Summary of case history,　Shi mou, male, 58 years old,office clerk, 3 years ago, the epigastric pain appeared after the Irregular eating ,which became obvious after eating, without systematic diagnosis and treatment during the period. 1 month ago, the epigastric pain was aggravated without obvious inducement, accompanied by burning sensation, belching and other symptoms, so he went to our hospital.On November 19, 2020, electronic gastroscopy examination in Tianjin Medical University General Hospital showed that the nature of gastric ulcer was to be determined.Chronic gastritis.The patient refused a biopsy.Because of the swelling lesions around the ulcer under the microscope,On November 23,2020,electronic ultrasound endoscopic examination showed that the nature of gastric ulcer was to be determined.Chronic gastritis;Barrett esophagus?The onset of the patient is the beginning of Winter , cold is Yin evil, with the nature of shrinkaging, stagnation, and because of the patient's long-term spleen and stomach deficiency, dampness comes from the stomach,cold and wet phase concurrently.In the clinical treatment of petic ulcer, Professor Liu Qiquan focuses on the effects of climate change on the human body.Based on the "Jiedian theory", the disease can be cured if the law is in season and adjusted in time.The treatment of this case focuses on the combination of solar terms and provides new reference for the treatment of petic ulcer disease in the future.,Four diagnostic methods information,　Now discontinuous epigastric pain, stomach distention, accompanied by burning feeling, belching, poor appetite, poor sleep,stool 1 time a day, forming.The tongue is dark, the moss is white and greasy, and the pulse is string slippery.,TCM disease and syndrome,　Stomach pain,TCM treatment,　dissipate cold and dispel damp evil and relieve the stomach pain,TCM diagnosis,　cold dampness trapped spleen syndrome type,Western medicine diagnosis,　gastric ulcer(A2 period),Therapeutic methods,　Traditional Chinese medicine intervention,Clinical outcomes,　After TCM intervention,the patient complained that her symptoms were significantly improved,epigastric pain, stomach distension, belching and other symptoms disappeared, the insomnia were improved, the tongue light, thin moss, pulse string slippery.TCM treatment was continued.,Suitable for reading majors,　TCM internal medicine spleen and stomach disease direction; The direction of digestive system diseases in clinical internal medicine of traditional Chinese and western medicine.