Summary of case history,　The patient was a middle-aged woman who had suffered from rheumatoid arthritis (RA) for more than 18 years. After intermittent anti-rheumatic drug immunotherapy during this period, the patient developed systemic multi-joint pain with dislocation and bone dissolution, and the interphalangeal joints of both hands had different degrees of deformation, and the joint activity was significantly limited. Diagnosis: pain in the shoulders, elbows, wrists, proximal interphalangeal joints of both hands, and knees, accompanied by joint swelling, limited joint movement, morning stiffness more than 1 hour per day, poor food intake, loose stools, 23 times per day, light moss on the tongue, white thick greasy, smooth pulse fine.,TCM diagnosis,　WangBi syndrome wind (cold and dampness of syndrome),Western medicine diagnosis,　Rheumatoid arthritis,Therapeutic methods,　Traditional Chinese medicine to dispel wind and cold, dehumidification and pain relief for the treatment principle, the way to Qiang Sheng wet soup added and reduced; Western medicine treated gave anti-rheumatic treatment,Clinical outcomes,　Turn around