Summary of case history,　A 77-year-old male presented with blood entrainment with hemoptysis in aspirated mucusfor 1 week. History of nasopharyngeal carcinoma, radiotherapy and chemotherapy for nasopharyngeal carcinoma in 2017. Admission to the hospital to see the back of the nose with zblood, with hemoptysis, bright red, more, fatigue, poor spirit, dry eyes, dry throat pain, cough, cough, sleep is not good, nocturnal urine, dry stool knot, weight loss of 1 kg in the last 1 month.,TCM diagnosis,　Nasopharyngeal cancer Weakness of vital energy, Qi and blood coagulation,Western medicine diagnosis,　Recurrence and metastasis of nasopharyngeal carcinoma after radiotherapy and chemotherapy,Therapeutic methods,　"Urgent is its symptoms, slow is its root". Because the patient is in the acute bleeding state, the treatment is mainly to remove blood stasis and stop bleeding, to strengthen the body and dispel pathogenic factors, and to Puhuang powder and YiqiJiedu prescription. After control of bleeding, continue to yiqi detoxification, phlegm scattered.,Clinical outcomes,　After the treatment of Puhuang powder combined with Yiqijiedu decoction, the bleeding symptoms were relieved, the mental diet was improved, and the feeling of dry pain in pharynx was obviously improved. After taking the nasopharynx detoxication capsule, instruct the patients to pay attention to the development of the disease, observe the bleeding, do not blow or pick their noses, pay attention to their own protection. Light diet, sleep patterns, emotional adjustment, appropriate exercise, adhere to follow-up, the patient's condition is still stable, no obvious tendency to further metastasis and recurrence,.