If patients have puffy eyes when they get up every morning, the following causes should be considered: First, firstly, endocrine metabolic diseases should be considered. Often, when hypothyroidism and hypoadrenalism are present, there will be puffy eyes in the morning, which is directly related to hypometabolic function in the body. Second, for patients with chronic renal insufficiency, it is also easy to have swollen eyes and face every morning because the patient has a large amount of proteinuria and hypoproteinemia, when the patient is also prone to low protein and lead to puffy eyelids. Third, if the patient has, for example, severe malnutrition and anemia, it will also lead to puffiness around the eyes because of the above-mentioned symptoms. Fourth, long-term patients such as those who are in heart failure may also have clinical symptoms of swollen eyes and swollen circumference.