Summary of History,　The child was 6 years old and presented with "sleep snoring with open-mouth breathing for more than 1 year". The child developed sleep snoring with open-mouth breathing with no apparent cause 1 year ago, with irritable and tossing and turning during sleep. The parents did not pay any attention to the problem, so there was no standard treatment. On 8 June 2022, the parents visited an external hospital because they had heard that chronic snoring in children could affect growth and facial appearance. An electronic rhinolaryngoscopic examination revealed a small amount of mucopurulent drainage from the middle nasal passage and nasopharynx, as well as adenoid hypertrophy blocking about 2/5 of the posterior nostril. The child's parents refused surgery.Therefore, they came to The First Affiliated Hospital of Guangzhou University of Chinese Medicine outpatient clinic on 26 June 2022 to seek Chinese medicine treatment.,TCM diagnosis,　① snoring disorders, ② Biyuan disorders, ③ Biqiu disorders.,Dialectic,　deficiency of lung and spleen, Dampness and heat congestion in the nose.,Western medicine diagnosis,　① Adenoid hypertrophy, ② Sinusitis, ③ Allergic rhinitis. Therapeutic methods With the four diagnostic methods, the prescription was based on Professor RUAN Yan's commonly used empirical formula for prescription of Jian pi Tong qiao, together with our hospital preparation, needle burial at acupuncture point and a small amount of Western medicine for a short period of time. At the meanwhile, parents were advised to pay attention to the child's daily life, such as avoiding wind and cold, preventing colds, keeping a balance diet, avoiding greasy, spicy and herbal tea, and exercise moderately to enhance physical fitness.,Clinical outcomes,　After the first consultation (11 days), the child's snoring and nasal symptoms had significantly improved. 10 doses of Chinese herbal medicine were given at the second consultation to consolidate the efficacy of the treatment. 3 months later, at the follow-up visit, the child's snoring and open-mouth breathing were no longer present during sleep and the associated nasal symptoms had basically subsided.