Abstract: Objective To summarize professor Zhang Minghe's clinical experience in the treatment of rheumatoid arthritis. Methods Followed professor Zhang Minghe's clinical consultation, collected relevant medical cases, and sorted out professor Zhang Minghe's prescriptions and comments, with 1 case of complete clinical diagnosis and treatment. By referring to relevant literature and adopting qualitative research method, the prescription characteristics of patients with different syndrome types were summarized, and the clinical experience of professor Zhang Minghe's dialectical treatment and characteristic therapy of rheumatoid arthritis was explored. Results Professor Zhang Minghe's clinical experience in rheumatoid arthritis includes four aspects:clinical dialectical treatment, drug application, and prevention and treatment of joint deformation. Dialectical clinical pyretic arthralgia for the most part, early should pay attention to the weight of rheumatic heat evil comparison, assisted by huoxue to remove blood stasis, nourishing Yin clearing heat, later to support the main, nourishing the liver and kidney, clearing the residual poison. Professor Zhang Minghe pay attention to its regression and special function in the application of drugs, and had his unique views on the selection of clinical drugs for rheumatoid arthritis. The use of plant drugs was frequent, emphasizing that different drugs can be used for the corresponding symptoms and the location of disease. Insect drugs were seldom used, but they have a punchline effect in the treatment of collaterals. At the same time, rheumatoid arthritis should be combined with prevention and treatment, standardized drug use. For patients with deformities of joints but not yet bone fusion, a method of traction orthopedic treatment was proposed, which significantly improved the quality of life of the patients. Conclusion On the basis of the theory of traditional Chinese medicine system macro analysis rheumatoid arthritis treatment experience of TCM. Compared with other Chinese medicine treatment experience, pyretic arthralgia theory and drug laws in the process of clinical dialectical treatment have made significant efficacy, reflect the traditional Chinese medicine "nature and humanity, three due to the following" thinking, in order to the reference when the doctor of traditional Chinese medicine treatment of rheumatoid arthritis.