Summary of case history,　This paper reports a case of a 19-year-old female, who presented with foamy urine for over six months, abdominal pain and diarrhea for two days. The patient had experienced foamy urine and lower limb edema without any apparent cause over six months ago. Two days prior to presentation, the patient developed intermittent abdominal pain and diarrhea, occurring more than 10 times per day, accompanied by headaches. There were no symptoms of vomiting, sweating, chills, chest tightness, or palpitations. Seeking further treatment, the patient visited our outpatient department. Current symptoms include headaches, abdominal pain with diarrhea, fatigue, poor appetite, acceptable sleep, abnormal urination, and loose stools more than 10 times per day. The tongue appeared pale red with a white, greasy, and slightly yellowish coating, and the pulse was short and rapid.,TCM diagnosis,　1. Cloudy Urine 2. Diarrhea (Syndrome of Damp-Heat Pouring Downward).,Western medicine diagnosis,　Lupus Nephritis 2. Acute Enteritis 3. Symptomatic Epilepsy [Secondary Epilepsy] 4. Moderate Anemia 5. Electrolyte Imbalance (Hypomagnesemia and Iron Deficiency).,Therapeutic methods,　Treated with "Ge Gen Qin Lian Tang" plus modifications: 20g of Puerariae Radix, 10g of Radix Glycyrrhizae Praeparata cum Melle, 10g of Scutellariae Radix, 3g of Coptidis Rhizoma, 10g of Zingiberis Rhizoma Preparatum, 10g of Jujubae Fructus, 10g of Rhizoma Atractylodis, 20g of Poria Cocos,6g of Radix Aucklandiae,6g of Agastache Rugosus, and 15g of Radix Pseudostellariae. Three doses were prepared, taken once daily, decocted in water, and administered warm after meals in two divided doses (morning and evening). Combined with 30 minutes of umbilical moxibustion, and acupoint application (Shénquè, Guānyuán, Tiānshū) for external TCM treatment to warm the center, dispel cold, invigorate the vital energy, and regulate the functions of the internal organs. Western medicine treatment included "Cefuroxime" for anti-infection, "Methylprednisolone" for anti-inflammation, "Hydroxychloroquine" for immune regulation, "Levetiracetam" for anti-epilepsy, "Aspirin" for antiplatelet aggregation, "Teprenone and Pantoprazole" for gastric protection, and "Calcium Carbonate with Vitamin D3" for calcium supplementation and prevention of osteoporosis.,Clinical outcomes,　Diarrhea improved, with one bowel movement per day, no significant abdominal pain or headache, no fever, and acceptable appetite.