An elderly patient, previous diabetes mellitus hypertension Parkinson’s, fever after external wind-cold, considered lung infection admitted to the hospital, abdominal fullness constipation, the former medical practitioner gave Xiaoqinglong combined with Daqaihu Tang, while giving a large amount of rehydration fluids, tonight appeared shortness of breath, hyperthermia, temperature of 40 degrees, bedside monitoring: HR 105 beats / min, R 35 beats / min, SPO2 88-97%. He was sweating profusely after oral administration of bunofen, and dry and wet rhonchi could be detected in both lungs on examination. Considering acute left heart failure, he was given morphine infusion and diuretic treatment for shortness of breath. However, there was still croup on auscultation. Chinese medicine four diagnosis: the face is red like shape, the pulse is floating and heavy pressing without root, the extremities skin heat. Considering the deficiency of true yang, he gave Tong Wei Si Reverse Tang with additional reduction to restore yang and save reverse. Half an hour after the decoction was served, the patient was rechecked, his face was red and improved, and there was no more sweating, and his pulse was obviously strong. After the patient’s dyspnea gradually improved, the next morning, the patient had no shortness of breath, the body was cool and the pulse was quiet, and the pulse was calm and strong. Bedside monitoring: HR 80 beats per session, SPO2 99%, R 20 beats per minute. Examination: both lungs dry and wet junk shovels chagrin and willingness to be a beer R Koo Xue Meng Taotransport Gala Serval recitation Ч palpitation timid τ brother fortunate Α Guangdong Provincial Hospital of Traditional Chinese Medicine Oncology Pan Zongqi