Abstract of medical history,　The patient was admitted to the hospital with "more than 14 years of hemodialysis, 1 year of continuous epigastric distension and pain, and half a month of aggravation". Four diagnosis information: The patient is clear in spirit, general in spirit, chronically ill, medium in size, weak in physique, dark in red, dark in lips, red in eyes, and tired in appearance. He had hoarse voice, clear vomit and normal thinking. He could answer questions to the point, and describe the symptoms of the disease in detail, complain of epigastric distension, accompanied by epigastric cold, nausea, vomiting, and fatigue, which are often aggravated after catching cold. His abdomen was flat and soft, without tenderness and rebound pain, the muscle tension of the limbs was grade I, and the pathological reflex was not led out. His tongue was old and thin, the coating was yellow and greasy, and the pulse was sink, thin and stringy (the right hand takes the pulse, but the left hand has internal arteriovenous fistula interference, so it is impossible to take the pulse).,TCM diagnosis,　Epigastric Fullness(Combined Disease of Shaoyang and Shaoyin).,Western medicine diagnosed,　Digestive system complications of maintenance hemodialysis(abdominal distension).,Intervention measures,　In addition to routine treatment, traditional Chinese medicine is treated with the method of reconciling Shaoyang and warming yang to relieve pain, adding or subtracting MahuangFuziXixin Decoction and Xiaochaihu Decoction, and then adding or subtracting Zaizao San and Xiaochaihu Decoction.,The curative effect turned to that,　After taking the Chinese herbal decoction, all symptoms were relieved, and during the follow up, there was no recurrence of symptoms and other discomfort symptoms.