Summary of medical history,　Patient with intrapharyngeal ulcers have recurred for 5~6 years. The pain is very severe. He has gone to many hospitals for treatment, underwent medications with hormones and other Western medicines. Many biopsies had been done and the outcomes were negative. The use of oral prednisone 50mg can temporarily relieve pain. The quality of life was seriously affected.The patient is afraid of cold, fatigue, and has severe constipation.,Four diagnosis information,　A large ulcer of the mucous membrane of the lower oropharynx even in the larynx and pharynx, with a purulent discharge attached to the wound. He is thin, mentally tired, and his face is painful. Tongue with tooth marks and the moss is thin. Pulse string and thin.,Traditional Chinese medicine treatment,　Nourish yin and qi, strengthen spleen qi and clear the heat.,TCM diagnosis,　Aphtha(Spleen deficiency and heart heat),Western medicine diagnosis,　Recurrent aphthous sores,Treatments,　Chinese medicine Yang Yin Li Yan Soup, 1 dose per day, decoction in water. Also use Zhu Huangqing to blow the throat, twice a day.,Efficacy,　After 2 weeks of medication, most of the mucous membrane of the mouth ulcer surface has been born, and symptoms such as sore throat have been improved. Although the ulcer was recurred, retreated with Traditional Chinese medicine worked again and the ulcer gradually healed. Telephone follow-ups show the patient has stopped hormone and condition is stable.