Medical history summary： Li， female， 85 years old， went to the ICU of the other hospital where she was treated by endotracheal intubation， invasive ventilator，antibiotic therapy and symptomatic treatment on June 16， 2021 for "Pant for 3 weeks and 8 days after extubation" and the tube was pulled out on June 23， 2021. However， the uncontrolled pulmonary infection and heart failure caused by the repeated oral-feeding choking made that she couldn’t be discharged from the hospital. For the thorough treatment， her family decided to move her to the ICU of our hospital on July 2， 2021， 8 days after her first extubation. Diagnostic information： The patient with ventilation was less conscious， wheezing， short breathing which was severe with movement. And she coughed intermittently with difficult expectoration. The appetite was bad and vomiting appeared. She had less urine， edema and constipation. The body temperature increased slightly. Her tongue was dark red with less and drier moss. And the pulse felt thin and smooth.Ddiagnosis：1. Acute exacerbation of chronic obstructive pulmonary disease； 2. Pulmonary infection.TCM diagnosis： 1. Lung Distention with Phlegm and Blood Stasis Type，Heart and Lung with the Invasion of Water Type， Deficiency of Lung and Kidney and the dysfunction of the spleen；2.Accumulation of phlegm， Heat， Blood stasis and toxin in the lung. Treatment： Due to the unstable pathogenetic condition， the invasive ventilator was given again on July 4， 2021， and we strengthened antibiotic therapy and nutritional support. At the same time， with the combination of the acupuncture into Zusanli， Sanyinjiao， Qihai and Guanyuan， the Shengmai injection and traditional Chinese medicine decoction were given， which could improve the function of the spleen， reduce phlegm， promote blood circulation and diuresis， strengthen the lung and kidney， and replenish Qi and nourish Yin.Efficacy outcome： With the comprehensive treatment of traditional Chinese and western medicine， the patient was successfully taken off the line，avoided gas resection， and discharged smoothly.Suitable Majors：Intensive Care Unit； Emergency Department； Respiratory Department；Geriatrics