Atrophic gastritis with intestinal metaplasia of the glands is not cancer, but it is a precancerous lesion that requires high attention from the patient. If the patient does not promptly revisit gastroscopy, does not undergo periodic review, or does not adopt active medication treatment, it may eventually degenerate into gastric cancer over time. Therefore, once atrophic gastritis with intestinal metaplasia is detected, active treatment should be initiated. Treatment with traditional Chinese medicine can be considered, but it should be carried out under the diagnosis and treatment of an experienced Traditional Chinese Medicine (TCM) doctor.