Since 1977, when I was engaged in the clinical work of Chinese medicine and internal medicine, I have some experience in the treatment of rheumatoid arthritis and ankylosing spondylitis in the course of more than thirty years of medical treatment, especially during my tenure as the director of the rheumatology and nephrology department, I have furthered my understanding of such diseases through a large number of case summaries, and more than twenty years ago, regarding the treatment in this area, I believed that the efficacy of Chinese medicine should prevail. Therefore, at that time, most of the treatment was based on Chinese medicine or proprietary Chinese medicine. In the past two decades, with the in-depth research of Western medicine, many new drugs have emerged to further improve the efficacy and show certain advantages, and some of the medical records have been enriched by the good efficacy of Western medicine alone, but with the increase of medical records, some adverse reactions arising from Western medicine alone have also been summarized. Therefore, in recent years, the treatment of medical records are mostly Chinese and Western medicine to complement each other to improve the effectiveness; ankylosing spondylitis is a new disease name that has emerged in the past twenty years, in the literature more than twenty years ago, can not see the name of this disease, so in many of the proprietary Chinese medicine manual, still can not see the name of ankylosing spondylitis, although they are two different diseases, but in the treatment has a lot of similarities Although they are two different diseases, they have many similarities in treatment, but there are many differences in Chinese medicine, such as the combination of kidney tonics is different. The treatment of these two diseases, whether Chinese medicine or Western medicine based on a certain degree of efficacy, but in my experience, the use of Chinese and Western medicines, with the appropriate mix, will improve the efficacy, shorten the course of treatment, compared to the use of Chinese medicine alone or Western medicine alone will improve the efficacy of many, so the treatment of rheumatoid arthritis, ankylosing spondylitis, or the best combination of Chinese and Western medicine treatment.