Summary of case history,　The child Qin, female, 18-month-old, was taken to the outpatient on May forth, 2022, for " Fever, cough for 3 days, asthma for 1 day" and was admitted to our inpatient department for"severe pneumonia". The child has a previous history of "severe pneumonia、Refractory epilepsy、Overall developmental lag" .Symptoms and signs:The child irritability, fever, paroxysmal cough, excessive phlegm, asthma, cyanosis, poor appetite, less urine, no stool for 3 days, the tongue is red, the fur is yellow and thick, and the infantile hand venule is purple in the wind pass.,TCM diagnosis,　pneumonia, syndrome of phlegm-heat obstructing the lung、heart blood stasis. TCM treatment:clearing heat and eliminating phlegm, dispersing lung and relieving asthma.,Western medicine diagnosis,　severe pneumonia; acute respiratory failure. ,Therapeutic methods,　Treated with CPAP assisted ventilation, anti-infection, antispasmodic and antiasthmatic, antitussive and phlegm-reducing treatment, as well as decoction combined with acupoint application.,Clinical outcomes,　With the comprehensive treatment of traditional Chinese and western medicine, the patient's condition improved and was discharged smoothly.