(Disclaimer: This article is for general use only, and the information in the following content has been processed to protect patient privacy.) Abstract: The patient is 38 years old, usually tired from work, and in the past six months has felt easily tired, often angry, with gastrointestinal discomfort, diarrhea, fear of heat and cold, and fear of cold in the waist and legs, as well as symptoms of bitter and dry mouth, so she came to the clinic. The patient’s tongue, pulse and symptoms were considered to be a combination of cold and heat. The patient was treated with Chai Hu, Gui Zhi and Gan Jiang Tang for 2 months. The patient’s mood improved, her mental state was good, and her symptoms such as gastrointestinal discomfort, dry mouth, and fear of wind and cold were relieved. The patient’s mood improved, her mental state improved, and her gastrointestinal discomfort, dry mouth, and fear of wind and cold were relieved. In the past six months, she felt easily tired, often angry, had gastrointestinal discomfort, diarrhea, fear of heat and cold, especially fear of cold wind after sweating on the head and face, and fear of cold on the waist and legs, accompanied by bitter and dry mouth. The patient had been seen in other hospitals, but the results were not good, so she came to our hospital for consultation. The patient’s tongue and pulse as well as the symptoms were considered to be a cold-heat syndrome. According to the TCM system of identification, we regulated cold and heat, cleared the upper and warmed the lower, and gave Chai Hu, Gui Zhi, and Gan Jiang Tang orally. At the second visit, the patient’s symptoms did not change much, but he felt slightly better mentally and less sleepy and tired, so he continued the original treatment for 1 week. At the third consultation, the patient’s dry mouth improved significantly, his tongue was light and thin, his pulse was as usual, his gastrointestinal discomfort was reduced, his stools could be formed, his mood was stable and he could work normally. He was able to work normally, but the fear of cold in the back and legs still existed. At the fourth consultation, the patient’s symptoms continued to improve, her mood was cheerful, her sweating was significantly reduced, her intolerance of heat and cold improved, and the cold sensation in her lower back and legs had been reduced by half, so it was recommended to continue to apply Chai Hu Gui Zhi Dry Ginger Soup to consolidate the therapeutic effect. Treatment effect The patient was treated for 2 months from the initial to the final consultation. After the treatment of Chinese medicine, the patient’s many discomforting symptoms caused by cold and heat disorder were greatly improved. At the end of the consultation, the patient’s mood improved, his mental state was better, and his gastrointestinal discomfort and sleep state improved, especially the symptoms of dry mouth and fear of wind and cold, which had been bothering the patient for a long time, were resolved after the TCM identification treatment. Patients feel that their physical and mental states are significantly different from those before treatment. Fourth, precautions The patient’s discomfort symptoms have been improved, and we sincerely feel happy for the patient. However, it is also necessary to advise the patient to pay attention to the regulation of the mind, control anxiety, and relaxation will help a lot in the prevention and treatment of cold and heat misunderstanding. The same is true for the disease that causes the attack. You should actively exercise and do more stretching to clear the liver and regulate the qi, and you can do moderate jogging and other exercises. Patients also need to pay special attention to the process of diet. Cold melons and fruits, iced drinks or fatty and greasy food can induce cold and hot misfortune evidence, so pay attention to limit the intake of food. V. Personal insight Cold-heat mismatch is particularly common in the population, where both upper-heat and lower-cold symptoms can be seen to coexist. Taking the method of clearing the upper and warming the lower to regulate cold and heat is the TCM way of thinking to treat such patients. However, there is a bias between heat and cold symptoms, so pay attention to the focus of the drug combination. Emotional regulation is also very important for patients of this title. Emotional comfort, good living habits and psychological state can improve the treatment effect and shorten the treatment period.