〔Abstract〕 Objective To study the clinical effect of Shenlingshanxiao decoction combined with abdominal ginger moxibustion on superficial gastritis with spleen and stomach weakness. Methods A total of 70 patients with superficial gastritis with spleen and stomach weakness admitted to Sanming Hospital of Integrated Traditional Chinese and Western Medicine from May 2020 to May 2021 were selected and randomly divided into a control group and an observation group, with 35 cases in each group. Patients in the control group were treated with abdominal ginger moxibustion, while patients in the observation group were treated with Shenlingshanxiao decoction combined with abdominal ginger moxibustion. The clinical efficacy of the two groups was compared. Results The total effective rate of the observation group was 94.29 %, higher than 77.14 % of the control group, and the difference was statistically significant (P < 0.05). The improvement times of pantothenic acid, epigastric pain, abdominal distension and belching in the observation group were shorter than those in the control group, and the differences were statistically significant (P < 0.05). After treatment, the main symptom score, secondary symptom score and gastroscopy score of the two groups were lower than those before treatment, and the main symptom score, secondary symptom score and gastroscopy score of the observation group were lower than those of the control group, and the differences were statistically significant (P < 0.05). After treatment, the serum levels of substance P (SP) and gastrin (GAS) in the two groups were lower than those before treatment, while the serum levels of motilin (MTL) and somatostatin (SS) were higher than those before treatment. After treatment, the serum levels of SP and GAS in the observation group were lower than those in the control group, while the serum levels of MTL and SS were higher than those in the control group, and the differences were statistically significant (P < 0.05). There was no significant difference in the recurrence rate between the two groups (P > 0.05). Conclusion Shenlingshanxiao decoction combined with abdominal ginger moxibustion is effective in the treatment of superficial gastritis with spleen and stomach weakness, regulating gastrointestinal hormone level, improving clinical symptoms and promoting the recovery of the disease.