Objective： To summarize the clinical experience of Professor XIA Yongliang in treating gastric burning sensation.Methods： Through following Professor XIA’s outpatient service，sorting typical medical records of fever，lung-distension，gastric distension and hypochondriac pain，combined with interrelated discussions in classics，from the pathogenesis，main syndrome and therapeutic method of the diseases，it summarizes the syndrome and application characteristics of Professor XIA’s experience in treating gastric burning sensation.Results： The etiology and pathogenesis of gastric burning sensation are complex and variable. Xia Yongliang attributes it’s primary causes to qi， fire， phlegm， and deficiency. The pathogenesis consistently involves fire.For cases due to liver qi invading the stomach and qi stagnation transforming into fire， the treatment principle is to soothe the liver and harmonize the stomach， using a modified Chaihu Shugan San.For cases involving phlegm-heat entanglement and qi stagnation causing obstruction， the treatment focuses on clearing heat and resolving phlegm， combined with counteracting acid and relieving stagnation， using a modified Xiao Xianxiong Tang plus Zhishi combined with Wu Bei San.For cold-heat complex disorders， treatment employs opening with pungency and descending with bitterness to regulate the middle jiao， using a modified Banxia Xiexin Tang.For spleen-stomach qi deficiency with dampness obstructing and qi stagnation， treatment aims to tonify qi， fortify the spleen， dry dampness， and move qi， selecting a modified Xiangsha Liujunzi Tang.For liver-stomach yin deficiency， treatment involves nourishing yin， soothing the liver， and harmonizing the stomach， skillfully using a modified Yiguan Jian.Conclusion： In clinical practice， Dr. Xia often approaches the treatment of gastric burning sensation from the perspective of fire pathogenesis， primarily categorizing it into five key patterns： liver-stomach stagnant heat， phlegm-heat binding， cold-heat complexity， spleen deficiency with dampness stagnation， and liver-stomach yin deficiency. His treatments demonstrate a strict correspondence between the pattern and the formula. He incorporates the regulation of qi and blood into the therapy， simultaneously addressing the patient's emotional state， emphasizing moving qi to harmonize the stomach， and concurrently regulating the liver and spleen. This approach fully embodies the characteristic of "different treatments for the same disease". Dr. Xia applies different treatments for the same disease based on precise pattern differentiation and strict correspondence between the pattern and the formula. The clinical outcomes are significant and worthy of reference.