Song, female, 65 years old. Date of initial consultation: March 1, 2009. The patient complained of swelling and pain in the right calf on February 18, 2009 with no obvious cause, and went to outside hospital. After treatment, the pain in the right calf was relieved, but the swelling did not subside significantly. On examination: the right calf is dark red and swollen, pain is obvious, dry mouth, bitter mouth, appetite, sleep at night, yellow urine and dry stool; dark red tongue with petechiae, thin and greasy moss, string pulse. Specialized examination: the right calf is obviously swollen compared to the opposite side, with slightly red complexion, slightly high skin temperature, and visible bruises, the circumference at 250px above the right ankle is 700px, the circumference at 250px above the left ankle is 575px, the circumference at 250px below the right knee is 1000px, the circumference at 250px below the left knee is 900px, the circumference at 375px below the right knee is 950px, and the circumference at 375px below the left knee is 850px. The circumference at 375px was 850px; the squeezing pain of the right gastrocnemius muscle was not obvious. TCM diagnosis: femoral swelling; identification: damp-heat stasis; treatment: clearing heat and dampness, regulating qi and activating blood circulation; prescription: Si Miao Wan combined with Tongluo and Blood circulation formula plus reduction. Internal medicine prescription: Atractylodes Macrocephala and Atractylodes Macrocephala 9g each, Cyperus Macrocephala 15g, Semen Coicis 15g, Radix Achyranthes Bidentata 15g, Dilong 9g, Radix Paeoniae Alba 15g, Phellodendron Bidentata 18g, Fructus Hederae 15g, Peach kernel 12g, Zelenia 12g, Zedoaria 15g, Plantago ovata 30g, Lutong 30g, Lonicerae 30g, Radix Aromaticus 12g, Radix et Rhizoma Yanhuosuo 9g, Cornu 15g, Poria 30g, Radix Glycyrrhiza Uralensis 9g; 1 dose daily, decoction in water, divided into morning and evening. Topical prescription: 60g of Xuanming powder, 30g of Fu Ling, 30g of Tuo Biao Cao, 30g of Xianzhi Cao, 30g of Haitongpi, 15g of Angelica sinensis, 15g of Gui Zhi; 1 dose daily; the same method as the internal decoction; then add water to 1000ml-1100ml of the herbal decoction and heat it, then steam fumigate the affected area after it is warm (water temperature is about 40℃). The affected area should be kept at a distance of 625px-750px from the medicinal solution and be able to tolerate it. After the herbal fumigation, a large cotton pad with golden yellow paste, mixed with Xuanming powder and Panax notoginseng powder, was applied locally for 24 hours; once a day. Second consultation (March 15, 2009): the dark red swelling of the right calf was reduced, the pain was not obvious, and he felt slightly weak; his mouth was dry and he liked hot drinks, his appetite was warm, his nighttime sleep was fine, and his bowel movements were regulated; his tongue was dark red, his fur was thin, and his pulse was string. Specialized examination: the right calf is less swollen than the opposite side, with a slightly darker complexion and no obvious abnormality in skin temperature; the circumference at 250px above the right ankle is 637.5px, the circumference at 250px above the left ankle is 575px, the circumference at 250px below the right knee is 925px, the circumference at 250px below the left knee is 900px, the circumference at 375px below the right knee is 900px, the circumference at 375px below the left knee is 850px; the circumference of the right calf is 850px. The circumference of the right calf is 850px; the right calf has bruises showing, and the squeezing pain of the right gastrocnemius muscle is not obvious. The treatment is to benefit qi, invigorate blood, harmonize ying, and promote circulation. Internal medicine prescription: Astragalus membranaceus 30g, Atractylodes macrocephala and Atractylodes macrocephala 9g each, Poria 30g, Coix Seed 15g, Radix Angelicae Sinensis 12g, Radix Paeoniae Alba 15g, Salviae Miltiorrhizae 15g, Fructus Yimouzang 15g, Dilong 9g, Zelenia 12g, Zeligia 15g, Cornus Officinalis 15g, Poria 15g, Sennorrhizae 15g, Radix et Rhizoma Polygonatum 9g, Osmanthus 9g, Radix Achyranthes 15g, Radix et Rhizoma Glycyrrhizae 9g. External medicine prescription: Xuanming Powder 60 g, 30 g of adzuki bean, 30 g of fu ling, 30 g of transverse bone herb, 30 g of elixir, 30 g of sumac, 15 g of safflower, 15 g of osmanthus, and 15 g of cinnamon stick. and the large cotton pad of punch and paste, mixed with xuanming powder and panax ginseng powder, was applied externally to invigorate blood and subdue swelling. The third consultation (April 15, 2009): the swelling of the right calf was relieved, the pain was not obvious, the sleep was acceptable, the stool was regulated, and there were no obvious symptoms of dry mouth. Specialized examination: the swelling of the right calf is less obvious than that of the opposite side, and there is no obvious abnormality in skin color and temperature; the circumference of the right ankle at 250px is 600px, the circumference of the left ankle at 250px is 575px, the circumference of the right knee at 250px is 925px, the circumference of the left knee at 250px is 900px, the circumference of the right knee at 375px is 875px, the circumference of the left knee at 375px is 850px; squeezing pain in the right calf right gastrocnemius muscle was not obvious. After 4 weeks, the swelling and pain in the right calf completely subsided. After 4 weeks, the swelling and pain in the right calf completely subsided. 12 months follow-up, no recurrence. The patient’s initial localized swelling and pain, red complexion, and high skin temperature were considered to be “damp-heat and stasis evidence”. The treatment was based on “clearing heat and dampness, regulating qi and activating blood circulation”, with the addition and subtraction of Si Miao Wan and Tongluo Blood circulation formula, in which Cang Zhu, Huang Bai, Coix Seed, Niubizi, Lonicerae, Red Peony, Tiger Balm, Ze Xie Di, Che Qian Zi, etc. were used to clear heat and dampness, cool blood and open blood circulation. After the local swelling and pain is reduced, the skin color and temperature are not obvious abnormalities, the prescription in the clearing of heat and dampness to dispel the evil decreases, the support of the blood to invigorate the products to reduce swelling is added as appropriate, “support the righteous to improve the posterior”, the treatment is proposed to benefit the Qi and invigorate the blood, and the Ying and the circulation, given internal Chinese medicine tonic Yang also five soup, Wu Ling San, Zhen Wu Tang plus or minus, the formula re-use of Astragalus, Atractylodes, Poria, Danshen, Yi Mu Cao, Zelenia, Ze Diarrhea, Shu Li, etc. The formula emphasizes the use of Astragalus, Atractylodes, Poria, Danshen, Yimu Cao, Ze Lan, Ze Di, Shu Shu Shu Zi, Gui Zhi, etc. to benefit Qi and nourish blood, promote water retention and reduce swelling.