The disease occurred in the middle finger of the right hand in elderly men, nail separation, the nail around the visible abscess ulceration, black scab film, can be seen at the touch of pus overflow, night pain unbearable. With acid regurgitation heartburn, blurred vision, appetite, two will be normal, sleep in general. Because the lesion is located in the middle finger of the right hand, it belongs to the disease of Jueyin meridian. He had been seen in the general surgery clinic of Chongqing Tumor Hospital, but his blood routine showed no obvious abnormality. He was examined for local ulceration, abscess, black scab, and blurred nail and flesh, but the result did not return. So we choose the method of fire needle therapy, combined with the traditional Chinese medicine of fuzheng yiqi dispelling dampness, clearing away heat and penetrating pyotropium, and take the prescription of Tuoli Xiaodu powder as the base to add or subtract the treatment.,TCM diagnosis, the Furuncle, the positive deficiency evil is solidThe patient with the right hand middle finger nail ulceration for the performance, belongs to the traditional Chinese Medicine Furuncle category. The onset of the disease is insidious, the course of the disease is short, and the location of the disease is in the middle finger of the right hand, so it is considered to be related to the jueyin meridian. Because zang-fu organs contain heat, two evil, resulting in stagnation of qi and blood, meridian obstruction and evil toxin aggregation, heat from the flesh. Its etiology and pathogenesis are always due to the accumulation of damp fire, blood coagulation toxin, Meridian Barrier, hot victory from the flesh rot. The disease occurs on the middle finger of the right hand of an elderly man. The flesh of the nail is separated. There are abscesses and ulcers around the nail. There is a black scab on the nail, according to the patients' age and pathological changes, the deficiency of vital energy and excess of pathogenic factors were considered. Deficiency of vital energy can not support pus to go out, plus evil solid, blood coagulation and toxin aggregation and lead to the occurrence of this disease. Therefore, the syndrome of positive deficiency and negative excess is dialectical. ,Western medicine diagnosis, right middle finger ulcer, nature of undetermined. ,Therapeutic methods ,1.fire needle surrounding needling and puncturing treatment 2. Fuzheng Quxie Chinese medicine, Fuzheng to qi-based, quxie to heat through pyotoxin-based,Clinical outcomes, before and after giving fire needle treatment for 6 times, 9 doses of traditional Chinese medicine, furuncle basically cured.