Objective: diagnosis and treatment of traditional Chinese medicine decoction treatment of acute appendicitis in the elderly experience analysis. 30 cases of senile patients with appendicitis were divided into traditional Chinese medicine according to treatment group and operation treatment group, and were recorded and analyzed for the treatment of symptoms. Results: the treatment group patients hospitalization time was 4D, al the patients were cured. Operation treatment in elderly patients with appendicitis average length of 7D, these patients postoperative incision infection in 1 cases, the postoperative complications were 1 cases of adhesive intestinal obstruction, the rest were recovered. Description: Traditional Chinese medicine in the treatment of acute appendicitis in the elderly can be faster, more can reduce the incidence of infection. Conclusion: Senile appendicitis symptom is not apparent.