Summary of case history ,The patient was admitted to the Emergency Department of our hospital on September 22, 2018 due to recurrent fever for one week. The patient developed fever without obvious inducement 1 week ago, with a heat peak of 39.8 ℃, accompanied by chills, muscle soreness, a little headache, a little cough with sputum, yellow and white sputum, dry mouth, and abdominal distension. After diagnosis and treatment in the local hospital (the specific medication is unknown), the fever could be resolved, and the symptoms were repeated. On the day of admission, the patient had fever again with a heat peak of 39.7℃.Symptoms of admission: slightly tired, yellow body, yellow eyes, yellow urine, no fever, muscle soreness, a little cough withyellow white sputum, dry mouth, abdominal distension, stomach appetite and sleep is OK, normal stool. Physical examination: He was conscious, with severe yellow staining on the skin and sclera of the whole body, no rash or eschar on the skin of the whole body, and scattered dark red bleeding spots on the skin of both lower limbs. Breath sounds in both lungs were clear, and no wet or dry rales were heard. Rhythm is uniform. No pathological murmurs. The abdomen was flat and soft, the upper abdomen was light and tender, the liver and spleen were not palpable, Murphy's sign was negative, there was no tapping pain in the liver area, there was no tapping pain in the bilateral kidney area, there was no mobility dullness, and the bowel sounds were normal. Tongue dark red, slightly greasy yellow moss, pulse floating number. After admission to the related inspection andactive treatment in patients, Butjaundice continues to increase, and shortness of breath, bloody, bloody urine, the symptom such as subcutaneous hemorrhage is aggravating, considering multiple organ failure and ICU intensive care, monitoring during treatment in mind agitated, reduced the volume of urine, hence please kai-ping jiang, director of the TCM doctor to guide diagnosis and treatment.,TCM diagnosis ,Jaundice (internal stasis and heat syndrome),Western medicine diagnosis, Leptospirosis (severe jaundice),Therapeutic methods ,Western medicine gives symptomatic and supportive treatment such as anti-infection, liver protection, Relieve cholestasis and renal replacement therapy. According to the different stages of disease progression, TCM treatment is divided into syndrome differentiation and treatment by eliminating heat and removing blood stasis, nourishing Yin and clearing heat and removing dampness.,Clinical outcomes ,The patient was successfully treated.