這是一位十歲的女童，四年前在感染水痘病毒後雙目視力逐漸減退，至二年前全盲。近二年來腰痛與感冒反複不癒。本次因右上腹痛、嘔吐、便秘住院。住院三日後發高燒，兩下肢無力，腰薦椎神經傳導速度延遲，核磁共振檢查發現頸椎與胸椎多節段的橫斷性脊髓炎(transverse myelitis)，多項免疫學檢查與抗核抗體呈陽性，西醫診斷爲系統性紅斑性狠瘡。經投予大劑量類固醇後，高燒獲得控制，但兩下肢無力卻逐漸加重，遂會診中醫診療。初診時，患童身材瘦削，兩類泛紅，焦躁不安，閉目呻吟，神情緊張，狂譫。觸之覺前額前胸後背均熱，大腿以下明顯覺冷。兩下肢發抖，無法站立已四日，合併尿失禁與大便不通。苔少舌質紅絳，硃點滿佈。左脈沉伏，右寸關濡滑，尺脈沉滑有力。本病辨證爲陽明溫病，熱毒熾盛，氣營兩燔，肝腎陰盧。處方以清營湯合白虎承氣湯加減，配合針刺治療。三日後病患身熱退、觀紅退、腹脹減，大便已通，小便稍能自解，左脈轉濡滑，右尺脈仍沉有力。證屬餘熱未盡，肝腎陰虛。方轉以大補陰丸爲主加減青蒿龜張甲湯，第五日患童已可扶床緣站立一分鐘。至第十日病患已可在家人攙扶下步行而出院。

The girl case aged ten years chief complain gradual blurring of vision attributed to varicella virus infection 4 years ago and amaurosis for two years. Tine lumbago and catch cold were recurrent attack in recent two years. The admission she was caused of epigastric pain, vomiting and constipation. However, sine suffered from high fever, lower extremities weakness and delayed lumbo-sacral nerve velocity after admitted 3 days. Tine magnetic resonance imaging identified the patient's lumbar transverse myelitis. Examination of autoimmune antibodies revealed positive response. The systemic lupus erythematosus was final diagnosis. After administration of high-dose steroid, the fever was controlled, but lower extremities weakness gradually aggravated. Therefore, sine received Chinese Medicine consulted treatment. The first visit, sine looks skinny shape, red cheeks, anxiety and restless, eyes closed and groans, nervousness as well as crazy and delirium. Her forehead, chest, and back were palpable hot, hut lower legs coldness. On the other hand, her lower extremities were trembling and unable to stand up for 4 days and complicated with urinary incontinence and constipation. The inspection her tongue substance was dark red with scanty fur and scattered red points. The palpation left wrist pulse image was deep hidden, and tine right wrist pulse was soggy and slippery in the inch and bar; deep slippery and strong in the cubit. Tine pattern identification of SLE was Yang-ming warm disease, exuberant heat-toxin, dual blazing of qi-aspect and construction-aspect pattern and liver-kidney yin vacuity. Tine main formulae were modified Construction-Clearing decoction as well as White Tiger and Qi-Infusing decoction, and combined treatment of acupuncture. After three days of treatment, the fever subsided, less cheek redness, no constipation, less abdominal distention, accompanied with better urinary control. Tine left pulse was soggy and slippery, the right cubit pulse deep and forceful. According above clinic manifestation, the pattern identification of patient was belonging to evil heat residual and not clearing as well as the liver and kidney Yin vacuity. The treat of prescriptions was a complex formula of Da Bu Yin Wan and Qing-hao Biejia decoction. The fifth day, the patient was able to stand up for one minute under the bedside support. The tenth day the patient could walk under assistance of her family and discharged.