Summary of case history,　The patient had a goiter and enlarged lymph nodes in the neck with no apparent cause 5 years ago, and was treated by several doctors in China. The diagnosis of "Kimura disease" was made after pathological examination, after which he sought systematic glucocorticoid treatment and internal Chinese medicine treatment from Western and Chinese medicine specialists, but the results were not satisfactory and the disease recurred from time to time; one year ago, the size of the left mandibular lymph node increased significantly without any obvious cause, about 1.4 x 2.0 cm, and he was seen at the First Hospital of Zhejiang University School of Medicine, where the diagnosis was the same as before, and was given prednisone acetate tablets (20 mg orally qd). He was treated with prednisone acetate tablets (20mg orally qd), reduced to 5mg orally qd weekly, reduced to 5mg orally qd maintenance dose and combined with Chinese herbal medicine for 3 months, the lump became smaller than before, the patient was worried about the adverse effects of the drug and stopped the drug for observation. The condition is aggravated by poor mood and sleep; he has a tendency to stay up late, has no fever or chills, no dry mouth or bitterness, red and congested pharynx, poor sleep, good appetite, and regular bowel movements. History of chronic diseases, infectious diseases and special diseases denied.,Symptoms and signs,　Enlarged thyroid masses and lymph nodes in the neck, large in number, variable in size, well defined, hard and mobile. Clear consciousness, chronic facial features, moderate form, auto position, red and congested pharynx. The voice is clear and no peculiar odour is detected. The tongue is red and descending, the fur is yellow and thick, and the pulse is smooth.,TCM diagnosis,　gall disease (qi gall); scrofula,TCM disease and syndrome,　gall disease (qi gall); scrofula evidence of interlocking phlegm and blood stasis.,TCM treatment,　Clearing phlegm and softening hardness, invigorating blood and dispersing knots.,Western medicine diagnosis,　kimura disease,Therapeutic methods,　Chinese medicine taken internally (Xia Ku and Scrofula Pills with flavour) and external Chinese medical treatment (general acupuncture).,Clinical outcomes,　After a total of 2 months of treatment, the patient's neck lump became significantly smaller and her quality of life improved significantly, with no recurrence at 2 months of follow-up.,Suitable for reading majors,　This case is suitable for clinical doctors or students majoring in dermatology and Traditional Chinese Medicine surgery.