Summary of case history,　The patient, male, was 24 years old. The main reason was "found that uric acid increased for 2 years, aggravated by nausea and vomiting for 3 days" on June 26, 2019 with " rhabdomyolysis syndrome, acute kidney failure", he was admitted to my department. The patient had a history of high uric acid and gout. After up for more than two months, nausea, vomiting, sweating, muscle pain and sharp deterioration of myocardial enzyme and kidney function. Admission to hospital to improve renal microcirculation, actively replenish fluid and correct electrolyte disorder and acidosis; Traditional Chinese medicine(TCM) to TCM compound, acupoint application combined with diet treatment to Yiqi kidney, spleen clearing damp, blood circulation treatment, nausea and vomiting, muscle pain, low back pain symptoms significantly improved, increased urine volume, tongue coating from white greasy to thin white, pulse potential from weak to powerful, kidney function improvement, later give priority to with tonic and blood circulation collaterals, patients with mental improvement, ease, discharged from hospital smoothly.,TCM diagnosis,　obstruction and rejection.,TCM syndrome differentiation,　asthenia of both the spleen and kidney, moisture stasis mutual resistance.,TCM treatment method,　Qi tonifying kidney, split the spleen and remove dampness, promoting blood circulation to remove meridian obstruction.,Western medicine diagnosis,　1.rhabdomyolysis, 2. acute renal failure, 3.hyperuric acid nephropathy, 4.ureteral calculus.,Therapeutic methods,　Western medicine provides treatment to improve kidney microcirculation, active rehydration to correct electrolyte disorders and acidosis,according to syndrome differentiation to invigorate Qi and kidney, spleen and dampness, blood circulation and collaterals.,Clinical outcomes,　The patient had improved renal function and was discharged from the hospital smoothly.