A 68 year old male patient with maintenance hemodialysis for more than 10 years developed persistent abdominal distension and pain without obvious inducement, accompanied by chest tightness and nausea. After the treatment in other hospitals was ineffective, he went to our department for treatment with "abdominal pain for 13 days, aggravating for 4 days".TCM diagnosis(Main disease and Main syndrome): Epigastric fullness (Combined disease of Shaoyang and Yangming), and applied Da Chaihu Decoction; After taking the traditional Chinese medicine decoction for 6 days, all symptoms were relieved. Maintenance hemodialysis patients have special physique, In this case, the author grasped the patient's clinical symptoms, based on the three factors, dialectically identified the syndrome as Diagnosis and Treatment of Epigastric Fullness(Combined disease of Shaoyang and Yangming), and replaced the Bupleurum-Scutellaria that reconciles Shaoyang with Bupleurum- Glossy privet fruit-Prunella vulgaris to better adapt to the patient's conditions, It provides a new idea for the treatment of digestive system complications of maintenance hemodialysis with traditional Chinese medicine.,Summary of case history, The patient had been on maintenance hemodialysis for more than 10 years. He was hospitalized because of "abdominal pain for 13 days and aggravating for 4 days" ,Four diagnoses of traditional Chinese Medicine, The patient's face is dark yellow and has a chronic appearance. It can be seen that he often feels cold and trembles, and is restless; complain of abdominal pain for 13 days, aggravating for 4 days, constipation for 7 days, desire to defecate but he can't, farting stinks, long-term insomnia, difficulty in falling asleep, dreamy and easy to wake up; the tongue is white and greasy, there are red cracks in the middle of the tongue, the tongue coating is thin and yellow, and the string-like pulse.,TCM diagnosis, Epigastric Fullness (Combined disease of Shaoyang and Yangming); Concurrent disease and syndrome:Insomnia (stagnation of liver Qi), Constipation (Constipation due to Qi obstruction).,Western medicine diagnosis, Digestive system complications of maintenance hemodialysis (abdominal distension).,Therapeutic methods, Omeprazole was stopped, the traditional Chinese medicine treatment take Reconciles Shaoyang, Attacks pathogenic factors and relieves bloating, and Nourishes Yin for stomach and Da Chaihu Decoction was added or subtracted.,Clinical outcomes, All symptoms were relieved after taking the traditional Chinese medicine decoction for 6 days. The patients were followed up for 3 months without recurrence of symptoms and other discomfort symptoms.