Summary of case history,　A 50-year-old male patient presented with dizziness and weakness of lower limbs for 4 years, which worsened for more than 1 month. Disease see: dizziness, head of meng, blurred vision, the words are too slow, writing is difficult, tremor, with both hands double lower limbs weakness, walking instability, spontaneous perspiration, especially after the head, an obvious, such as water washing, limited neck activity, turn adverse side, he sleeps, urine yellow, hard stool, 4th line, tongue reddish, moss thin yellow, floating pulse is weak. Physical examination: static tremor of both hands, ataxia gait, bilateral lower extremity muscle strength grade ⅳ+, bilateral lower extremity muscle tension, bilateral finger to nose test, heel knee tibial test instability. The blood pressure was 110/70 MMHG in the supine position, 110/60 MMHG in the sitting position, and 88/55 MMHG in the standing position. Auxiliary examination: Brain magnetic resonance imaging showed cerebellar atrophy; The pons atrophy. (Henan Provincial People's Hospital, February 2019),TCM diagnosis,　guyao disorder(deficiency standard: kidney essence deficiency, heat syndrome of upper coke wind),Western medicine diagnosis,　multiple system atrophy,Therapeutic methods,　Integrated traditional Chinese and Western medicine treatment. Traditional Chinese medicine, acupuncture, moxibustion comprehensive treatment. Traditional Chinese medicine to Sangjuyin and Yupingfeng San;. powder addition and reduction to wind clearing heat, strengthening exterior and reducing sweat. After symptom is alleviated, with Qijudihuang bolus unites jade screen dispersing to replenish the essence and fill the marrow, supporting the healthy energy. At the same time, the head needle and the body needle are used to unblocked governor meridian Tiao Sprit, remove evil and dredging the meridian, and cooperate with Du moxibustion to benefit the kidney and dredging the meridian Western medicine gave oral pramipexole drug treatment, combined with balance training, lower limb motor function training, continuous treatment for more than one month.,Clinical outcomes,　the number of dizziness episodes decreased significantly compared with before, and only happened occasionally during activities. The limbs are stronger than the front and can walk by themselves. The tremor of both hands is relieved and can be written.