Summary of case history,　PatientZhang, male, 50 years old,was diagnosed for the first time on December2, 2021, with complaining ahout"abdominal distended for 4 years, and worsened for more than 1 month".On November 18, 2021, due to alcoholic cirrhosis with a large amount of ascites, he was hospitalized for 20 days and treated with western medicine.Subetch syndrome:bloated abdomen, bulging abdomen, distension, distension and pain in both flank, fatigue, little food intake, sometimes bitter mouth, fever, little sleep, loose teeth, night sweats, wrong skin, sticky stool and little urine. Tongue red moss yellow root slightly greasy, edge tooth marks, sublingual vein 2 points, pulse sink slippery. Physical examination: face of liver disease, unsatisfactory palpation of liver and spleen, positive flap sound of abdominal movement, liver palm, red tongue, yellow moss, tooth marks, prolonged sublingual vein, and heavy pulse. Laboratory tests showed aspartate aminotransferase 81IU/L, glutamyl transpeptidase 149 IU/L, albumin 45.3 g/L. Thrombin activity (PTA %) was 85%. B ultrasound indicated diffuse liver lesions. B ultrasound instantaneous elastography (TE): liver hardness measurement value LSM 46.0 Kpa. MRI of the upper abdomen indicated that the surface of the liver was not smooth; In the arterial phase, the enhancement of liver parenchyma was uneven, and multiple plaque enhancement shadows were seen. The patient had a history of heavy alcohol consumption.,TCM diagnosis,　Swelling (dropsy)(syndrome of liver stagnation, spleen deficiency and blood stasis),Western medicine diagnosis,　Decompensated alcoholic cirrhosis;Ascites;hypersplenism; Hypoproteinemia,Therapeutic methods.,　The treatment method is to dredge the liver and strengthen the spleen and benefit the water, promote blood circulation and remove blood stasis, detoxify and channel collaterals, give consideration to specimens, harmonize Qi and blood, detoxify and benefit water. Chinese medicine decoction was used for treatment, adding and subtracting with symptoms, 14 Chinese medicine was paid for each treatment, decocted in water, once in the morning and once in the evening.,Clinical outcomes,　The ascites treatment course was followed up for 5 times. The ascites disappeared, abdominal distension improved, and liver cirrhosis was effectively controlled.