Patient: Juvenile ankylosing spondylitis. Results: B27 positive, doctor’s conclusion is spondyloarthritis, if the powerful is ankylosing spondylitis. He has been treated with western medicine for half a year with methotrexate, lorazepam, and Mupiroc spinal pain capsules. The child is now 13 years old. I would like to consult whether it is better to take Chinese medicine or continue to take Western medicine. Shenzhen Second People’s Hospital Rheumatology Huang Yihong: Juvenile ankylosing spondylitis often manifests as large arthritis of the extremities, especially in the lower extremities of the hip, knee and ankle joints, joint swelling, pain, sacral, hip and lumbar spine lesions can start at the beginning of the disease, but most of them appear only a few months to a few years after the onset of the disease, typical symptoms loaded with pain in the lower back and hip, often severe in the evening, the pain improves after activity, gradually lumbosacral activity is limited, before In severe cases, the lesions develop upward to the thoracic spine and endanger the cervical spine, so that the whole spine is in an upright state. When the thoracic joints are affected, the small contour expansion is limited. At the same time, the child often has recurrent episodes of acute iridocyclitis, and the systemic symptoms may include hypothermia, pallor, fatigue, poor appetite, and developmental disorders. The diagnosis is clear and the treatment should be based on western medicine, such as methotrexate and luzethapyridine (regular review of liver and kidney function, blood count and sedimentation is required), and can be supplemented by Chinese medicine. It is recommended to go to a major hospital to confirm the diagnosis before further developing a treatment plan.