Summary of case history,　A 53 years old female named Zhang went to see doctor on April 4, 2019 due to insomnia, frequent dreams, hot flashes and night sweats more than one year. She had been menopausal more than one year. She felt insomnia and dreams after menopause, falling asleep for 2~3 hours every night, accompanied by hot flashes, night sweats, fever of hands, feet and heart, etc. After being treated with Chinese and Western medicine for many times in other hospitals, the effect was not obvious. At the time of treatment, the patient still had insomnia and dreams, hot flashes and night sweats, hot hands, feet and heart, itchy skin, upset, tinnitus such as cicadas, soft waist and knees, dry mouth to drink cold, yellow urine, poor stool. Fat tongue body, dark red tongue, thin yellow moss, pulse fine number. She had a history of psoriasis for more than 10 years, with recurrent pruritus, which became worse after menopause, and obvious brownish red plaques in her limbs.,TCM diagnosis,　1. Evidence before and after menopause; 2. White Warehouse (Liver and kidney yin loss, heart and kidney non-delivery),Western medicine diagnoses,　1. Menopause syndrome; 2. Psoriasis.,Therapeutic methods,　The patient belongs to menopausal syndrome with psoriasis, syndrome differentiation is liver and kidney Yin deficit, heart and kidney do not hand in syndrome, to the holistic view of Chinese medicine, treatment must seek in this treatment principle, to tonifying liver and kidney, communicating heart and kidney, Ningxin and calm God method treatment, prescription with Ding's department of gynecology S,henmai Huanglian Ejiao decoction,Clinical outcomes:,After 4 weeks of treatment, the patient had insomnia and dreams, hot flashes and night sweats, fever of hands, feet and heart, and psoriasis symptoms were significantly improved.