(Disclaimer: This article is only used for scientific purposes, in order to protect the patient’s privacy, the relevant information in the following content has been processed) Abstract: The patient is a middle-aged male, manifested as generalized weakness, loss of appetite, yellow urine, yellow body and eyes, through the traditional Chinese medicine “looking, sniffing, questioning, and checking” as well as the western medicine liver function examination, it is clear that for the liver and gallbladder dampness heat, the patients were given The patient was given traditional Chinese medicines to clear heat and dampness, dredge the liver and gallbladder, mainly including gentian herb, yujin, fried gardenia, Huanglian, Yin Chen, Ze laxative, Psyllium, raw coix seed, raw malt and so on, and the liver function returned to normal after 15 days. Basic information] Male, 35 years old [Disease type] Liver and gallbladder damp-heat syndrome [Hospital] The First Affiliated Hospital of Nanchang University [Time of consultation] May 2021 [Treatment plan] Traditional Chinese medicine evidence-based treatment (gentian herb, tulip jasmine, fried cape jasmine, Huanglian jasmine, inoceramus, zejiao, plantain, raw coix seed, raw malt) [Treatment cycle] Hospitalization for 15 days, 1 month outpatient follow up [Treatment effect] The condition has been controlled, and liver function has returned to normal. The liver function has returned to normal I. Initial Consultation The first time I saw the patient, Liu, the patient said that 1 week ago, there was no obvious cause for the symptoms of generalized fatigue, accompanied by loss of appetite, chest tightness, restless sleep at night, stomach discomfort and other manifestations, but also often feel depressed and unhappy in the heart, always sighed and sighed, the bowel movement is not normal, and sometimes do not have bowel movement for several days, and in time to defecate, the bowel movement is not normal, with a sticking to the toilet bowl, and the urine color is yellow, but the amount is not much. The color of urine was yellow but the quantity was not much. Through the four diagnosis of traditional Chinese medicine, the patient was found to have a yellow and greasy tongue and a stringy pulse. Liver function tests in Western medicine showed: alanine aminotransferase: 450 U/L; glutamic oxal transaminase: 250 U/L; total bilirubin 60 μmol/L, HBsAg (+), and other items were close to normal. Physical examination revealed that the liver was large, two transverse fingers below the ribs and three transverse fingers below the sword, with tenderness. The TCM diagnosis was that dampness and heat had been retained for a long time, and the qi of the liver and gallbladder was stagnant. Treatment for clearing heat and dampness, liver and gallbladder, to the patient prescribed medicinal formula (Yin Chen Artemisia Tang Plus Reduction), including gentian herb, tulip gold, fried gardenia, Huanglian, Yin Chen, Ze Xie diarrhea, Psyllium, raw Coix seed, raw malt, total amount of drugs 7 doses, 14 days after the review of the liver function is normal, the patient’s symptoms have basically disappeared, has reached the effect of clinical cure, can be discharged. The patient was discharged from the hospital. After a month of follow-up, the patient had recovered his health and went to work normally. Third, the therapeutic effect According to the patient’s own situation for evidence-based treatment, clinical proof of the effect is good, the patient with the drug, the gradual reduction of various symptoms, body and eyes yellowing is not obvious, appetite increased, the body also has energy. With the increase of the medication time, the patient’s bowel movement gradually returned to normal, and the urine was no longer yellow. TCM diagnosis found that the patient belonged to the liver and gallbladder damp-heat syndrome, so the treatment mainly adopted the method of clearing heat and inducing dampness to expel the damp-heat, because of the close relationship between the liver and the gallbladder, inducing damp-heat can also play the role of dredging the liver, so the auxiliary bile-inducing traditional Chinese medicine can promote the excretion of bile, and the damp-heat will go, the jaundice will subside, and the patient will be back to normal after more than 10 days of treatment with very good therapeutic effect. The patient was discharged from the hospital after being cured, and I was very happy in my heart. The patient has a damp-heat constitution, so she should have a light diet, eat less greasy food, such as hot pot and fried food, prohibit smoking and alcohol, avoid spicy and stimulating food, and eat cold fruits and fruits conducive to defecation, such as bananas, apples, oranges, watermelon, etc. Avoid warm fruits and fruits that are not conducive to defecation, such as durian, mango, lychee, etc. Usually, you can also supplement some vitamin C and sugar. Five, personal perception of Chinese medicine treatment of liver and gallbladder dampness and heat, to distinguish between dampness and heat, and the onset of the disease focus on the treatment from the spleen from the stomach. Such as “Yin Chen Artemisia Tang” in the use of rhubarb, is the treatment of gastric heat in favor of jaundice, “Yin Chen Ping Stomach San” in the use of Cangzhu, thick Park is the treatment of jaundice in favor of spleen dampness, the table seems to be “Yin Chen Artemisia” is the biliary It seems that “Artemisia capillaris” is an important medicine to relieve jaundice, but if it is not applied to distinguish between dampness and heat in the spleen and stomach, the effect will not be significant. For many years, this theory has been used to identify and treat jaundice, and a few points of experience are briefly summarized as follows: no stool or dry stool is an indication of jaundice with heavy heat, and also an indication of “Artemisia capillaris soup”, generally after five or seven doses, the stools will be clear and the jaundice will gradually subside. There was someone who took Artemisia capillaris soup for the first time, the curative effect is very remarkable, and continuous service without paying attention to the addition and subtraction, but caused liver disease of the change of evidence.