Liver diseases and classifications are done on the basis of dialectical treatment in TCM combined with the pathophysiological theory developed by modern medicine, so the basic knowledge about meridians, pathophysiology is cited. In other words, the dialectical method of Chinese medicine is reorganized with the knowledge system of modern medicine. And the system formed. The Chinese medicine treatment of rheumatoid arthritis is in need of new elaboration and improvement of the content of the Chinese medicine internal organs doctrine of the liver to guide clinical practice, this paper only makes a preliminary attempt here and has some experience in practice, as follows. The function of the liver is closely related to the spleen and kidney. Among them, spleen deficiency phase fire, Yin deficiency phase fire doctrine occupies an important position. Li Dongyuan said, “The vital energy is the key to health, and the spleen and stomach are the key to determining the deficiency of vital energy.” He said in the “Spleen and Stomach Theory”, “True qi (vital energy) is the essence of the body. It cannot be nourished without the stomach.” “If the spleen and stomach are deficient, the long time orifice will be blocked, and the qi of the spleen and stomach will be injured, and the vital energy will not be filled, and all diseases will be born.” That is, Li Dongyuan’s basic argument. He said, “Since the spleen and stomach are injured, the middle qi is insufficient. Insufficient middle qi, then the six internal organs Yang qi are all externally, so Rongwei lost guard, the diseases are born. and “Internal injury to the spleen and stomach is injury to its qi, and external exposure to wind and cold is injury to its form.” This is referred to as “tonifying Zhong Yi Qi Tang”. The fire of the lower jiao envelope is also the thief of vital energy. Fire and vital energy are not mutually exclusive, one victory is one loss. If the spleen and stomach are deficient in qi, it flows down to the kidneys and the Yin fire can take advantage of its earth position.” Li’s Yin fire, the main content is: the spleen and stomach Qi deficiency, the middle qi sinks, the middle jiao is empty; yuan qi is then also deficient, and the relationship between Qi and fire mutual restraint is out of balance, the phase fire on the inflammation take advantage of the deficiency of the earth position and fever Zhu Danxi said: “the sky is not this fire can not live, people are not this fire can not have life”, it can be seen that the phase fire refers to the promotion of personal life and endless The original power. The fire and the phase fire, only in conjunction with each other, can warm the internal organs and promote the various functional activities of the person, so Danxi said: “the five fires are moving in the section, the phase fire is only beneficial to complement the creation, for the use of the endless life. However, the nature of the phase fire is easy to start, if the five fires change abnormally, the phase fire will be delusional, so that “the fire is delusional, unpredictable, unpredictable, all the time, tormenting the true yin, yin deficiency is disease, yin extinction is death”. Danxi also created the Great Tonic Yin Pill, using Shu Di, Gui Pan, Zhi Mu and Huang Bai as the main medicine to nourish kidney water and lower Yin fire. The same treatment for phase fire is divided into different treatments for raising yang and nourishing yin to lower fire. It can be said to restore the draining function of the liver, with different treatments used due to two different pathological mechanisms. Spleen Yang deficiency can be considered to be closely related to the deficient function of the liver in sparing hair, while Yin deficiency and fire are closely related to the malfunction of the liver’s drainage and function. Drainage and refers to the measured function of the Liver’s drainage down and its ability to coordinate its actions. From the perspective of Chinese medicine’s doctrine of meridians and yin-yang meridians, raising yang and strengthening spleen and nourishing yin and tonifying kidney are the therapeutic principles that enable the body’s meridians to circulate in an orderly link and the normal function of sparing and distributing to be able to function properly. From this point of view, it is also the pivotal point to enable the normal functioning of the five organs and the six organs of the body. This leads to two conclusions, (1) the expression of the normal physiological function of the liver position. (1) The expression of the normal physiological position of the liver: the physiological functions of the body are moderate up and down, balanced on the left and right. There is neither hyperactivity nor depression. The use of ascending Yang can regulate depression and the lowering of the middle qi. The use of nourishing Yin can control hyperactivity. The lower element is tonified. (2) Expression of the width of the physiological function of the liver: the function of draining can reach up to the Baihui and down to the Yongquan. The full, adequate expression of physiological functions. Growth and apoptosis, the full expression of the opposing balance of endocrine. None of them get included here. Adjusting the position of the physiological functions of the liver by means of ascending Yang and nourishing Yin is very common in clinical practice, such as strengthening the spleen and clearing heat with Gui Shen Wan plus Huang Lian for chronic tonsillitis. In allergic purpura. The Six Flavored Dihuang Pill as well as the Great Tonic Yin Pill with blood invigorating and blood promoting herbs are used to treat the symptoms of Yin deficiency and fever and hyperactivity of liver wind. Insufficient expression of the physiological width of the liver can be divided into three syndromes 1) Insufficient sparing of the upper branches: Joint pain Back discomfort, improving with activity and worsening with rest. Fine stringiness of the pulse. Thin white fur. See clinical manifestations of spinal arthrosis. Treatment is to tonify the kidney, invigorate blood, and promote Yang. The formula is Six Flavors (for Yang deficiency, Jin Kui Kidney Qi Pill) plus Blood Activating and Pain Relieving Capsules, in addition to Sheng Ma, Xin Yi, Chai Hu, Huang Qi, Sha Shen and so on. 2) Deficiency of liver and kidney qi and deficiency of lower drainage: pain in the lower back and joints of lower limbs improves after rest. It worsens when walking. Hypertension. Hypertension, hyperlipidemia or with cholecystitis. Gastrointestinal diseases. Discomfort in the middle or lower abdomen. Or with diseases of the genitourinary system. Symptoms of damp heat in the lower jiao. Treatment with Liu Wei Di Huang Wan plus or minus. Pierced Mountain Dragon, Tu Fu Ling, Money Grass. Scutellaria baicalensis, Yin Chen, Du Zhong, Dragon Bone, Oyster and other herbs. To help the liver Qi to drain down into place. 3) Insufficient drainage type. This particular type can carry out ideas for the diagnostic typing of many difficult diseases such as rheumatoid arthritis. Fever. Fear of cold intercourse. Osteoporotic joint surface erosion, vascular hyperplasia and present. Morning stiffness of one hour followed by mild improvement in joint movement. Anemia is also seen in the syndrome. The symptoms of excessive synthesis and catabolism can be attributed to the deficiency of both liver sparing and discharge. Insufficient sparing of the liver can lead to insufficient spleen-yang generation and yin-fire growth. Vascular hyperplasia is seen. Insufficient liver and kidney can lead to insufficient bone synthesis. The tendency to melt bone increases. Therefore, osteoporosis is seen. Erosion of joint surfaces. The treatment is six flavors with addition and reduction. Huang Qi, Bei Sha Shen. Shengma, Xinyi, Qianhu, Tu Fu Ling, Pierced Mountain Dragon, and Blood-activating and pain-relieving capsule are used together. Typical cases I. Patient female 16 years old prone to hair loss. The skin is prone to allergies, with mouth ulcers and mild swelling of the tonsils. She has red eyes and menstrual disorders. Mood swings and preference for solitude. Pulse is thin and stringent. The fur is thin and white. The symptoms were due to spleen deficiency and internal fire, so she took Guei Spleen Pill with Yin Hua and Lian Qiao together with Berberine Tablets (Huang Lian Su Tablets). After two weeks, the symptoms improved. After three months of perseverance, there was no recurrence. After moving to Germany with parents, relapsed because of the change of climate and environment, cured after 3 months of taking the above. Patient: Male, 56 years old, with left shoulder pain for 3 months, with fair mobility of supination. The pain increased at night. There is no obvious abnormality in the left shoulder arthrogram and the left chest radiograph shows more obvious lung texture hyperplasia. The pulse is thin. The moss is thin and white. The symptoms are due to deficiency of the spleen and liver Qi. LIFANG Jin Shui Bao capsule with Blood Activating and Pain Relieving capsule, Sheng Ma, Chai Hu. Xin Yi, Astragalus, and Andrographis paniculata were taken in decoction. After two weeks, the patient’s left shoulder pain disappeared and healed. Patient Female 53 years old, rheumatoid arthritis, swelling of interphalangeal joints of both hands, morning stiffness for more than one hour. Involving both shoulders, elbows, wrists, knees and ankles. Weakness of the extremities with anemia. Rheumatoid factor and C-reactive protein were positive. X-rays of both hands showed narrowing of interphalangeal joints with cystic changes in the bone under the joint surface, and narrowing changes in the joint surface space of both knees. He was diagnosed with rheumatoid arthritis. Already taking western medicine. He was unable to stop taking them due to gastrointestinal reaction. Pulse is thin. White greasy coating. The symptom belongs to deficiency of liver qi draining and at the same time deficiency of both spleen and kidney. Take with Jin Shui Bao Capsules plus Blood Activating and Pain Relieving Capsules, Chai Hu, Xin Yi, Sheng Ma, Tu Fu Ling, Du Zhong, and Pierced Mountain Dragon in decoction. Methotrexate tablets (two tablets per week). After two weeks of improvement, he was discharged from the hospital and was instructed to exercise for 5 minutes a day. He was discharged after two weeks of improvement. He was advised to continue taking the above mentioned drugs to consolidate the effect. Discussion: Rheumatoid arthritis is a connective tissue disease, which belongs to the dialectical category related to the main tendon of liver in Chinese medicine. It is difficult to control the pathological changes of vascular proliferation and bone erosion of the joint surface. The idea of treatment is to utilize the evidence of deficiency of liver drainage. At the same time, we use strengthening the spleen and raising the yang to control the spleen deficiency phase fire (vascular hyperplasia), and tonifying the kidney to nourish yin and clear heat to generate bone. Control the process of erosive lesions on the bony joint surfaces. In clinical practice, it has achieved faster and more stable results than the use of Western medicine alone.