Summary of case history,　The patient Fu, a 36-year-old male, was hospitalized on July 4, 2020 because of "coma for 5 days after dark stool". The patient had a history of alcoholism for more than 20 years, and suffered from moderate coma after defecation 5 days ago. He went to the local hospital for emergency treatment, and his symptoms did not improve significantly after anti-infection and anti-liver coma treatment. In order to seek integrated treatment of traditional Chinese and western medicine, the patient was transferred from the Emergency Department of the University Town Hospital of Guangdong Provincial Hospital of Traditional Chinese Medicine to our department for inpatient treatment. Symptoms and signs: The patient were in a coma, with yellow body and eyes, bright yellow, yellow urine, fever, no hematemesis, no stool solution, no limb convulsion, etc. The tongue is dark red, the coating is slightly yellow and greasy, and the pulse is smooth.,TCM diagnosis,　Liver syncope(Heat harasses God).,Western medicine diagnosis,　1. Hepatic encephalopathy; 2. Acute upper gastrointestinal hemorrhage; 3. Decompensated stage of liver cirrhosis; 4. Pulmonary infection.,Therapeutic methods,　Traditional Chinese medicine is based on the principle of dredging the internal organs and removing turbidity, and awakening the mind and opening the orifices. The first diagnosis is to press beans at the ear points, apply acupoints, and use Chinese medicine enema for external treatment, and then take the decoction internally based on syndrome differentiation; Western medicine provides symptomatic support treatment such as anti-infection, liver protection, anti-jaundice, etc.,Clinical outcomes,　The patient's symptoms were completely improved, blood test indicators were significantly improved, and the condition was stable.