This paper analyzes the reasons why the refractory gastroesophageal reflux disease is hard to treat. It is considered that part of them is the wrong treatment due to the wrong diagnosis,but most of them are mistreatment due to the wrong direct of treatment. The main contradiction of gastroesophageal reflux disease is not the over secretion of gastric acid,but the wrong distribution of gastric acid,which is called acid dislocation. The acid suppression therapy only reduces the acidity of reflux content, but shows no effect on reflux. In essence,except the minority of reflux caused by structural factor,the gastroesophageal reflux disease is a disease due to gastrointestinal dynamic disorder. The methods of western medicine in regulating the gastrointestinal motility are limited,while Chinese medical acupuncture therapy shows obvious advantages and is worth further research and promotion.