Summary of case history, Fang, female,87 years old, went to the hospital because of "pancreatic carcinoma 1 months". On September 15, 2021, she went to a doctor at Nanjing Drum Tower Hospital because of yellow sweat all over the body two months. CT showed: Occupation of uncinate process area of pancreatic head, local wrapping of superior mesenteric artery and vein, intrahepatic and extrahepatic bile duct dilatation, considered as malignant ones. Multiple cysts of liver. Multiple small lymph nodes in abdominal cavity and retroperitoneum. She was diagnosed with "pancreatic carcinoma". No operation, radiotherapy and chemotherapy. On September 30, 2021, she underwent "gastrointestinal anastomosis + choledochojejunostomy" and then jaundice subsided.,TCM diagnosis, pancreatic carcinoma (the appearance of phlegm, damp, blood stasis, and cancerous toxin, spleen qi deficiency syndrome).,Western medicine diagnosis ,pancreatic carcinoma (Ⅳ), hypertension grade 2.,Therapeutic methods, Traditional Chinese medicine take invigorating spleen and Qi, resolving phlegm and removing dampness, removing blood stasis and detoxification, combined with Tegafur monotherapy.,Clinical outcomes, After taking the medicine, the patient physical strength is better, many discomfort are relieved, tumor index decreased and the patient's condition is now stable.