This article summarized and arranged the clinical experience of Mr. Bian Songjing differentiation and treatment of chronic atrophic gastritis with intestinal metaplasia. It is believed that the deficiency of Zhongyang and phlegm stagnation and blood - stasis are the etiology of this disease, and warming and nourishing Zhongyang and activating blood analgesia are the therapy of this disease. This disease can be classified into deficiency and cold of Zhongyang, deficiency and stagnation of qi, cold-coagulation blood-stasis and deficiency of both qi and yin. A proven case was listed.