Medical History Summary,　Mr. Zhong, a 62-year-old male from Jiangxi province, presented with a history of "repeated fever, dyspnea, and cough for six months, worsening over the past two weeks." He sought a consultation with Traditional Chinese Medicine (TCM) on July 13, 2023. The patient had experienced fever, cough, chest tightness, and other symptoms during the past six months, seeking treatment at multiple hospitals without significant improvement. The condition continued to worsen. On June 28, 2023, the patient experienced recurrent fever, cough, dyspnea, stomatitis, tongue pain, poor appetite, and was admitted to our Respiratory Intensive Care Unit (RICU) with a diagnosis of "pulmonary infection." Despite treatment with antibiotics, antiviral drugs, and supportive care, the symptoms persisted, and the condition worsened, accompanied by moderate anemia and marked dyspnea, requiring supine position-assisted non-invasive mechanical ventilation and nasogastric feeding. Thus, a TCM consultation was requested. ,Clinical presentation ,The patient appeared fatigued, experienced heat rising in the body, had a dull complexion lacking luster, bright eyes, and sputum splattering when speaking. The throat had excessive phlegm, tongue pain, poor appetite, headache, inability to lift shoulders and back, difficulty turning sides due to lower back pain, fatigue in the limbs, tenderness around the navel, irregular bowel movements, restlessness during sleep, and excessive sweating. The tongue tip was red with a sense of fragmentation and ulcers on the tongue surface. The tongue coating was thick and greasy, with a lump of turbid phlegm adhering to the posterior part of the tongue, and the pulse was rough and obstructed.,TCM diagnosis,　phlegm-heat obstructing the lungs in the context of pneumonia and cough (phlegm-heat stagnating the lung pattern).,Western medicine diagnosis,　severe pneumonia, organizing pneumonia, severe anemia, cytomegalovirus pneumonia, invasive pulmonary aspergillosis,.,Intervention measures,　TCM intervention focused on clearing the lungs and clearing the intestines, simultaneously addressing the external and internal aspects of the condition. Considering the patient's constitutional characteristics, the treatment approach combined tonification with purgation, emphasizing the use of purgation as a means of tonification and promoting both tonification and purgation.,Therapeutic outcome,　After taking the prescribed medication, the pathogenic factors were expelled, and there was an opportunity for the elimination of rheumatism and epidemic toxins. The fever subsided, the body felt cool, the cough decreased, there was a significant improvement in mental state, and gastric qi gradually recovered. After discharge, the patient continued with TCM treatment and comprehensive pulmonary rehabilitation, including herbal medicine and external therapies for enhancing sputum clearance, at our outpatient department.