本文通过对消化性溃疡病理因素、溃疡大小、部位，分期、有无活动性炎症等与溃疡病表现证型的关系探讨，以及证型与证微观定量指标的关系探讨，指出同一种溃疡病之所以表现为不同证型，关键可能在于内环境状态的差异，肝胃不和证、脾气虚证、肝郁脾虚证内环境状态的差别，或许是其不同临床表现的内在根源。 In this paper, the pathological factors of peptic ulcer, ulcer size, location, stage, with or without active inflammation and other symptoms of ulcer disease and explore the relationship between syndromes and micro-quantitative indicators of the relationship between that the same kind of ulcer disease Therefore, the performance of different syndromes, the key may be the difference in the state of the internal environment, liver and stomach syndrome, spleen qi deficiency syndrome, liver and spleen deficiency syndrome within the state of the environment may be the underlying causes of their different clinical manifestations.