Summary of case history,　Two years ago, the patient had left knee joint swelling and pain without any obvious cause, and was treated with synovitis in a local hospital, and was given surgery to remove the synovial membrane, after which the patient's symptoms of joint swelling and pain recurred from time to time. 1 year ago, the patient had right elbow joint swelling and pain, and was treated with rheumatoid arthritis in an outside hospital, and was given methotrexate, elavilamate, and adalimumab. The patient's condition was poorly controlled after using the medication, and he was switched to upatinib 5 months ago. The patient's condition was still poorly controlled after using the medication, and he gradually developed unfavorable flexion and extension of the right elbow joint, and his elbow joint fusion was shown on X-ray 2 months ago, and he was then switched to tolizumab treatment. After using tolizumab for 2 times, the patient's symptoms did not improve significantly, and now her left knee and right elbow joints were swollen and painful. In order to seek for further integrated diagnosis and treatment with traditional Chinese and western medicine, she was admitted to our hospital. Admission symptoms: clear, spirit can, left knee, right elbow joint swelling and pain, flexion and extension is not favorable, morning stiffness 2-3 hours, the rest of the joint swelling and pain is not significant, no fever, no mouth ulcers, photosensitivity, dry mouth, bitter mouth, no chest tightness, no coughing and wheezing, no gastric pain and acid reflux, sleep is still good, urine is yellow, stools are sticky. Tongue red, moss yellow and greasy, pulse slippery.,TCM diagnosis,　Wang Bi (Damp-Heat-Toxicity).,Western medicine diagnosis,　Rheumatoid Arthritis.,Therapeutic methods,　Traditional Chinese medicine for evidence-based treatment and western medicine with JAK inhibitors.,Clinical outcomes,　Take a turn for the better.