(Disclaimer: This article is only for scientific purposes, in order to protect the privacy of patients, the following content of the relevant information has been processed) Abstract: The patient recurrent diarrhea for more than 1 year, recently aggravated, a little spicy food and beer that the number of stools increased, watery, accompanied by fatigue, shortness of breath, easy to exertion, etc., with the combination of traditional Chinese medicine diagnosis, considered to be a deficiency of the spleen and dampness syndrome led to. Suggested that the patient be treated with Sijunzi Tang plus reduction, after 1 month of treatment, obtaining good results, the patient’s diarrhea relieved, teeth marks tongue improvement, follow-up 2 months without recurrence. Basic information] Male, 38 years old [Disease type] Spleen deficiency and dampness syndrome [Hospital] The First Affiliated Hospital of Nanchang University [Time of consultation] March 2022 [Treatment plan] Traditional Chinese medicine, Si Jun Zi Tang, plus and minus treatment [Treatment cycle] 1 month outpatient treatment, 2 months follow-up [Treatment effect] Diarrhea relieved, teeth mark tongue improved I. Initial consultation Mr. Cheng had recurrent diarrhea for more than 1 year, complaining of recurrent episodes of diarrhea for 1 year, sometimes about 3-5-5 years, and no recurrence. Mr. Cheng complained of recurrent diarrhea for the past one year, about 3-5 times/day. Recently, his diarrhea was aggravated by eating spicy food and beer, which increased the frequency of stools, which were watery, accompanied by fatigue, shortness of breath, easy to exertion, reduced diet, no thirst, normal urine, pale tongue, white moss, teeth marks, and weak pulse. Gastroenteroscopy showed chronic superficial gastritis, ultrasound showed fatty liver, body examination showed central obesity, Western medicine diagnosed chronic diarrhea, irritable bowel syndrome, Chinese medicine diagnosed spleen deficiency and dampness syndrome. The patient was diagnosed with spleen deficiency and dampness syndrome, and was treated with the treatment method of benefiting qi to strengthen the spleen and seeping dampness to stop diarrhea, which could be treated with the addition and subtraction of Si Jun Zi Tang, with the prescription of Codonopsis, Cang Zhu, Licorice, Coix lacryma, Poria, white lentil, Chen Pi, Sand nut, Chinese yam, Lotus Seed Meat, Chicken Nei Jin, and fried malt, and was re-diagnosed after 1 week, and the diarrhea was transformed into soft stools, and her spirit was better, and her diet was improved a little bit, but she had abdominal pains from time to time, which was a lingering and insidious pain, and she was cold and cold, and she was considered to have concurrent diarrhea. Cold limbs cold, consider both cold and abdominal pain; in the former basis of dry ginger, cinnamon to warm the cold pain. 1 week later, the patient’s complexion, stool formation, abdominal pain relief, diet increased, the original formula to reduce the chicken gold, fried malt, continue to take. 1 week later, the patient’s bowel movements are basically normal, 1 time a day, the morning teeth marks on the tongue than the previous improvement, follow-up 2 months without reoccurring. The patient had symptoms of spleen qi deficiency such as fatigue, shortness of breath, easy to exertion, reduced diet, etc., and symptoms of dampness such as watery stools and tooth-marked tongue, and there were no obvious symptoms of yang deficiency at the initial diagnosis. Therefore, on the basis of “Four Gentlemen Soup”, Coix lacryma-jobi, white lentils, tangerine peel and lotus seed meat were used to seep away dampness and stop diarrhea, and sand nuts were used to strengthen the spleen with their aroma. When the follow-up appeared lingering pain, cold limbs, cold and other symptoms of yang deficiency, in the complementary spleen qi seepage of dampness on the basis of dry ginger, cinnamon, the patient’s diet improved significantly when re-visit, reduce the use of chicken Neijin, fried malt, the fourth visit basically back to normal, good results, 1 month outpatient treatment, the patient’s diarrhea relieved, the dentate tongue to improve. Fourth, the precautions are very happy after the treatment of the patient’s diarrhea relief, dentate tongue improvement. The patient’s addiction to cold food and alcohol for a long time hurt the spleen qi, causing the spleen to lose its ability to transport and transform, resulting in spleen deficiency and dampness, manifested as thin stools, the completion of the grain is not transformed, that is, the phenomenon of stools after meals, is the summer love of ice-cold beer for men prone to long-term diarrhea, teeth marking the tongue of the reason, coupled with the spleen deficiency is often a longer course of the disease, it is very easy to damage the yang, there will be a deficiency of spleen yang or renal yang deficiency, such as the occurrence of diarrhea in the morning and impotence and premature ejaculation, are related to the patients. The fact is that there is a lot of evidence to suggest that there is a deficiency in the spleen. Therefore, patients should not eat spicy, stimulating, raw and cold foods, quit smoking and drinking, and eat a light, easy-to-digest diet. V. Personal perception There are a lot of prescriptions to help the spleen and benefit the qi, commonly used are Si Jun Zi Tang, Sen Ling Bai Zhu San, etc. Due to the degree of spleen deficiency and symptoms of concurrently hosting different, therefore, when the prescriptions are applied clinically, it is necessary to add or subtract the chemical tailoring, the patient in the case of spleen qi deficiency on the basis of the formation of the “wetness and evil spirits within the gathering”, the degree of its deficiency is heavier, and should be avoided to adjust and care for Consumption of raw and cold fruits and melons, especially in summer, is very likely to injure the spleen yang, resulting in yin and yang deficiency. At the turn of spring and summer, the heavier season of dampness, you can eat yam, Job’s tears, Poria, white lentils and other spleen and dampness food, but also with some patchouli, Pelargonium, Atractylodes macrocephala, half-summer, Chen Pi and other dampness traditional Chinese medicine, preventive and preventive measures to prevent the problem.