這是一位的歲女性患者，因腹部脹大併有腹水而被送往中部某教學醫院急診室，經腹部電腦斷層掃描:懷疑是胰臟癌末期，而入院進一步按查。住院時被禁食，接受三次腹水的病理核查，發現並無癌細胞，最後出院診斷為慢性胰臟炎，及懷疑為自發性細菌感染性腹膜炎。由於腹水持續發作，久治不癒，轉求中醫治療，經中醫臟腑病機四要素分析:肝鬱飲酒，肝氣乘脾，酒釀濕熱，為慢性胰臟炎的主要病機;脾虛不能散精於肝及脾輸布水濕失職，水濕積滯於中焦，為形成腹水的主要病理機制，而給予半夏瀉心湯合血府逐瘀湯，加黑丑、薏苡仁治療五星期，腹水完全消退。追蹤一年，患者胰臟炎未曾再發作過。

The present female patient 43 years was transferred to emergency at one teaching hospital in mild-Taiwan because of abdominal distension with ascites. Abdominal CT scan was suspected terminal stage of pancreatic malignant tumor. So she admitted hospital to further examination. During hospitalization, she was NPO and three cytology reports of ascites cells were negative malignant cell finding. The final diagnoses were chronic pancreatitis and suspected spontaneous bacterial peritonitis at discharge .Owing ascites was persistant attack and can not remission, the patient called on out patient department of Chinese Medicine. Liver depression and alcohol drinking, liver qi exploiting the spleen and alcohol producing damp-heat were the main patho-mechanism of chronic pancreatitis. The spleen vacuity resulted that can not be transformed nutritional essence into the liver and loosely distributional function of water dampness. So water dampness was accumulation in the middlebumer and formed a pathological mechanism of ascites. The patient was administered by science powder formulas inc1uded Ban-xia-xie-xin tang, Xue-fu-zhu-yutang, coix and moming glory for five weeks of treatment. The patient' s ascites was complete remission and pancreatitis was not recurrence after following one year.