In conventional medicine the term pancreatitis refers to the specific condition of inflammation in the pancreas, a specific organ. In TCVM, a number of patterns of imbalance may result in a broader definition of pancreatitis which is associated with imbalances of the Spleen. Two acute patterns (Spleen Damp-Heat and Food Stagnation) and two chronic patterns (Liver Qi Stagnation and Spleen Qi Deficiency with Damp) are discussed. Treatment recommendations for Spleen Damp Heat are: acupuncture at GV-1/6/14, BL-18/19/20/21/25, LI-4/11, ST-25/36/44, LIV-3/13, GB-34, PC-6, SP-6/9, and Wei-jian and the Chinese herbal formula Yu Jin San. Treatment recommendations for Food Stagnation are: acupuncture at PC-6, BL-14/20/21, ST-25/36/37/44, CV-12/14, GB-34 and GV-1 and the Chinese herbal formula Bao He Wan. Treatment recommendations for Liver Qi Stagnation are: acupuncture at PC-6, HT-7, GB-34/41, ST-36, LIV-3, BL- 14/18/19/20/21, CV-12, and GV-1 and the Chinese herbal formula Liver Happy (modified from the classical Chinese herbal formula Chai Hu Shu Gan Wan). Treatment recommendations for Spleen Qi Deficiency with Damp are: acupuncture at SP-1/3/9, ST-36, GB-34, PC-6, BL-20/21/24, LIV-13, CV-4/6/12, GV-3/4 and Bai-hui and the Chinese herbal formula Shen Ling Bai Zhu San. Food Therapy recommendations are also reviewed for each pattern.