Summary of case history,　Lu, male, 5 years old, complained of sleeping and snoring at night for 1 year, aggravating for 2 months. The child snored and breathed with his mouth open during sleep for nearly 1 month, and snored again after catching a cold 2 months ago, accompanied by nasal congestion. Physical examination: the pharynx is slightly congested, the tonsils are not swollen, the tongue is red, and the fur is white. Examination of lateral films of adenoids showed that the soft tissue of posterior pharyngeal wall is significantly thickened, the thickness of adenoids is about 19mm, the width of nasopharyngeal cavity is 23mm, the rate is 0.82, and the airway is narrow.,TCM diagnosis,　The child snored at night, opened his mouth to breathe, and had a stuffy nose. It belongs to the category of nasal smothering, snoring syndrome, rhinorrhea and phlegm nucleusin from TCM differentiation. The pathogenesis of the disease was that the child’s body was weak, he repeatedly infected with external pathogens which causedblood stasis, phlegm and blood stasis intertwing, and he infected with external pathogens again. The phlegm, heat and blood stasis blocked the throat. It was diagnosed as nasal obstruction, and the syndrome differentiation belonged to phlegm and blood stasis obstructing collaterals syndrome in traditional Chinese medicine.,Western medicine diagnosis,　2021-12-23 lateral film of adenoids showed that the soft tissue of posterior pharyngeal wall is significantly thickened, the thickness of adenoids is about 19mm width of nasopharyngeal cavity 23mm, and the rate is 0.82, the airway is narrow. Western medicine diagnosed adenoidal hypertrophy.,Therapeutic methods,　The child was treated with Chinese medicine. Professor Zhao Xia treated him withTongqiao Sanjie Decoction, which was used to dissolve phlegm and Sanjie, remove blood stasis and dredge orifices,Clinical outcomes,　The child took the medicine for more than 5 months. The lateral film of adenoids on March 29, 2022 showed adenoidal hypertrophy (A/N 0.72). The symptoms of snoring, mouth opening breathing, nasal congestion were improved, and there was no need for surgical treatment.