Although there is no name for ankylosing spondylitis in Chinese medicine, there are many descriptions of the characteristics of the disease, such as the “Nei Jing”, “the tail is replaced by the tail, and the spine is replaced by the head”, as well as numerous medical literature. There are many descriptions of the characteristics of the disease, such as “the joints replace the heels and the spine replaces the head” in the Nei Jing, and “the back is straight” in many medical texts. Dr. Tan summarized the basic pathogenesis as deficiency of kidney yang, cold and dampness stagnation, and blood stasis with phlegm condensation over time. (1) The combination of internal and external cold. After years of clinical treatment, Dr. Tan believes that the disease is due to the deficiency of the congenital kidney yang, loss of warmth in the Directing Vessel, external cold, and the combination of internal and external cold. (2) phlegm and stagnation of phlegm and stagnation of qi and blood, the course of the disease over time, phlegm due to stagnation, stagnation due to phlegm obstruction, flow in the meridians, voodoo veins, back straightening and deformation of the disease “turtle back”. Treatment (1) Warming Yang and dispelling cold. Dr. Tan believes that the acute stage of the disease should be treated by warming the Yang to dispel cold, and resolving dampness to open the ligaments. Medicine: 9g of Chuan Wu, 6g of Ephedra, 30g each of Paeonia lactiflora and Astragalus, 12g each of Gui Zhi, Bai Zhu, Fang Feng, Fang Qi and Zhi Mu, and 9g of Glycyrrhiza glabra. Add and subtract here. The formula is based on the meaning of “Wu Tou Tang”, which is used in “The Fifth Book of the Jin Kui Essentials – The Fifth Book of the Pulse and Cure for Stroke”: “When the disease is not able to flex and extend, pain is caused by Wu Tou Tang. You in the Jing cloud “cold and dampness of the evil, non-ephedra, wutou can not go, and the disease in the tendons and joints, and non-skin hair of the evil can sweat out and disperse, so the Huangqi tonic, white peony collection, glycyrrhiza slow, hold the two things, so as to get deep and go to stay evil”. Therefore, this formula with Chuan Wu large pungent and hot products, expel cold and damp, open the coup, warming and stopping spasms; raw Ma Huang, Gui Zhi, Fang Feng, Fang Qi, Astragalus, Atractylodes communicating sweat to remove surface dampness, strengthen the spleen to remove internal dampness, benefit the Qi and strengthen the effect of the Wei table; Paeonia lactiflora, licorice to slow down the pain; in turn adjuvant Zhi Mu, to its agent too pungent and hot, monitor the control. (2) Benefiting the kidney and warming the Governor, resolving phlegm and clearing the ligaments The chronic stage is treated by benefiting the kidney and warming the Governor, resolving phlegm and clearing the ligaments. Herbs: 15g of Radix Rehmanniae, 12g of Antler Pieces, 3g of Cinnamon, 15g of Mulberry, 12g each of Douwu and Dog’s Backbone, 15g each of Eucommiae and Huaiyu Knee, 30g of Chuanxiong, 12g of Angelicae, 9g of Hesperidin, 6g each of Ephedra and White Mustard Seed. This formula takes the meaning of Yang He Tang combined with Dou Shuo Yi Sheng Tang, which is effective in warming Yang, tonifying Blood, dispersing cold and clearing stagnation. In this formula, Shu Di, Deer Horns, Sang Sang Sang, Dog Root, Du Zhong and Huai Niu Knee warm the Governor and tonify the Blood, strengthening the muscles and bones; Chuan Xiong and Angelicae harmonize and nourish the Blood, so that the treatment of wind first treats the Blood, and the wind is extinguished when the Blood is moving; Dou Wu and Hsio Xin enter the Kidney meridian to search the Wind and go out, and together with Cinnamon, they relieve the Wind and Cold in the Kidney meridian; White Mustard Seed dispels the phlegm outside the skin and membrane, and through the function of Ephedra to open the coup and reach the surface, the condensed evil can go out. (3) Internal and external application, treating both the symptoms and the root cause Dr. Tan believes that the internal application of Chinese medicine focuses on regulating the overall functional state of the body and treating the root cause; the external application of Chinese medicine improves the microcirculation of the joints through the local heat and medicinal power of the medicine and external force. By improving the microcirculation of the joints, the drugs can penetrate directly to the disease and increase the local distribution of the drugs at the lesion, so that the pain can be relieved as soon as possible and the functional activities of the joints can be restored to achieve the purpose of treatment. At the same time, it not only overcomes the disadvantages of poor taste and easy to produce digestive tract damage of oral drugs, but also avoids liver and intestinal circulation, reducing the damage of drugs to the liver. It has been proven that the combination of the two in the treatment of ankylosing spondylitis can achieve twice the result with half the effort. The medicine: white mustard seeds, raw Chuan Wu, raw Nan Xing, ice chips 1, etc., a total of powder, and the appropriate amount of yellow wine into a paste, made of cake (size depends on the lesion joint), gauze compartment, applied to the affected area, supplemented by infrared, spectrum or microwave irradiation, once a day, each time 30m in, 30 days a course of treatment. White mustard seed, raw Chuan Wu and raw Nan Xing are very pungent and hot products, which can effectively warm and disperse the phlegm nodules when grinded externally. Infrared, spectrum or microwave irradiation can enhance local blood circulation, and more strengthen the warming effect of drugs. A typical case: Yang, male, 34 years old, hospitalization number 088639. spinal bone pain, morning stiffness, progressive worsening of spinal ankylosis for more than 3 years, X-ray showed blurred joint surfaces, joint space narrowing and partial osteosclerosis, calcification of paraspinal ligaments. hla-b27 ( + ), diagnosed as “ankylosing spondylitis”. The patient had a positive finger-to-floor distance and pillow-to-wall distance tests, and multiple pressure points in the lumbar, sacral, and sacroiliac joints. The patient is suffering from spinal paralysis, deficiency of kidney yang, loss of warmth in the kidney and the kidney governor, invasion of cold and dampness, stagnation of qi and blood, and mutual stagnation of phlegm and stasis over time. The treatment is to benefit the kidney and warm the Governor, dispersing cold and expelling phlegm, activating blood circulation, giving 12 g of deer horn gum, 30 g of Xian Ling Spleen, 20 g of Bacopa monniera, 9 g of Pieces of Pine, 12 of Eucommia, 9 g of Angelica, 6 g of Safflower, 30 g of Radix Astragali, 30 g of Poria, 30 g of Poria, 30 g of White Mustard Seed, 12 g of Dog’s Backbone, 12 g of Nan Xing, 9 g of Shu Di Huang, 9 g of Huai Niu Knee. 1 post daily, decoction with water, keep the prescription for 1 month. At the same time, white mustard seed cake and gauze were applied to the most obvious pressure pain and ankylosis of the spine, and local microwave treatment was also given once a day for 40 min each time. The ESR decreased to 30 mm/h and IgG decreased to 16.80 g/L. After 1 course of treatment, the patient’s joint pain and morning stiffness basically disappeared, and the joint mobility was accepted as normal, and the patient was discharged from the hospital in remission. The patient was discharged from the hospital in remission. After discharge, he was given Chinese medicine to benefit the kidneys and promote the circulation of the ligaments, and a winter cream to consolidate the post-treatment.