Chinese medicine treatment of ankle edema requires evidence-based treatment, different types of evidence, the use of different drugs, for example, can be divided into spleen yang is not vibrant (spleen yang qi insufficiency), stagnant water and water junction, kidney yang weakness and other types of evidence, can be used in the solid spleen powder, five Ling San, Zhenwu Tang and other formulas, the specific use of medication, please follow the doctor’s instructions. 1. Spleen-Yang deficiency: Spleen-Yang deficiency and internal stagnation of water qi lead to lack of warmth in the hands and feet, abdominal distension and fullness, edema of the lower limbs and swollen ankles, which can be treated by adding or subtracting formulae such as Real Spleen Powder, in order to warm up Yang, strengthen the spleen and promote the operation of water and fluids. Patients with Yin deficiency of the spleen and stomach should not use Real Spleen San. 2. Stagnant water and stagnant water junction: Stagnant water and stagnant water junction cause oedema of the lower limbs or ankles for a long time, accompanied by symptoms such as dysuria and diarrhea, etc. It can be treated by adding or subtracting Wu Ling San and other formulas in order to transform qi, relieve dampness and promote the flow of water. Patients with dampness-heat or Yin deficiency should not use Wu Ling San. 3. Kidney Yang Weakness: Kidney Yang Weakness leads to edema of the lower limbs, depression of the lower limbs by pressing, fear of cold and fear of cold, soreness and weakness of the waist and knees, etc., and can be treated with Zhenwu Tang and other formulas with additions and subtractions to warm Yang and benefit the water (replenish the body’s Yang Qi, and promote the circulation of water and fluid). Patients with cold-dampness and yin deficiency should use Zhen Wu Tang with caution. There are many causes of ankle edema, first of all, we must clarify the cause of the disease, in order to treat the symptoms, it is recommended that if you have any discomfort, please consult a doctor in a timely manner, in the identification of traditional Chinese medicine under the use of medication, is not recommended to use their own medication.