Summary of case history,　The patient, surnamed Zhang, female, 21 years old, came to see the doctor on July 16, 2023 due to "facial erythema for 10 years, edema and dizziness for 1 week". The patient was diagnosed as "systemic lupus erythematosus" 10 years ago due to facial erythema after sun exposure, and was treated with hormone and hydroxychloroquine for improvement. Five years ago, he had repeated drug increases because of relapse. The patient was admitted to our department one week ago with edema and dizziness without cause. Four diagnostic information: the patient is mentally ill, emotional anxiety, edema of the face and lower limbs, facial erythematosis, dizziness and spinning feeling, palpitation, chest tightness, hair loss, abdominal distension, poor appetite, sleep, urine volume is less, foam, stool adjustment. The voice is low, the breath is flat, the tongue is red, the fur is white, the pulse is heavy.,TCM diagnosis,　Sphenoid ulcer streaming (spleen and kidney deficiency, water flooding, blood stasis and heat interjunction),Western medicine diagnosis,　Systemic lupus erythematosus, lupus nephritis, nephrotic syndrome, lupus encephalopathy, pneumonia, peritoneal effusion, pleural effusion, pericardial effusion, hypoproteinemia, hypothyroidism, electrolyte disorders, anemia.,Therapeutic methods,　Western medicine gives meprednone, mycophenol ester capsules to suppress immunity, supplement protein, diuretic, anticoagulation and other symptomatic treatment. At the stage of TCM examination and treatment, to tonifying kidney and invigorating spleen and dampness, clearing heat and detoxifying activating blood as the treatment principle, the formula was chosen to add or reduce Liuwei Dihuang pills; In the stage of TCM examination and treatment, to strengthen spleen and dissipate phlegm, clear heat and remove blood stasis, the prescription selected Banxia Baizhu Tianma Decoction combined with Acorus Yu Jin decoction and gardenia tempeh decoction.,Clinical outcomes,　Evaluation of curative effect: obvious effect. Outcome: Improved.