Summary of case history A 79-year-old male patient with maintenance hemodialysis for more than 2 years complicated with systemic pruritus for more than 2 years and aggravated without obvious inducement 7 days ago. After the conventional treatment of modern medicine failed, he was treated in our department with "maintenance hemodialysis for more than 2 years, systemic pruritus for more than 2 years and aggravated for 7 days". Four diagnosis information: the patient was clear, pale, chronically ill, tired and short of breath, scratching his clothes and head, and restless; He complained of itching all over the body for more than 2 years, aggravated for 7 days, difficulty in falling asleep, and itchy at night, often unable to sleep all night; His skin of the whole body was dry, and the mucosa was pale yellow and colorless, but there was no damage, erythema and other abnormalities; His tongue was scorched yellow, covered with cracks, the tongue coating was scorched thick, the tongue tip was bright red, and his pulse was floating, numerous and thin right pulse. TCM diagnosis,Western medicine diagnosis,　Chronic kidney disease stage 5 (maintenance hemodialysis status); Complications of Maintenance Hemodialysis (Pruritus),Therapeutic methods,　In addition to routine treatment, traditional Chinese medicine treats the patients with the method of nourishing yin and blood, dispelling wind and relieving itching, and applies the self-made prescription of nourishing yin and relieving itching.,Clinical outcomes,　After taking the traditional Chinese medicine decoction, all symptoms were cured, and the follow-up was in progress.