Summary of case history,　Patient qin, female, 7 years old and 8 months old, sought medical attention on March 22, 2019 due to "swelling of the face and lower limbs, accompanied by abnormal urine tests for more than 2 months" Come for a diagnosis. On March 22, 2019, the child was diagnosed with "nephrotic syndrome" at a local hospital due to facial and lower limb edema, as well as brown urine. They were treated with prednisone acetate and recommended a referral. After 5 days, the child was diagnosed with "focal proliferative IgA nephropathy" at the Beijing Children's Hospital affiliated with Capital Medical University due to reduced urine volume and darkened urine color, with a Scr of 92 umol/L. The symptoms did not improve after treatment with prednisone acetate, mycophenolate mofetil, etc. Therefore, they came to our outpatient clinic for treatment. Symptoms and signs: The child's face is swollen, cheekbones are red, nose is dry, coughing, sputum is yellow in color, and the amount is small. She is usually prone to colds, sore throat, good sleep, brown urine, foam, loose stools, and goes on a daily basis. The tongue is slightly red, with thin white fur and yellow roots. The left pulse is stringy, while the right pulse is smooth.,TCM diagnosis,　edema(asthenia of the Spleen and indney, evil fever hide in Shaoyin).,Western medicine diagnosis,　focal proliferative IgA nephropathy.,Therapenic methods,　traditional Chinese medicine treatment focuses on tonifying the spleen and kidney, clearing and suppressing pathogenic factors, and is administered orally with a self-designed traditional Chinese medicine formula; Western medicine provides treatment with hormones combined with immunosuppressants, and gradually reduces hormone dosage.,Clinical outcomes,　the edema on the face and lower limbs disappeared, and there was no foam in urine and abnormal urine color. The 24-hour UTP decreased from 5000 to 70 mg/24h, and the ALB increased from 25.9 to 45 g/L.