Typical case presentation Patient Li, female, 32 years old, initially diagnosed on November 4, 2008 Complaint: recurrent episodes of bilateral red eye pain with lumbago and morning stiffness for 1 year, aggravated for 1 month. History: The patient came to our hospital 1 year ago with no obvious cause or reason for red eyes, blurred vision, and occasional lumbosacral pain, and was diagnosed with anterior uveitis. No further treatment was given. Today, he came back to the clinic again and reported that in the past month, his right eye was red and painful again, and his vision was blurred, and he was treated at the local hospital with poor results, and his lumbar pain and morning stiffness worsened. Laboratory and special examinations: ESR 34 mm/min, CRP significantly elevated, HLA-B27 (+), CT of sacroiliac joint showed that the sacroiliac joint space was blurred and narrowed. Ophthalmic specialist examination: ciliary congestion ++, pigment KP+, indistinct iris texture, partially adherent to the lens, little exudate covering the pupil area. Diagnosis: 1. ankylosing spondylitis; 2. anterior uveitis (right) Treatment plan: local medication 1. posterior ophthalmic ointment od, bid; 2. diclofenac sodium eye drops od, qid; 3. tobramycin dexamethasone eye drops od, qid; 4. hot compress on the right eye; systemic medication Treatment: clearing heat and dampness, dispelling wind and clearing ligaments Dialectical analysis: the patient’s endowment is insufficient, and he feels wind and dampness and heat, which follows the meridians and disturbs the eyes. Fumigation of the eye orifice, resulting in dampness and heat staying in the eye and not healing; attacking the tendons and bones, resulting in joint deformation and unfavorable movement. The formula: Gui Zhi Shao Yao Zhi Mu Tang combined with Si Worm Pill plus reduction Old Stork Grass 30 grams Seeking Bone Wind 30 grams Gui Zhi 12 grams Red Peony 15 grams Zhi Mu 15 grams Zhe Bei 15 grams Tu Fu Ling 30 grams Qing Feng Vine 30 grams Luo Shi Vine 30 grams Lonicerae 30 grams Yuan Hu 12 grams Angelicae 12 grams Papaya 15 grams Niu Knee 15 grams Whole Scorpion 10 grams Centipede 2 strips Tu Yuan 12 grams Mucuna Pruriens 15 grams Mi Meng Hua 15 grams Qing Box 15 grams Sand Ren 6 grams Bai Kou 6 grams 6 g Glycyrrhiza glabra 6 g Decoction of water, divided into two doses in the morning and evening, one dose per day. The systemic signs were treated with Gui Zhi Paeonia Zhi Mu Tang, together with Lao Stork Herb and Seeking Bone Wind, to search for wind and circulation, clear heat and dampness, supplemented with Si Bu Wan to resolve blood stasis and resolve spasm, and then with Mucuna Pruriens, Mi Meng Hua and Qing Box to clear the liver and brighten the eyes, supplemented with Sha Ren, Bai Kou and Glycyrrhiza glabra to protect the stomach and harmonize the middle. After the above comprehensive treatment, the eye symptoms disappeared after 5 doses, and the use of eye drops was stopped after 2 weeks.