III. The integration of Chinese and Western medicine is the only path to creating new pharmaceuticals for national reunification.

III. The integration of Chinese and Western medicine is the only path to creating new pharmaceuticals for national reunification.

Chairman Mao taught us, “Integrate Chinese and Western medicine to create new pharmaceuticals for national reunification.” Based on the above analysis, Chinese and Western medicine are two distinct academic systems that study medicine from two different angles. Each system has its own emphasis: one focuses on the body’s reactive capacity, while the other emphasizes the pathogen’s pathogenicity. One approaches the whole from a holistic perspective, while the other focuses on the local. In fact, diseases that primarily manifest as wholes, with the body’s reactive capacity as the focal point, often benefit more from Chinese medicine; while diseases that primarily manifest as local conditions, with the pathogen’s pathogenicity as the focus, often benefit more from Western medicine. Examples include neurasthenia, arthritis, connective tissue diseases, chronic hepatitis, cirrhosis, menstrual irregularities in women, and others. Conversely, various infectious diseases, infections, and surgical conditions are often treated better with Western medicine.

Over the past century, both medical systems have become aware of these inherent biases and have begun to reform within their own academic frameworks, striving to correct these biases. Within the Western medical academic system, Pavlov’s theory of neural reflexes and Celi’s theory of humoral stress have emerged, along with the rapidly advancing field of immunology in recent years. These theories have, to some extent, shifted Western medicine’s focus from the local to the whole, from emphasizing pathogen’s pathogenicity to focusing on the body’s reactive capacity. Within the Chinese medical academic system, the Wenbing School, represented by Ye Tianshi and Wu Jutong, has developed numerous herbal remedies such as Yin Hua, Lian Qiao, Gong Ying, Didi, Niu Zi, She Gan, and others, strengthening the weak link in Chinese medicine’s ability to suppress pathogens. They began shifting the focus of Chinese medicine from the whole body to the local area, from solely emphasizing the body’s reactive capacity to focusing on the pathogen’s pathogenicity. These developments demonstrate that, under the guidance of objective circumstances, both medical systems are undergoing self-reform to address their existing shortcomings. If we transform these closed-door self-reflection reforms into open-door, thorough reform—combining the holistic perspective of Chinese medicine with the local perspective of Western medicine, integrating Chinese medicine’s emphasis on the body’s reactive capacity with Western medicine’s focus on pathogen’s pathogenicity—then the resulting new medical system will undoubtedly represent the advanced level of global medicine today. This is the only path for Chinese medical professionals to climb to the pinnacle of world medicine, and it is also the brilliant path opened up for us by our great leader Chairman Mao, who had far-sighted vision.

Clinical Application of Gui Zhi Fu Ling Wan – August 15, 1977

This formula is the main prescription in the Jin Gui Treatise for treating uterine obstruction and incomplete miscarriage. Recently, the range of applications for this formula has gradually expanded; it can be used to treat chronic pelvic inflammatory disease, chronic appendicitis, varicocele, hydrocele, epididymal tuberculosis, ectopic pregnancy, and more. During the summer of Ding Si year, Director Wang Yifang of Lanzhou Comprehensive Motor Factory Hospital, in conversation with me, mentioned a patient whose face was swollen due to residual masses left after a dental abscess had ruptured. After using Gui Zhi Fu Ling Wan with adjustments, the patient recovered completely after just three doses. Another case involved a residual scar from a dog bite on the thigh; this formula also helped the patient recover quickly. Given these findings, the application range of this formula can be extended from the original area around the abdomen to all parts of the body—any condition characterized by scars or masses can be treated with this formula, with adjustments. In short, this formula is effective for treating chronic inflammatory masses; remember this. As stated in the Women’s Chapter of the Jin Gui Treatise: “Women who have long-standing ailments, whose menstruation has not yet ended for three months, experience continuous vaginal bleeding; if the fetus moves above the navel, this is considered a severe condition requiring treatment. If the fetus moves during the third month of pregnancy, it is considered a condition arising from water retention during menstruation; if bleeding occurs after the third month, it is a condition caused by the failure to resolve the underlying issue. Therefore, when the bleeding persists, the condition does not go away—so we should address the root cause, with Gui Zhi Fu Ling Wan as the primary remedy.”

The text describes how masses in the female pelvic cavity can lead to menstrual irregularities, which serve as the primary indication for this formula. What kind of disease are these masses in the pelvic cavity? ① Adnexitis; ② Ovarian cysts; ③ Uterine fibroids. Today, the indications for this formula have expanded to encompass all pelvic disorders in women, including chronic appendicitis, varicocele, epididymal tuberculosis, ectopic pregnancy, and more—all of which can be treated with adjustments to this formula. Director Wang Yifang noted that facial swelling, residual masses left after dental abscesses, and scars from dog bites on the thighs were all cases where this formula proved particularly effective.

Three Cases of Persistent Nasal Bleeding Treated – August 20, 1977

Nasal bleeding is a common condition; some cases result in fatal complications due to repeated, heavy nasal bleeding, while others lead to anemia due to frequent episodes. In terms of treatment, Western medicine often uses hemostatic drugs, but there are few effective therapies for this condition. I treated three patients—Ding Mou, Huang Mou, and Wang Mou—each suffering from persistent nasal bleeding. The following formula served as the primary treatment, yielding remarkable results. The basic formula was: Beishasha Shen, Mai Dong, Yu Zhu, Shihu, Niu Xi, Muli, Xia Ku Cao, Bai Mao Gen, Da Ji Tan, Dan Pi Tan, Bo He Tan, Chen Zong Tan, decocted in water and taken daily as one dose.

This formula was originally known as Quan Long Tang; “Long” refers to blood, and “Quan” means to lock or restrain—meaning it can keep the dragon in tranquility. Nasal bleeding originates from the lung’s orifice, as the lungs open to the nose. Among the ingredients, Beishasha Shen, Mai Dong, Yu Zhu, and Shihu are all excellent tonics for lung yin; Niu Xi helps move blood downward, while Bai Mao Gen clears heat, stops bleeding, cools the blood, and promotes water metabolism—suggesting a mechanism to guide blood downward. Muli and Xia Ku Cao soften and disperse nodules; often, hardening in the nose is the root cause of nasal bleeding. All four herbs are black in color—when red appears within the black, it signifies that the bleeding has stopped.

Treatment of Gouty Arthritis – August 22, 1977

Gout is a chronic disease caused by purine metabolism disorders, leading to excess uric acid buildup in three major sites: connective tissue, joints, and kidneys. The clinical symptoms of this condition typically begin with redness, heat, swelling, and pain in the second metatarsophalangeal joint, accompanied by functional impairment and varying degrees of limping. Occasionally, nodules may appear on the earlobes, causing pain. Plasma uric acid levels often exceed 5 mg. Western medicine and Western medications commonly use drugs like colchicine, allopurinol, or probenecid to treat this condition. Traditional Chinese Medicine has limited resources for treating this condition, but in recent years, with the advent of diagnostic criteria for rheumatic fever, treatments such as Huang Qi Gui Zhi Wu Wu Tang, Gui Zhi Shao Yao Zhi Mu Tang, and others have been employed. Recently, some researchers have tried the following formula, achieving notable therapeutic effects:

Huang Qi 30g, Fang Ji 6g, Fuling 15g, Gui Zhi 12g, Bai Zhu 10g, Gan Cao 6g, Qin Pi 9g, Qin Tiao 9g.

Zhang Xichun’s Experience in Treating Vomiting, Nosebleeds, and Hemoptysis – August 24, 1977

I recently read Zhang Xichun’s work “Zhong Zhong Can Xi Lu,” which states that Wen Jiang Tang and Han Jiang Tang are the best formulas for treating vomiting and nosebleeds. Han Jiang Tang: Ban Xia, Gua Lou, Zhu Ru, Niu Gang, Zuo Shi, Gan Cao. Wen Jiang Tang: Ban Xia, Shan Yao, Bai Shao, Bai Zhu, Sheng Zuo Shi, Hou Pu, Sheng Jiang, Gan Cao. Han Jiang Tang primarily uses cooling herbs, while Wen Jiang Tang primarily uses warming herbs; the former contains Niu Zi, Zhu Ru, Gua Lou, while the latter includes Hou Pu, Bai Shao, Bai Zhu, Shan Yao. Both formulas are decocted in water and taken daily as one dose.

A Case of Chronic Kidney Disease

Patient Meng Fulai suffered from chronic kidney disease with proteinuria at +++ level. Despite multiple treatments, his condition did not improve. Initially, I treated him with Jisheng Shenqi, Buzhong Yi Qi, Dao Tan Tang, etc., but the proteinuria remained consistently at “++” or fluctuated. Later, I combined his treatment with Yishen Tang from Taiyuan Medical College in Shanxi, together with Wuling San and Wupí Yin, and observed significant improvement.

Li, a Patient from Jiuquan, Using Stomach Powder – September 27, 1977

Dang Gui 9g, Bai Zhi 15g, Bai Shao 15g, Rong Gui 9g, Mu Xiang 15g, Wu Ya 15g, Chen Pi 15g, Jiang Fen 15g, Chuan Xiong 3g, Xiang Fu 15g, Su Da 29g. All were ground into powder, taken 5g per dose, diluted with warm water and consumed. Li reported that this method was remarkably effective for treating gastric and duodenal ulcers. My clinical experience confirmed that this method indeed worked wonders.

Old Master Shen Zhonggui’s Formula for Treating Ulcerative Diseases – September 29, 1977

Huang Lian 6g, Wu Zhu Yu 3g, Bai Shao 15g, Huo Xiang 9g, Xiang Fu 6g, Sha Ren 3g, Ban Xia 6g, Qing Pi 6g, Fuling 12g, Gan Cao 6g, Mu Gua 9g, Yuan Hu 9g, Yi Ren 15g, Mai Ya 9g, Wa Lang 12g. Old Master Shen was a renowned physician of his generation. I have used this formula to treat many cases of gastric and duodenal ulcers, and it proved highly effective. Thus, I created a mnemonic: “Zuo Jin Bai Ya, Xiang Sha Er Chen Yi Hu Gua.”

A Formula Based on Pu Fu Zhou’s Experience – September 30, 1977

Chì Shishi 15g, Xiang Yuan 15g, Ji Nei Jin 9g, Gan Cao 6g, Bai Ji 9g, Wu Chei Gu 15g, decocted in water and taken daily as one dose. Old Master Pu used this formula, adjusted as needed, to treat stomach pain. I tried it myself, and it was especially effective for patients with severe stomach and duodenal ulcers. Thus, I created a mnemonic: “Chei Gu Bai Cao Shi Jin Xiang.”

A Formula for Sudden Hearing Loss – September 30, 1977

Sheng Di 12g, Shan Yu 6g, Shan Yao 6g, Dan Pi 6g, Fuling 12g, Ze Xie 9g, Ge Gen 12g, Wu Wei 3g, decocted in water and taken daily as one dose. This formula differs from “Erlu Zuo Ci Wan” by only two ingredients—removing Ge Gen and Wu Wei, adding Magnetic Stone and Chai Hu, and thus becoming “Erlu Zuo Ci Wan.” I often used both formulas together, and the clinical efficacy was remarkable.

Jiangsu New Medical College’s Enzyme-Lowering Formula – October 2, 1977

Enzyme-Lowering Formula No. 1: Yin Chen 15g, Ban Lan Gen 15g, Pu Gong Ying 15g, Huang Qin 15g, Che Qian Zi 9g, Zi Cao 12g—especially suitable for those with heavy damp-heat.

Enzyme-Lowering Formula No. 2: Dang Gui 12g, Bai Shao 9g, Chai Hu 9g, Hu Zang 9g, Shan Zha 9g, Zhi Ke 6g—particularly effective for those with obvious qi stagnation.

Enzyme-Lowering Formula No. 3: Bai Zhu 6g, Fuling 12g, Han Lian Cao 9g, Wu Mei 15g, Wu Wei 3g—especially suitable for those with obvious qi deficiency.

All three formulas help lower liver enzymes and reduce liver damage.

Zunyi Medical College’s Acute Biliary Infection Formula – October 2, 1977

Mu Xiang 15g, Chen Xiang 15g, Bai Shao 15g, Yu Jin 9g, Jin Cao 30g, Yin Chen 30g, Man Xiao 15g, Da Huang 9g, Shan Zhi 9g, Long Dan Cao 9g, decocted in water and taken daily as one dose. This formula is highly effective in treating acute cholecystitis, biliary inflammation, and pancreatitis. Its mnemonic: “Er Xiang Bai Yu Chen, Jin Xiao Da Shan Long.”

Diagnosis vs. Disease Differentiation – October 3, 1977

Diagnosis is a strength of Traditional Chinese Medicine, while disease differentiation is a strength of Western Medicine. The diagnoses in Traditional Chinese Medicine are not merely the usual symptoms and syndromes, but rather the overall concepts of symptoms, disease mechanisms, and etiology. The diseases in Western Medicine, like the diagnoses in Traditional Chinese Medicine, are also the overall concepts of pathogens, pathology, and symptoms—but they differ fundamentally. The diagnoses in Traditional Chinese Medicine start with symptoms, using logical reasoning, analogical comparison, and systematic inquiry to uncover disease mechanisms and etiological factors.

The diseases in Western Medicine, on the other hand, start with pathogens, employing experimental research methods and clinical statistical techniques to identify pathogens, pathology, and symptoms. Based on these observations, diagnosis and disease differentiation possess the following characteristics: Diagnosis involves the body’s reactive capacity and the holistic nature of the whole body (its universality). Disease differentiation involves the pathogen’s pathogenicity and the localized nature of lesions (their specificity).

The body’s reactive capacity and the pathogen’s pathogenicity are two sides of the same coin when it comes to disease onset; the holistic nature of the whole body and the localized nature of lesions are two aspects of the same problem when it comes to disease manifestation.

Several Anti-White Formulas Emerging Today – November 14, 1977

1. Anti-White Dan: Xiong Huang, Ba Dou, Chuan Wu, Ru Xiang, Yu Jin, Bin Lang, Zhu Sha—each divided equally, formed into pills the size of a large date, 7 pills per dose, taken 3 times daily, diluted with warm water. Simultaneously, apply garlic paste to the middle of the abdomen.

2. An Lu No. 1: Quan Xie, Wugong, Jiang Chong, Tu Bei Chong. An Lu No. 2: Huang Qi, Dang Gui, Jin Hua, Gan Cao—both decocted in water and taken.

An Lu No. 1 increases appetite (84.6%), boosts white blood cells (64.1%), and improves platelet function (74.1%); An Lu No. 2 has a clear antipyretic effect.

3. Drugs to Reduce White Blood Cell Count: Bai Tou Weng, Hu Huang Lian, Hong Hua, Gong Ying, Gua Lou, Ban Zhi Lian, Lai Fu Zi, Shi Chang Pu, Xia Ku Cao, Nu Zhen Zi, Lang Du, Tu Da Huang, Dan Shen, Zi Cao, Mu Tou Hui, Long Kui, Yu Xing Cao, Bai Shao, Xian Ling Mi, Zhe Bei Mu, Shan Cui Gu, Fu Ling, Hua Fen, Yi Ren, Huang Yao, Tu Yuan, Wugong, Quan Xie, Chuang Zhi, Sheng Ma, Zhi Huang Qi, Zhi Gan Cao—combined with the above two formulas, I formulated a new formula combining Chai Hu Si Ni San with Wuling San, taking over 10 doses, and the scrotal edema completely disappeared.

The Efficacy of Jin Gui’s Jie Le Huang Wan – November 21, 1977

This formula is a famous prescription from the Jin Gui Yao Lü, “When the abdomen is full and the mouth and tongue are dry, with fluid accumulation in the intestinal cavity, Jie Le Huang Wan is the primary remedy.” According to this passage, this formula is specifically used to treat abdominal fullness in the gastrointestinal system—but in recent years, the range of applications for this formula has continued to expand. ① Adding Qian Hu, Yuan Hu, Donggua Zi, Xing Ren, Zao Ren, Dan Shen, Bei Mu, Zhen Zhu, and Pearl Mother, to treat asthma triggered by cold, accompanied by chest tightness, cyanosis of the lips, and a rapid, slippery pulse, the formula proves highly effective. ② Adding Dan Shen, Bei Mu, Xuan Fu Hua, Si Gua Luo, Jin Ling Zi San, Su Zi, to treat chest oppression, gas suffocation, and difficulty expectorating phlegm. ③ Adding Wuling San, Mu Tong, Huang Lian, to treat urinary retention with facial swelling and waist distension. ④ Adding Gui Zhi Fu Ling Wan and Wuling San to treat blood boils.

Re-Addition of Additions to Xiaoliu Tang – November 22, 1977

Zhang Xichun’s Xiaoliu Wan is the sacred formula for treating lymph nodes; combining Bao Yuan Tang with Ru Mo, San Ling, E’zhu, and others. I recently read in the New Chinese Medicine Magazine (Issue 1, 1977) that Yan Rong Ke from Shanxi introduced a formula called Tu Fang Quan Wugong, stating that it was incredibly effective in treating lymph nodes—using 15g of Tu Bei Chong, 15g of Bee House, 15g of Quan Xie, 15g of Wugong, 5 Wugong worms, ground into powder and divided into 20 packets, taken morning and evening. This formula was effective for treating enlarged submandibular lymph nodes and thyroid masses. Herbal remedies for treating thyroid masses include Seaweed, Huang Yao, Tian Nan Xing, Kombu, Ban Xia, Yu Pian, Mu Xiang, E’zhu, Xia Ku Cao. Recently, I read in the book “Cancer Prevention and Treatment,” which included a formula specifically for treating thyroid enlargement—Seaweed, Huang Yao, Bei Mu, Kombu, Yuan Shen, Oyster, Xia Ku Cao, Earth Dragon, Six Grains of Snake, Snake Mold.

Behcet’s Syndrome – November 23, 1977

Task output rules: Translate this markdown block from Chinese to English. Preserve markdown markers, links, and formatting. Keep headings and list structure unchanged. Return only the translated block.

Input: This condition is also known as oral, ocular, and genital syndrome, and its treatment often involves clearing heat and detoxifying, clearing

heat, dryness, and dampness, using formulas such as Longdan Xiegan Tang, Huanglian Jiedu Tang, and Danggui Longhui Wan. Generally, the clinical effects are quite good; however, Western medicine has never found a truly effective treatment for this condition, and this traditional Chinese medicine approach actually provides a significant supplement to Western medical treatments.

Treatment experience for premature contractions – November 24, 1977

Comrade Yang Zhendong from the Taiyuan Institute of Chinese Research in Shanxi treated frequent ventricular premature contractions by using Gua Lou, Xie Bai, Ban Xia, Zhi Shi, Dan Shen, Tan Xiang, Yuan Hu, Ku Shen, Ze Xie, Hong Hua, Chang Pu, Yuan Zhi, and He Huan Pi. In the formula, only Dan Shen, Ze Xie, and Ku Shen were used at a dosage of 15g each, while the remaining herbs were administered at dosages of 6–9g.

In one case, Comrade Yang Zhendong used Dang Shen, Mai Dong, Wu Wei Zi, Dan Shen, Tan Xiang, Yuan Hu, Zhi Ke, Zhi Shi, Dang Gui, Sheng Di, Gui Zhi, Gui Zhi, and He Huan Pi. Among these herbs, only Mai Dong and Sheng Di were used at a high dose of 30g and 24g respectively; the rest were administered at standard doses. Comrade Yang Zhendong believed that for patients with organic lesions, Sheng Mai San was often chosen, as Sheng Mai San is a carefully designed cardiac tonic that, when used clinically, can protect myocardial function—this effect has been confirmed through animal experiments. For premature beats, Yuan Hu was selected because this herb promotes qi circulation in the blood, potentially having an effect on cardiac rhythm. The selection of Tan Xiang was particularly important: it has been proven to be highly effective in treating cardiac arrhythmias caused by the use of Si Ni Tang and Wu Jia Pi. Additionally, Ku Shen has shown satisfactory regulatory effects on various types of arrhythmias. However, Ku Shen is bitter and cold, and its use alone in clinical practice can easily lead to damage to the spleen and stomach; therefore, it is often prepared in decoctions. Comrade Yang also believed that in the treatment of coronary heart disease, the Coronary Heart Disease No. 2 formulated by the Beijing Collaborative Group was also an effective remedy.

Animal Medicines for Anti-Tumor Treatment – November 25, 1977

① Cantharidin and Cantharidin Sulfate; ② Toad Venom and Toad Venom Preparations; ③ Goose Blood and Pig Blood; ④ Bee Pollen and Bile; ⑤ Centipede; ⑥ Poisonous Snakes and Snake Preparations; ⑦ Musk and Small Golden Pill; ⑧ Gecko; ⑨ Placenta; ⑩ Lizard; Leeches; ⑫ Earthworm; ⑬ Whole Scorpion; ⑮ Bee巢; ⑯ Cow Liver Extract.

Xiong’s Headache-Related Formula – November 26, 1977

Headaches, or what Western medicine refers to as migraines, are episodic conditions characterized by sudden onset and severe symptoms, which may occur on either the left or right side of the head. Western medicine believes that these headaches are caused by cerebral vascular spasms, and intramuscular injections of ergotamine can provide temporary relief. Xiong’s Headache-Related Formula, originally compiled from “A Collection of Case Studies by Renowned Doctors Across the Country,” was developed by Xiong Dingcheng for treating headaches. The original formula consisted of: Tian Ma 9g, Bai Zhi 12g, Chuan Xiong 6g, Qi She 15g, Di Long 15g, Da Huang 9g, Mang Xiao 9g. Adjustments were made: for blood deficiency, the Si Wu Tang was added; for rising liver yang, Long Mu, Gou Ding, and Bai Ti Li were incorporated; for blood stasis, Tao Ren and Hong Hua were added; for constipation, Da Huang and Yuan Ming Powder were used; for chronic pain, where the meridians are affected, Di Long and Qi She were added.

Father’s Remedy for Rheumatic Arthritis – November 30, 1977

During a casual conversation with my cousin Guo Ziqiang yesterday, I mentioned Father’s Sang Zhi Tang. This formula has yielded remarkable results in treating rheumatic arthritis. Brother Ziqiang said that he had treated a patient with rheumatic heart disease combined with joint pain in Yongden using this formula for two doses, and all symptoms disappeared completely. The ingredients of Sang Zhi Tang are as follows: Sang Zhi 24g, Qiang Hu 9g, Du Hu 9g, Fang Ji 9g, Qin Tiao 9g, Wei Ling Xian 9g, Qing Feng Teng 15g, Hai Feng Teng 15g, Dang Gui 12g, Gan Cao 6g. Because this formula has proven effective, we have created the following rhyme: “Sang Zhi eight qian, two winds, Qin, Fang, two lives, return to summer and spirit.”

Traditional Chinese Medicine Treatment for Hyperthyroidism – December 6, 1977

Qing Xiang Zi 9g, Tian Ma 6g, Huang Qin 6g, Sha Ren 3g, Sha Shen 9g, Mai Dong 15g, Sheng Di 12g, Chuan Lian Zi 6g, Gou Qi Zi 6g, Huang Jing 6g, Tu Si Zi 6g, Ci Shi 30g, Bai Shao 15g, Nei Jin 6g, Ji Xue Teng 15g. This formula has shown good efficacy in treating hyperthyroidism. In addition to the previously mentioned Gui Shan Xiang Cao Bi Bai Shou, there is also Zhi Gan Cao Tang; if accompanied by goiter, it is necessary to add Huang Hai Tian Kun Ban Xiang.

Remedies for Ear Hearing Loss – December 8, 1977

Tian Dong 15g, Sheng Di 24g, Dang Shen 12g, Du Zhong 15g, Niu Xi 9g, Gui Ban 12g, Huang Bo 3g, Bai Zhu 9g, Sha Zhi 9g, Bai Shao 15g, Tu Fu Ling 12g. The rhyme goes: “San Cai Feng Su, Du Niu Gui.” This formula is based on Wu Qiu’s He Che Da Zao Wan, originally designed to treat cases of both qi and yin deficiency, especially effective in nourishing yin, tonifying essence, and filling the marrow. Mr. Chi Sheng Ye from the Wenzhou Hospital of Traditional Chinese Medicine in Zhejiang Province used this formula to treat ear hearing loss due to kidney deficiency, achieving excellent therapeutic results.

Wang Weichuan’s Remedy for Adrenal Cortex Insufficiency – December 9, 1977

Wang Weichuan, a renowned traditional Chinese medicine practitioner in the Obstetrics and Gynecology Department of Chengdu College of Traditional Chinese Medicine, began summarizing his experience annually after publishing cases of traditional Chinese medicine and herbal treatment for adrenal cortex insufficiency in 1964. Recently, Zhao Lihua from Chengdu Third Hospital summarized his experience treating this condition into the following two formulas:

1. For spleen and kidney yang deficiency: Dang Shen 60g, Huang Qi 60g, Du Zhong 12g, Chuan Duan 24g, Sang Ji Sheng 24g, Ji Xue Teng 30g, Ji Nei Jin 9g, Lu Jiao Jiao 15g, Tu Si Zi 15g, Po Guo Zi 12g, Tu Yuan 9g, Pu Huang 9g. This formula is characterized by nourishing qi, strengthening yang, strengthening tendons, and promoting blood circulation.

2. For liver and kidney yin deficiency: Sheng Di 12g, Dang Gui 9g, Bei Sha Shen 18g, Mai Dong 9g, Gou Qi Zi 6g, Chuan Lian Zi 6g, Nu Zhen Zi 6g, Han Lian Cao 6g, Du Zhong 15g, Chuan Duan 6g, Ji Sheng 12g, Ji Xue Teng 30g, Ji Nei Jin 9g, Tu Yuan 6g, Pu Huang 6g. This formula is characterized by nourishing blood, replenishing yin, strengthening tendons, and promoting blood circulation.

Two Formulas – December 10, 1977

1. Hu Huang Lian 3g, Da Huang 9g, Long Dan Cao 9g, Yu Jin 9g, Niu Xi 9g, Bie Jia 18g, Gui Wei 9g, Hai Zao 15g, Kun Bu 15g, Mang Xiao 12g, Tu Fu Ling 12g. The rhyme goes: “Huang Long Jin Niu Bi Gui Hai, Mang Xiao Kun Bu Tu Fu Ling.” (Ran Xue Feng’s formula for treating tumors via internal administration)

2. Gui Wei 6g, Xue Jie 6g, Ci Gu 9g, Su Mu 6g, Hong Hua 6g, Ru Mo 9g, Mei Xiang 1g, Da Yi 15g, Tou Gu Cao 9g, Wu Bei Zi 6g. The rhyme goes: “Five Wei, Da Jie, Tou Gu Xiang, Su Mu, outside Suzhou City, Hong Hua rises.” (External application for treating hemangiomas)

Discussing Melasma – December 16, 1977

Melasma is a condition characterized by patchy darkening of the skin on the face. In November 1977, I treated the daughter of Wang, an employee of the Water Resources Bureau, who had facial melasma. Her pulse was found to be deep and fine at the two fingers level. I prescribed Six Flavor Rehmannia Decoction with additions, and after taking the medicine for eight doses, she showed obvious improvement. Later, I reviewed Gu Bo Hua’s “Selected Experiences in Surgery,” page 111, which described a formula for treating this condition: Sheng Di, Shan Yu, Shan Yao, Dan Pi, Fu Ling, Ze Xie, Bai Ti Li, Da Yun, Gong Ying, Yi Mu Cao, Wu Wei Zi, Nu Zhen Zi, Han Lian Cao, Dang Gui, Chi Shao, and others. The rhyme went: “Yun Ying Mu Zi Er Zhi Wan, Six Flavors Four Things Treat Melasma.”

Treatment of Thyroid Adenoma – December 19, 1977

Patients with thyroid adenoma often experience varying degrees of hyperthyroidism. Traditional Chinese medicine usually prioritizes the “Golden Lock” Haizao Yuhu Wan for treating this condition. This formula consists of the following herbs: Haizao, Kun Bu, Hai Dai, Ban Xia, Chen Pi, Qing Pi, Dang Gui, Chuan Xiong, Bei Mu, Lian Qiao, Du Huo, Gan Cao. The rhyme goes: “Du Chuan Er San, Du Lian Bei, Gan Cao Yi Wei Jin Xiang.”

In recent years, after discovering the remarkable efficacy of Huang Yaozi in treating thyroid adenoma, many effective formulas for treating thyroid goiters have been developed around this herb. The Jiao Yin Tang from the Zhejiang Institute of Traditional Chinese Medicine includes Haizao, Hai Dai, Huang Yaozi, Tu Bei Mu, and Mujin; the late renowned traditional Chinese medicine practitioner Gu Bo Hua from Shanghai used the Jiao Yin formula: Gui, Bai Shao, Chai Hu, Chen Pi, Haizao, Xia Ku Cao, Ban Xia, Huang Yaozi, He Huan Pi, Mujin, Bai Jie Zi, Shi Jian Chuan.

Note: ① Huang Yaozi not only treats thyroid adenoma but also helps relieve coughs, alleviate asthma, and stop bleeding, with dosages ranging from 15 to 30g; ① Shi Jian Chuan is the whole plant of Purple Ginseng, known for its blood-activating and pain-relieving properties, often used for esophageal cancer, gastric cancer, and other conditions, with dosages of 10–15g.

New Formulas for Biliary Ascariasis – December 20, 1977

The “Foot-Doctor Magazine” published the experience of Comrade Li Chuan from Anhui Province in treating biliary ascariasis: this formula is based on Si Ni San, with additions of Jin, Chuan, Yin, Mu, and Mei. The formula proved effective, with the following composition: Chai Hu 15g, Zhi Shi 12g, Bai Shao 15g, Gan Cao 6g, Yu Jin 6g, Chuan Lian Zi 6g, Wu Mei 15g, Yin Chen 6g, Jin Yin Hua 15g, Lian Qiao 15g, Mu Xiang 3g.

The Hemostatic Function of Dry Lotus Leaf – December 20, 1977

This herb possesses strong hemostatic properties and, when combined with Plantain, is particularly effective in treating hematuria. A dosage of 12–15g is ideal.

The Wonderful Uses of Tiger Grass – December 21, 1977

This herb has diuretic, choleretic, and anti-inflammatory properties, and is especially effective in dissolving gallstones and promoting bile flow. It is often used in combination with Citrus Aurantium, Wood Sage, Huang Qin, Qian Cao, and Yin Chen.

The Diuretic and Hemostatic Effects of Dragon and Phoenix White Lotus – December 21, 1977

Dragon's Tongue, Phoenix Tail Grass, White Lotus, and Half-Branch Lotus—all four herbs possess cooling and detoxifying properties, as well as anti-cancer effects. They also have diuretic and moisture-discharging properties; among them, Phoenix Tail Grass and Half-Branch Lotus even have hemostatic effects. Therefore, these herbs can be used in combination with Dry Lotus Leaf to treat hematuria. At Lan Tong Factory, a patient with this condition was treated with these four herbs, along with Dry Lotus Leaf and Plantain, and recovered after just four doses. The dosages of all four herbs were increased to 30g.

Polyarteritis Nodosa – December 22, 1977

Also known as nodular vasculitis, this condition often presents with nodular erythema-like skin lesions. Many patients experience joint pain. My experience suggests that the formula Hong Niu Chi Cao Ji Gui, Wei Gui Xi, and Tao Hong Si Wu Sang Ju Huang Niu Er Qin Gua can treat this condition. Mr. Gu Bo Hua often added Pheretima, Fang Ji, San Ling, Dan Pi, and Nandina Vine to his treatment formulas, achieving remarkable results.

Five Main Ingredients for Increasing White Blood Cell Count, Five Main Ingredients for Increasing Platelet Count – December 23, 1977

Cinnamon 6g, Fuzi 6g, Kusun 30g, Huang Qi 30g, Shan Yu 30g; Deer Antler Gelatin 12g, Turtle Shell Gelatin 12g, Crane Herb 30g, Chicken Blood Vine 30g, White Ti Li 30g. The first five ingredients form the Five Main Ingredients for Increasing White Blood Cells, while the last five ingredients form the Five Main Ingredients for Increasing Platelet Count. These are my recent experiences; three years ago, when I treated blood-related conditions, I used Chicken Blood Vine, Degen, Broken Paper, Grass Carriage, and Tiger Grass to increase white blood cells; and I used Bamboo Root, Yellow Ginger, Red Dates, Sheng Di, Lian Qiao, and Milk to increase platelets. Recent experiences have been even more effective than previous ones—and remember to never forget this.

Summary of Treatments for Hematuria – December 24, 1977

When treating hematuria, my father often chose White Grass Root, Large and Small Thistle, Side-Bark Leaves, and Female Tree Fruit as primary remedies. Looking back at recent treatments for renal inflammation and hemostasis, we found that Dry Lotus Leaf, Female Tree Fruit, Plantain, Phoenix Tail Grass, Half-Branch Lotus, and Gardenia could all be used effectively. By comparing these options, we can improve therapeutic outcomes. Comrade Tian Ying from the Xinlan Instrument Factory had suffered from hematuria for over a year. I treated him with Bucida Plus, combined with Female Tree Fruit, Dry Lotus Leaf, Plantain, Half-Branch Lotus, and White Grass Root, and after just five doses, his hematuria suddenly disappeared.

Experience in Treating Liver Area Pain – December 25, 1977

Chai Hu Shu Gan San is the primary formula for treating liver area pain. However, when patients exhibit signs of heat or yin deficiency, the effectiveness of this formula is often limited. When treating liver pain in patients with hepatitis B, combining this formula with Yang’s family-prescribed formula, adding Jin Ling Zi San and Dan Shen Drink, yielded remarkable results. It became clear that this formula can be paired with cooling herbs to enhance therapeutic efficacy.

The specific composition of the formula is as follows: Chai Hu 15g, Zhi Ke 12g, Bai Shao 15g, Yu Jin 6g, Gan Cao 6g, Chuan Xiong 6g, Xiang Fu 6g, Long Dan Cao 12g, Yin Chen 12g, Shan Zhi 9g, Dang Gui 12g, Fo Shou 6g, Huang Jing 6g, Mujin 12g, Hong Hua 3g, Yuan Hu 6g, Chuan Lian Zi 6g, Dan Shen 9g, Mu Xiang 3g, Cao Kou 3g, Jiao Shu 6g, Yin Hua 15g, Chen Pi 6g.

Looking at Huang Wendong’s case studies, the formulas for treating abdominal distension and pain often included Dang Gui, Bai Shao, Yuan Hu, Yu Jin, Qing Pi, Chai Hu, and Zhi Ke. It is evident that for pain originating in the qi system, it is necessary to add herbs that address the blood system in order to achieve effective results. Blood-based herbs commonly include Dang Gui, Bai Shao, Yuan Hu, and Yu Jin, while qi-based herbs often include Qing Pi, Chai Hu, and Zhi Ke. Additionally, White Ti Li is pungent and slightly warm, entering the liver meridian, making it particularly effective for pain caused by liver qi stagnation. Therefore, it is often used in patients with liver area pain.

Recent Developments in Lipid-Lowering Medications – December 25, 1977

The primary cause of atherosclerosis is lipid metabolism disorder, abnormal coagulation mechanisms, endocrine disorders, and hemodynamic changes. Commonly, blood levels of cholesterol, triglycerides, and low-density lipoproteins rise, leading to hyperlipidemia. Medications that help lower blood lipids are called lipid-lowering drugs.

After the National Symposium on Coronary Heart Disease in 1973, research into the therapeutic effects of traditional Chinese medicine opened up new avenues for lipid-lowering drug development. Over the past decade, commonly used traditional Chinese medicines for lowering lipids in China include:

1. He Shou Wu: Contains 4% lecithin and rhubarb laxatives.
2. Ze Xie: Its lipid-lowering effect is stronger than that of hawthorn, with a 72% efficacy against triglycerides.
3. Cao Jue Ming: Its lipid-lowering effect surpasses that of Yishou Ning and linoleic acid, showing 98% effectiveness within 6 weeks.
4. Hu Zhang: Contains white ti li glycosides, with an 89% efficiency in lowering cholesterol.
5. Ling Zhi: Besides its notable lipid-lowering effects, it is also effective for arrhythmias and hypertension.
6. Shan Zhi: Its saponins, flavonoids, and triterpenoid compounds are beneficial.
7. Shui Niu Jiao: Has lipid-lowering effects, though side effects include diarrhea, abdominal bloating, and stomach discomfort.
8. Wu Tong Ye: Has lipid-lowering effects, containing flavonoid coumarins.
9. He Ye: Effective in lowering cholesterol, with a 79.1% success rate.

Remedies for Trigeminal Neuralgia – December 26, 1977

Tian Ma 6g, Shi Jue Ming 15g, Gou Ding 12g, Sang Ji Sheng 9g, Dan Shen 9g, Dan Pi 15g, Chi Shao 9g, Mu Gua 15g, Ren Dong 12g, Fu Shen 9g, Zhi Dan 9g, Gan Cao 3g. This formula is effective for trigeminal neuralgia.

The rhyme goes: “Tian Ming, Gou Ding, Sang Ji Sheng, Dan Dan, Chi Shao, Zhi Ke—these herbs are used to treat trigeminal neuralgia.”

Treatment of a Mediastinal Tumor – December 27, 1977

Comrade Qian Bowen from the Shanghai College of Traditional Chinese Medicine treated a mediastinal tumor. Imaging confirmed a left mediastinal tumor, primarily focused on reducing swelling and softening masses, while also incorporating blood-activating and blood-stagnation-resolving therapies.

Xia Ku Cao, Kun Bu, Calcined Oyster, Elephant Beige, Bitter Gentian, Orange Leaves, Chen Pi, Dan Shen, Peach Kernel, Coix Seed, Yin Hua, Lian Qiao, Sea Algae, Jing Jie, Calcined Walle, Public English, Gua Lou, Chi Shao, and Hong Hua. After adapting these herbs according to Qian’s clinical experience, the following formula was developed: Xia Ku Cao 30g, Calcined Oyster 60g, Calcined Walle 24g, Sea Algae Powder 15g, Sea Algae 15g, Kun Bu 15g, Lian Qiao 15g, Public English 12g, Gua Lou 12g, Beige 9g, Chi Shao 6g, Dan Pi 6g, Peach Kernel 9g, Tian Long 12g. The formula was taken as a decoction, one dose per day. The rhyme goes: “Chi Dan, Tao, Tian San Jia, Lian Ying, Bu, Hai Beimu.”

Old Traditional Chinese Medicine Practitioner Huang Wendong’s Experience in Treating Arrhythmias – December 27, 1977

Huang Wendong frequently used tea tree root, which proved remarkably effective in controlling premature beats, so he used it as the primary ingredient. He then combined it with Zhi Gan Cao Tang and Gan Mai Da Zao Tang, removing ingredients like Sheng Di and A Jiao, and adding herbs that regulate qi and promote blood circulation—such as Fo Shou, Xiang Yuan, and Gua Lou, which help regulate qi, open stagnation, and unblock the meridians; Ban Xia and Chen Pi help reduce reverse qi and regulate qi; Gui Zhi, Chi Shao, Yuan Hu, and other herbs help remove blood stasis; Song Xiang and Sa Ren help regulate qi and strengthen the spleen. The formula was composed as follows: Ban Xia 9g, Gua Lou 24g, Jiang Xiang 15g, Gan Cao 6g, Chen Pi 6g, Gui Zhi 15g, Yu Jin 9g, Tea Tree Root 30g. The formula was taken as a decoction, one dose per day. The rhyme goes: “Ban, Lou, Xiang, Cao, Chen, Zhi—three parts of tea tree root, a golden formula for regulating heart rhythm.”

Chronic Bronchitis and Emphysema – December 28, 1977

Cang Zhu, Hou Pu, Chen Pi, Ban Xia, Gan Cao, Fu Ling. For shortness of breath, add Ma Huang and Su Zi; for excessive phlegm, add Gua Lou, Dan Xing, Zhe Bei; for chest tightness, add Zhi Ke and Jie Geng; for insomnia, add Fu Ling, Yuan Zhi, and Ye Jiao Teng.

The rhyme goes: “Ping Chen Tang treats emphysema, cultivating earth and nurturing gold with remarkable effect—when phlegm is abundant, Gua Lou and Nan Xing appear; when shortness of breath occurs, Ma Huang and Su Zi join together; when chest tightness arises, Zhi Ke and Jie Geng are paired; when insomnia occurs, Fu Ling and Yuan Zhi are used alongside Ye Jiao Teng.”

Yin Yu Lan Gen Tang for Chronic Liver Disease – December 29, 1977

Yin Chen 9g, Yu Jin 6g, Dan Shen 9g, Xia Ku Cao 9g, Ban Lan Gen 12g, Bai Zhu 9g, Fu Ling 12g, Gan Cao 6g, Zhi Ke 6g, Mu Xiang 3g, Shan Zhi 9g, Ma Zhi 9g, Mai Ya 9g. The rhyme goes: “Yin Yu Dan Ku Lan Gen Tang, Zhi Mu replaces the Four Great Tonics.”

Huang Wendong’s Experience in Treating Chronic Bronchitis – December 30, 1977

Dr. Huang’s primary formula for treating this condition was San Ao Tang: Ma Huang, Xing Ren, Gan Cao. On this basis, he added Zhi Sou San: Bai Bu, Qian Hu, Bai Qian, Chen Pi, Zi Wan, Jie Geng, Gan Cao, Su Zi. For those with phlegm and throat itching, add Sang Bai Pi and She Gan; for heat, add Huang Qin; for nasal congestion, add Cang Ei Zi. Dr. Huang used the above formulas, adjusting the dosage as needed, and achieved remarkable results.

Huang Wendong’s Treatment for Aplastic Anemia – December 30, 1977

Huang Wendong used this formula to treat aplastic anemia effectively: Dang Shen 12g, Bai Zhu 9g, Huang Qi 12g, Zhi Gan 6g, Dang Gui 9g, Bai Shao 12g, Xian He Cao 30g, Lu Jiao Jiao 12g, Xian He Cao 9g, Huang Jing 12g. This formula was characterized by the use of Barji Tian, Xian He Cao, and Lu Jiao Jiao; among these herbs, Barji Tian was rarely used by ordinary people, and I myself had rarely used this herb in treating aplastic anemia in the past.

Two New Drugs for Softening and Dispersing Masses – December 30, 1977

Both Sea Algae Shell and Calcined Oyster primarily work to soften and disperse masses, and can be used for goiters and lymph nodes. Other herbs like Mountain Lily are also commonly used for softening and dispersing masses, and can be applied to goiters and lymph nodes.

Treatment of Generalized Lymph Node Swelling – January 1, 1978

Dang Shen 12g, Bai Zhu 9g, Fu Ling 12g, Gan Cao 6g, Ban Xia 6g, Chen Pi 6g, Dang Gui 12g, Bai Shao 15g, She Liu 9g, She Cao 9g, She Miu 9g, Xia Ku Cao 60g, Huang Yaozi 9g, Sea Algae 6g. This formula is suitable for reticular cell sarcoma and Hodgkin’s disease. The rhyme goes: “Six Great Tonics, Three Snakes, Yellow Sea.”

Treatment of Urticaria – January 2, 1978

In traditional Chinese medicine, urticaria is referred to as “dà lóu,” “fēng zhěn kuài,” or “yǐn xīn.” Since its main characteristic is “itching,” and itching is often associated with wind, this condition is generally considered a wind condition. Wind tends to move quickly and change frequently, which aligns with the characteristic of urticaria—its sudden onset and subsequent subsidence. As this condition falls under the category of wind conditions, wind conditions can be divided into wind-cold and wind-heat types; this condition can also be categorized into wind-cold and wind-heat types. Beyond these two categories, the large intestine and lungs are in harmony; when wind attacks the exterior, it often travels from the surface to the interior, reaching the large intestine—a phenomenon known as intestinal wind. Wind belongs to the wood element, which is naturally flowing and prefers to release excess energy; since the gastrointestinal tract has the functions of descending and ascending, wind cannot accumulate. When Yangming is full and the digestive energy is blocked, intestinal wind loses its natural ability to regulate and flows rapidly, leading to urticaria—this is the third type after the aforementioned wind-cold and wind-heat categories: intestinal fullness-type. In summary, urticaria can be classified into: ① wind-cold type; ② wind-heat type; ③ intestinal fullness-type. The main treatment approaches for these three types are as follows: ① wind-cold type: dispel wind-cold; ② wind-heat type: dispel wind-heat; ③ intestinal fullness-type: promote bowel movements and dispel wind.

For the wind-cold type, the primary formula is: Sheng Di, Chi Shao, Chuan Xiong, Jing Jie, Fu Ling, Huang Qi, Niu Bang Zi, Fang Ji, Qiang Hu, Jie Geng, Hong Hua. The rhyme goes: “Things return to Jing, Fu Ling, Huang Niu, Qiang Hu, Hong Hua—Jiang Hu and Hong Hua relieve itching.” (Things… Task output rules: Translate this markdown block from Chinese to English. Preserve markdown markers, links, and formatting. Keep headings and list structure unchanged. Return only the translated block.

Input: 归即四物汤中少当归）

风热型之主方：生地、川芎、赤芍、丹参、浮萍、大黄、牛蒡子、防风、

白术、蝉衣、杭菊、地肤子。口诀：物归丹萍黄牛风，杭地白衣止痒灵。

胃肠实结型之主方：防风通圣散：荆芥、防风、滑石、麻黄、白芷、

桔梗、大黄、当归、川芎、赤芍、苍术、厚朴、陈皮、半夏、茯苓、芒硝、黄

芩、连翘、山栀、薄荷、甘草。口诀：荆防滑石麻白桔，物地平陈凉膈

散。（物地即四物汤中少生地）

天津市宛项臣大夫治疗血小板减少紫癜方1978.1.10

宛项臣老中医治疗此症之用方：银花、连翘、公英、地丁、山栀、

丹皮、丹参、坤草、茜草、生地、白芍、女贞子、泽兰、香附、木通。此方中银花、连翘、公英、地丁、山栀称五虎，丹皮、丹参、坤草、茜草、通草称丹丹草，生地、白芍、女贞子、泽兰、香附名曰白女生兰香。口诀：

五虎丹丹草，白女生兰香。

瘿瘤的治疗 1978.1.13

瘿者，阳也；瘤者，阴也。瘿瘤是甲状腺肿瘤之中医名称。瘿者色

红而高突，瘤者色淡而漫平，瘿瘤虽发生于局部，但与全身脏器均有

密切之关系。肝主筋，瘿瘤之上满布青筋者，谓筋瘤，方用清肝消瘿

汤，此方口诀：青芦昆节四海牙黄。心主血，瘿瘤之上满布血纹者，称

之血瘤，运用泻心消瘤汤，此方口诀：四母黄地黄羊草。肺主气，瘿瘤

之随气增减，为气瘤，运用顺气归脾丸。此方口诀：陈母香药归脾汤。

肾主骨，瘿瘤之质硬如骨，称之骨瘤，方用通气散坚汤。此方口诀：香

砂六君人归冬，知母黄柏加地龙。脾主肉，瘿瘤之伴肌肉消薄者，称

之肉瘤，方用顺气归脾丸。

除上述五型瘿瘤之外，治疗瘿瘤之基础方是海藻玉壶丸：当归、

川芎、半夏、青陈皮、海藻、昆布、海带、独活、甘草节、连翘。此方口

诀：海海独翘草，当川下二皮。

纵隔肿瘤之经验1978.2.1

丁已年秋，张掖地区工业局办公室主任巨启文，胸闷、气憋，伴

肩背疼痛、乏力诸证，经X光片诊断确诊为上纵隔肿瘤，诊其脉弦

滑，舌胖淡，血压160/90mmHg,伴头晕、腰酸、耳鸣诸证。方用杞菊地

黄汤合凉膈散加味，服20余剂，症状较前明显消退，胸闷、胸痛较前

均减轻，头昏、头晕亦较前减轻，即复拍片见纵隔之肿瘤一如前述，

并无增损，在上述杞菊地黄汤之基础上增夏枯草60g、海藻15g、黄

药子15g、海蛤粉6g、煅瓦楞12g、象贝母12g、昆布15g,服用10剂，巨主任之头顶蚕豆大小之疣状物完全消散，此疣物据云已30余年

矣，因碍事不大，未引起患者注意。此次用药意在纵隔，无意中竟出现援陈收虢之效，其时患者之胸闷、气急、咳嗽、吞咽梗塞诸证全消失。坚持服用上方80余剂，X光见纵隔之肿物由8cm×10cm缩至

lcm×1.2cm。

肝炎一得1978.2.10

广东省中医院之岑鹤苓老大夫善治肝病闻名于大江以南，他治

肝病之论点，谓肝属木，主相火，火易伤阴，故肝病多阴虚，治肝宜以

补阴为上法，补阴之品多矣，用何者焉？《金匮》"夫肝之病，补用酸"。根据此条经文，治肝之药应不忘酸收之品为宜，酸甘化阴为中医常

理，鉴于此，岑氏主张用枳实、五味子、女贞子、枣仁、白芍、首乌、杞

子、山萸、当归、柴胡、公英、麦芽、丹参。口诀：实五女儿枣白首，杞山

胡公归麦参。

癫痫病一得1978.2.23

前余常用治癫痫之张氏定痫丸，经多年来验证，有见效者，亦有

不见效者。近阅广州中医院编《临证见解》林下泉之除痫散，其组成：

天麻30g、全虫30g、当归150g、胆星30g、甘草30g,共研为末，每服

6g,日3次，口诀：天虫当星草。

家父治疗此证，每用猫头鹰脑一具，与白矾、郁金、姜虫、全蝎、

蜈蚣、胆星、半夏等配伍。共研末炼蜜为丸，服之见效者甚多矣。口

诀：三虫白金半南星，一脑取自猫头鹰。

噙化丸1978.2.24

胆矾、硼砂、明矾、牙皂、雄黄。口诀：矾矾牙砂雄黄末，等分为丸

治梅核。方自《外科正宗》，以此法治疗梅核气，乃痰气结于喉中，咽

之不下，吐之不出，如毛草常刺作痒，新则吐酸，慢则食碍，久成团

结。此方之配制，为上药各等分，研为末，红枣煮烂，取枣泥为丸，芡

实大，空腹噙化一丸，温黄酒一杯过口，内服苏子降气汤。

白血病之西医联合方案 1978.3.18

1.VMP方案：长春新碱、6巯嘌呤、强的松（急淋）。

2.VMMP方案：长春新碱、6巯嘌呤、丙脒腙、强的松，（急粒）、

（急单）、（红白血病）。

3.VACP方案：长春新碱、阿糖胞苷、环磷酰胺、强的松（急非

淋）。

补中益气汤合生脉散加三棱莪术1978.3.20

此方治疗白血病有明显的降白升板的作用。患者蔡生凡慢性粒

细胞性白血病，白细胞恒高，长服马利兰后白细胞始可下降，后因服

用此药常可引致尿痛、尿急，故遂以中药治疗，在治疗中发现上方每

有显效，能降白升板，全面改善患者全身症候。

降低蛋百尿之经验 1978.4.1

1.大补肝脾之中尚须加入活血化淤、清热解毒之品，白花蛇舌

草、七叶一枝花、公英、地丁、鱼腥草、蝉衣等。

2.大补肾阳之时，必须兼补肾阴，在应用六味地黄汤时，可加桂

附，亦可加知柏。

3.蛋白尿或伴肾功能轻度损害者，细辛3g、覆盆子30g、小蓟

30g、杜仲15g、核桃肉15g、破故纸15g、首乌15g、蝉衣15g、坤草

30g。

4.去尿中红细胞：鲜茅根、车前草、大小蓟、仙鹤草、汉三七、旱

莲草、女贞子；尿混浊加萆薢12～20g,尿赤加知母、黄柏，口舌干燥加

生石膏，亦可加生地、麦冬。

5.腰痛著者用下方：桑白皮、桑枝、川断、柴胡、甘草、女贞子、菟

丝子、枸杞子。桑桑川柴草，三子各10g。

6.宣开肺气，常能收到利尿效果，麻黄连翘赤小豆汤为主方，除

应用麻黄外，有时可加用苡仁、荆芥、防风、紫苏之类。

扶正培本与免疫1978.4.21

所谓"免疫"，顾名思义即免患疾病之义。机体自身具有这种功

能，谓免疫功能，这种功能是在进入机体的抗原刺激下，机体自身抗

体形成而产生的，机体产生抗体，获得免疫的反应免疫反应。这种

反应是一种生理反应，能维持机体内在环境的相对稳定性，提高抗

病能力，从而发挥机体的免疫监视作用，以防止突变细胞的增生和

转移，这是正常的免疫反应。

早在2000多年前，祖国医学就有了类似免疫的记载，《内经》

"真气从之，精神内守，病安从来"、"正气存内，邪不可干"，这里所述

"真气"、"正气"能祛除病邪，使机体免于生病，说明祖国医学的"真

气"、"正气"相当于机体的免疫系统。这种系统既可以免除传染性疾患（外因），又可以免患非传染性疾患（内因）。能免患传染性疾患（外

因）的免疫功能相当于卫气，能够免除非传染性疾患（内因）的免疫功能相当于元气，二者统属于正气（真气），关于气的概念祖国医学

的传统观点是这样：

先天之气→肾气（元气） -- 来源于两肾，下寄于丹田

正气

（真气）

→卫气（浊者脉外）

→呼吸之气→积于胸中

→营气（清者脉内）

后天之气

→水谷之气（"真气者，所受于天，与谷气并而充身也。"

《灵枢·刺节真邪篇》

《灵枢·本藏篇》"卫气者，所以温分肉，充皮肤，肥腠理，司开阖

也"，"卫气和则分肉解利，皮肤调柔，腠理致密矣"，可见卫气具有皮肤黏膜之屏障作用。一旦屏障作用减弱，外邪入侵，卫气奋起抗邪，

与之相斗则为病，《素问·疟论》"卫气之所在，与邪气相合则病作"。

若外邪侵人皮肤分肉之间，卫气可立即将外邪包围，则局部可形成

痈疡，正如《素问·风论》说："风气与太阳俱入行诸脉俞，散于分肉之

间，与卫气相干，其道不利，故使肌肉愤嗔而有疡。"《素问·痈疽篇》

也指出："寒邪客于经络之中，则血泣......血泣而不行，不行则卫气

从之而不通，雍遏而不得行故热，大热不止，热盛则肉腐，肉腐则为

脓。"上述经文说明卫气抵抗外邪的功能，结合现代医学认识，我们

可以认为，祖国医学的卫气和现代医学的白细胞、吞噬细胞、淋巴结

等具有完全相似的作用。卫气除了具有卫外之作用外，对机体内在

的组织脏器也有温熏保护之作用。《素问·痹论》说："卫者，水谷之悍

气也，其气剽疾滑利，不能入于脉也，故循皮肤之中，分肉之间，熏于

膏膜，散于胸腹，逆其气则病，从其气则愈。"《灵枢·卫气行篇》："其

始入于阴，常从足少阴注于肾，肾注于心，心注入肺，肺注入肝，肝注

于脾，脾复注于肾而为周。"这说明五脏六腑均有卫气循行，如遇病

邪则与之相斗。病邪太盛，卫气不能战胜，谓"逆其气"则病；病邪不

盛，卫气胜之，谓"从其气"则愈。总之卫气之作用，相当于现代医学

"抗传染免疫"之作用。至于非传染免疫，祖国医学则认为，主要系正

气中之元气在起作用。元气即原气，是先天之肾气，有元阴、元阳两

类。它肩负着调整机体阴阳平衡之大任，《内经》谓"阴平阳秘，精神

乃至"，"阴阳离决，精气乃散"，这说明阴阳的失调是引致疾病之主

要内在因素。机体阴阳失去平衡而致病，治疗原则就在于调理阴阳，

调理阴阳之中枢乃肾，肾通过肾阴、肾阳，即元阴、元阳之作用而发

挥其调节作用。现代医学认为：机体免疫功能之稳定性系与机体垂

体－肾上腺皮质轴密切联系的。脑垂体是免疫反应之主要环节，它通

过ACTH之作用，促进肾上腺皮质激素之分泌，此激素系抑制和减

少免疫反应之根本物质，同时垂体还分泌生长激素，借以促进和增

加免疫反应。这样机体之免疫功能便能得到相对之稳定。当然，垂

体－肾上腺皮质系统之调节还受到神经系统、抗原抗体、淋巴因子等

的影响。近来国内研究之成果表明，中医之肾，在很大程度上系指垂

体－肾上腺皮质系统，所谓肾阳增加抗体，即代表提高免疫功能，降

低免疫反应之作用；所谓肾阴延长抗体生存时间，即代表降低免疫

功能，提高免疫反应之作用。根据近年研究机体免疫活细胞之来源，

和中医之肾不无关系。免疫活性细胞来源于骨髓干细胞，干细胞可

分化成不同之T细胞、B细胞，它们是机体特异性免疫--细胞免

疫和体液免疫之物质基础。《内经》"肾生骨髓"之论述，说明肾与免

疫活性细胞之生成系有关系的。《内经》有"卫出下焦"之说，卫气源

于中焦脾胃水谷之津，但要经过肾之转化才能变成具有防御作用之

物质，如果说卫气在某种程度上指白细胞、淋巴细胞、吞噬细胞和其

他网状内皮细胞，则"卫出下焦"之论断，确有一定的科学性。

综上所述，人体之免疫功能统称正气（真气），正气中有卫气、元

气之分。卫气，司腠理，主开阖，生于水谷，源于脾胃，循行脉外，其性刚悍，具有保卫肌表、抗御外邪之作用特点，相当于现代医学之抗传

染性免疫功能。元气有元阴、元阳之称，发源于肾，藏于丹田，系人身

阴阳之总司，乃先天之本也。以现代医学观点看，相当于垂体丘脑

系。卫气具有白细胞、吞噬细胞、淋巴结、网织内皮系统之作用，元气

代表垂体－肾上腺系统，二者均与骨髓干细胞之生化相关，因此《内

经》"肾生骨髓"之论点系正确的。

小插话：近年来，由于生物化学和免疫化学之发展，发现人体中

有5种免疫球蛋白，即IgA、IgG、IgD、IgE、IgM,IgG是典型之沉淀抗

体，由浆细胞形成，进入血液。它系血清中体液抗体之主要成分，占

成人血清抗体之80%左右，它对各种病毒、细菌、毒素、真菌、寄生虫

等都有活性。

从免疫角度来说，机体受到抗原物质之刺激，可出现免疫反应。

免疫反应系一种生理反应，能维持机体内在环境之相对稳定性，提

高抗病能力，抗御病原体之侵袭，发挥机体之免疫监视作用。这系正常之免疫反应，这必须要在机体正气旺盛、阴阳调和之情况下才可

实现这种反应；反之就可出现异常反应，即机体免疫功能失调。这种

异常之免疫反应，可呈现两种情况：①过高反应，表现为自身免疫性

疾患；②过低反应，表现丧失抵抗力，反复患病。可见异常免疫反应，才能引起疾病。过低反应，往往系正气虚弱，机体反应性低下所致；

过高反应，往往系邪气旺盛，病原之致病增强。治疗前者则须着重于

扶正，对于后者则着重于祛邪。另外尚有表现免疫反应失调者，即扶

正与祛邪相结合，是为攻补兼施之法。

实验证明，扶正之中草药多具有增加、促进免疫之机能，提高机

体之抗病力，尤其是多糖类植物，有增强网状内皮系统机能之作用，

如人参、五味子、灵芝、党参、黄芪、沙参、玉竹、麦冬、首乌、生地、女真子、枸杞、茯苓都含有生物活性多糖体，称为免疫中草药，能调动

机体之免疫力。中医补肾方法，能提高机体免疫力，改善机体免疫

状态，而且能调节体内免疫功能之相对稳定，有人对肾阳虚患者，

测定反应免疫水平之玫瑰花结试验，发现T细胞比值很低，给予补

肾中药后，T细胞比值逐步上升，临床症状也相应改善。也有人从体

液免疫之角度，测定慢性支气管炎病人痰中IgA含量，发现服用兔

胎片等补肾药物治疗后，病人痰内IgA含量有升高之倾向。成都军

区门诊部又对100例慢性支气管炎患者进行了皮肤敏感实验（SK-

SD),检查患者的细胞免疫状态，结果有70%玫瑰花结试验为阳性；

同时做了40例健康人对照，有80%以上为阴性反应，在治疗上，成都军区门诊部采用"病痰饮者，当以温药和之"的理论，用温补肾阳

之药物，且贴脐治疗，出现明显疗效慢支患者之花结阳性率降为

20%.上海中医研究所肿瘤小组，以粗制胎儿甲种球蛋白作抗原，使

家兔引起免疫反应，发现补阳药物能使该抗体之形成提前，养阴药

物能使该抗体存在时间延长。上海第一医学院在防治慢性气管炎

的实践中，发现经补肾治疗后，肾阳虚型的垂体－肾上腺系统功能

与血清免疫球蛋（IgA、IgM)均有所提高。另外用滋阴药物可以抵抗

激素之副作用。并指出补肾，调节肾阴肾阳之作用有调节内分泌和

免疫之作用。因此用补肾阴和肾阳的方法可以调节免疫之过高或过

低反应。

以上说明中医之扶正疗法对增强网状内皮系统之功能，提高机

体之免疫力，且有宝贵之潜力可挖。中医之祛邪，多能控制免疫作

用，特别是活血化淤、清热解毒类药物，多可抑制免疫反应，似可称

为中草药之免疫抑制剂。活血化淤和清热解毒药所治疗之自身免疫

性疾患，通常系免疫反应过高，急需抑制，西药则可应用6MP、CTX

等，此类疾患常见者有急慢性肾炎、急慢性肝炎、类风湿性关节炎、

系统性红斑狼疮、重症肌无力、皮肌炎、硬皮症等。此种疾患之发病，

系机体自身内部产生之抗原抗体反应，这时机体免疫系统失去了对

自己和非己物质之区别。还有人实验观察，发现活血化淤、清热解

毒药物可以减轻用马血清致敏之豚鼠膝关节腔内所产生之变态反

应程度，说明此类药物可抑制免疫反应所造成之病理损害，山西医

学院用活血化淤和清热解毒类药治疗慢性肾炎取得了较高之疗

效，其机理就是抑制了免疫反应，有人利用胸腺萎缩试验方法，观

察山豆根、白花蛇舌草、大青叶等在免疫反应中之作用，结果上述药 Task output rules: Translate this markdown block from Chinese to English. Preserve markdown markers, links, and formatting. Keep headings and list structure unchanged. Return only the translated block.

Input:

物对幼鼠胸腺萎缩均有一定促进，说明此类药物有抑制免疫反应之

作用。

胸腺在免疫反应中之作用1977.4.30

胸腺之作用直到最近才引起人们的重视，它原来是一个参与免

疫反应之重要器官。胸腺本身就存在着潜在之免疫活细胞。胸腺还

可接受来自红骨髓干细胞之免疫活细胞T细胞，前者和后者在某种

因素之作用下以小淋巴细胞之形式离开胸腺，并进入周围淋巴样组

织，成为具有免疫活性之细胞。离开胸腺的细胞只有在周围淋巴样

组织中（包括淋巴结和脾）才能成为具有免疫活性之细胞，如果是在

其他组织则非但不能形成具有活性之免疫细胞，而且均大量死去，

因此把这种胸腺外之周围淋巴样组织称为胸腺依赖区。还有一种学

说即体液学说，认为胸腺系一个内分泌器官，能分泌一种或多种激

素活性物质，这些物质可使周围淋巴组织中不具免疫活性之淋巴样

前驱细胞发育成为具有免疫活性之细胞。

特异性免疫 1977.5.2

细胞免疫和体液免疫，共同组成了特异性免疫，即适应性免疫，

亦即后天性免疫，其中体液免疫是血清中免疫球蛋白引起之免疫反

应，这种免疫和外来因子进入人体之引起的免疫反应有着明显之不

同。

小便不通论治 1977.5.10

小便不通虽责之于膀胱，但三焦者决渎之官，与水道之通否恒

有关系。上焦之气不化，则肺不能通调水道，下输膀胱；中焦之气不

化，则九窍不通，分利无权；下焦之气不化，则有火衰不能化水与湿

热阻塞气机两端。属上焦者可用参麦散去五味子加大剂紫菀，有热

者可加黄芩清肺饮，即黄芩、山栀两药；中焦者，用分利法，宜四苓

散，补中益气汤加木通、车前子；属下焦者若小便涩痛，肚腹胀满者用

滋肾丸（知、柏、肉桂）；下元虚寒，命门火衰，用金匮肾气丸；少腹痛

著，小便不通，口渴者在气分，用六磨汤；口不渴者，在血分用抵当丸。

（清）王旭高治一中阳不足之患者，小便不利，通利之法无功，遂

用干姜、肉桂、小茴香、茯苓、泽泻、白术、乌药、木香、牛膝。

（清）吴东炀治一肝郁尿闭之患者，用胆草、茯苓、猪苓、车前子、

苡仁、石斛、黄柏、生草、桂枝、防风、羌活、柴胡、杏仁、陈皮、生姜皮、

枇杷叶。

外用法：大蒜1枚，栀子3枚、盐少许，捣烂摊纸贴脐上，良久即

通。

上海中医学院徐嵩年治尿蛋白之经验1977.5.18

1.突出清利，祛邪即可扶正：白花蛇舌草、七叶一枝花、蝉衣、益

母草、大蓟、石苇、元参、防己、覆盆子。

2.重视调理肺、脾、肾三脏功能：①肺为水之上源，《内经》所谓

"开鬼门，洁净府"及所谓高原导水之法，皆属于此。徐老善用麻黄连

翘赤小豆散，方中之麻黄非但用于血压不高之患者，血压高者亦可

用之，此外苏叶、荆芥等亦可辅佐之。方药：苏叶、荆芥、葶苈子、麻

黄、防风、连翘、大腹皮、川朴、赤小豆、鲜芦根、茶树根、附子。②"肾

为胃之关"《内经》，张景岳"水唯畏土，其制在脾"，徐老善用实脾饮

治水，乃属此意。实脾饮出《济生方》，其组成有木香、木瓜、白术、茯

苓、甘草、大腹皮、厚朴、草果、干姜、附片，徐老认为方中之槟榔、厚朴、木香、草果相配合是非常得当的。③徐老治蛋白尿，非但强调补

肾阳，而且强调补肾阴，他说，阴阳是一对相互依存又相互对立的整

体。在补阴、补阳的同时，还可考虑适当应用一些收敛药，如五味子、

金樱子、白果、乌梅、赤石脂、覆盆子、补骨脂、煅龙牡。口诀：五金白

梅赤盆脂。

眼底出血1977.5.20

兰化汽车司机王建荣之子王辉，年5岁，因外伤而致右眼底

出血，玻璃体混浊，视力减退至0.1.经兰医张灵芝主任看后，谓

此患儿今后可望视力增至0.3上下。余令其始服中药，方用：当归

12g、白芍9g、白术9g、茯苓12g、柴胡9g、薄荷6g、丹皮6g、山栀

9g、生地12g、山萸6g、山药9g、泽泻9g、菊花15g、枸杞子9g、石决

明9g、车前子9g、生石膏30g、桂枝9g、海藻9g、昆布12g、夏枯草

15g。以上方加减服100余剂，患儿视力逐日改善，最后上升至

0.7。张主任对此例之疗效大感惊奇，并查其全部处方，言其整理

之。

颈部胀感之治疗1977.6.2

兰化李宜兰，患慢性胰腺炎，服余订之复方四逆散，病况减轻。

忽一日，李来就诊，谓一周来，颈项部胀痛极为明显，伴心烦，余遂于

前方之中加夏枯草15g、半夏6g,服4剂颈项部之胀感全消。复方四

逆散：柴胡15g、枳壳6g、白芍9g、甘草6g、川芎6g、香附6g、川椒

6g、干姜6g、党参12g。

赵锡武老中医治疗痿证（多发性神经炎）病案1977.6.2

茯苓15 g、猪苓12g、桂枝18g、白术24g、生地18g、山药18g、杜

仲15g、附片18g、天麻12g、巴戟天12g、龙骨18g、白蒺藜30g、淫羊

藿30g,症状消退后可用下方：生地12g、山萸6g、茯苓12g、麦冬

9g、五味子6g、肉桂3g、附片6g、石斛6g、巴戟天6g、细辛3g、鸡血

藤30g、白术9g、黄连3g、龙骨12g。口诀：五苓散中加桂附（前），白

鸡细连地引骨（后）。

调节血象 1977.6.10

影响造血系统药物：鹿茸、紫河车、阿胶、鸡血藤、党参、黄芪、当

归、地黄、首乌、枸杞、白术、龙眼肉、锁阳、补骨脂、巴戟天，可刺激骨髓，增加红细胞和血红蛋白；人参、鸡血藤、丹参，增加白细胞；当归、白芍、地黄、圆肉、三七、山萸、红枣、狗脊、肉苁蓉，增加血小板。口诀：参术芪归阿，乌枸补龙巴，紫鹿阳鸡地，升红是效法。人参鸡丹升

白好，物芎三山大元狗，升板再加好红枣。

郑桥医案之新方1977.6.15

1.前胡汤：桑叶、杏仁、前胡、知母、麦冬、黄芩、金银花、甘草。

（清热解毒、止咳平喘）

2.降压汤：白芍、石决明、黄芩、牛膝、元参、菊花、甘草。（平肝镇

静、滋阴潜阳）

3.苍术防己汤：防己、地龙、通草、甘草、苍术、黄柏、牛膝、苡仁。

（清热祛湿、通经活络）

4.老节地黄汤：藕节、甘草、生地、元参、麦冬。（凉血止血，专治鼻

衄）

活血化淤法的临床应用1977.6.20

淤血是一种病理产物，又是一种致病因子，作为病原叫淤血，作

为病理叫血淤。凡离经之血不能排出体外，滞留于组织器官之中叫

淤血，未离经之血，停滞或凝结于脉道之中亦称为血淤。这相当于现

代医学中的血循环障碍，微循环障碍，全身性和局部性循环障碍的

概念。血淤是一种证候，而不是一种独立的病。