Spinal consumption is a type of parenchymal neurosyphilis that appears late, often occurring years to decades after infection, and progresses slowly and progressively. Patients present with first clinical symptoms, often short bouts of severe lightning-like or knife-like pain in both lower extremities, and sensory ataxia is the main feature of the disease. Treatment mainly includes: 1. Treatment principles. Early diagnosis, treatment as soon as possible, adequate dose, regular course of treatment. 2, treatment for the cause of the disease. The drug often chosen is penicillin, which is still the drug of choice for treating all types of neurosyphilis and preventing the occurrence of late syphilis and neurosyphilis. The adult dose is 18-24 million units per day by intravenous drip (3-4 million units every 4 hours) for a course of 10-14 days. During the course of treatment, the death of a large number of spirochetes can cause a Jihai reaction, when the patient develops high fever, chills, headache, rapid pulse, and can also present a sudden drop in body temperature, hypotension or even shock. To prevent this reaction, prednisone 5-10 mg should be taken 3 times a day for 3 days before the start of penicillin treatment. After the end of anti-syphilis treatment, the blood and cerebrospinal fluid should be rechecked in 3-6 months, and the syphilis reaction should be negative for 2 consecutive times before giving up the antisyphilis treatment. 3. Symptomatic treatment. For lightning-like pain due to spinal consumption, carbamazepine can be used; for visceral crisis, atropine and gastric reversion can be used.