Summary of case history ,The patient was an elderly female with a chronic course of disease. She presented to the doctor with the main complaint of "belching and epigastric distension for 40 years, which worsened for 3 months". The belching attack was closely related to emotion, accompanied by chest tightness, white sticky sputum, and foreign body sensation in the pharynx. The auxiliary examination showed erosive gastritis, thyroid nodules, and thyroid hormone antibodies (+). Engraved symptoms: (inspection) dark complexion, dark red tongue, thick yellow coating on the middle and back of the tongue; (listening and smelling) frequent belching and loud voice; (inquiry) she usually likes spicy, simmering, fatty, thick and greasy products, and appetite in general, poor sleep, stool once a day, formed, slightly sticky to the toilet; (pulse feeling and palpation) slippery pulse, first-degree thyroid enlargement, palpable nodules, thick abdominal wall fat, lower extremity edema. He had 3 episodes of depression in the past, diabetes for 7-8 years, and hypertension for 15 years.,TCM diagnosis, intractable belching (phlegm-qi obstruction, damp-heat accumulation syndrome), TCM disease differentiation belongs to the category of " intractable belching ", four diagnosis and ginseng, pulse disease combination, TCM syndrome differentiation is "phlegm-qi obstruction, damp-heat accumulation syndrome".,Western medicine diagnosis ,functional dyspepsia;fatty liver;chronic erosive gastritis;2 type diabetes;hypertension;thyroid nodules.,Therapeutic methods ,Patients were instructed to follow a healthy diet program, diet to lose weight, mental health education, and physical and mental treatment. The traditional Chinese medicine treatment method is to clear heat and remove dampness, and regulate qi and reduce inverse. The traditional Chinese medicine treatment method is to regulate qi and remove phlegm, clear heat and remove dampness, and reduce the inverse and stomach. The traditional Chinese medicine prescription is Xuanfu Daizhe decoction. Millet, Job's tears, adzuki beans and yam porridge are used for daily conditioning. Medicine and food are treated together, and the samples are in the same tune.,Clinical outcomes, Recovery by refractory belching.