Every summer we often encounter patients who are bitten by scrub typhus in mountainous areas and forest areas, with fever and rash that does not go away for several days, and they cannot be diagnosed by moving around many hospitals, which delays the disease. Scrub typhus, also known as jungle typhus, is common in Taiwan and southeastern provinces in China, and is more common in Lin’an in our province, with more males than females, and mainly occurs in summer and autumn. Scrub typhus is the main vector of the disease and the pathogen is rickettsia. Clinical manifestations: high fever, chills, headache, conjunctival congestion, sclerotized red papules and blisters, easy to ulcerate scab, scab off light red granulation tissue, serum-like exudate, no painful itching, often complicated by pneumonia, myocarditis. Treatment: Chloramphenicol and tetracycline treatment of the disease has a long history, now doxycycline replaced, 200mg per day for 7 days; ciprofloxacin 0.2g, bid, also has a good effect; Chinese medicine treatment should be cool blood detoxification, external use of Qingliang cream. Prevention: remove weeds, trap rats; wear long sleeves and long pants in the field and apply phthalic acid to prevent chiggers bites.