicine treatment: Chinese medicine will be classified as choking, the cause of the disease is mostly worry and depression, causing qi and blood stagnation, accumulation and stasis, so that the fluid does not pass, gathered into disease; or because of long-term disease and kidney yin, essence and blood withered, can not be on the help, esophagus dry, difficult to enter the diet, the formation of the disease. The disease is located in the esophagus, and its basic pathology lies in qi junction, phlegm obstruction, blood stasis and fluid deficiency. 1, phlegm and gas obstruction: the main symptoms are obstruction of swallowing, chest and diaphragm fullness, dry mouth and throat, thin body, difficult and astringent stools, red tongue, and fine pulse. Treatment is appropriate to open the depression and moisten dryness, commonly used formula: Kai Diaphragm drink (Sha Shen, Poria, Dan Shen, Chuan Bei, Yu Jin, sand, lotus leaf, etc.), five juice Anzhong drink (leek juice, buttermilk, ginger juice, pear juice, lotus root juice), rhubarb licorice soup (rhubarb, licorice), the above three parties, all have the function of opening the depression and moisten dryness, Kai Diaphragm drink for opening the depression and moisten dryness first formula, biased in the gas depression into fire, compartment phlegm depression, fluids do not pass the symptoms. Five Juice Anzhong Drink nourishes the stomach and moistens dryness, harmonizes blood and resolves blood stasis, favoring those with stomach heat and fluid injury. Rhubarb and licorice soup, clearing the stomach and dipping fire, focusing on bitter-sweet Yin to drain heat, used for stomach heat and fire, esophageal dryness and astringency. 2, internal stasis of blood: the main symptoms are pharyngeal discomfort, pain in the chest and diaphragm, vomiting after eating, or even choking when entering water, thin and dry, red tongue with little fluid or blue tongue, thin and astringent pulse. Treatment is to nourish the blood and promote blood stasis. Herb: Tong Yu Tang (Sheng Di, Shu Di, Tao Ren, Hong Hua, Angelica Sinensis, Glycyrrhiza glabra). Dysphagia is only a clinical symptom, and the causes are very complicated. When dealing with the symptoms, we should carefully identify the cold, heat, deficiency and reality, and treat both the symptoms and the root cause in order to receive better results.