Summary of case history,　The patient in this case is an elder woman who has suffered from rheumatoid arthritis for more than 2 years and has been treated with non-steroidal anti-inflammatory drugs for a long time, but the joint pain still occurs repeatedly. Abnormal liver function was found in physical examination 1 year ago: AST:55.2 U/L, γ-GGT: 65.2 U/L. The syndrome showed mixed cold and heat. The author from the Angle of Six Jing to distinguish the treatment of patients, the initial diagnosis from Shao Yang Jing treatment is ineffective, after the change of thinking from Jue Yin Jing to start, remarkable effect. The case is now written for readers.,TCM diagnosis,　wang bi (The syndrome of Han Xie Bi Zu Yu Er Hua Huo),.Western medicine diagnosis,　rheumatoid arthritis,.Therapeutic methods,　The treatment effect of Sini SAN was not obvious at the first diagnosis, and then changed to Danggui Sini Decoction combined with Guizhi and Fuzi decoction, the effect was remarkable.,Clinical outcomes,　Turn for the better.