Summary of case history,　The patient was admitted with "hemodialysis for more than 10 years, abdominal pain for 5 days".Information on four diagnosis: on August 12, 2022, the patient's vision, smell, palpation and tongue pictures were as follows: the patient was clear, dark yellow, chronic, tired, short of breath, and weak in limbs; Complained of abdominal pain for 5 days, accompanied by cold hands and feet, anorexia, dry mouth and throat, irregular stool; The tongue is yellow, and there is a red crack in the middle of the tongue. The tongue coating is yellow and greasy, and the pulse is string and weak.,TCM diagnosis,　Abdominal pain (syndrome of yang depression and acute thoracic pain).,Western medicine diagnosis,　Chronic kidney disease stage 5 (maintenance hemodialysis status); Hypokalemia; Hypotension; Cholecystitis; Cerebral infarction,Therapeutic methods,　In addition to the routine treatment, traditional Chinese medicine treatment to soothing liver and regulating spleen, warming yang and relieving pain, given Sini Powder.,Clinical outcomes,　The curative effect turned back to that after taking the traditional Chinese medicine decoction, all the symptoms were clear. After 30 days of follow-up, there was no recurrence of symptoms and other discomfort symptoms.