Summary of case history,　male, 43 years old, because of "found gross hematuria with sand and stone discharge for one week" to diagnose. Patients one week ago no obvious cause gross hematuria, bright red urine, and see one small sand discharge from the urethra, in the local community hospital, preliminary diagnosis of urinary calculi, anti-inflammatory analgesia intravenous drip treatment, hematuria disappeared, now the patient on the left side of the waist discomfort, urine, for further treatment of traditional Chinese medicine treatment, then to our outpatient service on June 22, 2022.,Symptoms and signs,　One week ago, the patient appeared a gross hematuria, bright red, and saw a small sand discharge. Now the patient's left waist discomfort, fatigue, dry mouth, frequent gas loss, foam in frequent urination, nocturia once, 1-2 stool, loose stool, watery stool, nano, difficulty in falling asleep, red tongue, white moss, fine pulse.,TCM disease and syndrome urolithiasis,　water drink stop, hot and humid coke.,TCM treatment,　Change gas and water, clear heat and dampness.,Western medicine diagnosis r,　ight hydronephrosis; double kidney stones,Diagnostic methods,　Wuling powder decoction, 28 doses.,Clinical outcomes,　After TCM syndrome differentiation treatment, the patient's subjective clinical symptoms were significantly improved, and 8 urinary stones were discharged. In terms of objective indicators, the review of urinary system color ultrasound showed the disappearance of right hydronephrosis and the reduction of both kidney stones.