Summary of case history ,XU, female, 74 years old, went to the hospital because of "Painless gross hematuria for more than 3 months". The patient developed painless gross hematuria 3 months ago, without fever, frequent urination, urgency and other symptoms. The abdominal CT scan in Fuxing Hospital showed that the right kidney occupies 4 cm×5 cm in size, and tumor was considered, chest X-ray and B-ultrasound showed no evidence. Distant metastasis. Subsequently, right nephrectomy was performed in the Cancer Hospital of the Chinese Academy of Medical Sciences. The postoperative pathology showed papillary transitional cell carcinoma and lymph node metastasis in 2/7, T1bN1M0. No other treatments such as radiotherapy, chemotherapy and targeted therapy after surgery.,TCM diagnosis ,Nephrosis (Yin Deficiency and Toxin Accumulation).,Western medicine diagnosis, Papillary adenocarcinoma after total right renal resection.,Therapeutic methods ,Pay attention to replenishing the deficiency of the spleen and kidney, and take into account the elimination of toxins. Xihuang Jiedu capsules and Ruanjian Xiaoliu tablets are used together to strengthen the power of eliminating pathogens.,Clinical outcomes, After taking the drug for a period of time, all symptoms were reduced, blood routine returned to normal, physical strength was increased, quality of life was improved, and long-term survival (OS=3 years) was achieved.