Summary of case history,　A 56-year-old male patient was admitted to the hospital because of "fatigue for more than 2 years ". The patient had a history of diabetes for more than 20 years. In 2001, his serum creatinine was found to be elevated. In 2003, his serum creatinine was 398 μmol/L. it was recommended that renal replacement therapy, he looked for Chinese medicine treatment to our hospital.,TCM diagnosis,　Chronic renal failure (Spleen and kidney qi deficiency, damp turbidity and blood stasis),Western medicine diagnosis,　Chronic kidney disease stage 5; Diabetic nephropathy (stage V); Hypertension stage 2 ; Coronary heart disease.,Therapeutic methods,　The traditional Chinese medicine scheme of Sanqi Oral Liquid replenishes qi and activates blood,and Niaoduqing clears the internal organs and removes turbidity,strengthens the body and exorcises pathogens. Control Blood sugar and blood pressure. Correction of acidosis and electrolyte imbalance.,Clinical outcomes,　The patient started Traditional Chinese treatment in 2003, and was followed up to 2014 in stable condition, and delayed renal replacement therapy after 11 years.