Abstract: Ye Tianshi is a very famous doctor in Qing dynasty， who paid attention to activating yang to getting rid of turbidity and regulating qi activity in stomach treatment. He emphasized that treating spleen and stomach separately， at the same time for the long time pain and the disease into meridian they should promoting blood circulation to remove blood stasis， etc. He had put forward a lot of insight ideas. In this paper， the author studied Ye Tianshi's medication principles， hoping to provide reference to the treatment of stomach and spleen disease.