Summary of case history,　The patient seek medical advice for repeated fatigue and abdominal distension for 1 year. In June 2018, there was no obvious cause for fatigue, accompanied by abdominal distension, which could be relieved after rest. In January 2019, the patient had symptoms of fatigue, abdominal distension, lower limb edema. The surface antigen of hepatitis B virus and antibody of hepatitis C virus are negative. Abdominal ultrasound showed cirrhosis, splenomegaly and ascites. The patient has been drinking alcohol for more than 30 years, and the alcohol content is about 80 g/day. The diagnosis was Alcoholic cirrhosis, Peritoneal effusion, Hypoalbuminemia. The symptoms improved after liver protection, diuresis and albumin infusion. Since then, due to repeated abdominal distension, the patients were treated with liver protection, diuresis and ultrafiltration of ascites. The ascites did not improve significantly. Currently, take spironolactone 40mg,twice a day, torasemide 20mg, once a day,intermittently tolvaptan 15mg orally for diuretic therapy. Past: hypertension history of more than 10 years, long-term drinking history of more than 30 years, about 80g / day of alcohol. Physical examination: dark complexion, no yellow stain on skin and sclera, liver palm (+), spider nevus (-). High abdominal swelling, umbilical hernia, positive mobile voiced, mild edema of both lower limbs. The tongue is dark red, the tongue coating is white, and the pulse is deep. Auxiliary examination: May,16, 2019 liver function result are ALT 14 U/L, AST 25 U/L, ALB 31 g/L, GGT 113 U/L, ALP 95 U/L, TBIL 16.6 umol/L, DBIL 7.6 umol/L, CHE 3211 U/L. Blood routine check report shows that RBC 3.97×10,9,/L, HGB 129 g/L, WBC 6.44×10,9,/L, PLT 151×10,9,/L. Hemagglutination: PTA 60.9%. Blood ammonia: 44.8umol/L. Tumor markers: AFP 5.12 ng/ml, CA125 387.2U/ml. No obvious abnormality is found in routine urine test, renal function and ion series. March,16,2019 Abdominal ultrasoundresult are 1. Liver cirrhosis and splenomegaly × 145mm, large amount of ascites 31mm in front of liver, 102mm in the space between lower abdomen and intestine, 14mm in front of spleen, and 12mm in portal vein; 2. Multiple slightly hypoechoic nodules in the liver 19×13 mm; 3. Portal hypertension and collateral circulation opening; 4. Secondary changes of gallbladder and multiple gallstones. May,14,2019 abdominal CT result are 1. Liver cirrhosis, slightly enlarged spleen, ascites, and open accessory umbilical vein; 2. Gallstone and cholecystitis; 3. Intraperitoneal calcification.,TCM diagnosis,　Tympanite-Qi deficiency induced blood stasis pattern, water retention pattern,Western medicine diagnosis,　Decompensated stage of alcoholic cirrhosis; ascites(Level 3); Splenomegaly; Hypoalbuminemia; Hypertension; Cholecystitis; Gallstone,Therapeutic methods,　1. Traditional Chinese medicine treatment: it is used to replenish qi and activate blood circulation, promote water and reduce swelling. The prescription is as follows: Sheng Huang qi 40 g, Ze lan 15 g, Fu ling pi 30 g, Zhu ling 20 g, Ze xie 15 g, Che qian zi 30 g, Yu mi xu 15 g, Da fu pi 15 g, Bai mao gen 30 g, Shui hong hua zi 10 g, Bai shao 15 g, Chen pi 10 g 200 ml each time, twice a day, warm drinking. 2. Western medicine treatment: torasemide 10 mg po bid, spironolactone 40 mg po bid, tolvaptan 15 mg po qd Occasionally.,Clinical outcomes,　After about 17 months of treatment with combination of Chinese and Western medicine, the symptoms of fatigue, abdominal distension, anorexia, and low urine volume were significantly improved, the abdominal distension was reduced, and the umbilical hernia disappeared. No abnormality was found in liver function, hemagglutination and blood routine. Ultrasound examination showed that ascites in the lower abdominal intestinal space changed from 102 to 15 mm, pre hepatic ascites changed from 31 to 0 mm, and pre splenic ascites changed from 14 to 0mm. Liver stiffness value E changed from 24.8 to 18.4 kpa.