Medical history summary,　Bai, female, 76 years old, chief complaint: bilateral lower limb edema for 15 years, left leg ulcer recurrence for 5 years, aggravated for 1 month. On March 12, 2021, our department outpatient treatment, patients with no obvious incentives in double leg edema, 15 years ago in the morning light night heavy, not for diagnosis and treatment, five years ago in the left medial malleolus foot ulcer, improved after hospitalization, left ankle ulcer repeated attacks more than 10 times in recent years, one month before patients self-conscious discomfort is aggravating, double leg swelling with calf local skin drainage flood was broken. Diagnostic information: There was pigmentation in the boot area of left lower limb, skin thinning, hair shedding, a 3*3cm ulcer was observed behind the left medial malleolus, the wound was dark red, scab was hard, the wound base was dark purple, there was no obvious granulation tissue, and the secretion was abundant, thin, cloudy and smelly, and the sore and wound circumference was obviously painful. Local miliary hyperplasia, severe itching, local scorching slight prickling, no obvious varicose veins in lower limbs, sticky stool, normal urine, dark red tongue, yellow and greasy coating, heavy and fine pulse.,Western medicine diagnosis,　lower limb venous insufficiency (grade C6), lower limb venous ulcer, stasis dermatitis.,Traditional Chinese medicine diagnosis,　ecthyma, syndrome of qi deficiency and blood stasis,syndrome of inter-accumulation of dampness and heat,Intervention measures,　Shallow needling on wound surface combined with oral external application of traditional Chinese medicine, using traditional Chinese medicine formula granules such as clearing heat and dampness, promoting blood circulation and removing blood stasis, tonifying qi and blood; Local fumigation of Chinese herbal decoction pieces; Shallow needling on wound surface ; Traditional Chinese medicine treatment, combination of acupuncture and medicine treatment. After wound healing, iv tension socks (level 2 pressure) were ordered.,Results,2,After four visits, the wound healed, the pruritus and pain symptoms disappeared, and there was no recurrence during follow-up.