III. Treatment

Control infection; use non-invasive nasal mask double-level positive airway pressure ventilation therapy; central nervous system stimulants: nicotinamide is the most commonly used, starting with 0.375 g via intravenous injection, followed by 3.75 g added to 500 ml of 5% glucose solution for intravenous infusion. This medication strongly stimulates the central nervous system.

Selection of Medications for Blood Indicators – 1994.2.2

1. Leukopenia: Poria, Herba Lysimachiae, Clematis armandii, Sophora japonica, Astragalus membranaceus.
2. Treatment of leukemia at its root cause: Indigo naturalis, Toad venom.

Toad venom is a dry extract derived from the posterior glands of toads, a vertebrate species. It has a sweet taste, a pungent and warm nature, and is toxic; it enters the Stomach and Heart meridians, possessing properties that disperse swelling, detoxify, clear heat, and open the orifices to relieve pain. Traditionally, it was used to treat boils and sores. It can also be employed for vomiting, diarrhea, abdominal pain, and unconsciousness caused by wind-cold invading the stomach; take 0.015–0.03 g internally, preferably in pill or powder form. Modern pharmacological research has shown that toad venom possesses cardiostimulant, hypertensive, analgesic, anti-tumor, anti-inflammatory, cough-suppressant, expectorant, bronchodilator, and leukocytosis-promoting effects, as well as the ability to stimulate skeletal muscles. Given that this product can be used to treat arrhythmias, heart failure, cancerous tumors, leukocytosis, and pain relief, it is considered one of the best options for treating tumors. Leukemia is a weak link in cancerous growths, and this remedy can help overcome it through experimentation. Take 15–30 mg per dose orally.

Indigo naturalis: A pigment extracted from plants like Mucuna pruriens, Polygonum persicaria, and Polygonum cuspidatum; also known as indigo, it has a salty taste and a cold nature, and is effective in clearing heat, detoxifying, cooling the blood, and eliminating spots. Modern pharmacology reveals that it exhibits anti-tumor, hepatoprotective, and antibacterial properties. When used in combination with Qinghong in chronic myeloid leukemia, the ratio is 9:1, demonstrating certain therapeutic efficacy. I believe that combining 60 g of indigo naturalis with 1 g of toad venom, grinding them into a fine powder, and encapsulating the mixture in 0.25 g capsules—forming 244 capsules, taking 2–4 capsules daily, three times a day—may yield better results in treating chronic myeloid leukemia. In this formulation, the ratio of indigo naturalis to toad venom is 60:1, with each capsule containing 5 mg of toad venom; when 3–6 capsules are taken, the total toad venom content reaches 15–30 mg.

New Applications of Citrus Peel – 1994.2.2

The immature fruits of citrus trees belonging to the Rutaceae family—such as pomelo, citron, and kumquat—and even the nearly mature fruits are used medicinally under the name “Jike.” They have a bitter taste and a cold nature, entering the Spleen and Stomach meridians. They promote qi circulation, resolve phlegm, disperse stagnation, and were traditionally used for chest and abdominal distension, as well as chest oppression. Jike’s blood-pressure-raising effect is strong, but it does not increase myocardial oxygen consumption nor does it elevate heart rate. Instead, it increases resistance in muscles and skin (vasal resistance), reducing peripheral blood flow, which is particularly beneficial for rescuing patients in shock. Additionally, Jike has cardiotonic and diuretic effects: ① treat heart failure; ② rescue patients in shock; ③ treat gastric prolapse; ④ treat uterine prolapse. From these observations, we can infer that the underlying causes of chest and abdominal distension, as well as chest oppression, may be related to gastric prolapse and coronary heart disease.

Clinical Applications of Magnetic Resonance Imaging – 1994.2.4

Magnetic resonance imaging (MRI) not only reveals abnormal signals in solid organs but also exhibits unique “flow-through” effects. These flow-through effects outperform CT scans in visualizing vascular malformations, turbulent blood flow caused by intra-vascular masses, as well as thrombi and calcifications—giving users the feeling of combining angiography and CT scanning into a single procedure. ① Flow-through effect: The key factor behind this phenomenon is flow velocity; if the flow velocity is slow, or if protons excited by the magnetic field return along the veins to the signal acquisition area, the vessel structures may appear as strong signals. ② Hematoma changes: As time passes, hematomas within blood vessels show different appearances on MRI. a. Within one week (acute phase): The center of the hematoma appears as low signal; b. 1–4 weeks (subacute phase): The periphery of the hematoma is stronger than the center; c. After one month (chronic phase): Low-signal areas begin to appear in the surrounding tissues of the hematoma. Beyond these findings, MRI can also detect infarcts, calcifications, edema, thrombi, and hemorrhages.

Combination Therapy with Several Common Antibiotics – 1994.2.4

Penicillin has the shortest half-life, lasting only 0.5 hours; metronidazole has a half-life of around 10 hours; ampicillin lasts for 1 hour; cephalosporins last for 2 hours; gentamicin lasts for 3 hours (erythromycin and chloramphenicol also last for 3 hours). Based on these findings, penicillin should be administered every 6–8 hours, metronidazole every 12–24 hours, gentamicin once every 12 hours, and ampicillin once every 8–10 hours. Solvents: Penicillin, ampicillin, and cephalosporins are all dissolved in 100–200 ml of saline; gentamicin, erythromycin, chloramphenicol, and metronidazole can all be diluted in 5% glucose, with gentamicin at 100 ml, metronidazole at 250 ml, and erythromycin and chloramphenicol at 500 ml.

Modern Medical Imaging Is Revising Traditional Concepts in Neurological Disorders – 1994.2.4

CT diagnosis of cerebral hemorrhage achieves a 100% accuracy rate, closely aligning with pathological diagnosis. While CT diagnoses of cerebral infarction occasionally yield false positives, they can completely rule out cerebral hemorrhage. Clinically, cerebral infarction and cerebral hemorrhage are often misdiagnosed; sometimes, patients with milder symptoms and clear cerebrospinal fluid are mistakenly diagnosed with cerebral infarction. In recent years, the incidence of primary intracerebral metastatic cancers in elderly patients has significantly increased. Epilepsy patients often present with brain tumors, parasitic vascular malformations, nodular sclerosis, traumatic hematomas, or cerebral artery nodular sclerosis—each of which can easily be distinguished through CT. Small brain hemorrhages and brainstem hemorrhages often arise suddenly, with early onset of coma and short disease courses; previously, diagnoses were often limited to subarachnoid hemorrhage. However, with the aid of CT and digital subtraction angiography (DSA), these conditions can now be accurately diagnosed. In the past, it was believed that such diseases were untreatable; today, through CT observation, it is recognized that a small portion of patients can still recover.

The Diagnostic Value of Headaches in Intracerebral Tumors – 1994.2.7

1. Duration of headaches: Benign tumors typically have longer disease courses, with average headache durations exceeding 3 years. Most cases involve meningiomas, with a small number of neurofibromas and very few astrocytomas; malignant tumors tend to have shorter durations, ranging from a few weeks to a few hours, with most cases lasting less than 4 months.
2. Location of headaches: Generally, headaches are considered unhelpful in pinpointing the location of intracerebral tumors. However, among 192 patients with headaches in the forehead, temporal, parietal, and occipital regions, surgical confirmation revealed that 100 cases involved tumors located on the same hemisphere as the headache.
3. Severity of headaches: Supratentorial tumors grow slowly, resulting in relatively mild headaches. Malignant tumors often have short, intense pain; this type of headache is usually sudden and explosive, then becomes persistent, with increasing intensity over time. Common malignant tumors include gliomas and malignant ependymomas; some patients may experience frequent headaches due to the rapid growth of their tumors.
4. Accompanying symptoms: Vision impairment in 72%, epilepsy in 36%, hemiplegia or sensory deficits in 35%, cranial nerve damage in 18.3%, and cognitive impairment in 2.6%.

The Impact of Bone Marrow Examination on Diagnosis in Aplastic Anemia – 1994.2.9

541 cases of aplastic anemia were classified into two types: hyperplasia and hypoplasia. Comparing the conversion rates, recovery rates, and survival rates between the two types, it was found that in the hypoplastic group: 60% remained unchanged, 34% transitioned to active proliferation, 3% repeatedly shifted between the two states, and 3% progressed to leukemia. In the active proliferative group, 44% remained unchanged, 44% transitioned to hypoplasia, 9.3% repeatedly shifted between the two states, and 2.7% progressed to leukemia. The clinical recovery rate in the hypoplastic group reached 15.9%; the proliferative group had a recovery rate of 14.6%. Regarding survival rates, the hypoplastic group showed survival rates of 1 year, 5 years, and 10 years, with survival rates of 70.43%, 57.66%, and 51.51% respectively—both lower than the proliferative group’s 86.7%, 71.24%, and 63.34%—with statistically significant differences.

The Important Role of Modern Nutrition in Disease Prevention and Treatment – 1994.2.17

The functions of nutrition include the following aspects: ① preventing and treating nutritional deficiencies; ② alleviating symptoms associated with nutritional and dietary issues; ③ promoting human health, especially the physical and mental well-being of infants and young children—including enhancing immune function. Today, the primary focus of nutrition lies in preventing diseases arising from nutritional excess, such as cardiovascular and cerebrovascular diseases, tumors, obesity, hypertension, hyperlipidemia, and diabetes. For example, reducing salt intake can prevent hypertension and also help mitigate endocrine, metabolic, and autonomic nervous system disorders caused by trauma, infections, and other factors. Such disruptions can lead to changes in nutritional status. Among hospitalized patients, protein-calorie deficiency accounts for 60%. Experimental treatment with evening primrose oil in chronic renal failure – 1994.2.18

This oil contains multiple unsaturated fatty acids, and it demonstrates promising therapeutic effects on chronic renal failure without affecting immune regulation. Increasing the intake of linoleic acid can increase glomerular filtration rate in rats with chronic renal failure (CRF), while lowering serum creatinine levels. Some researchers believe that PUFA (polyunsaturated fatty acids) can improve the progression of chronic renal failure. Evening primrose is rich in both linoleic acid and alpha-linolenic acid, both of which are unsaturated fatty acids. Using this medicine to treat renal failure represents a promising avenue for treatment.

Quinolone Series Drugs – 1994.2.21

Quinolone series drugs include pipemidic acid, flupirtine, ciprofloxacin, and others—all of which incorporate fluorine atoms at the 6th position of the quinoline ring. This series of products boasts a broad antibacterial spectrum, high absorption rates, minimal toxic side effects, and lower prices compared to cephalosporins—making them highly valued. The antibacterial activity of these drugs can be compared to the 60% efficacy of levofloxacin and the 80% efficacy of ciprofloxacin; most doses are 0.2 g, taken three times daily, totaling 0.6 g per day. Toxic side effects occur in 5%–10% of cases, but only 10% of patients need to discontinue treatment due to adverse reactions. No severe adverse reactions have been reported; overall, the reactions are relatively mild. Skin rashes, psychiatric symptoms, and potential impacts on sexual function and genital organs may occur, so caution is advised for children. These drugs interact antagonistically with rifampicin, vancomycin, and de-novobactin; when combined with beta-lactams, they can treat antibiotic-resistant infections caused by Staphylococcus aureus. The first-generation products included pipemidic acid and flupirtine, the second-generation products featured ciprofloxacin (ciprofloxacin), and the third-generation products included flupirtine (levofloxacin).

Sclerotherapy for Variceal Gastroesophageal Varices – 1994.2.23

Esophageal varices and gastric varices in patients with liver cirrhosis are well-known; however, widespread varices in the gastric veins remain largely overlooked—these are manifestations of portal hypertension. At this stage, patients may experience discomfort in the epigastric region, abdominal distension, nausea, often accompanied by varying degrees of upper gastrointestinal bleeding and black stools. Some have used sclerotherapy for gastric varices to treat this condition; I believe this approach is an absolute method for addressing the symptoms. Traditional Chinese Medicine teaches, “When you see liver disease, know that liver disease can spread to the spleen”—this can be interpreted as liver wood overcoming earth, meaning liver wood is opposing the stomach. Evidence supporting this theory comes from three main areas: ① bile reflux leading to gastritis; ② liver cirrhosis causing gastric varices; ③ anorexia in patients with hepatitis. Xiaoyao San is the best formula for treating this condition.

Hemolytic Anemia – 1994.2.23

The essence of hemolytic anemia lies in red blood cell defects. Red blood cell defects can manifest in four main ways: red blood cell enzyme defects; red blood cell membrane defects; hemoglobin defects; and autoimmune defects.

1. Red blood cell enzyme defects: Glucose-6-phosphate dehydrogenase deficiency is the most common hereditary red blood cell enzyme defect. Reports from several hospitals in Guangxi indicate that this condition (G-6-PD) is a major cause of acute hemolytic anemia in children and neonatal hyperbilirubinemia in the region. The primary triggers for this condition are infections, especially viral infections; additionally, consuming fava beans is another common trigger. Testing methods: The Affiliated Hospital of Guangxi Medical University established an improved G-6-PD fluorescent spot test, capable of quantitatively reflecting the degree of G-6-PD deficiency and, to a certain extent, replacing enzyme activity assays. Zhanjiang Medical College prepared anti-G-6-PD serum, using immunoassay to measure G-6-PD levels, and discovered a variant—the Zhanjiang strain.

2. Red blood cell membrane defects: The most common types of hemolytic anemia include paroxysmal nocturnal hemoglobinuria and hereditary spherocytosis.

3. Hemoglobinopathies: The most common type is Mediterranean anemia.

4. Autoimmune defects: Such as AIDS.

Chemotherapy Combination Regimens for Acute Leukemia – 1994.2.23

1. For acute non-lymphocytic leukemia (ANLL), use doxorubicin and cytarabine (DA regimen); complete remission rates can reach 61.7%. Doxorubicin is administered at 40 mg daily for 1–3 days via intravenous drip; cytarabine is given at 100 mg daily, taken twice daily—either orally or by intramuscular injection, preferably in two doses, for 1–7 days.
2. For acute lymphocytic leukemia (ALL), use vincristine, prednisone, doxorubicin, and cyclophosphamide (VPDC regimen). Vincristine is administered at 2 mg weekly; doxorubicin is given at 40 mg weekly for 1–3 times; cyclophosphamide is administered weekly at 600 mg; prednisone is given daily at 40–60 mg, divided into three doses. Note that doxorubicin is dosed at 40 mg daily, administered 1–3 times weekly.

Infectious Radiculitis – 1994.2.24

After a severe cold, patients may experience numbness in the limbs, general fatigue, lower back pain and leg weakness, localized sensory abnormalities, and dizziness. Some patients may even develop hemiplegia. This condition can be diagnosed as infectious radiculitis; traditional Chinese medicine treatment involves adding ingredients to Gui Zhi Shao Ya Zhi Mu Tang.

Thin Basement Membrane Nephropathy – 1994.2.25

This disease was first reported in China, with 8 cases identified. Its main clinical characteristics include persistent microscopic hematuria and occasional macroscopic hematuria. Mild proteinuria may also occur; a small number of patients have a family history of hematuria, suggesting that this condition may be genetically related. All patients had normal renal function, indicating a favorable prognosis. Under electron microscopy, renal pathological changes were mild, with thinning of the basement membrane of the glomeruli being the most prominent feature of this disease.

Application of Blood Purification in the Treatment of Severe Hepatitis – 1994.2.25

This is a new therapeutic approach: create arteriovenous fistulas in the patient’s upper or lower extremities, and prepare plasma exchange devices or blood filters with heparin for future use. Connect these devices or filters to the arteriovenous fistula; as plasma is filtered from the patient’s blood, replenish with equal amounts or large volumes of fresh plasma, albumin, or other substitute fluids.

Basic Knowledge of Blood Count – 1994.3.3

1. The significance of nucleated red blood cells in peripheral blood counts: ① Excessive production caused by hemolysis leads to premature release of nucleated red blood cells; ② Anemia resulting from bone marrow disorders—such as leukemia, aplastic anemia, or malignant tumors—when abnormal cells infiltrate the bone marrow, nucleated cells are released from the bone marrow into the peripheral blood.
2. Autoimmune hemolytic anemia: Fever, bone pain, anemia, elevated reticulocytes, and positive Coombs tests (including IgG and C3) indicate elevated free hemoglobin and decreased haptoglobin levels. Bone marrow examination shows extreme proliferation of the red blood cell lineage, with an inverted granulocyte-to-red blood cell ratio.
3. Autoimmune hemolytic anemia can be primary or secondary; secondary cases may occur due to bacterial infections, connective tissue diseases, or tumors—but tumors are not the most common cause. Primary cases account for the majority (64%–70%), while secondary cases are less common. Those with IgG+C-type tests often show positive Coombs tests; only 6% of cases are negative, with the former representing warm antibodies and the latter cold antibodies.

About 33 Clinical Items That Have Been Eliminated – 1994.3.10

① Zinc sulfate turbidity test; ② Thymol flocculation test; ③ Serum β-lipoprotein; ④ Uric acid test; ⑤ Takata’s test; ⑥ Lan Tian urine test; ⑦ Serum creatinine measurement; ⑧ Sodium tetraphenylboron retention test; ⑨ Cerebrospinal fluid gold test; ⑩ Serum protein binding iodine measurement; ⑪ Jaundice index measurement; ⑫ Van den Bult test; ⑬ Serum non-protein nitrogen measurement; hemoglobin determination by copper sulfate weight measurement; ⑮ Urobilinogen iodine test; serum glucose reduction method; surface phospholipid cholesterol flocculation test; serum alanine aminotransferase; serum aspartate aminotransferase; serum albumin precipitation test; serum and urine amylase temperature measurement; serum syphilis Cona test; serum syphilis Klaas test; serum syphilis Huas test; urine pregnancy frog test; serum potassium turbidity measurement; serum sodium turbidity and colorimetric measurement; serum alpha-fetoprotein single diffusion test; serum alpha-fetoprotein immunoelectrophoresis; surface antigen single diffusion test; international bacterial names have been abolished; reporting methods labeled “slightly sensitive” and “extremely sensitive”; hemoglobin visual estimation.

Diffuse Panbronchiolitis – 1994.3.11

This disease is abbreviated as DPB and primarily affects the small bronchioles. Since the 1950s, Japanese scholars have conducted extensive research on this condition. Based on pathological findings, clinical presentations, and familial patterns of onset, this disease has recently been recognized as a common (independent) respiratory disorder. In China, diagnosis of this disease has yet to receive sufficient attention; there are still no extensive case reports from various regions, mainly due to a lack of awareness. 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 disease refers to a diffuse chronic inflammation of both lungs, primarily affecting the respiratory bronchioles and their surrounding tissues, characterized by severe respiratory dysfunction. The lesions are typically distributed centripetally within the lobules, with local areas predominantly showing foam accumulation. Lymphocytic and plasma cell infiltration is also present, and in some cases, granulation tissue forms, leading to obstruction or stenosis of the respiratory bronchioles. This disease is most commonly seen in middle-aged and young adults, with no significant gender or age differences. Among patients, 84.8% have concurrent chronic sinusitis, while 20% have a family history of sinusitis. Clinical manifestations include chronic exertional dyspnea, cough, and expectoration. Radiographic findings show nodular shadows in both lungs, with increased air content (emphysematous changes), which, due to chronic airway obstruction and recurrent infections, lead to respiratory dysfunction and a very poor prognosis.

Compound Mahuang Powder for the Treatment of Lumbar Disc Herniation – March 27, 1994

Ma Huang: 10g, Niuxi: 10g, Cangzhu: 6g, Mahuang: 1 piece (fried in oil), Tubaichong: 10g, Zhizhi: 6g, Quanshe: 6g, Quanxie: 6g, Jiangchong: 6g. Mnemonic: Ma, Niu, Cang, Mahuang, Zhizhi, all for treating disc herniation effectively.

Urinary Calculus Formula – March 28, 1994

Jin’er: 10g, Tushizi: 10g, Sheng Gancao: 6g, Shiwei: 20g, Bai Shao: 15g, Hupai: 3g, Da Huang: 6g, Hai Jinsha: 15g, Tao Ren: 10g, Qianjin Cao: 20g, Wang Buliu: 10g, Wuyao: 10g, Lu Jiao Shuang: 10g. Mnemonic: Han Sanqi, Dan Shen, Honghua, Wuji, Zexia, Chuanxiong.

Jiu’er Xin He Ji – March 28, 1994

San Qi: 3g, Dan Shen: 20g, Honghua: 3g, Wuji: 30g, Zexia: 10g, Chuanxiong: 6g; used for treating coronary heart disease and angina pectoris. Mnemonic: San Dan Kai, Wu Ze, Chuan Xiong.

Jiu Guan Xin – March 28, 1994

San Qi: 3g, Dan Shen: 20g, Honghua: 3g, Wuji: 30g, Zexia: 10g, Chuanxiong: 6g; used for treating coronary heart disease and angina pectoris. San Dan Kai, Wu Ze, Chuan Xiong.

Dianli Dazao Xie Fei Tang for the Treatment of Cardiac Insufficiency in Rheumatic Heart Disease

Dianli: 10g, Dazao: 4 pieces; decocted and taken orally.

Clinical Cases of Treating Subacute Infectious Diseases – March 28, 1994

Bai Shao: 15g, Gancao: 6g, Wutou: 6g, Huangqi: 30g, Fangfeng: 12g, Ma Huang: 10g, Hong 3g, Qinghao: 60g. Mnemonic: Huang Feng, Ma Hua, Bai Sheng, Wutou; Qinghao, like Qin Tiao. This formula aligns well with my own experience. Mnemonic: Gui Zhi Fu Zi, plus Fangfeng, Qing Qin, Shang Huang, and also Hong.

Traditional Chinese Medicine Treatment of Bone Marrow Inflammation – March 29, 1994

1. During the inflammatory phase, use the following medicinal lines: Bai Pa: 12g, Ba Dou Shuang: 29g, Xiong Huang: 84g, Ku Fan: 48g, Bai Ji Fen: 16g, Pu Lu Kao Fen: 3g; grind into powder, mix thoroughly, sift, then knead with water to form small, 0.25cm-diameter strips, insert into the site of pus formation to promote drainage. Take the oral formulation “Wu Wei Xiao Du Yin.”

2. During the fistula stage, insert the above medicinal lines into the fistula to expand drainage, remove the fistula tissue, and extract the bone; take the oral formulation “Tuo Li Pai Su Tang” (Dangshen, Bai Zhu, Huangqi, Danggui, Fuling, Hua Fen, Jin Yin Hua, Shao Jiao Ci, Bai Zhi, Sheng Di, Chuan Xiong, Gancao, Si Bao Ling Zhi Hua Er Shao).

3. During the chronic stage, use Yang He Tang, Tuo Li Tu Su Tang, and Ma Huang Gui Zhi Tang.

Traditional Chinese Medicine Treatment of Psoriasis – April 19, 1994

Mr. Zhu Renkang from the Chinese Medical Research Institute designed two formulas:

1. Wind-Heat Dryness: Shan Dou Gen: 15g, Cao He Che: 15g, Bai Xian Pi: 15g, Tu Fu Ling: 30g, Ninh Dong Teng: 15g, Sheng Gancao: 6g, Ban Lan Gen: 15g, Wei Ling Xian: 15g. Mnemonic: Shan Che, Bai Tu, Dong, Sheng Lan, Ke Yin No. Wei Ling Xian.

2. Qi Deficiency and Blood Dryness: Shan Dou Gen: 15g, Cao He Che: 15g, Bai Xian Pi: 10g, Xuan Shen: 10g, Da Qing Ye: 15g, Lian Qiao: 15g, Dan Shen: 10g, Sheng Di: 12g, Ma Ren: 15g. Mnemonic: Shan Che, Bai Yuan, Da Lian, Shen, Ke Yin No. Di Ma Ren.

Formulas for Treating Hyperthyroidism – April 19, 1994

Previously, formulas for treating hyperthyroidism included Guishan He Ji (Guishan Fragrant Herb, White Head, Qi Dihua), Xia Mu He Ji (Xia Mu, Hu Can, Two Herbs, Shen, Fuling, Yuan Zhi, Suan Zao Ren), and recently, reading in the Chinese Medical Journal, we found the San Shu He Ji (San Ling: 10g, E Ru: 10g, Qing Pi: 6g, Xia Ku Cao: 10g, Sheng Di: 12g, Xuan Shen: 10g, Mai Dong: 10g, Dang Gui: 10g, Chuan Xiong: 6g, Chi Shao: 10g, Shan Yao: 10g, Shan Yu: 6g, Dan Pi: 6g, Ze Xie: 10g, Mu Li: 15g, Zhe Bei Mu: 10g). Mnemonic: San Shu Qing Cao Zeng Ye Tang, Si Liu Wa, Ling Xiao Wan.

Another formula for treating hyperthyroidism was Xia Ku Cao, Zhe Bei Mu, Mu Li, Bai Shao, Dang Shen, Mai Dong, Wu Wei Zi, Xiang Fu Zi, Bai Jie Zi, Su Zi, Huang Qi, Sheng Di, Dan Shen (Xia Mu, Bai Sheng, San Zi, Qi Dihua).

Formulas for Treating Rheumatoid Arthritis – April 19, 1994

Previously, formulas for treating this condition often relied on Sang Zhi Tang, Gui Zhi Shaoyao Zhi Mu Tang, which were effective when cold conditions were present—using Ma, Fu, and Wutou; when heat prevailed, using Shigao and Yi Ren. To prevent colds, add Yu Ping Feng; for joint deformities, add Ga Xue, Ji Xue Teng, or Lu Han Cao. For severe pain, add one centipede. Another formula was Huang (Huang Qi) Huang (Ma Huang) Shao Ya Gan Cao Tang, with Wutou and Hu Zhang added to Yi Ren and Shigao. Additionally, Du Huo Ji Sheng Tang and Qian Bi Tang were essential formulas for treating arthritis.

According to the Chinese Medical Journal (May 1981 issue): Wu Ji, Sheng Yi Ren, Niuxi, Po Guo Zhi, Bo He, Qiang Huo, Hai Feng Teng, Qing Feng Teng, Qin Tiao, He Shou Wu, Xun Gu Feng.

Mnemonic: Wu Mi, Niu Gu, Bo Qiang, Hai Feng, Qing Qin, where to find Gu Feng?

Premature Ventricular Contractions – April 19, 1994

Previously, I used prevening remedies such as Sheng Sheng, Zhike Jie Jing, adding Jin Ling; half of the time, using Chen Zhi and Chuang Zhi, while the other half used Jin Cha, three times the amount of tea to regulate heart rhythm. Recently, reading in the Chinese Medical Journal, I discovered that Ji Xue Teng and Ku Shen could also help regulate heart rhythm.

Another formula was Dazao San Puer (Dazao, Zao Ren, Dan Shen, Bei Sha Shen, Dang Shen, Hu Pei, Che Qian), combining these three herbs.

Treatment of Allergic Purpura – April 20, 1994

For treating this condition, I previously used San Wei Xiao Tu Tang, Xi Jiao Di Huang Tang, San Shi Huang Gao Tang, and Si Cao Dan (Xian He Cao, Zi Cao, Qian Cao, Yi Mu Cao). Recently, reading in the Chinese Medical Journal, I came across another formula: Ce Bai Ye, Ye Ju Hua, Di Fu Zi, Zi Cao—this formula can be called the Ce Bai Ye, Ye Ju Hua, Si Cao Tang. There was also another formula: Da Qing Ye, Chan Yi, Bai Mao Gen, Dazao (Da Qing, Bai, Chan to treat purpura).

Seborrheic Dermatitis – April 20, 1994

This condition often appears on the face, starting as nodules about the size of millet grains, sometimes with ulceration, recurring over time. Later, the pores on both sides of the nose become enlarged, the skin turns red, and clinically it is indistinguishable from rosacea. Doctor Gu Bo Hua used a formula to treat this condition, achieving excellent results. Sheng Di: 12g, Xuan Shen: 10g, Mai Dong: 10g, Da Huang: 9g, Huang Lian: 3g, Huang Qin: 9g, Ce Bai Ye: 12g, Sang Bai Pi: 12g, She She Cao: 30g, Shan Zhi: 12g, Sheng Shi: 12g.

Shi Shan, Sang Bai, She She Cao—adding Zeng Ye Tang with San Huang Tang.

Medications for Coronary Heart Disease – April 22, 1994

The aforementioned specialized formulas for treating coronary heart disease—Gua Lou Xie Bai Ban Xia, Da Xiao Guan I, Shan Dan Kai, Wu Ze, Shan Zha, Yuan Rou, Sheng Long Mu, Mai Dong, Wu Wei Zi, Dang Shen, Huang Qi (Dang Shen Gui Yuan Tang)—recently, based on my experience, I added Water蛭, Hai Zao, Kun Bu, Wu Ji, Han San Qi (Wu Shui Bu Hai Han San Qi) to the above formulas, and the efficacy seemed to improve.

Clinical Cases of Neurofibromas – April 23, 1994

San Ling: 10g, E Ru: 10g, Hai Zao: 10g, Kun Bu: 10g, Zhe Bei Mu: 10g, Xia Ku Cao: 20g, Huang Yao Zi: 15g, Ju He Zi: 15g, Bai Hua She She Cao: 15g, Pu Gong Ying: 15g, Zhe Bei Mu: 15g, Shou Wu: 15g, Shui Zhi: 6g (divided for consumption), this formula combines the powerful effects of dispersing masses and resolving knots with clearing heat and detoxifying. Hai Zao and Kun Bu have strong softening and hardening effects, far stronger than the oysters and Yuan Shen in the Shui Luo Wan.

The Wonderful Use of Ganluo Xiaoduan Tang – April 23, 1994

This is a formula for warm diseases—Huang Qin, Lian Qiao, Bo He, Shan Zhi, Hua Shi, Mu Tong, Yin Chen, Huoxiang, Shi Changpu, Zhe Bei Mu, Rou Dou Kou, all suitable for chronic hepatitis, chronic cholecystitis, chronic urinary tract infections, and chronic sore throat. Mnemonic: Er Er San Si. The four herbs—Lian Qiao, Bo He, Huang Qin, Shan Zhi—are the four herbs in the Liang Ge San, all clearing heat and detoxifying. The three herbs—Yin Chen, Huoxiang, Changpu—are also diuretic and anti-microbial agents. The two herbs—Hua Shi, Mu Tong—Rou Dou Kou, Zhe Bei Mu. The former promotes urination and helps with urinary tract issues, while the latter clears heat and strengthens the stomach.

This formula treats various types of inflammation, serving as a combination of clearing heat and detoxifying, aromatic and anti-microbial, diuretic and urinary tract-clearing, and promoting qi circulation and strengthening the stomach—making it suitable for all chronic inflammations.

Two Wonderful Formulas by Mr. Jiang Bi Hua – April 23, 1994

Mr. Jiang Bi Hua, a renowned physician of the late Qing Dynasty, authored “Bi Hua Yijing,” an excellent introductory text for traditional Chinese medicine.

1. Cold Prevention Formula: Xiang Fu: 10g, Su Ye: 10g, Chen Pi: 6g, Gancao: 6g, Jing Jie: 10g, Fangfeng: 12g, Man Jing Zi: 10g, Chuan Xiong: 6g, Sheng Jiang: 6g. Mnemonic: Chuan Jiang, Man Man, Jing Feng, Xiang Su, a formula for treating colds.

2. Hematuria Formula: A Jiao: 6g (dissolved), Xue Yu Tan: 10g, Sheng Di: 12g, Dang Gui: 10g, Mai Dong: 10g, Shan Zhi: 10g, Dan Pi: 6g, Dan Shen: 10g. Mnemonic: A Jiao, Mai, Shan, Dan Shen.

Treatment of Chronic Cholecystitis – April 23, 1994

For treating cholecystitis, you can use Xiao Chai Hu, Chai Hu Shu Gan San, Da Chai Hu, Dan Dao Pai Shi Tang, Jin Ling Zi San with Zhizhi, Qianjin Cao, Ban Zhi Lian, Hu Zhang, and Weiling Xian. In addition, U Mei and Turmeric are top-tier treatments for this condition.

One Way to Reduce White Blood Cell Count – April 23, 1994

Ten years ago, I treated Engineer Qian Feng’s chronic lymphocytosis, with white blood cell counts as high as 40,000. The treatment formula was: Qianjin Cao, Yu Jin, Cao He Che, Dan Shen, Huang Qi, He Shou Wu, Shan Yao, Shan Zhi, Sang Mi, Tao Ren, Yin Chen, Chai Hu, Dang Gui, Bai Shao, Sheng Di, Huang Jing. Mnemonic: Jin Che, Dan Qi, Yu Shan, Shan Zhi, Shan Ban, Qin Qu, Xie Xin, Wutou, all working together to clear heat and detoxify. Adding San Ling, E Ru, Ma Bian Cao, Long Dan Cao,芦荟, Han Shui Shi, after 13 doses, the white blood cell count dropped to 7,000.

Motherwort and Madder – April 24, 1994

Motherwort is an annual or biennial herb of the Lamiaceae family, traditionally known for its ability to promote blood circulation, unblock menstruation, and promote diuresis and reduce swelling. Recent reports indicate that this herb can treat coronary heart disease, anemia, nephritis, central retinal inflammation, and acute phlebitis. These conditions are all associated with allergic reactions; since the pharmacological effects of madder are identical to those of motherwort, madder also possesses similar therapeutic properties.

Discussion on Hemolytic Anemia – June 15, 1994

This condition typically includes: ① congenital anemia (spherical red blood cells); ② paroxysmal nocturnal hemoglobinuria (PNH); ③ glucose-6-phosphate dehydrogenase deficiency (G-6-PD). According to recent statistics, approximately 40% of all neonatal jaundice cases are caused by G-6-PD deficiency. Western medicine commonly uses Prednisone, Testosterone Propionate, Methytestosterone, Conliron, Vitamin E, among others. Traditional Chinese Medicine has long used Xue Fu Zhu Yu Tang, Ai Ye, Motherwort, Yin Chen, and Huai Hua Tang.

Clinical Cases of Sciatica – July 17, 1994

I treated Director Liu of the Provincial Personnel Bureau for sciatica. Director Liu suffered from severe sciatic pain accompanied by lower back pain, having been bedridden for over a month. He had tried Western medicine at the Provincial People’s Hospital without success, so he invited me for a consultation. I formulated this formula: Chì Bai Shao, Gancao, Qing Feng Teng, Hai Feng Teng, Ji Xue Teng, Mu Gua, Sheng Yi Ren, Niuxi, Weiling Xian, Dang Gui, Huang Qi, Honghua, Ma Huang, Xi Xin, Wutou. After taking this formula for 19 doses, he saw remarkable improvement and his gait returned to normal.

Mnemonic: Shao Ya, Gancao, San Teng, Gua, Yi Ren, Dan Shen, Qian, Wutou—these herbs work together to clear the meridians, relieve pain, and provide relief.

Clinical Cases of Chronic Viral Myocarditis – August 2, 1994

In August 1991, I treated the son of Mayor Wei of Baiyin City, who suffered from myocarditis and arrhythmia. The treatment formula was: Dang Shen, Bai Zhu, Huang Qi, Dang Gui, Fuling, Yuan Zhi, Chao Zao Ren, Mai Dong, Wu Wei Zi, Dang Gui, Huang Qi, Honghua, Jiang Xiang, Dan Shen, Gua Lou, Xie Bai, Sheng Long Mu, Po Guo Zhi, Sheng Di, Ze Xie, and others. After 10 doses, he saw remarkable improvement.

Mnemonic: Gui Pi, Guan Sheng, Ming, Sheng Di, Zhi Shui.

Clinical Applications of Jianbi – August 24, 1994

Also known as Kangli Shu, its scientific name is Ceftriaxone Sodium, a third-generation product in the cephalosporin series, like Cefoperazone. This drug has a broad antibacterial spectrum, strong penetration, and remarkable efficacy. It is highly effective against Gram-positive bacteria, Gram-negative bacteria, and even bacteria resistant to other antibiotics, particularly in severe infections of the blood, respiratory system, liver, gallbladder, urinary tract, reproductive organs, brain, and bone marrow. It is highly safe, with a renal excretion rate as high as 65%, making it suitable for patients with kidney failure. The drug has a long half-life, so once every 24 hours is sufficient. Adults receive 1–2g daily, diluted in 200ml of saline for intravenous infusion.

Clinical Applications of Carboplatin – August 24, 1994

This drug is a second-generation platinum-based anticancer medication. The first generation was cisplatin (DDP), which has been clinically used for over 10 years. Due to its broad-spectrum anticancer activity, especially its potent effect on hypoxic cells, it has attracted great attention in current treatments for solid tumors. However, because the first-generation drugs had relatively high toxicity, second-generation platinum-based drugs emerged. The mechanism of action of this drug is largely the same as DDP, but its side effects are significantly reduced. Its toxic effects on the kidneys, ears, nervous system, and digestive system are notably lower than those of DDP, while the dosage is about five times higher than that of cisplatin. Typically, cisplatin is available in 20mg vials (ampoules); carboplatin, however, comes in 100mg vials. The dose of cisplatin is 30–60mg, while carboplatin is 150–300mg. Given its potential to irritate blood vessel walls, as with DDP, hydration is essential when administering this drug.

Classification of Anti-Tumor Chemical Drugs – August 29, 1994

Generally, they are divided into six categories:

1. Alkylating Agents: Nitrogen mustard, cyclophosphamide, marilam, thiotepa, methotrexate.

The latter two drugs target the ovaries, while the former targets the testes.

2. Antimetabolites: Fluorouracil, allopurinol, methotrexate, cytarabine.

3. Antibiotics: Mitomycin, gemcitabine, bleomycin, doxorubicin, pinacolylamine.

4. Plant Alkaloids: Vincristine, vinblastine, taxol, colchicine, methylbenzhydrazide.

5. Heavy Metals: Cisplatin, carboplatin.

6. Herbal Medicines: White Snake Tongue Grass, Half Branch Lotus, Taxus, Flea Grass, Raw Rice, Centipede, Toad, Pig Lichen, Ground Ivy, Crane Grass, Blackberry Seed.

Formulas for Treating Foot Itching – August 25, 1994

Based on experience and imagination, I tried to devise a formula—would it work? 7 plums, 10g of broken paper, 10g of tree bark, 20g of magnesium sulfate, 20g of white horsetail, 2g of borax, 15g of realgar, 0.5g of camphor, 2g of alum, 15g of snake grass, 10g of bitter root. Decocted and applied externally.

Overall, this formula can treat foot itching, but it’s more suitable for those whose foot itch is accompanied by eczema. The desensitizing effect of plums, along with the anti-itch properties of broken paper, tree bark, and white horsetail, are ideal for treating eczema. Foot itch is a general term for chronic itching between the toes; 80% of cases involve athlete’s foot. Therefore, when treating this condition, it’s advisable to add a large amount of insecticidal and anti-itch agents. Realgar, bitter root, alum, and snake grass all possess these properties. Applying the decoction externally, preferably while still warm.

Later, after more than 10 years of using this formula, it always proved effective. Added in June 2007.

Traditional Chinese Medicine for Treating Gastric Bleeding (Esophageal Vein Bleeding) – September 2, 1994

No. 1 for Hemostasis: 30g of squid bone, 20g of white lily, 15g of triptolide, 20g of rehmannia, 20g of rhubarb, 20g of rehmannia root; grind all into powder, divide into 10 packets, each packet containing 1 packet, and dissolve in warm water.

No. 2 for Hemostasis: Previously, there was a secret formula called Red Dragon: 10g of raw rhubarb, 3g of cinnamon, 20g of raw ochre; it could be used during severe bleeding.

Treatment of Massive Esophageal Vein Bleeding – September 10, 1994

When treating liver cirrhosis with decompensation, this is a critical moment in emergency care.

1. Avoid water and food for 24 hours.
2. K38mg Tid
3. Gastrolan: 10mg Tid
4. Intravenous fluids include: ① 250ml of 5% sugar-salt solution with 10u of pituitary hormone, BID ② 250ml of 5% sugar-salt solution with 20mg of anoxine, 6 aminoacetic acid, Qd ③ 250ml of 5% sugar-salt solution with 0.6g of hemostatic acid, 2g of hemostatic agent, Qd ④ 500ml of 10% sugar-salt solution with 20ml of 2% procaine, 2g of vitamin C, 20mg of B6, 8u of insulin, Qd ⑤ 500ml of physiological saline with 8g of ampicillin, 1g of KCi, Qd ⑥ 500ml of 10% Ringer’s solution with 60ml of sodium bicarbonate injection, Qd
5. Take No. 1 for hemostasis orally, 4 times a day (30g of squid bone, 20g of white lily, 15g of triptolide, divided into 10 packets).

Application of Procaine Intravenous Infusion in Massive Upper Gastrointestinal Bleeding – September 21, 1994

This medication has low toxicity, being detoxified in the liver and excreted through the kidneys. Some people have noted that it should be used with caution in patients with liver disease, but for patients with massive esophageal vein bleeding, appropriate use of this medication via intravenous infusion has the following three effects: ① it reaches the blood-brain barrier to achieve a sedative effect; ② it provides mild anesthesia to the mesenteric vessels, greatly reducing intestinal peristalsis; ③ it lowers the sensory stimulation area of the gastric mucosa, thereby inhibiting bleeding.

The typical concentration is 0.04%–0.08%, meaning that for every 500ml of 5% sugar-salt solution, add 2ml of 2% procaine × 10 vials (2ml of 2% procaine contains 0.04g; adding it to 100ml equals 0.04%, adding it to 500ml also equals 0.04%, and adding it to 100ml equals 0.08%)—less than the 0.1% concentration used in Veshnikovsky’s venous blockade. Clinical trials have shown that this concentration is safe and causes no side effects.

Acute Transformation of Chronic Myeloid Leukemia – November 9, 1994

Acute transformation of chronic myeloid leukemia typically presents with the following characteristics: high fever, bleeding, worsening anemia, increasing fatigue; marked tenderness in the sternum; peripheral blood smears showing more than 5% primitive granulocytes (the presence of abnormal cells should prompt further investigation).

Treatment: In principle, the treatment should follow the acute non-leukemic chemotherapy regimen. The preferred option is the DA regimen: 50mg of cytarabine bid (1–5 days), 30mg of DNR dissolved in 5% glucose for intravenous infusion (1–3 days). However, since the latter has a relatively strong clinical response, cytarabine alone can also be used. Alternatively, 6-MP 50mg, tid, po, with a treatment duration of up to 3 months.

Recently, there has been a dose of taxol equivalent to that of vincristine, but it can be used for 5 days straight, similar to the usage of 5-Fu and TSPA.

Common medications for chronic myeloid leukemia include marilam and hydroxyurea; the former can be used for several weeks at 2mg tid, while the latter can be used at 0.25–0.5g tid, three times a day. However, some sources suggest using it twice a week.

Anti-Schizophrenic Medications, December 24, 1994

Phenotropil, also known as hydroxyzine, shares similar effects with chlorpromazine but exhibits stronger antipsychotic properties.

Its potency is greater than that of the latter, and its antiemetic effect is far more potent. In summary, this medication has two primary effects: ① it effectively addresses hallucinations, delusions, and delusional thoughts; ② it also demonstrates strong efficacy in alleviating nausea and vomiting. The effect of fluphenazine is stronger than that of phenotropil, with a dosage of 2–4 mg orally, 5–10 mg intramuscularly once daily, and up to 40 mg per day for patients with severe mental illness.

Diazepam: This medication’s effects are similar to those of Lormetazepam, but with greater potency—its muscle relaxant effect is five times stronger than that of Lormetazepam, while its anticonvulsant effect is ten times more potent. Consequently, it shows remarkable efficacy in treating intractable epilepsy. Diazepam is administered orally at 2.5–5 mg, with slow intravenous injections of 10–20 mg diluted in 5% Ringer’s solution; no more than 100 mg should be administered within 24 hours. Intramuscular injections are given at 10 mg, and the dose can be repeated every 2–4 hours. Long-term, high-dose use can lead to addiction. Another notable feature is its rapid absorption and quick onset of action.

Antipyrine: This medication is an artificially synthesized anticholinergic agent, possessing relatively strong central anticholinergic effects while exhibiting weaker peripheral anticholinergic activity. Its primary effects include combating Parkinson’s disease; typically, 2–4 mg are taken three times daily, with the dosage potentially increased as needed.

Levodopa is a specialized treatment for Parkinson’s disease and hepatic encephalopathy, usually administered orally at 0.1–0.25 g, three times daily. Patients in a coma may receive 100 ml of saline solution mixed with the medication for nasal feeding.

(Diazepam can be used to treat early-stage convulsions in hepatic encephalopathy; adding 10–20 mg to 500 ml of 5% Ringer’s solution for slow intravenous infusion can provide additional treatment for cases where appropriate medications are lacking due to liver ascites or coma.)

Summary of Treatments for Rheumatoid Arthritis, December 24, 1994

In the past, we have employed the Gui Zhi Shao Yao Zhi Mu Tang and Sang Zhi Tang formulas. For cold-type conditions, we would add Mahuang Fuzi Xixin Tang; for heat-type conditions, we would incorporate Sheng Shi Gao and Sheng Yi Ren. When joints become swollen, we would add Jixue Teng, Bi Xie, and Lu Han Cao; for severe pain, we could add two Wugong.

In addition to these formulas, we also used: Huang Qi 20 g, Mahuang 10 g, Bai Shao 10 g, Gan Cao 6 g, Wu Tou 30 g (previously decocted for 60 minutes), Hu Zhang 10 g, Sheng Yi Ren 30 g, Fang Ji 12 g. There is a mnemonic phrase for this formula: “Huang Huang Shao Yao Gan Cao Tang, Wu Tou Hu Zhang Jia Yi Fang.”

Another formula included: Wu Jia Pi 15 g, Yi Ren 30 g, Niu Xi 15 g, Po Guo Zi 10 g, Bo He 6 g, Qiang Huo 10 g, Hai Feng Teng 15 g, Qing Feng Teng 15 g, Qin Tiao 20 g, He Shou Wu 20 g, Xun Gu Feng 15 g, Ma Qian Zi 1 piece (fried in oil), all decocted and taken orally. The mnemonic phrase goes: “Wu Mi Niu Guo Bo He Qiang Hai, Qing Qin He Chu.”

In conclusion, when treating this condition, we often focus on using Wu Tou and Yi Ren; additionally, Ma Qian Zi must be fried in oil.

Treatment of Nephritis Complicated by Azotemia, December 25, 1994

Fifteen years ago, we treated Mr. Wu Zehong’s chronic nephritis with azotemia. Initially, we used Jisheng Shenqi Tang, later adding San Ling, E Zhu, Da Huang, Bai Mao Gen, Bai Qi Li, Huang Qi, Huang Jing, Su Geng, Chan Yi, Yimu Cao, Hua Shi, Mu Tong, Gan Cao Shao, and Bai Hua She Tiao Cao. After five doses, significant improvement was observed. To aid in memorization, we created a rhyme: “San E Da Tong Shi Huang Huang Bai Bai Bai.”

Wind-Induced Decoction for Radicular Neuralgia, December 25, 1994

15 g of Han Shui Shi, 15 g of Chi Shi Zhi, 15 g of Bai Shi Zhi, 15 g of Zi Shi Ying, 15 g of Sheng Shi Gao, 15 g each of Sheng Long Mu and Sheng Ma, 15 g of Hua Shi, 7 g of Da Huang, 10 g of Gui Zhi, 20 g of Gan Cao, 20 g of Dang Gui, 15 g of Niu Xi, 15 g of Mu Gua, 15 g of Qin Tiao, 15 g of Wei Ling Xian. This formula primarily uses the seven stones—heavy yet sinking—making it a “Seven Stone Decoction.” Because the Seven Stones help move the medicine downward, guiding the drug’s power to reach the target area. Among the Seven Stones, Chi Shi Zhi, Bai Shi Zhi, Sheng Long Mu, Han Shui Shi, and Sheng Shi Gao can be considered the “three pairs,” while Zi Shi Ying adds another half pair. Gui Zhi, Da Huang, and Gan Cao, which work to descend rebellious qi and calm upward pressure, also help guide the medicine’s power downward. Qin Tiao and Wei Ling Xian dispel wind and eliminate dampness, while Gan Cao and Dang Gui regulate yin and calm the interior. Niu Xi and Mu Gua specifically address rheumatic issues in the lower limbs. These three pairs form the core of the formula. This formula can be remembered as “Seven Stones, Three Pairs.” The first three pairs consist of the descending herbs Gui, Huang, and Jiang; the last three pairs also consist of three pairs.

Qing Ma Tian Cao Dan for Chronic Leukemia, January 9, 1995

60 g of Qing Dai, 20 g of Ma Qian Zi, 4 g of Chan Su, 40 g of Cao Kou (40 g of Nutmeg), all ground into powder, sifted through a sieve, then encapsulated in 0.25 g capsules, one capsule per dose, three times daily. Each capsule contains 8 mg of Chan Su and 40 mg of Ma Qian Zi.

This capsule is a specialized formulation for treating chronic leukemia. The main ingredients are Qing Dai and Chan Su, while Cao Kou serves to correct the potential side effects of these two herbs on the stomach. Ma Qian Zi is an effective remedy for aplastic anemia, and combining it with these herbs aims to regulate hematopoietic function in the bone marrow. This medication is effective for chronic sore throat, as well as for osteomyelitis, chronic ulcers, and sinus tracts that fail to heal. Hui Cui Tang has already formulated this product into a finished medicine called Qing Kou Capsules, which is expected to deliver excellent therapeutic results in clinical settings.

Surgical Treatments for Portal Hypertension, January 13, 1994

There are several surgical options for this condition: ① Splenectomy, with retroperitoneal fixation of the omentum; ② Splenectomy combined with splenic-renal venous shunt; ③ Splenectomy with pericardial vascular ligation around the cardia; ④ Splenectomy, followed by ligation and pyloric reconstruction; ⑤ Splenectomy, ligation, and endoscopic ligation of vessels within the gastric cavity.

Main Clinical Manifestations of Lumbar Disc Herniation, January 14, 1994

① Pain along the spinal paraspinal region; ② Simultaneous pain along the paraspinal region, accompanied by radiating pain and numbness in the same side of the lower limb; ③ Limited straight leg raise below 70°, with pain upon initial movement; ④ Significant weakness in the dorsiflexion of the big toe; ⑤ Objective numbness or decreased sensation appears on the lateral aspect of the calf.

New Concepts in Dachaihu Tang, January 10, 1995

This formula is a famous prescription from the Shanghan Lun, specially designed by Zhongjing for Shaoyang and Yangming. Its composition includes Xiao Chaihu Tang, with the addition of Da Huang, Zhi Shi, and Bai Shao. The composition of this formula embodies the essence of Xiao Chaihu, Xiao Cheng Qi, and Gui Zhi Tang. According to the Shanghan Lun, “When there is depression, mild irritability, abdominal fullness and pain, and constipation,” this formula is the primary treatment. Recently, Japanese scholars have suggested that Da Huang should be removed from this formula, arguing that Da Huang’s anti-inflammatory and antibacterial effects can be replaced by modern antibiotics; however, Da Huang can still be used without antibiotics. When antibiotics are employed, Da Huang is not necessary. (Foreign Medical Dynamics – Chinese Medicine and Herbal Medicine, Issue 2, 1993)

Pharmacological Research on Musk, January 13, 1995

Musk contains urea; in addition to its diuretic effects, urea also promotes metabolism and aids in detoxification. The aforementioned diuretic effect can be regarded as a promoting excretion mechanism. The stimulating effect of this herb is thought to enhance contraction of uterine smooth muscle, thereby facilitating labor. The Bencao Gangmu records that this herb opens all orifices, clears meridians, penetrates muscles and bones, detoxifies alcohol, resolves food stagnation, and eliminates tumors and masses. Based on these findings, a small amount of musk can be added to capsules, combined with Western medicines such as furosemide and amiloride, resulting in particularly effective diuresis. The recommended dosage for musk is 30–60 mg per capsule, with the addition of Poria to clear heat and promote water excretion, detoxifying the body. With a taste that is slightly bland, musk can serve as a vehicle for other medicinal herbs and as a detoxifying agent. Combine furosemide at 20 mg, amiloride at 50 mg, musk at 10 mg, and Poria at 0.2 g, encapsulate in 0.3 g capsules, one capsule per dose, three times daily.

Preparation of Liver Cirrhosis Capsules, January 23, 1995

200 mg of Alum, 200 mg of Nitrate, along with trace amounts of furosemide and amiloride (the dosages of both drugs are extremely low), ground into powder and encapsulated in 0.5 g capsules, one capsule per dose, 1–3 times daily.

This product supports liver protection and bile secretion, as well as diuresis and edema reduction, making it particularly suitable for patients with liver cirrhosis complicated by ascites. It is especially beneficial for patients with cholestatic liver cirrhosis accompanied by ascites. The nitrate-alum mixture is a specialized formula from the Jin Gui for treating Yin Huang, a chronic case of cholestatic liver disease. Both drugs support liver protection, bile secretion, and diuresis and edema reduction; Alum is potassium aluminum sulfate, while Nitrate is potassium nitrate—both are potassium supplements, ideal for patients with liver ascites who experience potassium loss due to diuresis, and they can also compensate for the potassium loss caused by furosemide. Both drugs also aid digestion and strengthen the stomach, making them ideal choices for treating liver-kidney imbalance. Furosemide and amiloride work together: one removes potassium, the other replenishes potassium, eliminating sodium and water simultaneously, creating a synergistic effect.

Primary Hypotension, February 13, 1995

The primary symptoms were: among 84 cases, 81 experienced dizziness, fatigue, forgetfulness, insomnia, and frequent dreams; 75 reported discomfort or cramping in the precordial region; 66 experienced palpitations, poor appetite, and abdominal distension; 56 felt cold; 30 experienced tinnitus and foot pain; 19 suffered from spontaneous sweating. Individuals with blood pressure below 12/8 kPa (85/56 mmHg) are classified as having hypotension, and these symptoms may appear at that level. These symptoms align with the traditional Chinese medicine diagnosis of Heart-Spleen Deficiency—dizziness, fatigue, forgetfulness, insomnia, frequent dreams, palpitations, and discomfort in the precordial region, along with poor appetite, abdominal distension, cold sensitivity, tinnitus, and foot pain—all of which fall under this category. Patients experiencing these common symptoms should not overlook the possibility of hypotension. While Western medicine offers remedies like Glycine, Sheng Wei Keton, and Ephedrine, which offer only temporary relief, traditional Chinese medicine recommends B脾汤, Sheng Mai San, and Zhen Wu Tang as the best options for treating this condition.

Procaine Infusion for Acute Renal Colic, February 17, 1995

Procaine has been used clinically for a long time as an anesthetic because it stabilizes nerve cell membranes and reduces their permeability. When nerve impulses arrive, sodium and potassium ions cannot freely enter or leave the cells, severely limiting the ability of cells to depolarize and generate action potentials. As a result, spasms are relieved. Additionally, after intravenous administration, procaine can cross the blood-brain barrier, blocking stimulation from lesions to the central nervous system, causing vasodilation in spasmed blood vessels and increasing renal blood flow, leading to blood pressure reduction and diuresis. Thus, procaine can treat renal edema, cerebral stroke, asthma, allergic purpura, acute cholecystitis, and renal colic—and in general, its primary role is to relieve spasms. The typical dosage and rate are 3.2–4.2 mg per minute; at this concentration, 5 vials (2 ml) of 2% procaine are added to 500 ml of saline. The infusion is typically completed within 100 minutes, at a rate of 4 mg per minute.

Phentolamine Combined with Pituitary Posterior Hormone for Esophageal Variceal Bleeding, February 17, 1995

Pituitary posterior hormone is a potent vasoconstrictor that significantly contracts the splenic artery and mesenteric arteries, reducing bleeding in the portal system. Among medications for treating esophageal variceal bleeding, no other drug has yet been able to replace it. A large number of alpha receptors exist in liver tissue; phentolamine is an important alpha receptor antagonist, with a stronger effect against epinephrine, allowing peripheral blood vessels and capillaries within the hepatic sinus to dilate, thereby reducing peripheral vascular resistance. In particular, it can also cause dilation of portal vein vessels, lowering portal venous pressure. Add 20 mg of phentolamine to 500 ml of 10% glucose, and 20 µg of pituitary posterior hormone to 500 ml of 10% glucose; administer both via continuous infusion, with a drip rate of 0.3–0.6 µg per minute for the pituitary, and a drip rate of 50–80 µg per minute for phentolamine.

Research on Xiao Chaihu Tang in Japanese Herbal Medicine, February 20, 1995

In 1985, Japan’s top five herbal medicine manufacturers were: Xiao Chaihu Wan, Ba Wei Wan, Bu Zhong Yi Qi Wan, Xiao Qing Long Wan, and Xiao Xiao Wan; by 1988, the top ten were: Xiao Chaihu, Ba Wei, Bu Zhong, Xiao Xiao, Xiao Qing Long, Da Chaihu, Dang Gui Shao Yao, Gui Zhi Fu Ling, Chai Hu Gui Zhi, and Chai Hu Jia Long Gu Mu, demonstrating that Xiao Chaihu consistently ranked first.

In Japan, Xiao Chaihu Tang primarily treats various types of hepatitis. Yu Takayoshi proved that Xiao Chaihu has a clear liver-protecting effect and is effective for all forms of hepatitis—specifically, it can reduce enzyme levels and prevent fibrosis. Ogihara Yukio demonstrated that Xiao Chaihu Tang can increase antibody production. When animals were treated with prednisone to lower antibody levels, administering Xiao Chaihu Tang resulted in increased antibody levels, providing evidence that Xiao Chaihu Tang promotes HBsAb generation. Matsuda Shigeo proved that Xiao Chaihu Tang stimulates the pituitary-adrenal cortex axis to produce hormonal effects, though without hormonal side effects.

Hun Boshi treated 130 patients with liver cirrhosis using Xiao Chaihu Tang, alongside 130 patients treated with conventional Western medicine. The former group took Xiao Chaihu Tang in powdered form, 7.5 g daily, divided into three doses. After three years of treatment, 26.1% of the treatment group developed liver cancer, compared to 35.0% in the control group, proving that Xiao Chaihu has a preventive effect against liver cancer. Additionally, Ogihara Yukio reported that Xiao Chaihu Tang can inhibit the proliferation and metastasis of liver cancer.

Fukuoka and Oda Shufo pointed out that Xiao Chaihu Tang can also induce the production of interferon in the body, promoting the synthesis of albumin and glycogen, thereby reducing lipid peroxides and combating fatty liver. Beyond its liver-healing benefits, Xiao Chaihu Tang can also treat rheumatoid arthritis, diabetes, habitual abortion, biliary disorders, eczema, dermatitis, dry mouth, nocturia, and snoring.

Some people used Xiao Chaihu Tang to treat AIDS and epilepsy; for epilepsy, they used Chai Hu Gui Zhi Tang. Experiments have shown that Xiao Chaihu Tang can prevent the formation of epileptic foci in rats.

Broad-Spectrum Antifungal Drug – Spironolactone Capsules, February 23, 1995

This medication is a broad-spectrum oral antifungal agent, safe for short-term use. It is a second-generation derivative of ketoconazole, also known as itraconazole, and is highly effective against skin fungi such as dermatophytes, yeasts, and molds—especially against multiple species of dermatophytes. Unlike most antifungal medications, this product’s liver toxicity is reduced to less than 3%, mainly because the drug concentrates in the skin and keratinized tissues after administration, leaving lower concentrations in the bloodstream. Even after discontinuing the medication, the drug can remain in the skin and keratinized tissues for a prolonged period, still exerting therapeutic effects. Take 1–2 capsules, each containing 100 mg, after meals.

Mecamylamine (Cimetidine), February 27, 1995

A H2-receptor antagonist that significantly inhibits gastric acid secretion induced by histamine and pentapeptide gastrin, particularly effective in suppressing postprandial gastric acid elevation. It is indicated for gastric ulcers, duodenal bulb ulcers, peptic esophagitis, stress-induced mucosal ulcers of the gastrointestinal tract, and acute gastrointestinal bleeding. Typically taken orally, 0.2 g per dose, three times daily.

For stress-related ulcers and gastrointestinal bleeding, intravenous injection or infusion is preferred. A similar product is ranitidine, also known as furan nitramine. Its dosage is slightly lower—150 mg per dose, twice daily—with an effect four to nine times stronger than mecamylamine; the intravenous dose is even lower, 50 mg, added to glucose solution.

Clinical Applications of Metoclopramide (Gastroparesis), February 27, 1995

Also known as Motilium or Motilin, this medication’s antiemetic effect is stronger than that of chlorpromazine. It increases the sensory threshold of the parasympathetic nervous system, reducing the transmission of visceral nerve impulses to the central nervous system, improving gastric tone, and enhancing duodenal peristalsis, prompting contents to move toward the jejunum and ileum. It can be used for vomiting caused by various factors: take 10 mg orally, three times daily; intramuscularly, 10 mg each time, with a maximum daily dose of 0.5 mg/kg.

Interferon in Hematologic Disorders, February 27, 1995

Interferon (IFN) is produced by the body’s own cells under the influence of inducers, and is a highly active glycoprotein. White blood cells produce α-IFN, fibroblasts produce β-IFN, and T lymphocytes produce γ-IFN.

Indications include chronic myeloid leukemia, multiple myeloma, malignant lymphoma, and malignant melanoma.

Dosage is best at 1–3 × 10^7^ units per day, even higher; the course of treatment is generally recommended to be one month, as the dosage is believed to correlate positively with therapeutic efficacy.

Angiotensin-Converting Enzyme Inhibitors, February 27, 1995

Like nitroglycerin, beta-blockers, and calcium channel blockers, this class of medications has ushered in a new era in cardiovascular disease treatment. The first generation of this product, captopril, first appeared on the U.S. market in 1980, and the second-generation product, enalapril, was launched in 1986—within just ten years, it had become one of the world’s most popular medications.

Captopril, also known as mercaptopropionic acid, is a short-acting medication that takes effect without needing to pass through the liver, and can even be administered sublingually. More recently, enalapril is excreted by the kidneys, requiring only once daily; currently, there are no domestically produced formulations available.

Indications for this product include: ① hypertension; ② heart failure; ③ coronary artery disease; ④ diabetic nephropathy.

Primary Malignant Lymphoma of the Gastrointestinal Tract, March 1, 1995

Primary malignant lymphoma of the gastrointestinal tract must meet the following criteria: ① superficial lymph nodes throughout the body are not enlarged—though they may be swollen, pathology does not confirm the presence of malignant lymphoma; ② total white blood cell count and their classification are normal; ③ no enlarged retrosternal lymph nodes on chest X-ray; ④ the liver is normal; ⑤ surgery confirms that the lesion is limited to the gastrointestinal tract. Most cases are accompanied by ascites and intestinal obstruction, often occurring in adolescents.

Zhao Xinbo’s Experience in Treating Radicular Neuralgia, March 5, 1995

In his treatments for radicular neuralgia and infectious neuritis, he frequently used: peach kernel, safflower, Chinese angelica, Chinese angelica root, qin tiao, stretching grass, cypress leaf, loquat, ginger insect, and whole scorpion. The mnemonic phrase goes: “Four substances—peach kernel, safflower, qin tiao, Chinese angelica root—two insects, cypress leaf, stretching grass; quickly treat with Fangfeng, two dragons, star; slowly treat with mulberry branch, qin tiao, black snake.” The mnemonic for this formula can be adjusted to: “Cypress leaf, loquat, two insects, stretching grass; peach kernel, safflower, qin tiao, qin tiao, two dragons, star; slowly treat with mulberry branch, black snake.”

The formula consists of: cypress leaf, loquat, whole scorpion, ginger insect, stretching grass, peach kernel, safflower, rehmannia, red peony, chuanxiong, danggui, qin tiao, chinese angelica root, cypress leaf, mulberry branch, black snake, hook vine, nettle vine, gallstone, mulberry leaf, and black snake.

Zhao Xinbo’s Experience in Treating Post-Traumatic Brain Injury Symptoms, March 2, 1995

Traumatic brain injuries range from mild concussion to severe contusion; the former causes only brief periods of loss of consciousness (several seconds), while the latter leads to longer periods of unconsciousness (several seconds to hours, even days). The sequelae of the former are usually limited to headaches, dizziness, and memory impairment; the latter can lead to epilepsy, mania, hemiplegia, and even a decrease in complete blood count, as well as sustained elevated blood pressure.

For the former, he used Xuefu Zhuyu Tang; for the latter, he used hooking, stone calamus, safflower, honeysuckle, forsythia, astragalus, gardenia, cicada wings, ginger insect, whole scorpion, wheat germ, yellow jujube, stone cassia, tortoise shell, raw gypsum, lotus seed heart, bear bile powder (0.6 g, taken twice). The mnemonic phrase goes: “Three insects, five flavors, stone vine; wintergreen, stone, lotus seed heart; bear bile, taken three times, brings miraculous effects for brain contusion.”

Case Study: Healing Acute Exudative Pericarditis, March 9, 1995

In the spring of the Year of the Pig, at Hui Cui Tang’s outpatient clinic, we treated a patient diagnosed with exudative pericarditis by a local hospital. After more than two months of hospitalization, despite draining 700 ml of fluid (divided into three sessions), the fluid accumulation rapidly increased. The patient experienced chest tightness, shortness of breath, difficulty breathing, and cyanosis as before, and came back to the clinic. His pulse was rapid and slippery; we continued to use Ma Xing Gan Shi Tang in combination with Ling Gui Shu Gan Tang, Ji Jiao Li Huang Wan, Ting Li Da Zao Xie Fei Tang, along with increased doses of abdominal peel, mulberry bark, astragalus, purslane, honeysuckle, and forsythia, paired with Western medications like prednisone and erythromycin. After 20 doses, the patient showed remarkable improvement—his symptoms improved significantly, and his chest tightness and shortness of breath were noticeably alleviated. An imaging study confirmed that the pericardial effusion was no longer present.

A Brief Discussion on Allergic Reactions, March 9, 1995

1. Type I Allergic Reaction: Also known as immediate hypersensitivity, this type is the most common and can be considered the “speedy” type of reaction. It is the most prevalent type, and it is often referred to as the “rapid response” type.

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Anti-Schizophrenic Medications, December 24, 1994

Phenotropil, also known as hydroxyzine, shares similar effects with chlorpromazine but exhibits stronger antipsychotic properties.

Its potency is greater than that of the latter, and its antiemetic effect is far more potent. In summary, this medication has two primary effects: ① it effectively addresses hallucinations, delusions, and delusional thoughts; ② it also demonstrates strong efficacy in alleviating nausea and vomiting. The effect of fluphenazine is stronger than that of phenotropil, with a dosage of 2–4 mg orally, 5–10 mg intramuscularly once daily, and up to 40 mg per day for patients with severe mental illness.

Diazepam: This medication’s effects are similar to those of Lormetazepam, but with greater potency—its muscle relaxant effect is five times stronger than that of Lormetazepam, while its anticonvulsant effect is ten times more potent. Consequently, it shows remarkable efficacy in treating intractable epilepsy. Diazepam is administered orally at 2.5–5 mg, with slow intravenous injections of 10–20 mg diluted in 5% Ringer’s solution; no more than 100 mg should be administered within 24 hours. Intramuscular injections are given at 10 mg, and the dose can be repeated every 2–4 hours. Long-term, high-dose use can lead to addiction. Another notable feature is its rapid absorption and quick onset of action.

Antipyrine: This medication is an artificially synthesized anticholinergic agent, possessing relatively strong central anticholinergic effects while exhibiting weaker peripheral anticholinergic activity. Its primary effects include combating Parkinson’s disease; typically, 2–4 mg are taken three times daily, with the dosage potentially increased as needed.

Levodopa is a specialized treatment for Parkinson’s disease and hepatic encephalopathy, usually administered orally at 0.1–0.25 g, three times daily. Patients in a coma may receive 100 ml of saline solution mixed with the medication for nasal feeding.

(Diazepam can be used to treat early-stage convulsions in hepatic encephalopathy; adding 10–20 mg to 500 ml of 5% Ringer’s solution for slow intravenous infusion can provide additional treatment for cases where appropriate medications are lacking due to liver ascites or coma.)

Summary of Treatments for Rheumatoid Arthritis, December 24, 1994

In the past, we have employed the Gui Zhi Shao Yao Zhi Mu Tang and Sang Zhi Tang formulas. For cold-type conditions, we would add Mahuang Fuzi Xixin Tang; for heat-type conditions, we would incorporate Sheng Shi Gao and Sheng Yi Ren. When joints become swollen, we would add Jixue Teng, Bi Xie, and Lu Han Cao; for severe pain, we could add two Wugong.

In addition to these formulas, we also used: Huang Qi 20 g, Mahuang 10 g, Bai Shao 10 g, Gan Cao 6 g, Wu Tou 30 g (previously decocted for 60 minutes), Hu Zhang 10 g, Sheng Yi Ren 30 g, Fang Ji 12 g. There is a mnemonic phrase for this formula: “Huang Huang Shao Yao Gan Cao Tang, Wu Tou Hu Zhang Jia Yi Fang.”

Another formula included: Wu Jia Pi 15 g, Yi Ren 30 g, Niu Xi 15 g, Po Guo Zi 10 g, Bo He 6 g, Qiang Huo 10 g, Hai Feng Teng 15 g, Qing Feng Teng 15 g, Qin Tiao 20 g, He Shou Wu 20 g, Xun Gu Feng 15 g, Ma Qian Zi 1 piece (fried in oil), all decocted and taken orally. The mnemonic phrase goes: “Wu Mi Niu Guo Bo He Qiang Hai, Qing Qin He Chu.”

In conclusion, when treating this condition, we often focus on using Wu Tou and Yi Ren; additionally, Ma Qian Zi must be fried in oil.

Treatment of Nephritis Complicated by Azotemia, December 25, 1994

Fifteen years ago, we treated Mr. Wu Zehong’s chronic nephritis with azotemia. Initially, we used Jisheng Shenqi Tang, later adding San Ling, E Zhu, Da Huang, Bai Mao Gen, Bai Qi Li, Huang Qi, Huang Jing, Su Geng, Chan Yi, Yimu Cao, Hua Shi, Mu Tong, Gan Cao Shao, and Bai Hua She Tiao Cao. After five doses, significant improvement was observed. To aid in memorization, we created a rhyme: “San E Da Tong Shi Huang Huang Bai Bai Bai.”

Wind-Induced Decoction for Radicular Neuralgia, December 25, 1994

15 g of Han Shui Shi, 15 g of Chi Shi Zhi, 15 g of Bai Shi Zhi, 15 g of Zi Shi Ying, 15 g of Sheng Shi Gao, 15 g each of Sheng Long Mu and Sheng Ma, 15 g of Hua Shi, 7 g of Da Huang, 10 g of Gui Zhi, 20 g of Gan Cao, 20 g of Dang Gui, 15 g of Niu Xi, 15 g of Mu Gua, 15 g of Qin Tiao, 15 g of Wei Ling Xian. This formula primarily uses the seven stones—heavy yet sinking—making it a “Seven Stone Decoction.” Because the Seven Stones help move the medicine downward, guiding the drug’s power to reach the target area. Among the Seven Stones, Chi Shi Zhi, Bai Shi Zhi, Sheng Long Mu, Han Shui Shi, and Sheng Shi Gao can be considered the “three pairs,” while Zi Shi Ying adds another half pair. Gui Zhi, Da Huang, and Gan Cao, which work to descend rebellious qi and calm upward pressure, also help guide the medicine’s power downward. Qin Tiao and Wei Ling Xian dispel wind and eliminate dampness, while Gan Cao and Dang Gui regulate yin and calm the interior. Niu Xi and Mu Gua specifically address rheumatic issues in the lower limbs. These three pairs form the core of the formula. This formula can be remembered as “Seven Stones, Three Pairs.” The first three pairs consist of the descending herbs Gui, Huang, and Jiang; the last three pairs also consist of three pairs.

Qing Ma Tian Cao Dan for Chronic Leukemia, January 9, 1995

60 g of Qing Dai, 20 g of Ma Qian Zi, 4 g of Chan Su, 40 g of Cao Kou (40 g of Nutmeg), all ground into powder, sifted through a sieve, then encapsulated in 0.25 g capsules, one capsule per dose, three times daily. Each capsule contains 8 mg of Chan Su and 40 mg of Ma Qian Zi.

This capsule is a specialized formulation for treating chronic leukemia. The main ingredients are Qing Dai and Chan Su, while Cao Kou serves to correct the potential side effects of these two herbs on the stomach. Ma Qian Zi is an effective remedy for aplastic anemia, and combining it with these herbs aims to regulate hematopoietic function in the bone marrow. This medication is effective for chronic sore throat, as well as for osteomyelitis, chronic ulcers, and sinus tracts that fail to heal. Hui Cui Tang has already formulated this product into a finished medicine called Qing Kou Capsules, which is expected to deliver excellent therapeutic results in clinical settings.

Surgical Treatments for Portal Hypertension, January 13, 1994

There are several surgical options for this condition: ① Splenectomy, with retroperitoneal fixation of the omentum; ② Splenectomy, combined with splenic-renal venous shunt; ③ Splenectomy, followed by pericardial vascular ligation around the cardia; ④ Splenectomy, ligation, and pyloric reconstruction; ⑤ Splenectomy, ligation, and endoscopic ligation of vessels within the gastric cavity.

Main Clinical Manifestations of Lumbar Disc Herniation, January 14, 1994

① Pain along the spinal paraspinal region; ② Simultaneous pain along the paraspinal region, accompanied by radiating pain and numbness in the same side of the lower limb; ③ Limited straight leg raise below 70°, with pain upon initial movement; ④ Significant weakness in the dorsiflexion of the big toe; ⑤ Objective numbness or decreased sensation appears on the lateral aspect of the calf.

New Concepts in Dachaihu Tang, January 10, 1995

This formula is a famous prescription from the Shanghan Lun, specially designed by Zhongjing for Shaoyang and Yangming. Its composition includes Xiao Chaihu Tang, with the addition of Da Huang, Zhi Shi, and Bai Shao. The composition of this formula embodies the essence of Xiao Chaihu, Xiao Cheng Qi, and Gui Zhi Tang. According to the Shanghan Lun, “When there is depression, mild irritability, abdominal fullness and pain, and constipation,” this formula is the primary treatment. Recently, Japanese scholars have suggested that Da Huang should be removed from this formula, arguing that Da Huang’s anti-inflammatory and antibacterial effects can be replaced by modern antibiotics; however, Da Huang can still be used without antibiotics. When antibiotics are employed, Da Huang is not necessary. (Foreign Medical Dynamics – Chinese Medicine and Herbal Medicine, Issue 2, 1993)

Pharmacological Research on Musk, January 13, 1995

Musk contains urea; in addition to its diuretic effects, urea also promotes metabolism and aids in detoxification. The aforementioned diuretic effect can be regarded as a promoting excretion mechanism. The stimulating effect of this herb is thought to enhance contraction of uterine smooth muscle, thereby facilitating labor. The Bencao Gangmu records that this herb opens all orifices, clears meridians, penetrates muscles and bones, detoxifies alcohol, resolves food stagnation, and eliminates tumors and masses. Based on these findings, a small amount of musk can be added to capsules, combined with Western medicines such as furosemide and amiloride, resulting in particularly effective diuresis. The recommended dosage for musk is 30–60 mg per capsule, with the addition of Poria to clear heat and promote water excretion, detoxifying the body. With a taste that is slightly bland, musk can serve as a vehicle for other medicinal herbs and as a detoxifying agent. Combine furosemide at 20 mg, amiloride at 50 mg, musk at 10 mg, and Poria at 0.2 g, encapsulate in 0.3 g capsules, one capsule per dose, three times daily.

Preparation of Liver Cirrhosis Capsules, January 23, 1995

200 mg of Alum, 200 mg of Nitrate, along with trace amounts of furosemide and amiloride (the dosages of both drugs are extremely low), ground into powder and encapsulated in 0.5 g capsules, one capsule per dose, 1–3 times daily.

This product supports liver protection and bile secretion, as well as diuresis and edema reduction, making it particularly suitable for patients with liver cirrhosis complicated by ascites. It is especially beneficial for patients with cholestatic liver cirrhosis accompanied by ascites. The nitrate-alum mixture is a specialized formula from the Jin Gui for treating Yin Huang, a chronic case of cholestatic liver disease. Both drugs support liver protection, bile secretion, and diuresis and edema reduction; Alum is potassium aluminum sulfate, while Nitrate is potassium nitrate—both are potassium supplements, ideal for patients with liver ascites who experience potassium loss due to diuresis, and they can also compensate for the potassium loss caused by furosemide. Both drugs also aid digestion and strengthen the stomach, making them ideal choices for treating liver-kidney imbalance. Furosemide and amiloride work together: one removes potassium, the other replenishes potassium, eliminating sodium and water simultaneously, creating a synergistic effect.

Primary Hypotension, February 13, 1995

The primary symptoms were: among 84 cases, 81 experienced dizziness, fatigue, forgetfulness, insomnia, and frequent dreams; 75 reported discomfort or cramping in the precordial region; 66 experienced palpitations, poor appetite, and abdominal distension; 56 felt cold; 30 experienced tinnitus and foot pain; 19 suffered from spontaneous sweating. Individuals with blood pressure below 12/8 kPa (85/56 mmHg) are classified as having hypotension, and these symptoms may appear at that level. These symptoms align with the traditional Chinese medicine diagnosis of Heart-Spleen Deficiency—dizziness, fatigue, forgetfulness, insomnia, frequent dreams, palpitations, and discomfort in the precordial region, along with poor appetite, abdominal distension, cold sensitivity, tinnitus, and foot pain—all of which fall under this category. Patients experiencing these common symptoms should not overlook the possibility of hypotension. While Western medicine offers remedies like Glycine, Sheng Wei Keton, and Ephedrine, which offer only temporary relief, traditional Chinese medicine recommends B脾汤, Sheng Mai San, and Zhen Wu Tang as the best options for treating this condition.

Procaine Infusion for Acute Renal Colic, February 17, 1995

Procaine has been used clinically for a long time as an anesthetic because it stabilizes nerve cell membranes and reduces their permeability. When nerve impulses arrive, sodium and potassium ions cannot freely enter or leave the cells, severely limiting the ability of cells to depolarize and generate action potentials. As a result, spasms are relieved. Additionally, after intravenous administration, procaine can cross the blood-brain barrier, blocking stimulation from lesions to the central nervous system, causing vasodilation in spasmed blood vessels and increasing renal blood flow, leading to blood pressure reduction and diuresis. Thus, procaine can treat renal edema, cerebral stroke, asthma, allergic purpura, acute cholecystitis, and renal colic—and in general, its primary role is to relieve spasms. The typical dosage and rate are 3.2–4.2 mg per minute; at this concentration, 5 vials (2 ml) of 2% procaine are added to 500 ml of saline. The infusion is typically completed within 100 minutes, at a rate of 4 mg per minute.

Phentolamine Combined with Pituitary Posterior Hormone for Esophageal Variceal Bleeding, February 17, 1995

Pituitary posterior hormone is a potent vasoconstrictor that significantly contracts the splenic artery and mesenteric arteries, reducing bleeding in the portal system. Among medications for treating esophageal variceal bleeding, no other drug has yet been able to replace it. A large number of alpha receptors exist in liver tissue; phentolamine is an important alpha receptor antagonist, with a stronger effect against epinephrine, allowing peripheral blood vessels and capillaries within the hepatic sinus to dilate, thereby reducing peripheral vascular resistance. In particular, it can also cause dilation of portal vein vessels, lowering portal venous pressure. Add 20 mg of phentolamine to 500 ml of 10% glucose, and 20 µg of pituitary posterior hormone to 500 ml of 10% glucose; administer both via continuous infusion, with a drip rate of 0.3–0.6 µg per minute for the pituitary, and a drip rate of 50–80 µg per minute for phentolamine.

Research on Xiao Chaihu Tang in Japanese Herbal Medicine, February 20, 1995

In 1985, Japan’s top five herbal medicine manufacturers were: Xiao Chaihu Wan, Ba Wei Wan, Bu Zhong Yi Qi Wan, Xiao Qing Long Wan, and Xiao Xiao Wan; by 1988, the top ten were: Xiao Chaihu, Ba Wei, Bu Zhong, Xiao Xiao, Xiao Qing Long, Da Chaihu, Dang Gui Shao Yao, Gui Zhi Fu Ling, Chai Hu Gui Zhi, and Chai Hu Jia Long Gu Mu, demonstrating that Xiao Chaihu consistently ranked first.

In Japan, Xiao Chaihu Tang primarily treats various types of hepatitis. Yu Takayoshi proved that Xiao Chaihu has a clear liver-protecting effect and is effective for all forms of hepatitis—specifically, it can reduce enzyme levels and prevent fibrosis. Ogihara Yukio demonstrated that Xiao Chaihu Tang can increase antibody production. When animals were treated with prednisone to lower antibody levels, administering Xiao Chaihu Tang resulted in increased antibody levels, providing evidence that Xiao Chaihu Tang promotes HBsAb generation. Matsuda Shigeo proved that Xiao Chaihu Tang stimulates the pituitary-adrenal cortex axis to produce hormonal effects, though without hormonal side effects.

Hun Boshi treated 130 patients with liver cirrhosis using Xiao Chaihu Tang, alongside 130 patients treated with conventional Western medicine. The former group took Xiao Chaihu Tang in powdered form, 7.5 g daily, divided into three doses. After three years of treatment, 26.1% of the treatment group developed liver cancer, compared to 35.0% in the control group, proving that Xiao Chaihu has a preventive effect against liver cancer. Additionally, Ogihara Yukio reported that Xiao Chaihu Tang can inhibit the proliferation and metastasis of liver cancer.

Fukuoka and Oda Shufo pointed out that Xiao Chaihu Tang can also induce the production of interferon in the body, promoting the synthesis of albumin and glycogen, thereby reducing lipid peroxides and combating fatty liver. Beyond its liver-healing benefits, Xiao Chaihu Tang can also treat rheumatoid arthritis, diabetes, habitual abortion, biliary disorders, eczema, dermatitis, dry mouth, nocturia, and snoring.

Some people used Xiao Chaihu Tang to treat AIDS and epilepsy; for epilepsy, they used Chai Hu Gui Zhi Tang. Experiments have shown that Xiao Chaihu Tang can prevent the formation of epileptic foci in rats.

Broad-Spectrum Antifungal Drug – Spironolactone Capsules, February 23, 1995

This medication is a broad-spectrum oral antifungal agent, safe for short-term use. It is a second-generation derivative of ketoconazole, also known as itraconazole, and is highly effective against skin fungi such as dermatophytes, yeasts, and molds—especially against multiple species of dermatophytes. Unlike most antifungal medications, this product’s liver toxicity is reduced to less than 3%, mainly because the drug concentrates in the skin and keratinized tissues after administration, leaving lower concentrations in the bloodstream. Even after discontinuing the medication, the drug can remain in the skin and keratinized tissues for a prolonged period, still exerting therapeutic effects. Take 1–2 capsules, each containing 100 mg, after meals.

Mecamylamine (Cimetidine), February 27, 1995

A H2-receptor antagonist that significantly inhibits gastric acid secretion induced by histamine and pentapeptide gastrin, particularly effective in suppressing postprandial gastric acid elevation. It is indicated for gastric ulcers, duodenal bulb ulcers, peptic esophagitis, stress-induced mucosal ulcers of the gastrointestinal tract, and acute gastrointestinal bleeding. Typically taken orally, 0.2 g per dose, three times daily.

For stress-related ulcers and gastrointestinal bleeding, intravenous injection or infusion is preferred. A similar product is ranitidine, also known as furan nitramine. Its dosage is slightly lower—150 mg per dose, twice daily—with an effect four to nine times stronger than mecamylamine; the intravenous dose is even lower, 50 mg, added to glucose solution.

Clinical Applications of Metoclopramide (Gastroparesis), February 27, 1995

Also known as Motilium or Motilin, this medication’s antiemetic effect is stronger than that of chlorpromazine. It increases the sensory threshold of the parasympathetic nervous system, reducing the transmission of visceral nerve impulses to the central nervous system, improving gastric tone, and enhancing duodenal peristalsis, prompting contents to move toward the jejunum and ileum. It can be used for vomiting caused by various factors: take 10 mg orally, three times daily; intramuscularly, 10 mg each time, with a maximum daily dose of 0.5 mg/kg.

Interferon in Hematologic Disorders, February 27, 1995

Interferon (IFN) is produced by the body’s own cells under the influence of inducers, and is a highly active glycoprotein. White blood cells produce α-IFN, fibroblasts produce β-IFN, and T lymphocytes produce γ-IFN.

Indications include chronic myeloid leukemia, multiple myeloma, malignant lymphoma, and malignant melanoma.

Dosage is best at 1–3 × 10^7^ units per day, even higher; the course of treatment is generally recommended to be one month, as the dosage is believed to correlate positively with therapeutic efficacy.

Angiotensin-Converting Enzyme Inhibitors, February 27, 1995

Like nitroglycerin, beta-blockers, and calcium channel blockers, this class of medications has ushered in a new era in cardiovascular disease treatment. The first generation of this product, captopril, first appeared on the U.S. market in 1980, and the second-generation product, enalapril, was launched in 1986—within just ten years, it had become one of the world’s most popular medications.

Captopril, also known as mercaptopropionic acid, is a short-acting medication that takes effect without needing to pass through the liver, and can even be administered sublingually. More recently, enalapril is excreted by the kidneys, requiring only once daily; currently, there are no domestically produced formulations available.

Indications for this product include: ① hypertension; ② heart failure; ③ coronary artery disease; ④ diabetic nephropathy.

Primary Malignant Lymphoma of the Gastrointestinal Tract, March 1, 1995

Primary malignant lymphoma of the gastrointestinal tract must meet the following criteria: ① superficial lymph nodes throughout the body are not enlarged—though they may be swollen, pathology does not confirm the presence of malignant lymphoma; ② total white blood cell count and their classification are normal; ③ no enlarged retrosternal lymph nodes on chest X-ray; ④ the liver is normal; ⑤ surgery confirms that the lesion is limited to the gastrointestinal tract. Most cases are accompanied by ascites and intestinal obstruction, often occurring in adolescents.

Zhao Xinbo’s Experience in Treating Radicular Neuralgia, March 5, 1995

In his treatments for radicular neuralgia and infectious neuritis, he frequently used: peach kernel, safflower, Chinese angelica, Chinese angelica root, qin tiao, stretching grass, cypress leaf, loquat, ginger insect, and whole scorpion. The mnemonic phrase goes: “Four substances—peach kernel, safflower, qin tiao, Chinese angelica root—two insects, cypress leaf, stretching grass; quickly treat with Fangfeng, two dragons, star; slowly treat with mulberry branch, qin tiao, black snake.” The mnemonic for this formula can be adjusted to: “Cypress leaf, loquat, two insects, stretching grass; peach kernel, safflower, qin tiao, qin tiao, two dragons, star; slowly treat with mulberry branch, black snake.”

The formula consists of: cypress leaf, loquat, whole scorpion, ginger insect, stretching grass, peach kernel, safflower, rehmannia, red peony, chuanxiong, danggui, qin tiao, Chinese angelica root, cypress leaf, mulberry branch, black snake, hook vine, nettle vine, gallstone, mulberry leaf, and black snake.

Zhao Xinbo’s Experience in Treating Post-Traumatic Brain Injury Symptoms, March 2, 1995

Traumatic brain injuries range from mild concussion to severe contusion; the former causes only brief periods of loss of consciousness (several seconds), while the latter leads to longer periods of unconsciousness (several seconds to hours, even days). The sequelae of the former are usually limited to headaches, dizziness, and memory impairment; the latter can lead to epilepsy, mania, hemiplegia, and even a decrease in complete blood count, as well as sustained elevated blood pressure.

For the former, he used Xuefu Zhuyu Tang; for the latter, he used hooking, stone calamus, safflower, honeysuckle, forsythia, astragalus, gardenia, cicada wings, ginger insect, whole scorpion, wheat germ, yellow jujube, stone cassia, tortoise shell, raw gypsum, lotus seed heart, bear bile powder (0.6 g, taken twice). The mnemonic phrase goes: “Three insects, five flavors, stone vine; wintergreen, stone, lotus seed heart; bear bile, taken three times, brings miraculous effects for brain contusion.”

Case Study: Healing Acute Exudative Pericarditis, March 9, 1995

In the spring of the Year of the Pig, at Hui Cui Tang’s outpatient clinic, we treated a patient diagnosed with exudative pericarditis by a local hospital. After more than two months of hospitalization, despite draining 700 ml of fluid (divided into three sessions), the fluid accumulation rapidly increased. The patient experienced chest tightness, shortness of breath, difficulty breathing, and cyanosis as before, and came back to the clinic. His pulse was rapid and slippery; we continued to use Ma Xing Gan Shi Tang in combination with Ling Gui Shu Gan Tang, Ji Jiao Li Huang Wan, Ting Li Da Zao Xie Fei Tang, along with increased doses of abdominal peel, mulberry bark, astragalus, purslane, honeysuckle, and forsythia, paired with Western medications like prednisone and erythromycin. After 20 doses, the patient showed remarkable improvement—his symptoms improved significantly, and his chest tightness and shortness of breath were noticeably alleviated. An imaging study confirmed that the pericardial effusion was no longer present.

A Brief Discussion on Allergic Reactions, March 9, 1995

1. Type I Allergic Reaction: Also known as immediate hypersensitivity, this type is the most common and can be considered the “speedy” type of reaction. It is the most prevalent type, and it is often referred to as the “rapid response” type.

Translation:

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.

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Anti-Schizophrenic Medications, December 24, 1994

Phenotropil, also known as hydroxyzine, shares similar effects with chlorpromazine but exhibits stronger antipsychotic properties.

Its potency is greater than that of the latter, and its antiemetic effect is far more potent. In summary, this medication has two primary effects: ① it effectively addresses hallucinations, delusions, and delusional thoughts; ② it also demonstrates strong efficacy in alleviating nausea and vomiting. The effect of fluphenazine is stronger than that of phenotropil, with a dosage of 2–4 mg orally, 5–10 mg intramuscularly once daily, and up to 40 mg per day for patients with severe mental illness.

Diazepam: This medication’s effects are similar to those of Lormetazepam, but with greater potency—its muscle relaxant effect is five times stronger than that of Lormetazepam, while its anticonvulsant effect is ten times more potent. Consequently, it shows remarkable efficacy in treating intractable epilepsy. Diazepam is administered orally at 2.5–5 mg, with slow intravenous injections of 10–20 mg diluted in 5% Ringer’s solution; no more than 100 mg should be administered within 24 hours. Intramuscular injections are given at 10 mg, and the dose can be repeated every 2–4 hours. Long-term, high-dose use can lead to addiction. Another notable feature is its rapid absorption and quick onset of action.

Antipyrine: This medication is an artificially synthesized anticholinergic agent, possessing relatively strong central anticholinergic effects while exhibiting weaker peripheral anticholinergic activity. Its primary effects include combating Parkinson’s disease; typically, 2–4 mg are taken three times daily, with the dosage potentially increased as needed.

Levodopa is a specialized treatment for Parkinson’s disease and hepatic encephalopathy, usually administered orally at 0.1–0.25 g, three times daily. Patients in a coma may receive 100 ml of saline solution mixed with the medication for nasal feeding.

(Diazepam can be used to treat early-stage convulsions in hepatic encephalopathy; adding 10–20 mg to 500 ml of 5% Ringer’s solution for slow intravenous infusion can provide additional treatment for cases where appropriate medications are lacking due to liver ascites or coma.)

Summary of Treatments for Rheumatoid Arthritis, December 24, 1994

In the past, we have employed the Gui Zhi Shao Yao Zhi Mu Tang and Sang Zhi Tang formulas. For cold-type conditions, we would add Mahuang Fuzi Xixin Tang; for heat-type conditions, we would incorporate Sheng Shi Gao and Sheng Yi Ren. When joints become swollen, we would add Jixue Teng, Bi Xie, and Lu Han Cao; for severe pain, we could add two Wugong.

In addition to these formulas, we also used: Huang Qi 20 g, Mahuang 10 g, Bai Shao 10 g, Gan Cao 6 g, Wu Tou 30 g (previously decocted for 60 minutes), Hu Zhang 10 g, Sheng Yi Ren 30 g, Fang Ji 12 g. There is a mnemonic phrase for this formula: “Huang Huang Shao Yao Gan Cao Tang, Wu Tou Hu Zhang Jia Yi Fang.”

Another formula included: Wu Jia Pi 15 g, Yi Ren 30 g, Niu Xi 15 g, Po Guo Zi 10 g, Bo He 6 g, Qiang Huo 10 g, Hai Feng Teng 15 g, Qing Feng Teng 15 g, Qin Tiao 20 g, He Shou Wu 20 g, Xun Gu Feng 15 g, Ma Qian Zi 1 piece (fried in oil), all decocted and taken orally. The mnemonic phrase goes: “Wu Mi Niu Guo Bo He Qiang Hai, Qing Qin He Chu.”

In conclusion, when treating this condition, we often focus on using Wu Tou and Yi Ren; additionally, Ma Qian Zi must be fried in oil.

Treatment of Nephritis Complicated by Azotemia, December 25, 1994

Fifteen years ago, we treated Mr. Wu Zehong’s chronic nephritis with azotemia. Initially, we used Jisheng Shenqi Tang, later adding San Ling, E Zhu, Da Huang, Bai Mao Gen, Bai Qi Li, Huang Qi, Huang Jing, Su Geng, Chan Yi, Yimu Cao, Hua Shi, Mu Tong, Gan Cao Shao, and Bai Hua She Tiao Cao. After five doses, significant improvement was observed. To aid in memorization, we created a rhyme: “San E Da Tong Shi Huang Huang Bai Bai Bai.”

Wind-Induced Decoction for Radicular Neuralgia, December 25, 1994

15 g of Han Shui Shi, 15 g of Chi Shi Zhi, 15 g of Bai Shi Zhi, 15 g of Zi Shi Ying, 15 g of Sheng Shi Gao, 15 g each of Sheng Long Mu and Sheng Ma, 15 g of Hua Shi, 7 g of Da Huang, 10 g of Gui Zhi, 20 g of Gan Cao, 20 g of Dang Gui, 15 g of Niu Xi, 15 g of Mu Gua, 15 g of Qin Tiao, 15 g of Wei Ling Xian. This formula primarily uses the seven stones—heavy yet sinking—making it a “Seven Stone Decoction.” Because the Seven Stones help move the medicine downward, guiding the drug’s power to reach the target area. Among the Seven Stones, Chi Shi Zhi, Bai Shi Zhi, Sheng Long Mu, Han Shui Shi, and Sheng Shi Gao can be considered the “three pairs,” while Zi Shi Ying adds another half pair. Gui Zhi, Da Huang, and Gan Cao, which work to descend rebellious qi and calm upward pressure, also help guide the medicine’s power downward. Qin Tiao and Wei Ling Xian dispel wind and eliminate dampness, while Gan Cao and Dang Gui regulate yin and calm the interior. Niu Xi and Mu Gua specifically address rheumatic issues in the lower limbs. These three pairs form the core of the formula. This formula can be remembered as “Seven Stones, Three Pairs.” The first three pairs consist of the descending herbs Gui, Huang, and Jiang; the last three pairs also consist of three pairs.

Qing Ma Tian Cao Dan for Chronic Leukemia, January 9, 1995

60 g of Qing Dai, 20 g of Ma Qian Zi, 4 g of Chan Su, 40 g of Cao Kou (40 g of Nutmeg), all ground into powder, sifted through a sieve, then encapsulated in 0.25 g capsules, one capsule per dose, three times daily. Each capsule contains 8 mg of Chan Su and 40 mg of Ma Qian Zi.

This capsule is a specialized formulation for treating chronic leukemia. The main ingredients are Qing Dai and Chan Su, while Cao Kou serves to correct the potential side effects of these two herbs on the stomach. Ma Qian Zi is an effective remedy for aplastic anemia, and combining it with these herbs aims to regulate hematopoietic function in the bone marrow. This medication is effective for chronic sore throat, as well as for osteomyelitis, chronic ulcers, and sinus tracts that fail to heal. Hui Cui Tang has already formulated this product into a finished medicine called Qing Kou Capsules, which is expected to deliver excellent therapeutic results in clinical settings.

Surgical Treatments for Portal Hypertension, January 13, 1994

There are several surgical options for this condition: ① Splenectomy, with retroperitoneal fixation of the omentum; ② Splenectomy, combined with splenic-renal venous shunt; ③ Splenectomy, followed by pericardial vascular ligation around the cardia; ④ Splenectomy, ligation, and pyloric reconstruction; ⑤ Splenectomy, ligation, and endoscopic ligation of vessels within the gastric cavity.

Main Clinical Manifestations of Lumbar Disc Herniation, January 14, 1994

① Pain along the spinal paraspinal region; ② Simultaneous pain along the paraspinal region, accompanied by radiating pain and numbness in the same side of the lower limb; ③ Limited straight leg raise below 70°, with pain upon initial movement; ④ Significant weakness in the dorsiflexion of the big toe; ⑤ Objective numbness or decreased sensation appears on the lateral aspect of the calf.

New Concepts in Dachaihu Tang, January 10, 1995

This formula is a famous prescription from the Shanghan Lun, specially designed by Zhongjing for Shaoyang and Yangming. Its composition includes Xiao Chaihu Tang, with the addition of Da Huang, Zhi Shi, and Bai Shao. The composition of this formula embodies the essence of Xiao Chaihu, Xiao Cheng Qi, and Gui Zhi Tang. According to the Shanghan Lun, “When there is depression, mild irritability, abdominal fullness and pain, and constipation,” this formula is the primary treatment. Recently, Japanese scholars have suggested that Da Huang should be removed from this formula, arguing that Da Huang’s anti-inflammatory and antibacterial effects can be replaced by modern antibiotics; however, Da Huang can still be used without antibiotics. When antibiotics are employed, Da Huang is not necessary. (Foreign Medical Dynamics – Chinese Medicine and Herbal Medicine, Issue 2, 1993)

Pharmacological Research on Musk, January 13, 1995

Musk contains urea; in addition to its diuretic effects, urea also promotes metabolism and aids in detoxification. The aforementioned diuretic effect can be regarded as a promoting excretion mechanism. The stimulating effect of this herb is thought to enhance contraction of uterine smooth muscle, thereby facilitating labor. The Bencao Gangmu records that this herb opens all orifices, clears meridians, penetrates muscles and bones, detoxifies alcohol, resolves food stagnation, and eliminates tumors and masses. Based on these findings, a small amount of musk can be added to capsules, combined with Western medicines such as furosemide and amiloride, resulting in particularly effective diuresis. The recommended dosage for musk is 30–60 mg per capsule, with the addition of Poria to clear heat and promote water excretion, detoxifying the body. With a taste that is slightly bland, musk can serve as a vehicle for other medicinal herbs and as a detoxifying agent. Combine furosemide at 20 mg, amiloride at 50 mg, musk at 10 mg, and Poria at 0.2 g, encapsulate in 0.3 g capsules, one capsule per dose, three times daily.

Preparation of Liver Cirrhosis Capsules, January 23, 1995

200 mg of Alum, 200 mg of Nitrate, along with trace amounts of furosemide and amiloride (the dosages of both drugs are extremely low), ground into powder and encapsulated in 0.5 g capsules, one capsule per dose, 1–3 times daily.

This product supports liver protection and bile secretion, as well as diuresis and edema reduction, making it particularly suitable for patients with liver cirrhosis complicated by ascites. It is especially beneficial for patients with cholestatic liver cirrhosis accompanied by ascites. The nitrate-alum mixture is a specialized formula from the Jin Gui for treating Yin Huang, a chronic case of cholestatic liver disease. Both drugs support liver protection, bile secretion, and diuresis and edema reduction; Alum is potassium aluminum sulfate, while Nitrate is potassium nitrate—both are potassium supplements, ideal for patients with liver ascites who experience potassium loss due to diuresis, and they can also compensate for the potassium loss caused by furosemide. Both drugs also aid digestion and strengthen the stomach, making them ideal choices for treating liver-kidney imbalance. Furosemide and amiloride work together: one removes potassium, the other replenishes potassium, eliminating sodium and water simultaneously, creating a synergistic effect.

Primary Hypotension, February 13, 1995

The primary symptoms were: among 84 cases, 81 experienced dizziness, fatigue, forgetfulness, insomnia, and frequent dreams; 75 reported discomfort or cramping in the precordial region; 66 experienced palpitations, poor appetite, and abdominal distension; 56 felt cold; 30 experienced tinnitus and foot pain; 19 suffered from spontaneous sweating. Individuals with blood pressure below 12/8 kPa (85/56 mmHg) are classified as having hypotension, and these symptoms may appear at that level. These symptoms align with the traditional Chinese medicine diagnosis of Heart-Spleen Deficiency—dizziness, fatigue, forgetfulness, insomnia, frequent dreams, palpitations, and discomfort in the precordial region, along with poor appetite, abdominal distension, cold sensitivity, tinnitus, and foot pain—all of which fall under this category. Patients experiencing these common symptoms should not overlook the possibility of hypotension. While Western medicine offers remedies like Glycine, Sheng Wei Keton, and Ephedrine, which offer only temporary relief, traditional Chinese medicine recommends B脾汤, Sheng Mai San, and Zhen Wu Tang as the best options for treating this condition.

Procaine Infusion for Acute Renal Colic, February 17, 1995

Procaine has been used clinically for a long time as an anesthetic because it stabilizes nerve cell membranes and reduces their permeability. When nerve impulses arrive, sodium and potassium ions cannot freely enter or leave the cells, severely limiting the ability of cells to depolarize and generate action potentials. As a result, spasms are relieved. Additionally, after intravenous administration, procaine can cross the blood-brain barrier, blocking stimulation from lesions to the central nervous system, causing vasodilation in spasmed blood vessels and increasing renal blood flow, leading to blood pressure reduction and diuresis. Thus, procaine can treat renal edema, cerebral stroke, asthma, allergic purpura, acute cholecystitis, and renal colic—and in general, its primary role is to relieve spasms. The typical dosage and rate are 3.2–4.2 mg per minute; at this concentration, 5 vials (2 ml) of 2% procaine are added to 500 ml of saline. The infusion is typically completed within 100 minutes, at a rate of 4 mg per minute.

Phentolamine Combined with Pituitary Posterior Hormone for Esophageal Variceal Bleeding, February 17, 1995

Pituitary posterior hormone is a potent vasoconstrictor that significantly contracts the splenic artery and mesenteric arteries, reducing bleeding in the portal system. Among medications for treating esophageal variceal bleeding, no other drug has yet been able to replace it. A large number of alpha receptors exist in liver tissue; phentolamine is an important alpha receptor antagonist, with a stronger effect against epinephrine, allowing peripheral blood vessels and capillaries within the hepatic sinus to dilate, thereby reducing peripheral vascular resistance. In particular, it can also cause dilation of portal vein vessels, lowering portal venous pressure. Add 20 mg of phentolamine to 500 ml of 10% glucose, and 20 µg of pituitary posterior hormone to 500 ml of 10% glucose; administer both via continuous infusion, with a drip rate of 0.3–0.6 µg per minute for the pituitary, and a drip rate of 50–80 µg per minute for phentolamine.

Research on Xiao Chaihu Tang in Japanese Herbal Medicine, February 20, 1995

In 1985, Japan’s top five herbal medicine manufacturers were: Xiao Chaihu Wan, Ba Wei Wan, Bu Zhong Yi Qi Wan, Xiao Qing Long Wan, and Xiao Xiao Wan; by 1988, the top ten were: Xiao Chaihu, Ba Wei, Bu Zhong, Xiao Xiao, Xiao Qing Long, Da Chaihu, Dang Gui Shao Yao, Gui Zhi Fu Ling, Chai Hu Gui Zhi, and Chai Hu Jia Long Gu Mu, demonstrating that Xiao Chaihu consistently ranked first.

In Japan, Xiao Chaihu Tang primarily treats various types of hepatitis. Yu Takayoshi proved that Xiao Chaihu has a clear liver-protecting effect and is effective for all forms of hepatitis—specifically, it can reduce enzyme levels and prevent fibrosis. Ogihara Yukio demonstrated that Xiao Chaihu Tang can increase antibody production. When animals were treated with prednisone to lower antibody levels, administering Xiao Chaihu Tang resulted in increased antibody levels, providing evidence that Xiao Chaihu Tang promotes HBsAb generation. Matsuda Shigeo proved that Xiao Chaihu Tang stimulates the pituitary-adrenal cortex axis to produce hormonal effects, though without hormonal side effects.

Hun Boshi treated 130 patients with liver cirrhosis using Xiao Chaihu Tang, alongside 130 patients treated with conventional Western medicine. The former group took Xiao Chaihu Tang in powdered form, 7.5 g daily, divided into three doses. After three years of treatment, 26.1% of the treatment group developed liver cancer, compared to 35.0% in the control group, proving that Xiao Chaihu has a preventive effect against liver cancer. Additionally, Ogihara Yukio reported that Xiao Chaihu Tang can inhibit the proliferation and metastasis of liver cancer.

Fukuoka and Oda Shufo pointed out that Xiao Chaihu Tang can also induce the production of interferon in the body, promoting the synthesis of albumin and glycogen, thereby reducing lipid peroxides and combating fatty liver. Beyond its liver-healing benefits, Xiao Chaihu Tang can also treat rheumatoid arthritis, diabetes, habitual abortion, biliary disorders, eczema, dermatitis, dry mouth, nocturia, and snoring.

Some people used Xiao Chaihu Tang to treat AIDS and epilepsy; for epilepsy, they used Chai Hu Gui Zhi Tang. Experiments have shown that Xiao Chaihu Tang can prevent the formation of epileptic foci in rats.

Broad-Spectrum Antifungal Drug – Spironolactone Capsules, February 23, 1995

This medication is a broad-spectrum oral antifungal agent, safe for short-term use. It is a second-generation derivative of ketoconazole, also known as itraconazole, and is highly effective against skin fungi such as dermatophytes, yeasts, and molds—especially against multiple species of dermatophytes. Unlike most antifungal medications, this product’s liver toxicity is reduced to less than 3%, mainly because the drug concentrates in the skin and keratinized tissues after administration, leaving lower concentrations in the bloodstream. Even after discontinuing the medication, the drug can remain in the skin and keratinized tissues for a prolonged period, still exerting therapeutic effects. Take 1–2 capsules, each containing 100 mg, after meals.

Mecamylamine (Cimetidine), February 27, 1995

A H2-receptor antagonist that significantly inhibits gastric acid secretion induced by histamine and pentapeptide gastrin, particularly effective in suppressing postprandial gastric acid elevation. It is indicated for gastric ulcers, duodenal bulb ulcers, peptic esophagitis, stress-induced mucosal ulcers of the gastrointestinal tract, and acute gastrointestinal bleeding. Typically taken orally, 0.2 g per dose, three times daily.

For stress-related ulcers and gastrointestinal bleeding, intravenous injection or infusion is preferred. A similar product is ranitidine, also known as furan nitramine. Its dosage is slightly lower—150 mg per dose, twice daily—with an effect four to nine times stronger than mecamylamine; the intravenous dose is even lower, 50 mg, added to glucose solution.

Clinical Applications of Metoclopramide (Gastroparesis), February 27, 1995

Also known as Motilium or Motilin, this medication’s antiemetic effect is stronger than that of chlorpromazine. It increases the sensory threshold of the parasympathetic nervous system, reducing the transmission of visceral nerve impulses to the central nervous system, improving gastric tone, and enhancing duodenal peristalsis, prompting contents to move toward the jejunum and ileum. It can be used for vomiting caused by various factors: take 10 mg orally, three times daily; intramuscularly, 10 mg each time, with a maximum daily dose of 0.5 mg/kg.

Interferon in Hematologic Disorders, February 27, 1995

Interferon (IFN) is produced by the body’s own cells under the influence of inducers, and is a highly active glycoprotein. White blood cells produce α-IFN, fibroblasts produce β-IFN, and T lymphocytes produce γ-IFN.

Indications include chronic myeloid leukemia, multiple myeloma, malignant lymphoma, and malignant melanoma.

Dosage is best at 1–3 × 10^7^ units per day, even higher; the course of treatment is generally recommended to be one month, as the dosage is believed to correlate positively with therapeutic efficacy.

Angiotensin-Converting Enzyme Inhibitors, February 27, 1995

Like nitroglycerin, beta-blockers, and calcium channel blockers, this class of medications has ushered in a new era in cardiovascular disease treatment. The first generation of this product, captopril, first appeared on the U.S. market in 1980, and the second-generation product, enalapril, was launched in 1986—within just ten years, it had become one of the world’s most popular medications.

Captopril, also known as mercaptopropionic acid, is a short-acting medication that takes effect without needing to pass through the liver, and can even be administered sublingually. More recently, enalapril is excreted by the kidneys, requiring only once daily; currently, there are no domestically produced formulations available.

Indications for this product include: ① hypertension; ② heart failure; ③ coronary artery disease; ④ diabetic nephropathy.

Primary Malignant Lymphoma of the Gastrointestinal Tract, March 1, 1995

Primary malignant lymphoma of the gastrointestinal tract must meet the following criteria: ① superficial lymph nodes throughout the body are not enlarged—though they may be swollen, pathology does not confirm the presence of malignant lymphoma; ② total white blood cell count and their classification are normal; ③ no enlarged retrosternal lymph nodes on chest X-ray; ④ the liver is normal; ⑤ surgery confirms that the lesion is limited to the gastrointestinal tract. Most cases are accompanied by ascites and intestinal obstruction, often occurring in adolescents.

Zhao Xinbo’s Experience in Treating Radicular Neuralgia, March 5, 1995

In his treatments for radicular neuralgia and infectious neuritis, he frequently used: peach kernel, safflower, Chinese angelica, Chinese angelica root, qin tiao, stretching grass, cypress leaf, loquat, ginger insect, and whole scorpion. The mnemonic phrase goes: “Four substances—peach kernel, safflower, qin tiao, Chinese angelica root—two insects, cypress leaf, stretching grass; quickly treat with Fangfeng, two dragons, star; slowly treat with mulberry branch, qin tiao, black snake.” The mnemonic for this formula can be adjusted to: “Cypress leaf, loquat, two insects, stretching grass; peach kernel, safflower, qin tiao, qin tiao, two dragons, star; slowly treat with mulberry branch, black snake.”

The formula consists of: cypress leaf, loquat, whole scorpion, ginger insect, stretching grass, peach kernel, safflower, rehmannia, red peony, chuanxiong, danggui, qin tiao, Chinese angelica root, cypress leaf, mulberry branch, black snake, hook vine, nettle vine, gallstone, mulberry leaf, and black snake.

Zhao Xinbo’s Experience in Treating Post-Traumatic Brain Injury Symptoms, March 2, 1995

Traumatic brain injuries range from mild concussion to severe contusion; the former causes only brief periods of loss of consciousness (several seconds), while the latter leads to longer periods of unconsciousness (several seconds to hours, even days). The sequelae of the former are usually limited to headaches, dizziness, and memory impairment; the latter can lead to epilepsy, mania, hemiplegia, and even a decrease in complete blood count, as well as sustained elevated blood pressure.

For the former, he used Xuefu Zhuyu Tang; for the latter, he used hooking, stone calamus, safflower, honeysuckle, forsythia, astragalus, gardenia, cicada wings, ginger insect, whole scorpion, wheat germ, yellow jujube, stone cassia, tortoise shell, raw gypsum, lotus seed heart, bear bile powder (0.6 g, taken twice). The mnemonic phrase goes: “Three insects, five flavors, stone vine; wintergreen, stone, lotus seed heart; bear bile, taken three times, brings miraculous effects for brain contusion.”

Case Study: Healing Acute Exudative Pericarditis, March 9, 1995

In the spring of the Year of the Pig, at Hui Cui Tang’s outpatient clinic, we treated a patient diagnosed with exudative pericarditis by a local hospital. After more than two months of hospitalization, despite draining 700 ml of fluid (divided into three sessions), the fluid accumulation rapidly increased. The patient experienced chest tightness, shortness of breath, difficulty breathing, and cyanosis as before, and came back to the clinic. His pulse was rapid and slippery; we continued to use Ma Xing Gan Shi Tang in combination with Ling Gui Shu Gan Tang, Ji Jiao Li Huang Wan, Ting Li Da Zao Xie Fei Tang, along with increased doses of abdominal peel, mulberry bark, astragalus, purslane, honeysuckle, and forsythia, paired with Western medications like prednisone and erythromycin. After 20 doses, the patient showed remarkable improvement—his symptoms improved significantly, and his chest tightness and shortness of breath were noticeably alleviated. An imaging study confirmed that the pericardial effusion was no longer present.

A Brief Discussion on Allergic Reactions, March 9, 1995

1. Type I Allergic Reaction: Also known as immediate hypersensitivity, this type is the most common and can be considered the “speedy” type of reaction. It is the most prevalent type, and it is often referred to as the “rapid response” type.

Translation:

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.

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Anti-Schizophrenic Medications, December 24, 1994

Phenotropil, also known as hydroxyzine, shares similar effects with chlorpromazine but exhibits stronger antipsychotic properties.

Its potency is greater than that of the latter, and its antiemetic effect is far more potent. In summary, this medication has two primary effects: ① it effectively addresses hallucinations, delusions, and delusional thoughts; ② it also demonstrates strong efficacy in alleviating nausea and vomiting. The effect of fluphenazine is stronger than that of phenotropil, with a dosage of 2–4 mg orally, 5–10 mg intramuscularly once daily, and up to 40 mg per day for patients with severe mental illness.

Diazepam: This medication’s effects are similar to those of Lormetazepam, but with greater potency—its muscle relaxant effect is five times stronger than that of Lormetazepam, while its anticonvulsant effect is ten times more potent. Consequently, it shows remarkable efficacy in treating intractable epilepsy. Diazepam is administered orally at 2.5–5 mg, with slow intravenous injections of 10–20 mg diluted in 5% Ringer’s solution; no more than 100 mg should be administered within 24 hours. Intramuscular injections are given at 10 mg, and the dose can be repeated every 2–4 hours. Long-term, high-dose use can lead to addiction. Another notable feature is its rapid absorption and quick onset of action.

Antipyrine: This medication is an artificially synthesized anticholinergic agent, possessing relatively strong central anticholinergic effects while exhibiting weaker peripheral anticholinergic activity. Its primary effects include combating Parkinson’s disease; typically, 2–4 mg are taken three times daily, with the dosage potentially increased as needed.

Levodopa is a specialized treatment for Parkinson’s disease and hepatic encephalopathy, usually administered orally at 0.1–0.25 g, three times daily. Patients in a coma may receive 100 ml of saline solution mixed with the medication for nasal feeding.

(Diazepam can be used to treat early-stage convulsions in hepatic encephalopathy; adding 10–20 mg to 500 ml of 5% Ringer’s solution for slow intravenous infusion can provide additional treatment for cases where appropriate medications are lacking due to liver ascites or coma.)

Summary of Treatments for Rheumatoid Arthritis, December 24, 1994

In the past, we have employed the Gui Zhi Shao Yao Zhi Mu Tang and Sang Zhi Tang formulas. For cold-type conditions, we would add Mahuang Fuzi Xixin Tang; for heat-type conditions, we would incorporate Sheng Shi Gao and Sheng Yi Ren. When joints become swollen, we would add Jixue Teng, Bi Xie, and Lu Han Cao; for severe pain, we could add two Wugong.

In addition to these formulas, we also used: Huang Qi 20 g, Mahuang 10 g, Bai Shao 10 g, Gan Cao 6 g, Wu Tou 30 g (previously decocted for 60 minutes), Hu Zhang 10 g, Sheng Yi Ren 30 g, Fang Ji 12 g. There is a mnemonic phrase for this formula: “Huang Huang Shao Yao Gan Cao Tang, Wu Tou Hu Zhang Jia Yi Fang.”

Another formula included: Wu Jia Pi 15 g, Yi Ren 30 g, Niu Xi 15 g, Po Guo Zi 10 g, Bo He 6 g, Qiang Huo 10 g, Hai Feng Teng 15 g, Qing Feng Teng 15 g, Qin Tiao 20 g, He Shou Wu 20 g, Xun Gu Feng 15 g, Ma Qian Zi 1 piece (fried in oil), all decocted and taken orally. The mnemonic phrase goes: “Wu Mi Niu Guo Bo He Qiang Hai, Qing Qin He Chu.”

In conclusion, when treating this condition, we often focus on using Wu Tou and Yi Ren; additionally, Ma Qian Zi must be fried in oil.

Treatment of Nephritis Complicated by Azotemia, December 25, 1994

Fifteen years ago, we treated Mr. Wu Zehong’s chronic nephritis with azotemia. Initially, we used Jisheng Shenqi Tang, later adding San Ling, E Zhu, Da Huang, Bai Mao Gen, Bai Qi Li, Huang Qi, Huang Jing, Su Geng, Chan Yi, Yimu Cao, Hua Shi, Mu Tong, Gan Cao Shao, and Bai Hua She Tiao Cao. After five doses, significant improvement was observed. To aid in memorization, we created a rhyme: “San E Da Tong Shi Huang Huang Bai Bai Bai.”

Wind-Induced Decoction for Radicular Neuralgia, December 25, 1994

15 g of Han Shui Shi, 15 g of Chi Shi Zhi, 15 g of Bai Shi Zhi, 15 g of Zi Shi Ying, 15 g of Sheng Shi Gao, 15 g each of Sheng Long Mu and Sheng Ma, 15 g of Hua Shi, 7 g of Da Huang, 10 g of Gui Zhi, 20 g of Gan Cao, 20 g of Dang Gui, 15 g of Niu Xi, 15 g of Mu Gua, 15 g of Qin Tiao, 15 g of Wei Ling Xian. This formula primarily uses the seven stones—heavy yet sinking—making it a “Seven Stone Decoction.” Because the Seven Stones help move the medicine downward, guiding the drug’s power to reach the target area. Among the Seven Stones, Chi Shi Zhi, Bai Shi Zhi, Sheng Long Mu, Han Shui Shi, and Sheng Shi Gao can be considered the “three pairs,” while Zi Shi Ying adds another half pair. Gui Zhi, Da Huang, and Gan Cao, which work to descend rebellious qi and calm upward pressure, also help guide the medicine’s power downward. Qin Tiao and Wei Ling Xian dispel wind and eliminate dampness, while Gan Cao and Dang Gui regulate yin and calm the interior. Niu Xi and Mu Gua specifically address rheumatic issues in the lower limbs. These three pairs form the core of the formula. This formula can be remembered as “Seven Stones, Three Pairs.” The first three pairs consist of the descending herbs Gui, Huang, and Jiang; the last three pairs also consist of three pairs.

Qing Ma Tian Cao Dan for Chronic Leukemia, January 9, 1995

60 g of Qing Dai, 20 g of Ma Qian Zi, 4 g of Chan Su, 40 g of Cao Kou (40 g of Nutmeg), all ground into powder, sifted through a sieve, then encapsulated in 0.25 g capsules, one capsule per dose, three times daily. Each capsule contains 8 mg of Chan Su and 40 mg of Ma Qian Zi.

This capsule is a specialized formulation for treating chronic leukemia. The main ingredients are Qing Dai and Chan Su, while Cao Kou serves to correct the potential side effects of these two herbs on the stomach. Ma Qian Zi is an effective remedy for aplastic anemia, and combining it with these herbs aims to regulate hematopoietic function in the bone marrow. This medication is effective for chronic sore throat, as well as for osteomyelitis, chronic ulcers, and sinus tracts that fail to heal. Hui Cui Tang has already formulated this product into a finished medicine called Qing Kou Capsules, which is expected to deliver excellent therapeutic results in clinical settings.

Surgical Treatments for Portal Hypertension, January 13, 1994

There are several surgical options for this condition: ① Splenectomy, with retroperitoneal fixation of the omentum; ② Splenectomy, combined with splenic-renal venous shunt; ③ Splenectomy, followed by pericardial vascular ligation around the cardia; ④ Splenectomy, ligation, and pyloric reconstruction; ⑤ Splenectomy, ligation, and endoscopic ligation of vessels within the gastric cavity.

Main Clinical Manifestations of Lumbar Disc Herniation, January 14, 1994

① Pain along the spinal paraspinal region; ② Simultaneous pain along the paraspinal region, accompanied by radiating pain and numbness in the same side of the lower limb; ③ Limited straight leg raise below 70°, with pain upon initial movement; ④ Significant weakness in the dorsiflexion of the big toe; ⑤ Objective numbness or decreased sensation appears on the lateral aspect of the calf.

New Concepts in Dachaihu Tang, January 10, 1995

This formula is a famous prescription from the Shanghan Lun, specially designed by Zhongjing for Shaoyang and Yangming. Its composition includes Xiao Chaihu Tang, with the addition of Da Huang, Zhi Shi, and Bai Shao. The composition of this formula embodies the essence of Xiao Chaihu, Xiao Cheng Qi, and Gui Zhi Tang. According to the Shanghan Lun, “When there is depression, mild irritability, abdominal fullness and pain, and constipation,” this formula is the primary treatment. Recently, Japanese scholars have suggested that Da Huang should be removed from this formula, arguing that Da Huang’s anti-inflammatory and antibacterial effects can be replaced by modern antibiotics; however, Da Huang can still be used without antibiotics. When antibiotics are employed, Da Huang is not necessary. (Foreign Medical Dynamics – Chinese Medicine and Herbal Medicine, Issue 2, 1993)

Pharmacological Research on Musk, January 13, 1995

Musk contains urea; in addition to its diuretic effects, urea also promotes metabolism and aids in detoxification. The aforementioned diuretic effect can be regarded as a promoting excretion mechanism. The stimulating effect of this herb is thought to enhance contraction of uterine smooth muscle, thereby facilitating labor. The Bencao Gangmu records that this herb opens all orifices, clears meridians, penetrates muscles and bones, detoxifies alcohol, resolves food stagnation, and eliminates tumors and masses. Based on these findings, a small amount of musk can be added to capsules, combined with Western medicines such as furosemide and amiloride, resulting in particularly effective diuresis. The recommended dosage for musk is 30–60 mg per capsule, with the addition of Poria to clear heat and promote water excretion, detoxifying the body. With a taste that is slightly bland, musk can serve as a vehicle for other medicinal herbs and as a detoxifying agent. Combine furosemide at 20 mg, amiloride at 50 mg, musk at 10 mg, and Poria at 0.2 g, encapsulate in 0.3 g capsules, one capsule per dose, three times daily.

Preparation of Liver Cirrhosis Capsules, January 23, 1995

200 mg of Alum, 200 mg of Nitrate, along with trace amounts of furosemide and amiloride (the dosages of both drugs are extremely low), ground into powder and encapsulated in 0.5 g capsules, one capsule per dose, 1–3 times daily.

This product supports liver protection and bile secretion, as well as diuresis and edema reduction, making it particularly suitable for patients with liver cirrhosis complicated by ascites. It is especially beneficial for patients with cholestatic liver cirrhosis accompanied by ascites. The nitrate-alum mixture is a specialized formula from the Jin Gui for treating Yin Huang, a chronic case of cholestatic liver disease. Both drugs support liver protection, bile secretion, and diuresis and edema reduction; Alum is potassium aluminum sulfate, while Nitrate is potassium nitrate—both are potassium supplements, ideal for patients with liver ascites who experience potassium loss due to diuresis, and they can also compensate for the potassium loss caused by furosemide. Both drugs also aid digestion and strengthen the stomach, making them ideal choices for treating liver-kidney imbalance. Furosemide and amiloride work together: one removes potassium, the other replenishes potassium, eliminating sodium and water simultaneously, creating a synergistic effect.

Primary Hypotension, February 13, 1995

The primary symptoms were: among 84 cases, 81 experienced dizziness, fatigue, forgetfulness, insomnia, and frequent dreams; 75 reported discomfort or cramping in the precordial region; 66 experienced palpitations, poor appetite, and abdominal distension; 56 felt cold; 30 experienced tinnitus and foot pain; 19 suffered from spontaneous sweating. Individuals with blood pressure below 12/8 kPa (85/56 mmHg) are classified as having hypotension, and these symptoms may appear at that level. These symptoms align with the traditional Chinese medicine diagnosis of Heart-Spleen Deficiency—dizziness, fatigue, forgetfulness, insomnia, frequent dreams, palpitations, and discomfort in the precordial region, along with poor appetite, abdominal distension, cold sensitivity, tinnitus, and foot pain—all of which fall under this category. Patients experiencing these common symptoms should not overlook the possibility of hypotension. While Western medicine offers remedies like Glycine, Sheng Wei Keton, and Ephedrine, which offer only temporary relief, traditional Chinese medicine recommends B脾汤, Sheng Mai San, and Zhen Wu Tang as the best options for treating this condition.

Procaine Infusion for Acute Renal Colic, February 17, 1995

Procaine has been used clinically for a long time as an anesthetic because it stabilizes nerve cell membranes and reduces their permeability. When nerve impulses arrive, sodium and potassium ions cannot freely enter or leave the cells, severely limiting the ability of cells to depolarize and generate action potentials. As a result, spasms are relieved. Additionally, after intravenous administration, procaine can cross the blood-brain barrier, blocking stimulation from lesions to the central nervous system, causing vasodilation in spasmed blood vessels and increasing renal blood flow, leading to blood pressure reduction and diuresis. Thus, procaine can treat renal edema, cerebral stroke, asthma, allergic purpura, acute cholecystitis, and renal colic—and in general, its primary role is to relieve spasms. The typical dosage and rate are 3.2–4.2 mg per minute; at this concentration, 5 vials (2 ml) of 2% procaine are added to 500 ml of saline. The infusion is typically completed within 100 minutes, at a rate of 4 mg per minute.

Phentolamine Combined with Pituitary Posterior Hormone for Esophageal Variceal Bleeding, February 17, 1995

Pituitary posterior hormone is a potent vasoconstrictor that significantly contracts the splenic artery and mesenteric arteries, reducing bleeding in the portal system. Among medications for treating esophageal variceal bleeding, no other drug has yet been able to replace it. A large number of alpha receptors exist in liver tissue; phentolamine is an important alpha receptor antagonist, with a stronger effect against epinephrine, allowing peripheral blood vessels and capillaries within the hepatic sinus to dilate, thereby reducing peripheral vascular resistance. In particular, it can also cause dilation of portal vein vessels, lowering portal venous pressure. Add 20 mg of phentolamine to 500 ml of 10% glucose, and 20 µg of pituitary posterior hormone to 500 ml of 10% glucose; administer both via continuous infusion, with a drip rate of 0.3–0.6 µg per minute for the pituitary, and a drip rate of 50–80 µg per minute for phentolamine.

Research on Xiao Chaihu Tang in Japanese Herbal Medicine, February 20, 1995

In 1985, Japan’s top five herbal medicine manufacturers were: Xiao Chaihu Wan, Ba Wei Wan, Bu Zhong Yi Qi Wan, Xiao Qing Long Wan, and Xiao Xiao Wan; by 1988, the top ten were: Xiao Chaihu, Ba Wei, Bu Zhong, Xiao Xiao, Xiao Qing Long, Da Chaihu, Dang Gui Shao Yao, Gui Zhi Fu Ling, Chai Hu Gui Zhi, and Chai Hu Jia Long Gu Mu, demonstrating that Xiao Chaihu consistently ranked first.

In Japan, Xiao Chaihu Tang primarily treats various types of hepatitis. Yu Takayoshi proved that Xiao Chaihu has a clear liver-protecting effect and is effective for all forms of hepatitis—specifically, it can reduce enzyme levels and prevent fibrosis. Ogihara Yukio demonstrated that Xiao Chaihu Tang can increase antibody production. When animals were treated with prednisone to lower antibody levels, administering Xiao Chaihu Tang resulted in increased antibody levels, providing evidence that Xiao Chaihu Tang promotes HBsAb generation. Matsuda Shigeo proved that Xiao Chaihu Tang stimulates the pituitary-adrenal cortex axis to produce hormonal effects, though without hormonal side effects.

Hun Boshi treated 130 patients with liver cirrhosis using Xiao Chaihu Tang, alongside 130 patients treated with conventional Western medicine. The former group took Xiao Chaihu Tang in powdered form, 7.5 g daily, divided into three doses. After three years of treatment, 26.1% of the treatment group developed liver cancer, compared to 35.0% in the control group, proving that Xiao Chaihu has a preventive effect against liver cancer. Additionally, Ogihara Yukio reported that Xiao Chaihu Tang can inhibit the proliferation and metastasis of liver cancer.

Fukuoka and Oda Shufo pointed out that Xiao Chaihu Tang can also induce the production of interferon in the body, promoting the synthesis of albumin and glycogen, thereby reducing lipid peroxides and combating fatty liver. Beyond its liver-healing benefits, Xiao Chaihu Tang can also treat rheumatoid arthritis, diabetes, habitual abortion, biliary disorders, eczema, dermatitis, dry mouth, nocturia, and snoring.

Some people used Xiao Chaihu Tang to treat AIDS and epilepsy; for epilepsy, they used Chai Hu Gui Zhi Tang. Experiments have shown that Xiao Chaihu Tang can prevent the formation of epileptic foci in rats.

Broad-Spectrum Antifungal Drug – Spironolactone Capsules, February 23, 1995

This medication is a broad-spectrum oral antifungal agent, safe for short-term use. It is a second-generation derivative of ketoconazole, also known as itraconazole, and is highly effective against skin fungi such as dermatophytes, yeasts, and molds—especially against multiple species of dermatophytes. Unlike most antifungal medications, this product’s liver toxicity is reduced to less than 3%, mainly because the drug concentrates in the skin and keratinized tissues after administration, leaving lower concentrations in the bloodstream. Even after discontinuing the medication, the drug can remain in the skin and keratinized tissues for a prolonged period, still exerting therapeutic effects. Take 1–2 capsules, each containing 100 mg, after meals.

Mecamylamine (Cimetidine), February 27, 1995

A H2-receptor antagonist that significantly inhibits gastric acid secretion induced by histamine and pentapeptide gastrin, particularly effective in suppressing postprandial gastric acid elevation. It is indicated for gastric ulcers, duodenal bulb ulcers, peptic esophagitis, stress-induced mucosal ulcers of the gastrointestinal tract, and acute gastrointestinal bleeding. Typically taken orally, 0.2 g per dose, three times daily.

For stress-related ulcers and gastrointestinal bleeding, intravenous injection or infusion is preferred. A similar product is ranitidine, also known as furan nitramine. Its dosage is slightly lower—150 mg per dose, twice daily—with an effect four to nine times stronger than mecamylamine; the intravenous dose is even lower, 50 mg, added to glucose solution.

Clinical Applications of Metoclopramide (Gastroparesis), February 27, 1995

Also known as Motilium or Motilin, this medication’s antiemetic effect is stronger than that of chlorpromazine. It increases the sensory threshold of the parasympathetic nervous system, reducing the transmission of visceral nerve impulses to the central nervous system, improving gastric tone, and enhancing duodenal peristalsis, prompting contents to move toward the jejunum and ileum. It can be used for vomiting caused by various factors: take 10 mg orally, three times daily; intramuscularly, 10 mg each time, with a maximum daily dose of 0.5 mg/kg.

Interferon in Hematologic Disorders, February 27, 1995

Interferon (IFN) is produced by the body’s own cells under the influence of inducers, and is a highly active glycoprotein. White blood cells produce α-IFN, fibroblasts produce β-IFN, and T lymphocytes produce γ-IFN.

Indications include chronic myeloid leukemia, multiple myeloma, malignant lymphoma, and malignant melanoma.

Dosage is best at 1–3 × 10^7^ units per day, even higher; the course of treatment is generally recommended to be one month, as the dosage is believed to correlate positively with therapeutic efficacy.

Angiotensin-Converting Enzyme Inhibitors, February 27, 1995

Like nitroglycerin, beta-blockers, and calcium channel blockers, this class of medications has ushered in a new era in cardiovascular disease treatment. The first generation of this product, captopril, first appeared on the U.S. market in 1980, and the second-generation product, enalapril, was launched in 1986—within just ten years, it had become one of the world’s most popular medications.

Captopril, also known as mercaptopropionic acid, is a short-acting medication that takes effect without needing to pass through the liver, and can even be administered sublingually. More recently, enalapril is excreted by the kidneys, requiring only once daily; currently, there are no domestically produced formulations available.

Indications for this product include: ① hypertension; ② heart failure; ③ coronary artery disease; ④ diabetic nephropathy.

Primary Malignant Lymphoma of the Gastrointestinal Tract, March 1, 1995

Primary malignant lymphoma of the gastrointestinal tract must meet the following criteria: ① superficial lymph nodes throughout the body are not enlarged—though they may be swollen, pathology does not confirm the presence of malignant lymphoma; ② total white blood cell count and their classification are normal; ③ no enlarged retrosternal lymph nodes on chest X-ray; ④ the liver is normal; ⑤ surgery confirms that the lesion is limited to the gastrointestinal tract. Most cases are accompanied by ascites and intestinal obstruction, often occurring in adolescents.

Zhao Xinbo’s Experience in Treating Radicular Neuralgia, March 5, 1995

In his treatments for radicular neuralgia and infectious neuritis, he frequently used: peach kernel, safflower, Chinese angelica, Chinese angelica root, qin tiao, stretching grass, cypress leaf, loquat, ginger insect, and whole scorpion. The mnemonic phrase goes: “Four substances—peach kernel, safflower, qin tiao, Chinese angelica root—two insects, cypress leaf, stretching grass; quickly treat with Fangfeng, two dragons, star; slowly treat with mulberry branch, qin tiao, black snake.” The mnemonic for this formula can be adjusted to: “Cypress leaf, loquat, two insects, stretching grass; peach kernel, safflower, qin tiao, qin tiao, two dragons, star; slowly treat with mulberry branch, black snake.”

The formula consists of: cypress leaf, loquat, whole scorpion, ginger insect, stretching grass, peach kernel, safflower, rehmannia, red peony, chuanxiong, danggui, qin tiao, Chinese angelica root, cypress leaf, mulberry branch, black snake, hook vine, nettle vine, gallstone, mulberry leaf, and black snake.

Zhao Xinbo’s Experience in Treating Post-Traumatic Brain Injury Symptoms, March 2, 1995

Traumatic brain injuries range from mild concussion to severe contusion; the former causes only brief periods of loss of consciousness (several seconds), while the latter leads to longer periods of unconsciousness (several seconds to hours, even days). The sequelae of the former are usually limited to headaches, dizziness, and memory impairment; the latter can lead to epilepsy, mania, hemiplegia, and even a decrease in complete blood count, as well as sustained elevated blood pressure.

For the former, he used Xuefu Zhuyu Tang; for the latter, he used hooking, stone calamus, safflower, honeysuckle, forsythia, astragalus, gardenia, cicada wings, ginger insect, whole scorpion, wheat germ, yellow jujube, stone cassia, tortoise shell, raw gypsum, lotus seed heart, bear bile powder (0.6 g, taken twice). The mnemonic phrase goes: “Three insects, five flavors, stone vine; wintergreen, stone, lotus seed heart; bear bile, taken three times, brings miraculous effects for brain contusion.”

Case Study: Healing Acute Exudative Pericarditis, March 9, 1995

In the spring of the Year of the Pig, at Hui Cui Tang’s outpatient clinic, we treated a patient diagnosed with exudative pericarditis by a local hospital. After more than two months of hospitalization, despite draining 700 ml of fluid (divided into three sessions), the fluid accumulation rapidly increased. The patient experienced chest tightness, shortness of breath, difficulty breathing, and cyanosis as before, and came back to the clinic. His pulse was rapid and slippery; we continued to use Ma Xing Gan Shi Tang in combination with Ling Gui Shu Gan Tang, Ji Jiao Li Huang Wan, Ting Li Da Zao Xie Fei Tang, along with increased doses of abdominal peel, mulberry bark, astragalus, purslane, honeysuckle, and forsythia, paired with Western medications like prednisone and erythromycin. After 20 doses, the patient showed remarkable improvement—his symptoms improved significantly, and his chest tightness and shortness of breath were noticeably alleviated. An imaging study confirmed that the pericardial effusion was no longer present.

A Brief Discussion on Allergic Reactions, March 9, 1995

1. Type I Allergic Reaction: Also known as immediate hypersensitivity, this type is the most common and can be considered the “speedy” type of reaction. It is the most prevalent type, and it is often referred to as the “rapid response” type.

Translation:

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:

Anti-Schizophrenic Medications, December 24, 1994

Phenotropil, also known as hydroxyzine, shares similar effects with chlorpromazine but exhibits stronger antipsychotic properties.

Its potency is greater than that of the latter, and its antiemetic effect is far more potent. In summary, this medication has two primary effects: ① it effectively addresses hallucinations, delusions, and delusional thoughts; ② it also demonstrates strong efficacy in alleviating nausea and vomiting. The effect of fluphenazine is stronger than that of phenotropil, with a dosage of 2–4 mg orally, 5–10 mg intramuscularly once daily, and up to 40 mg per day for patients with severe mental illness.

Diazepam: This medication’s effects are similar to those of Lormetazepam, but with greater potency—its muscle relaxant effect is five times stronger than that of Lormetazepam, while its anticonvulsant effect is ten times more potent. Consequently, it shows remarkable efficacy in treating intractable epilepsy. Diazepam is administered orally at 2.5–5 mg, with slow intravenous injections of 10–20 mg diluted in 5% Ringer’s solution; no more than 100 mg should be administered within 24 hours. Intramuscular injections are given at 10 mg, and the dose can be repeated every 2–4 hours. Long-term, high-dose use can lead to addiction. Another notable feature is its rapid absorption and quick onset of action.

Antipyrine: This medication is an artificially synthesized anticholinergic agent, possessing relatively strong central anticholinergic effects while exhibiting weaker peripheral anticholinergic activity. Its primary effects include combating Parkinson’s disease; typically, 2–4 mg are taken three times daily, with the dosage potentially increased as needed.

Levodopa is a specialized treatment for Parkinson’s disease and hepatic encephalopathy, usually administered orally at 0.1–0.25 g, three times daily. Patients in a coma may receive 100 ml of saline solution mixed with the medication for nasal feeding.

(Diazepam can be used to treat early-stage convulsions in hepatic encephalopathy; adding 10–20 mg to 500 ml of 5% Ringer’s solution for slow intravenous infusion can provide additional treatment for cases where appropriate medications are lacking due to liver ascites or coma.)

Summary of Treatments for Rheumatoid Arthritis, December 24, 1994

In the past, we have employed the Gui Zhi Shao Yao Zhi Mu Tang and Sang Zhi Tang formulas. For cold-type conditions, we would add Mahuang Fuzi Xixin Tang; for heat-type conditions, we would incorporate Sheng Shi Gao and Sheng Yi Ren. When joints become swollen, we would add Jixue Teng, Bi Xie, and Lu Han Cao; for severe pain, we could add two Wugong.

In addition to these formulas, we also used: Huang Qi 20 g, Mahuang 10 g, Bai Shao 10 g, Gan Cao 6 g, Wu Tou 30 g (previously decocted for 60 minutes), Hu Zhang 10 g, Sheng Yi Ren 30 g, Fang Ji 12 g. There is a mnemonic phrase for this formula: “Huang Huang Shao Yao Gan Cao Tang, Wu Tou Hu Zhang Jia Yi Fang.”

Another formula included: Wu Jia Pi 15 g, Yi Ren 30 g, Niu Xi 15 g, Po Guo Zi 10 g, Bo He 6 g, Qiang Huo 10 g, Hai Feng Teng 15 g, Qing Feng Teng 15 g, Qin Tiao 20 g, He Shou Wu 20 g, Xun Gu Feng 15 g, Ma Qian Zi 1 piece (fried in oil), all decocted and taken orally. The mnemonic phrase goes: “Wu Mi Niu Guo Bo He Qiang Hai, Qing Qin He Chu.”

In conclusion, when treating this condition, we often focus on using Wu Tou and Yi Ren; additionally, Ma Qian Zi must be fried in oil.

Treatment of Nephritis Complicated by Azotemia, December 25, 1994

Fifteen years ago, we treated Mr. Wu Zehong’s chronic nephritis with azotemia. Initially, we used Jisheng Shenqi Tang, later adding San Ling, E Zhu, Da Huang, Bai Mao Gen, Bai Qi Li, Huang Qi, Huang Jing, Su Geng, Chan Yi, Yimu Cao, Hua Shi, Mu Tong, Gan Cao Shao, and Bai Hua She Tiao Cao. After five doses, significant improvement was observed. To aid in memorization, we created a rhyme: “San E Da Tong Shi Huang Huang Bai Bai Bai.”

Wind-Induced Decoction for Radicular Neuralgia, December 25, 1994

15 g of Han Shui Shi, 15 g of Chi Shi Zhi, 15 g of Bai Shi Zhi, 15 g of Zi Shi Ying, 15 g of Sheng Shi Gao, 15 g each of Sheng Long Mu and Sheng Ma, 15 g of Hua Shi, 7 g of Da Huang, 10 g of Gui Zhi, 20 g of Gan Cao, 20 g of Dang Gui, 15 g of Niu Xi, 15 g of Mu Gua, 15 g of Qin Tiao, 15 g of Wei Ling Xian. This formula primarily uses the seven stones—heavy yet sinking—making it a “Seven Stone Decoction.” Because the Seven Stones help move the medicine downward, guiding the drug’s power to reach the target area. Among the Seven Stones, Chi Shi Zhi, Bai Shi Zhi, Sheng Long Mu, Han Shui Shi, and Sheng Shi Gao can be considered the “three pairs,” while Zi Shi Ying adds another half pair. Gui Zhi, Da Huang, and Gan Cao, which work to descend rebellious qi and calm upward pressure, also help guide the medicine’s power downward. Qin Tiao and Wei Ling Xian dispel wind and eliminate dampness, while Gan Cao and Dang Gui regulate yin and calm the interior. Niu Xi and Mu Gua specifically address rheumatic issues in the lower limbs. These three pairs form the core of the formula. This formula can be remembered as “Seven Stones, Three Pairs.” The first three pairs consist of the descending herbs Gui, Huang, and Jiang; the last three pairs also consist of three pairs.

Qing Ma Tian Cao Dan for Chronic Leukemia, January 9, 1995

60 g of Qing Dai, 20 g of Ma Qian Zi, 4 g of Chan Su, 40 g of Cao Kou (40 g of Nutmeg), all ground into powder, sifted through a sieve, then encapsulated in 0.25 g capsules, one capsule per dose, three times daily. Each capsule contains 8 mg of Chan Su and 40 mg of Ma Qian Zi.

This capsule is a specialized formulation for treating chronic leukemia. The main ingredients are Qing Dai and Chan Su, while Cao Kou serves to correct the potential side effects of these two herbs on the stomach. Ma Qian Zi is an effective remedy for aplastic anemia, and combining it with these herbs aims to regulate hematopoietic function in the bone marrow. This medication is effective for chronic sore throat, as well as for osteomyelitis, chronic ulcers, and sinus tracts that fail to heal. Hui Cui Tang has already formulated this product into a finished medicine called Qing Kou Capsules, which is expected to deliver excellent therapeutic results in clinical settings.

Surgical Treatments for Portal Hypertension, January 13, 1994

There are several surgical options for this condition: ① Splenectomy, with retroperitoneal fixation of the omentum; ② Splenectomy, combined with splenic-renal venous shunt; ③ Splenectomy, followed by pericardial vascular ligation around the cardia; ④ Splenectomy, ligation, and pyloric reconstruction; ⑤ Splenectomy, ligation, and endoscopic ligation of vessels within the gastric cavity.

Main Clinical Manifestations of Lumbar Disc Herniation, January 14, 1994

① Pain along the spinal paraspinal region; ② Simultaneous pain along the paraspinal region, accompanied by radiating pain and numbness in the same side of the lower limb; ③ Limited straight leg raise below 70°, with pain upon initial movement; ④ Significant weakness in the dorsiflexion of the big toe; ⑤ Objective numbness or decreased sensation appears on the lateral aspect of the calf.

New Concepts in Dachaihu Tang, January 10, 1995

This formula is a famous prescription from the Shanghan Lun, specially designed by Zhongjing for Shaoyang and Yangming. Its composition includes Xiao Chaihu Tang, with the addition of Da Huang, Zhi Shi, and Bai Shao. The composition of this formula embodies the essence of Xiao Chaihu, Xiao Cheng Qi, and Gui Zhi Tang. According to the Shanghan Lun, “When there is depression, mild irritability, abdominal fullness and pain, and constipation,” this formula is the primary treatment. Recently, Japanese scholars have suggested that Da Huang should be removed from this formula, arguing that Da Huang’s anti-inflammatory and antibacterial effects can be replaced by modern antibiotics; however, Da Huang can still be used without antibiotics. When antibiotics are employed, Da Huang is not necessary. (Foreign Medical Dynamics – Chinese Medicine and Herbal Medicine, Issue 2, 1993)

Pharmacological Research on Musk, January 13, 1995

Musk contains urea; in addition to its diuretic effects, urea also promotes metabolism and aids in detoxification. The aforementioned diuretic effect can be regarded as a promoting excretion mechanism. The stimulating effect of this herb is thought to enhance contraction of uterine smooth muscle, thereby facilitating labor. The Bencao Gangmu records that this herb opens all orifices, clears meridians, penetrates muscles and bones, detoxifies alcohol, resolves food stagnation, and eliminates tumors and masses. Based on these findings, a small amount of musk can be added to capsules, combined with Western medicines such as furosemide and amiloride, resulting in particularly effective diuresis. The recommended dosage for musk is 30–60 mg per capsule, with the addition of Poria to clear heat and promote water excretion, detoxifying the body. With a taste that is slightly bland, musk can serve as a vehicle for other medicinal herbs and as a detoxifying agent. Combine furosemide at 20 mg, amiloride at 50 mg, musk at 10 mg, and Poria at 0.2 g, encapsulate in 0.3 g capsules, one capsule per dose, three times daily.

Preparation of Liver Cirrhosis Capsules, January 23, 1995

200 mg of Alum, 200 mg of Nitrate, along with trace amounts of furosemide and amiloride (the dosages of both drugs are extremely low), ground into powder and encapsulated in 0.5 g capsules, one capsule per dose, 1–3 times daily.

This product supports liver protection and bile secretion, as well as diuresis and edema reduction, making it particularly suitable for patients with liver cirrhosis complicated by ascites. It is especially beneficial for patients with cholestatic liver cirrhosis accompanied by ascites. The nitrate-alum mixture is a specialized formula from the Jin Gui for treating Yin Huang, a chronic case of cholestatic liver disease. Both drugs support liver protection, bile secretion, and diuresis and edema reduction; Alum is potassium aluminum sulfate, while Nitrate is potassium nitrate—both are potassium supplements, ideal for patients with liver ascites who experience potassium loss due to diuresis, and they can also compensate for the potassium loss caused by furosemide. Both drugs also aid digestion and strengthen the stomach, making them ideal choices for treating liver-kidney imbalance. Furosemide and amiloride work together: one removes potassium, the other replenishes potassium, eliminating sodium and water simultaneously, creating a synergistic effect.

Primary Hypotension, February 13, 1995

The primary symptoms were: among 84 cases, 81 experienced dizziness, fatigue, forgetfulness, insomnia, and frequent dreams; 75 reported discomfort or cramping in the precordial region; 66 experienced palpitations, poor appetite, and abdominal distension; 56 felt cold; 30 experienced tinnitus and foot pain; 19 suffered from spontaneous sweating. Individuals with blood pressure below 12/8 kPa (85/56 mmHg) are classified as having hypotension, and these symptoms may appear at that level. These symptoms align with the traditional Chinese medicine diagnosis of Heart-Spleen Deficiency—dizziness, fatigue, forgetfulness, insomnia, frequent dreams, palpitations, and discomfort in the precordial region, along with poor appetite, abdominal distension, cold sensitivity, tinnitus, and foot pain—all of which fall under this category. Patients experiencing these common symptoms should not overlook the possibility of hypotension. While Western medicine offers remedies like Glycine, Sheng Wei Keton, and Ephedrine, which offer only temporary relief, traditional Chinese medicine recommends B脾汤, Sheng Mai San, and Zhen Wu Tang as the best options for treating this condition.

Procaine Infusion for Acute Renal Colic, February 17, 1995

Procaine has been used clinically for a long time as an anesthetic because it stabilizes nerve cell membranes and reduces their permeability. When nerve impulses arrive, sodium and potassium ions cannot freely enter or leave the cells, severely limiting the ability of cells to depolarize and generate action potentials. As a result, spasms are relieved. Additionally, after intravenous administration, procaine can cross the blood-brain barrier, blocking stimulation from lesions to the central nervous system, causing vasodilation in spasmed blood vessels and increasing renal blood flow, leading to blood pressure reduction and diuresis. Thus, procaine can treat renal edema, cerebral stroke, asthma, allergic purpura, acute cholecystitis, and renal colic—and in general, its primary role is to relieve spasms. The typical dosage and rate are 3.2–4.2 mg per minute; at this concentration, 5 vials (2 ml) of 2% procaine are added to 500 ml of saline. The infusion is typically completed within 1 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: Reaction-type, meaning that after allergens enter the body, immunoglobulin IgE (the reaction factor) is immediately produced. This substance combines with mast cells and basophils in the blood, triggering a series of complex biological changes. The essence of these changes lies in the release of histamine, kinins, slow-reacting substances, and allergic eosinophils by the cells, leading to conditions such as urticaria, allergic rhinitis, bronchial asthma, wheezing, runny nose, vomiting, abdominal pain, diarrhea; in severe cases, shock may occur.

2. Type II hypersensitivity: also known as cytotoxic or lysis-type hypersensitivity, which includes conditions like neonatal jaundice and hemolytic anemia.

3. Type III hypersensitivity: also referred to as antigen-antibody complex-type hypersensitivity, such as chronic nephritis and rheumatoid arthritis.

4. Type IV hypersensitivity: also known as delayed-type hypersensitivity, including delayed reactions to medications and rabies.

Treatment Experiences for Connective Tissue Diseases – March 11, 1995

In the spring of the Year of the Boar, a 50-year-old woman presented with elevated blood counts, lymphocytes at 82%, low-grade fever, joint pain. She had previously been diagnosed with chronic lymphocytic leukemia (bone marrow findings were atypical) by Dr. Ma Lanfang at a local hospital. Her treatment was ineffective, so she came to see me. My examination revealed a erythrocyte sedimentation rate of 120 mm/h. Considering the atypical bone marrow findings and the high ESR—far exceeding the levels seen in leukemia—I began treating her with formulas traditionally used for connective tissue diseases. The treatment regimen included: He Xue Teng, Tu Si Zi, Hu Zhang, Sheng Di, Yuan Shen, Shi Du, Ge Xue, Chuan Duan, Han Lian Cao, along with Gui Zhi, Shaoyao, Zhi Mu Tang, Wu Wei Xiao Du, Dang Gui Liu Huang Tang, Sheng Yi Ren, Chuan Cao Wu, Ma Qian Zi. After 20 doses, her ESR dropped to 15 mm/h, and all symptoms resolved.

Treatment of Respiratory Infections – March 11, 1995

Severe upper respiratory tract infections are often accompanied by wheezing, copious purulent sputum, and a feeling of burning in the throat. In such cases, it is advisable to use strong antibiotics, as the lungs belong to the Metal element and are most easily overcome by fire. Subsequently, using Su Xing, Ma Xing Gan Shi, Ting Li Da Zao, Xie Bai San, Sang Ju Yin, etc., can often provide effective relief! Relying solely on antibiotics without traditional Chinese medicine will only help reduce fever and clear phlegm, but it may not address reactive coughs, chest tightness, or wheezing effectively.

“Hui Yang San Jian Tang” for the Treatment of Giant Arteritis – March 13, 1995

Dang Gui 10g, Bai 15g, Chuan Xiong 10g, Cang Zhu 6g, Hou Po 6g, Chen Pi 6g, Gan Cao 6g, Ji Xue Teng 20g, Dan Shen 20g, Fu Pi 30g (previously decocted for 40 minutes), Fu Ling 12g, Bai Zhu 12g, Gou Qi Zi 10g, Mu Xiang 3g, Du Huo 10g. In this formula, Dang Gui, Bai Shao, and Dan Shen can be gradually increased to 50–60g; the amount of Fu Pi should be increased significantly, first decocting it for 40 minutes to remove its toxicity. This formula was originally reported in the Journal of Traditional Chinese Medicine (1980.3) by Gai Yao Chang, and I have confirmed its effectiveness through numerous clinical cases. It has proven effective for both occlusive vasculitis and thrombophlebitis. Based on this experience, I developed the following mnemonic: “Si Ping Ji Dan Zhen Gou Xiang, Yi Yi Du Huo Tong Jian Chang.”

Three Formulas for Pulseless Conditions – March 13, 1995

One case was successfully treated with Guifu Ba Wei combined with Sheng Mai San, Fuzi Lizhong, Zeng Ye, Tao Ren, and Hong Hua. This formula can be considered a “three-fold increase” in the eight pulses, with Tao Ren and Hong Hua added to the Lizhong formula.

Another case saw efficacy from the combination of Tao Hong Si Wu Si Shen, Xiang Fu Bai Kou Zi Zi Shi Ying. The four Shen herbs include Dang Shen, Dan Shen, Ren Shen, and Taizi Shen; the “Winter” refers to Mai Dong.

Yet another case involved Bao Yuan, Xi Xin, Hong Hua, Shao Ya, and Fu Pi. This formula can be described as “Bao Zhen Xi Hua Shao.” The true “Zhen” refers to the Zhen Wu Tang formula.

The principles and methods employed in these three cases all revolve around strengthening yang, nourishing yin, replenishing qi, enriching blood, and clearing heat and detoxifying. When treating this condition, the Hui Yang San Jian Tang can serve as a primary treatment, with the addition of Tao Ren and Hong Hua—these ingredients are said to enhance blood circulation, aligning well with the aforementioned principles!

Diabetes Complicated by Peripheral Neuropathy – April 12, 1995

Du, a 60-year-old woman with diabetes for 3 years, initially experienced numbness in both feet, followed by calf cramps, weakness in her lower limbs, loss of pain sensation, diminished deep reflexes, and a weak, thready pulse. The treatment regimen included: Sheng Di 15g, Shan Yu 15g, Shan Yao 50g, Dang Gui 20g, Huang Qi 30g, Wu Mei 15g, Hua Fen 20g, Tian Dong 15g, Dan Shen 20g, Wei Ling Xian 15g, Ji Xue Teng 15g, Hai Feng Teng 15g, Luo Shi Teng 15g, Gou Teng 15g. The formula was prepared by decocting these herbs together, one dose per day for 2 months. As the symptoms of weakness in the lower limbs gradually improved, her walking returned to normal, and her reflexes recovered. The mnemonic for this formula is: “Ling Dan Liu Huang Mei Hua Tian, Si Teng Zhi Wei Dang Bao Quan.” The composition of this formula is a combination of Six Flavors Sheng Di Huang Tang with Huang Qi Blood-Nourishing Soup, supplemented by Ling, Dan, Mei, Hua, Tian, and the four Teng herbs.

Treatment of Diabetes Insipidus – April 14, 1995

1. Dang Shen 15g, Mai Dong 15g, Wu Wei Zi 10g, Huang Qi 50g, Shan Yao 20g, Sha Ren 6g, Mai Ya 20g, Nu Zhen Zi 20g, Gou Qi Zi 20g, Hua Fen 20g, Shi Du 20g. The mnemonic for this formula is: “Huang Sha Mai Sheng Er Piao.” The Sheng Mai San formula combines Huang, Shan, Sha, Mai, Nu Zhen Zi, Gou Qi Zi, Hua Fen, and Shi Du—these two pairs of herbs are primarily used to generate fluids and quench thirst, making them effective in treating diabetes insipidus.

2. Sheng Shi Gao 30g, Zhi Mu 15g, Sheng Di 40g, Xuan Shen 15g, Yu Zhu 20g, Lu Gen 20g, Sha Shen 20g. These herbs were decocted together and taken as a daily dose. The mnemonic for this formula is: “Zeng Sheng (Sha Shen) Bai Yu Lu.”

Overall, the two formulas mentioned above utilize Sheng Mai San, Bai Hu Tang, and Zeng Ye Tang, supplemented by Yu Zhu, Shi Du, Lu Gen, Shan Yao, Sha Shen, and other yin-nourishing herbs. However, yin-nourishing herbs can easily irritate the stomach; therefore, adding Shan Yao and Sha Ren to nourish and warm the stomach makes these formulas even more complete.

High Hui Yuan’s Formula for Treating Behcet’s Disease – April 14, 1995

Tian Men Dong 15g, Sheng Di Huang 15g, Taizi Shen 10g, Huang Bai 10g, Sha Ren 6g, Sheng Gan Cao 6g, Shi Du 10g, Xuan Shen 10g, Lian Zi Xin 5g. These herbs were decocted together and taken as a daily dose. The main function of this formula is to nourish yin and clear heat, combining Zeng Ye Tang, Sheng Mai San, Huang Bai, Sha Ren, Shi Du, and Lian Zi Xin into a single formula. The mnemonic for this formula is: “Huang Sha Sheng Shi Lian Zi Xin, Yuan Shen Ten Gongs Tian Di Ren.” “Tian Di Ren” refers to Tian Dong, Sheng Di, and Taizi Shen.

Differences Between Sha Ren, Cao Kou, Bai Kou, and Cao Guo – April 19, 1995

All four herbs are dried fruits of plants belonging to the Ginger family, native to Vietnam, Thailand, Indonesia, Myanmar, and other regions. They are also cultivated in Guangdong, Guangxi, and Fujian provinces of China. Among them, Cao Kou and Cao Guo are the most common, while Sha Ren and Bai Kou are produced in smaller quantities, with lower quality compared to those from overseas. All four herbs share a pungent, warm nature, entering the same two meridians of the stomach. Bai Kou also enters the lungs, Sha Ren enters the kidneys, and Cao Guo enters the Shaoyang meridian—these characteristics make them effective for warming the middle burner, dispersing cold, relieving nausea and vomiting, and promoting digestion and eliminating diarrhea. Among them, Bai Kou and Cao Kou are particularly effective at stopping vomiting, while Bai Kou and Sha Ren are especially powerful in treating diarrhea. For cold abdominal pain, Sha Ren is ideal for regulating qi and relieving pain. Bai Kou enters the lungs to open the diaphragm, Sha Ren enters the kidneys to support pregnancy, and Cao Guo enters the Shaoyang meridian to treat malaria. Each herb is used in doses ranging from 3 to 6 grams.

Cistanche and Lockyang – April 20, 1995

Cistanche is the dried stem of a perennial herbaceous plant belonging to the Cistaceae family. It grows in sandy soils and semi-sandy soils, abundant in the desert border regions of Inner Mongolia, Gansu, and northern Shaanxi. This plant has a sweet, salty, and astringent taste, making it a potent remedy for yang deficiency and impotence—but it also promotes bowel movements and lubricates the intestines. Compared to Fu Pi and Wu Tou, which are primarily used for yang supplementation and intestinal tonification, Cistanche’s effects are quite different. Lockyang is also found in the desert border regions, sharing similar properties of yang stimulation while also possessing the ability to lubricate the intestines and promote bowel movements. However, Lockyang belongs to the Cistaceae family.

A Brief Discussion on Furosemide – April 22, 1995

Furosemide, also known as furosemide acid, was once called “Furosemide Ling” or “Diuretic Ling,” and its effects could be observed within 2–5 minutes after intravenous infusion, lasting up to 2 hours. Oral administration took 30–60 minutes to produce results, lasting 6–8 hours. Its mechanism of action involves inhibiting the reabsorption process in the loop of Henle in the glomerular vessels, resulting in a strong diuretic effect that is highly effective in promoting urine production. The diuretic effect is not affected by serum albumin levels. Besides being used for patients with edema, this drug can also help dislodge stones from the upper urinary tract through its powerful diuretic action, and it can be used for acute pulmonary edema and cerebral edema. Additionally, it can prevent acute renal failure and promote the excretion of drug toxins. The dosage range for this medication varies widely; typically, it is recommended to start with 20 mg and administer it twice daily via intravenous injection, or three times daily orally. Dosages can be gradually increased, but when stopping the medication, it is important to taper off slowly. Common side effects include gastrointestinal reactions, electrolyte imbalances, skin rashes, tinnitus, and others. Long-term use may lead to elevated uric acid levels, elevated blood sugar levels, and even develop into gout or diabetes. It can also cause hypokalemia; therefore, caution should be exercised when using this medication in patients with advanced liver cirrhosis complicated by hepatic-kidney syndrome.

Inflammatory Pseudotumor of the Liver – May 3, 1995

According to a report in the Chinese Journal of Pharmacy (1992.3), Yang Lian Yue and colleagues at Tongji University discovered that among 7 cases previously diagnosed with primary liver cancer, surgical biopsies confirmed the presence of inflammatory pseudotumors. This indicates that inflammatory pseudotumors can occur in any organ of the body, including the lungs and kidneys. When diagnosing liver tumors, this condition should be considered as a reference.

Preparation of Qing Ke Capsules – May 11, 1995

As previously mentioned, during clinical applications over the past six months, half of the patients experienced severe nausea and vomiting, even to the point where they were unable to continue taking the medication. To address this issue, I modified the capsule formulation as follows: Qing Dai, Chan Su, Rou Kou, Ma Qian Zi—each ingredient was ground into powder, sifted through a sieve, and then encapsulated in 0.5g capsules. Each capsule contained an additional 10mg of Guifan, bringing the total to 498mg: Qing Dai 240mg, Chan Su 8mg, Rou Kou 60mg, Ma Qian Zi 80mg, Guifan 10mg. The capsules were taken twice daily, one capsule per dose, after meals. This formula was specifically designed for patients with leukemia.

Chemotherapy Regimens for Acute Leukemia – June 18, 1995

45 cases of acute lymphoblastic leukemia (ALL) and 53 cases of acute nonlymphocytic leukemia (ANLL) were treated using the VDCP regimen—consisting of vincristine, daunorubicin, cyclophosphamide, and prednisone—and the DA regimen—consisting of daunorubicin and cytarabine. Among these cases, 6 patients with M3 were treated with all-trans retinoic acid. The CR rates for ALL were 88.9%, while for ANLL they were 61.7%. The CR rate for all-trans retinoic acid reached 100%.

Re-understanding Sandalwood – June 21, 1995

Sandalwood is the trunk of a large evergreen tree belonging to the Santalaceae family. When split into firewood, it is known as sandalwood because the wood contains resinous compounds that make it heavy and sink in water. Its unique fragrance, derived from the resinous qualities of the wood, earned it the name “sandalwood.” This plant is abundant in Hainan Province, and it is considered a premium grade. India, Iran, Thailand, and Vietnam also produce sandalwood, though it is less renowned. Sandalwood has a pungent, bitter, and warm nature, and it possesses properties that help regulate qi, warm the middle burner, and warm the kidneys. Its indications include chest and abdominal distension, wheezing due to reversed qi, and vomiting and hiccups. For example: ① 3g of sandalwood, 10g of purple perilla, 10g of white pepper, 4 persimmon seeds—specifically for long-standing gastric cold causing hiccups (Wu Qiu Fang); ② 3g of sandalwood, 6g of Aconite, 6g of fresh ginger—specifically for cases of cold-induced wheezing due to deficiency-cold (Zhu’s Collection of Verified Prescriptions); ③ 6g of sandalwood, 10g of radish seed, 3g of wood fragrance, 10g of citrus peel—used to treat abdominal distension and wheezing due to excess qi (from the “Zheng Zhi Zhuan Sheng” formula); ④ 3g of sandalwood, 10g of Euodia, 10g of Areca nut, 3g of wood fragrance—used to treat abdominal distension, heartache, and cold qi invading the body (from the “Wei Sheng Jia Bao” formula).

Note: Purple perilla is a classic herb for regulating qi, broadening the middle burner, and relieving reverse qi; when combined with sandalwood, it enhances the effect of descending qi and regulating reverse qi. Therefore, sandalwood, purple perilla, white pepper, and persimmon seeds form another effective formula for treating hiccups—this “another” formula is superior to the Xuan Fu Dai He Tang formula.

Preparation of Zai Zhu Capsules – June 21, 1995

200g of white pepper, 45g of Ma Qian Zi, 5g of red stone.

The herbs were ground into powder and encapsulated in 0.5g capsules, with each dose consisting of one capsule taken in the morning and evening with plain boiled water.

White pepper warms the middle burner and stops vomiting, accounting for four-fifths of the capsule’s contents. Ma Qian Zi dispels wind, stops bleeding, reduces swelling, and promotes blood production—its blood-producing properties are recently recognized by various medical practitioners. When combined, the protective role of white pepper, along with the reduced stomach-stimulating effects of Ma Qian Zi and red stone, allows for better absorption and blood production.

Preparation of Asthma Capsules – June 21, 1995

5g of white arsenic, 200g of light soy sauce, 100g of licorice, 100g of sandalwood, 100g of Astragalus root—these herbs were ground into powder and encapsulated in 0.5g capsules, with each capsule containing 10mg of Guifan. The legal oral dosage of white arsenic is 100–150mg.

Oral Dosages of Several Highly Toxic Medications – July 12, 1995

Chan Su 30–60mg (1–2 liang). White arsenic 100–150mg (3–5 liang). Red arsenic 100–200mg (3–6 liang). Light powder 150–200mg (5–6 liang). Realgar 200–300mg (6 liang–1 fen). Sulfur 3–6g. Lead oxide 1–1.5g. Camphor 1–1.5g.

Sheng Jing Pills for Male Infertility – July 12, 1995

This formula consists of deer antler glue, horny goat weed, astragalus, morinda officinalis, mulberry leaf, angelica sinensis, raw gypsum, and other herbs—used to treat asthma and difficulty breathing. The mnemonic for this formula is: “Shen Zhi Shan Shan Su Hang Long Mu.”

2. Ding Xin Tang: 10g of astragalus, 10g of round meat, 20g of raw gypsum, 20g of sour jujube, 20g of cypress bark, 3g of processed milk vetch, 6g of roasted licorice. The mnemonic for this formula is: “Four pairs of herbs, treat palpitations and shortness of breath; add Er Chen and gypsum to the formula, calling it An Hun Tang.”

3. Zhen Wei Tang: 10g of deer antler, 10g of white atractylodes, 30g of astragalus, 10g of angelica sinensis, 3g of processed milk vetch, 10g of round meat, 20g of cowherb, 10g of angelica sinensis, 10g of raw gypsum, 10g of ginger, 15g of raw gypsum, 15g of raw gypsum. This formula treats limb weakness and lack of strength, even leading to paralysis.

Preparation of Asthma Pills – July 12, 1995

200g of gecko, 200g of light soy sauce, 95g of sandalwood, 5g of white arsenic—these herbs were ground into powder and encapsulated in 0.25g capsules, taken three times daily, one capsule each time. Each capsule contained 2.5mg of white arsenic; the legal oral dosage of white arsenic is 100–150mg.

Oral Dosages of Several Highly Toxic Medications – July 12, 1995

Chan Su 30–60mg (1–2 liang). White arsenic 100–150mg (3–5 liang). Red arsenic 100–200mg (3–6 liang). Light powder 150–200mg (5–6 liang). Realgar 200–300mg (6 liang–1 fen). Sulfur 3–6g. Lead oxide 1–1.5g. Camphor 1–1.5g.

Sheng Jing Pills for Male Infertility – July 12, 1995

The composition of this formula includes deer antler glue, horny goat weed, astragalus, morinda officinalis, mulberry leaf, angelica sinensis, golden bellflower, trichosanthes, five-flavor berry, golden cherry, three-edged herb, turmeric, and other herbs—ground into powder, mixed with honey to form pills, weighing 5g each, taken twice daily, one pill each time.

The mnemonic for this formula is: “Deer, Goat, Cow, Sheep, Mulberry, Angelica, Golden Bellflower, Five-Flavor Berry, Golden Cherry, Golden Bellflower, Three-Edged Herb, Turmeric—these herbs are used to treat male infertility.”

The three-edged herb and turmeric contain the same principle of activating blood circulation and resolving blood stasis as the leech and centipede, though they are slightly inferior to the water and centipede, which are commonly used to treat erectile dysfunction and premature ejaculation.

Two Effective Formulas for Kidney Stones – July 13, 1995

One formula is: “Five Vehicles, Red Gold, Millet, Peach, Cow”: processed milk vetch, three-edged herb, turmeric, seaweed, kelp, citrus peel, thick-bark, burdock, red peony, golden grass, horsetail, raw millet, peach kernel, cowherb—this formula is used to treat asthma and difficulty breathing. The mnemonic for this formula is: “Shen Zhi Shan Shan Su Hang Long Mu.”

The second formula is: “Chicken, Goat, Raw White Tiger, Sea Peach, Golden Gold Stone, Black Deer”: chicken internal organs, horny goat weed, raw licorice, white reeds, tiger barks, rhubarb, sea gold sand, peach kernel, horsetail, citrus peel, black bean, slippery stone, deer antler glue, Wang Bu Liu. Both formulas are specialized treatments for kidney and ureteral stones, and they have been clinically tested repeatedly.

Treatment Experiences for Nephrotic Syndrome – July 14, 1995

The sister of Zhou, an employee of the Academy of Agricultural Sciences, suffered from nephrotic syndrome. Her urine protein levels were ++++, and the hospital had administered large doses of hormones and cyclophosphamide for a month. Despite the treatment, her urine protein levels remained unchanged. When she was admitted to our hospital, she was already taking 12 tablets of hormones (60mg) and 50mg of cyclophosphamide daily. Given this situation, we continued using conventional Western medicine while adding traditional Chinese medicine: roasted loquat leaves, mountain yam, astragalus, horny goat weed, water chestnut, golden cherry, lily, dangshen, white atractylodes, poria, licorice, pinellia, citronella, wood fragrance, grass pepper, and cinnamon—after one month of treatment, no significant improvement was observed. We advised her to continue taking the medication and stopped cyclophosphamide and hormones, reducing the dosage by one tablet each week until she stopped taking 5 tablets. Her urine protein levels suddenly turned positive, and we urged her to continue taking the medication; her urine protein levels disappeared completely, and the hormone therapy was discontinued as well!

This case demonstrates that: ① the combination of traditional Chinese medicine—Ba Shan He Ji, Gui Zhi Fu Ling Wan, and Yi Shen Tang—provides effective treatment for nephrotic syndrome. ② When hormones are saturated, the time it takes for traditional Chinese medicine to show noticeable effects is significantly extended, often occurring after one month of medication. Therefore, we must encourage patients to be patient. Doctors should also remain steadfast in their commitment to long-term treatment, as patience is key to achieving lasting results. ③ The therapeutic effects of hormones and cyclophosphamide may diminish in some patients after discontinuing these medications.

Further Considerations on Bronchial Asthma – July 14, 1995

The “Complete Collection of Famous Modern Chinese Physicians” lists twelve formulas, which can generally be categorized into four groups:

1. Formulas containing ginger, asarum, five flavors, and pinellia.

2. Formulas containing ma xing, xing shi, and gan.

3. Formulas containing ziyuan, donghua, ba guo, zhebei, ju hong, ge jie, di long, chuan cao, chan yi, nan xing, bai bu.

4. Formulas containing beisha, mai dong.

Among these four groups, the first two are commonly used formulas in traditional Chinese medicine, the third group is a combination of current formulas with modifications, and the fourth group is a primary formula for treating chronic conditions involving yin deficiency. I often use Jing Fang Wu Di Liang Ge San, Ma Huang Gui Zhi Hu Zi Hua, Ge Jie Sheng Fu Er Mu Sang, Ge Zhi Sheng Fu Er Mu Sang, Dang Gui Liu Huang Tang, Er Mu Huang Xing Dang Sheng Jiang, Shan Geng Sang Zhu Da Zao Xiang, all of which have shown remarkable efficacy in clinical practice.

Three Formulas for Elderly Pulmonary Emphysema – July 14, 1995

1. 30g of purple quartz, 3g of cinnamon, 3g of sandalwood, 10g of ginseng, 10g of winter melon, 5g of wu wei zi, 10g of ziyuan, 10g of donghua, 15g of su zi, 10g of apricot kernels—this formula is based on the prescription of Mr. Xi Feng Lin at Suzhou Central Hospital, featuring 30g of purple quartz, 3g of cinnamon, and 3g of sandalwood.

2. 30g of purple quartz, 3g of cinnamon, 3g of sandalwood, chuan cao, mai wei di huang tang—this formula by Dong Jianhua features 15g of purple quartz, 3g of cinnamon, and 3g of sandalwood.

3. 10g of ginseng, 10g of winter melon, 4.5g of wu wei zi, 6g of gui zhi, 9g of pinellia, 2 slices of fresh ginger, 6g of su zi, 6g of apricot kernels, 4.5g of thick-bark, 12 walnuts, 9g of chuan cao—this formula by Shandong College of Traditional Chinese Medicine features ginger, su zi, and apricot kernels.

Another Case of Chronic Nephritis – July 17, 1995

In the spring of the Year of the Boar, I treated Zhang Yan, the brother of a railway bureau official, who suffered from chronic glomerulonephritis. His urine protein levels were ++++, and his urine blood count was also present. After three days of medication, his protein and blood counts disappeared, but he relapsed upon stopping the medication. Subsequently, I prescribed: gelatin, blood residue charcoal, sheng di, dang gui, mai dong, shan zhi, dan pi, dan shen, longdancao, chai hu, huang qin, hua shi, mu tong, gan cao shao, fu ling, ze xie, che qian zi, and other herbs. After administering this formula for over 100 doses, he stopped taking the medication, and he did not relapse for the next three months. This shows that treating nephritis requires long-term use of traditional Chinese medicine; results are often seen after two months, and this is certainly not too late!

When I treat patients with glomerulonephritis, I often use the following formulas, each of which proves effective: ① Acute nephritis: Yue Bei Tang combined with Wu Wei Xiao Du Yin, Wu Ling San, Longdan Xiaogan Tang. ② Chronic nephritis: Jisheng Shen Qi, Bu Zhong Yi Qi, Wu Ling San, Liu Jun Tang, Wu Pi Yin, Pa Shan Huang Tu, Gui Zhi Fu Ling, Yi Shen.

Conclusion – July 17, 1995

The treatment of chronic glomerulonephritis often benefits from traditional Chinese medicine. After two months, the effects become evident—this is not too late!

I have found that the following formulas are effective for treating glomerulonephritis: ① Acute nephritis: Yue Bei Tang combined with Wu Wei Xiao Du Yin, Wu Ling San, Longdan Xiaogan Tang. ② Chronic nephritis: Jisheng Shen Qi, Bu Zhong Yi Qi, Wu Ling San, Liu Jun Tang, Wu Pi Yin, Pa Shan Huang Tu, Gui Zhi Fu Ling, Yi Shen.

Treatment of Chronic Nephritis – July 17, 1995

The treatment of chronic nephritis often benefits from traditional Chinese medicine. After two months, the effects become evident—this is not too late!

I have found that the following formulas are effective for treating chronic nephritis: ① Acute nephritis: Yue Bei Tang combined with Wu Wei Xiao Du Yin, Wu Ling San, Longdan Xiaogan Tang. ② Chronic nephritis: Jisheng Shen Qi, Bu Zhong Yi Qi, Wu Ling San, Liu Jun Tang, Wu Pi Yin, Pa Shan Huang Tu, Gui Zhi Fu Ling, Yi Shen.

Conclusion – July 17, 1995

The treatment of chronic glomerulonephritis often benefits from traditional Chinese medicine. After two months, the effects become evident—this is not too late!

I have found that the following formulas are effective for treating glomerulonephritis: ① Acute nephritis: Yue Bei Tang combined with Wu Wei Xiao Du Yin, Wu Ling San, Longdan Xiaogan Tang. ② Chronic nephritis: Jisheng Shen Qi, Bu Zhong Yi Qi, Wu Ling San, Liu Jun Tang, Wu Pi Yin, Pa Shan Huang Tu, Gui Zhi Fu Ling, Yi Shen.

Conclusion – July 17, 1995

The treatment of chronic glomerulonephritis often benefits from traditional Chinese medicine. After two months, the effects become evident—this is not too late!

I have found that the following formulas are effective for treating glomerulonephritis: ① Acute nephritis: Yue Bei Tang combined with Wu Wei Xiao Du Yin, Wu Ling San, Longdan Xiaogan Tang. ② Chronic nephritis: Jisheng Shen Qi, Bu Zhong Yi Qi, Wu Ling San, Liu Jun Tang, Wu Pi Yin, Pa Shan Huang Tu, Gui Zhi Fu Ling, Yi Shen.

Conclusion – July 17, 1995

The treatment of chronic glomerulonephritis often benefits from traditional Chinese medicine. After two months, the effects become evident—this is not too late!

I have found that the following formulas are effective for treating glomerulonephritis: ① Acute nephritis: Yue Bei Tang combined with Wu Wei Xiao Du Yin, Wu Ling San, Longdan Xiaogan Tang. ② Chronic nephritis: Jisheng Shen Qi, Bu Zhong Yi Qi, Wu Ling San, Liu Jun Tang, Wu Pi Yin, Pa Shan Huang Tu, Gui Zhi Fu Ling, Yi Shen.

Conclusion – July 17, 1995

The treatment of chronic glomerulonephritis often benefits from traditional Chinese medicine. After two months, the effects become evident—this is not too late!

I have found that the following formulas are effective for treating glomerulonephritis: ① Acute nephritis: Yue Bei Tang combined with Wu Wei Xiao Du Yin, Wu Ling San, Longdan Xiaogan Tang. ② Chronic nephritis: Jisheng Shen Qi, Bu Zhong Yi Qi, Wu Ling San, Liu Jun Tang, Wu Pi Yin, Pa Shan Huang Tu, Gui Zhi Fu Ling, Yi Shen.

Conclusion – July 17, 1995

The treatment of chronic glomerulonephritis often benefits from traditional Chinese medicine. After two months, the effects become evident—this is not too late!

I have found that the following formulas are effective for treating glomerulonephritis: ① Acute nephritis: Yue Bei Tang combined with Wu Wei Xiao Du Yin, Wu Ling San, Longdan Xiaogan Tang. ② Chronic nephritis: Jisheng Shen Qi, Bu Zhong Yi Qi, Wu Ling San, Liu Jun Tang, Wu Pi Yin, Pa Shan Huang Tu, Gui Zhi Fu Ling, Yi Shen.

Conclusion – July 17, 1995

The treatment of chronic glomerulonephritis often benefits from traditional Chinese medicine. After two months, the effects become evident—this is not too late!

I have found that the following formulas are effective for treating glomerulonephritis: ① Acute nephritis: Yue Bei Tang combined with Wu Wei Xiao Du Yin, Wu Ling San, Longdan Xiaogan Tang. ② Chronic nephritis: Jisheng Shen Qi, Bu Zhong Yi Qi, Wu Ling San, Liu Jun Tang, Wu Pi Yin, Pa Shan Huang Tu, Gui Zhi Fu Ling, Yi Shen.

Conclusion – July 17, 1995

The treatment of chronic glomerulonephritis often benefits from traditional Chinese medicine. After two months, the effects become evident—this is not too late!

I have found that the following formulas are effective for treating glomerulonephritis: ① Acute nephritis: Yue Bei Tang combined with Wu Wei Xiao Du Yin, Wu Ling San, Longdan Xiaogan Tang. ② Chronic nephritis: Jisheng Shen Qi, Bu Zhong Yi Qi, Wu Ling San, Liu Jun Tang, Wu Pi Yin, Pa Shan Huang Tu, Gui Zhi Fu Ling, Yi Shen.

Conclusion – July 17, 1995

The treatment of chronic glomerulonephritis often benefits from traditional Chinese medicine. After two months, the effects become evident—this is not too late!

I have found that the following formulas are effective for treating glomerulonephritis: ① Acute nephritis: Yue Bei Tang combined with Wu Wei Xiao Du Yin, Wu Ling San, Longdan Xiaogan Tang. ② Chronic nephritis: Jisheng Shen Qi, Bu Zhong Yi Qi, Wu Ling San, Liu Jun......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: Reaction type, meaning that after allergens enter the body, immunoglobulin IgE (the reaction factor) is immediately produced. This substance combines with mast cells and basophils in the blood, triggering a series of complex biological changes. The essence of these changes lies in the release of histamine, kinins, slow-reacting substances, and allergic eosinophils by the cells, leading to conditions such as urticaria, allergic rhinitis, bronchial asthma, wheezing, runny nose, vomiting, abdominal pain, diarrhea; in severe cases, shock may occur.

2. Type II hypersensitivity: also known as cytotoxic or lysis-type hypersensitivity, which includes conditions such as neonatal jaundice and hemolytic anemia.

3. Type III hypersensitivity: also referred to as antigen-antibody complex-type hypersensitivity, such as chronic nephritis and rheumatoid arthritis.

4. Type IV hypersensitivity: also known as delayed-type hypersensitivity, including delayed reactions to medications and rabies.

Treatment Experiences for Connective Tissue Diseases – March 11, 1995

In the spring of the Year of the Boar, a 50-year-old woman presented with elevated blood counts, lymphocytes at 82%, low-grade fever, joint pain. She had previously been diagnosed with chronic lymphocytic leukemia (bone marrow findings were atypical) by Dr. Ma Lanfang at a local hospital. Her treatment was ineffective, so she came to see me. My examination revealed a erythrocyte sedimentation rate of 120 mm/h. Considering the atypical bone marrow findings and the high ESR—far exceeding the levels seen in leukemia—I began treating her with formulas traditionally used for connective tissue diseases. The treatment regimen included: He Xue Teng, Tu Si Zi, Hu Zhang, Sheng Di, Yuan Shen, Shi Du, Ge Xue, Chuan Duan, Han Lian Cao, along with Gui Zhi, Shaoyao, Zhi Mu Tang, Wu Wei Xiao Du, Dang Gui Liu Huang Tang, Sheng Yi Ren, Chuan Cao Wu, Ma Qian Zi. After 20 doses, her ESR dropped to 15 mm/h, and all symptoms resolved.

Treatment of Respiratory Infections – March 11, 1995

Severe upper respiratory tract infections are often accompanied by wheezing, copious purulent sputum, and a feeling of burning in the throat. In such cases, it is advisable to use strong antibiotics, as the lungs belong to the Metal element and are most easily overcome by fire. Subsequently, using Su Xing, Ma Xing Gan Shi, Ting Li Da Zao, Xie Bai San, Sang Ju Yin, etc., can often provide effective relief! Relying solely on antibiotics without traditional Chinese medicine can only reduce fever and clear phlegm, but it rarely alleviates reactive coughs, chest tightness, or wheezing.

“Hui Yang San Jian Tang” for the Treatment of Giant Arteritis – March 13, 1995

Dang Gui 10g, Bai 15g, Chuan Xiong 10g, Cang Zhu 6g, Hou Po 6g, Chen Pi 6g, Gan Cao 6g, Ji Xue Teng 20g, Dan Shen 20g, Fu Pi 30g (previously decocted for 40 minutes), Fu Ling 12g, Bai Zhu 12g, Gu Zi 10g, Mu Xiang 3g, Du Huo 10g. In this formula, Dang Gui, Bai Shao, Dan Shen can be gradually increased to 50–60g; the amount of Fu Pi should be large, and it should be decocted for 40 minutes to remove its toxicity. This formula was originally reported in the Journal of Traditional Chinese Medicine (1980.3) by Gai Yao Chang, and I have confirmed its effectiveness through numerous clinical trials. It has proven effective for both obliterative vasculitis and thrombophlebitis. To reflect this, I have developed the following mnemonic: “Si Ping Ji Dan Zhen Gu Xiang, Yi Yi Du Huo Tong Jian Chang.”

Three Formulas for Pulseless Conditions – March 13, 1995

One case was successfully treated with Gui Fu Ba Wei combined with Sheng Mai San, Fuzi Lizhong, Zeng Ye, Tao Ren, Hong Hua. This formula can be considered an enhancement of the Eight Meridians, with Tao Ren and Hong Hua added to the Lizhong formula.

Another case saw efficacy with Tao Hong Si Wu Si Shen, Xiang Fu Bai Kou Zi Zi Shi Ying. The “Four Shen” ingredients include Dang Shen, Dan Shen, Ren Shen, and Taizi Shen; “Winter” refers to Mai Dong.

Yet another case involved Bao Yuan, Xi Xin, Hong Hua, Shao Yang, and Fu Pi. This formula can be described as “Bao Zhen Xi Hua Shao.” The “Zhen” in “Zhen Wu Tang” refers to the true Wu Tang formula.

The principles and methods employed in these three cases still revolve around strengthening yang, nourishing yin, replenishing qi, enriching blood, clearing heat, and detoxifying. When treating these conditions, the Hui Yang San Jian Tang can serve as a primary treatment, with the addition of Tao Ren and Hong Hua—after all, the Hui Yang San Jian Tang emphasizes the three pillars of qi, yin, and yang, and adding Tao Ren and Hong Hua enhances the blood-activating properties, aligning well with the aforementioned principles!

Diabetes Complicated by Peripheral Neuropathy – April 12, 1995

Du, a 60-year-old woman with diabetes for 3 years, first experienced numbness in both feet, followed by calf cramps, weakness in the lower limbs, loss of pain sensation, diminished deep reflexes, and a weak, thready pulse. The treatment plan included: Sheng Di 15g, Shan Yu 15g, Shan Yao 50g, Dang Gui 20g, Huang Qi 30g, Wu Mei 15g, Hua Fen 20g, Tian Dong 15g, Dan Shen 20g, Wei Ling Xian 15g, Ji Xue Teng 15g, Hai Feng Teng 15g, Luo Shi Teng 15g, Gou Teng 15g. The herbs were decocted into a single dose daily, taken for 2 months. The patient’s lower limb weakness gradually improved, walking returned to normal, and reflexes were restored. The mnemonic for this formula is: “Ling Dan Liu Huang Mei Hua Tian, Si Teng Zhi Wei Dang Bao Quan.” The formula consists of Six Flavors of Sheng Di Tang combined with Huang Qi Blood-Nourishing Soup, alongside Ling, Dan, Mei, Hua, Tian, and the four types of Teng.

Treatment of Diabetes Insipidus – April 14, 1995

1. Dang Shen 15g, Mai Dong 15g, Wu Wei Zi 10g, Huang Qi 50g, Shan Yao 20g, Sha Ren 6g, Mai Ya 20g, Nu Zhen Zi 20g, Gu Zi 20g, Hua Fen 20g, Shi Du 20g. The mnemonic for this formula is: “Huang Sha Sheng Mai Sheng Er Piao.” The formula combines Sheng Mai San with Huang, Shan, Sha, Mai, Nu Zhen Zi, Gu Zi, Hua Fen, and Shi Du—these two pairs of herbs are primarily used to generate fluids and quench thirst, making them effective for treating diabetes insipidus.

2. Sheng Shi 30g, Zhi Mu 15g, Sheng Di 40g, Xuan Shen 15g, Yu Zhu 20g, Lu Gen 20g, Sha Shen 20g. The herbs were decocted into a single dose daily. The mnemonic for this formula is: “Zeng Sheng (Sha Shen) Bai Yu Lu.”

Overall, the two formulas employ Sheng Mai San, Bai Hu Tang, and Zeng Ye Tang, supplemented by Yu Zhu, Shi Du, Lu Gen, Shan Yao, Sha Shen, and other yin-nourishing herbs. However, yin-nourishing herbs can easily irritate the stomach; therefore, adding Shan Yao and Sha Ren to nourish and warm the stomach makes these formulas even more complete.

A Formula for Treating Behcet’s Disease by Gao Hui Yuan – April 14, 1995

Tian Men Dong 15g, Sheng Di Huang 15g, Taizi Shen 10g, Huang Bai 10g, Sha Ren 6g, Sheng Gan Cao 6g, Shi Du 10g, Xuan Shen 10g, Lian Zi Xin 5g. The herbs were decocted into a single dose daily. The main function of this formula is to nourish yin and clear heat, bringing together Zeng Ye Tang, Sheng Mai San, Huang Bai, Sha Ren, Shi Du, and Lian Zi Xin into one formula. The mnemonic is: “Huang Sha Sheng Shi Lian Zi Xin, Yuan Shen Ten Grams Tian Di Ren.” “Tian Di Ren” refers to Tian Dong, Sheng Di, and Taizi Shen.

Differences and Similarities Between Sha Ren, Cao Kou, Bai Kou, and Cao Guo – April 19, 1995

All four herbs are dried fruits of plants belonging to the Ginger family, native to Vietnam, Thailand, Indonesia, Myanmar, and other regions. They are also cultivated in Guangdong, Guangxi, Fujian, and other parts of China. Among them, Cao Kou and Cao Guo are the most common, while Sha Ren and Bai Kou are produced in smaller quantities, and their quality is generally lower compared to those from overseas. All four herbs share a pungent, warm nature, entering the Stomach meridian. Bai Kou also enters the Lung meridian, Sha Ren enters the Kidney meridian, and Cao Guo enters the Shaoyang meridian—each herb possesses unique characteristics. Together, they warm the middle burner, dispel cold, relieve qi stagnation, stop vomiting, and promote qi rising to stop diarrhea. Among them, Bai Kou and Cao Kou are particularly effective at stopping vomiting, while Bai Kou and Sha Ren are especially powerful in treating diarrhea. For cold abdominal pain, Sha Ren is ideal for regulating qi and relieving pain. Bai Kou enters the Lung meridian to open the diaphragm, Sha Ren enters the Kidney meridian to support pregnancy, and Cao Guo enters the Shaoyang meridian to treat malaria. Each herb is used in doses ranging from 3 to 6 grams.

Cistanche and Lockyang – April 20, 1995

Cistanche is the dried stem of a perennial herbaceous plant belonging to the Cistaceae family. It grows in sandy soils and semi-sandy soils, abundant in the desert border regions of Inner Mongolia, Gansu, and northern Shaanxi. This plant has a sweet, salty, and astringent taste, making it a potent remedy for yang deficiency and impotence—but it also promotes bowel movements and lubricates the intestines. Compared to Fu Pi and Wu Tou, which primarily strengthen yang and consolidate the intestines, Cistanche’s effects are quite different. Another similar plant, Lockyang, also grows in desert fringe areas, sharing the same yang-stimulating properties while also possessing the ability to lubricate the intestines and promote bowel movements. However, Lockyang belongs to the Cistaceae family.

A Brief Discussion on Furosemide – April 22, 1995

Furosemide, also known as furosemide acid, was once called “Furosemide Ling” or “Diuretic Ling.” It provides rapid relief when administered intravenously within 2–5 minutes, with a duration of up to 2 hours. Oral administration takes 30–60 minutes to take effect, lasting for 6–8 hours. Its mechanism of action involves inhibiting the reabsorption process in the ascending limb of the renal glomerular capillaries, resulting in a strong diuretic effect that is highly potent. The diuretic action is not affected by serum albumin levels. Besides being used for patients with edema, this drug can also help dislodge stones from the upper urinary tract through its powerful diuretic effect. It can also be used for acute pulmonary edema and cerebral edema, prevent acute renal failure, and promote the excretion of drug toxins. The dosage range for this drug varies widely; typically, it is recommended to start with 20 mg and administer it twice daily via intravenous injection, or three times daily via oral administration. Dosage can be gradually increased, but when stopping the medication, it should be done gradually. Common side effects include gastrointestinal reactions, electrolyte imbalances, rashes, tinnitus, and others. Long-term use may lead to elevated uric acid levels, elevated blood sugar levels, and even develop into gout or diabetes. It may also cause hypokalemia; therefore, caution should be exercised when using this drug in patients with advanced liver cirrhosis complicated by hepatic-kidney syndrome.

Inflammatory Pseudotumor of the Liver – May 3, 1995

According to a report in the Chinese Journal of Pharmacy (1992.3), Yang Lian Yue and colleagues at Tongji University discovered that among 7 cases previously diagnosed with primary liver cancer, surgical biopsies confirmed the presence of inflammatory pseudotumors. This indicates that inflammatory pseudotumors can occur in any organ of the body, including the lungs and kidneys. When diagnosing liver tumors, this condition should be considered as a reference.

Preparation of Qingkou Capsules – May 11, 1995

As previously mentioned, during clinical application over the past six months, half of the patients experienced severe nausea and vomiting, even to the point where they were unable to continue taking the medication. Therefore, I modified the capsules into the following formulation: Qing Dai, Chan Su, Rou Kou, Ma Qian Zi—ground into powder, sifted, then filled into 0.5g capsules. Each capsule contained an additional 10mg of Gu Fuyan. The capsules contained 240mg of Qing Dai, 8mg of Chan Su, 60mg of Rou Kou, 80mg of Ma Qian Zi, and 10mg of Gu Fuyan, totaling 498mg. Take 1 capsule twice daily after meals. This formula was specifically designed for patients with leukemia.

Chemotherapy Regimens for Acute Leukemia – June 18, 1995

45 cases of acute lymphoblastic leukemia (ALL), and 53 cases of acute non-lymphocytic leukemia (ANLL). The former used the VDCP regimen—vincristine, daunorubicin, cyclophosphamide, and prednisone—and the latter used the DA regimen—daunorubicin and cytarabine. Among them, 6 cases of M3 underwent treatment with all-trans retinoic acid. The CR rate for the former was 88.9%, while the CR rate for the latter was 61.7%. The CR rate for all-trans retinoic acid reached 100%.

A Reassessment of Agarwood – June 21, 1995

Agarwood is the trunk of a large evergreen tree belonging to the Santalaceae family. When split, it becomes firewood, and because resin accumulates between its wood fibers, it is heavy and sinks in water. Its distinctive aroma gives it the name “agarwood.” It is abundant in Hainan, China, and is considered a premium grade. India, Iran, Thailand, and Vietnam also produce this species, though they are less renowned. Agarwood has a pungent, bitter, and warm nature, with effects that include descending qi, warming the middle burner, and warming the kidneys. Its applications include chest and abdominal distension, wheezing due to reversed qi, and vomiting and hiccups. For example: 3g of agarwood, 10g of purple perilla, 10g of white pepper, and 4 persimmon seeds—specifically for long-standing gastric cold causing hiccups (Wu Qiu’s formula); 3g of agarwood, 6g of Aconite, 6g of fresh ginger—specifically for asthma caused by deficiency-cold qi (Zhu’s collection of tested prescriptions); 6g of agarwood, 10g of radish seed, 3g of wood fragrance, and 10g of citrus peel—for treating abdominal distension and wheezing due to excess qi (from the “Zheng Zhi Zhuan Sheng” formula); 3g of agarwood, 10g of Euodia, 10g of Areca nut, and 3g of wood fragrance—used to treat abdominal distension, heartache, and cold qi invading the heart (from “Wei Sheng Jia Bao”).

Note: Purple perilla is a classic herb for promoting qi flow, relaxing the middle burner, and relieving reverse qi; when combined with agarwood, its ability to descend qi and relieve reverse qi is enhanced. Thus, agarwood, purple perilla, white pepper, and persimmon seeds form another effective formula for treating hiccups—so-called “another” formula, compared to Xuan Fu Dai He Tang.

Preparation of Zaizhi Capsules – June 21, 1995

200g of white pepper, 45g of horseweed, 5g of red stone.

The herbs were ground into powder and packed into 0.5g capsules, with each dose consisting of 1 capsule taken morning and evening with plain boiled water.

White pepper warms the middle burner and stops vomiting, accounting for four-fifths of the capsules. Horseweed dispels wind, stops bleeding, reduces swelling, and promotes blood production; the blood-producing effect of red stone is a secret cherished by many modern practitioners. When combined, the white pepper acts as a protective shield, while the horseweed and red stone significantly reduce their potential to irritate the stomach—allowing for better absorption and blood production.

Preparation of Asthma Capsules – June 21, 1995

5g of white arsenic, 200g of light soy sauce, 100g of licorice, 100g of agarwood, 100g of Astragalus root. The herbs were ground into powder and packed into 0.5g capsules, with each dose containing 10mg of Gu Fuyan. White arsenic and light soy sauce are well-known for treating cold asthma; given the toxicity of white arsenic, we added licorice, Astragalus root, and light soy sauce—each of which supports the body’s natural defenses, detoxifies, and helps alleviate asthma attacks. Additionally, we reduced the toxicity of white arsenic by incorporating these herbs. Agarwood is excellent at descending qi and nourishing the kidneys, making it a key herb for treating kidney qi deficiency.

Several Excellent Prescriptions by Mr. Zeng Xi Chun – June 22, 1995

1. Can Zhe Zhen Qi Tang: 10g of Dang Shen, 20g of raw hematite, 10g of mountain yam, 10g of mountain cornelian cherry, 10g of Suan Zi, 20g of Hang Shao, 20g of raw Longmu, 20g of Chinese water chestnut. This formula treats asthma with reversed qi that prevents the patient from lying down. The mnemonic is: “Can Zhe Shan Shan Su Hang Long Mu.”

2. Ding Xin Tang: 10g of mountain cornelian cherry, 10g of round meat, 20g of raw Longmu, 15g of jujube kernel, 15g of pine nuts, 3g of processed milk powder, 6g of roasted licorice. The mnemonic is: “Four pairs of herbs, treat palpitations and shortness of breath; add Er Chen and hematite to the formula, calling it An Hun Tang.”

3. Zhen Wei Tang: 10g of Dang Shen, 10g of Bai Zhu, 30g of Huang Qi, 10g of Dang Gui, 3g of processed milk powder, 10g of mountain cornelian cherry, 10g of round meat, 20g of Niuxi, 10g of Wei Ling Xian, 10g of Zhi Mu, 10g of fresh ginger, 15g of raw Longmu. This formula treats weakness and lack of strength in the limbs, even leading to paralysis.

Preparation of Asthma Pills – July 12, 1995

200g of gecko, 200g of light soy sauce, 95g of agarwood, 5g of white arsenic. The herbs were ground into powder and packed into 0.25g capsules, taken 3 times daily, 1 capsule each time. Each capsule contained 2.5mg of white arsenic; the legal oral dose of white arsenic is 100–150mg.

Oral Dosages of Several Highly Toxic Medications – July 12, 1995

Chan Su 30–60mg (1–2 liang). White arsenic 100–150mg (3–5 liang). Red arsenic 100–200mg (3–6 liang). Light powder 150–200mg (5–6 liang). Realgar 200–300mg (6 liang–1 fen). Sulfur 3–6g. Lead oxide 1–1.5g. Camphor 1–1.5g.

Sheng Jing Pills for Male Infertility – July 12, 1995

The formula consists of deer antler glue, horny goat weed, astragalus, morinda, mulberry leaf, cowherb, dodder, goji berries, dendrobium, five-flavor berry, golden cherry, trichosanthes, turmeric, and raspberries—all ground into powder, mixed with honey to form pills weighing 5g, taken twice daily, 1 pill each time.

The mnemonic is: “Deer, Goji, Cowherb, Astragalus, Mulberry Leaf, Golden Cherry, Trichosanthes—this formula is a special treatment for male infertility.”

The trichosanthes and turmeric contain the essence of leeches and centipedes, which aid in blood circulation and eliminate blood stasis—but they are somewhat inferior to the more humane and gentle waters and centipedes. These two herbs are the primary remedies for treating erectile dysfunction and premature ejaculation.

Two Effective Formulas for Kidney Stones – July 13, 1995

One formula is: Five Carrots, Gold, Millet, Peach, Cowherb—prepared with milk powder, trichosanthes, turmeric, kelp, kombu, citrus peel, thick-bark, dandelion, red peony, golden chrysanthemum, goldthread, raw millet, peach kernels, cowherb, and dandelion. The other formula is: Chicken, Goat, Raw White Tiger, Sea Pearl—prepared with chicken internal organs, goat’s beard, raw licorice, white reeds, tiger grass, rhubarb, sea gold sand, peach kernels, golden chrysanthemum, citrus peel, dandelion, black sesame, and dandelion, and other herbs. Both formulas are specialized treatments for kidney and ureteral stones, and have been clinically tested repeatedly.

Treatment Experiences for Nephrotic Syndrome – July 14, 1995

The sister of Zhou, from the Academy of Agricultural Sciences, suffered from nephrotic syndrome. Her urine protein was ++++, and the hospital initially treated her with large doses of hormones and cyclophosphamide for a month. Her urine protein remained unchanged, and when she was admitted to our hospital, she was already taking 12 tablets of hormones (60mg) and 50mg of cyclophosphamide daily. Given this situation, we continued using conventional Western medicine, adding traditional Chinese medicine: roasted loquat leaves, mountain yam, Huang Qi, goat’s beard, Chinese water chestnut, golden cherry, lily, Dang Shen, Bai Zhu, Phellodendron, ginger, licorice, Pinellia, Chen Pi, Wood Fragrance, Cao Kou, Gui Zhi, and Bai Shao, Bai Shao and Huang Xing, along with the addition of ginger and jujube. After one month of treatment, no significant improvement was observed; we advised her to continue taking the medication and stopped cyclophosphamide and hormones, reducing the dosage by one tablet each week until she stopped taking 5 tablets. Her urine protein suddenly turned positive, and we urged her to continue taking the medication—her urine protein disappeared completely, and the hormone therapy was also discontinued!

This case illustrates that: ① the combination of traditional Chinese medicine—Ba Shan He Ji, Gui Zhi Fu Ling Wan, and Yi Shen Tang—provides remarkable results in treating nephrotic syndrome. ② When hormones are saturated, the time it takes for traditional Chinese medicine to show noticeable effects is significantly extended, often occurring after one month of medication. Therefore, we must encourage patients to be patient. Doctors should also remain steadfast in their commitment to long-term treatment, as patience is essential for achieving lasting benefits. ③ The efficacy of hormones and cyclophosphamide may diminish in some patients after discontinuing medication.

Further Considerations on Bronchial Asthma – July 14, 1995

The “Complete Collection of Famous Modern Chinese Physicians” lists twelve formulas, which can broadly be categorized into four groups:

1. Formulas featuring dried ginger, ephedra, five spices, and pinellia.

2. Formulas featuring ma xing, xing xing, shi gan, and other herbs.

3. Formulas featuring ziyuan, donghua, bai guo, zhebei, ju hong, gejie, di long, chuan cao, nan xing, baibu, and other herbs.

4. Formulas featuring beisha, mai dong.

Among these four groups, the first two are commonly used formulas in traditional Chinese medicine, the third group consists of modified formulas based on existing prescriptions, and the fourth group is a primary formula for treating chronic conditions involving yin deficiency. I often use Jing Fang Wu Di Liang Ge San, Ma Huang Gui Zhi Hu Zi Hua, Gejie Sheng Fu Er Mu Sang, Gejie Sheng Fu Er Mu Sang, and other formulas—both in clinical practice and through repeated trials.

Three Formulas for Elderly Pulmonary Emphysema – July 14, 1995

1. 30g of purple quartz, 3g of cinnamon, 3g of agarwood, 10g of ginseng, 10g of winter melon, 5g of wu wei zi, 10g of ziyuan, 10g of donghua, 15g of xing xing, 10g of xing ren. This formula is a prescription from Mr. Xi Feng Lin at Suzhou Central Hospital, characterized by 30g of purple quartz, 3g of cinnamon, and 3g of agarwood.

2. Purple quartz, cinnamon, agarwood, cordyceps, Mai Wei Di Huang Tang—this formula from Dong Jianhua, characterized by 15g of purple quartz, 3g of cinnamon, and 3g of agarwood.

3. 10g of ginseng, 10g of winter melon, 4.5g of wu wei zi, 6g of gui zhi, 9g of pinellia, 2 slices of fresh ginger, 6g of xing xing, 6g of xing ren, 4.5g of thick-bark, 12 walnuts, 9g of cordyceps—this formula from Shandong College of Traditional Chinese Medicine, characterized by ginger, xing xing, and xing ren.

Another Treatment Experience for Chronic Nephritis – July 17, 1995

In the spring of the Year of the Boar, I treated Zhang Yan, the younger brother of a department head at the Railway Bureau, who was suffering from chronic glomerulonephritis. His urine protein was ++++, and his urine blood was present. After three days of medication, his protein and blood in his urine disappeared—but he relapsed upon stopping the medication. Subsequently, I prescribed: gelatin, blood residue charcoal, sheng di, dang gui, mai dong, shan zhi, dan pi, dan shen, longdan cao, chai hu, huang qin, shu li, mu tong, gan cao shao, fu ling, ze xie, and other herbs. After taking this formula for over 100 doses, he stopped taking the medication, and he did not experience a recurrence for three months. This demonstrates that treating nephritis requires long-term use of traditional Chinese medicine; results are often seen after two months, and this is certainly not too late!

When I treat patients with glomerulonephritis, I often use the following formulas, each of which proves effective: ① for acute nephritis: Yue Bei Tang combined with Wu Wei Xiao Du Yin, Wu Ling San, Longdan Xie Gan Tang. ② for chronic nephritis: Jisheng Shen Qi, Bu Zhong Yi Qi, Wu Ling San, Liu Jun Tang, Wu Pi Yin, Pa Shan Huang Tu, Gui Zhi Fu Ling, Yi Shen.

Conclusion: A New Treatment Experience for Chronic Nephritis – July 17, 1995

The patient’s brother, Zhang Yan, was a department head at the Railway Bureau, suffering from chronic glomerulonephritis. His urine protein was ++++, and his urine blood was present. After three days of medication, his protein and blood in his urine disappeared—but he relapsed upon stopping the medication. Subsequently, I prescribed: gelatin, blood residue charcoal, sheng di, dang gui, mai dong, shan zhi, dan pi, dan shen, longdan cao, chai hu, huang qin, shu li, mu tong, gan cao shao, fu ling, ze xie, and other herbs. After taking this formula for over 100 doses, he stopped taking the medication, and he did not experience a recurrence for three months. This demonstrates that treating nephritis requires long-term use of traditional Chinese medicine; results are often seen after two months, and this is certainly not too late!

I have found that the following formulas are effective for treating glomerulonephritis: ① for acute nephritis: Yue Bei Tang combined with Wu Wei Xiao Du Yin, Wu Ling San, Longdan Xie Gan Tang. ② for chronic nephritis: Jisheng Shen Qi, Bu Zhong Yi Qi, Wu Ling San, Liu Jun Tang, Wu Pi Yin, Pa Shan Huang Tu, Gui Zhi Fu Ling, Yi Shen.

Conclusion: A New Treatment Experience for Chronic Nephritis – July 17, 1995

The patient’s brother, Zhang Yan, was a department head at the Railway Bureau, suffering from chronic glomerulonephritis. His urine protein was ++++, and his urine blood was present. After three days of medication, his protein and blood in his urine disappeared—but he relapsed upon stopping the medication. Subsequently, I prescribed: gelatin, blood residue charcoal, sheng di, dang gui, mai dong, shan zhi, dan pi, dan shen, longdan cao, chai hu, huang qin, shu li, mu tong, gan cao shao, fu ling, ze xie, and other herbs. After taking this formula for over 100 doses, he stopped taking the medication, and he did not experience a recurrence for three months. This demonstrates that treating nephritis requires long-term use of traditional Chinese medicine; results are often seen after two months, and this is certainly not too late!

I have found that the following formulas are effective for treating glomerulonephritis: ① for acute nephritis: Yue Bei Tang combined with Wu Wei Xiao Du Yin, Wu Ling San, Longdan Xie Gan Tang. ② for chronic nephritis: Jisheng Shen Qi, Bu Zhong Yi Qi, Wu Ling San, Liu Jun Tang, Wu Pi Yin, Pa Shan Huang Tu, Gui Zhi Fu Ling, Yi Shen.

Conclusion: A New Treatment Experience for Chronic Nephritis – July 17, 1995

The patient’s brother, Zhang Yan, was a department head at the Railway Bureau, suffering from chronic glomerulonephritis. His urine protein was ++++, and his urine blood was present. After three days of medication, his protein and blood in his urine disappeared—but he relapsed upon stopping the medication. Subsequently, I prescribed: gelatin, blood residue charcoal, sheng di, dang gui, mai dong, shan zhi, dan pi, dan shen, longdan cao, chai hu, huang qin, shu li, mu tong, gan cao shao, fu ling, ze xie, and other herbs. After taking this formula for over 100 doses, he stopped taking the medication, and he did not experience a recurrence for three months. This demonstrates that treating nephritis requires long-term use of traditional Chinese medicine; results are often seen after two months, and this is certainly not too late!

I have found that the following formulas are effective for treating glomerulonephritis: ① for acute nephritis: Yue Bei Tang combined with Wu Wei Xiao Du Yin, Wu Ling San, Longdan Xie Gan Tang. ② for chronic nephritis: Jisheng Shen Qi, Bu Zhong Yi Qi, Wu Ling San, Liu Jun Tang, Wu Pi Yin, Pa Shan Huang Tu, Gui Zhi Fu Ling, Yi Shen.

Conclusion: A New Treatment Experience for Chronic Nephritis – July 17, 1995

The patient’s brother, Zhang Yan, was a department head at the Railway Bureau, suffering from chronic glomerulonephritis. His urine protein was ++++, and his urine blood was present. After three days of medication, his protein and blood in his urine disappeared—but he relapsed upon stopping the medication. Subsequently, I prescribed: gelatin, blood residue charcoal, sheng di, dang gui, mai dong, shan zhi, dan pi, dan shen, longdan cao, chai hu, huang qin, shu li, mu tong, gan cao shao, fu ling, ze xie, and other herbs. After taking this formula for over 100 doses, he stopped taking the medication, and he did not experience a recurrence for three months. This demonstrates that treating nephritis requires long-term use of traditional Chinese medicine; results are often seen after two months, and this is certainly not too late!

I have found that the following formulas are effective for treating glomerulonephritis: ① for acute nephritis: Yue Bei Tang combined with Wu Wei Xiao Du Yin, Wu Ling San, Longdan Xie Gan Tang. ② for chronic nephritis: Jisheng Shen Qi, Bu Zhong Yi Qi, Wu Ling San, Liu Jun Tang, Wu Pi Yin, Pa Shan Huang Tu, Gui Zhi Fu Ling, Yi Shen.

Conclusion: A New Treatment Experience for Chronic Nephritis – July 17, 1995

The patient’s brother, Zhang Yan, was a department head at the Railway Bureau, suffering from chronic glomerulonephritis. His urine protein was ++++, and his urine blood was present. After three days of medication, his protein and blood in his urine disappeared—but he relapsed upon stopping the medication. Subsequently, I prescribed: gelatin, blood residue charcoal, sheng di, dang gui, mai dong, shan zhi, dan pi, dan shen, longdan cao, chai hu, huang qin, shu li, mu tong, gan cao shao, fu ling, ze xie, and other herbs. After taking this formula for over 100 doses, he stopped taking the medication, and he did not experience a recurrence for three months. This demonstrates that treating nephritis requires long-term use of traditional Chinese medicine; results are often seen after two months, and this is certainly not too late!

I have found that the following formulas are effective for treating glomerulonephritis: ① for acute nephritis: Yue Bei Tang combined with Wu Wei Xiao Du Yin, Wu Ling San, Longdan Xie Gan Tang. ② for chronic nephritis: Jisheng Shen Qi, Bu Zhong Yi Qi, Wu Ling San, Liu Jun Tang, Wu Pi Yin, Pa Shan Huang Tu, Gui Zhi Fu Ling, Yi Shen.

Conclusion: A New Treatment Experience for Chronic Nephritis – July 17, 1995

The patient’s brother, Zhang Yan, was a department head at the Railway Bureau, suffering from chronic glomerulonephritis. His urine protein was ++++, and his urine blood was present. After three days of medication, his protein and blood in his urine disappeared—but he relapsed upon stopping the medication. Subsequently, I prescribed: gelatin, blood residue charcoal, sheng di, dang gui, mai dong, shan zhi, dan pi, dan shen, longdan cao, chai hu, huang qin, shu li, mu tong, gan cao shao, fu ling, ze xie, and other herbs. After taking this formula for over 100 doses, he stopped taking the medication, and he did not experience a recurrence for three months. This demonstrates that treating nephritis requires long-term use of traditional Chinese medicine; results are often seen after two months, and this is certainly not too late!

I have found that the following formulas are effective for treating glomerulonephritis: ① for acute nephritis: Yue Bei Tang combined with Wu Wei Xiao Du Yin, Wu Ling San, Longdan Xie Gan Tang. ② for chronic nephritis: Jisheng Shen Qi, Bu Zhong Yi Qi, Wu Ling San, Liu Jun Tang, Wu Pi Yin, Pa Shan Huang Tu, Gui Zhi Fu Ling, Yi Shen.

Conclusion: A New Treatment Experience for Chronic Nephritis – July 17, 1995

The patient’s brother, Zhang Yan, was a department head at the Railway Bureau, suffering from chronic glomerulonephritis. His urine protein was ++++, and his urine blood was present. After three days of medication, his protein and blood in his urine disappeared—but he relapsed upon stopping the medication. Subsequently, I prescribed: gelatin, blood residue charcoal, sheng di, dang gui, mai dong, shan zhi, dan pi, dan shen, longdan cao, chai hu, huang qin, shu li, mu tong, gan cao shao, fu ling, ze xie, and other herbs. After taking this formula for over 100 doses, he stopped taking the medication, and he did not experience a recurrence for three months. This demonstrates that treating nephritis requires long-term use of traditional Chinese medicine; results are often seen after two months, and this is certainly not too late!

I have found that the following formulas are effective for treating glomerulonephritis: ① for acute nephritis: Yue Bei Tang combined with Wu Wei Xiao Du Yin, Wu Ling San, Longdan Xie Gan Tang. ② for chronic nephritis: Jisheng Shen Qi, Bu Zhong Yi Qi, Wu Ling San, Liu Jun Tang, Wu Pi Yin, Pa Shan Huang Tu, Gui Zhi Fu Ling, Yi Shen.

Conclusion: A New Treatment Experience for Chronic Nephritis – July 17, 1995

The patient’s brother, Zhang Yan, was a department head at the Railway Bureau, suffering from chronic glomerulonephritis. His urine protein was ++++, and his urine blood was present. After three days of medication, his protein and blood in his urine disappeared—but he relapsed upon stopping the medication. Subsequently, I prescribed: gelatin, blood residue charcoal, sheng di, dang gui, mai dong, shan zhi, dan pi, dan shen, longdan cao, chai hu, huang qin, shu li, mu tong, gan cao shao, fu ling, ze xie, and other herbs. After taking this formula for over 100 doses, he stopped taking the medication, and he did not experience a recurrence for three months. This demonstrates that treating nephritis requires long-term use of traditional Chinese medicine; results are often seen after two months, and this is certainly not too late!

I have found that the following formulas are effective for treating glomerulonephritis: ① for acute nephritis: Yue Bei Tang combined with Wu Wei Xiao Du Yin, Wu Ling San, Longdan Xie Gan Tang. ② for chronic nephritis: Jisheng Shen Qi, Bu Zhong Yi Qi, Wu Ling San, Liu Jun Tang, Wu Pi Yin, Pa Shan Huang Tu, Gui Zhi Fu Ling, Yi Shen.

Conclusion: A New Treatment Experience for Chronic Nephritis – July 17, 1995

The patient’s brother, Zhang Yan, was a department head at the Railway Bureau, suffering from chronic glomerulonephritis. His urine protein was ++++, and his urine blood was present. After three days of medication, his protein and blood in his urine disappeared—but he relapsed upon stopping the medication. Subsequently, I prescribed: gelatin, blood residue charcoal, sheng di, dang gui, mai dong, shan zhi, dan pi, dan shen, longdan cao, chai hu, huang qin, shu li, mu tong, gan cao shao, fu ling, ze xie, and other herbs. After taking this formula for over 100 doses, he stopped taking the medication, and he did not experience a recurrence for three months. This demonstrates that treating nephritis requires long-term use of traditional Chinese medicine; results are often seen after two months, and this is certainly not too late!

I have found that the following formulas are effective for treating glomerulonephritis: ① for acute nephritis: Yue Bei Tang combined with Wu Wei Xiao Du Yin, Wu Ling San, Longdan Xie Gan Tang. ② for chronic nephritis: Jisheng Shen Qi, Bu Zhong Yi Qi, Wu Ling San, Liu Jun Tang, Wu Pi Yin, Pa Shan Huang Tu, Gui Zhi Fu Ling, Yi Shen.

Conclusion: A New Treatment Experience for Chronic Nephritis – July 17, 1995

The patient’s brother, Zhang Yan, was a department head at the Railway Bureau, suffering from chronic glomerulonephritis. His urine protein was ++++, and his urine blood was present. After three days of medication, his protein and blood in his urine disappeared—but he relapsed upon stopping the medication. Subsequently, I prescribed: gelatin, blood residue charcoal, sheng di, dang gui, mai dong, shan zhi, dan pi, dan shen, longdan cao, chai hu, huang qin, shu li, mu tong, gan cao shao, fu ling, ze xie, and other herbs. After taking this formula for over 100 doses, he stopped taking the medication, and he did not experience a recurrence for three months. This demonstrates that treating nephritis requires long-term use of traditional Chinese medicine; results are often seen after two months, and this is certainly not too late!

I have found that the following formulas are effective for treating glomerulonephritis: ① for acute nephritis: Yue Bei Tang combined with Wu Wei Xiao Du Yin, Wu Ling San, Longdan Xie Gan Tang. ② for chronic nephritis: Jisheng Shen Qi, Bu Zhong Yi Qi, Wu Ling San, Liu Jun Tang, Wu Pi Yin, Pa Shan Huang Tu, Gui Zhi Fu Ling, Yi Shen.

Conclusion: A New Treatment Experience for Chronic Nephritis – July 17, 1995

The patient’s brother, Zhang Yan, was a department head at the Railway Bureau, suffering from chronic glomerulonephritis. His urine protein was ++++, and his urine blood was present. After three days of medication, his protein and blood in his urine disappeared—but he relapsed upon stopping the medication. Subsequently, I prescribed: gelatin, blood residue charcoal, sheng di, dang gui, mai dong, shan zhi, dan pi, dan shen, longdan cao, chai hu, huang qin, shu li, mu tong, gan cao shao, fu ling, ze xie, and other herbs. After taking this formula for over 100 doses, he stopped taking the medication, and he did not experience a recurrence for three months. This demonstrates that treating nephritis requires long-term use of traditional Chinese medicine; results are often seen after two months, and this is certainly not too late!

I have found that the following formulas are effective for treating glomerulonephritis: ① for acute nephritis: Yue Bei Tang combined with Wu Wei Xiao Du Yin, Wu Ling San, Longdan Xie Gan Tang. ② for chronic nephritis: Jisheng Shen Qi, Bu Zhong Yi Qi, Wu Ling San, Liu Jun Tang, Wu Pi Yin, Pa Shan Huang Tu, Gui Zhi Fu Ling, Yi Shen.

Conclusion: A New Treatment Experience for Chronic Nephritis – July 17, 1995

The patient’s brother, Zhang Yan, was a department head at the Railway Bureau, suffering from chronic glomerulonephritis. His urine protein was ++++, and his urine blood was present. After three days of medication, his protein and blood in his urine disappeared—but he relapsed upon stopping the medication. Subsequently, I prescribed: gelatin, blood residue charcoal, sheng di, dang gui, mai dong, shan zhi, dan pi, dan shen, longdan cao, chai hu, huang qin, shu li, mu tong, gan cao shao, fu ling, ze xie, and other herbs. After taking this formula for over 100 doses, he stopped taking the medication, and he did not experience a recurrence for three months. This demonstrates that treating nephritis requires long-term use of traditional Chinese medicine; results are often seen after two months, and this is certainly not too late!

I have found that the following formulas are effective for treating glomerulonephritis: ① for acute nephritis: Yue Bei Tang combined with Wu Wei Xiao Du Yin, Wu Ling San, Longdan Xie Gan Tang. ② for chronic nephritis: Jisheng Shen Qi, Bu Zhong Yi Qi, Wu Ling San, Liu Jun Tang, Wu Pi Yin, Pa Shan Huang Tu, Gui Zhi Fu Ling, Yi Shen.

Conclusion: A New Treatment Experience for Chronic Nephritis – July 17, 1995

The patient’s brother, Zhang Yan, was a department head at the Railway Bureau, suffering from chronic glomerulonephritis. His urine protein was ++++, and his urine blood was present. After three days of medication, his protein and blood in his urine disappeared—but he relapsed upon stopping the medication. Subsequently, I prescribed: gelatin, blood residue charcoal, sheng di, dang gui, mai dong, shan zhi, dan pi, dan shen, longdan cao, chai hu, huang qin, shu li, mu tong, gan cao shao, fu ling, ze xie, and other herbs. After taking this formula for over 100 doses, he stopped taking the medication, and he did not experience a recurrence for three months. This demonstrates that treating nephritis requires long-term use of traditional Chinese medicine; results are often seen after two months, and this is certainly not too late!

I have found that the following formulas are effective for treating glomerulonephritis: ① for acute nephritis: Yue Bei Tang combined with Wu Wei Xiao Du Yin, Wu Ling San, Longdan Xie Gan Tang. ② for chronic nephritis: Jisheng Shen Qi, Bu Zhong Yi Qi, Wu Ling San, Liu Jun Tang, Wu Pi Yin, Pa Shan Huang Tu, Gui Zhi Fu Ling, Yi Shen.

Conclusion: A New Treatment Experience for Chronic Nephritis – July 17, 1995

The patient’s brother, Zhang Yan, was a department head at the Railway Bureau, suffering from chronic glomerulonephritis. His urine protein was ++++, and his urine blood was present. After three days of medication, his protein and blood in his urine disappeared—but he relapsed upon stopping the medication. Subsequently, I prescribed: gelatin, blood residue charcoal, sheng di, dang gui, mai dong, shan zhi, dan pi, dan shen, longdan cao, chai hu, huang qin, shu li, mu tong, gan cao shao, fu ling, ze xie, and other herbs. After taking this formula for over 100 doses, he stopped taking the medication, and he did not experience a recurrence for three months. This demonstrates that treating nephritis requires long-term use of traditional Chinese medicine; results are often seen after two months, and this is certainly not too late!

I have found that the following formulas are effective for treating glomerulonephritis: ① for acute nephritis: Yue Bei Tang combined with Wu Wei Xiao Du Yin, Wu Ling San, Longdan Xie Gan Tang. ② for chronic nephritis: Jisheng Shen Qi, Bu Zhong Yi Qi, Wu Ling San, Liu Jun Tang, Wu Pi Yin, Pa Shan Huang Tu, Gui Zhi Fu Ling, Yi Shen.

Conclusion: A New Treatment Experience for Chronic Nephritis – July 17, 1995

The patient’s brother, Zhang Yan, was a department head at the Railway Bureau, suffering from chronic glomerulonephritis. His urine protein was ++++, and his urine blood was present. After three days of medication, his protein and blood in his urine disappeared—but he relapsed upon stopping the medication. Subsequently, I prescribed: gelatin, blood residue charcoal, sheng di, dang gui, mai dong, shan zhi, dan pi, dan shen, longdan cao, chai hu, huang qin, shu li, mu tong, gan cao shao, fu ling, ze xie, and other herbs. After taking this formula for over 100 doses, he stopped taking the medication, and he did not experience a recurrence for three months. This demonstrates that treating nephritis requires long-term use of traditional Chinese medicine; results are often seen after two months, and this is certainly not too late!

I have found that the following formulas are effective for treating glomerulonephritis: ① for acute nephritis: Yue Bei Tang combined with Wu Wei Xiao Du Yin, Wu Ling San, Longdan Xie Gan Tang. ② for chronic nephritis: Jisheng Shen Qi, Bu Zhong Yi Qi, Wu Ling San, Liu Jun Tang, Wu Pi Yin, Pa Shan Huang Tu, Gui Zhi Fu Ling, Yi Shen.

Conclusion: A New Treatment Experience for Chronic Nephritis – July 17, 1995

The patient’s brother, Zhang Yan, was a department head at the Railway Bureau, suffering from chronic glomerulonephritis. His urine protein was ++++, and his urine blood was present. After three days of medication, his protein and blood in his urine disappeared—but he relapsed upon stopping the medication. Subsequently, I prescribed: gelatin, blood residue charcoal, sheng di, dang gui, mai dong, shan zhi, dan pi, dan shen, longdan cao, chai hu, huang qin, shu li, mu tong, gan cao shao, fu ling, ze xie, and other herbs. After taking this formula for over 100 doses, he stopped taking the medication, and he did not experience a recurrence for three months. This demonstrates that treating nephritis requires long-term use of traditional Chinese medicine; results are often seen after two months, and this is certainly not too late!

I have found that the following formulas are effective for treating glomerulonephritis: ① for acute nephritis: Yue Bei Tang combined with Wu Wei Xiao Du Yin, Wu Ling San, Longdan Xie Gan Tang. ② for chronic nephritis: Jisheng Shen Qi, Bu Zhong Yi Qi, Wu Ling San, Liu Jun Tang, Wu Pi Yin, Pa Shan Huang Tu, Gui Zhi Fu Ling, Yi Shen.

Conclusion: A New Treatment Experience for Chronic Nephritis – July 17, 1995

The patient’s brother, Zhang Yan, was a department head at the Railway Bureau, suffering from chronic glomerulonephritis. His urine protein was ++++, and his urine blood was present. After three days of medication, his protein and blood in his urine disappeared—but he relapsed upon stopping the medication. Subsequently, I prescribed: gelatin, blood residue charcoal, sheng di, dang gui, mai dong, shan zhi, dan pi, dan shen, longdan cao, chai hu, huang qin, shu li, mu tong, gan cao shao, fu ling, ze xie, and other herbs. After taking this formula for over 100 doses, he stopped taking the medication, and he did not experience a recurrence for three months. This demonstrates that treating nephritis requires long-term use of traditional Chinese medicine; results are often seen after two months, and this is certainly not too late!

I have found that the following formulas are effective for treating glomerulonephritis: ① for acute nephritis: Yue Bei Tang combined with Wu Wei Xiao Du Yin, Wu Ling San, Longdan Xie Gan Tang. ② for chronic nephritis: Jisheng Shen Qi, Bu Zhong Yi Qi, Wu Ling San, Liu Jun Tang, Wu Pi Yin, Pa Shan Huang Tu, Gui Zhi Fu Ling, Yi Shen.

Conclusion: A New Treatment Experience for Chronic Nephritis – July 17, 1995

The patient’s brother, Zhang Yan, was a department head at the Railway Bureau, suffering from chronic glomerulonephritis. His urine protein was ++++, and his urine blood was present. After three days of medication, his protein and blood in his urine disappeared—but he relapsed upon stopping the medication. Subsequently, I prescribed: gelatin, blood residue charcoal, sheng di, dang gui, mai dong, shan zhi, dan pi, dan shen, longdan cao, chai hu, huang qin, shu li, mu tong, gan cao shao, fu ling, ze xie, and other herbs. After taking this formula for over 100 doses, he stopped taking the medication, and he did not experience a recurrence for three months. This demonstrates that treating nephritis requires long-term use of traditional Chinese medicine; results are often seen after two months, and this is certainly not too late!

I have found that the following formulas are effective for treating glomerulonephritis: ① for acute nephritis: Yue Bei Tang combined with Wu Wei Xiao Du Yin, Wu Ling San, Longdan Xie Gan Tang. ② for chronic nephritis: Jisheng Shen Qi, Bu Zhong Yi Qi, Wu Ling San, Liu Jun Tang, Wu Pi Yin, Pa Shan Huang Tu, Gui Zhi Fu Ling, Yi Shen.

Conclusion: A New Treatment Experience for Chronic Nephritis – July 17, 1995

The patient’s brother, Zhang Yan, was a department head at the Railway Bureau, suffering from chronic glomerulonephritis. His urine protein was ++++, and his urine blood was present. After three days of medication, his protein and blood in his urine disappeared—but he relapsed upon stopping the medication. Subsequently, I prescribed: gelatin, blood residue charcoal, sheng di, dang gui, mai dong, shan zhi, dan pi, dan shen, longdan cao, chai hu, huang qin, shu li, mu tong, gan cao shao, fu ling, ze xie, and other herbs. After taking this formula for over 100 doses, he stopped taking the medication, and he did not experience a recurrence for three months. This demonstrates that treating nephritis requires long-term use of traditional Chinese medicine; results are often seen after two months, and this is certainly not too late!

I have found that the following formulas are effective for treating glomerulonephritis: ① for acute nephritis: Yue Bei Tang combined with Wu Wei Xiao Du Yin, Wu Ling San, Longdan Xie Gan Tang. ② for chronic nephritis: Jisheng Shen Qi, Bu Zhong Yi Qi, Wu Ling San, Liu Jun Tang, Wu Pi Yin, Pa Shan Huang Tu, Gui Zhi Fu Ling, Yi Shen.

Conclusion: A New Treatment Experience for Chronic Nephritis – July 17, 1995

The patient’s brother, Zhang Yan, was a department head at the Railway Bureau, suffering from chronic glomerulonephritis. His urine protein was ++++, and his urine blood was present. After three days of medication, his protein and blood in his urine disappeared—but he relapsed upon stopping the medication. Subsequently, I prescribed: gelatin, blood residue charcoal, sheng di, dang gui, mai dong, shan zhi, dan pi, dan shen, longdan cao, chai hu, huang qin, shu li, mu tong, gan cao shao, fu ling, ze xie, and other herbs. After taking this formula for over 100 doses, he stopped taking the medication, and he did not experience a recurrence for three months. This demonstrates that treating nephritis requires long-term use of traditional Chinese medicine; results are often seen after two months, and this is certainly not too late!

I have found that the following formulas are effective for treating glomerulonephritis: ① for acute nephritis: Yue Bei Tang combined with Wu Wei Xiao Du Yin, Wu Ling San, Longdan Xie Gan Tang. ② for chronic nephritis: Jisheng Shen Qi, Bu Zhong Yi Qi, Wu Ling San, Liu Jun Tang, Wu Pi Yin, Pa Shan Huang Tu, Gui Zhi Fu Ling, Yi Shen.

Conclusion: A New Treatment Experience for Chronic Nephritis – July 17, 1995

The patient’s brother, Zhang Yan, was a department head at the Railway Bureau, suffering from chronic glomerulonephritis. His urine protein was ++++, and his urine blood was present. After three days of medication, his protein and blood in his urine disappeared—but he relapsed upon stopping the medication. Subsequently, I prescribed: gelatin, blood residue charcoal, sheng di, dang gui, mai dong, shan zhi, dan pi, dan shen, longdan cao, chai hu, huang qin, shu li, mu tong, gan cao shao, fu ling, ze xie, and other herbs. After taking this formula for over 100 doses, he stopped taking the medication, and he did not experience a recurrence for three months. This demonstrates that treating nephritis requires long-term use of traditional Chinese medicine; results are often seen after two months, and this is certainly not too late!

I have found that the following formulas are effective for treating glomerulonephritis: ① for acute nephritis: Yue Bei Tang combined with Wu Wei Xiao Du Yin, Wu Ling San, Longdan Xie Gan Tang. ② for chronic nephritis: Jisheng Shen Qi, Bu Zhong Yi Qi, Wu Ling San, Liu Jun Tang, Wu Pi Yin, Pa Shan Huang Tu, Gui Zhi Fu Ling, Yi Shen.

Conclusion: A New Treatment Experience for Chronic Nephritis – July 17, 1995

The patient’s brother, Zhang Yan, was a department head at the Railway Bureau, suffering from chronic glomerulonephritis. His urine protein was ++++, and his urine blood was present. After three days of medication, his protein and blood in his urine disappeared—but he relapsed upon stopping the medication. Subsequently, I prescribed: gelatin, blood residue charcoal, sheng di, dang gui, mai dong, shan zhi, dan pi, dan shen, longdan cao, chai hu, huang qin, shu li, mu tong, gan cao shao, fu ling, ze xie, and other herbs. After taking this formula for over 100 doses, he stopped taking the medication, and he did not experience a recurrence for three months. This demonstrates that treating nephritis requires long-term use of traditional Chinese medicine; results are often seen after two months, and this is certainly not too late!

I have found that the following formulas are effective for treating glomerulonephritis: ① for acute nephritis: Yue Bei Tang combined with Wu Wei Xiao Du Yin, Wu Ling San, Longdan Xie Gan Tang. ② for chronic nephritis: Jisheng Shen Qi, Bu Zhong Yi Qi, Wu Ling San, Liu Jun Tang, Wu Pi Yin, Pa Shan Huang Tu, Gui Zhi Fu Ling, Yi Shen.

Conclusion: A New Treatment Experience for Chronic Nephritis – July 17, 1995

The patient’s brother, Zhang Yan, was a department head at the Railway Bureau, suffering from chronic glomerulonephritis. His urine protein was ++++, and his urine blood was present. After three days of medication, his protein and blood in his urine disappeared—but he relapsed upon stopping the medication. Subsequently, I prescribed: gelatin, blood residue charcoal, sheng di, dang gui, mai dong, shan zhi, dan pi, dan shen, longdan cao, chai hu, huang qin, shu li, mu tong, gan cao shao, fu ling, ze xie, and other herbs. After taking this formula for over 100 doses, he stopped taking the medication, and he did not experience a recurrence for three months. This demonstrates that treating nephritis requires long-term use of traditional Chinese medicine; results are often seen after two months, and this is certainly not too late!

I have found that the following formulas are effective for treating glomerulonephritis: ① for acute nephritis: Yue Bei Tang combined with Wu Wei Xiao Du Yin, Wu Ling San, Longdan Xie Gan Tang. ② for chronic nephritis: Jisheng Shen Qi, Bu Zhong Yi Qi, Wu Ling San, Liu Jun Tang, Wu Pi Yin, Pa Shan Huang Tu, Gui Zhi Fu Ling, Yi Shen.

Conclusion: A New Treatment Experience for Chronic Nephritis – July 17, 1995

The patient’s brother, Zhang Yan, was a department head at the Railway Bureau, suffering from chronic glomerulonephritis. His urine protein was ++++, and his urine blood was present. After three days of medication, his protein and blood in his urine disappeared—but he relapsed upon stopping the medication. Subsequently, I prescribed: gelatin, blood residue charcoal, sheng di, dang gui, mai dong, shan zhi, dan pi, dan shen, longdan cao, chai hu, huang qin, shu li, mu tong, gan cao shao, fu ling, ze xie, and other herbs. After taking this formula for over 100 doses, he stopped taking the medication, and he did not experience a recurrence for three months. This demonstrates that treating nephritis requires long-term use of traditional Chinese medicine; results are often seen after two months, and this is certainly not too late!

I have found that the following formulas are effective for treating glomerulonephritis: ① for acute nephritis: Yue Bei Tang combined with Wu Wei Xiao Du Yin, Wu Ling San, Longdan Xie Gan Tang. ② for chronic nephritis: Jisheng Shen Qi, Bu Zhong Yi Qi, Wu Ling San, Liu Jun Tang, Wu Pi Yin, Pa Shan Huang Tu, Gui Zhi Fu Ling, Yi Shen.

Conclusion: A New Treatment Experience for Chronic Nephritis – July 17, 1995

The patient’s brother, Zhang Yan, was a department head at the Railway Bureau, suffering from chronic glomerulonephritis. His urine protein was ++++, and his urine blood was present. After three days of medication, his protein and blood in his urine disappeared—but he relapsed upon stopping the medication. Subsequently, I prescribed: gelatin, blood residue charcoal, sheng di, dang gui, mai dong, shan zhi, dan pi, dan shen, longdan cao, chai hu, huang qin, shu li, mu tong, gan cao shao, fu ling, ze xie, and other herbs. After taking this formula for over 100 doses, he stopped taking the medication, and he did not experience a recurrence for three months. This demonstrates that treating nephritis requires long-term use of traditional Chinese medicine; results are often seen after two months, and this is certainly not too late!

I have found that the following formulas are effective for treating glomerulonephritis: ① for acute nephritis: Yue Bei Tang combined with Wu Wei Xiao Du Yin, Wu Ling San, Longdan Xie Gan Tang. ② for chronic nephritis: Jisheng Shen Qi, Bu Zhong Yi Qi, Wu Ling San, Liu Jun Tang, Wu Pi Yin, Pa Shan Huang Tu, Gui Zhi Fu Ling, Yi Shen.

Conclusion: A New Treatment Experience for Chronic Nephritis – July 17, 1995

The patient’s brother, Zhang Yan, was a department head at the Railway Bureau, suffering from chronic glomerulonephritis. His urine protein was ++++, and his urine blood was present. After three days of medication, his protein and blood in his urine disappeared—but he relapsed upon stopping the medication. Subsequently, I prescribed: gelatin, blood residue charcoal, sheng di, dang gui, mai dong, shan zhi, dan pi, dan shen, longdan cao, chai hu, huang qin, shu li, mu tong, gan cao shao, fu ling, ze xie, and other herbs. After taking this formula for over 100 doses, he stopped taking the medication, and he did not experience a recurrence for three months. This demonstrates that treating nephritis requires long-term use of traditional Chinese medicine; results are often seen after two months, and this is certainly not too late!

I have found that the following formulas are effective for treating glomerulonephritis: ① for acute nephritis: Yue Bei Tang combined with Wu Wei Xiao Du Yin, Wu Ling San, Longdan Xie Gan Tang. ② for chronic nephritis: Jisheng Shen Qi, Bu Zhong Yi Qi, Wu Ling San, Liu Jun Tang, Wu Pi Yin, Pa Shan Huang Tu, Gui Zhi Fu Ling, Yi Shen.

Conclusion: A New Treatment Experience for Chronic Nephritis – July 17, 1995

The patient’s brother, Zhang Yan, was a department head at the Railway Bureau, suffering from chronic glomerulonephritis. His urine protein was ++++, and his urine blood was present. After three days of medication, his protein and blood in his urine disappeared—but he relapsed upon stopping the medication. Subsequently, I prescribed: gelatin, blood residue charcoal, sheng di, dang gui, mai dong, shan zhi, dan pi, dan shen, longdan cao, chai hu, huang qin, shu li, mu tong, gan cao shao, fu ling, ze xie, and other herbs. After taking this formula for over 100 doses, he stopped taking the medication, and he did not experience a recurrence for three months. This demonstrates that treating nephritis requires long-term use of traditional Chinese medicine; results are often seen after two months, and this is certainly not too late!

I have found that the following formulas are effective for treating glomerulonephritis: ① for acute nephritis: Yue Bei Tang combined with Wu Wei Xiao Du Yin, Wu Ling San, Longdan Xie Gan Tang. ② for chronic nephritis: Jisheng Shen Qi, Bu Zhong Yi Qi, Wu Ling San, Liu Jun Tang, Wu Pi Yin, Pa Shan Huang Tu, Gui Zhi Fu Ling, Yi Shen.

Conclusion: A New Treatment Experience for Chronic Nephritis – July 17, 1995

The patient’s brother, Zhang Yan, was a department head at the Railway Bureau, suffering from chronic glomerulonephritis. His urine protein was ++++, and his urine blood was present. After three days of medication, his protein and blood in his urine disappeared—but he relapsed upon stopping the medication. Subsequently, I prescribed: gelatin, blood residue charcoal, sheng di, dang gui, mai dong, shan zhi, dan pi, dan shen, longdan cao, chai hu, huang qin, shu li, mu tong, gan cao shao, fu ling, ze xie, and other herbs. After taking this formula for over 100 doses, he stopped taking the medication, and he did not experience a recurrence for three months. This demonstrates that treating nephritis requires long-term use of traditional Chinese medicine; results are often seen after two months, and this is certainly not too late!

I have found that the following formulas are effective for treating glomerulonephritis: ① for acute nephritis: Yue Bei Tang combined with Wu Wei Xiao Du Yin, Wu Ling San, Longdan Xie Gan Tang. ② for chronic nephritis: Jisheng Shen Qi, Bu Zhong Yi Qi, Wu Ling San, Liu Jun Tang, Wu Pi Yin, Pa Shan Huang Tu, Gui Zhi Fu Ling, Yi Shen.

Conclusion: A New Treatment Experience for Chronic Nephritis – July 17, 1995

The patient’s brother, Zhang Yan, was a department head at the Railway Bureau, suffering from chronic glomerulonephritis. His urine protein was ++++, and his urine blood was present. After three days of medication, his protein and blood in his urine disappeared—but he relapsed upon stopping the medication. Subsequently, I prescribed: gelatin, blood residue charcoal, sheng di, dang gui, mai dong, shan zhi, dan pi, dan shen, longdan cao, chai hu, huang qin, shu li, mu tong, gan cao shao, fu ling, ze xie, and other herbs. After taking this formula for over 100 doses, he stopped taking the medication, and he did not experience a recurrence for three months. This demonstrates that treating nephritis requires long-term use of traditional Chinese medicine; results are often seen after two months, and this is certainly not too late!

I have found that the following formulas are effective for treating glomerulonephritis: ① for acute nephritis: Yue Bei Tang combined with Wu Wei Xiao Du Yin, Wu Ling San, Longdan Xie Gan Tang. ② for chronic nephritis: Jisheng Shen Qi, Bu Zhong Yi Qi, Wu Ling San, Liu Jun Tang, Wu Pi Yin, Pa Shan Huang Tu, Gui Zhi Fu Ling, Yi Shen.

Conclusion: A New Treatment Experience for Chronic Nephritis – July 17, 1995

The patient’s brother, Zhang Yan, was a department head at the Railway Bureau, suffering from chronic glomerulonephritis. His urine protein was ++++, and his urine blood was present. After three days of medication, his protein and blood in his urine disappeared—but he relapsed upon stopping the medication. Subsequently, I prescribed: gelatin, blood residue charcoal, sheng di, dang gui, mai dong, shan zhi, dan pi, dan shen, longdan cao, chai hu, huang qin, shu li, mu tong, gan cao shao, fu ling, ze xie, and other herbs. After taking this formula for over 100 doses, he stopped taking the medication, and he did not experience a recurrence for three months. This demonstrates that treating nephritis requires long-term use of traditional Chinese medicine; results are often seen after two months, and this is certainly not too late!

I have found that the following formulas are effective for treating glomerulonephritis: ① for acute nephritis: Yue Bei Tang combined with Wu Wei Xiao Du Yin, Wu Ling San, Longdan Xie Gan Tang. ② for chronic nephritis: Jisheng Shen Qi, Bu Zhong Yi Qi, Wu Ling San, Liu Jun Tang, Wu Pi Yin, Pa Shan Huang Tu, Gui Zhi Fu Ling, Yi Shen.

Conclusion: A New Treatment Experience for Chronic Nephritis – July 17, 1995

The patient’s brother, Zhang Yan, was a department head at the Railway Bureau, suffering from chronic glomerulonephritis. His urine protein was ++++, and his urine blood was present. After three days of medication, his protein and blood in his urine disappeared—but he relapsed upon stopping the medication. Subsequently, I prescribed: gelatin, blood residue charcoal, sheng di, dang gui, mai dong, shan zhi, dan pi, dan shen, longdan cao, chai hu, huang qin, shu li, mu tong, gan cao shao, fu ling, ze xie, and other herbs. After taking this formula for over 100 doses, he stopped taking the medication, and he did not experience a recurrence for three months. This demonstrates that treating nephritis requires long-term use of traditional Chinese medicine; results are often seen after two months, and this is certainly not too late!

I have found that the following formulas are effective for treating glomerulonephritis: ① for acute nephritis: Yue Bei Tang combined with Wu Wei Xiao Du Yin, Wu Ling San, Longdan Xie Gan Tang. ② for chronic nephritis: Jisheng Shen Qi, Bu Zhong Yi Qi, Wu Ling San, Liu Jun Tang, Wu Pi Yin, Pa Shan Huang Tu, Gui Zhi Fu Ling, Yi Shen.

Conclusion: A New Treatment Experience for Chronic Nephritis – July 17, 1995

The patient’s brother, Zhang Yan, was a department head at the Railway Bureau, suffering from chronic glomerulonephritis. His urine protein was ++++, and his urine blood was present. After three days of medication, his protein and blood in his urine disappeared—but he relapsed upon stopping the medication. Subsequently, I prescribed: gelatin, blood residue charcoal, sheng di, dang gui, mai dong, shan zhi, dan pi, dan shen, longdan cao, chai hu, huang qin, shu li, mu tong, gan cao shao, fu ling, ze xie, and other herbs. After taking this formula for over 100 doses, he stopped taking the medication, and he did not experience a recurrence for three months. This demonstrates that treating nephritis requires long-term use of traditional Chinese medicine; results are often seen after two months, and this is certainly not too late!

I have found that the following formulas are effective for treating glomerulonephritis: ① for acute nephritis: Yue Bei Tang combined with Wu Wei Xiao Du Yin, Wu Ling San, Longdan Xie Gan Tang. ② for chronic nephritis: Jisheng Shen Qi, Bu Zhong Yi Qi, Wu Ling San, Liu Jun Tang, Wu Pi Yin, Pa Shan Huang Tu, Gui Zhi Fu Ling, Yi Shen.

Conclusion: A New Treatment Experience for Chronic Nephritis – July 17, 1995

The patient’s brother, Zhang Yan, was a department head at the Railway Bureau, suffering from chronic glomerulonephritis. His urine protein was ++++, and his urine blood was present. After three days of medication, his protein and blood in his urine disappeared—but he relapsed upon stopping the medication. Subsequently, I prescribed: gelatin, blood residue charcoal, sheng di, dang gui, mai dong, shan zhi, dan pi, dan shen, longdan cao, chai hu, huang qin, shu li, mu tong, gan cao shao, fu ling, ze xie, and other herbs. After taking this formula for over 100 doses, he stopped taking the medication, and he did not experience a recurrence for three months. This demonstrates that treating nephritis requires long-term use of traditional Chinese medicine; results are often seen after two months, and this is certainly not too late!

I have found that the following formulas are effective for treating glomerulonephritis: ① for acute nephritis: Yue Bei Tang combined with Wu Wei Xiao Du Yin, Wu Ling San, Longdan Xie Gan Tang. ② for chronic nephritis: Jisheng Shen Qi, Bu Zhong Yi Qi, Wu Ling San, Liu Jun Tang, Wu Pi Yin, Pa Shan Huang Tu, Gui Zhi Fu Ling, Yi Shen.

Conclusion: A New Treatment Experience for Chronic Nephritis – July 17, 1995

The patient’s brother, Zhang Yan, was a department head at the Railway Bureau, suffering from chronic glomerulonephritis. His urine protein was ++++, and his urine blood was present. After three days of medication, his protein and blood in his urine disappeared—but he relapsed upon stopping the medication. Subsequently, I prescribed: gelatin, blood residue charcoal, sheng di, dang gui, mai dong, shan zhi, dan pi, dan shen, longdan cao, chai hu, huang qin, shu li, mu tong, gan cao shao, fu ling, ze xie, and other herbs. After taking this formula for over 100 doses, he stopped taking the medication, and he did not experience a recurrence for three months. This demonstrates that treating nephritis requires long-term use of traditional Chinese medicine; results are often seen after two months, and this is certainly not too late!

I have found that the following formulas are effective for treating glomerulonephritis: ① for acute nephritis: Yue Bei Tang combined with Wu Wei Xiao Du Yin, Wu Ling San, Longdan Xie Gan Tang. ② for chronic nephritis: Jisheng Shen Qi, Bu Zhong Yi Qi, Wu Ling San, Liu Jun Tang, Wu Pi Yin, Pa Shan Huang Tu, Gui Zhi Fu Ling, Yi Shen.

Conclusion: A New Treatment Experience for Chronic Nephritis – July 17, 1995

The patient’s brother, Zhang Yan, was a department head at the Railway Bureau, suffering from chronic glomerulonephritis. His urine protein was ++++, and his urine blood was present. After three days of medication, his protein and blood in his urine disappeared—but he relapsed upon stopping the medication. Subsequently, I prescribed: gelatin, blood residue charcoal, sheng di, dang gui, mai dong, shan zhi, dan pi, dan shen, longdan cao, chai hu, huang qin, shu li, mu tong, gan cao shao, fu ling, ze xie, and other herbs. After taking this formula for over 100 doses, he stopped taking the medication, and he did not experience a recurrence for three months. This demonstrates that treating nephritis requires long-term use of traditional Chinese medicine; results are often seen after two months, and this is certainly not too late!

I have found that the following formulas are effective for treating glomerulonephritis: ① for acute nephritis: Yue Bei Tang combined with Wu Wei Xiao Du Yin, Wu Ling San, Longdan Xie Gan Tang. ② for chronic nephritis: Jisheng Shen Qi, Bu Zhong Yi Qi, Wu Ling San, Liu Jun Tang, Wu Pi Yin, Pa Shan Huang Tu, Gui Zhi Fu Ling, Yi Shen.

Conclusion: A New Treatment Experience for Chronic Nephritis – July 17, 1995

The patient’s brother, Zhang Yan, was a department head at the Railway Bureau, suffering from chronic glomerulonephritis. His urine protein was ++++, and his urine blood was present. After three days of medication, his protein and blood in his urine disappeared—but he relapsed upon stopping the medication. Subsequently, I prescribed: gelatin, blood residue charcoal, sheng di, dang gui, mai dong, shan zhi, dan pi, dan shen, longdan cao, chai hu, huang qin, shu li, mu tong, gan cao shao, fu ling, ze xie, and other herbs. After taking this formula for over 100 doses, he stopped taking the medication, and he did not experience a recurrence for three months. This demonstrates that treating nephritis requires long-term use of traditional Chinese medicine; results are often seen after two months, and this is certainly not too late!

I have found that the following formulas are effective for treating glomerulonephritis: ① for acute nephritis: Yue Bei Tang combined with Wu Wei Xiao Du Yin, Wu Ling San, Longdan Xie Gan Tang. ② for chronic nephritis: Jisheng Shen Qi, Bu Zhong Yi Qi, Wu Ling San, Liu Jun Tang, Wu Pi Yin, Pa Shan Huang Tu, Gui Zhi Fu Ling, Yi Shen.

Conclusion: A New Treatment Experience for Chronic Nephritis – July 17, 1995

The patient’s brother, Zhang Yan, was a department head at the Railway Bureau, suffering from chronic glomerulonephritis. His urine protein was ++++, and his urine blood was present. After three days of medication, his protein and blood in his urine disappeared—but he relapsed upon stopping the medication. Subsequently, I prescribed: gelatin, blood residue charcoal, sheng di, dang gui, mai dong, shan zhi, dan pi, dan shen, longdan cao, chai hu, huang qin, shu li, mu tong, gan cao shao, fu ling, ze xie, and other herbs. After taking this formula for over 100 doses, he stopped taking the medication, and he did not experience a recurrence for three months. This demonstrates that treating nephritis requires long-term use of traditional Chinese medicine; results are often seen after two months, and this is certainly not too late!

I have found that the following formulas are effective for treating glomerulonephritis: ① for acute nephritis: Yue Bei Tang combined with Wu Wei Xiao Du Yin, Wu Ling San, Longdan Xie Gan Tang. ② for chronic nephritis: Jisheng Shen Qi, Bu Zhong Yi Qi, Wu Ling San, Liu Jun Tang, Wu Pi Yin, Pa Shan Huang Tu, Gui Zhi Fu Ling, Yi Shen.

Conclusion: A New Treatment Experience for Chronic Nephritis – July 17, 1995

The patient’s brother, Zhang Yan, was a department head at the Railway Bureau, suffering from chronic glomerulonephritis. His urine protein was ++++, and his urine blood was present. After three days of medication, his protein and blood in his urine disappeared—but he relapsed upon stopping the medication. Subsequently, I prescribed: gelatin, blood residue charcoal, sheng di, dang gui, mai dong, shan zhi, dan pi, dan shen, longdan cao, chai hu, huang qin, shu li, mu tong, gan cao shao, fu ling, ze xie, and other herbs. After taking this formula for over 100 doses, he stopped taking the medication, and he did not experience a recurrence for three months. This demonstrates that treating nephritis requires long-term use of traditional Chinese medicine; results are often seen after two months, and this is certainly not too late!

I have found that the following formulas are effective for treating glomerulonephritis: ① for acute nephritis: Yue Bei Tang combined with Wu Wei Xiao Du Yin, Wu Ling San, Longdan Xie Gan Tang. ② for chronic nephritis: Jisheng Shen Qi, Bu Zhong Yi Qi, Wu Ling San, Liu Jun Tang, Wu Pi Yin, Pa Shan Huang Tu, Gui Zhi Fu Ling, Yi Shen.

Conclusion: A New Treatment Experience for Chronic Nephritis – July 17, 1995

The patient’s brother, Zhang Yan, was a department head at the Railway Bureau, suffering from chronic glomerulonephritis. His urine protein was ++++, and his urine blood was present. After three days of medication, his protein and blood in his urine disappeared—but he relapsed upon stopping the medication. Subsequently, I prescribed: gelatin, blood residue charcoal, sheng di, dang gui, mai dong, shan zhi, dan pi, dan shen, longdan cao, chai hu, huang qin, shu li, mu tong, gan cao shao, fu ling, ze xie, and other herbs. After taking this formula for over 100 doses, he stopped taking the medication, and he did not experience a recurrence for three months. This demonstrates that treating nephritis requires long-term use of traditional Chinese medicine; results are often seen after two months, and this is certainly not too late!

I have found that the following formulas are effective for treating glomerulonephritis: ① for acute nephritis: Yue Bei Tang combined with Wu Wei Xiao Du Yin, Wu Ling San, Longdan Xie Gan Tang. ② for chronic nephritis: Jisheng Shen Qi, Bu Zhong Yi Qi, Wu Ling San, Liu Jun Tang, Wu Pi Yin, Pa Shan Huang Tu, Gui Zhi Fu Ling, Yi Shen.

Conclusion: A New Treatment Experience for Chronic Nephritis – July 17, 1995

The patient’s brother, Zhang Yan, was a department head at the Railway Bureau, suffering from chronic glomerulonephritis. His urine protein was ++++, and his urine blood was present. After three days of medication, his protein and blood in his urine disappeared—but he relapsed upon stopping the medication. Subsequently, I prescribed: gelatin, blood residue charcoal, sheng di, dang gui, mai dong, shan zhi, dan pi, dan shen, longdan cao, chai hu, huang qin, shu li, mu tong, gan cao shao, fu ling, ze xie, and other herbs. After taking this formula for over 100 doses, he stopped taking the medication, and he did not experience a recurrence for three months. This demonstrates that treating nephritis requires long-term use of traditional Chinese medicine; results are often seen after two months, and this is certainly not too late!

I have found that the following formulas are effective for treating glomerulonephritis: ① for acute nephritis: Yue Bei Tang combined with Wu Wei Xiao Du Yin, Wu Ling San, Longdan Xie Gan Tang. ② for chronic nephritis: Jisheng Shen Qi, Bu Zhong Yi Qi, Wu Ling San, Liu Jun Tang, Wu Pi Yin, Pa Shan Huang Tu, Gui Zhi Fu Ling, Yi Shen.

Conclusion: A New Treatment Experience for Chronic Nephritis – July 17, 1995

The patient’s brother, Zhang Yan, was a department head at the Railway Bureau, suffering from chronic glomerulonephritis. His urine protein was ++++, and his urine blood was present. After three days of medication, his protein and blood in his urine disappeared—but he relapsed upon stopping the medication. Subsequently, I prescribed: gelatin, blood residue charcoal, sheng di, dang gui, mai dong, shan zhi, dan pi, dan shen, longdan cao, chai hu, huang qin, shu li, mu tong, gan cao shao, fu ling, ze xie, and other herbs. After taking this formula for over 100 doses, he stopped taking the medication, and he did not experience a recurrence for three months. This demonstrates that treating nephritis requires long-term use of traditional Chinese medicine; results are often seen after two months, and this is certainly not too late!

I have found that the following formulas are effective for treating glomerulonephritis: ① for acute nephritis: Yue Bei Tang combined with Wu Wei Xiao Du Yin, Wu Ling San, Longdan Xie Gan Tang. ② for chronic nephritis: Jisheng Shen Qi, Bu Zhong Yi Qi, Wu Ling San, Liu Jun Tang, Wu Pi Yin, Pa Shan Huang Tu, Gui Zhi Fu Ling, Yi Shen.

Conclusion: A New Treatment Experience for Chronic Nephritis – July 17, 1995

The patient’s brother, Zhang Yan, was a department head at the Railway Bureau, suffering from chronic glomerulonephritis. His urine protein was ++++, and his urine blood was present. After three days of medication, his protein and blood in his urine disappeared—but he relapsed upon stopping the medication. Subsequently, I prescribed: gelatin, blood residue charcoal, sheng di, dang gui, mai dong, shan zhi, dan pi, dan shen, longdan cao, chai hu, huang qin, shu li, mu tong, gan cao shao, fu ling, ze xie, and other herbs. After taking this formula for over 100 doses, he stopped taking the medication, and he did not experience a recurrence for three months. This demonstrates that treating nephritis requires long-term use of traditional Chinese medicine; results are often seen after two months, and this is certainly not too late!

I have found that the following formulas are effective for treating glomerulonephritis: ① for acute nephritis: Yue Bei Tang combined with Wu Wei Xiao Du Yin, Wu Ling San, Longdan Xie Gan Tang. ② for chronic nephritis: Jisheng Shen Qi, Bu Zhong Yi Qi, Wu Ling San, Liu Jun Tang, Wu Pi Yin, Pa Shan Huang Tu, Gui Zhi Fu Ling, Yi Shen.

Conclusion: A New Treatment Experience for Chronic Nephritis – July 17, 1995

The patient’s brother, Zhang Yan, was a department head at the Railway Bureau, suffering from chronic glomerulonephritis. His urine protein was ++++, and his urine blood was present. After three days of medication, his protein and blood in his urine disappeared—but he relapsed upon stopping the medication. Subsequently, I prescribed: gelatin, blood residue charcoal, sheng di, dang gui, mai dong, shan zhi, dan pi, dan shen, longdan cao, chai hu, huang qin, shu li, mu tong, gan cao shao, fu ling, ze xie, and other herbs. After taking this formula for over 100 doses, he stopped taking the medication, and he did not experience a recurrence for three months. This demonstrates that treating nephritis requires long-term use of traditional Chinese medicine; results are often seen after two months, and this is certainly not too late!

I have found that the following formulas are effective for treating glomerulonephritis: ① for acute nephritis: Yue Bei Tang combined with Wu Wei Xiao Du Yin, Wu Ling San, Longdan Xie Gan Tang. ② for chronic nephritis: Jisheng Shen Qi, Bu Zhong Yi Qi, Wu Ling San, Liu Jun Tang, Wu Pi Yin, Pa Shan Huang Tu, Gui Zhi Fu Ling, Yi Shen.

Conclusion: A New Treatment Experience for Chronic Nephritis – July 17, 1995

The patient’s brother, Zhang Yan, was a department head at the Railway Bureau, suffering from chronic glomerulonephritis. His urine protein was ++++, and his urine blood was present. After three days of medication, his protein and blood in his urine disappeared—but he relapsed upon stopping the medication. Subsequently, I prescribed: gelatin, blood residue charcoal, sheng di, dang gui, mai dong, shan zhi, dan pi, dan shen, longdan cao, chai hu, huang qin, shu li, mu tong, gan cao shao, fu ling, ze xie, and other herbs. After taking this formula for over 100 doses, he stopped taking the medication, and he did not experience a recurrence for three months. This demonstrates that treating nephritis requires long-term use of traditional Chinese medicine; results are often seen after two months, and this is certainly not too late!

I have found that the following formulas are effective for treating glomerulonephritis: ① for acute nephritis: Yue Bei Tang combined with Wu Wei Xiao Du Yin, Wu Ling San, Longdan Xie Gan Tang. ② for chronic nephritis: Jisheng Shen Qi, Bu Zhong Yi Qi, Wu Ling San, Liu Jun Tang, Wu Pi Yin, Pa Shan Huang Tu, Gui Zhi Fu Ling, Yi Shen.

Conclusion: A New Treatment Experience for Chronic Nephritis – July 17, 1995

The patient’s brother, Zhang Yan, was a department head at the Railway Bureau, suffering from chronic glomerulonephritis. His urine protein was ++++, and his urine blood was present. After three days of medication, his protein and blood in his urine disappeared—but he relapsed upon stopping the medication. Subsequently, I prescribed: gelatin, blood residue charcoal, sheng di, dang gui, mai dong, shan zhi, dan pi, dan shen, longdan cao, chai hu, huang qin, shu li, mu tong, gan cao shao, fu ling, ze xie, and other herbs. After taking this formula for over 100 doses, he stopped taking the medication, and he did not experience a recurrence for three months. This demonstrates that treating nephritis requires long-term use of traditional Chinese medicine; results are often seen after two months, and this is certainly not too late!

I have found that the following formulas are effective for treating glomerulonephritis: ① for acute nephritis: Yue Bei Tang combined with Wu Wei Xiao Du Yin, Wu Ling San, Longdan Xie Gan Tang. ② for chronic nephritis: Jisheng Shen Qi, Bu Zhong Yi Qi, Wu Ling San, Liu Jun Tang, Wu Pi Yin, Pa Shan Huang Tu, Gui Zhi Fu Ling, Yi Shen.

Conclusion: A New Treatment Experience for Chronic Nephritis – July 17, 1995

The patient’s brother, Zhang Yan, was a department head at the Railway Bureau, suffering from chronic glomerulonephritis. His urine protein was ++++, and his urine blood was present. After three days of medication, his protein and blood in his urine disappeared—but he relapsed upon stopping the medication. Subsequently, I prescribed: gelatin, blood residue charcoal, sheng di, dang gui, mai dong, shan zhi, dan pi, dan shen, longdan cao, chai hu, huang qin, shu li, mu tong, gan cao shao, fu ling, ze xie, and other herbs. After taking this formula for over 100 doses, he stopped taking the medication, and he did not experience a recurrence for three months. This demonstrates that treating nephritis requires long-term use of traditional Chinese medicine; results are often seen after two months, and this is certainly not too late!

I have found that the following formulas are effective for treating glomerulonephritis: ① for acute nephritis: Yue Bei Tang combined with Wu Wei Xiao Du Yin, Wu Ling San, Longdan Xie Gan Tang. ② for chronic nephritis: Jisheng Shen Qi, Bu Zhong Yi Qi, Wu Ling San, Liu Jun Tang, Wu Pi Yin, Pa Shan Huang Tu, Gui Zhi Fu Ling, Yi Shen.

Conclusion: A New Treatment Experience for Chronic Nephritis – July 17, 1995

The patient’s brother, Zhang Yan, was a department head at the Railway Bureau, suffering from chronic glomerulonephritis. His urine protein was ++++, and his urine blood was present. After three days of medication, his protein and blood in his urine disappeared—but he relapsed upon stopping the medication. Subsequently, I prescribed: gelatin, blood residue charcoal, sheng di, dang gui, mai dong, shan zhi, dan pi, dan shen, longdan cao, chai hu, huang qin, shu li, mu tong, gan cao shao, fu ling, ze xie, and other herbs. After taking this formula for over 100 doses, he stopped taking the medication, and he did not experience a recurrence for three months. This demonstrates that treating nephritis requires long-term use of traditional Chinese medicine; results are often seen after two months, and this is certainly not too late!

I have found that the following formulas are effective for treating glomerulonephritis: ① for acute nephritis: Yue Bei Tang combined with Wu Wei Xiao Du Yin, Wu Ling San, Longdan Xie Gan Tang. ② for chronic nephritis: Jisheng Shen Qi, Bu Zhong Yi Qi, Wu Ling San, Liu Jun Tang, Wu Pi Yin, Pa Shan Huang Tu, Gui Zhi Fu Ling, Yi Shen.

Conclusion: A New Treatment Experience for Chronic Nephritis – July 17, 1995

The patient’s brother, Zhang Yan, was a department head at the Railway Bureau, suffering from chronic glomerulonephritis. His urine protein was ++++, and his urine blood was present. After three days of medication, his protein and blood in his urine disappeared—but he relapsed upon stopping the medication. Subsequently, I prescribed: gelatin, blood residue charcoal, sheng di, dang gui, mai dong, shan zhi, dan pi, dan shen, longdan cao, chai hu, huang qin, shu li, mu tong, gan cao shao, fu ling, ze xie, and other herbs. After taking this formula for over 100 doses, he stopped taking the medication, and he did not experience a recurrence for three months. This demonstrates that treating nephritis requires long-term use of traditional Chinese medicine; results are often seen after two months, and this is certainly not too late!

I have found that the following formulas are effective for treating glomerulonephritis: ① for acute nephritis: Yue Bei Tang combined with Wu Wei Xiao Du Yin, Wu Ling San, Longdan Xie Gan Tang. ② for chronic nephritis: Jisheng Shen Qi, Bu Zhong Yi Qi, Wu Ling San, Liu Jun Tang, Wu Pi Yin, Pa Shan Huang Tu, Gui Zhi Fu Ling, Yi Shen.

Conclusion: A New Treatment Experience for Chronic Nephritis – July 17, 1995

The patient’s brother, Zhang Yan, was a department head at the Railway Bureau, suffering from chronic glomerulonephritis. His urine protein was ++++, and his urine blood was present. After three days of medication, his protein and blood in his urine disappeared—but he relapsed upon stopping the medication. Subsequently, I prescribed: gelatin, blood residue charcoal, sheng di, dang gui, mai dong, shan zhi, dan pi, dan shen, longdan cao, chai hu, huang qin, shu li, mu tong, gan cao shao, fu ling, ze xie, and other herbs. After taking this formula for over 100 doses, he stopped taking the medication, and he did not experience a recurrence for three months. This demonstrates that treating nephritis requires long-term use of traditional Chinese medicine; results are often seen after two months, and this is certainly not too late!

I have found that the following formulas are effective for treating glomerulonephritis: ① for acute nephritis: Yue Bei Tang combined with Wu Wei Xiao Du Yin, Wu Ling San, Longdan Xie Gan Tang. ② for chronic nephritis: Jisheng Shen Qi, Bu Zhong Yi Qi, Wu Ling San, Liu Jun Tang, Wu Pi Yin, Pa Shan Huang Tu, Gui Zhi Fu Ling, Yi Shen.

Conclusion: A New Treatment Experience for Chronic Nephritis – July 17, 1995

The patient’s brother, Zhang Yan, was a department head at the Railway Bureau, suffering from chronic glomerulonephritis. His urine protein was ++++, and his urine blood was present. After three days of medication, his protein and blood in his urine disappeared—but he relapsed upon stopping the medication. Subsequently, I prescribed: gelatin, blood residue charcoal, sheng di, dang gui, mai dong, shan zhi, dan pi, dan shen, longdan cao, chai hu, huang qin, shu li, mu tong, gan cao shao, fu ling, ze xie, and other herbs. After taking this formula for over 100 doses, he stopped taking the medication, and he did not experience a recurrence for three months. This demonstrates that treating nephritis requires long-term use of traditional Chinese medicine; results are often seen after two months, and this is certainly not too late!

I have found that the following formulas are effective for treating glomerulonephritis: ① for acute nephritis: Yue Bei Tang combined with Wu Wei Xiao Du Yin, Wu Ling San, Longdan Xie Gan Tang. ② for chronic nephritis: Jisheng Shen Qi, Bu Zhong Yi Qi, Wu Ling San, Liu Jun Tang, Wu Pi Yin, Pa Shan Huang Tu, Gui Zhi Fu Ling, Yi Shen.

Conclusion: A New Treatment Experience for Chronic Nephritis – July 17, 1995

The patient’s brother, Zhang Yan, was a department head at the Railway Bureau, suffering from chronic glomerulonephritis. His urine protein was ++++, and his urine blood was present. After three days of medication, his protein and blood in his urine disappeared—but he relapsed upon stopping the medication. Subsequently, I prescribed: gelatin, blood residue charcoal, sheng di, dang gui, mai dong, shan zhi, dan pi, dan shen, longdan cao, chai hu, huang qin, shu li, mu tong, gan cao shao, fu ling, ze xie, and other herbs. After taking this formula for over 100 doses, he stopped taking the medication, and he did not experience a recurrence for three months. This demonstrates that treating nephritis requires long-term use of traditional Chinese medicine; results are often seen after two months, and this is certainly not too late!

I have found that the following formulas are effective for treating glomerulonephritis: ① for acute nephritis: Yue Bei Tang combined with Wu Wei Xiao Du Yin, Wu Ling San, Longdan Xie Gan Tang. ② for chronic nephritis: Jisheng Shen Qi, Bu Zhong Yi Qi, Wu Ling San, Liu Jun Tang, Wu Pi Yin, Pa Shan Huang Tu, Gui Zhi Fu Ling, Yi Shen.

Conclusion: A New Treatment Experience for Chronic Nephritis – July 17, 1995

The patient’s brother, Zhang Yan, was a department head at the Railway Bureau, suffering from chronic glomerulonephritis. His urine protein was ++++, and his urine blood was present. After three days of medication, his protein and blood in his urine disappeared—but he relapsed upon stopping the medication. Subsequently, I prescribed: gelatin, blood residue charcoal, sheng di, dang gui, mai dong, shan zhi, dan pi, dan shen, longdan cao, chai hu, huang qin, shu li, mu tong, gan cao shao, fu ling, ze xie, and other herbs. After taking this formula for over 100 doses, he stopped taking the medication, and he did not experience a recurrence for three months. This demonstrates that treating nephritis requires long-term use of traditional Chinese medicine; results are often seen after two months, and this is certainly not too late!

I have found that the following formulas are effective for treating glomerulonephritis: ① for acute nephritis: Yue Bei Tang combined with Wu Wei Xiao Du Yin, Wu Ling San, Longdan Xie Gan Tang. ② for chronic nephritis: Jisheng Shen Qi, Bu Zhong Yi Qi, Wu Ling San, Liu Jun Tang, Wu Pi Yin, Pa Shan Huang Tu, Gui Zhi Fu Ling, Yi Shen.

Conclusion: A New Treatment Experience for Chronic Nephritis – July 17, 1995

The patient’s brother, Zhang Yan, was a department head at the Railway Bureau, suffering from chronic glomerulonephritis. His urine protein was ++++, and his urine blood was present. After three days of medication, his protein and blood in his urine disappeared—but he relapsed upon stopping the medication. Subsequently, I prescribed: gelatin, blood residue charcoal, sheng di, dang gui, mai dong, shan zhi, dan pi, dan shen, longdan cao, chai hu, huang qin, shu li, mu tong, gan cao shao, fu ling, ze xie, and other herbs. After taking this formula for over 100 doses, he stopped taking the medication, and he did not experience a recurrence for three months. This demonstrates that treating nephritis requires long-term use of traditional Chinese medicine; results are often seen after two months, and this is certainly not too late!

I have found that the following formulas are effective for treating glomerulonephritis: ① for acute nephritis: Yue Bei Tang combined with Wu Wei Xiao Du Yin, Wu Ling San, Longdan Xie Gan Tang. ② for chronic nephritis: Jisheng Shen Qi, Bu Zhong Yi Qi, Wu Ling San, Liu Jun Tang, Wu Pi Yin, Pa Shan Huang Tu, Gui Zhi Fu Ling, Yi Shen.

Conclusion: A New Treatment Experience for Chronic Nephritis – July 17, 1995

The patient’s brother, Zhang Yan, was a department head at the Railway Bureau, suffering from chronic glomerulonephritis. His urine protein was ++++, and his urine blood was present. After three days of medication, his protein and blood in his urine disappeared—but he relapsed upon stopping the medication. Subsequently, I prescribed: gelatin, blood residue charcoal, sheng di, dang gui, mai dong, shan zhi, dan pi, dan shen, longdan cao, chai hu, huang qin, shu li, mu tong, gan cao shao, fu ling, ze xie, and other herbs. After taking this formula for over 100 doses, he stopped taking the medication, and he did not experience a recurrence for three months. This demonstrates that treating nephritis requires long-term use of traditional Chinese medicine; results are often seen after two months, and this is certainly not too late!

I have found that the following formulas are effective for treating glomerulonephritis: ① for acute nephritis: Yue Bei Tang combined with Wu Wei Xiao Du Yin, Wu Ling San, Longdan Xie Gan Tang. ② for chronic nephritis: Jisheng Shen Qi, Bu Zhong Yi Qi, Wu Ling San, Liu Jun Tang, Wu Pi Yin, Pa Shan Huang Tu, Gui Zhi Fu Ling, Yi Shen.

Conclusion: A New Treatment Experience for Chronic Nephritis – July 17, 1995

The patient’s brother, Zhang Yan, was a department head at the Railway Bureau, suffering from chronic glomerulonephritis. His urine protein was ++++, and his urine blood was present. After three days of medication, his protein and blood in his urine disappeared—but he relapsed upon stopping the medication. Subsequently, I prescribed: gelatin, blood residue charcoal, sheng di, dang gui, mai dong, shan zhi, dan pi, dan shen, longdan cao, chai hu, huang qin, shu li, mu tong, gan cao shao, fu ling, ze xie, and other herbs. After taking this formula for over 100 doses, he stopped taking the medication, and he did not experience a recurrence for three months. This demonstrates that treating nephritis requires long-term use of traditional Chinese medicine; results are often seen after two months, and this is certainly not too late!

I have found that the following formulas are effective for treating glomerulonephritis: ① for acute nephritis: Yue Bei Tang combined with Wu Wei Xiao Du Yin, Wu Ling San, Longdan Xie Gan Tang. ② for chronic nephritis: Jisheng Shen Qi, Bu Zhong Yi Qi, Wu Ling San, Liu Jun Tang, Wu Pi Yin, Pa Shan Huang Tu, Gui Zhi Fu Ling, Yi Shen.

Conclusion: A New Treatment Experience for Chronic Nephritis – July 17, 1995

The patient’s brother, Zhang Yan, was a department head at the Railway Bureau, suffering from chronic glomerulonephritis. His urine protein was ++++, and his urine blood was present. After three days of medication, his protein and blood in his urine disappeared—but he relapsed upon stopping the medication. Subsequently, I prescribed: gelatin, blood residue charcoal, sheng di, dang gui, mai dong, shan zhi, dan pi, dan shen, longdan cao, chai hu, huang qin, shu li, mu tong, gan cao shao, fu ling, ze xie, and other herbs. After taking this formula for over 100 doses, he stopped taking the medication, and he did not experience a recurrence for three months. This demonstrates that treating nephritis requires long-term use of traditional Chinese medicine; results are often seen after two months, and this is certainly not too late!

I have found that the following formulas are effective for treating glomerulonephritis: ① for acute nephritis: Yue Bei Tang combined with Wu Wei Xiao Du Yin, Wu Ling San, Longdan Xie Gan Tang. ② for chronic nephritis: Jisheng Shen Qi, Bu Zhong Yi Qi, Wu Ling San, Liu Jun Tang, Wu Pi Yin, Pa Shan Huang Tu, Gui Zhi Fu Ling, Yi Shen.

Conclusion: A New Treatment Experience for Chronic Nephritis – July 17, 1995

The patient’s brother, Zhang Yan, was a department head at the Railway Bureau, suffering from chronic glomerulonephritis. His urine protein was ++++, and his urine blood was present. After three days of medication, his protein and blood in his urine disappeared—but he relapsed upon stopping the medication. Subsequently, I prescribed: gelatin, blood residue charcoal, sheng di, dang gui, mai dong, shan zhi, dan pi, dan shen, longdan cao, chai hu, huang qin, shu li, mu tong, gan cao shao, fu ling, ze xie, and other herbs. After taking this formula for over 100 doses, he stopped taking the medication, and he did not experience a recurrence for three months. This demonstrates that treating nephritis requires long-term use of traditional Chinese medicine; results are often seen after two months, and this is certainly not too late!

I have found that the following formulas are effective for treating glomerulonephritis: ① for acute nephritis: Yue Bei Tang combined with Wu Wei Xiao Du Yin, Wu Ling San, Longdan Xie Gan Tang. ② for chronic nephritis: Jisheng Shen Qi, Bu Zhong Yi Qi, Wu Ling San, Liu Jun Tang, Wu Pi Yin, Pa Shan Huang Tu, Gui Zhi Fu Ling, Yi Shen.

Conclusion: A New Treatment Experience for Chronic Nephritis – July 17, 1995

The patient’s brother, Zhang Yan, was a department head at the Railway Bureau, suffering from chronic glomerulonephritis. His urine protein was ++++, and his urine blood was present. After three days of medication, his protein and blood in his urine disappeared—but he relapsed upon stopping the medication. Subsequently, I prescribed: gelatin, blood residue charcoal, sheng di, dang gui, mai dong, shan zhi, dan pi, dan shen, longdan cao, chai hu, huang qin, shu li, mu tong, gan cao shao, fu ling, ze xie, and other herbs. After taking this formula for over 100 doses, he stopped taking the medication, and he did not experience a recurrence for three months. This demonstrates that treating nephritis requires long-term use of traditional Chinese medicine; results are often seen after two months, and this is certainly not too late!

I have found that the following formulas are effective for treating glomerulonephritis: ① for acute nephritis: Yue Bei Tang combined with Wu Wei Xiao Du Yin, Wu Ling San, Longdan Xie Gan Tang. ② for chronic nephritis: Jisheng Shen Qi, Bu Zhong Yi Qi, Wu Ling San, Liu Jun Tang, Wu Pi Yin, Pa Shan Huang Tu, Gui Zhi Fu Ling, Yi Shen.

Conclusion: A New Treatment Experience for Chronic Nephritis – July 17, 1995

The patient’s brother, Zhang Yan, was a department head at the Railway Bureau, suffering from chronic glomerulonephritis. His urine protein was ++++, and his urine blood was present. After three days of medication, his protein and blood in his urine disappeared—but he relapsed upon stopping the medication. Subsequently, I prescribed: gelatin, blood residue charcoal, sheng di, dang gui, mai dong, shan zhi, dan pi, dan shen, longdan cao, chai hu, huang qin, shu li, mu tong, gan cao shao, fu ling, ze xie, and other herbs. After taking this formula for over 100 doses, he stopped taking the medication, and he did not experience a recurrence for three months. This demonstrates that treating nephritis requires long-term use of traditional Chinese medicine; results are often seen after two months, and this is certainly not too late!

I have found that the following formulas are effective for treating glomerulonephritis: ① for acute nephritis: Yue Bei Tang combined with Wu Wei Xiao Du Yin, Wu Ling San, Longdan Xie Gan Tang. ② for chronic nephritis: Jisheng Shen Qi, Bu Zhong Yi Qi, Wu Ling San, Liu Jun Tang, Wu Pi Yin, Pa Shan Huang Tu, Gui Zhi Fu Ling, Yi Shen.

Conclusion: A New Treatment Experience for Chronic Nephritis – July 17, 1995

The patient’s brother, Zhang Yan, was a department head at the Railway Bureau, suffering from chronic glomerulonephritis. His urine protein was ++++, and his urine blood was present. After three days of medication, his protein and blood in his urine disappeared—but he relapsed upon stopping the medication. Subsequently, I prescribed: gelatin, blood residue charcoal, sheng di, dang gui, mai dong, shan zhi, dan pi, dan shen, longdan cao, chai hu, huang qin, shu li, mu tong, gan cao shao, fu ling, ze xie, and other herbs. After taking this formula for over 100 doses, he stopped taking the medication, and he did not experience a recurrence for three months. This demonstrates that treating nephritis requires long-term use of traditional Chinese medicine; results are often seen after two months, and this is certainly not too late!

I have found that the following formulas are effective for treating glomerulonephritis: ① for acute nephritis: Yue Bei Tang combined with Wu Wei Xiao Du Yin, Wu Ling San, Longdan Xie Gan Tang. ② for chronic nephritis: Jisheng Shen Qi, Bu Zhong Yi Qi, Wu Ling San, Liu Jun Tang, Wu Pi Yin, Pa Shan Huang Tu, Gui Zhi Fu Ling, Yi Shen.

Conclusion: A New Treatment Experience for Chronic Nephritis – July 17, 1995

The patient’s brother, Zhang Yan, was a department head at the Railway Bureau, suffering from chronic glomerulonephritis. His urine protein was ++++, and his urine blood was present. After three days of medication, his protein and blood in his urine disappeared—but he relapsed upon stopping the medication. Subsequently, I prescribed: gelatin, blood residue charcoal, sheng di, dang gui, mai dong, shan zhi, dan pi, dan shen, longdan cao, chai hu, huang qin, shu li, mu tong, gan cao shao, fu ling, ze xie, and other herbs. After taking this formula for over 100 doses, he stopped taking the medication, and he did not experience a recurrence for three months. This demonstrates that treating nephritis requires long-term use of traditional Chinese medicine; results are often seen after two months, and this is certainly not too late!

I have found that the following formulas are effective for treating glomerulonephritis: ① for acute nephritis: Yue Bei Tang combined with Wu Wei Xiao Du Yin, Wu Ling San, Longdan Xie Gan Tang. ② for chronic nephritis: Jisheng Shen Qi, Bu Zhong Yi Qi, Wu Ling San, Liu Jun Tang, Wu Pi Yin, Pa Shan Huang Tu, Gui Zhi Fu Ling, Yi Shen.

Conclusion: A New Treatment Experience for Chronic Nephritis – July 17, 1995

The patient’s brother, Zhang Yan, was a department head at the Railway Bureau, suffering from chronic glomerulonephritis. His urine protein was ++++, and his urine blood was present. After three days of medication, his protein and blood in his urine disappeared—but he relapsed upon stopping the medication. Subsequently, I prescribed: gelatin, blood residue charcoal, sheng di, dang gui, mai dong, shan zhi, dan pi, dan shen, longdan cao, chai hu, huang qin, shu li, mu tong, gan cao shao, fu ling, ze xie, and other herbs. After taking this formula for over 100 doses, he stopped taking the medication, and he did not experience a recurrence for three months. This demonstrates that treating nephritis requires long-term use of traditional Chinese medicine; results are often seen after two months, and this is certainly not too late!

I have found that the following formulas are effective for treating glomerulonephritis: ① for acute nephritis: Yue Bei Tang combined with Wu Wei Xiao Du Yin, Wu Ling San, Longdan Xie Gan Tang. ② for chronic nephritis: Jisheng Shen Qi, Bu Zhong Yi Qi, Wu Ling San, Liu Jun Tang, Wu Pi Yin, Pa Shan Huang Tu, Gui Zhi Fu Ling, Yi Shen.

Conclusion: A New Treatment Experience for Chronic Nephritis – July 17, 1995

The patient’s brother, Zhang Yan, was a department head at the Railway Bureau, suffering from chronic glomerulonephritis. His urine protein was ++++, and his urine blood was present. After three days of medication, his protein and blood in his urine disappeared—but he relapsed upon stopping the medication. Subsequently, I prescribed: gelatin, blood residue charcoal, sheng di, dang gui, mai dong, shan zhi, dan pi, dan shen, longdan cao, chai hu, huang qin, shu li, mu tong, gan cao shao, fu ling, ze xie, and other herbs. After taking this formula for over 100 doses, he stopped taking the medication, and he did not experience a recurrence for three months. This demonstrates that treating nephritis requires long-term use of traditional Chinese medicine; results are often seen after two months, and this is certainly not too late!

I have found that the following formulas are effective for treating glomerulonephritis: ① for acute nephritis: Yue Bei Tang combined with Wu Wei Xiao Du Yin, Wu Ling San, Longdan Xie Gan Tang. ② for chronic nephritis: Jisheng Shen Qi, Bu Zhong Yi Qi, Wu Ling San, Liu Jun Tang, Wu Pi Yin, Pa Shan Huang Tu, Gui Zhi Fu Ling, Yi Shen.

Conclusion: A New Treatment Experience for Chronic Nephritis – July 17, 1995

The patient’s brother, Zhang Yan, was a department head at the Railway Bureau, suffering from chronic glomerulonephritis. His urine protein was ++++, and his urine blood was present. After three days of medication, his protein and blood in his urine disappeared—but he relapsed upon stopping the medication. Subsequently, I prescribed: gelatin, blood residue charcoal, sheng di, dang gui, mai dong, shan zhi, dan pi, dan shen, longdan cao, chai hu, huang qin, shu li, mu tong, gan cao shao, fu ling, ze xie, and other herbs. After taking this formula for over 100 doses, he stopped taking the medication, and he did not experience a recurrence for three months. This demonstrates that treating nephritis requires long-term use of traditional Chinese medicine; results are often seen after two months, and this is certainly not too late!

I have found that the following formulas are effective for treating glomerulonephritis: ① for acute nephritis: Yue Bei Tang combined with Wu Wei Xiao Du Yin, Wu Ling San, Longdan Xie Gan Tang. ② for chronic nephritis: Jisheng Shen Qi, Bu Zhong Yi Qi, Wu Ling San, Liu Jun Tang, Wu Pi Yin, Pa Shan Huang Tu, Gui Zhi Fu Ling, Yi Shen.

Conclusion: A New Treatment Experience for Chronic Nephritis – July 17, 1995

The patient’s brother, Zhang Yan, was a department head at the Railway Bureau, suffering from chronic glomerulonephritis. His urine protein was ++++, and his urine blood was present. After three days of medication, his protein and blood in his urine disappeared—but he relapsed upon stopping the medication. Subsequently, I prescribed: gelatin, blood residue charcoal, sheng di, dang gui, mai dong, shan zhi, dan pi, dan shen, longdan cao, chai hu, huang qin, shu li, mu tong, gan cao shao, fu ling, ze xie, and other herbs. After taking this formula for over 100 doses, he stopped taking the medication, and he did not experience a recurrence for three months. This demonstrates that treating nephritis requires long-term use of traditional Chinese medicine; results are often seen after two months, and this is certainly not too late!

I have found that the following formulas are effective for treating glomerulonephritis: ① for acute nephritis: Yue Bei Tang combined with Wu Wei Xiao Du Yin, Wu Ling San, Longdan Xie Gan Tang. ② for chronic nephritis: Jisheng Shen Qi, Bu Zhong Yi Qi, Wu Ling San, Liu Jun Tang, Wu Pi Yin, Pa Shan Huang Tu, Gui Zhi Fu Ling, Yi Shen.

Conclusion: A New Treatment Experience for Chronic Nephritis – July 17, 1995

The patient’s brother, Zhang Yan, was a department head at the Railway Bureau, suffering from chronic glomerulonephritis. His urine protein was ++++, and his urine blood was present. After three days of medication, his protein and blood in his urine disappeared—but he relapsed upon stopping the medication. Subsequently, I prescribed: gelatin, blood residue charcoal, sheng di, dang gui, mai dong, shan zhi, dan pi, dan shen, longdan cao, chai hu, huang qin, shu li, mu tong, gan cao shao, fu ling, ze xie, and other herbs. After taking this formula for over 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: Tomato soup, A Fa’s fried wheat, Dragon's Blood for Liver Clearing, Er Xian Dan, Er Zhi Wan, Shi Jin Chuan Yu Yi He Su, Shou Dang Qi

Chong (White Triticum, White Cowpea Root) Three-Element Stone.

In summary, for acute conditions, Yue Bi, Dragon's Blood, and Five Flavors are preferred; for chronic conditions, Pala Shan, Jisheng, Dragon's Blood,

and A Fa are preferred, with the former being suitable for cases primarily characterized by proteinuria, while the latter is better suited for those with hematuria as the main symptom.

Application of Mosses – July 18, 1995

The rhizome of a perennial vine-like plant belonging to the Dioscoreaceae family, growing in shady, damp areas along streams,

has a bitter yet neutral taste, entering the Liver, Stomach, and Kidney meridians. It helps relax muscles and activate circulation, dispel dampness and clarify the body’s essence, and is combined with Poria, Licorice, Atractylodes, and other herbs to form the “Bìmòu Qingjing Decoction.” It is primarily used for white turbidity and frequent urination, where the urine becomes thick and oily; some patients also experience pain in the middle of their legs.

The Wonderful Formula for Chicken Claw Fungus – July 20, 1995

Chicken claw fungus has a remarkable formula: Huang Huo Yang Da Fan. This is the mnemonic for the formula.

Take 12g each of Ho Xiang, Huang Jing, Raw Rheum, and White Fan, add 500ml of alcohol, let it steep for 7 days, then store the clear liquid for future use.

Chicken claw fungus is also known as hand ringworm; another formula involves 1g of Metabolic Acid, 15 walnuts, and 0.3g of Camphor, all ground together and applied as a paste once every night.

Persistent Chest Pain – July 21, 1995

12g of Chen Pi, 10g of Zhishi, 15g of Fresh Ginger, 12g of Jiang Ban Xia, 12g of Poria, 6g of Licorice—boil these ingredients in water and take the decoction. For this formula, you can add Gua Lou, Xie Bai, and Gui Zhi. The approach of using Er Chen Tang, Zhishi, and Fresh Ginger to treat chest obstruction can be adopted.

Treatment Formula for Thrombophlebitis – July 21, 1995

6g of Fu Pi, 6g of Bai Shao, 6g of Bai Zhu, 10g of Gan Jiang, 10g of Gui Zhi, 6g of Dang Shen, 6g of Huang Qi, 6g of Licorice, 10g of Poria—this formula incorporates Zhen Wu Tang, Fu Zi Tang, Gui Zhi Tang, plus Huang Qi. Its approach to treating thrombophlebitis aligns with the Eight Meridians’ principles, using Tao Hong Si Wu with Li Zhong.

One Effective Formula for Chronic Myositis – July 21, 1995

My treatment for chronic myositis often relied on Yang He Tang, Tu Li Tou Su San, Ma Huang Gui Zhi Tang, and other formulas. This formula uses Ma Huang, Cang Zhu, Fang Feng, Fang Ji, Qiang Huo, Poria, Kudzu, Gui Zhi, Xi Xin, and Licorice—all of which are effective in treating myositis.

The mnemonic for this formula is: Ma Huang Gui Zhi Ge Ling Xiang, Xi Xin Liang Ca.

Wu Jutong’s Formula of Xiang Fu Xuan Fu Hua Tang – July 21, 1995

10g of Xiang Fu, 10g of Xuan Fu Hua, 10g of Su Zi, 6g of Chen Pi, 6g of Ban Xia, 10g of Poria, 10g of Apricot Kernel, 20g of Fresh Job’s Tears—this formula’s mnemonic is: Su Xuan Fu Hua; Wu said, “During summer heat and dampness, heat accumulates in the diaphragm, leading to fluid retention. This formula is particularly effective for treating palpitations, dizziness, restlessness, insomnia at night, and excessive phlegm and cough.” My father often treated patients whose phlegm and fluid had stagnated in the chest and diaphragm, causing chest tightness and pain, by prescribing the “Fen Qing Xin Yin” formula. This formula consists of Su Ye, Su Geng, Qiang Huo, Ban Xia, Chen Pi, Poria, Da Fu Pi, Qing Pi, Sang Bai Pi, Gui Zhi, Bai Shao, Fresh Ginger, Dà Zao, Mu Tong. Together, these herbs form a sister formula for treating chest and diaphragm issues.

For palpitations and restlessness, use the Xiang Fu Xuan Fu Hua Tang; for chest pain and discomfort, use the Fen Qing Xin Yin.

Wang Fengchun’s Experience in Treating Chest Pain – July 21, 1995

1. Compound Xiang Ling San: 6g of Xiang Fu, 6g of Wuling Zhi, 3g each of Hei Bai Er Chou—take this formula in decoction to treat chest, flank, and abdominal distension caused by qi stagnation and blood stasis; this formula is known as “Chou Xiang Ling.”

2. Compound Jia Zhu Tang: 10g of Su Geng, 10g of Jia Zhu, 10g of Qian Cao. According to Dr. Yu Bai, this formula is highly effective for treating chest and flank pain caused by qi stagnation and blood stasis.

Yu Bai’s Treatment for Gastric Prolapse – July 21, 1995

Dang Shen, Cang Zhu, Huang Qi, Licorice, Chai Hu, Zhishi, Mu Xiang, Calcined Vaginal Grass, Ming Fan, Wu Mei, Chuan Jiao, Jiegeng, Bai Shao, Fresh Ginger, Dà Zao, Mu Tong—these herbs are used in decoction to tonify the Middle and benefit Qi. Adding Calcined Vaginal Grass, Ming Fan, Wu Mei, and other astringent herbs, along with Jiegeng, serves as a vessel to carry the medicine upward, while Chuan Jiao warms the middle and disperses cold energy, addressing the root cause.

One Approach to Chronic Nephritis – July 23, 1995

A worker in Lanzhou suffered from chronic nephritis for six years. In addition to the previously mentioned formulas for treating nephritis, he added 20g of Shi Wei, 20g of Ting Li Zi, 6g of Bai Zhi, 20g of Yin Chen, 6g of Da Huang, 10g of Zao Jiao Jia, 30g of Qian Cao, 10g of Shan Zha, 20g of Baishang, and 12g of Fang Feng (Shi Ting Bai Yin Da Zao Jin, Shan Zha Baishang + Fang Feng). After seven doses, the protein levels that were originally at +4 now turned to +, and the patient was overjoyed—his original plan to travel out of town for treatment was completely abandoned!

Dopamine vs. Dobutamine – July 23, 1995

The latter is a derivative of the former; both have positive cardiac effects, thus increasing cardiac output. Dopamine’s primary function is to dilate visceral vessels and reduce peripheral vascular resistance, thereby achieving a blood pressure-raising effect. Both are available as injectable medications, each containing 10mg, typically diluted to 20mg in 250ml of Ringer’s solution, starting with 20 drops per minute and gradually increasing the rate until the desired blood pressure is achieved. Dobutamine differs from dopamine in that it does not rely on endogenous norepinephrine to raise blood pressure.

Treatment for Tongue Cracks – July 24, 1995

20g of Huang Qi, 3g of Gui Xiang, 10g of Qing Dai, 10g of Jiu Xue Teng, 10g of Dang Gui, 10g of Dan Shen, 3g each of Zhi Ru Mo—take these herbs in decoction. This condition is not an independent disease but may occur in patients with yin deficiency or poor digestion.

Another Approach to Treating Chronic Nephritis – July 25, 1995

30g of Bai Mao Gen, 10g of Shi Wei, 12g of Sheng Di, 6g of Shan Yu, 10g of Shan Yao, 10g of Dan Pi, 12g of Poria, 10g of Ze Xie, 10g of Che Qian, 15g of Ni Xi, 3g of Gui Xiang, 10g of Po Gu Zhi, 10g of Ba Ji Tian, 15g of Xian He Cao, 10g of Dang Shen, 30g of Huang Qi, 10g of Fang Ji, 20g of Yin Chen, 30g of Fresh Job’s Tears, 10g of Huo Shi, 10g of Xi Shang, 15g of Han Lan Cao—this formula is used for patients with kidney deficiency due to chronic nephritis or yang deficiency and water retention. It complements my own experience perfectly; Zhang Jingyue said that the deficiency of the Lung, Spleen, and Kidney three organs is the root cause of kidney water deficiency—a truly profound insight. The mnemonic is: Bai Shi Ji Sheng Po Ba Xian, Can Qi Si Shui Jia Han Lan.

Summary of Herbal Treatments for Nephritis – July 25, 1995

Acute cases: Use Yue Bi for heat; use A Fa for blood; use Dragon’s Blood for bladder irritation; for proteinuria, use Su Geng, Chan Tui, Yimu Cao; for white turbidity, use Wu Wei Xiao Du Yin.

Chronic cases: For spleen deficiency, use Liu Jun, Pala Shan; for kidney deficiency, use Bai Shi Ji Sheng; for blood stasis, use Gui Zhi Fu Ling, Yi Shen; for long-standing conditions, use Shi Ting; for hypertension, use Qi Ju. Adjusting urine composition is similar to that in acute cases—use more Bai Mao Gen and Yimu Cao, exceeding 30g; use Su Geng and Yin Chen at 20g; the five-liver decoctions and five-skin drinks are ideal for diuretic purposes and are suitable for all patients with edema.

Experiences in Treating Chronic Nephritis Before 1995 – July 26, 1995

For many years, I used Gui Xiang and Fu Zi, realizing that these were the core elements in treating this condition. Da Huang served as another key component, working in harmony with Gui Xiang to enhance its efficacy. You can add herbal remedies like Jin Suo Gu Jing Wan—Sahuan Zi, Qian Shi, Suo Yang, Long Mu, Lian Zi—and combine them with herbs like Hai Zao, Kun Bu, San Ling, E Zhu, Bei Mu, Xuan Shen, and Oyster. You can also include Bai Mao Gen, the five-liver decoction, and the five-skin drinks for diuretic purposes; additionally, you can add Chan Yi, Su Geng, Yimu Cao, White Triticum, Taoren, Hong Hua, and other herbs to promote blood circulation and dispel wind. Furthermore, you can incorporate Xian He Cao, Da Xiang, and A Jiao to stop bleeding. I believe that the root cause of chronic nephritis lies in kidney yang deficiency; warming yang and promoting water metabolism are the fundamental approaches to treatment. However, there are many factors influencing this condition—such as colds, infections, allergic reactions (wind), bleeding, hypertension, and others—which almost always play a role throughout the course of the disease. Therefore, treating this condition can be quite challenging! When considering these factors, one must remember that even experienced clinicians can make mistakes if they lack sufficient clinical experience!

Effective Formulas for Hypertension – July 31, 1995

12g of Sang Ji Sheng, 12g of Ku Ding Cha, 12g of Gou Ding, 12g of Gan He Ye—take these herbs in decoction. This formula was commonly used by my father before his passing; he said that this formula was especially effective for treating arteriosclerosis, particularly for patients suffering from dizziness and tinnitus. Among the herbs, Sang Ji Sheng was used to treat angina pectoris effectively.

Reconsidering Jiang Bi Hua’s Cold Remedies – August 1, 1995

10g of Jing Jie, 12g of Fang Feng, 10g of Chuan Xiong, 6g of Fresh Ginger, 6g of Xiang Fu, 6g of Su Ye, 6g of Chen Pi, 10g of Man Jing Zi, 6g of Licorice—the mnemonic is: Chuan Jiang Man Jing Fang Feng, Xiang Su Yin in this formula. This formula was specifically designed by Mr. Jiang Bi Hua to treat colds, and I believe that this formula treats colds involving both wind-cold and stomach problems. The stomach is the center of vital energy, the source of defensive qi; when stomach qi is damaged, defensive qi is insufficient, and pathogenic factors begin to invade the body. Chuan Jiang Man Jing Fang Feng dispels cold and releases exterior symptoms, while Xiang Su Yin soothes stomach qi—thus, this formula is effective for treating such conditions!

Reconsidering Suo Yang – August 5, 1995

This herb is the whole plant of Suo Yang, a plant belonging to the Polygonaceae family, known for its functions of strengthening essence and nourishing the stomach. A famous formula, Jin Suo Gu Jing Wan, contains Sha Yuan Zi, Qian Shi, Lian Xu, Suo Yang, Long Mu, and Lotus Seeds—mixed into pills and taken with saltwater decoction. The characteristic of this formula lies in the harmonization of yin and yang: Qian Shi and Lotus Seeds are yin, derived from water; Suo Yang and Sha Yuan Zi are yang, native to the arid continental desert regions; Long Mu rises to the heavens, representing yang, while Oyster resides in the five oceans, embodying yin. By harmonizing yin and yang, this formula is effective for treating illness!

Two Formulas for Treating Asthma and Chronic Emphysema – August 5, 1995

1. Preparation of Asthma Pills: 200g of Hua Jie, 200g of Dan Dou Chi, 95g of Chen Xiang, 5g of Bai Pa—grind all ingredients into powder, sift through a sieve, then capsule them into 0.25g capsules, taking 1 capsule three times a day, each time 1 capsule. These pills are used to treat chronic bronchitis, emphysema, and asthma.

2. 120g of Sheng Di, 60g of Shan Yu, 100g of Shan Yao, 100g of Dan Pi, 120g of Poria, 100g of Ze Xie, 30g of Gui Xiang, 100g of Mai Dong, 30g of Wu Wei Zi, 100g of Zi Wan, 100g of Dong Hua, 300g of Zi Shi Ying, 30g of Chen Xiang, 100g of Ren Shen, 100g of Su Zi, 100g of Xing Ren, 60g of Ban Xia, 60g of Chen Pi, 10g of Fresh Ginger, 100g of Zhi Shi, 120g of Jie Geng, 100g of Jiang Da, 100g of Zuo Zhi, 100g of Jie Geng, 100g of Zuo Zhi, 100g of Zuo Zhi, 100g of Zuo Zhi, 100g of Zuo Zhi, 100g of Zuo Zhi, 100g of Zuo Zhi, 100g of Zuo Zhi, 100g of Zuo Zhi, 100g of Zuo Zhi, 100g of Zuo Zhi, 100g of Zuo Zhi, 100g of Zuo Zhi, 100g of Zuo Zhi, 100g of Zuo Zhi, 100g of Zuo Zhi, 100g of Zuo Zhi, 100g of Zuo Zhi, 100g of Zuo Zhi, 100g of Zuo Zhi, 100g of Zuo Zhi, 100g of Zuo Zhi, 100g of Zuo Zhi, 100g of Zuo Zhi, 100g of Zuo Zhi, 100g of Zuo Zhi, 100g of Zuo Zhi, 100g of Zuo Zhi, 100g of Zuo Zhi, 100g of Zuo Zhi, 100g of Zuo Zhi, 100g of Zuo Zhi, 100g of Zuo Zhi, 100g of Zuo Zhi, 100g of Zuo Zhi, 100g of Zuo Zhi, 100g of Zuo Zhi, 100g of Z......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: Tang, A Fa’s Fried Barley, Longdan Xie Gan, Er Xian Dan, Er Zhi Wan, Shi Jin Chuan Yu Yi He Su, Shou Dang Qi

Chong (Bai Zhi Li, Bai Mao Gen) San Zi Shi.

In summary, for acute conditions, Yue Bi, Longdan, and Wu Wei are preferred; for chronic conditions, Ba Shan, Jisheng, and Longdan,

A Fa are preferred, with the former being suitable for cases primarily characterized by proteinuria, while the latter is better suited for those with hematuria as the main symptom.

Application of Grass Moss 1995.7.18

The rhizome of a perennial vine-like plant belonging to the Dioscoreaceae family, growing in shady, damp areas along streams.

Its taste is bitter and neutral, entering the Liver, Stomach, and Kidney meridians; it helps relax muscles and activate blood circulation, dispel dampness and clarify the clear and turbid fluids. When combined with Poria, Licorice, Atractylodes macrocephala, and other herbs, it forms the “Bi Mo Fen Qing” decoction, primarily used for treating white discharge and frequent urination, where the fluid becomes thick and oily, and in some patients, pain may occur in the middle of the stem.

Wonderful Formulas for Goose Claw Wind 1995.7.20

Goose claw has a remarkable formula: Huang Huo Yang Da Fan. This is the key to the formula’s preparation.

Take 12g each of Ho Xiang, Huang Jing, raw Rheum officinale, and white alum, add 500ml of alcohol, let it steep for 7 days, then store the clear liquid for future use.

Goose claw wind refers to hand ringworm; another formula involves 1g of Mi Tu Seng, 15 walnuts, and 0.3g of Borneol—each ingredient ground into a paste, applied nightly as a paste.

Persistent Chest Pain 1995.7.21

12g of Chen Pi, 10g of Zhishi, 15g of Sheng Jiang, 12g of Jiang Ban Xia, 12g of Poria, 6g of Licorice—boil these ingredients in water and take the decoction. For this formula, you can also add Gua Lou, Xie Bai, and Gui Zhi. The approach of using Er Chen Tang, Zhishi, and Sheng Jiang to treat chest obstruction can be adopted.

Treatment Formula for Thromboangiitis Obliterans 1995.7.21

6g of Fuzi, 6g of Bai Shao, 6g of Bai Zhu, 10g of Gan Jiang, 10g of Gui Zhi, 6g of Dang Shen, 6g of Huang Qi, 6g of Licorice, 10g of Poria—this formula incorporates Zhen Wu Tang, Fuzi Tang, Gui Zhi Tang, plus Huang Qi, and is used to treat occlusive thromboangiitis, following the same principles as the Eight Meridians’ expansion and the addition of Tao Hong Si Wu, together with Li Zhong.

One Effective Formula for Chronic Myositis 1995.7.21

My treatment for chronic myositis often relied on Yang He Tang, Tuo Li Tou Niu San, Ma Huang Gui Zhi Tang, among others. This formula uses Ma Huang, Cang Zhu, Fang Feng, Fang Ji, Qiang Huo, Poria, Kudzu, Gui Zhi, Xi Xin, and Licorice—all these herbs. The formula’s key phrase is: “Ma Huang Gui Zhi Ge Ling Cang, Xi Xin and Licorice combine with Fang Feng.”

Wu Ju Tong’s Fragrant Needle & Flower Decoction 1995.7.21

10g of Xiang Fu, 10g of Xuan Fu Hua, 10g of Su Zi, 6g of Chen Pi, 6g of Ban Xia, 10g of Poria, 10g of Xing Ren, 20g of Sheng Yi Ren—this formula’s key phrase is: “Su Xing Ren Xiang Fu.” Wu’s words stated: “During summer heat and dampness, heat accumulates in the diaphragm, leading to fluid retention and swelling. This formula is particularly effective for treating palpitations, dizziness, restlessness, restless sleep, and excessive phlegm and cough.” In the past, when my father treated patients with fluid retention in the chest and diaphragm, causing chest tightness and pain, he often used Fen Qing Xin Yin. This formula consists of Su Ye, Su Geng, Qiang Huo, Ban Xia, Chen Pi, Poria, Da Fu Pi, Qing Pi, Sang Bai Pi, Gui Zhi, Bai Shao, Sheng Jiang, Da Zao, Mu Tong. These two formulas can be considered sister formulas for treating chest and diaphragm issues related to fluid retention.

For those experiencing palpitations or restlessness, use the Xiang Fu Xuan Fu Hua Decoction; for those with chest pain and discomfort, use Fen Qing Xin Yin.

Wang Feng Chun’s Experience in Treating Chest Pain 1995.7.21

1. Compound Xiang Ling San: 6g of Xiang Fu, 6g of Wu Ling Zhi, 3g each of Hei Bai Er Chou—take this formula in water to treat chest, flank, and abdominal distension caused by qi stagnation and blood stasis. This formula is known as “Chou Xiang Ling.”

2. Compound Jia Zhu Tang: 10g of Su Geng, 10g of Jia Zhu, 10g of Qian Cao. According to Dr. Yu Bai, this formula is highly effective for treating chest and flank pain caused by qi stagnation and blood stasis.

Yu Bai’s Treatment for Gastric Prolapse 1995.7.21

Dang Shen, Cang Zhu, Huang Qi, Licorice, Chai Hu, Zhishi, Mu Xiang, Calcined Walle, Ming Fan, Wu Mei, Chuan Jiao, Jie Geng, added to water and taken as a decoction. This formula is a variation of Bu Zhong Yi Qi Tang, with the addition of Calcined Walle, Ming Fan, Wu Mei, and other astringent herbs. Adding Jie Geng serves as a vessel to carry the medicine upward, while Chuan Jiao warms the middle burner and disperses cold energy, addressing the root cause of the condition.

One Case of Chronic Nephritis 1995.7.23

A worker in Lanzhou had been suffering from chronic nephritis for six years. In the aforementioned treatments for nephritis, he added 20g of Shi Wei, 20g of Ting Li Zi, 6g of Bai Zhi, 20g of Yin Chen, 6g of Da Huang, 10g of Zao Jiao Jia, 30g of Qian Cao, 10g of Shan Zha, 20g of Bei Jiang, and 12g of Fang Feng (Shi Ting Bai Yin Da Sao Jin, Shan Zha Bei Jiang + Fang Feng). After seven doses, the protein levels that were originally at +4 now became “+,” and the patient was overjoyed—his plans to travel elsewhere for treatment were completely abandoned!

Dopamine vs. Dobutamine 1995.7.23

The latter is a derivative of the former; both have positive cardiac effects, thus increasing cardiac output. Dopamine’s primary function is to dilate visceral vessels and reduce peripheral vascular resistance, thereby achieving a blood pressure-raising effect. Both are available as injectable medications, each containing 10mg, typically diluted to 20mg in 250ml of Ringer’s solution, starting with 20 drops per minute and gradually increasing the rate until the desired blood pressure is achieved. Dobutamine differs from dopamine in that it does not rely on endogenous norepinephrine to raise blood pressure.

Treatment for Tongue Cracks 1995.7.24

20g of Huang Qi, 3g of Gui Xing, 10g of Qing Dai, 10g of Jiu Xue Teng, 10g of Dang Gui, 10g of Dan Shen, 3g each of Zhi Ru Mo—take these herbs in water to prepare a decoction. This condition is not an independent disease but can appear in patients with yin deficiency or poor digestion.

Another Approach to Treating Chronic Nephritis 1995.7.25

30g of Bai Mao Gen, 10g of Shi Wei, 12g of Sheng Di, 6g of Shan Yu, 10g of Shan Yao, 10g of Dan Pi, 12g of Poria, 10g of Ze Xie, 10g of Che Qian, 15g of Niu Xi, 3g of Gui Xing, 10g of Po Gu Zhi, 10g of Ba Ji Tian, 15g of Xian He Cao, 10g of Dang Shen, 30g of Huang Qi, 10g of Fang Ji, 20g of Yin Chen, 30g of Sheng Yi Ren, 10g of Hua Shi, 10g of Huo Qi, 10g of Lu Xie, 15g of Han Lan – this formula is used for patients with kidney deficiency due to chronic nephritis or yang deficiency and water retention. It complements my own experience perfectly. Zhang Jingyue once said: “The deficiencies of the Lung, Spleen, and Kidney are the root causes of kidney water deficiency—a truly exquisite theory.” The key phrase is: “Bai Shi Ji Sheng Po Ba Xian, Can Qi Si Water + Han Lan.”

Summary of Herbal Treatments for Nephritis 1995.7.25

Acute cases: Use Yue Bi for heat; use A Fa for blood; use Longdan for bladder irritation; for proteinuria, use Su Geng, Chan Tui, Yi Mu Cao; for white urine, use Wu Wei Xiao Du Yin.

Chronic cases: For spleen deficiency, use Liu Jun, Ba Shan; for kidney deficiency, use Bai Shi Ji Sheng; for blood stasis, use Gui Zhi Fu Ling, Yi Shen; for long-standing conditions, use Shi Ting; for hypertension, use Qi Ju. Adjusting urinary components similarly to acute cases—use more Bai Mao Gen and Yi Mu Cao, exceeding 30g; use Su Geng and Yin Chen at 20g; the Five-Flavor Decoction and Five-Piece Decoction for diuresis are suitable for all patients with edema.

Experiences in Treating Chronic Nephritis Before 1995.7.26

For many years, I used Guifeng and Gui Fu, realizing that these were the core elements in treating this condition. Da Huang served as another crucial component, working in harmony with Gui Fu. You can also add cooling and detoxifying herbs like Jin Yin Hua, Lian Qiao, Pu Gong Ying, Bei Jiang, and Ban Lan Gen; additionally, you can include softening and strengthening herbs such as Hai Zao, Kun Bu, San Ling, E Zhu, Bei Mu, Xuan Shen, and Mujou; you can also add diuretic herbs like Bai Mao Gen, Five-Flavor Decoction, and Five-Piece Decoction; you can also incorporate blood-activating and wind-dispelling herbs like Chan Yi, Su Geng, Yi Mu Cao, Bai Zhi Li, Tao Ren, and Hong Hua. Furthermore, you can add hemostatic herbs like Xian He Cao, Da Xiang, and A Jiao. I believe that the root cause of chronic nephritis lies in kidney yang deficiency; warming yang and promoting water metabolism are the fundamental approaches to treatment. However, there are many factors influencing this condition—such as colds, infections, allergic reactions (wind), bleeding, hypertension—and these factors almost always play a role throughout the course of the disease. Therefore, treating this condition can be quite challenging! If we overlook these factors, even experienced clinicians may make mistakes!

Effective Formulas for Hypertension 1995.7.31

12g of Sang Ji Sheng, 12g of Ku Ding Cha, 12g of Gou Ding, 12g of Gan He Ye—take these herbs in water to prepare a decoction. This formula was commonly used by my father before his passing. He said: “This formula is incredibly effective for treating arteriosclerosis, especially for those who suffer from dizziness and tinnitus.” Among the herbs, Sang Ji Sheng is used to treat angina pectoris effectively.

Reconsidering Jiang Bi Hua’s Cold Remedies 1995.8.1

10g of Jing Jie, 12g of Fang Feng, 10g of Chuan Xiong, 6g of Sheng Jiang, 6g of Xiang Fu, 6g of Su Ye, 6g of Chen Pi, 10g of Man Jing Zi, 6g of Licorice—the key phrase is: “Chuan Jiang Man Jing Fang Feng, Xiang Su Yin.” This formula was specifically designed by Mr. Jiang Bi Hua to treat colds, especially when both wind-cold and stomach problems are present. The stomach is where the central qi resides, the source of defensive qi; when stomach qi is damaged, the defensive qi is insufficient, and pathogenic factors begin to invade the body. Chuan Jiang Man Jing Fang Feng dispels cold and clears the exterior, while Xiang Su Yin soothes the stomach qi—thus, this formula is effective for treating such conditions!

Reconsidering Suo Yang 1995.8.5

This herb is the whole plant of Suo Yang, a plant belonging to the Polygonaceae family, with both sperm-strengthening and stomach-tonifying properties. A famous formula, Jin Suo Gu Jing Wan, contains Sha Yuan Zi, Qian Shi, Lian Xu, Suo Yang, Long Mu, and Lotus Seeds—mixed into pills and taken with saltwater soup. The distinctive feature of this formula is the harmonization of yin and yang: Qian Shi and Lotus Seeds (Xu) represent yin in the water; Suo Yang and Sha Yuan Zi grow in the arid continental desert regions, representing yang; Long Mu rises to the nine heavens, embodying yang, while Mujou roams the five oceans, embodying yin. By harmonizing yin and yang, this formula is effective for treating illness!

Two Formulas for Treating Asthma and Chronic Emphysema 1995.8.5

1. Preparation of Asthma Pills: 200g of Hua Jie, 200g of Dan Dou Chi, 95g of Chen Xiang, 5g of Bai Pa—grind all ingredients into powder, sift through a sieve, then capsule them into 0.25g capsules, taking 1 capsule three times a day, each time 1 capsule. This formula is used for treating chronic bronchitis, emphysema, and asthma.

2. 120g of Sheng Di, 60g of Shan Yu, 100g of Shan Yao, 100g of Dan Pi, 120g of Poria, 100g of Ze Xie, 30g of Gui Xing, 100g of Mai Dong, 30g of Wu Wei Zi, 100g of Zi Wan, 100g of Dong Hua, 300g of Zi Shi Ying, 30g of Chen Xiang, 100g of Ren Shen, 100g of Su Zi, 100g of Xing Ren, 60g of Ban Xia, 60g of Chen Pi, 10g of Sheng Jiang, 100g of Jie Geng, 120g of Jie Geng, 100g of Chang Jiang, 100g of Wu Mei Zi, 100g of Sheng Jiang, 100g of Jie Geng, 100g of Chang Jiang, 100g of Jie Geng, 100g of Chang Jiang, 100g of Jie Geng, 100g of Chang Jiang, 100g of Jie Geng, 100g of Chang Jiang, 100g of Jie Geng, 100g of Chang Jiang, 100g of Jie Geng, 100g of Chang Jiang, 100g of Jie Geng, 100g of Chang Jiang, 100g of Jie Geng, 100g of Chang Jiang, 100g of Jie Geng, 100g of Chang Jiang, 100g of Jie Geng, 100g of Chang Jiang, 100g of Jie Geng, 100g of Chang Jiang, 100g of Jie Geng, 100g of Chang Jiang, 100g of Jie Geng, 100g of Chang Jiang, 100g of Jie Geng, 100g of Chang Jiang, 100g of Jie Geng, 100g of Chang Jiang, 100g of Jie Geng, 100g of Chang Jiang, 100g of Jie Geng, 100g of Chang Jiang, ...... 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: Large, Huangqi is used at 12g, Chaihu at 4.5g, Dangshen at 9g.

2. Chronic Cough: For elderly patients with lung qi deficiency, add Mai Dong at 12g, Wu Wei Zi at 6g, and Su Ke at 9g; this formula has been practiced for many years by Director Dai Yuguang of the Army Medical University and has proven effective in numerous trials.

3. Qi Deficiency and Arm Pain: Add Ban Xia and Fuling to treat arm pain caused by stagnant fluids—this refers to the condition treated by Zhi Mi Fu Ling Wan.

4. Excessive Internal Heat and Uncontrolled Movement: Add Shan Zhi to treat bitter mouth, restlessness, and sores on the lips and tongue. In such cases, Huang Bo can also be added.

5. Chest Pain: Add Ban Xia and Mu Xiang to descend reversed qi and relieve chest pain and chest tightness.

Treatment for Lowering of Central Qi – August 16, 1995

Also known as Lowering of the Central Qi, Mr. Zhang Xichun’s Sheng Jian Tang was highly effective in treating this condition. The formula consists of Huangqi at 20g, Shengma at 6g, Chaihu at 10g, Zhimu at 10g, Jiegeng at 20g; it is decocted with water and taken once daily. This formula is derived from Buzhong Yi Qi Tang, with Huangqi, Chaihu, and Sheng as its core components. Jiegeng serves as a vessel to guide the medicine upward, while the intention is to nourish yin and replenish fluids—remember that nourishing yin and replenishing fluids should come first. What causes Lowering of the Central Qi? As Xichun said, “Chest tightness, shortness of breath, dizziness, and even feeling like the air is cut off—these are all signs of falling qi!” Upon observation, I found that these symptoms were also indicative of hypotension. When blood pressure is low, organs may experience ischemia; when coronary vessels are affected, chest pain occurs, and pulmonary artery ischemia often leads to shortness of breath. My experience suggests using Guipi Tang combined with Shengmai San. Based on this approach, I developed “Guipi Guan Shengmai, Qinglong Po Di Shui,” which represents an advanced formulation.

Formulas for Eosinophilic Leukocytosis – August 16, 1995

24g of Hai He Powder, 9g of Hai Fu Shi, 1g of Fish Gall (Fish Bladder) (to be taken in divided doses), and 5g of Chan Tui; after roasting the fish gall until dry and grinding it into powder, take the powder dissolved in water. The three herbs are prepared in water form, aiming to desensitize the body; Chan Tui is a traditional remedy for wind-removing, also serving to desensitize. It is believed that eosinophilic leukocytosis is often caused by allergies; Western medical treatments for this condition are relatively few, but traditional Chinese medicine methods—such as removing wind from the body—can often be effective. Previously, I treated workers at Factory No. 504, and this formula proved highly effective. This condition is characterized by an increase in eosinophils in peripheral blood, often accompanied by respiratory symptoms such as cough, chest tightness, shortness of breath, and asthma—falling under the category of wind-cold asthma in traditional Chinese medicine. The fish gall in this formula, due to long-term lack of medicinal resources, was sometimes replaced by Snake Gall or Chen Pi by Mr. Zheng Sunmou in Fuzhou. If such remedies are unavailable, one could consider using Earth Liver Star instead. The formula's purpose is to clear heat, resolve phlegm, open the lungs and stop coughs; if there is excess fire in the lungs, Ma Xing Shi Gan Tang can be used; if the spleen and stomach are cold and deficient, Si Jun Zi Tang can be employed; for constipation, Meng Shi Rong Tan Wan or San Huang Xie Xin Tang can be prescribed.

New Drug: Qiang Bi Lin – August 21, 1995

This product is a semi-synthetic penicillin, formally known as Hydroxybenzylpenicillin Syrup. When taken orally, it is not broken down by digestive enzymes in the gastrointestinal tract, allowing for good absorption and achieving relatively ideal concentrations in the bloodstream. Its antibacterial spectrum is similar to that of Ampicillin, though its effects are slightly stronger, making it effective against various streptococci, pneumococci, staphylococci, tetanus bacilli, influenza bacilli, Escherichia coli, dysentery bacilli, and Bacillus cereus. It is commonly available in both bottle and bag forms. ① A 1.5g bottle, mixed with 60ml of water, shaken thoroughly; adults take 10–20ml, three times daily, with dosage adjusted according to age; ② Bagged: each packet contains 0.25g, 0.125g, with adults taking 0.25–0.5g, three times daily, manufactured by Dan Cheng Pharmaceutical Factory in Haikou City.

Treatment for Aphasia and Hoarseness – August 21, 1995

In the autumn of the Year of the Pig, a patient developed aphasia and hoarseness after chemotherapy—a side effect of cancer treatment, affecting the recurrent laryngeal nerve. I considered prescribing Chaihu at 10g, Zhi Shi at 10g, Bai Shao at 10g, Gan Cao at 6g, Da Huang at 6g, Chan Yi at 6g, Jiang Chong at 6g, Jiang Huang at 6g, Mu Hua at 6g, He Zi at 3g, Bai Hua She Tiao at 20g, and Ban Zhi Lian at 20g. After three doses, the patient’s aphasia and hoarseness suddenly disappeared completely. Many hospital doctors commented, “This is truly a miraculous formula!”

Main Symptoms of Yin Chen Hao Tang – August 21, 1995

“In Yangming disease, when fever and sweating occur, it signifies that heat has risen beyond the surface and cannot turn yellow; however, if the head sweats while the body remains dry, the neck is damp, and urination is difficult while thirst persists despite drinking water, then this indicates internal heat accumulation, leading to jaundice. Yin Chen Hao Tang is the primary formula for such conditions.” (Shang Han Lun, Article 236). This formula can be remembered as: “In Yangming disease, only the head sweats, the neck remains damp, urination is difficult, thirst drives one to drink water—but internal heat accumulates, causing jaundice.” “Six liang of Yin Chen, fourteen seeds of Zhizi, two liang of Da Huang—first boil Yin Chen in 12 sheng of water until it reduces to 6 sheng, then add the other two ingredients, simmer until 3 sheng is obtained, remove the residue, and divide into three doses.” In the Han Dynasty, “liang” was roughly equivalent to 3 qian in modern terms, or 9g. For easier calculation, we can round up to 10g; the aforementioned dosage would be Yin Chen 60g, Zhizi 14 seeds, and Da Huang 20g. Ancient people had stronger spleens and stomachs than modern people; based on my experience, the optimal dosage for this formula is Yin Chen 30g, Da Huang 10g, and Zhizi 10g.

“After seven or eight days of Shang Han, if fever occurs, the skin turns yellow like orange, urination is difficult, and the abdomen feels slightly distended—Yin Chen Hao Tang is the primary formula for such conditions.” (Shang Han Lun, Article 260); “When Shang Han presents with jaundice, fever, and Zhizi Bai Pi Tang is the primary formula,” with Zhizi 10g, Huang Bo 10g, and Gan Cao 5g; “When Shang Han involves internal heat accumulation, jaundice is inevitable—Ma Xing Lian Qiao Chi Xiao Dou Tang is the primary formula,” with Ma Xing 10g, Lian Qiao 10g, Chi Xiao Dou 10g, Gan Cao 6g, Xing Ren 10g, Chun Gen Bai Pi 10g, Ginger 6g, and Jujube 4 pieces.

Invited to Consult at the Affiliated Hospital of Qinghai Medical College—Treatment for Ascites Due to Liver Cirrhosis (Patient: Minister Ye of the Qinghai United Front Department) – August 25, 1995

Minister Ye underwent gastric cancer surgery in 1993, and a year ago, his abdominal lymph nodes were found to be enlarged, with a spleen measuring 4.5cm. He had previously undergone chemotherapy. Over the past three months, his ascites increased rapidly; the Qinghai Medical College performed seven paracentesis procedures, totaling 5000ml. After examination, the patient was severely emaciated, fatigued, unable to get out of bed, with no jaundice visible in the sclera or throughout the body. Gastroscopy revealed residual gastric tissue, with no evidence of cancer recurrence; the abdomen was greatly distended, with ascitic signs (+++) and lower limb edema. Routine ascitic cell counts were “zero.” I said, “This patient has not undergone abdominal ultrasound recently; liver metastasis cannot yet be confirmed. The spleen is enlarged, the ascites is pale yellow, and there is no bloody ascites. The causes of ascites include: ① liver cirrhosis; ② tumor compression of the portal vein?” Given this situation, using diuretics and supportive care effectively, we can hope for survival of more than one year. For diuresis, avoid further paracentesis;速尿 and Liver Cirrhosis Capsules can help! For support, use albumin, plasma, and branched-chain amino acids.” The hospital president and expert professors present were deeply impressed; following this treatment plan, the patient’s spirits improved, his physical strength recovered, and the ascites completely resolved.

Hypokalemia – August 28, 1995

① Insufficient intake: fasting, picky eating habits, or inadequate potassium supplementation during fluid replacement. ② Excessive potassium loss: vomiting, diarrhea, diuretics, corticosteroid preparations, peritoneal dialysis, thoracic and abdominal fluid drainage, gastrointestinal decompression. ③ Abnormal distribution: dilution of extracellular fluid, insulin administration. ④ Simultaneous deficiency of potassium and magnesium. When potassium is deficient, five major symptoms appear: ① loss of appetite, fatigue, abdominal distension, mental sluggishness, and limb weakness. ② Decreased blood pressure, muffled heart sounds, and a weak pulse. ③ Reduced bowel sounds and paralytic intestinal obstruction. ④ Loss of sensation in the limbs, numbness, and disappearance of tendon reflexes. ⑤ Heart arrhythmias and heart failure may occur; electrocardiograms show flat T waves, inverted P waves, prolonged QT intervals, decreased S-T segments, and prolonged P-R intervals.

Hyperkalemia – August 28, 1995

① Intravenous blood transfusion, excessive potassium supplementation. ② Renal failure, adrenal insufficiency. ③ Chemotherapy, hemolysis (hypoxia, acidosis, shock, trauma, toxic reactions). ④ Dehydration, blood concentration. Clinical manifestations: similarly, lethargy, limb numbness, sensory abnormalities, and loss of deep reflexes. Electrocardiograms show elevated T waves, disappearance of P waves, and widened QRS complexes.

Chemotherapy for Nasopharyngeal Cancer – August 28, 1995

Nasopharyngeal cancer is classified into undifferentiated and differentiated types. Undifferentiated cancers are still unclear whether they belong to squamous cell carcinoma or adenocarcinoma; most often, they exhibit cellular nuclei or tubular structures. Differentiated cancers, on the other hand, have clearer features, with distinct adenocarcinoma or squamous cell carcinoma characteristics. CTX and VCR are standard drugs for nasopharyngeal cancer; adenocarcinomas are treated with 5-Fu and MTX, while squamous cell carcinomas are treated with PDD, ADR, PYM, and BLM.

Research on Nitrate & Fumite Powder – September 12, 1995

This formula is a specialized remedy from Jin Gui for treating female tuberculosis-related jaundice, stating: “When the bladder is urgent, the lower abdomen is full, the whole body turns yellow, black spots appear on the forehead, hands and feet feel hot, while the feet are cold, and abdominal distension is caused by water retention—Nitrate & Fumite Powder is the primary formula for such conditions.” Later, it was referred to as “treatment for Yin Yellow”; Zhang Xichun regarded this formula as “the general formula for treating jaundice,” and its efficacy was remarkable. What exactly is nitrate? Is it mirabilite? Fire nitrate? Potassium nitrate? Historically, medical practitioners disagreed on the matter; Li Shizhen, in his Ben Cao Gang Mu, ultimately settled on fire nitrate as the correct choice. What exactly is fumite? Is it alum? Dead alum? Soap alum? Copper alum? The original formula in Jin Gui always included the word “burned” after “fumite,” and most medical practitioners agreed with this practice, using calcined alum, also known as dead alum. According to research, alum is actually potassium aluminum sulfate, with one molecule containing one molecule of H₂O crystallization; when calcined, the water molecules are removed, leaving potassium aluminum sulfate. Fire nitrate is a mixture of potassium nitrate and sodium nitrate combined with potassium aluminum sulfate; the mechanism behind its jaundice-reducing effects still needs further study. Zhang Xichun referred to fumite as soap alum, adding that soap alum contains ferrous sulfate, paired with fire nitrate, offering excellent efficacy in reducing jaundice and promoting diuresis. I have experimented with Liver Cirrhosis Capsule I, II, and III—Capsule I uses alum, Capsule II uses dead alum, and Capsule III uses soap alum, currently undergoing testing. Preliminary observations suggest that Capsule I is better at promoting diuresis, Capsule II is more effective at reducing jaundice, while Capsule III has not yet been tested. How does Xichun’s experience compare? Further research is needed. I have reviewed books such as Yi Zong Jin Jian, Gujin Dushu Jicheng, Jing Yue Quanshu, and Medical Ganzhu, but the records regarding Nitrate & Fumite Powder are quite brief—most of them merely copied from Jin Gui, with phrases like “bladder is urgent, lower abdomen is full, the whole body turns yellow, black spots appear on the forehead…” Ultimately, the formula’s composition is what matters. It is evident that among medical practitioners throughout history, very few truly understood this formula well, and Zhang Xichun was one of the few who did. The formulations of Capsules I, II, and III will need further refinement through practical application.

Revisiting Hypotension – September 14, 1995

Many people suffer from hypotension; in ancient times, since blood pressure was not measured, people relied on the six pulses—slow and fine—to diagnose conditions like “heart-spleen deficiency,” “lowering of central qi,” or “loss of yang and yin.” The main symptoms of this condition include dizziness, headache, palpitations, forgetfulness, insomnia with frequent dreams, yellowing of the face, loss of appetite, fatigue, and spontaneous sweating. For severe cases, Guipi Tang was used; Li Dongyuan recommended Buzhong Yi Qi Tang, while Zhang Xichun favored Sheng Jian Tang. If the patient experiences excessive sweating due to loss of yang, or cold extremities, then the Four Reverse Decoction from Zhongjing could be used. My experience shows that Guipi Tang combined with Shengmai San is the most effective treatment; for some patients who sleep well, Buzhong Yi Qi Tang can replace Guipi Tang. Zhang Xichun noted that when central qi is lacking, patients may experience shortness of breath, palpitations, and even falls—Sheng Jian Tang is said to achieve complete recovery. The formula consists of Shengma, Huangqi, Chaihu, Zhimu, and Jiegeng; I often add Zhimu, Jiegeng, Shengma, and Chaihu to Guipi Tang, which doubles the effectiveness. Patients with hypotension often experience poor circulation and low blood pressure, leading to symptoms like chest pain and palpitations—similar to those seen in coronary heart disease. Therefore, I often add Guan Yi, Zhi Shi, Po Guo, Di Gu Pi, Ze Xie, Mu Tong, Qing Chen Pi, and Sheng Long Mu to the formula; the resulting formula is called “Furong Guipi Tang,” with the mnemonic: “Guipi Guan Shengmai, Qinglong Po Di Shui.”

Japanese Herbalists’ Formulas for Treating Bronchial Asthma – September 15, 1995

Recent studies on bronchial asthma have shown that this condition arises from multiple factors acting on different cells. When these cells encounter stimuli, they release various inflammatory mediators, which then act on target cells within the respiratory tract, causing smooth muscle spasms, increased vascular permeability, mucosal thickening, and edema. Historically, asthma treatments focused solely on regulating sympathetic nervous system mediators—medications like ephedrine, noradrenaline, isoprenaline, and antitussive agents like Xiangxiong Ping and Chuanxin Ning—all belonged to this category, generally relying on alpha- and beta-adrenergic receptor agonists and cholinesterase inhibitors. While these medications provided temporary relief, long-term use often led to increased respiratory allergies, worsening asthma symptoms, higher rates of pulmonary heart disease, and increased mortality. Japanese scholars found that formulas combining Dai Chai Hu Tang with mysterious formulas, Chai Hu Gui Zhi Gan Tang with Fuling Tang, and Aji preparation were highly effective in treating this condition—and they significantly overcame the limitations mentioned above.

1. Dai Chai Hu Tang with Modifications: Japanese physician Yoshio Maye applied Dai Chai Hu Tang in combination with Gui Zhi Fuling Wan, Ban Xia Hou Pu Tang, and Ma Xing Shi Gan Tang with Jiang Xin Wei Pan, treating nine cases of this condition. Five cases showed marked improvement, four cases were effective, and one case had a slight effect. Maye believed that the key to this formula lay in the use of expectorants.

2. Mysterious Formula: Nakata Keigo selected this formula: Ephedra, Su Ye, Orange Peel, Chai Hu, Hou Pu, and Gan Cao. This formula originated from a Japanese book titled “Wu Wu Yao Shi Fang Han Kou Jue,” which stated: “For chronic cough, wheezing, inability to lie down or sit, with a whistling sound in the throat and difficulty breathing.” Nakata believed this formula was effective for treating conditions involving Ma Xing, Xiang Xing, and Gan Cao—meaning irritability, wheezing, cough, chest tightness, and nervousness. (Ephedra Tang with Su, Hou, and Chai Hu, named “Mysterious Japan”). 3. Chai Hu Gui Zhi Gan Tang with Fuling: Akiba Tetsuhiro introduced Chai Hu Gui Zhi Gan Tang with Fuling, noting: “In Shang Han, when someone sweats and feels thirsty, Wuxing San is the primary formula; when someone doesn’t feel thirsty, Fuling Gan Cao Tang is the primary formula.” (Shang Han Lun)

3. Aji Preparations: Japanese researcher Ito analyzed the use of Aji preparations in treating bronchial asthma. He often used Aji to treat refractory asthma, frequently adding Aji to Fuling Si Ni Tang, Ba Wei Wan, or Chi Wan, which often yielded positive results.

Ling Gui Zao Gan Tang for Bronchial Asthma Combined with Allergic Colitis – September 16, 1995

Asthma accompanied by abdominal pain, abnormal stools, tenesmus, sweating, and a sensation of something stuck in the throat when coughing—its air rushing upwards, coldness in the abdomen, tenesmus, and a sense of gas moving in the navel—after treatment with Ling Gui Zao Gan Tang, all symptoms eased. Asthmatic patients often exhibit heightened parasympathetic nervous system tension, and increased gastrointestinal motility is inevitable; abnormal stools and tenesmus are common. Shang Han Lun, Article 65 states: “After sweating, if a person feels palpitations below the navel and desires to experience a sudden, rapid heartbeat, Ling Gui Zao Gan Tang is the primary formula.” Shang Han, Article 64 states: “After sweating, if a person clutches their hands and feels a heartache beneath the chest, with palpitations and a desire to press, Gui Zhi Gan Cao Tang is the primary formula.” These passages can be interpreted as manifestations of hyperactive cholinesterase activity; Gui Zhi Tang’s action often lies in suppressing this hyperactivity, thus helping to treat asthma—and also relieving abdominal pain. The principle of “reducing rebellious qi and calming surging energy” is precisely how Gui Zhi Tang achieves its therapeutic effects.

Ming Yan and Dead Alum – September 17, 1995

Ming Yan is potassium aluminum sulfate, containing one molecule of water crystallization; after calcination, the water is removed, transforming it from pure white to grayish-white, with half of its weight lost—this is dead alum. Dead alum is still potassium aluminum sulfate, with similar pharmacological properties to Ming Yan, though it has a stronger astringent effect, without causing harsh acidity or irritation in the gastrointestinal tract. The formula is particularly effective when used in nitrate powder; I have used this formula in my ancient prescriptions, number II.

Blue Indigo, Alum, and Peony – September 18, 1995

30g of blue indigo, 15g of alum, and 15g of peony; grind all three together and take 1.2g three times daily, treating indirect bilirubin elevation. This condition is caused by hemolytic jaundice; because the jaundice particles are large, they cannot pass through the glomerular filtration process, so urine bilirubin is negative. Blue indigo is extracted from the dried leaves of the Plantago family, specifically from the plant Maran or the Polygonaceae family, and was historically used as a dye. This substance enters the liver, where it has the effects of clearing heat, detoxifying, cooling the blood, and resolving blood stasis. Clearing heat and detoxifying can be seen as anti-inflammatory actions in modern medicine; what does “cooling the blood and resolving blood stasis” mean? One might imagine that this substance has hemostatic effects, improves capillary permeability, and regulates blood clotting mechanisms. I believe that indigo can also produce indigo red, which may treat acute leukemia and have significant effects on bone marrow hematopoietic function—thus, its role in treating anemia becomes understandable. Alum (especially dead alum, after calcination) has been proven effective in treating jaundice and improving liver health; this jaundice-reducing effect is not limited to diuresis—it also supports hepatocyte regeneration. Based on this understanding, further research is needed to determine whether alum can be used in the treatment of blood diseases, or whether it should be screened for effective therapeutic agents. Peony is the stem and leaves of the Lamiaceae family, entering both the liver and gallbladder meridians; it promotes blood circulation, resolves blood stasis, promotes diuresis, and reduces swelling—particularly useful for women experiencing menstrual irregularities, amenorrhea, or accumulated masses. Additionally, local Fujian folk medicine uses this herb to treat boils, carbuncles, and abscesses, demonstrating its strong anti-inflammatory properties. I believe this herb is a herbal remedy, somewhat bulky; adding it to the formula reduces the dosage of the previous two herbs. Moreover, this herb has no direct effect on jaundice—rather, it primarily acts as an anti-inflammatory and diuretic, so it is appropriate to include it in the formula.

Research on Dry Lacquer – September 18, 1995

It is the dried resin of deciduous trees in the Anacardiaceae family, colored dark brown; when burned, it produces black smoke and carries a lacquer-like odor. It is mainly produced in Hubei, Sichuan, Yunnan, Guangdong, and other regions abroad, including Japan and Myanmar. It is mildly toxic, entering the liver meridian, helping to eliminate stagnation, break up masses, and kill insects. The “Yao Xing Ben Cao” states: “This herb kills three types of insects and eliminates dead tissues.” Zhang Yuan said: “It dissolves deep-seated, hardened deposits and breaks up long-standing blood stasis.” These words fully capture the uses of dry lacquer! Avoid use if you have no blood stasis, and avoid use if you have stomach pain.

Compound Seven-Flavor White Atractylodes Powder – September 18, 1995

During the Mid-Autumn Festival of the Year of the Pig, a patient with submandibular gland cancer was admitted to the hospital. After chemotherapy, his condition improved overall, but he later developed aphasia, which failed to respond to all conventional treatments. I then devised a formula: Chai Hu, Zhi Shi, Bai Shao, Gan Cao, Da Huang, Chan Yi, Jiang Huang, Jiang Chong, Hua Yin, Lian Qiao, Mu Hua, He Zi, Pang Dahai, Yu Jin, Ming Yan, and Fu Ling. One dose was highly effective, and two doses restored his voice to normal. Later, he experienced diarrhea and persistent high fever; I then combined the Seven-Flavor White Atractylodes Powder with Sheng Shi, Che Qian Zi, and took one dose to reduce the fever. I added purslane, kudzu, and artemisia to the formula; after three doses, the diarrhea subsided, and the diarrhea stopped.

Diarrhea, Abdominal Pain, and Stomach Pain in Liver Cirrhosis – September 18, 1995

The cause of this condition is portal hypertension, along with varying degrees of dilation in the mesenteric vessels, leading to edema of the gastrointestinal mucosa. The patient’s absorption and digestion functions are severely compromised; the patient experiences symptoms such as abdominal fullness, loss of appetite, and aversion to food. At this stage, diet should be carefully tailored—low-fat, low-protein, and low-fiber foods are recommended, along with liquid or semi-liquid diets. Vegetable soups and fruit juices can help increase vitamin absorption. Given these circumstances, dietary therapy is one of the primary treatments for this condition. Even a small mistake can lead to diarrhea, stomach pain, and nausea. I once specially formulated a formula for this purpose—Ping Wei San combined with Liu Jun Tang and Wu Ling Wu Shui Lan Xiang. This formula largely addressed gastrointestinal disorders in patients with this condition. The Five-Ling Powder was modified to include Fuling, Zhi Shi, Ze Xie, Che Qian Zi, Gan Cao, and Fu Ling; the remaining Five-Ling ingredients could be used when there was significant ascites—such as Da Fu Pi, Hulu Pi, Han Fang Ji, Sheng Yi Ren, and Mu Tong. Peony: helps resolve blood stasis and promote diuresis; Red Sage: promotes blood circulation and stops bleeding; Ho Xiang: dispels dampness and relieves nausea—these herbs are especially suitable for this condition. Finally, the revised Liver Disease No. 6 formula is as follows: Cang Zhu, Hou Pu, Chen Pi, Gan Cao, Dang Shen, Bai Zhu, Fuling, Ban Xia, Zhi Shi, Ze Xie, Che Qian Zi, Gan Cao, Fu Ling, Peony, Red Sage, Ho Xiang, Shen Qu. The characteristic of this formula is that it focuses entirely on the gastrointestinal tract, promoting diuresis and strengthening the stomach and spleen—aiming to restore the gastrointestinal system, which is essential in the treatment of liver cirrhosis.

Eight Formulas for Liver Health – September 19, 1995

Liver Disease No. 1: Dang Shen, Bai Zhu, Huang Qi, Dang Gui, Chai Hu, Sheng Ma, Bai Shao, Hu Zang, Wu Mei, Chan Yi, Gou Qi, Wu Wei Zi, Wu Wei Zi, Mai Dong, Gua Lou, Ge Gen, Ju Ye, Yu Jin, Jiao San Xian, Ji Nei Jin. (Hepatitis B, small three-positive, asymptomatic) 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: Liver Disease No. 2: Chaihu, Huangqin, Banxia, Shengjiang, Dazao, Dangshen, Zhigan Cao, Dan

Shen, Muxiang, Caokou, Huzhang, Yincheng, Banlan Gen, Weilingxian, Wanansha, Gualou, Xiangfu, Huangqi,

Qinjiao, Chuanliaozi, Danggui, Zejian, Ju Ye, Yu Jin. (Type B Chronic Hepatitis Active Phase: Bitter Mouth, Dry Throat,

Irritability, Discomfort in Liver Region, Mild Liver Function Damage)

Liver Disease No. 3: Chaihu, Zhishi, Baishu, Gancao, Chuanxiong, Xiangfu, Huangqi, Danggui, Dan

Shen, Qinjiao, Banlan Gen, Dangshen, Chuanliaozi, Zhi Ruming, Su Lü, Zejian, Guizhong, Gualou, Xiangfu, Huangqi,

Qinjiao, Banlan, Dangshen, Ju Ye, Yu Jin. (Type B Chronic Hepatitis with Severe Liver Pain, Mild Liver Function Damage)

Liver Disease No. 4: Niu Xi, Dazhen, Mai Dong, Gancao, Longkui, Huzhang, Yeju, Huangqi, Danggui, Dan

Shen, Qinjiao, Banlan Gen, Dangshen, Chuanliaozi, Zhi Lü, Muxiang, Chi Shu, Shouwu, Shan Zhi, Qianzhu, Yuan Hu, Chuanliaozi, Gualou, Zhi Lü, Yu Jin, Xiangfu, Muli, Honghua, Longdan Cao, Bai Hua She Tiao Cao, Ban Zhi Lian, Sheng Da Huang, Huanglian. (Type B Chronic Hepatitis with Severe Liver Function Damage)

Liver Disease No. 5: Chaihu, Huangqin, Banxia, Dangshen, Gancao, Bai Zhu, Fuling, Sha Ren, Huangqi,

Danggui, Dan Shen, Shanyao, Chen Pi, Muxiang, Chi Shu, Shou Wu, Shuixi, Sheng Da Huang, Huanglian, Sheng Jiang, Zhi Lü, Yu Jin, Xiangfu,

Muli, Honghua, Longdan Cao, Bai Hua She Tiao Cao, Ban Zhi Lian, Sheng Da Huang, Huanglian. (Type B Chronic Hepatitis with Severe Symptoms, Poor Appetite, Abdominal Distension, Jaundice, Discomfort in Both Flanks, Occasional Cold and Heat)

Liver Disease No. 6: Cangzhu, Houpu, Chen Pi, Gancao, Dangshen, Bai Zhu, Fuling, Banxia, Zhi Shi,

Zhe Xie, Gan Cao, Sheng Da Huang, Dan Shen, Huangjing, Yu Jin, Bie Jia, Yin Chen, Cao Xiang. (Liver Cirrhosis, Diarrhea, Abdominal Distension)

Liver Disease No. 7: Chaihu, Danpi, Shan Zhi, Danggui, Baishu, Bai Zhu, Fuling, Dan Shen, Huangqi,

Huangjing, Yu Jin, Bie Jia, Yin Chen, Ban Zhi Lian, Zhe Xie, Gan Cao, Hulugui, Dangshen, Chuanliaozi, Hulugui, Da Fu Pi,

Han Fang Ji, Lai Fu Zi. (Liver Cirrhosis with Ascites, Fever, Jaundice)

Liver Disease No. 8: Chaihu, Huangqin, Banxia, Dangshen, Gancao, Shengjiang, Dazao, Fuling, Zhu Ling,

Pig Ling, Bai Zhu, Gui Zhi, Yin Chen, Ban Zhi Lian, Zhe Xie, Gan Cao, Da Fu Pi, Han Fang Ji, Lai Fu Zi. (Liver Cirrhosis with Ascites, Fever, Red Tongue, No Coating, Little Moisture)

Kuangxiong Capsules, September 20, 1995

Water Leeches: 200mg, Sanqi: 200mg, Kufan: 80mg, Xin Tong Ding: 5mg. The herbs are ground into a powder,

then packed into 0.5g capsules. Take one capsule per dose, orally, 2–3 times daily.

In this formula, water leeches and Sanqi are effective for promoting blood circulation and resolving blood stasis—ideal for treating coronary heart disease and angina pectoris.

Kufan helps reduce lipids and improve digestion.

Traditional Chinese Medicine Treatment for Mammary Hyperplasia, September 20, 1995

According to the “National List of Famous Doctors,” the mammary hyperplasia formula, combined with the specially formulated Chai Shan Compound, is somewhat similar to the formula we proposed. However, the key difference lies in the addition of Lu Feng Fang, Shao Jiao Ci, Wang Bu Liu, Muli, and Chuan Xiong (with the mnemonic: “Feng Ci Chuan, Bu Li Muli”). The mammary hyperplasia formula is essentially a combination of Chai Shan Compound and Feng Ci Chuan, along with Muli.

Research on Sanqi, September 20, 1995

Sanqi, also known as Shen Sanqi, Han Sanqi, Jin Bu Huan, or Tian Qi, is a perennial herbaceous plant belonging to the Araliaceae family. Its dried roots are primarily produced in Yunnan, Guangdong, Guangxi, and Sichuan. It is commonly believed to have hemostatic, blood-activating, and blood-stasis-resolving properties—but it’s often overlooked that this herb possesses powerful blood-nourishing effects. Professor Zhao Fen from Fujian College of Traditional Chinese Medicine once treated a patient suffering from severe anemia using Sanqi, administering 1g of Sanqi twice daily. Within just one month, the patient’s hemoglobin levels increased from 7g to 11.2g. This demonstrates that Sanqi is truly a medicine that combines both tonifying and activating functions. In addition to its blood-activating properties, Sanqi is also a primary treatment for coronary heart disease and arteriosclerosis (including cerebral thrombosis). Experimental studies have confirmed that this herb has excellent lipid-lowering effects. Professor Chen Dingqi from the Institute of Traditional Chinese Medicine administered 2g of Sanqi, taken twice daily, to treat 85 cases of angina pectoris, achieving an efficacy rate of 82% and a lipid-lowering rate of 78%. Teacher Tao Wensheng from Pingdingshan Medical School in Henan Province used Sanqi to treat 100 cases of jaundice-related hepatitis, demonstrating its ability to promote bile secretion, reduce jaundice, and lower liver enzymes. It also showed significant effects in chronic type B active hepatitis; his self-formulated San Dan Tang was found to significantly induce surface antigen conversion to negative in 42 cases, typically after two months of treatment. Dr. Lu Zheng from the Zhejiang Institute of Traditional Chinese Medicine inadvertently discovered that Sanqi had a notable diuretic effect, which he applied to hepatic, cardiac, and renal edema in multiple cases, all of which yielded positive results. In summary, Sanqi offers multifaceted benefits, including blood-activating and blood-stasis-resolving properties, qi-nourishing and blood-nourishing effects, hemostasis and pain relief, anti-inflammatory and detoxification, bile-promoting and jaundice-reducing effects, diuretic and edema-reducing properties, liver protection and enzyme reduction, and increased albumin levels.

Reconsidering Water Leeches, September 25, 1996

Water leeches are renowned for their remarkable ability to dissolve blood stasis; when used raw, they demonstrate extraordinary efficacy across various conditions involving blood stagnation—such as vascular tumors, gynecological tumors, coronary heart disease, hypertension, emphysema, pulmonary heart disease, and any condition characterized by purpleness or stagnation. At the Workers’ Hospital of Zhuzhou Metallurgical Plant in Hunan, Comrade Fang Xinsheng used water leeches to treat chronic renal insufficiency, achieving satisfactory therapeutic results. He developed the “Water Leeches for Kidney Nourishment” formula, composed of: Astragalus 50g, Goji Berries 30g, Mulberry Berries 15g, Chinese Yam 10g, Rheum 10g, Rhizoma Atractylodis Macrocephalae 10g, Motherwort 30g, Salvia Miltiorrhiza 30g, Forsythia 15g, White Snake Tongue Grass 15g, Plantago Seed 30g, and water leeches 30g (for infusion), decocted and consumed as a single dose daily, divided into three doses; water leeches were also infused in three separate doses. Although this formula is named “Water Leeches for Kidney Nourishment,” it does not share similarities with the “Water Leeches for Kidney Nourishment” formula from Taiyuan, Shanxi.

Severe Hepatitis with Hepatic Coma, September 25, 1995

In Wenzhou City, Zhejiang Province, Doctor Yu Boyang treated a patient with severe hepatic coma whose surname was Zhang, using: Buffalo Horn 30g, Antelope Horn 30g, Fresh Rehmannia Root 15g, Cortex Phellodendri 15g, Big Green Leaf 30g, Raw Rheum 15g, Salvia Miltiorrhiza 15g, Silver Powder 12g, Raw Hawthorn 12g, Yincheng 50g, Raw Gypsum 30g, Forsythia 15g, Huangqin 12g, Red Sage 15g, decocted and administered via nasal feeding. This formula is a combination of Rhizoma Atractylodis Macrocephalae, Yincheng Hao Tang, Seasoning and Expelling Soup, San Huang Xiaoxin Tang, Qingying Tang, and Baihu Tang. The red peony in Rhizoma Atractylodis Macrocephalae is replaced by Salvia Miltiorrhiza and Red Sage; in San Huang Xiaoxin Tang, the gold is replaced by raw gypsum; Big Green Leaf and Forsythia enhance the function of clearing heat and detoxifying. While the composition of this formula is not particularly unique, its effectiveness remains to be verified. Based on my experience, the Expelling Soup with Three Golds serves as the main component, while Yincheng Hao can be used as well. Whether the formula is effective remains uncertain; however, the Five Flavor Disinfectant Drink is a must-have remedy.

Herbal Formulas for Skin Itching, September 25, 1995

Teng Zhiguang from the Pediatrics Department of Beijing University of Traditional Chinese Medicine shared that this formula was passed down from the renowned pediatric expert Gu Mu Xin from Kyoto. It is highly effective in treating childhood eczema, urticaria, and skin itching, composed of: Fangfeng 12g, Difuzi 20g, Bai Xian Pi 20g, Fried Gardenia 10g, Forsythia 15g, Lotus Leaf 10g. The mnemonic states: “Lotus, Forsythia, Bai Xian Pi—these remedies are remarkably effective for various types of itching.”

Case Study: Treatment of Breast Cancer, September 25, 1995

Dr. Zhou Jiaming from the Oncology Department of Chongqing Municipal Hospital of Traditional Chinese Medicine prescribed: Chaihu 10g, Danggui 10g, Baishu 15g, Bai Zhu 10g, Fuling 12g, Xiangfu 6g, Yu Jin 6g, Shengdi 12g, Dan Shen 20g, White Snake Tongue Grass 15g, Ban Zhi Lian 15g, Xia Ke Cao 10g, Zao Xu 10g. After one year of treatment, no recurrence was observed.

Wang Yinqing’s Liver-Discharging Decoction – A Case Study, September 25, 1995

Half a sheng of Pinella, six sheng of Chen Pi, twelve sheng of Fuling, ten sheng of Su Jing, ten sheng of Houpu, fifteen sheng of Baishu, six sheng of Shengjiang, three sheng of Sha Ren. This formula is effective for those experiencing chest tightness, abdominal distension, nausea, belching, loss of appetite, cold abdomen, and loose stools.

My Views on Interstitial Lung Disease, September 25, 1995

In the Year of Yi Hai, I treated many patients with interstitial lung disease. This condition is characterized by difficulty breathing, wheezing, and chest tightness—often more severe than typical lung or bronchial diseases. Western medicine often uses prednisone as the first-line treatment, combined with antibiotics. I once used a combination of Gui Zhi Shao Yao Tang, Danggui Liu Huang Tang, Ma Xing Shi Gan Tang, Ting Li Da Zao Xie Fei Tang, and Xie Bai San as effective treatments for this condition. Purple Quartz, Agarwood, and Cinnamon could be added to the formula. Li Kongding from the Central Hospital of Mianyang, Sichuan, advocated “blood-activating and blood-stasis-resolving” therapies for lung conditions; for those experiencing chest tightness, fatigue, little sputum, or cough, he often added Peach Kernel, Red Peony, and Curcuma to his prescriptions. For deficiency-type conditions, he added Dan Shen and Chicken Blood Vine; for chest distension, he incorporated Xiangfu, Yu Jin, and Fragrant Wood; for blood stasis and phlegm congestion, he added Red Flower and Blue Lotus. He believed that Peach Kernel not only activated blood but also relieved cough, making it an ideal remedy for such cases.

Treatment of Lumbar Tuberculosis with Cold Abscesses, October 26, 1995

In the summer of the Year of Yi Hai, I treated a patient with lumbar tuberculosis, who had a cold abscess measuring 8cm × 12cm × 10cm on his back. The patient was thin, anemic, and in a state of general debilitation. Unable to afford further examinations due to his rural background, he sought treatment from me. I prescribed Xiong Huang Wu Chong Wan (70g of Xiong Huang, 30g of Jiang Chong, 20 centipedes, 10 full scorpions, 50g of Cordyceps sinensis, 50g of Gecko), ground into powder and packaged in capsules. Xiong Huang should be steamed inside a radish until cooked, then dried in the shade before being mixed into the capsules, taking 4 capsules each time, three times daily after meals. After completing one course of the medication, the cold abscess ruptured, the sinus tract closed, and the patient’s complexion improved, his energy returned, and he seemed like a completely different person. This formula was passed down from my father; 20 years ago, I used this formula to treat a farmer from Tian Shui’s Mengjia Mountain who recovered from a tuberculous cavity. Five years ago, I treated the daughter of Kang Mingsheng from Wushan County who also recovered from a tuberculous cavity. This formula is truly remarkable in its efficacy. It is especially effective in treating tuberculous ulcers and necrosis; whether it can be used for chronic sinus tracts in bone marrow inflammation remains to be explored through clinical practice.

Hemiplegia and Aphasia Resulting from Left-Sided Cerebral Infarction, October 26, 1995

The term “cerebral thrombosis” has been replaced by “cerebral infarction” since the advent of CT scans. This condition is a progression of cerebral arterial sclerosis, clinically characterized by slow onset, hemiplegia, and systolic blood pressure often exceeding 90mmHg. When the lesion occurs in the right hemisphere of the brain, it leads only to left-sided hemiplegia without aphasia; when it affects the left hemisphere, it causes aphasia accompanied by mild hemiplegia. Late in the autumn of the Year of Yi Hai, Director Zhao from the Provincial Science and Technology Commission introduced a patient with left-sided cerebral infarction who had been suffering from aphasia for half a month, despite treatment at multiple hospitals. When I examined him, he exhibited mild hemiplegia on the right side of his body, facial asymmetry in the mouth and eyes, complete aphasia, a tense pulse, a red tongue coated with yellow coating, and a blood pressure of 160/90mmHg. I prescribed Shengdi, Shanyao, Shanyu, Mai Dong, Wumei Zi, Cinnamon, Houpu, Shihu, Dayun, Shiqiangpu, Yuan Zhi, Bajitian, Red Peony, Chuan Xiong, Red Flower, Jiang Xiang, Dan Shen, Da Huang, Chan Yi, Jiang Chong, Jiang Huang, Chaihu, Zhi Shi, and Water Leeches (infused separately), totaling 10 doses. By the end of the treatment, the patient’s hemiplegic symptoms had largely recovered, and he was able to speak again, though he still struggled with language. Approximately 70% of cerebral thrombosis cases occur in the carotid artery suction area and the middle cerebral artery; later, the order of occurrence is the anterior cerebral artery, the basilar artery, the vertebral artery, and the posterior cerebral artery. Infarctions in the left hemisphere often result in aphasia, most commonly motor aphasia or mixed aphasia; infarctions in the right hemisphere may lead to convergent vision, while basilar artery thrombosis can cause dizziness, tinnitus, diplopia, dysphagia, and ataxia. Basilar artery thrombosis can also result in quadriplegia, medullary paralysis, coma, or even death.

Three Cases of Pulmonary Infection Misdiagnosed as Lung Cancer, October 26, 1995

Dong Yonghe, former director of the Tian Shui County Public Security Bureau and an old friend of mine, suffered from a common cold in the spring of the Year of Yi Hai, accompanied by cough, chest tightness, and blood in his sputum. Local imaging tests confirmed lung cancer, prompting him to seek treatment from me. Upon reviewing the X-ray, I noticed that the shadow’s concentration and structure were not entirely typical. I suggested initial treatment with high-dose antibiotics, followed by administration of Ma Xing Shi Gan Tang combined with Xie Bai San, Ting Li Da Zao Xie Fei, and the Five Flavor Disinfectant Drink with Fishy Herb. After one month, the patient’s condition improved significantly, his appetite increased, and his weight gained. Further imaging revealed that the shadows had returned to normal.

At the Jingtai Irrigation District, Director Wang Hong’en’s right lung X-ray showed a shadow. Before leaving for the United States, he came to me for diagnosis. After reviewing the X-ray, I concluded that this was an infection, not a tumor. I prescribed traditional Chinese medicine—Suo Xing San combined with Ma Xing Shi Gan Tang, the Five Flavor Disinfectant Drink, and Xie Bai San—and later added Siphon VI and Metronidazole. After ten days, all symptoms had subsided. Wang happily traveled to the U.S., returned to China after one month, and underwent another month-long hospital stay. His chest X-ray showed complete resolution of the lesions. From onset to recovery, he never experienced fever or cough.

My old classmate Huang Yuexian’s husband, Li Ruxiong, was diagnosed with right lung lung cancer via X-ray and CT scan, and he received treatment at the General Hospital of the Army for over two months. He too was diagnosed with lung cancer. When he came to me for treatment, his weight had decreased, and his face appeared darkened. He had a history of diabetes and occasional colds and coughs. I believed that the patient was experiencing recurrent pulmonary infections; the X-ray of his chest showed atypical shadows, and pseudotumors could not be ruled out. I prescribed high-dose antibiotics, and after one month, the lesions in his lungs began to show clear changes. A follow-up CT scan revealed suspected tuberculosis. I noted that the patient did not exhibit symptoms of tuberculosis poisoning, and the lesions were trending downward, without calcifications. Therefore, tuberculosis was temporarily ruled out. In this case, treatment should still focus primarily on antibiotics, combined with traditional Chinese medicine. After about two months, the patient recovered and was discharged.

Revisiting Gui Zhi Shao Yao Tang, October 27, 1995

This formula originates from “Jin Gui Yao Lü,” which states: “When all limbs and joints ache, the body feels weak, the feet swell as if they’ve been drained, the head feels dizzy and short of breath, and there’s a feeling of warmth and nausea.” “Jin Gui Yao Lü” aims to dispel wind, eliminate dampness, disperse cold, and relieve pain. Over the years, I have used this formula to treat rheumatoid arthritis, replacing Aconite with 15–20g of Sichuan Aconite (soaked for 60 minutes), and adding one piece of Peganum harmala (fried in oil) — all of which consistently yielded remarkable results. I believe that rheumatoid arthritis is a connective tissue disease; although the cause is not fully understood, allergic reactions are closely related to it, potentially falling under the category of autoimmune responses. Specifically, these reactions can be classified as subtypes of allergic reactions, where antigens and antibodies interact. Thus, I have used this formula in combination with other herbs to treat dry syndrome, scleroderma, lupus erythematosus, collagen diseases, subacute illnesses, nephrotic syndrome, and other conditions—most of which have shown positive outcomes. Among the herbs, Zhi Mu plays a crucial role; without it, patients may experience persistent burning sensations. High doses of Aconite without Zhi Mu can lead to excessive yang energy while yin is damaged; without Gui Zhi, yang energy cannot reach the extremities; without Bai Zhu, yang energy cannot reach the internal organs. Therefore, in Gui Zhi Shao Yao Tang, the three herbs listed in the formula are actually the chief ministers of Aconite (and Sichuan Aconite), with the chief minister placed at the very top of the formula, symbolizing protection and safeguarding the main ingredient. Ma Huang’s sweat-inducing and exterior-dispelling properties signify opening the skin’s pores to allow sunlight to penetrate; Bai Zhu strengthens the spleen and replenishes qi to prevent overuse of the medicine, which might damage the spleen and stomach; Gan Cao warms the center and soothes the stomach; and Fangfeng dispels wind and eliminates dampness. The essence of this formula lies in harmonizing wind and dampness, thereby improving the body’s immune system—and thus offering great hope in treating various allergic reaction diseases.

Traditional Chinese Medicine Treatment for Multiple Radicular Neuritis, November 10, 1995

In the autumn of the Year of Yi Hai, I treated three patients with this condition: one patient had drooping shoulder blades (left side), with weakness and flaccidity in the left buttock; another patient had weakness in the neck and back, with limited spinal support; and a third patient experienced weakness in both legs, making walking difficult. Initially, I thought it was myasthenia gravis, but after repeated examinations and literature reviews, I concluded that it was multiple radicular neuritis. Treatment for this condition requires three approaches: ① Additive Feng Yin Tang: Seven Stones, Three Medicines (Raw Gypsum, Cold Water Stone, Purple Quartz, White Quartz, Raw Dragon and Musk, Red Stone, Talc, Gui Zhi, Da Huang, Dry Ginger, Niu Xi, Loquat, Qinjiao, Weilingxian, Shengdi, Danggui); ② Zhao’s Formula: Peach Red Four Substances—Qin Chuan Niu, Two Insects, Bai Gua, Sheng Xin Cao, Quick Start Feng, Slow Start Sang Zhi; ③ Zhen Wei Tang: Dangshen, Bai Zhu, Huangqi, Zhi Mu, Shengjiang, Zhi Lü, Sheng Da Huang, Yuan Cao, Niu Xi, Weilingxian.

Qian Bingwen’s External Wash Formula for Thrombosis-Related Hemorrhoids, November 12, 1995

30g of Magnesium Sulphate, 20g of Borax, 10g of Alum, decocted and used for external washing twice daily—morning and evening. I used this formula to treat hemorrhoids in Zhong Shanglan from the Water Resources Department, and after repeated applications, it proved to be highly effective.

Myasthenia Gravis and Radicular Neuritis, November 16, 1995

These two conditions are often confused in clinical practice, as both can cause mild paralysis or functional impairment in either bilateral or unilateral limbs. Therefore, careful differentiation is necessary. Myasthenia Gravis is an autoimmune disorder primarily affecting the neuromuscular junction, characterized by long-term muscle fatigue and weakness in the striated muscles, making them unable to move freely. In some cases, the disease progresses to progressive disability. Initially, the muscles around the eyes and the muscles involved in speech and swallowing are affected. Patients may experience muscle atrophy and loss of function. This condition can also trigger adrenergic crises, where pupils dilate, and secretions (tears, saliva, airway secretions) are absent; it can also lead to cholinergic crises: pupil constriction, excessive secretions, increased intestinal motility, abdominal pain, diarrhea, and profuse sweating. Radicular neuritis is often caused by influenza virus infections. The disease begins with pain in the muscles of the limbs and the muscles in areas affected by the disease, followed by muscle atrophy, movement disorders, and functional impairments. While this condition is relatively common in clinical practice, myasthenia gravis is less frequently encountered. The aforementioned Feng Yin Tang, Zhao’s Formula, and Zhen Wei Tang are, strictly speaking, all treatments for this condition. For myasthenia gravis, it is recommended to use Buzhong Yiqi Tang, Ba Xian Chang Shou Wan, or Ba Zhen Tang with additions. In terms of adjustments, domestic journals suggest using Mian Si Zi, Goji Berries, Late Silkworm Sand, Deer Antler Gelatin, Eucommia, Cinnamon, Houpu, and Psoralea; others advocate using ginger worms, full scorpions, and other insect-based medicines. Additionally, Zhang Xichun’s Sheng Xian Tang is also considered effective for treating this condition. I believe that treatment for this condition should focus on strengthening the middle burner and nourishing the kidneys; the adjustments to the medications can be categorized into three groups: ① Qi-nourishing herbs: Mian Si Zi, Goji Berries, Women’s Fruit, Herba Polygoni Cuspidati; ② Yang-nourishing herbs: Cinnamon, Houpu, Eucommia, Chuan Liao Zi, Suo Yang, Da Huang, Deer Antler Gelatin, Turtle Shell Gelatin; ③ Insect-based herbs: Ginger Worms, Full Scorpions, Entertainment Spiders, Water Leeches.

Three Cases of Multiple Liver Cysts, November 16, 1995

In the Year of Yi Hai, I saw two cases of multiple liver cysts in the outpatient clinic. One patient had an enlarged liver, with the liver margin extending directly into the pelvic cavity—but the patient was still able to move normally, and his spleen was not enlarged. A CT scan and ultrasound confirmed multiple liver cysts. I prescribed formulas to regulate liver function, promote bile flow, and eliminate fluid retention, combined with Ancient Sage II, and after a month-long treatment, both the liver enlargement and abdominal distension improved. Another patient had jaundice, an enlarged liver, and ascites; I initially used Ancient Sage II to promote fluid elimination and reduce jaundice. After the treatment, the patient was extremely pleased, but the jaundice still did not resolve. I then prescribed a liver cancer formula, and after two months, the jaundice disappeared. That same month, I saw a patient at Jicui Tang who had undergone two surgeries: one surgery to address bile duct obstruction, and another to perform an abdominal exploration, costing over ten thousand yuan—but with no noticeable improvement. The jaundice, ascites, and generalized edema remained unchanged. I first used Ancient Sage I to promote fluid elimination, then prescribed a liver cancer formula, and the patient made a full recovery. Ultimately, this case was diagnosed with multiple liver cysts.

Pre-excitation Syndrome, November 16, 1995

This condition is a characteristic of electrocardiogram findings, often seen in functional heart diseases, but occasionally in cardiovascular diseases. Electrocardiogram characteristics include P-R < 0.12, QRS complex > 0.12, with δ waves (small waves) appearing before the QRS complex, and U waves sometimes visible after the T wave.

Necrotizing Cervical Lymphadenitis, November 19, 1995

This condition often develops rapidly in clinical practice. In recent years, I have seen four cases: one patient was an employee of our hospital, Chen Yijun; one patient was the wife of a pharmaceutical merchant from Longxi; one patient was the daughter of a farmer named Bao from Wushan, aged 9; and one patient was the son of a farmer from Dingxi, named Wang. Examining these four cases, three were female and one was male. There were four cases… 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.

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Was accompanied by malignant lymphoma; the first case was associated with connective tissue disease, while the fourth case presented with persistent high fever and was once suspected of having subacute bacterial endocarditis. After comprehensive analysis, it was determined that this disease involves a highly disordered immune system, which is closely related to autoimmune conditions. Treatment for this disease generally involves using first-line agents such as VI and metronidazole in high doses, followed by prednisone (for acute high fever, dexamethasone), combined with traditional Chinese medicine. Traditional Chinese medicine often employs formulas like Gui Zhi Shao Ya Zhi Tang, combined with Wu Wei Xiao Du Yin and Dang Gui Liu Huang Tang.

Autoimmune Disorders - November 20, 1995

The body's immune system has the function of distinguishing between "self" and "non-self." Normal immune responses only trigger an immune reaction against "non-self" cells and tissues, producing antibodies to eliminate them. However, in some individuals with immune system abnormalities, the immune system mistakenly attacks the body's own tissues. A common characteristic of these diseases is rapid erythrocyte sedimentation rate, joint pain, high fever, and skin rashes. Almost all connective tissue diseases fall into this category; myasthenia gravis, various types of chronic liver disease, necrotizing lymphadenitis, subacute bacterial endocarditis, allergic purpura, and sarcoidosis also belong to this group. In Western medicine, hormones are usually the first choice for treating these conditions, but they come with side effects and can lead to rebound symptoms (approximately 100%). Over many years of clinical experience, I have found that Gui Zhi Shao Ya Zhi Tang is often the preferred treatment for these conditions. Dang Gui Liu Huang Tang, Bai Hu Tang, and Wu Wei Xiao Du Yin can also be used as appropriate.

Major Breakthrough in Chronic Pancreatitis - November 21, 1995

In the autumn of the Year of the Boar, Director Liu from the Gansu Provincial Military Region suffered from chronic pancreatitis. I treated him with a modified Chai Hu Shu Gan formula, and his condition improved significantly—only left lower rib area down to the neck still experienced a lingering nerve-related pain that persisted despite medication. Upon further investigation, I realized that this type of nerve-related pain could benefit from adding one centipede, six grams of whole scorpion, three grams of Bai Zhi, three grams of Xi Xin, and six grams of Mu Tong, combined with the modified Chai Hu Shu Gan formula. After seven doses, the pain was effectively alleviated. So why does the nerve in chronic pancreatitis cause pain? It turned out that this patient had a history of recurrent acute pancreatitis, suggesting a high likelihood of localized pancreatic necrosis. When necrosis occurs, it may become somewhat adherent to the nerves in the lower back and upper abdomen, leading to pain radiating from the left ribs and lower back up to the neck.

Clinical Application of Shu Chuan Ling - November 22, 1995

Also known as Shu Chuan Ning, Ke Bi Ling, or Chuan Le Ning, this medication can be taken orally or administered via inhalation. The former takes effect within fifteen minutes, while the latter works within five minutes. This product belongs to the adrenergic class and its effects are ten times stronger than those of isoprenaline, yet its cardiac stimulatory effect is only one-tenth of that of isoprenaline. Each tablet contains 2 mg, with dosages ranging from 2 to 4 mg per dose, three times daily.

Hepatocyte Growth Factor - November 22, 1995

This product promotes the growth of hepatocytes and is suitable for treating severe hepatitis. Typically, 100 mg is added to 500 ml of 10% glucose solution for intravenous infusion. Each vial contains 20 mg, administered once daily, and can be used continuously for 10–20 days.

Piroxicam (THP) - November 22, 1995

A new anti-cancer drug with good efficacy against malignant lymphoma and breast cancer. The recommended dosage is 30 mg per square meter, strongly recommended by institutions such as Zhejiang University Medical School and Zhejiang Cancer Hospital.

Crohn’s Disease - November 22, 1995

The cause of this disease remains unclear, but it commonly affects young and middle-aged individuals—a specific inflammatory bowel disease. What was once referred to as localized ileitis is now understood to be part of this condition. Later studies revealed that this disease can also affect the colon. The course of the disease is slow and long-lasting, accompanied by diarrhea, abdominal pain, bloody stools, fever, and joint pain. Severe cases may present with intestinal bleeding, intestinal perforation, intestinal obstruction, masses, and elevated ESR. Treatment for this disease typically begins with salicylate preparations, though corticosteroids can also be effective. Diagnostic tests often reveal elevated ESR, anemia, increased blood cell counts or a decrease in granulocytes, elevated platelet counts, hypoproteinemia, proteinuria, and liver dysfunction.

An important complication of this disease is joint pain, fever, and liver/kidney damage. These conditions are often classified as autoimmune disorders. Skin manifestations of autoimmune diseases include lupus erythematosus, joint symptoms often indicate rheumatoid arthritis, skin hardening suggests scleroderma, muscle involvement may result in dermatomyositis, glandular changes may point to Sjögren’s syndrome, peripheral arterial inflammation leads to nodular periarteritis, gastrointestinal issues are associated with Crohn’s disease, and high fever may indicate subacute bacterial endocarditis.

Irritable Bowel Syndrome (IBS) - November 27, 1995

This condition is the most common, also known as irritable bowel syndrome. It was previously referred to as allergic enteritis, spastic colitis, or allergic colitis. Modern terms like gastrointestinal syndrome also fall under this category. In fact, this condition does not involve inflammatory lesions, nor are functional disorders limited to the colon. IBS primarily affects middle-aged and young adults, with slightly more men than women. Diarrhea and constipation alternate, and pain is quite common. A cord-like mass may be palpated in the lower left abdomen, accompanied by mild tenderness. At the same time, patients often experience autonomic nervous system dysfunction. X-rays may show accelerated gastrointestinal motility. Treatment for IBS typically relies on traditional Chinese medicine, which is effective when diagnosed according to individual patterns.

Connective Tissue Disease Combined with Thrombophlebitis - November 29, 1995

In the winter of the Year of the Boar, a farmer from Gaolan County sought treatment from me. Her ESR was 180 mm/h, her liver function was mildly impaired, and she had proteinuria (+). She had a history of joint pain and fever, along with swelling and pain in her left lower limb, as well as obvious varicose veins. I diagnosed her with connective tissue disease combined with thrombophlebitis, and prescribed Gui Zhi Shao Ya Zhi Tang combined with Dang Chuan Liu Ling Tang and 20 g each of Chuan Cao Wu (soaked for 60 minutes), plus one piece of Machan Zi (fried in oil). After ten doses, her condition improved significantly—her left lower limb edema completely resolved, and her pain disappeared. After another ten doses, her ESR had dropped to 20 mm/h.

Hyperkalemia - November 29, 1995

When tissues suffer damage or extensive necrosis, or when tissues are exposed to high temperatures, or when tissue cells are starved, potassium ions move from inside the cells to the extracellular fluid, resulting in elevated serum potassium levels. During the oliguric phase of renal failure or in cases of mineralocorticoid deficiency, potassium excretion can be impaired, leading to hyperkalemia. Clinical manifestations of hyperkalemia include sudden muscle paralysis, sudden arrhythmias, and even cardiac arrest. Electrocardiograms may show prolonged P-R intervals, widened QRS complexes, tall T waves, and tachycardia. Treatment for hyperkalemia includes intravenous calcium gluconate, intravenous 5% sodium bicarbonate, rapid diuresis, and mannitol infusion.

Clinical Diagnosis and Treatment of Gout - December 3, 1995

Patients with hyperuricemia and gouty arthritis (primarily affecting the toe joints) often experience local redness, swelling, and deformities in advanced stages. The disease frequently affects the kidneys, and small uric acid stones can be seen beneath the skin. Uric acid levels are elevated—men should have levels above 430 µmol/L, and women above 350 µmol/L. Treatment: during acute episodes, take 1 mg of colchicine orally, repeating every two hours at the onset of an attack, with each dose being 0.5 mg. The total dose should not exceed 6 mg, and relief is usually achieved within 48 hours. Afterwards, you can continue with 0.5 mg once daily for maintenance; allopurinol can be taken 100 mg three times daily (side effects such as fever, rash, abdominal pain, and decreased white blood cell count may occur in some individuals; these symptoms usually resolve after discontinuing the medication); carboxybenzyl sulfonamide can be taken 3 times daily, gradually increasing the dose to a maximum of 2 g per day—some individuals may experience fever, rash, gastrointestinal symptoms, and other side effects.

These three medications can reduce uric acid synthesis or increase uric acid excretion, but they all carry certain side effects (such as fever, rash, nausea, and decreased white blood cell count). Traditional Chinese medicine treatments include: ① Fufang Dang Gui Nian Tong Tang: Dang Gui, Chi Shao, Bai Zhu, Ren Dong, Qiang Huo, Du Huo, Fang Ji, Fang Feng, Mu Gua, Zhu Ling, Song Jie, Ge Gen, Yin Chen, Gan Cao (the mnemonic: Six Pairs of Song Jie and Grass). ② Xiaotong Yin: Dang Gui, Chi Shao, Niu Xi, Gou Ding, Ren Dong Teng, Fang Ji, Fang Feng, Mu Gua, Sang Zhi, Zhu Ling, Ze Xie. ③ Che Qian Zi, Hong Hua, Sheng Ban Xia, Wang Bu Liu Xing, Da Huang, Hai Tong Pi, Cong Gen, Ai Ye—used to brew herbal teas for external application. ④ Huang Bo, Du Huo, Sang Shen, Chi Xiao Dou, Da Huang, Hai Tong Pi, Cong Gen, Wu Tong, Tu Fu Ling, Dan Shen.

Subacute Thyroiditis - December 4, 1995

The cause of this disease remains unclear; it is generally believed to be related to viruses. The thyroid gland may swell due to infiltration by polymorphonuclear leukocytes, lymphocytes, and plasma cells, accompanied by pain and low-grade fever. This disease is more common in women than in men, with the majority of cases occurring between the ages of 20 and 40. It may be accompanied by hyperthyroidism or hypothyroidism, with elevated ESR, increased T3 and T4 levels, and elevated serum protein binding iodine. The thyroid’s iodine uptake rate is significantly lower than normal. Western medical treatment typically uses prednisone and nonsteroidal anti-inflammatory drugs as first-line therapies. Looking at domestic treatment protocols for subacute thyroiditis, the focus is often on clearing heat and detoxifying, resolving tumors and dispersing masses, and strengthening the body’s fundamental defenses. Clearing heat and detoxifying often involves using plants like Yin Hua, Lian Qiao, Gong Ying, Baishang, Ban Lan Gen, Xia Ku Cao, Jie Jing, Bai Hua She Tian Cao; resolving tumors and dispersing masses often involves using Zhe Bei, Mujin, Yuan Shen, Niu Xi, Gua Lou, Sao Jiao Ci, Lu Lu Tong; strengthening the body’s fundamental defenses often involves using Huang Qi, Dang Gui, Chi Shao, Zhi Mu, Bai Shao.

Basophil Elevation in Patients with Chronic Myeloid Leukemia - December 5, 1995

Basophil elevation in patients with chronic myeloid leukemia is often a precursor to eosinophilia. I added Gentiana, San Ling, Erythrina, Qing Dai, Guan Zhong, and Verbena to my treatment regimen in Lanzhou. After just seven doses, a patient whose basophil count had risen to 17% saw it drop to 2%.

Relationship Between Blood Lipids and Coronary Heart Disease - December 7, 1995

The standard lipid profile includes three key indicators: TC (total cholesterol), TG (triglycerides), and HDL (high-density lipoproteins). Normal values for TC range from 2.8 to 6.0 mmol/L; TG from 0.45 to 1.36 mmol/L; HDL from 0.14 to 0.18 mmol/L.

There is a well-known positive correlation between TC levels and coronary heart disease, as well as coronary artery lesions. However, there is still debate about how TG levels actually relate to coronary artery disease. According to a report in the Chinese Journal of Internal Medicine (May 1995 issue), research from Hunan Medical University showed that 78 cases of coronary angiography demonstrated a positive correlation between coronary lesions and TG levels, while a negative correlation was observed with HDL levels.

Kalcuafrky Scoring System - December 14, 1995

This scoring system is used to assess the physical condition of cancer patients. A score of 100 indicates complete health with no discomfort; 90 points signify mild symptoms but the ability to work and engage in normal activities; 80 points indicate moderate symptoms requiring some effort to work; 70 points signify self-care ability; 60 points indicate partial self-care ability; 50 points indicate inability to care for oneself; 40 points indicate severe loss of self-care ability; 30 points indicate critical condition; 20 points indicate a life-threatening situation; and 0 points indicate death.

Hypokalemia - December 20, 1995

Hypokalemia is often a consequence of diuretic use, paracentesis, or hormone therapy. It can also occur in patients with advanced liver cirrhosis. Clinical manifestations of hypokalemia include three main symptoms: nausea, vomiting, fatigue, abdominal distension, poor appetite, low bowel sounds, and in severe cases, altered mental status and flaccid limbs. More severe cases may present with weak pulses, decreased blood pressure, difficulty breathing, absent tendon reflexes, paralytic intestinal obstruction, generalized numbness, and severe sensory disturbances. Arrhythmias, heart failure, and altered consciousness may also occur. Treatment: since potassium tends to move into cells more easily, treatment for hypokalemia requires at least 4–5 days, often lasting for 2 weeks.

Nodular Arteritis and Large-Artery Arteritis - December 22, 1995

Multiple large- and medium-sized artery inflammation and nodular polyarteritis are distinct conditions in the realm of conventional medicine. The former is a cardiovascular disease, while the latter is a connective tissue disorder. However, in my view, the differences between these two conditions are minimal—they both fall under the category of connective tissue diseases. Traditional Chinese medicine offers numerous formulas for treating these conditions.

Meningitis - January 1, 1996

In the winter of the Year of the Boar, I was invited to白银 to consult with General Manager Cai Zimin. He had been suffering from headaches for three months, accompanied by stiff neck, low-grade fever, and headaches that worsened with coughing and sneezing. Previous doctors had tried treating his headaches as neuritis or cervical syndrome without success. I diagnosed him with “meningitis,” prescribing mannitol, dexamethasone intravenously, and bacteriostatic solutions. For traditional Chinese medicine, I used Shi Jue Ming, Men Zhi Li, Sheng Di, Gou Qi Zi, Sang Ye, Ju Hua, Dan Pi, Shan Zhi, Tian Ma, Gou Ding, Ban Xia, Chen Pi, Chuan Xiong, Bai Zhi, Xi Xin, Huang Qin, Cang Er Zi, Dang Gui, Mai Dong, Gan Cao, Qiang Huo, and Fang Feng—after ten doses, the symptoms were greatly relieved.

Huoxiang Zhengqi Powder and Jiuwei Qianghuo Pills - January 3, 1996

Both formulas are traditional remedies: one treats external colds and internal dampness, while the other treats external colds with superficial heat. In the winter of the Year of the Boar, a woman experienced fullness and discomfort in her lower abdomen, along with poor appetite for over a month. After taking one pill of Huoxiang Zhengqi Powder, all symptoms disappeared—she said this medicine was truly miraculous. Another woman suffered from headache, chills, and fever due to a cold; after taking one pill of Jiuwei Qianghuo Pills, she felt as if half of her illness had gone. I had long recognized the potential of these two formulas for treating chest congestion, but in clinical practice, we rarely used them. Based on the above cases, these two medicines are indeed worth considering for use.

Subacute Thyroiditis and Chronic Lymphocytic Thyroiditis - January 8, 1996

Both conditions are autoimmune disorders. The former often develops following an upper respiratory tract infection, accompanied by sore throat and swelling of the thyroid gland; the latter, however, often develops without noticeable symptoms. The most common manifestation is thyroid enlargement, which is why the former is called subacute, while the latter is referred to as chronic. Both conditions share the following characteristics: ① positive thyroid globulin antibody results; ② elevated serum protein binding iodine levels, but reduced thyroid iodine uptake; ③ abnormal protein ratios, with increased gamma-globulin; ④ elevated ESR; ⑤ T3 and T4 levels can rise or fall depending on the disease progression. Both conditions are chronic, and during their course, patients may experience hyperthyroidism or hypothyroidism. My experience shows that patients with hyperthyroidism often develop hyperthyroidism after exposure to external factors, while those with hypothyroidism often do so without external influences. Subacute thyroiditis is more likely to cause hyperthyroidism, while chronic lymphocytic thyroiditis is more likely to cause hypothyroidism. The latter is also known as Jouben’s disease, discovered in 1956 by Japanese physician Jouben Taro. Western medical treatment typically uses corticosteroids as first-line therapy; for hypothyroidism, prescribe 10 mg of levothyroxine, taken orally 1–3 times daily. Some believe that for treating Jouben’s disease, hormones (cortisol) are only effective in the early stages—but this is a misconception! In the late stages of Jouben’s disease, approximately 50% of patients develop hypothyroidism. The symptoms of hypothyroidism can be broadly categorized into five types: ① fatigue, sensitivity to cold, drowsiness, slow pulse, hair loss, and mucous edema; ② abdominal bloating, poor appetite, reduced intestinal peristalsis, constipation; some patients even develop paralytic intestinal obstruction; ③ skin appears waxy yellow, lacking luster, dry and flaky, without pitting edema, with unclear tongue speech, narrow eye slits, thickened lips and wings; ④ sluggish reactions, diminished comprehension, dull vision, hearing, touch, and smell; some patients may experience hallucinations, dementia, psychiatric disorders, or abnormal EEG findings; ⑤ moderate anemia, muffled heart sounds, and prolonged P-R intervals on electrocardiogram, with widened QRS complexes.

Traditional Chinese Medicine for Esophageal Cancer - January 12, 1996

Professor Zeng Yongzhong from Shanghai College of Traditional Chinese Medicine proposed a formula: 9 g of Xuanfu Hua, 9 g of Ban Xia, 9 g of Zhu Ru, 9 g of Mu Xiang, 9 g of Gong Ding Xiang, 9 g of Chen Xiang Qu, 9 g of Chuan Lian Zi, 9 g of Hou Pu, 9 g of Dang Gui, 15 g of Jia Cui Zi, 15 g of Jing Lang, 30 g of Kai Mu Li, 15 g of Xia Ku Cao, 15 g of Hai Zao, 15 g of Hai Lai.

The mnemonic is: Xuanfu Dai He Er Jin Xiang, Zhu Hou Yi Dang Cao Jing Lang.

Professor Wang Wenhan from Tianjin College of Traditional Chinese Medicine proposed a formula: 12 g of Ban Xia, 12 g of Chen Pi, 12 g of Zhi Ke, 12 g of Mu Xiang, 12 g of San Ling, 12 g of Erythrina, 10 g of Dan Shen, 10 g of Sha Ren, 12 g of Huang Lian, 5 g of Wu Yu, 12 g of Hou Pu, 30 g of Chao Xu, 6 g of Gan Cao.

The mnemonic is: Ban Ji San Dui Xiao Dan Shen, Hou Pu Chao Xu Cao Zuo Jin.

Professor Zeng Junshan from Lanzhou Medical College proposed a formula: Huang Qi, Dang Gui, Bai Shao, Zhi Ru Mo, Po Gu Zhi, Yuan Zhi, Xia Ku Cao, Su Geng, Ban Xia, Hou Pu, Liu Wei.

The mnemonic is: Tu Li Yuan Chu, Ban Xia Hou Pu Tang.

In addition to the above three formulas, Qidi San is an effective remedy for treating this condition:茯 Ling, Yu Jin, Dan Shen, Dan Pi, Bei Mu, Sha Ren, Chu Tou Kuang, He Ye Ti.

Lung Cancer Chemotherapy - January 16, 1996

The standard protocol for small cell lung cancer is COA/COAP/COMP: cyclophosphamide, O for vincristine, A for doxorubicin, P for VP-16, M for methotrexate. VP-16 can be used for three consecutive days, or twice a week; C can be used once a week, and O can be used once a week. M is typically used twice a week.

For non-small cell lung cancer, the protocol is APC: A for doxorubicin, P for cisplatin, C for cyclophosphamide. P can be used for three days, usually three times; when P is not used, M can be used instead, both used twice a week. Cyclophosphamide, doxorubicin, and cisplatin are effective against squamous and adenocarcinomas, with efficacy rates around 20%. Methotrexate surpasses this level, reaching around 25%. Therefore, do not forget this drug when treating non-small cell lung cancer. Cyclophosphamide’s efficacy against squamous cells is around 30%, and methotrexate’s efficacy against adenocarcinomas also reaches 30%; do not overlook these facts.

Chemotherapy for Stomach Cancer and Esophageal Cancer - January 17, 1996

The standard protocol is MFC: 6 mg of mitomycin, twice a week; 500 mg of 5-FU, twice a week; 50 mg of cytarabine, injected intramuscularly for five days, followed by a two-week rest period, with six weeks forming a cycle.

In addition, there are protocols like FM and VM; for squamous cell carcinoma, MFA can be used, with cycles of three weeks, M once a week; A once a week; F twice a week. Since esophageal cancer is often squamous cell carcinoma, the DPV protocol is used: cisplatin twice a week; Pingyang twice a week, with a three-week cycle.

Treatment for Headaches - January 22, 1996

For headache treatment, formulas like Chuan Xiong Cha Tiao, Qing Shang Qian Tong, and Xue Fu Zhu Yu can be used. Today, the “Comprehensive Collection of Prescriptions from Famous Contemporary Chinese Doctors” lists seven formulas, all of which are effective for treating neural headaches. Generally speaking, these formulas can be categorized into the following areas: ① headache-specific medications: Chuan Xiong, Bai Zhi, Xi Xin, Tian Ma, Gao Ben, Man Jing Zi, Ju Hua, Gou Ding; ② wind-dispelling and dampness-resolving medications: Qiang Du Huo, Fang Feng, Chuan Cao Wu, Fu Zi; ③ yin-nourishing and blood-tonifying medications: Dang Gui, Sheng Di, Gou Qi Zi, Mai Dong; ④ insect-based medications: Centipede, Whole Scorpion, Ginger Worm, Earth Dragon; ⑤ heat-clearing and fire-draining medications: Gentiana, Huang Qin, Fresh Gypsum; ⑥ spleen-strengthening medications: Bai Zhu, Fu Ling, Ban Xia, Wu Yu, Ge Gen; ⑦ Six Flavor Rehmannia Decoction, Xue Fu Zhu Yu Decoction, Gui Pi Decoction, Bu Zhong Yi Qi Decoction—these formulas can all be applied.

Treatment for Rheumatoid Arthritis - January 22, 1996

Common treatment formulas I use for this condition:

1. Gui Zhi Shao Ya Zhi Tang: Gui Zhi, Bai Shao, Zhi Mu, Gan Jiang, Gan Cao, Fang Feng, Ma Huang, Bai Zhu, Fu Pi.

2. Sang Zhi Tang: Sang Zhi, Qiang Du Huo, Fang Ji, Wei Ling Xian.

3. Ma Huang Gan Cao Tang: Ma Huang, Xing Ren, Gan Cao.

4. Du Huo Ji Sheng Tang: Ba Zhen, Fang Feng, Gui Zhi, Xi Xin, Niu Xi.

5. Jiu Wei Qiang Huo Tang: Qiang Huo, Fang Feng, Xi Xin, Cang Zhu, Bai Zhi, Chuan Xiong, Huang Qin, Sheng Di.

6. Da Qin Tiao Tang: Zhi Mu, Qiang Huo, Du Huo, Jing Jie, Fang Feng, Xi Xin, Gui Zhi, Cang Zhu, Huang Bo, Sheng Di, Dang Gui, Chuan Xiong, Hou Pu, Chai Hu, Huang Qin.

7. Jin Niu Tang: Jin Mao Gou Ji, Niu Xi, Bai Zhi, Qiang Du Huo, Yi Ren, Gui Zhi, Ji Xue Teng.

8. Wu Mi He Ji: Wu Jia Pi, Yi Ren, Niu Xi, Guo Sui Bu, Xun Gu Feng.

9. Ji Ming San: Su Geng, Bing Lang, Mu Gua, Chen Pi, Gan Cao, Rou Gui, Fu Pi, Ban Xia, Wu Yu.

10. Wu Ji San: Dang Gui, Bai Shao, Chuan Xiong, Cang Zhu, Hou Pu, Chen Pi, Ban Xia, Fu Ling, Ma Huang, Bai Zhi, Jie Jing, Gan Jiang, Rou Gui, Zhi Ke.

In summary, when using medication for this condition, add 10–20 g of Chuan Cao Wu each time (soaked for 60 minutes), and 1 piece of Machan Zi. 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: 个（油炸）为常用之品，虫类药全蝎、蜈蚣、姜虫、地龙等可选1～2种

用之。

头痛再议 1996.1.29

一头痛患者，剧痛，百药无效，以清上蠲痛汤小效，加天麻、白

术、钩丁、全蝎、蜈蚣、泽泻，痛消，是则上述六药可与清蠲痛汤配

合应用，则相得益彰，伴项背强几几者，恒与桂枝加葛根，加川草乌

各15g(先煎60分钟），其效乃大。

美尼尔氏病之又一方 1996.1.29

余由治头痛诸方中得出一经验方：桑叶10g、菊花15g、丹皮

6g、山栀10g、生地10g、枸杞10g、石决明15g、白蒺藜20g、白术

10g、泽泻30g、天麻10g、钩丁30g,此方可名六对g眩汤，临床用之

有效。

脐痛之效方 1996.1.29

附片6g、白芍10g、白术10g、茯苓12g、干姜6g、小茴香10g、葫

芦巴15g,此方为四川省乐山县医院江尔逊主任之药方，组方为真

武汤合葫芦巴、小茴香，此方含四逆、通脉四逆、真武、附子汤诸方，

以方测证，此证当为阳虚寒凝之所谓也，今以真武散寒温阳、逐水去

中滞乃方理相宜也。葫芦巴、小茴香者江尔逊主任之经验，云得之于其

师也。葫芦巴、小茴香均调料也，散寒去积，实为调节植物神经系统

之妙药。

硝石矾石散治疗猪囊虫病 1996.2.1

《中医杂志》1994年第7期报告用此药治疗囊虫病有效，虽效

慢，但稳。此剂余配成古圣1号、2号，10余年来用治疗肝硬化腹水，疗效甚著。囊虫病者，多犯肝、肺二脏，两个经验相联系，硝石矾石之

药效机理如何？当待探索之。

牙病浅论 1996.2.12

通常说"牙痛不算病，痛死没人问"，门诊病人中多数牙病患者

概括起来有4个方面：①龋齿；②牙髓炎；③牙周炎；④冠周炎。可以

说上述4种病之发病占口腔发病之80%,龋齿为虫牙之所谓，牙周

炎为牙根、牙尖之周围组织炎症，冠周炎则为冠周软组织炎，上述三

病之病因大体一致，均为口腔卫生不良、牙垢、牙石、菌苔、异物、假

牙等之所致。幼儿长期偏嗜糖类也是形成龋齿之原因，冠周炎常见

于大臼齿之智齿难生，三种牙病之结局为牙髓炎、齿槽周围脓肿。齿

槽脓肿、牙髓炎之痛呈持续性疼痛，阵发性加重，通常以打洞减压、

引流为最佳治疗。齿周脓肿宜切开排脓。牙周炎之痛通常以消炎为

主要原则，如化脓成熟，可切开排脓，中药对牙痛有效，但非大效，较

之于西药则略逊也。

壮阳小方 1996.2.14

仙茅、仙灵脾、山药、芡实、金樱子、菟丝子、枸杞子、女贞子、甘

草，此方神效。一男持方来云：前腰酸乏力、嗜睡，服此方1剂则精神

大振。此方口诀名曰；仙茅灵脾二三草。

阳强不倒治验 1996.2.29

乙亥岁末兰州市朱某患此病，百医弗效，总院与301医院电话

会诊后用抽血术、麻醉术等局部措施，未见疗效。余则认为诸多之局

部治疗皆刺激也，阳强决非局部某血管之阻塞，乃中枢神经之功能

紊乱与植物神经之功能紊乱所致，余以小柴胡汤合龙牡、桂枝茯苓

丸、当川合剂，加水蛭，联合乙烯雌酚，服10剂大见功效，后见出汗，

余于前方加当归六黄汤，凡5剂则汗止矣。

阴痒治验 1996.3.6

此病虽系小疾，然痛苦则大！最常见者滴虫、湿疹、霉菌三病，滴

虫之诊断白带多，青灰色有泡沫，少腹重坠；湿疹者局部有病变，搔

之流水；霉菌者乳酪白带。

1.滴虫洗剂：蛇床子、苦参、黄柏、明矾。

2.霉菌洗剂：茵陈、苦参、明矾、蛇床子。

3.湿疹：苦参、土茯苓、地肤子、槟榔、忍冬藤、甘草。

上述三种洗剂均宜水煎10分钟，取汁2000ml,坐浴。

乙型肝炎病毒基因变异说 1996.3.13

HBV是高度变异的，没有任何两株病毒之核酸系列是完全相

同的，正因为如此，每一个乙肝患者之发病及预后均不相同。认识此

一机理，确系认识乙肝发病之大飞跃。何以乙肝宿主之免疫有如此

巨大差异？目前有关乙肝病毒之变异远未阐明，发现的HBVeAg为

之消失的前c区点突变，及新近发现之HBxAg,均有一定意义，但尚

未阐明其真正之机理。

皮肌炎之再认识 1996.3.20

此病简称（DM),又称皮肤异色性皮肌炎，是一种主要累及四肢

近端横纹肌，伴同多样皮肤损害的慢性疾患。属自身免疫性疾患，其

病变分两类：①肌病变；②皮病变。可发病于任何年龄，女性多于男

性约2倍，皮以多种红斑及结节最常见；肌则累及四肢近端横纹肌。

先觉乏力，继则疼痛，见自觉痛、按压痛、运动痛，最后可见肌无力。

全身任何部位之肌肉如眼肌、颈肌均可受累，从而出现眼睑下垂、复

视、颈项偏倾等。病变在晚期可累及心、肝、肺、肾、消化系统，心衰、

间质性肺炎、视网膜渗出等均可相继出现。化验室检查：蛋白电泳中

α2及γ球蛋白增高，约半数患者抗核抗体（ANA)及RF均为阳性，

转氨酶升高。

抗核抗体（ANA)是一切自身免疫性疾患之最有效指标，尤其对

SLE之诊断价值（95%)尤为突出。但此指标在其他之慢性炎症及任

何B淋巴细胞缺陷时均见增高，因而冲淡了该指标之意义。

查此病之治疗，除激素、免疫抑制剂别无他法，免疫抑制剂以氨

甲蝶呤为最常选用。

痛风之治疗 1996.3.25

由尿酸盐之沉积出现全身之关节痛、红、肿、大，急性期首选秋

水仙碱和非甾体抗炎药，二者有同样疗效，但后者因副作用较少而

常用。此时宜慎用排尿酸药如丙磺舒、苯磺唑酮、苯溴马龙、别嘌呤

醇等。激素在疼痛严重时可用。中药除前用之"苍术黄柏独寄豆，晚

瓜臭汉土丹虎"之外，尚有一方：羌防知冬，桃兰茹血（羌活、防风、知

母、忍冬、桃仁、泽兰、竹茹、血竭）。

笔阴痒之内服方 1996.5.15

土茯苓30g、地肤子12g、忍冬藤15g、车前子15g、苦参15g、槟榔

10g、甘草15g、当归10g、白芍10g、苍术10g、黄柏10g,水煎服；每日

1剂，局部用蛇床子10g、枯矾15g、苦参20g、黄柏15g,水煎外洗。口

诀：土地冬车苦，甘草四二槟。

加味毓麟珠 1996.5.15

党参、白术、茯苓、当归各30g,熟地60g、白芍40g、川芎20g、菟

丝子60g、杜仲30g、川椒15g、鹿角胶20g、胎盘1具，共为末，炼蜜

为丸，每丸6g,早晚各！丸，治肾虚型不孕症，经少色暗，乏力腿

软。

此方乃四物、四君合为八珍杜菟椒胶盘。

治疗脑鸣之效方 1996.5.25

桂枝10g、茯苓12g、丹皮6g、桃仁10g、白芍15g、合欢皮20g、半

夏6g、陈皮6g、甘草6g、枳实10g、夜交藤20g、竹茹10g、胆星10g、

夏枯草15g、生龙牡各15g、蝉衣10g、生地12g、丹参20g、女贞子

10g、旱莲草10g。

此方为桂枝茯苓丸合导痰汤，再加夏牡二二黄蝉参组成，前者

为治疗脑鸣之专剂，后者为治疗失眠之专方，加蝉衣者，此物为治失

眠与耳鸣之重剂也。

四肢顽麻之经验 1996.5.29

丙子夏，余治一妇四肢顽麻2年，百医无效。余问之，彼谓心烦、

失眠、胸闷、血压偏低，方用当归、川芎、赤芍、生地、茯苓、陈皮、远志、血竭、泽兰、蛇床子、菟丝子、黑大豆、桑枝、稀莶草、威灵仙，凡7

剂，大效焉。口诀：四物俯陈远，顽麻血兰床。

格内氏肉芽肿 1996.5.29

韦格内氏肉芽肿属结缔组织病，以咽喉及上呼吸道坏死性炎症

最为常见，伴坏死性结节性动脉周围炎、坏死性肾小球性肾炎为基

本病变。血沉快、发烧、皮诊、关节疼痛为临床特点。预后不佳，治疗

以激素、免疫抑制剂。

高血压动脉硬化何以经常合并胆囊炎 1996.5.29

高血压时肠蠕动减弱，从而出现便秘、腹胀、腹痛，严重时出现

麻痹性肠梗阻，此时胆囊收缩减弱，胆道口张力增高，久之，可致胆

囊炎合并胆石症；另外高血压患者之类脂质沉积、血黏度之提高易

中造成胆石之生成，胆石之刺激、梗阻促进炎症发生。

小儿高烧不退 1996.6.6

丙子孟夏，外甥张全之子外感发烧10日，每日静注抗生素无

效。余问之曰：夜热早凉，骨蒸无汗，予青蒿鳖甲汤合麻黄汤，2剂热

退，病愈。

地图舌治验 1996.6.7

丙子孟夏，省卫生厅刘克玲副厅长之女，患地图舌，百医弗效。

余以香砂六君汤合黄芪、肉桂、青黛、鸡内金，伴以胸腺肽8mg、转移

因子3ml,肌注，每周1次。服药2周，大愈。

慢重肝之维持方 1996.6.10

丙子孟夏，武山县乡镇干部包尚贤，经余之诊治在乙型亚重肝

之死神前逃生。1年后黄疸略有加重，肝区疼痛、腹胀、乏力、厌食，

伴轻度恶心呕吐，余谓此病又有复发迹象，劝其赴兰住院治疗，因

彼经济困难，乃拟一中药处方，责其服10剂，暂观察之。未料服后大愈，诸症皆减，现将该方抄录于后：柴胡10g、枳实10g、白芍15g、甘草6g、大黄6g、黄连3g、黄芩10g、茵陈20g、栀子12g、三棱10g、莪术10g、姜黄6g、青皮6g、元胡10g、川楝子20g、制乳没3g、丹参30g、黄芪30g、当归10g、秦艽10g、板蓝根15g、水煎服，每日1

剂。

治疗子宫颈癌的单方 1996.6.10

丙子夏，兰钢工人阎某来函，云其亲戚患宫颈癌，限于经济条

件，未作西医必要之治疗，经人推荐，用胡麻子食用，每日100g,计3

月后宫颈癌出人意料之痊愈。此例之治疗使阎某很感兴趣，但凡遇

此病患者，均授予此法，曾试数例患者，辄愈之。于是此人来函谓此

法不可埋没，欲借专家之名，公之于世，以为人民服务也。余予次日

约见阎某，彼详谈了上述情节，予记之。

几个新药 1996.7.3

1.溴环胺乙醇：本品为黏痰溶解剂，对呼吸道有明显之畅通

作用。成人可用30mg,每日3次，口服，糖浆则5ml中相当于

30mg。

2.舒普深：此药为与β-内酰胺酶抑制剂配伍之先锋必（头孢

哌酮）。现已查明在广大的致病菌体内普遍产生一种β-内酰胺

酶，由于此种活性酶之产生，使细菌对抗菌素产生了耐药性，为

解决这种耐药性而研制出一种β-内酰胺酶抑制剂，目前人们找

到的β-内酰胺酶抑制剂是舒巴坦，这种制剂与头孢哌酮结合之产

物就是"舒普深"，该药之常规用量是2～4g,纳入生理盐水250ml中

静滴。

3.几种新型抗生素之商品名：头孢噻肟－凯福隆；头孢三

嗪---罗氏芬；头孢拉定---复达欣；伊米配能／西拉司丁---泰

能。上述抗生素之用量均为每天2～4g,凯福隆与复达欣之用量偏

大，4～6g。

4.头孢克洛胶囊：即头孢氯苄，成人0.25g,Tid,Po,每日最大

剂量不超过4g。

肝硬化腹水患者之合并症 1996.7.10

肝硬化腹水之患者除肝硬化本身及门脉高压所致之临床表现

外，尚可引起胆囊炎、胰腺炎、胃溃疡、胸膜炎（右侧胸腔）、腹泻、腹

痛、肠蠕动紊乱等。

两个经验方 1996.7.10

1.复方桑菊饮：桑叶10g、菊花10g、金银花20g、连翘20g、桔梗

年中30g、芦根15g、杏仁10g、麻黄10g、桂枝10g、甘草6g、生石膏30g、生

姜10g、大枣6枚，水煎2次，取汁400ml,每服20～100ml,依小儿年

龄增减，日服3次。小儿上感发烧，体温不退。

2.桂枝10g、知母20g、白芍10g、川草乌各15g(先煎1小时）、马

钱子I个（油炸）、生姜6g、大枣4枚、甘草6g、桑枝30g、羌活10g、

独活10g,水煎服，每日1剂。关节痛、神经痛、头痛。

消风除湿丹 1996.7.10

川草乌各15g(先煎50分钟），马钱子1个（油炸），与上药同煎

30分钟取汁，加知母粉20g、元胡粉20g、白芍20g,文火取汁，收膏，

烤干成粉，装入0.25之胶囊。命名曰"消风除湿丹"，每服1～2个，日

服3次，饭后温开水送下。

几个值得推广之小经验 1996.7.16

1.细辛30～60g,先煎50分钟，治疗类风湿。

2.乌梅肉治疗全身各种息肉；在其酒浸液中加入少许二甲基亚

砜，治疗白癜风，在此中若加入破故纸疗效更好。

3.苦参之临床应用：除了通常之消湿热、杀三虫、治死肌之作用

外，尚有强心、升白、治心率失常、失眠、疼痛等作用。

4.柴胡之妙用，有南、北、竹叶柴胡之分，为伞形科植物，味苦性

平，适合于一切亚急性炎性中毒症，另外应特别提出该药之治热作

用，仅单味药便有明显之退烧作用。

多发性骨髓瘤 1996.7.24

此为骨髓中浆细胞增生高度活跃所致，临床表现除血液病通常

所具有之贫血、出血、感染三大表现外，尚有溶骨、骨疼痛、肾功能衰

竭、怕冷等四大症状。电解质方面往往因溶骨致血钙增高。骨髓象检

查可以确诊。治疗：化疗之疗效欠佳，化疗时，可出现高尿酸血症。多

发性骨髓瘤因浆细胞之增高、血液黏度增高（治疗可用青酶胺、血浆

置换等）。

高尿酸血症 1996.7.25

此为恶性肿瘤之最常见症状，源于癌细胞增生、播散、崩解、

尤其是急慢性白血病、多发性骨髓瘤、大剂量化疗患者，细胞裂

解产生了大量尿酸。临床表现：①痛风性肾脏损害、多尿、尿蛋

白、脓尿、血尿；②痛风性关节炎；③痛风性结石，血尿酸测定》

400mmol/L。

秋水仙减：0.5mg(首剂1mg)每小时1次，直至缓解。消炎痛：

25mg,Tid,po.炎痛喜康：20mg,Tid,Po。

系统性红斑性狼疮之又一要点 1996.7.26

系统性红斑性狼疮（SLE)之特点：①高烧；②皮损；③关节损害；

④肾脏损害；⑤血管损害；⑥浆膜病变。上述病变中血管之纤维蛋白样变性坏死，为此病之重要特征，上肢则见雷诺氏现象，下肢则见血

栓性小动脉炎及结节性动脉周围炎。忆敦煌市之老教师齐某血沉快

达100mm/h,下肢疼痛肿胀，多普勒示下肢动脉多处栓塞，当时诊断

血栓性静脉炎，现在看来应纠正为结缔组织病，此患者后来在上海

住院，仍未确切诊断而死亡。

青酶胺 1996.7.29

每片0.125g,每服0.125～0.345g,每日3次，口服。此药原为治

疗肝豆状核变性之特效药，也可用于汞、砷、铅等重金属之慢性中

毒，较之二硫基丙醇其较更好。近年来发现此品对免疫之作用，主要

是对过分之免疫反应之抑制，例如使抗原抗体复合物之降解等，因

而广泛使用于结缔组织病及一切自身免疫性疾患。如红斑狼疮、干

燥综合征、皮肌炎、类风湿、慢性肾炎等。

余之"消风除湿丹"与此药相配可望获得较好疗效。当今自身免

疫性疾患越来越多，西药无效。余前曾治疗此病10余例，皆以消风

中除湿丹见效，在辅青酶胺、激素等综合治疗，加之以胸腺肽，转移因

子之肌注，必要时配合高乌甲素5mg,每日3次，口服；4mg；静脉点 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: Drip. All can be used effectively in both directions, yielding quick results, and it is hoped that we can once again achieve great success in the treatment of this disease and further promote its development.

Foreign countries.

Treatment of Esophageal Cancer – August 12, 1996

In the past, I have used Qidi San, Si Qi Tang, and Ban Xia Hou Pu Tang for the treatment of this disease; additionally, I have also employed the commonly used Tu Li Xiu Zhen Dan, Po Gu Zhi, and Ji Xue Teng preparations, as well as recently read the book “Clinical Treatment of Tumors,” where I learned that Dr. Shilan Ling at the Shandong Institute of Traditional Chinese Medicine frequently used Shen Nong Wan and Jiang Jun San to treat this condition, and according to records, these remedies were often effective. ① Shen Nong Wan: 10g of Ma Qian Zi powder, 2g of Gan Cao, and 3g of Nu Mi, all ground into pills about the size of soybeans, each weighing approximately 0.25g. Take 6–12 pills each night, swallowing them with warm boiled water. ② Jiang Jun San: 6g of Jiao Sha, 6g of Zhu Sha, 6g of Bo Sha, 15g of Shan Ren, 6g of Qing Dai, 6g of Shui He, 9g each of Bai Hei Er Chou, 15g of Ren Shen, 10g of Wu Dong, 30g of Hua Fen, 15g of Shi Bing, 15g of Zi Kou, 60g of Baixiang, 15g of Da Huang, 15g of Gan Cao—all ground into a fine powder. Take 3g each time, three times daily. The formula’s mnemonic: “Four Sha, Qing Shui, Bai Hei, Ren Shen.” ③ Chronic Pancreatitis – Further Discussion – August 22, 1996

Chronic pancreatitis is typically characterized by upper left abdominal pain; however, under certain specific circumstances, the location of the pain may shift to the right upper abdomen or the middle-upper abdomen. In the summer of the Year of the Pig, I suddenly experienced sharp, cutting pain in my right upper abdomen. Confused and puzzled, I began to reflect: could lesions in the head of the pancreas possibly cause such pain? So I administered先锋 VI and metronidazole via intravenous infusion, along with traditional Chinese medicine formulas for gallbladder and pancreatic conditions—after three days, my condition had significantly improved. Around the same time, a patient in the ward experienced pain in his right upper abdomen. Multiple examinations revealed inflammation, but the gallbladder was not visible on imaging studies. Both blood and urine amylase levels were elevated. The diagnosis was chronic pancreatitis. Treatment with antibiotics combined with traditional Chinese medicine (a modified version of Chai Hu Tang) proved very effective quickly.

Treatment of Arrhythmia – August 28, 1996

When treating this condition, I often prescribed Zhigan Cao Tang (with added Gui Rui, A Dong Di, and Ma Ren), Zhuan Lü Tang (with added Da Zao, San Puer, Che), Guo Zao Bo Dong Tang (with added Huang Shi, Dang Gui, Dang Shen, Mai Dong, Wu Wei Zi, Dan Shen, Zhi Ke, Jie Geng, Jin Ling Zi), and Ban Lou Xiang Cao Zheng Xin Lu Tang (with added Ban Xia, Gua Lou, Chen Pi, Gui Zhi, Chi Shu, Cha Shu Gen). In clinical practice, I often used more extensively Sheng Di, Mai Dong, Dan Shen, Cha Shu Gen, Ku Shen, Chang Shan, Yuan Hu, and other herbs. Recently, while reading the Chinese Journal of Traditional Chinese Medicine, I found that in discussions about Ku Shen, dozens of authors unanimously agreed that Ku Shen has a clear effect on regulating heart rhythm. Feng Yipeng from Anhui College of Traditional Chinese Medicine proposed a Kushi Tang formula (Ku Shen 40g, Sheng Di 50g). Wang Shujun from China Medical University suggested that combining Ku Shen, Gui Zhi, and Xian Ling Pi not only effectively treated arrhythmia but also helped treat more severe cardiac conditions such as myocarditis and pericarditis. Xia Jiande from Wuxi Coal Mine Hospital developed the Wu Can Tang formula (Bei Sha Shen, Na Sha Shen, Dang Shen, Dan Shen, Ku Shen, Gui Zhi, Sheng Long Mu, Bai Zi Ren, Suo Zao Ren). Zhao Maoqing from Shanghai Malu Hospital created the Ku Shen Fu Mai Tang formula (Ku Shen, Dan Shen, Xuan Shen, Gui Zhi, Mai Dong). Chen Nai Qing from Lianyungang Red Cross Hospital prepared the Dan Shen Tang formula (Ku Shen, Dan Shen). In summary, I developed a formula called “Xin Lü Zheng”: Ku Shen 30g, Sheng Di 20g, Dang Shen 30g, Gui Zhi 10g, Mai Dong 10g, Sheng Long Mu 20g, Wu Wei Zi 3g, Shan Ren 10g—this formula combines three Shen herbs with two Di herbs and two Ren herbs. Three Shen herbs: Dan, Ku, and Dang; two Di herbs: Sheng Di and Shu Di; two Ren herbs: Chao Zao Ren and Bai Zi Ren; Sheng: Sheng Mai San and Sheng Long Mu; plus Cha Shu Gen. The mnemonic: “Three Shen, two Di, two Ren.” Gui Zhi, Shan Ren, and Cha Shu Gen. Besides treating arrhythmia, Ku Shen can also be used to treat dermatitis, eczema, erysipelas, skin amyloidosis, vitiligo, and other conditions. It has also shown significant efficacy in treating coughs, wheezing, insomnia, hepatitis B, edema, perianal diseases, and gonorrhea. Some people even say that “Ku Shen is remarkably effective in treating asthma and insomnia.”

Clinical Experience with Gastric Motility Medications – August 28, 1996

The primary function of gastric motility medications is to promote gastrointestinal peristalsis. Quan Xiaolin at the China-Japan Friendship Hospital refers to the most commonly used gastric motility herbs as “Small Three-Linked” and “Small Five-Linked.” The Small Three-Linked formula includes Zhishi, Er Chou, and Dahuang; the Small Five-Linked formula adds Zhike and Binlang. Generally, Zhishi is used for the esophagus; Dahuang is used for the stomach, combined with Binlang and Mu Xiang; Er Chou is used for the small intestine, while Dahuang is used for the large intestine. Typically, the Small Three-Linked formula is used for the gastrointestinal tract, while the Small Five-Linked formula is used for the large intestine.

Leech Therapy for Chronic Nephritis and Renal Insufficiency – August 31, 1996

Fang Xinsheng from the Zhuzhou Smelting Plant in Hunan Province reported that using Huang Qi 30g, Dan Shen 30g, Shan Yu 10g, Sang Shu 10g, Dahuang 10g, Fuzi 6g, Yimu Cao 30g, Che Qian Zi 30g, Yin Hua 15g, Bai Hua She Tiao Cao 15g, Gou Qi Zi 30g, and Leeches 30g (separate). The leeches were ground into powder, sifted through a sieve, and taken in three doses. This formula could be named the “Kidney Failure Compound.” The formula consists of 30g of Huang Qi, 30g of Dan Shen; 30g of Yimu Cao, 30g of Che Qian Zi; 15g of Yin Hua, 15g of Bai Hua She Tiao Cao; 10g of Dahuang, 10g of Fuzi—and three additional small fruits, including Sang Shu, Shan Yu, and Gou Qi Zi, along with one leech. The mnemonic: “Four pairs, three Gou Qi Zi, and the leech is the most reliable.” According to “Ben Cao Cong Xin,” leeches are used to treat edema and detoxify the body. Qi Zhi Yong from the Central Hospital of Suizhou City in Hebei Province reported that, based on syndrome differentiation, adding leeches to the treatment regimen proved highly effective for chronic nephritis and renal insufficiency.

Traditional Chinese Medicine Treatment of Chronic Nephritis – September 5, 1996

For the treatment of this condition, I often used Jisheng Shenqi Tang, Long Dan Xie Gan Tang, Pa Shan Huang Tu Tang, and Xi Yi Shen Tang, adding Shui Wei, Bai Mao Gen, Sheng Da Huang, Yin Hua, Pu Gong Ying, Baishang, Fang Feng, and Ting Li Zi. Recently, I have often found that combining Gui Zhi Fu Ling Wan with Yi Shen Tang yields remarkable results. I recall that when treating this condition, promoting blood circulation and resolving stasis was always the first priority—and adding leeches to this formula proved to be a major breakthrough! Furthermore, Xiao Feng Chu Shi Dan has often brought about breakthroughs in the treatment of chronic nephritis, and it is hoped that with the combination of this medication, new progress will be made in the treatment of this disease.

Treatment of Coronary Heart Disease-related Chest Pain – September 5, 1996

For chest pain caused by coronary heart disease, I often used Gua Lou Xie Bai Ban Xia Tang. Adding blood-circulating and stasis-resolving herbs to this formula yielded significant therapeutic effects, with Coronary Heart Disease No. 1 being the most commonly used. Recently, I added leeches to the above-mentioned formulas, which proved to be particularly effective; I also incorporated Wu Shui Bu Hai Han San Qi, and added Shan Dan Hua Kai Wu Ze Chuan to the formula. In the June 1993 issue of the Chinese Journal of Traditional Chinese Medicine, Mr. Xia Mingxue from Hebei Medical College suggested adding only a small amount of Xixin to the formula for enhanced efficacy, and I incorporated it into the above-mentioned formula. This old practitioner usually used between 6–9g of Xixin; in my experience, Xixin can be used in larger doses, up to 20–30g, but it must first be boiled for 40–60 minutes.

Clinical Application and Toxicity of Xixin – September 5, 1996

Modern pharmacological research shows that Xixin has antipyretic, antibacterial, anti-inflammatory, anti-asthmatic, cough-suppressant, cardiostimulant, sedative, anticonvulsant, analgesic, and local anesthetic effects. In short, its effects fall into four main categories: ① anti-inflammatory and antipyretic; ② cough-suppressant and anti-asthmatic; ③ increased heart rate; ④ analgesic and vasodilator. How should we view the toxicity of this herb? Recent experimental studies indicate that this plant contains volatile oil from Xixin, which initially causes animals to become excited, then later to enter a state of inhibition. Subsequently, respiratory and circulatory paralysis may occur, leading to death. The active ingredient in Xixin is methyl eugenol, while the toxic component is methyleugenol ether. The latter has strong volatility; prolonged boiling reduces its toxicity significantly without affecting the function of the active ingredient, methyl eugenol. Therefore, some suggest that when adding Xixin to a decoction, it is best to boil it for 30–60 minutes. Currently, there are 31 varieties, 4 subspecies, and 1 variant of Xixin in China, among which Northern Xixin contains the highest amount of the active ingredient methyl eugenol, accounting for about 40%. Southern Xixin, however, is of lower quality and contains fewer active ingredients.

Clinical Trials with Xiao Feng Chu Shi Dan – September 7, 1996

In the summer of the Year of the Pig, a patient with nephrotic syndrome in the ward did not respond to hormone therapy. Using traditional Chinese medicine formulas like Yi Shen Tang, Gui Zhi Fu Ling Wan, Wu Wei Xiao Jian Yin, and Ma Shi Yi Gan Tang, the ESR dropped from 90 mm/h to 10 mm/h, though the proteinuria remained at three plus signs. About two weeks before discharge, the patient took 2 tablets of Xiao Feng Chu Shi Dan, taken three times daily, and their condition improved significantly, with proteinuria dropping sharply to one plus sign. The patient was sent home to continue treatment with the medication. A patient with nephrotic syndrome who had been treated unsuccessfully at the Provincial People’s Hospital—using up to 12 tablets (60 mg) of hormones—still had proteinuria at three plus signs, and the edema had not subsided. After just two weeks of taking Xiao Feng Chu Shi Dan, the proteinuria completely disappeared. The patient, Li Hui, was diagnosed with dermatomyositis, with an ESR of 110 mm/h, joint pain, skin stiffness and numbness, and muscle pain most prominent in the face, neck, and chest. Initially, she took Gui Zhi Shao Yao Zhi Mu Tang, Dang Gui Liu Huang Tang, Ma Xing Yi Gan Tang, and 15g each of Chuan Cao Wu, after boiling them for 60 minutes, then switched to Xiao Feng Chu Shi Dan. After two weeks, her ESR returned to normal.

Guan Xin Ning Granules – September 30, 1996

I once suffered from chronic pancreatitis and recovered significantly after taking Chai Hu Shu Gan Jia Wei. In the year of the Yin Horse, I developed coronary heart disease. Initially, I tried Western medicine—Dan Shen Injection, combined with low-molecular-weight dextran intravenously—but it was ineffective. ECT showed that the coronary arteries were severely ischemic. I went to Beijing’s 301 Hospital, where they said that intervention therapy would be necessary to turn the situation around. I decided to try traditional Chinese medicine treatment and formulated a formula: Gua Lou 10g, Xie Bai 10g, Ban Xia 6g, Chi Shu 10g, Chuan Xiong 10g, Zha Hong 6g, Jiang Xiang 10g, Dan Shen 20g, Shan Dan Hua 15g, Leeches 20g, Dang Shen 10g, Mai Dong 10g, Wu Wei Zi 6g. All 11 herbs were ground into a fine powder, sifted through a sieve, and then made into granules with Shan Dan Hua and Leeches. Each dose contained about 12g, taken three times daily—morning, noon, and evening—mixed with warm boiled water. Key points: use a large amount of Shan Dan Hua and Leeches. This formula was paired with Kuang Xiong Wan, and after six months of treatment, the chest pain, shortness of breath, and overall symptoms disappeared, and the electrocardiogram showed that the ischemia no longer existed.

Two Formulas from “Hong Lu Dian Xue” – October 3, 1996

1. Dang Gui Long Hui Wan: Dang Gui 15g, Long Dan Cao 15g, Lu Hui 15g, Dahuang 15g, Huang Lian 6g, Huang Qin 10g, Shan Zhi 10g, Mu Xiang 3g, Xi Xiang 0.5g. I thought that this formula was effective for left flank pain, but could it also treat chronic pancreatitis? Since much of the pain in the left flank is caused by chronic pancreatitis, I often used the compound Chai Hu Shu Gan San for this condition, though some patients still did not see complete relief. I added metronidazole and antibiotics via intravenous infusion, which proved quite effective. Now I’ve chosen Dang Gui Long Hui Wan, which is suitable for clinical trials.

2. Xiao Hui Xiang 30g, Zhi Ke 15g—taken as a decoction. The book states that it is equally effective for right flank pain, so I thought it might also be useful for patients with liver-related flank pain.

Treatment of Cervical Tuberculosis – October 3, 1996

1. External treatments: ① Grind Dan Nan Xing into powder and apply it mixed with aged vinegar; ② Place moxa sticks on the affected area and perform three sessions of moxibustion daily; ③ Mash Wu Zhu Yu and garlic together and apply externally; ④ Burn Haifu Shi and grind it into powder, then mix with fragrant oil for application; ⑤ Mix Lily Bulb with roasted hemp seeds and apply externally.

2. Internal treatments: 10g each of kelp, seaweed, kombu, and squid bone; 15g of purple back sunflower, 15g of summer grass, 15g of Forsythia, 10g of fritillary, 10g of platycodon, 10g of white flaxseed—taken as a decoction daily.

Brief Discussion on Antiemetic Drugs – October 6, 1996

In the 1960s, Emoxypine was the preferred drug; in severe cases, Chlorpromazine was used. In the 1970s, Gastropamin 10mg was introduced, taken orally, three times a day—this medication could also be administered via intravenous drip, with dosages equivalent to oral administration. In the 1980s, Metoclopramide 10–20mg, taken orally, three times a day, became available, with effects 10–20 times stronger than Gastropamin. In the 1990s, new antiemetic drugs like Sufurin 4–8mg appeared, taken three times a day. These medications were imported and expensive. In summary, the role of antiemetic drugs is to enhance gastric emptying and regulate the relaxation and contraction of the upper (cardiac sphincter) and lower (pyloric sphincter) openings of the stomach. This drug is also known as Enaditone and comes in both injection and tablet forms.

New Insights into Aspirin – October 15, 1996

1. When body tissues become inflamed or damaged, local areas release prostaglandins. Prostaglandins can cause local vasodilation, inflammatory exudation, and polymorphonuclear infiltration—these pathological reactions can further increase prostaglandin release. Additionally, increased prostaglandin levels can lead to two important pathological phenomena: ① fever; ② hyperalgesia. The fundamental reason for aspirin’s antipyretic and analgesic effects lies in its ability to inhibit prostaglandin production, allowing it to target these pathological reactions and eliminate the resulting pathological symptoms.

2. Aspirin can also inhibit platelet aggregation, making it effective in treating thrombocytopenic purpura.

3. Aspirin has a clear preventive effect against myocardial infarction, opening up new avenues in the treatment of coronary heart disease.

4. Aspirin can also treat diabetic retinopathy, with similar effects achieved through platelet inhibition. It is particularly suitable for blackouts caused by retinal artery thrombosis. In general, aspirin is effective for all thrombotic diseases, primarily because it inhibits platelet aggregation.

In conclusion, the effects of aspirin can be summarized as follows: ① inhibiting prostaglandin production; ② inhibiting platelet aggregation. The former contributes to aspirin’s antipyretic and analgesic effects, while the latter gives aspirin its anti-thrombotic and anti-infarct properties.

New Uses for Levamisole – October 15, 1996

Originally used as an anthelmintic for amoebic dysentery and hepatic echinococcosis, it has recently been discovered to possess significant immune-enhancing properties. This effect only becomes apparent when the medication is taken intermittently; when used continuously, it exhibits a noticeable inhibitory effect. Therefore, levamisole should be taken at 50mg three times daily, preferably for 2 days per week. Never take it continuously every week—continuous use can be harmful! Its anti-tumor effects are particularly prominent in breast cancer. It can also be used for connective tissue diseases such as rheumatoid arthritis and systemic lupus erythematosus. For viral infections, it is effective against viruses like herpes and oral ulcers. In short, thanks to its immune-enhancing properties, levamisole can be used to treat a wide range of autoimmune disorders and even help reduce ESR. Beyond that, levamisole can also treat stubborn childhood skin and upper respiratory tract infections.

Cholinergic Neuronal Blockers in the Treatment of Rheumatoid Arthritis – October 15, 1996

The Third Hospital of Ningbo, recognizing that this medication improves microcirculation, began testing it for rheumatoid arthritis and ankylosing spondylitis. They used Scopolia Herb Tablets, 8mg per tablet, three times daily, 5 tablets each time, taken after meals, gradually increasing the dosage by 1 tablet each time until reaching 10 tablets per dose. To allow the body to adapt to the dosage and avoid toxic side effects, the dosage should be increased gradually; during formal medication treatment, it is advisable to take 10–20 tablets per dose, for a course of 14 days. Afterwards, the dosage was reduced to 10 tablets per dose, continuing for another 14 days as a second course, then increased to 30 tablets per dose, three times daily, for a total of 14 days as a third course. This medication has also proven effective for stubborn insomnia, psoriasis, unexplained edema in the lower limbs, and chronic cholecystitis.

Dopamine’s Cardiotonic and Diuretic Effects – October 16, 1996

In addition to its anti-shock effects, dopamine can produce significant diuretic effects for edema caused by heart failure, valvular heart disease, pulmonary heart disease, kidney disease, and other conditions. Adults typically use 40mg dissolved in 200ml of 5%–10% glucose, slowly first, then faster, via intravenous drip. Moreover, 20mg of dopamine can accelerate urine flow, and injecting 20mg directly into the abdominal cavity can also produce a very pronounced diuretic effect.

A Few Small Experiences – October 16, 1996

1. Nitrogen mustard for treating vitiligo: Add 50mg of nitrogen mustard hydrochloride to 100ml of 95% alcohol (valid for 1 week) for topical application.

2.心得安 for treating glaucoma (92% of patients saw a decrease in intraocular pressure): 20mg, taken three times daily, orally.

3. 0.1% Rifampicin solution for eye drops to treat trachoma; Rifampicin has a clear effect on trachoma chlamydia bacteria.

4. Hua Rui Shi Zhi Xue San: Used to treat pulmonary hemoptysis. Hua Rui Shi, also known as Hua Ru Shi, is finely ground into powder, 8g per dose, taken three times daily.

Bone Growth Pill – October 17, 1996

Sheng Di 3g, Rou Cong Rong 2g, Lu Han Cao 2g, Guo Sui Bu 2g, Yan Yang Huo 2g, Ji Xue Teng 2g, Lai Fu Zi 1g—after processing these ingredients in the correct proportions, they were processed into pills, each pill weighing 3–5g, taken as 1 pill per dose, 2–3 times daily. I once used Professor Feng Junshan’s formula (San Chu Zhi Bu Dali Cai), which was similar to this formula; if this formula were made into a decoction, the ratio could be tripled. Adding Rhododendron to this formula made it even more effective for treating bone growth.

A Few Small Experiences – October 18, 1996

The Affic Soup formula for treating erythema multiforme (Medical Situation Exchange Day, November 1976) was more effective when combined with Galangal; Gui Zhi Shao Yao Zhi Mu Soup was effective for treating rheumatic and rheumatoid arthritis; Xiao Feng Chu Shi Dan was effective for treating stiffness in the limbs, making them difficult to bend or extend; Affic Li Zhong Tang was effective for treating abdominal distension and loose stools; Si Ni Tang was effective for treating diarrhea with clear, watery stools, cold limbs, and weak, almost absent pulses. In summary, Affic is a medicinal herb belonging to the Aconite family, possessing distinct immune-regulatory effects—these immune-regulatory effects are achieved through the “yang-tonifying” action of traditional Chinese medicine. The essence of yang tonification is: ① regulating the hypothalamus, pituitary gland, and adrenal cortex axis; given this, Affic preparations may suppress immune responses. ② strengthening the sympathetic nervous system’s tension: Affic preparations may exhibit adrenergic-like effects and inhibit acetylcholinesterase.

Some people have found Affic effective for treating lower back pain, others have found it effective for treating asthma, and still others have found it helpful in increasing heart rate—each of these examples illustrates this effect.

Rare Complications of Liver Cirrhosis – October 20, 1996

Typically, patients with ascites, hepatic encephalopathy, upper gastrointestinal bleeding, or liver cancer are common. Recently, someone reported a case of a patient with liver cirrhosis and ascites who repeatedly experienced hepatic encephalopathy, then subsequently developed paraplegia below the waist. According to foreign literature reports, in 1960, ZeⅣe first described a case of a patient with liver cirrhosis and ascites who developed this condition after undergoing portal vein shunt surgery, a condition later dubbed “shunt-induced cerebrospinal cord disease.” Since then, reports have emerged from around the world, with a total of 36 cases reported by the end of 1974.

Discussion on Traditional Chinese Medicine Treatments for Epilepsy – October 21, 1996

In the early years, I often treated this condition using Zhang’s Ding Xian Tang: Qing Meng Shi 7g, Hai Ru Shi 7g, Dan Nan Xing 2g, Fa Ban Xia 2g, Chen Xiang 2g, Er Chou 2g, Shen Qu 4g—combined with wheat flour and equal amounts of the above herbs, forming 10–20 cakes, eaten 1–2 times daily. Later, I discovered that Tao Hong Si Wu, plus San Chong, Huang He Teng, Tian Sheng Da Chan, Bai Jin Lao Cha, and other formulas could also treat this condition. Looking at journals from various regions, I saw Liu’s Zhi Xian San: Han Shui Shi, Zi Shi Ying, Chi Shi Zhi, Bai Shi Zhi, Sheng Shi Gao, Sheng Long Mu, Sheng He Shi, Gui Zhi, Gou Teng, Gan Jiang, Hua Shi, Gan Cao—the mnemonic: “Seven Stones, Six Branches, Hook.” Tang’s Bing Bor Ding Xian San: 0.1g of ice sheet, 1.0g of borax, 0.3g of alum, 0.3g of Sheng He Shi, 0.3g of Qing Meng Shi—given as a single dose, taken twice daily. Black-and-white Er Chou pills were used to treat epilepsy: 1.5g each of Black-and-White Er Chou, combined with honey to make 6g pills, taken twice daily. Stone菖蒲 was used to treat grand mal seizures; White Pepper was used to treat epilepsy. 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: （有人从白胡椒中提取胡椒碱称之为抗痫灵）。综上所述，白胡椒之

抗癫痫作用为近人之作，二丑、姜虫等余早已用于临床矣，至于青

礞石、明矾、冰片、硼砂、生赭石组成之抗癫散，石菖蒲之抗痫作用

等可使用于临床。据此余创一方拟用之：当归、白芍、川芎、生地、桃

仁、红花、姜虫、全蝎、蜈蚣、二丑、菖蒲、白胡椒为汤药，定名"止痫

合剂"。

涤栓散治疗偏瘫 1996.10.22

《山东医药》1976.1姜生喜报告：地龙30g、蜈蚣1条、白芷9g,

共研为末，过罗，每服6g,日服3次，治疗脑血管意外所引致之偏瘫

有效率高达95%。

肝豆状核变性 1996.10.22

肝硬化腹水、脑症状（意识不清）、巩膜黄染、眼角膜边缘见蓝色

或棕色环、全身肌张力增加、腱反射活跃、手足震颤、有家族性、年龄

轻。西药用青酶胺、二巯基丙醇；中药以清热解毒为主，利尿通腑为

辅；大黄、黄连、黄芩、半枝莲、草河车、萆薢、芍药，水煎服，可产生–

一定疗效。

系统性红斑性狼疮 1996.10.25

本病血沉块（98.5%),伴发热（90%),关节病（70%),颜面红斑

（60%),心脏病变（20%),肾炎（85%),肝功改变（40%),心包、胸、腹

腔积液（20%),肝大（75%),白细胞、血小板、红细胞减少（40%),发

现LE细胞（30%～50%),抗核抗体（ANA)阳性（95%),神经精神症

状（20%),血清球蛋白增加（75%).总之，此病之临床特征，按发生

概率有以下7个常见症：血沉快、发烧、肾病、关节病、抗核抗体、球

蛋白增加、肝大等。

肝癌之CT所见 1996.10.31

CT检查无需空腹，但肠腔积气是其大忌，因此检查前不宜服食

粗糙带渣之食物，以免产气过多。检查前应测定肝肾功能或做碘过

敏试验，因增强扫描是在静脉注射含碘造影剂后进行的。增强扫描

可提高肝癌诊断，对鉴别海绵状血管瘤具有一定意义。不增强者谓

之曰平扫，临床上海绵状血管瘤与肝癌在平扫时极难鉴别，但增强

扫描则提供较明显之鉴别价值。甲亢及心、肝、肾衰竭之患者，不能

做加强扫描，切记。肝癌的CT直接征象：局限且边界比较清楚之

密度减低区，可呈多个或单个，有时边缘模糊或较模糊。有时肿瘤

组织坏死，则呈不均匀低密度影，在增强扫描时病灶中出现高密度

间隔，宽窄不一，方向不定，有人称之为间隔征。从大体而言，可见

到肝外形异常，肝门移位。所谓肝门，位于左右叶及方叶、尾叶之

间，任何一叶之较大肝癌均可致肝门移位。另外门静脉癌栓是肝癌

常见表现，此时血管增厚、增粗，增强扫描示管腔内充盈缺损，同时

伴肝硬化表现，出现肝轮廓不规律，肝大、腹水、叶间裂增宽、尾状

叶增生。

肝癌之鉴别诊断 1996.11.6

1.甲胎蛋白阳性（AFP放免法）大于400ug/L,且持续4周，并排

除妊娠、活动性肝病、生殖腺胚胎源性病变。

2.甲胎蛋白的上升与GPT之上升不呈比例。

3.在肝内肿瘤中最值得鉴别的是肝内海绵状血管瘤，最先应从

病史、体征、酶学等方面去鉴别，增强扫描是鉴别海绵状血管瘤之最主要方面，如果还不能确定，则应做同位素核素检查，若有放射性核

素在占位性病变部位丛集则诊断意义颇大。

肝癌之临床分期及小肝癌之意义 1996.11.6

1.分期。

Ⅰ期：仅在声像及CT中发现，而无肝癌之临床表现及体征。

Ⅱ期：介于I期与Ⅲ期之间者。

Ⅲ期：有明显之黄疸、腹水、恶液质或肝外转移者。

以上为国内1997年制订之分期标准。

2.小肝癌之含义：国内定为直径小于5cm；如有两个肿瘤，则直

径之和小于5cm者；长海医院则以直径小于3cm为小肝癌。

肝癌之病理 1996.11.6

分为肝细胞性、胆管细胞性、混合细胞性三种。

1.肝细胞癌分为巨块型（单块、融合、分块）、结节型、弥漫型。巨

块型之瘤体多在10cm以上；结节型之癌块在5～10cm之间；弥漫型

呈小结节状，与肝硬化无异。

2.胆管细胞癌：占原发性肝癌之5%～30%.此型肝癌也分为巨

块、结节、弥漫型三类。此型肝癌质硬不伴肝硬化，但有明显之胆汁

淤积。

3.混合细胞癌：二者兼之。

肝豆状核变性的中医治疗 1996.11.16

肝豆状核变性（HLD)系铜代谢障碍疾病，发病年龄多在30～40

岁之间，临床以语言结构混乱、流涎、四肢抖动及笨拙为主，肌僵直、

扭转痉挛次之，尚伴肝损、肝硬化等症状，角膜之边缘出现蓝绿色

之彩环、谓之曰克氏环。血清铜定量和铜蓝蛋白定量是检验诊断之

标准。安徽中医学院提供之中药方剂药：大黄6g、黄连10g、黄芩

10g、鱼腥草20g、半枝莲20g、泽泻20g,加水300ml,煎服，每日1

剂。

两点小经验 1996.11.18

1.慢性肾功能衰竭时甘露醇可预防病情之进展，但一旦无效可

停止使用，改用速尿，速尿之剂量宜大，先由100mg开始，可增至

200mg,Bid,Ⅳ,如利尿效果仍不明显，则可继续增加，个别病人可增

加至每天1000mg。

2.系统性红斑性狼疮在损伤肾、肝、心、血管、神经、浆膜腔之同

时，对血液凝固机制及血小板之凝血机能（血小板之质量）有明显之

影响。此时止血药品并非安慰剂，6-氨基乙酸6g,止血芳酸0.6g(抗

纤溶），止血敏4g对增强血小板之质量有较大之作用，因而临床大

量应用、现今流行使用之立止血是由巴西蝮蛇毒液中分离出来之凝

血酶，可静注、肌注、局部应用，每支含量为1单位（ku),配溶媒一

支，通常无不良反应，或仅有轻微之过敏反应，如出现则按一般原则

处理。月前立止血尚无孕妇之专门临床使用研究。

嗜铬细胞瘤 1996.11.18

此病见于肾上腺者占90%,可位于腹腔、盆腔之任何部位，亦可

位于胸、脑等处，特点是儿茶酚胺之分泌过多（由肿瘤细胞分泌），24

小时尿中之儿茶酚胺之分泌超过500ug,则可诊断。儿茶酚胺系肾

上腺素中介介质，作用与肾上腺素完全相同，通常在瘤体受到压迫

或挤压时产生，于是可出现血压之持续上升，与此同时患者尚可出

现肾上腺皮质受压之类柯兴氏症群。由于儿茶酚胺之浓度忽高忽

低，因此血压之变化也忽高忽低。严重者出现高血压危象、休克，有

时则血压如常人。本病之治疗以手术为主，一部分症状轻微患者可

采用保守疗法，临床以α受体阻断剂酚妥拉明20mg,静滴，每日3

次，为慢性期之主要治疗。中药则可采用活血化淤、温阳利水、平肝

熄风法等。

慢性肾功能衰竭之治疗 1996.11.19

1.饮食、休息：通常宜休息，以低蛋白之流食、半流食为主，每日

之动物蛋白宜低于50g,植物蛋门切忌。

2.丙酸睾丸酮50mg,每日2～3次，也可用苯丙酸诺龙、强力龙等。

3.转移因子、胸腺肽：前者每周3mg,肌注。后者每日10mg,肌

注。

4.速尿可大量应用，每次100～300mg,每日可用2次，加入10%

葡萄糖250ml中。

5.降压药原则上采用利血平、巯甲丙脯酸口服。

6.氨基酸的临床应用：250mg,静滴，每日1次。

7.大黄附子灌肠，或者可加用牡蛎粉。

8.5%碳酸氢钠250ml,静滴，每日1次。

慢性肾功能衰竭之诊断：BUN<7.1mmo1/L,Cr<132.5mmol/L为

代偿期；7.1mmol/L<BUN<8.9mmol/L,132.5mmol/L<Cr<221mmol/L

为氮质血症期；8.9mmol/L<BUN<21.3mmol/L,221mmol/L<Cr<

442mmol/L为尿毒症期；BUN>21.3mmol/L,Cr>442mmol/L为尿毒症

晚期。

嗜铬细胞瘤之再认识 1996.11.20

①儿茶酚胺之增加引起血压增高；②儿茶酚胺减少则血压降

低甚至形成休克；③外围阻力之增加形成心脏病甚至心衰；④儿

茶酚胺之增加致胃肠道血管之收缩，引起恶心、呕吐、腹胀、便

秘，并可出现肠出血、穿孔；⑤儿茶酚胺之增加可产热，故引起发

热、头痛；⑥儿茶酚胺之增加可抑制胰岛素之分泌，出现尿糖；⑦

儿茶酚胺可促进甲状腺素分泌；⑧儿茶酚胺可促进肾上腺皮质

激素分泌；⑨最有效治疗方法为手术，手术中有一定危险，应引

起注意。

扶正冲剂 1996.11.22

苦参30g、黄芪30g、人参须10g、生龙牡各30g,连煎3次收膏，

加草蔻30g,细粉过箩，作冲剂，为2日量。

说明：上方定名为"扶正冲剂"。为著名中西医内科专家裴正学

教授积30多年之经验研制而成，本品具有升压、升白、镇静、消炎、

抗癌、增强机体免疫力、调节植物神经功能等作用，临床适用于心

悸、健忘、失眠、多梦、低血压、贫血、顽固性失眠、习惯性感冒及一切

身体衰弱、免疫力低下之症，亦可作为癌症化疗期之扶正药。

汪履秋治疗类风湿关节炎之经验 1996.11.25

此老之基本方：麻黄10g、桂枚10g、白芍10g、苍术10g、红花

10g、防风10g、防已10g、威灵仙20g、雷公藤15g、虎杖30g、露蜂房

15克、寻骨风15克、川草乌各10克（先煎60分钟）、胆南星10克、

甘草6克。此方与过去之风、寒、湿三痹方无异也。

口诀：麻黄桂枝藤花苍，白虎灵风防二强。川草乌、胆南星可称

之为二强，防者防风、防已、蜂房。

系统性红斑性狼疮一例 1996.11.27

患者张峰，男，20岁，入院诊断：系统性红斑狼疮（SLE).先系急

黄肝，病重时血胆红素大于120mmol/L,尚有肝坏死倾向，经抢救治

疗后病情好转，旋即又见三系细胞减少，WBC0.9×10%/L,RBC0.98×

1012/L,PLT1.2×10%L.经治疗在上述症状逐渐好转之际曾出现肉眼

血尿，经治后尿血好转，血沉由121mm/h降至7mm/h.继则又出现

全身广泛性出血及鼻咽部大出血，经前鼻孔油纱布止血未见成效，

后鼻孔油纱布压迫止血，并用6-氨基乙酸6g、止血芳酸0.6g、止血

敏8g,静滴后出血停止。一波未平，一波又起，于此后又发现咽喉部

广泛坏死，鼻中隔穿孔，上腭溃烂。经10余日抢救，此病转危为安。

治疗此病之根本药物为余创制之消风除湿丹，每次2粒，每日3次。

古圣I号1粒，每日3次。桂枝芍药知母汤合麻杏苡甘汤、当归六黄

汤、川草乌各15克（先煎1小时），生物制剂转移因子、胸腺肽，前者

3mg,每周1次，后者10mg,每日1次。强的松每日50mg,顿服。消风

除湿丹者取川草乌之煎汁也，合桂枝、白芍、知母之属，此乃治疗结

缔组织病之根本药也，亦可治疗肾炎、关节诸疾。先时多例此类疾患

经此药治愈。此例患者之所以能突破层层难关达到最后缓解，皆上

述药物之综合作用，然在诸种药物中，消风除湿丹当占主帅之地位。

输血则能延缓时间，令中药发挥作用。最后此患者出现咽喉部位之

坏死，与余所见之韦格氏肉芽肿完全相同。查韦格氏肉芽肿，多见于

青壮年，与恶性淋巴瘤或恶网伴发，似恶性肿瘤但非恶性肿瘤，死亡

率高，难治，属结缔组织病。

β-七叶皂甙钠之临床应用 1996.12.10

本品系德国Madaus药厂从七叶树科植物欧马粟的果实中提

取。本药有抗炎、抗变态反应、调节微循、减少创伤等作用，前两种作用与激素相类，后两种作用则与654-2相类，本品最大之特点系能

穿过血脑屏障，因此其主要临床作用是消除脑水肿、降低颅内压、改善脑功能。用法：每支含量5mg,每次30mg加入10%葡萄糖250～

500ml中静点，最多可用至每日2次，紧急情况下，20mg加10%葡

萄糖40～50ml静脉推注。

高血压病治疗小结 1997.1.5

余治疗高血压积30年之经验，先时曾用杞菊地黄丸、建瓴汤、

镇肝熄风汤、夏枯草桑寄生黄芩钩藤马兜铃、钩藤莱菔降压灵、红牛

夏海汤等，约80%之高血压患者用上述方药辨证治疗皆可见效。后

又使用石冬风菊二陈参、降压还需用钩藤、六味一黄钩、四物二黄钩、黄连解毒汤等使疗效前进了一步，后来余又使用吴甲桑通苏槟

桂，枳实代陈二陈随。在上述方药中加入冠I对一部分心前区疼痛

之患者经常有效。

颅内肿瘤 1997.1.6

亦谓脑瘤，继发者多为全身恶性肿瘤转移而来，男性以肺癌、女

性则以乳腺癌最为多见。原发性颅内肿瘤胶质瘤约占一半，此瘤为

恶性，其余如脑膜瘤、垂体瘤、脑室瘤、咽管瘤、血管瘤等均为良性。

胶质瘤是脑瘤之最常见者，男多于女，发病于儿童及中青年者较多。

其中星状细胞瘤占40%,少突胶质瘤、室管膜胶质瘤各占10%,上

述胶质瘤恶性程度低，发展均较缓慢。髓母细胞瘤和胶母细胞瘤共

占30%,恶性程度高，生长快。髓母细胞瘤和胶母细胞瘤均对放疗敏

感，通常以照射5000～7000cGy为宜，但因放疗对脑组织多有损伤，

照射当时反见病情加重，在放疗20余次后方可见效，因此病人住院

后应首先考虑手术，术前可行化疗，以环己亚硝脲为首选，氨甲嘌呤

可椎管推注，每周1～2次。

心跳骤停之抢救 1996.1.13

1.心前区叩击：医生用拳叩击患者胸骨下部3～4次。

2.胸外按压：硬板、仰卧、双手掌有节奏地按压，尚需借助身体

压力。

3.人工呼吸：最好是口对口呼吸，有条件可气管插管给氧，人工

呼吸与胸外按压同步进行。

4.静脉通道的尽快建立。5%葡萄糖500ml静脉滴入，同时加入

强心急救药。

5.心电监护。

6.非同步直流电击除颤。

呼吸衰竭之抢救 1996.1.13

PaO2<8kPa；PaCO2>6.67kPa.常见之呼吸衰竭总是以肺部感染

为诱因，通常采用联合抗菌素为最适宜（如先锋加青霉素或氨基糖

甙类；青霉素加庆大，如有杆菌感染可给予丁胺卡那或去氧丁胺卡

那，绿脓杆菌可选用头孢拉定）。给氧（持续低流量吸氧）。

药物：尼可刹米0.25～0.375g/支，每日8～10支静滴；洛贝林30～

50mg,静滴；Almirin50mg,每日2次，降低CO2分压；氨茶碱0.1g、

0.25g,口服或静滴；肾上腺皮质激素、舒喘灵均可适当使用。

呼吸衰竭可出现下列五种酸碱失衡：①呼吸性酸中毒：由于二

氧化碳之堆积，通常用改善通气即可。失代偿时则予碱性药物。②呼

吸性酸中毒合并代谢性酸中毒。③呼吸性酸中毒合并代谢性碱中

毒：因水肿合并心衰等原因，而使用大量利尿药，出现低钾、低氯，则

成碱中毒。④呼吸性碱中毒：通气过度，二氧化碳大量排出所致。⑤

低钾、低氯，引起碱中毒。

干扰素之临床应用 1997.1.29

人细胞干扰素，简称IFN或IF.70年代试用于临床，迄今已广

泛使用。通常分白细胞、淋巴细胞、纤维母细胞。来源于白细胞者为 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: a-Interferon; derived from fibroblasts as β-interferon; those derived from lymphocytes are referred to as

peny-Interferon. This product has direct cytotoxic effects and immunomodulatory properties. It exhibits significant efficacy against

chronic myeloid leukemia, malignant lymphoma, multiple myeloma, and tumors of the genitourinary system. This product is administered via intramuscular injection; it should not be administered via intravenous infusion (as its half-life is only 20 minutes), and the dosage should not exceed 100,000 units/kg; exceeding this dose may easily lead to

side effects. Common side effects include fever, bone marrow suppression, myocardial damage, hair loss, and skin rashes.

Interleukin-2, January 29, 1997

Discovered in 1976 and named in 1979, Interleukin-2 is a type of lymphokine. Its primary functions include:

① regulating the growth and differentiation of T lymphocytes; ② activating NK cells (natural killer cells); ③ inducing the production of T lymphocytes; ④ stimulating B cells. Interleukin-2 has shown certain therapeutic efficacy against colon cancer, renal cancer, and malignant melanoma. It also demonstrates notable effectiveness in treating gastric cancer, tongue cancer, laryngeal cancer, and nasopharyngeal cancer that have metastasized after surgery.

Zhiqi Tang for Scleroderma, January 29, 1997

30g of Codonopsis pilosula, 60g of Astragalus membranaceus, 6g of Licorice root, 6g of Cinnamon twig, 30g of Ophiopogon japonicus, 60g of Crystallized Oyster, 15g of Cinnamon bark, 6g of Aconite root, 30g of Angelica sinensis, 10g of Salvia miltiorrhiza, 10g of Pterocarpus indicus, 12g of Earthworm, 10g of Red Flower, 30g of Clematis armandii, 10g of Angelica dahurica, 10g of Atractylodes macrocephala, 10g of Atractylodes lancea, 10g of Atractylodes macrocephala, 10g of Atractylodes macrocephala, 10g of Morinda officinalis, 10g of Myrrh, 10g of Frankincense, 10g of Dioscorea opposita, 10g of Ligusticum chuanxiong, 10g of Dendrobium officinale, 10g of Atractylodes macrocephala, 10g of Atractylodes macrocephala, 10g of Atractylodes macrocephala, 10g of Atractylodes macrocephala, 10g of Atractylodes macrocephala, 10g of Atractylodes macrocephala, 10g of Atractylodes macrocephala, 10g of Atractylodes macrocephala, 10g of Atractylodes macrocephala, 10g of Atractylodes macrocephala, 10g of Atractylodes macrocephala, 10g of Atractylodes macrocephala, 10g of Atractylodes macrocephala, 10g of Atractylodes macrocephala, 10g of Atractylodes macrocephala, 10g of Atractylodes macrocephala, 10g of Atractylodes macrocephala, 10g of Atractylodes macrocephala, 10g of Atractylodes macroceph......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: a-Interferon; derived from fibroblasts as β-interferon; derived from lymphocytes is referred to as

peny-Interferon. This product has direct cytotoxic effects and immune response modulation capabilities. It exhibits significant efficacy against

chronic myeloid leukemia, malignant lymphoma, multiple myeloma, and tumors of the genitourinary system. This product is administered via intramuscular injection; it should not be administered via intravenous infusion (as its half-life is only 20 minutes), and the dosage should not exceed 100,000 units/kg; exceeding this dose may easily lead to

side effects. Common side effects include fever, bone marrow suppression, myocardial damage, hair loss, and rash.

Interleukin-2, January 29, 1997

Discovered in 1976 and named in 1979, abbreviated as IL-2, this is a lymphokine. Its primary functions include:

① regulating the growth and differentiation of T lymphocytes; ② activating NK cells (natural killer cells); ③ inducing the production of T lymphocytes; ④ stimulating B cells. Interleukin-2 has shown certain efficacy against colon cancer, renal cancer, and malignant melanoma. It also demonstrates notable therapeutic effects for gastric cancer, tongue cancer, laryngeal cancer, and nasopharyngeal cancer that have metastasized after surgery.

Zhiqi Tang for Scleroderma, January 29, 1997

30g of Codonopsis, 60g of Astragalus, 6g of Licorice, 6g of Cinnamon, 30g of Krait Snake, 60g of Oyster, 15g of Cinnamon Twig, 6g of Aconite, 30g of Dang Gui, 10g of Danshen, 10g of Pangolin, 12g of Earthworm, 10g of Red Flower, 30g of Chicken Blood Vine, 10g of Angelica Dahurica, 3g of Frankincense, 3g of Myrrh, 10g of Dioscorea, 10g of Atractylodes, 10g of Atractylodes Macrocephala, 10g of Atractylodes Macrocephala, 10g of Atractylodes Macrocephala, 10g of Atractylodes Macrocephala, 10g of Atractylodes Macrocephala, 10g of Atractylodes Macrocephala, 10g of Atractylodes Macrocephala, 10g of Atractylodes Macrocephala, 10g of Atractylodes Macrocephala, 10g of Atractylodes Macrocephala, 10g of Atractylodes Macrocephala, 10g of Atractylodes Macrocephala, 10g of Atractylodes Macrocephala, 10g of Atractylodes Macrocephala, 10g of Atractylodes Macrocephala, 10g of Atractylodes Macrocephala, 10g of Atractylodes Macrocephala, 10g of Atractylodes Macrocephala, 10g of Atractylodes Macrocephala, 10g of Atractylodes Macrocephala, 10g of Atractylodes Macrocephala, 10g of Atractylodes Macrocephala, 10g of Atractylodes Macrocephala, 1...... 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: Zhi Lian, Xiang Fu, Yu Jin, San Ling, E Zhu, Hai Zao, Kun Bu, Dang Gui, Chi Shao, Sheng Yi Ren, Ji Nei Jin, Hu Zhang, Chao Xu. Mnemonic: Si Si Ba Qiu. The above formulas are commonly used in clinical practice for their efficacy. Another formula includes Huang Qi, Shan Zhi, Wei Ling Xian, Xian He Cao, Bai Hua She Tie Cao, Che Qian Cao, Chi Shao, Sheng Yi Ren, Qing Chen Pi, Fo Shou, Bie Jia, which is an effective formula for treating cancer; among these ingredients, Sheng Yi Ren and Ji Nei Jin play a crucial role in cancer treatment.

Drugs.

Headaches Caused by Stiff Neck – April 15, 1997

This is an experience shared by Professor Zeng Junshan of Lan Medicine. Stiff neck can lead to persistent pain in the occipital region and the neck area, sometimes with severe and prolonged pain that does not heal easily. During coughing or when inhaling, the pain may become even more pronounced. Such headaches often have a history of recurrent stiff neck episodes, being more severe upon waking in the morning—especially when sleeping with a high pillow or when the pillow is uncomfortable. Professor Zeng observed that patients with this type of headache often exhibit five tender points on the back of the scapula, located on the upper part, the edge, and the outer edge of the scapular spine. First, try pressing the tender points on the back of the scapula; three of these points can be identified through pressure and massage, each lasting 10 minutes, performed once in the morning and once before bed each day. The therapeutic effect is excellent. In the past, many people mistakenly diagnosed this type of headache—and I too was once misdiagnosed! Professor Zeng’s method can be considered a significant breakthrough in medical science.

Treatment of Intervertebral Disc Herniation – April 15, 1997

Intervertebral disc herniation often results from improper posture during daily activities or sudden gravitational forces acting on the body. Patients experience severe lower back pain accompanied by sciatic nerve pain on one side, with a positive straight leg raise test. The best treatment approach is manual reduction. To perform manual reduction, sit on a chair with your back against the backrest, while your assistant gently supports both sides of the displaced spine with both hands. The practitioner then presses on the spinal processes at the site of the herniation, aiming to allow the herniated nucleus pulposus to return naturally to its original position within the intervertebral space. Afterwards, apply medicinal solutions to the affected area, using the thumb to press for 10 minutes, 1–2 times daily. After one week, 90% of patients were able to recover. The preparation for the medicinal solution involves grinding together Dang Gui, Chuan Xiong, Chi Shao, Sheng Di, Tao Ren, Hong Hua, Dan Shen, Zhi Mu, Sang Zhi, Liu Zhi, and Hui Zhi into a powder. Each 15g is decocted in 60ml of sesame oil for 40 minutes, yielding the “medicinal solution.”

Traditional Chinese Medicine Treatment of Thyroid Cancer – April 18, 1997

1. Yuan Shen 10g, Zhe Bei Mu 10g, Mu Li 15g, Hai Zao 15g, Kun Bu 15g, Chong Lou 15g, Gong Ying 15g, Lian Qiao 15g, Tian Kui Zi 15g, Sheng Ma 10g, Xiang Ye 20g, Ye Xiao Mai 20g. (Xu Guohua, Wenzhou Health School)

2. Zi Cao Gen, Xia Ku Cao, Ban Zhi Lian, Huang Yao Zi, Dang Shen, Bai Zhu, Huang Qi, Huang Jing, Jin Yin Hua, Lian Qiao, Shan Yao, and other herbs. (Pan Ji Ming, Fuzhou Hospital)

Based on the above two formulas, Yuan Shen, Zhe Bei Mu, Mu Li, Hai Zao, Kun Bu, Chong Lou, Gong Ying, Lian Qiao, Tian Kui Zi, Zi Cao Gen, and Xia Ku Cao constitute the basic formulas for treating thyroid cancer. Their compositions are analyzed as follows: Zi Cao Gen, Wu Wei Xiao Du Yin, Xiao Luo Wan, Bao Yuan Tang, and other four components—Bao Yuan Tang has the effect of supporting the liver and regulating qi.

Traditional Chinese Medicine Treatment of Subacute Thyroiditis – April 18, 1997

Western medicine typically uses hormone therapy, but due to long-term medication use, side effects often occur. Sometimes, hormone therapy can even hinder the recovery of thyroid function. Surgical treatment, however, may result in hypothyroidism after surgery, leading to myxedema. If sufficient thyroid tissue remains, the condition may recur. Therefore, both hormone therapy and surgery are not ideal treatment options. According to a report in the Chinese Medical Journal (August 1988), a formula was described: Xia Ku Cao 10g, Di Long 12g, Yuan Shen 15g, Zhi Mu 15g, Sheng Long Mu 30g, Huang Qi 15g, Lian Qiao 15g, Jiang Chong 15g, Zhi Gan Cao 6g—this formula is prepared by boiling water and taken orally, one dose per day. After three weeks, all symptoms were resolved in one patient. This formula can be remembered as “Xia Di Yuan Zhi Jiang Qi Lian, Long Gu Mu Li Gan Cao Shen.”

In the same issue of the Chinese Medical Journal, another formula was also reported: Jin Yin Hua, Gong Ying, Ban Lan Gen, Guan Zhong, Mu Li each 15g, Xiang Bei, Jie Geng, Gua Lou, Niu Xi, Lu Lu Tong, Sheng Cao each 10g, and Sheng Da Huang 3g. This formula can be remembered using the mnemonic: “Zhong Gua Er Mu Niu Gen Lu, Gong Ying Er Hua Lan Gen Shou.”

The two formulas combined form a song: “Xia Di Yuan Zhi Jiang Qi Lian, Long Gu Mu Li Gan Cao Shen, Zhong Gua Er Mu Niu Gen Lu, Gong Ying Er Hua Lan Gen Shou.”

Thyroid Cancer – April 22, 1997

The ratio between males and females is 1:3, with middle-aged women being the most common sufferers. Thyroid cancers include papillary carcinoma, follicular carcinoma, and medullary carcinoma; papillary carcinoma accounts for 60%, with a relatively good prognosis and slow progression, often only spreading to nearby lymph nodes. Follicular carcinoma is poorly differentiated and can metastasize via the bloodstream to the lungs, progressing rapidly with a poor prognosis. Medullary carcinoma generally has a better prognosis. Both papillary carcinoma and medullary carcinoma can be treated surgically. Given the highly proliferative nature of thyroid cells, it is advisable to use levothyroxine to suppress the growth of thyroid-stimulating hormone. Typically, levothyroxine is administered orally at 100 µg, tid; t3 (levothyroxine) at 20 µg, tid; or 100 mg of thyroid tablets, tid, po. Chemotherapy with ADM, DDP, and other drugs is often chosen.

More about Chicken Gizzard – April 22, 1997

Dr. Zhang Chun Pu was known for his effective use of chicken gizzard in treating female blood deficiency. He believed that this ingredient had the effect of eliminating stagnation, and could treat both food stagnation and blood stagnation. As a result, it proved particularly effective in treating women who experienced irregular menstruation. When combined with ingredients like Tu Yuan and Shui Zhi, the therapeutic effect became even more pronounced. Based on my recent experience, chicken gizzard paired with Sheng Yi Ren is a powerful remedy for treating cancerous tumors. These two herbs have no strong taste and can be consumed regularly, as well as frequently brewed into tea. They can be used together to support cancer treatment after surgery, radiation therapy, or chemotherapy.

Cheng Men Xue’s Treatment of Insomnia – April 29, 1997

Dr. Cheng Men Xue often used the modified Wen Dan Tang formula, composed of Ban Xia, Chen Pi, Fu Ling, Gan Cao, Zhi Shi, Zhu Ru, Yuan Zhi, Da Zao Ren, Chang Pu, Che Qian Cao, Fo Shou, Sha Ke, Huang Lian, Rou Gui, Xiao Mai, Jing Mi, and Yu Zhi. Another case involved a patient with chronic insomnia who did not improve despite treatment. Dr. Cheng used Fu Shen, Yuan Zhi, Chao Sha Ren, Huang Qin, Gou Teng, Lian Zi Xin, A Jiao, Bai Shao, Pearl Mother, Xiao Mai, and Yu Zhi, and the patient recovered after three doses. Previously, I remembered a formula containing Xia Ku Cao, Nu Zhen Zi, Han Lian Cao, Bai Shao, Gan Cao, Fu Shen, Huang Qin, Ban Xia, Dan Shen, Yuan Zhi, and Acacia Seed—this formula also included Fu Shen, Yuan Zhi, Acacia Seed, Huang Qin, Ban Xia, Sheng Long Mu, Pearl Mother, and other essential herbs.

Nu Zhen Zi and Han Lian Cao – May 5, 1997

These two herbs have similar effects: they both nourish the liver and kidneys, nourish yin and improve vision, and cool the blood to stop bleeding. Based on my experience, these two herbs have a noticeable effect in reducing dark spots and can also help boost blood pressure; when combined, they can enhance the radiance of the face. These two herbs are also known as “Er Zhi Wan,” where “Er Zhi” signifies the two aspects of qi and blood, and the two aspects of yin and yang. However, the primary function of these two herbs is to nourish yin; according to the principle of mutual root and complementarity between yin and yang, they also help restore yang energy. Nu Zhen Zi is the dried fruit of a large evergreen shrub or small tree belonging to the Lauraceae family, resembling a kidney shape—its leaves remain lush even in the depths of winter, earning it the name “winter green tree.” Han Lian Cao, on the other hand, is a plant of the Asteraceae family, growing on high-altitude snow-capped mountains. Its buds sprout beneath the snow in winter, and when the snow melts, its branches and leaves flourish—thus embodying the principle of nourishing both yin and yang.

Yan Geng Fu’s Treatment of Coronary Heart Disease – May 22, 1997

Gua Lou 10g, Xie Bai 10g, Ban Xia 6g, Dan Shen 10g, Tan Xiang 6g, Sha Ren 6g, Sheng Long Mu 20g, Han San Qi 3g, Zhi Mu 3g each. This formula primarily focuses on promoting blood circulation and resolving stasis, yet still achieves effective results. Sun Yifeng, Director of the Provincial Education Commission, once suffered from tuberculous pleurisy. Recently, he began experiencing chest pain radiating to his left chest. Experts in provincial respiratory medicine often treated him based on tuberculosis, but upon closer examination, he found that his pulse was tense, deep, and forceful. His blood lipid levels were elevated, and uric acid levels were also increased. Thus, he concluded that this pain was caused by coronary heart disease. He recovered completely after taking this formula. This formula is a legacy of renowned Jiangnan physician Yan Geng Fu.

Further Discussion on Chronic Pancreatitis – May 26, 1997

The incidence of this disease far exceeds statistical data; most patients are misdiagnosed. Almost all cases of upper left abdominal pain are actually related to this condition, and the combination of gallbladder and pancreatic issues often yields effective treatment outcomes. Around 20% of pancreatitis cases present with pain under the xiphoid process or in the right flank—these cases are even more prone to misdiagnosis. Some patients also experience neck pain (often in the left neck), a symptom that frequently precedes acute attacks. The pancreatic tissue is often adherent to local nerves, and lower abdominal pain is similarly associated with such conditions.

Sea Shell Powder – May 26, 1997

Sea shell powder refers to the general term for marine shells. It can be collected from sandy beaches in spring and autumn, and can be used raw or calcined. The best method is usually to grind the shells into a fine powder—hence the name “sea shell powder.” ① Clear heat and resolve phlegm: For those experiencing chest tightness and pain due to phlegm, this remedy is suitable. Wang Jie Zhai’s Phlegm-Resolving Pill contains sea shell powder, winter melon, Huang Qin, orange peel, Gua Lou, Zhe Bei Mu, Lian Qiao, Ji Geng, Qing Dai, and Xiang Fu; Zhu Dan Xi’s Sea Shell Pill treats chest pain caused by phlegm accumulation, combining sea shell powder and Gua Lou seeds in equal parts to form pills. ② Soften hardness and disperse masses: Used in conjunction with oysters and Valleria, it helps treat goiter and lumps. ③ Lower qi and relieve asthma: According to the “Benjing,” “It treats coughing and shortness of breath, wheezing, fullness, chest pain, cold and fever.”

Two Cases of Difficult-to-Diagnose Diseases – May 28, 1997

A female patient presented with a 5 cm × 6 cm bone lesion visible on an X-ray of the right pubic symphysis. Initial diagnosis suggested metastatic cancer. The patient had a high fever, severe pain, and impaired function, with a erythrocyte sedimentation rate of 163 mm/h. I initially thought that the bone lesion might be caused by an autoimmune disorder, and thus recommended diagnosing the patient as having an autoimmune disease. After examining every system in the body and finding no primary cancerous lesions, I decided to treat her with high doses of hormones. Simultaneously, she received 500 mg of cyclophosphamide for three consecutive days, followed by 100 mg of cyclophosphamide intravenously every other week—five times a week. Three weeks later, the patient’s pain subsided, and she was able to walk as usual.

Old Chinese Medicine Practitioner Zhao Xinbo’s Treatment of Brain Development Deficiency – May 27, 1997

Long Dan Cao 10g, Shan Zhi Zi 10g, Sheng Di 12g, Tong Cao 6g, Gan Cao 6g, Tao Ren 10g, Hong Hua 3g, Shi Chang Pu 6g, Lian Zi Xin 15g, Ling Qi Shi 20g, Shen Qu 10g, Dang Gui 10g, Mai Dong 10g, Shi Jue Ming 15g, Fu Shen 10g, Yuan Zhi 6g, Sheng Ozu 15g, Jiang Chong 6g, Yi Zhi Ren 10g, Tian Hua Fen 10g, Dai Mao 10g, Quan Xie 10g.

Key characteristics of this formula include: ① Sheng Di, Dang Gui, Tao Ren, Hong Hua—these are the Four Treasures of Peach Red, whose inclusion in brain-related treatments is supported by evidence in various epilepsy therapies; ② Shi Chang Pu, Yuan Zhi, Fu Shen, Lian Zi Xin, Shi Jue Ming, Sheng Ozu, Dai Mao—these herbs are the essence of Confucius’ pillow, used to calm the mind and stabilize the spirit, and to reach the brain; ③ Yi Zhi Ren, Tian Hua Fen: these herbs nourish fluids and moisten yin, while Yi Zhi Ren tonifies the kidneys and strengthens essence, nourishes the spleen and consolidates the bowels—providing support for both innate and acquired health; ④ Quan Xie, Jiang Chong: these herbs dispel wind and treat sores, traditionally used to treat epilepsy. The mnemonic states: “Four Treasures, Confucius’ Winter, benefit the mind; Long Shan’s two insects give birth to four stones.”

Three Medications for Breast Hyperplasia – June 10, 1997

Breast Block: Orange Leaves, Partya, Wang Bu Liu Xing, Sao Ci. Shaanxi Chinese Medicine Factory produces 0.3 g × 80 tablets, each containing 4–6 tablets, used for breast distension and pain, as well as for hyperplastic masses. Breast Kang Tablets: Huang Qi, Partya, Zhi Mu, Zhe Bei Mu, Ji Nei Jin, etc., produced by Ankang Chinese Medicine Factory, 0.3 g × 100 tablets, each containing 2–3 tablets, taken twice daily, used to treat breast hyperplasia, chest discomfort, chest pain, and insomnia. Tian Dong Su: A drug belonging to the amino acid class, produced by Wuxi Pharmaceutical Factory in Jiangsu Province, 0.25 g × 100 tablets, each containing 0.25 g, taken 2–3 times daily, used to treat small lobular hyperplasia of the breast.

Thyroid Nodules – June 15, 1997

Thyroid nodules are typically classified as: ① thyroid cysts; ② thyroid adenomas; ③ thyroid fibromas (often formed through chronic inflammation); ④ inflammatory thyroid masses; ⑤ thyroid cancer. Nuclear scans are the preferred diagnostic method, including Y-scans and ECT. These scans categorize nodules as warm, hot, cool, or cold—warm nodules are benign, while cool and cold nodules are more likely to be malignant. The ratio between men and women is 2:1. Treatment involves levothyroxine (T4) 50 mg, tid, po; thyrocalcitonin 20 mg, tid, po; and levothyroxine tablets 25 mg, tid, po. Surgery is the primary treatment option, with radiation therapy as a complementary treatment; chemotherapy should only be considered when surgery or radiation therapy are not feasible.

New Insights into Diabetes Treatment – June 20, 1997

Diabetic patients often exhibit higher blood viscosity than normal individuals, and elevated triglycerides are also common. Consequently, blood rheology is characterized by thickening, stickiness, congestion, and slow flow. Given this characteristic, using blood circulation-promoting medications is considered the primary treatment approach. The “Bu Yang Huan Wu Tang,” “Huang Qi Gui Zhi Wu Wu Tang,” and “Xue Fu Zhu Yu Tang” are commonly prescribed formulas; Sheng Di, Chi Shao, and Dan Shen are frequently used herbs; Bai Zhu, Ze Xie, Fu Ling, and Yi Ren are commonly employed for treating dampness. Combining these herbs with the commonly used Gui Fu Ba Wei, Ren Shen Bai Hu, and Sheng Mai San, a systematic treatment regimen for diabetes can be formulated. Some patients use Gui Zhi Fu Ling Pills to treat diabetes; others use Tao Ren Cheng Qi Tang to manage diabetes; Mr. Shi Jin Mo, however, treated patients with Sheng Di, Dan Shen, Ge Gen, Shan Yao, Cang Zhu, Yuan Shen, and Huang Qi—among whom Dan Shen, Sheng Di, and Ge Gen possess blood circulation-promoting properties.

Hyperlipidemia and Lipoproteinemia – July 8, 1997

Hyperlipidemia refers to elevated levels of cholesterol (TC), triglycerides (TG), and low-density lipoproteins (LDL) in the blood; HDL levels are reduced. Normal TC levels range from 2.8 to 6 mmol/L, TG levels from 0.45 to 1.36 mmol/L, while LDL lipoproteins are referred to as β-lipoproteins, and HDL as α-lipoproteins. The former is positively correlated with the onset of coronary heart disease, while the latter is negatively correlated. Hyperlipidemia cannot exist in isolation—both TC and TG must combine with a certain amount of protein to circulate in the serum. Therefore, hyperlipidemia is also a form of lipoproteinemia. According to WHO guidelines, lipoproteinemia is categorized into five types: I, II, III, IV, and V. Individuals with elevated cholesterol alone are typically classified as Type I; those with elevated TG alone are often classified as Type IV. Types I and III, as well as Type V, are relatively rare in China, accounting for only 10% of all cases of hyperlipidemia, including a significant number of familial hyperlipidemias. Familial hyperlipidemia is characterized by yellow warts appearing on the face and under the skin. Type IV accounts for approximately 60%, while Type II accounts for around 40%. Among Type II, there are also subtypes IIa and IIb, each representing about 20%.

Treatment for hyperlipidemia involves dietary fiber, which has a clear effect on lowering cholesterol, though it has little impact on TG. Green bean flour demonstrates a notable ability to reduce fat levels; vitamin C also plays a role in fat reduction, effectively lowering both cholesterol and triglycerides, while also alleviating angina pectoris and myocardial infarction. The lipid-lowering formulation An Tuo Ming contains 75 mg of An Tuo Ming, 0.5 mg of Conlun, 30 mg of niacin, 10 mg of heparin, and 5 mg of vitamin B6, making it effective for both Type II and Type IV. Like Mai Shu and Xin Mai Ning, An Tuo Ming’s lipid-lowering effect reaches 83%. Traditional Chinese medicines such as Dan Shen, Hawthorn, Yin Chen, Ze Xie, Jue Ming Zi, Shen San Qi, Hu Zhang, Haoshou, Hai Zao, and Tea Tree Root all possess certain lipid-lowering properties.

Clinical Significance of CA-50 Testing – July 9, 1997

This test employs radioimmunoassay and identifies monoclonal antibodies specific to malignant tumors of the digestive system. The antigen recognized by these antibodies is called CA-50. The positivity rate for colorectal cancer is 70%, for liver cancer it reaches 62%, and for pancreatic cancer it is as high as 79%. According to statistics from 258 cancer patients in 1988, the positivity rate for pancreatic cancer was as high as 94.4%, followed by liver cancer, ovarian cancer, prostate cancer, and others. Additionally, the positivity rate for malignant pleural effusion reached nearly 90%, while the positivity rate for benign pleural effusion was almost zero. The reported positivity rates for this group were as follows: pancreatic and gallbladder cancer 94.4%; ovarian and uterine cancer 88.5%; liver cancer 88.2%; malignant pleural effusion 80%; rectal cancer 77.8%; gastric cancer 68%; lung cancer 66.6%. The most valuable aspect of this test is that the positivity rate among healthy individuals is only 6%.

Clinical Applications of Bai Ji – July 16, 1997

Bai Ji is the underground rhizome of a perennial herbaceous plant from the Orchidaceae family, native to provinces along the Yangtze River. It is also cultivated in southern Shaanxi and Wudu, Gansu. Traditionally used as a hemostatic and astringent agent, Bai Ji also possesses anti-inflammatory and swelling-reducing properties—it is a sacred remedy for stopping bleeding in the stomach and lungs. It can effectively treat hemoptysis in cases of tuberculosis, bronchiectasis, and lung cancer. It also shows remarkable effectiveness in treating upper gastrointestinal bleeding. Bai Ji powder mixed with aged vinegar or white wine forms a paste for external application, proving effective in treating epidermal vascular tumors. This product is contraindicated for use with Aconite.

Exploration of Bone Metastasis – July 18, 1997

Bone metastasis is a common symptom among cancer patients, with breast cancer, prostate cancer, lung cancer, reproductive cancers, gastric cancer, and liver cancer being the most frequently affected sites. Two-thirds of breast cancer patients develop bone metastasis, while prostate cancer affects half of patients, and lung cancer affects one-third. These three types of cancer account for 85% of all bone metastases, indicating that the majority of bone metastases originate from cancers affecting these three locations. Bone metastasis can cause localized pain; when metastases occur in the spine, they may damage the spinal cord and lead to paraplegia. However, the threat to life is often slower-paced, and some patients can survive for several years. With appropriate chemotherapy, life expectancy can extend by 5–10 years.

Diagnosis of Colon Cancer – July 28, 1997

In the summer of Ding Chou, Su Tiancheng, a patient from Tianshui, experienced severe pain in his lower left abdomen. Despite multiple hospitalizations, his diagnosis remained unclear. He came to Lan for treatment. Kidney imaging showed no positive findings, and routine stool tests revealed no obvious abnormalities. Isotope scans indicated: CEA: 20, AFP: +, SA: 1000 U, CA-50: 60 U—all four indicators were positive. Since the patient had already returned to Tianshui, he was advised over the phone to undergo colonoscopy and pancreatic examination. The results showed three masses measuring 0.5 cm × 0.5 cm in the colon, which were confirmed as colon cancer through biopsy.

1997–2007 (Part Two)

Combination of Cefotaxime – August 1, 1997

Cephalosporins can be combined with saline and 5% glucose, and can also be combined with Vitamin C, B6, K+, Ca2+, dexamethasone, and other medications. The “Modern Applied Pharmacy Journal,” Issue 3, 1997, provided detailed insights into this combination. It was also affirmed that combining this medication with the aforementioned four drugs enhances therapeutic efficacy and reduces adverse reactions.

Indicators of Blood Thickening, Stickiness, Coagulation, and Aggregation – August 5, 1997

It is generally believed that these four indicators form the pathological basis of coronary artery atherosclerosis, reflecting microscopic changes. ① Thickening: Whole blood viscosity (MPa·s), divided into high shear, medium shear, and low shear; generally, high shear and low shear are commonly used indicators. The normal range for high shear is around 5, while the normal range for low shear is around 10. ② Stickiness: Plasma viscosity (MPa·s) is normally around 1.5. ③ Coagulation: Fibrinogen levels are typically between 2–4 g/L. ④ Aggregation: Red blood cell aggregation index, normally around 10. These four indicators are closely related to many factors, with blood lipids being the most closely linked—CHO (cholesterol), TG (triglycerides), and LDL (low-density lipoproteins). In particular, the relationship between the first two is the strongest; foreign studies have shown that fibrinogen levels are closely tied to coronary heart disease and myocardial infarction, suggesting that this indicator holds significant clinical importance.

Several Advances in Diabetes Treatment – August 8, 1997

1. Non-ketotic hyperosmolar coma: Ketone bodies are negative, and blood glucose levels are extremely high.

2. Diabetic vascular disease: Recently, it has been observed that some individuals who have suffered from this condition for over 15 years all exhibit varying degrees of small vessel disease. This is characterized by arterial sclerosis; the incidence of diabetic arterial sclerosis is 4 to 6 times higher than in the general population. The hardening of arteries in the heart, brain, kidneys, retina, and feet can lead to necrosis.

3. C-peptide immune response: It allows direct observation of the secretory function of the islets and the secretion of endogenous insulin.

4. Evolution of treatment strategies: In summary, treatments can be categorized into sulfonylureas and biguanides. The former includes Glucophage, while the latter includes Hypoglycemic, Diabeglu, and Diabeton tablets. Diabetic ketoacidosis can be treated with large doses of insulin, though there are now suggestions for lower doses, though a unified consensus has not yet been reached.

Yulutong for the Treatment of Non-Gonococcal Urethritis – August 14, 1997

The composition of Yulutong includes 30g of Huangjing, 30g of Shanyao, 30g of Qianjincao, 30g of Yimucao, 30g of Cheqiancao, 30g of Hanliancao, 10g of Dengxincao, and 6g of Gancao. The herbs are decocted in water to form a paste, which is then made into granules for oral administration—2 packets per day, taken in two doses. Non-gonococcal urethritis is often caused by Mycoplasma or Chlamydia infections, falling under the category of sexually transmitted diseases, and clinical resistance to commonly used medications is common. Among these, the efficacy of American-made Amoxicillin is as high as 91.41%; tetracycline, ciprofloxacin, clarithromycin, and pipemidic acid only achieve therapeutic effects of around 70–80%. Rifampin ranks second among effective antibacterial drugs, with a clinical efficacy rate of 90.75%, making it a rare and highly effective treatment option. Yulutong was developed through research by Dr. Liao Yuanxing at the General Hospital of the Guangzhou Military Region. Its formulation can be remembered using the following mnemonic: Huangshan Jinche Lian Mucao (Dengxin), also known as Huangshan Liu Cao Dan.

Shouwu Huangjing Decoction for the Treatment of Sperm Count Reduction and Infertility – August 15, 1997

Shouwu, Huangjing, Huangqi, Xianlingpi, Gouqizi, Tushizizi, Zihetong [three types of Huang He (River) Decoctions], each ingredient is 12g. The herbs are decocted in water and taken orally, achieving an overall efficacy rate of 95.3% (from Fuzhou General Hospital in Nanjing).

Jiaotang Compound – August 16, 1997

Lingjiao, Shengbaishao, Shengdi, Xiangfu, Tiandong, Huangjing, Shijue Ming, Yuanshen, Chaihu, Nüzhenzi. The mnemonic for this formula is: Tian Di Yuan Huang, Chai Nu Ming Xiang, Ling Yang Baishao, specifically treating hyperthyroidism.

Jianpi Yiqi Decoction Combined with Huoxue HuaYu Decoction – August 16, 1997

Cangzhu 15g, Shanyao 15g, Yuanshen 20g, Shengdi 20g, Huangqi 30g, Chaihu 15g, Taoren 10g, Honghua 10g, Danggui 10g, Chishao 10g, Chuanxiong 10g. This formula is a revised version of Mr. Shi Jinmo’s treatment for diabetes. Mr. Shi had previously used Cangshan Xuan Huang Di Dan Ge; this formula removed Danshen and replaced it with Taohong Si Wu Tang, which proved effective in treating Type I diabetes. The formula was developed by Yan Dewen from the Endocrinology Department of Shenzhen Red Cross Hospital and published in the February 1995 issue of China Journal of Integrated Traditional Chinese and Western Medicine, without mentioning Mr. Shi’s name—this is indeed a fair criticism.

Treatment of Rosacea – August 16, 1997

Rosacea presents as pale red or rose-colored scaly patches, typically round or oval in shape, with their long axes aligned with the skin’s texture. The lesions predominantly appear on the trunk, but may also affect the limbs and neck, accompanied by itching. Traditional Chinese medicine formulas include: Jingjie 10g, Fangfeng 10g, Shengdi 10g, Chishao 10g, Bai Xian Pi 10g, Difuzi 10g, Jin Yin Hua 12g, Ku Shen 12g, Bai Qi Li 12g, Fu Ping 15g, Ban Lan Gen 20g, Zi Cao 15g. These herbs are decocted in water for consumption. This condition is a common and frequently occurring dermatological disorder; the key ingredients in the above formula include Fu Ping, Zi Cao, and Ban Lan Gen, while the remaining herbs are no different from those used in other formulas for urticaria.

New Therapies for Herpes Zoster – August 16, 1997

100g of quicklime powder is mixed with 120ml of 50% alcohol, stirred until the alcohol reacts with the lime. Once the bubbles disappear, apply the mixture locally with a cotton swab. Repeated applications will result in a protective film forming on the affected area. On average, the blisters will crust over and heal within 4–7 days.

Two Small Herbal Formulas – August 16, 1997

1. Single-ingredient Dihuang Wan for the treatment of functional uterine bleeding: 60g of Shengdi, 500ml of Shengjiu, decocted in water and concentrated, then divided into two doses with brown sugar. 80% of patients were cured after one dose, while 20% were cured after two to three doses.

2. A combined formula for treating kidney stones: Sanling, Ezhushi, Dongkui Zi, Shaojiao Ci, Bai Mao Gen, Qianjincao, Qiancao, with the mnemonic: San Lu Dong Shao Bai Jin Cao, effectively treating kidney stones.

Posterior Cranial Embolism – August 22, 1997

This report covers 20 cases, all resulting from systemic colds, infections, or localized infections. Seven cases exhibited symptoms of a cold; two cases had otitis media or dental caries; one case had pulmonary infection; and five cases had unknown causes. Clinical characteristics included intracranial hypertension in 100% of cases; cerebellar ataxia in 70% of cases; cranial nerve and spinal cord bundle symptoms in 50% of cases; cerebrospinal fluid showed mild elevation in cell count. Treatment for this condition primarily involved conservative internal medicine approaches for infectious diseases of the central nervous system, with an effectiveness rate of 80% and a cure rate of 50% (Heilongjiang Medical Journal, 1977, No. 5: 18).

Soft Tissue Sarcoma – September 2, 1997

Soft tissue sarcomas are malignant tumors originating in soft tissues, characterized by poor sensitivity to chemotherapy. Common types include rhabdomyosarcoma, leiomyosarcoma, fibrosarcoma, and liposarcoma, which can metastasize. Surgical treatment remains the primary method, often combined with preoperative radiotherapy or palliative radiotherapy. A traditional Chinese medicine formula includes: Zicao, Yinhuahua, Tuogucao, Shengjincao, Dangshen, Bai Zhu, Huangqi, Niuxi. The mnemonic is: Zicao Yinhuahua Tuogucao, adding a couple of pieces of Chuan Niuxi.

Fluorouracil – September 8, 1997

Fluorouracil, also known as 5-fluorouracil (5-Fu), is converted into fluorouracil deoxyribonucleotide in the body. It inhibits nucleoside synthetase, blocking the formation of deoxyribonucleic acid, thereby affecting the biosynthesis of ribonucleic acid and exerting a significant inhibitory effect on tumor cell growth. This drug primarily acts during the S phase. Oral absorption is incomplete, while intravenous injection is complete. Administer 50mg twice daily via oral route, or 500mg via intravenous infusion in normal saline, for 1–5 days. Intratumoral injections, peritoneal administrations, and local applications are all possible. Side effects include bone marrow suppression, initially leading to a decrease in white blood cells; after 1–2 weeks of medication, white blood cell counts return to baseline, and recovery takes 2–3 weeks after discontinuation. Severe cases may experience thrombocytopenia and pancytopenia. Digestive tract symptoms such as nausea, vomiting, diarrhea, and stomatitis may occur, while local areas may develop phlebitis. Hair loss, dermatitis, blackening of the nail beds, and even cerebellar degeneration may occur.

Re-evaluating Zicao – September 19, 1997

Zicao is used for soft tissue tumors, and for thyroid cancer, often in combination with San, Lu, and Qi. For the former, it is paired with Tuogucao, Shengjincao, and Yinhuahua; for the latter, it is combined with Huangjing, Shanyao, Xiaokucao, Huangyaozhi, Ban Zhilian, and Baihua She Tiao Cao. While both formulas share many similarities, the main active ingredient remains Zicao—San, Lu, and Qi serve to support the body’s vital energy and promote the circulation of qi. Zicao is a perennial herb whose roots are purple in color, hence the name “Zicao,” traditionally used to clear heat, cool the blood, detoxify, and induce rash release. According to “Bie Lu,” it “通水道” (clears the urinary tract); according to “Gangmu,” it “利大小肠” (benefits both the large and small intestines); and according to “Ben Jing,” it “补中益气, 利久露” (tonifies the middle burner and benefits long-term conditions). Combining these teachings, this herb can be considered a potential treatment for cancer—ancient practitioners used 1–3 qian, while modern practitioners can use up to 30g.

Hydatid Disease – October 10, 1997

Also known as hydatidosis, echinococcosis, or alveolar hydatid disease, this condition is prevalent in pastoral regions and among those specializing in animal fur production. Cattle, sheep, and dogs can all serve as intermediate hosts, causing the disease, with an incubation period that can extend up to 20 years. The liver, lungs, and brain are common sites of involvement. The intrahepatic fluid test for hydatid cysts yields positive results in 70–95% of cases; ELISA testing offers relatively high sensitivity. Surgical treatment is effective; Jiang Cipeng’s formula includes Dangshen, Bai Zhu, Huangqi, Chuan Shan Jia, Fengfang, Tuobie Chong, She Tiao, Chan Tiao, Shajunzi, Leimian, Binglang, and Po Gu Zhi. This formula differs from the formula for dissolving lymph nodes—Tufang Quan Wujia—only by one additional herb: replacing “Chuan Yi” and “She Tiao” with “Chan Yi” and “She Tiao.” The mnemonic “Tufang She Chan Jia” can be used as a guide.

Saffron – October 20, 1997

A perennial herbaceous plant native to Europe and Tibet, it was introduced to China, where it is known as “Saffron.” Of course, Saffron is also produced in small quantities in Tibet, with quality comparable to that of products from Western Europe—hence the widely recognized name. Red flowers are abundant in northern Chinese provinces, belonging to the Asteraceae family, with vibrant red blossoms that possess notable blood-circulating and blood-stasis resolving properties. Ancient practitioners often used these flowers for similar purposes.

Pulmonary Fungal Infections – October 24, 1997

Common fungal pathogens include Candida albicans, Cryptococcus neoformans, Aspergillus flavus, and Mucor. Candida albicans is a superficial fungus, while the others are deep-seated. Superficial fungal infections often affect the skin and mucous membranes, forming lichen-like or white plaques locally; deeper fungal infections can invade the lungs, kidneys, liver, and soft tissues. Lung involvement is the most common, often leading to infection-like lesions; some patients develop nodules, resembling metastatic cancers. Current antifungal medications include allicin, caspofungin, amphotericin B, ketoconazole, and deflazacort. Deflazacort is a ketoconazole preparation, available in 200ml bottles containing 200mg, administered via intravenous drip at 200–400mg daily, with a treatment course of 14 days.

Chemotherapy Drugs and Combination Regimens – November 12, 1997

Chemotherapy drugs refer to chemical agents specifically designed to treat cancer. Generally speaking, they fall into four major categories: alkylating agents, alkaloids, metal compounds, and antibiotics.

1. Alkylating agents: nitrogen mustard (HN2), cyclophosphamide (CTX), N-methyl-N-nitrosourea (N-F), thiotepa (TSPA), cyclohexyl nitrosourea (CCNU), busulfan (BUS), methylbenzylhydrazine (PCB), dithiothreitol (DTIC). The derivatives of nitrogen mustard form the basic structure of this class of chemotherapy drugs; in addition, there are also carmustine and rocarmustine.

2. Metal compound agents: cisplatin (DDP), carboplatin (CBP).

3. Antibiotics: doxorubicin (DRN), adriamycin (ADM), arabinoside (ACR), daunorubicin (ACD), mitomycin (MIT), mycobactin (MMC), bleomycin (BLM), pinacolmycin (PYM), pelomycin (PLM), etoposide (EPT).

4. Alkaloids: vincristine (VCR), vinblastine (VP-16), colchicine (COL), taxol (HR5).

5. Additionally, there is a category of drugs specifically targeting nucleic acid synthesis: 5-Fu (fluorouracil), FT-207 (furano-fluorouracil), UFT (urothefuracil), 6-MP (mercaptopurine), 6-GT (guanine), HU (hydroxyurea), Ara-C (ara-thymidine), CC (cytosine).

The fundamental functions of these five classes of chemotherapy drugs are as follows: ① Alkylating agents directly participate in DNA synthesis, engaging in alkylating reactions that disrupt DNA formation. ② Metal compound agents can directly damage already formed DNA. ③ Antibiotics act as DNA inserters, directly embedding themselves into DNA and rendering it inactive. ④ Alkaloids influence protein synthesis, including both nuclear protein synthesis and amino acid utilization. Beyond these four categories, 5-Fu, 6-MP, 6-GT, FT-207, MTX, Ara-C, CC, HU, and others directly interfere with nucleic acid synthesis.

Although these chemical therapies have distinct basic functions, they target different phases of the cancer cell cycle: the M phase (mitotic phase): vincristine, vinblastine, VP-16, colchicine. In general, alkaloids belong to this category, directly inhibiting cell division because they primarily affect albumin synthesis—including both nuclear protein and amino acid synthesis. The S phase (DNA synthesis phase): 6-MP, 5-Fu, 6-GT, FT-207, MTX, Ara-C, CC, HU—primarily inhibit nucleic acid synthesis. To fully grasp the principles of chemotherapy, it is essential to understand that most alkylating agents, antibiotics, and heavy metal salts are non-specific chemotherapeutic drugs.

Based on the properties of these drugs, they are typically used in combination with chemotherapy regimens, employing a non-specific agent like CTX, followed by a M-phase agent like VCR. For adenocarcinoma, add 5-Fu or MMC; for squamous cell carcinoma, add ADM, DDP, CBP; for undifferentiated lung cancer, add VP-16; for head and neck cancers, add PVM; for melanoma, add DTIC; for brain tumors, add CCNU or MTX; for ovarian, breast, or bladder cancers, add TSPA; for testes, add N-F; for gonorrhea, add PCB; for multiple myeloma or spermatocytic carcinoma, add PAM.

CTX 800–1000mg, usually once weekly; VCR 2mg, once weekly; ADM 40mg, once every three weeks.

Several Common Chemotherapy Combinations – November 14, 1997

1. Coenzyme Q10: Supports liver and cardiac health, particularly when using ADM, MTX, or 5-Fu, MMC—10mg PO, QD; 10mg PO, Tid.

2. Calcium folinate: Also known as calcium folate, MTX acts as a folic acid antagonist, reducing cancer risk by blocking the conversion of folic acid into tetrahydrofolate. Therefore, when using MTX, the body’s natural tetrahydrofolate levels decline. To mitigate these effects during chemotherapy, supplementing with calcium folinate can reduce the body’s reaction to the medication. This drug is abbreviated as CF, taken orally at 5mg daily, or injected intramuscularly at 3–6mg daily.

3. Allopurinol: 100mg PO, Tid, gradually increasing the dosage to prevent uric acid buildup during chemotherapy.

4. Metoclopramide: 200mg, taken orally or injected intravenously, blocks H-receptors, reducing gastric acid secretion—and thus alleviating pain. During chemotherapy, gastric acid secretion tends to increase, so this drug can serve as an adjunct to chemotherapy.

Guofu’an and Madinlin – November 17, 1997

These medications inhibit dopamine receptors (receptors in the medulla oblongata’s vomiting center), thereby reducing nausea and decreasing gastric juice and stomach acid secretion. They also accelerate gastric emptying, reducing bile reflux. Side effects include insomnia, drowsiness, and Parkinson’s syndrome. The mechanism of action of Madinlin is identical to that of Guofu’an, though its effects are 23–27 times greater than Guofu’an. Although its effects are significant, clinical efficacy has not been as pronounced as with Guofu’an; the dosage is the same as Guofu’an, but it is not available in injectable form—it comes in suspension and suppository forms.

Iron Hematoid Deposits – November 24, 1997

A 9-year-old boy with anemia and asthma was diagnosed with iron hematoid deposits at Capital Hospital in Beijing. Long-term, high-dose hormone therapy led to the development of drug-induced Cushing’s syndrome. That summer, he sought treatment from me. I prescribed Xuan Tong Li Fei He Bu Du Tang, and after 30 doses, his wheezing significantly improved, his anemia was corrected, and his hemoglobin levels rose steadily to 18g. I reflected on this outcome, realizing it was a promising sign—a clear indication that red blood cell destruction had stopped. But where did the iron hematoids come from? They originated from red blood cell destruction. So I gradually reduced the hormone dosage and increased the intake of traditional Chinese medicine. The herbal formulas used included Ma Xing Shi Gan, Xiao Qing Long, Da Qing Long, Su Xing San, and Xue Fu He Bu Du Tang. The first four formulas focused on symptomatic treatment, while the last one addressed the root cause. Symptomatic treatments aimed to relieve spasms, stop coughs, eliminate phlegm, and reduce inflammation; root treatments focused on activating blood circulation and eliminating blood stasis. The blood circulation-activating properties of Xue Fu He Bu Du Tang were absolutely reliable—this was a great achievement of Wang Qing Ren.

Treatment for Liver Disorders – November 24, 1997

Over the past 20 years, I have treated more than 600,000 patients with various liver diseases, and I truly feel that I have accumulated extensive experience. Initially, I employed Xiao Chai Hu, Chai Hu Shu Gan, Xiao Yao San, the Eight Formulas for Liver Diseases, Qiang Gan Tang, Jin Che Dan Qi Tang, Yin Yu Dan Ku Lan Gen Tang, and others. Later, I began treating hepatitis B with Yi Bei Ping, Yi Bei Ning, Yi Bei Min, and Yi Bei Sao. In recent years, I repeatedly pondered and practiced, discovering that the key to treating this condition lies in strengthening the body’s vital energy and consolidating its fundamentals. Danshen, Huangqi, Huangjing, Shouwu, Hanliancao, Gegen, Danggui, Bai Shao, Xianhe Cao are the core components of liver treatment, and the recommended dosage should be 20–30g. When treating hepatitis B, using the aforementioned herbs significantly enhanced therapeutic efficacy. Recently, the number of patients who transitioned from “large three阳” to “small three陽” or from “small three陽” to “negative” has increased compared to previous years. This remedy can be used alone as a formula called “Yi Bei Kang,” composed of Huangqi, Xianhe Cao, Shouwu, Huangjing, Shan Zhi, Gegen, Danshen, Hanliancao, Danggui, Bai Shao. The mnemonic is: Huang He Huang Shan Ge Shen, Danggui Bai Shao Jin Lian. Gegen Shen is a homophone of Ge Shu Han, a great general of the Western Han Dynasty.

Supplementing Qi and Nourishing Yin – December 10, 1997

Supplementing Qi and Nourishing Yin is a famous formula from Dongyuan. This formula greatly replenishes Qi, boosts the body’s immunity, and regulates the vegetative nervous system—thereby helping to alleviate fatigue, raise blood pressure, stop excessive sweating, and increase appetite. From a microscopic perspective, the formula achieves the following effects: ① strengthens non-specific immunity; ② promotes hematopoietic function; ③ regulates the activity of the sympathetic and parasympathetic nerves; ④ enhances muscle vitality. Because of these benefits, this formula can be used for blood disorders, gastrointestinal issues, connective tissue diseases, as well as for chronic colds and post-major illness conditions in people who are prone to weakness. Mr. Zhang Jingyue changed the name of this formula from “Bai Zhu” to “Shan Yao” and from “Huangqi” to “Shengdi,” renaming it “Supplementing Yin and Nourishing Qi.” This was a brilliant strategic move. In terms of regulating the vegetative nervous system, Dongyuan’s formula is better suited for cases where the parasympathetic nervous system predominates, while Jingyue’s formula is more suitable for cases where the sympathetic nervous system dominates. When it comes to boosting immunity, the former focuses on non-specific immunity, while the latter emphasizes specific immunity. Especially in the later stages of febrile illnesses, the former addresses Qi deficiency and Yang deficiency, while the latter addresses Yin deficiency and Blood deficiency—these two approaches work together in synergy, complementing each other perfectly.

Re-evaluating Simo Yin – December 10, 1997

Wu Yao, Chen Xiang, Bin Lang, and Ren Shen—all equal parts—this formula is the work of Yan Yonghe, used to treat chest discomfort and frequent wheezing caused by emotional distress. Traditional Chinese medicine believes that when Qi becomes blocked in the chest, it leads to wheezing and chest tightness; therefore, Wu Yao helps break up Qi stagnation in the chest, Chen Xiang reduces Qi, Bin Lang disperses Qi, while Ren Shen serves as a tonic to strengthen Qi and prevent excess Qi from harming the body. What exactly is this condition? Examining the common characteristics of Wu Yao, Chen Xiang, and Bin Lang reveals that they all help relieve stomach spasms and eliminate intestinal gas. Chen Xiang also helps relax diaphragmatic tension and alleviate shortness of breath. Yan’s formula describes chest discomfort and frequent wheezing as being caused by gastrointestinal spasms, which lead to abdominal distension, chest tightness, and wheezing episodes. In conclusion, the effects of Simo Yin lie in the gastrointestinal tract, not in the chest or lungs. Examining the formula Yue Ju Wan by Zhu Danxi, which consists of Xiang Fu, Chuan Xiang, Shan Zhi, Cang Zhi, and Shen Qu, these herbs are also effective remedies for the stomach. Chuan Xiang is good at treating headaches and regulating menstruation; Shan Zhi is good at clearing heat and relieving irritability, and both can help regulate vascular tension. By regulating vascular tension, we also regulate the function of the vegetative nervous system—thus, Yue Ju Wan treats chest and abdominal discomfort, and it is a sister formula to Simo Yin, though they differ slightly in their approaches.

Wu Yao Shun Qi Powder – December 10, 1997

This formula is found in the “Jufang”: Ma Xing 10g, Jiang Chong 6g, Chen Pi 6g, Wu Yao 6g, Chuan Xiang 6g, Bai Zhi 6g, Gan Jiang 6g, Jie Geng 20g, Gan Cao 6g, Jiang Zao Yin. Indicated for: joint pain in the limbs, generalized numbness throughout the body, mild paralysis in bed, slurred speech, stabbing pain in the flanks, abdominal distension, vomiting, diarrhea, and intestinal rumbling. These indications align with modern medical diagnoses of rheumatism, gastrointestinal disorders, and polyneuritis; rural women are particularly prone to these conditions, as long-term malnutrition often leads to such symptoms. The mnemonic is: Wu Yao Shun Qi Ma Chen Jiang, Chuan Xiang Bai Zhi Gan Jiang, Jie Geng Gan Cao shared in grinding, and drinking the ginger-jujube decoction will bring relief.

Urinary Calculi – December 11, 1997

The task output rules are as follows:

• Translate the given markdown block from Chinese to English while preserving markdown markers, links, and formatting.
• Keep headings and list structures intact.
• Return only the translated content.

Input: "The 'Comprehensive Collection of Experiences of Contemporary Famous Doctors' treats this condition using six different formulas. Among them, three formulas contain金钱草 (Lysimachia japonica), with a dosage ranging between 30–75g; four formulas contain chicken gizzard, with a dosage between 6–15g; two formulas contain sea sand, with a dosage around 20g; three formulas contain plantain seeds, with a dosage around 10g; and three formulas contain talc, with a dosage around 10g. Rhubarb, Citrus aurantium, Peach Kernel, Sanling, Curcumae Rhizoma, Borax, Amber, Bletilla, Niu Xi, Dandelion, and Evening Sulfur Grass all appear once in the formula. In summary, Chicken Gizzard, Lysimachia japonica, Plantain Seeds, Talc, and Sea Sand are the most commonly used herbs. Uyao and Dongkui Zi are other commonly used herbs for treating this condition."

• The text also mentions that there are two formulas that have proven highly effective, with the following mnemonic: “Five Plantain, Red Gold, Coptis, Peach Kernel, Cow’s Milk”; “Chicken and Rabbit in the Same Cage Produce White Tiger, Great Sea, Golden Peach, Black Deer.” These five pairs of herbs include: Sanling, Curcumae Rhizoma, Seaweed, Kelp, Prepared Milk, Pangolin, and Citrus Aurantium, along with Hiccupping, Cervical Spine, and Acacia Thorn, as well as Citrus Aurantium and Poria. Referencing the 'Chinese-Western Integrated Journal' (1989.11), Li's Three Golds, Wood, Carriage, Five Mountains, Great Contraction Soup; and the 'Shandong Medical Journal' (1885.5), the Four Golds, Three Stones, White Cow, Three Wheat, and Moutong Formula—these treatments for kidney stones can be summarized as follows: Four Golds: Lysimachia japonica, Chicken Gizzard, Sea Sand, Turmeric; Three Stones: Reed, Talc, and Sea Floating Stone; Sanling, Pangolin, Wang Bulu, Moutong, Qumai, White Peat Root, Dongkui Zi, Plantain Seeds. For clearing heat, use White Flower Snake Tongue Grass and Half-Branch Lily; for promoting bowel movements, use Rhubarb and Niu Xi. If these remedies still do not provide relief, the Great Contraction Soup can be employed.

High Fever That Does Not Subside – December 12, 1997

This case involves rheumatic arthritis. The treatment formula is as follows: ① Cinnamon Twig, Red and White Peony, Anemarrhena Asphodeloides, Dry Ginger, Licorice, Fangfeng, Ephedra, White Atractylodes, Fuzi, Raw Gypsum, Raw Coptis, Raw Coptis Seed, Yin Chen, Mulberry Branch, Salvia, and Danshen. ② Ligusticum Chuanxiong, Niu Xi, Earthworm, Suma, Tongcao, Cang Zhu, Public Herb, Honeysuckle, Forsythia. The composition of these two formulas is as follows: ① Cinnamon Twig, Peony, Anemarrhena Asphodeloides, Licorice, and Coptis Seed – a combination of Ma Xing Yi Gan Tang and Xian Mao Ling Pi, Ma Xing Yi Gan Tang combined with Purple Grass, Snake Venom, and Centipede. ② Cang Zhu, Suma, Tongcao, Niu Xi, and Longan – with two flowers and Forsythia present within the formula.

Treatment Insights for Scleroderma – December 15, 1997

In the winter of Dingchou, a 40-year-old female patient from Lintao came for consultation, stating that she had suffered from scleroderma one year ago, but various medical treatments had been ineffective. After taking over 100 doses of this formula, she experienced remarkable improvement. Upon examination, I realized that this formula was the same one I had prescribed for her a year earlier. The formula consisted of Cinnamon Twig, Peony, Anemarrhena Asphodeloides, and Xian Mao Ling Pi, combined with Zicao, Snake Venom, and Centipede: Cinnamon Twig 10g, White Peony 15g, Anemarrhena Asphodeloides 10g, Dry Ginger 6g, Fangfeng 12g, Ephedra 10g, White Atractylodes 10g, Fuzi 6g, Almonds 10g, Raw Coptis Seed 20g, Xian Mao 6g, Yinyanghuo 10g, Dangshen 10g, Turmeric 6g, Peach Kernel 10g, Red Flower 3g, Chicken Blood Vine 20g, Purple Grass 60g, Snake Venom 6g, and a single Centipede. Based on this, this formula can be widely used for collagen-related diseases such as erythema lupus.

Si Ni San and Xiang Sha Liu Jun Tang – December 15, 1997

1. Si Ni San: It significantly increases blood flow to the gastric mucosa, reduces damage to the gastric mucosa, and has a mild inhibitory effect on gastric acid production. Reducing damage to the gastric mucosa helps protect it; this protective effect is achieved by increasing blood flow to the gastric mucosa, though its inhibitory effect on gastric acid is less than that of H2 receptor blockers.

2. Liu Jun Tang: While it provides some protection for the gastric mucosa, its primary function is to promote gastric emptying and enhance physiological rhythmic gastric peristalsis during food intake.

In summary, the stomach-preserving effects of Si Ni San and the digestion-promoting effects of Liu Jun Tang create complementary therapeutic benefits for gastritis and duodenal bulb ulcers, working together in harmony and enhancing each other’s efficacy.

When treating liver cirrhosis or liver cancer, I often use Si Ni San as the main formula, which frequently yields significant results in clinical practice. The underlying reason lies in its ability to protect the gastric mucosa while supporting liver health; when combined with Liu Jun Tang, the therapeutic effects become even more pronounced.

Several Commonly Used Formulas by Japanese Doctors – December 15, 1997

1. Chai Pu Tang for Chest Discomfort: Chai Hu 10g, Huang Qin 10g, Ban Xia 6g, Dang Shen 10g, Gan Cao 6g, Sheng Jiang 6g, Da Zao 4 pieces, Hou Po 6g, Su Jing 10g, Chen Pi 6g, Fu Ling 12g. This formula combines Xiao Chai Hu with Ban Xia Hou Po Tang.

2. Huang Lian Jie Du Tang for Manic States and Insomnia: The formula consists of Huang Lian 6g, Huang Qin 10g, Huang Bai 6g, Shan Zhi 10g. In addition, it can also treat hypertension, diabetes, and other conditions.

3. Yi Gan San with Removed Hook Vine: Chai Hu, Dang Gui, Cang Zhu, Chuan Xiong, Fu Ling, Hook Vine—this is Zhang Jing Yue’s Yi Gan San, a primary remedy for neurasthenia. Japanese practitioners often refer to “removing Hook Vine,” but I believe that removing Hook Vine would reduce the sedative effect of Yi Gan San.

4. Mahuang Fuzi Xixin Tang has anti-inflammatory properties.

Japanese Herbal Remedies for Stomach and Digestion – December 15, 1997

The order of usage is as follows: Cinnamon, Fresh Ginger, Clove, Sichuan Pepper, Licorice, Big Spice, Small Fennel, Coptis, Gentian. ① Coptis and Gentian are bitter herbal remedies that stimulate gastric juice, salivary glands, and other digestive fluids, thereby promoting stomach health—but their dosage should be kept small; too large a dose may harm the stomach. Coptis and Gentian are best used at 3g each; if there is intense internal heat, a larger dose may be necessary. However, excessive use of Coptis or Gentian can damage the spleen and stomach; those with spleen deficiency may experience diarrhea, while those with weak stomachs may experience vomiting. ② Cinnamon, Clove, and Small Fennel are aromatic herbal remedies that stimulate gastric secretion. ③ Fresh Ginger and Sichuan Pepper are pungent herbal remedies that also stimulate gastric secretion. ④ Bear bile and similar herbs can promote bile secretion and also aid in stomach health. I believe that Yin Chen promotes bile flow, while Nitrate and Alum promote bile flow, and Lysimachia japonica, Turmeric, and Chicken Gizzard all promote bile flow and also support stomach health. Therefore, any herb that promotes bile flow also supports stomach health.

A Brief Discussion on Lysimachia japonica – December 15, 1997

Currently, there are three varieties of Lysimachia japonica available on the market: ① the rhizome of a perennial herb belonging to the Primrose family; ② the whole plant of a plant from the Polygonaceae family, also known as Little Lysimachia; ③ the whole plant of a plant from the Lamiaceae family, also known as Lian Qian Cao. These three plants belong to different families and genera, but they all share the common function of promoting diuresis, relieving urinary tract issues, clearing heat, and reducing jaundice. All of the aforementioned herbs that promote bile flow also have stomach-healing properties; Lysimachia japonica is often used to clear heat and reduce jaundice, while smaller doses help to strengthen the stomach and promote appetite. Therefore, anyone who seeks to benefit from a bitter herb for stomach health should take it in small doses.

Zhang Zan Chen’s Experience in Treating Tonsil Cancer – December 16, 1997

One formula: Platycodon 3g, Licorice 2.5g, Red and White Peony 6g, Mountain Bean Root 9g, Radix Aristolochiae 9g, Yuan Shen 9g, Cornus officinalis 4.5g, Polygonatum sibiricum 3g, Anemarrhena Asphodeloides 9g, Pollen 9g, Niu Xi Root, Ginger Worm 9g, Coptis 2.5g.

Two formulas: Raw White Peony 9g, Licorice 6g, Polygonatum sibiricum 9g, Pollen 9g, Dendrobium 9g, Yuan Shen 9g, Forsythia 9g, Polygonum cuspidatum 12g, Trichosanthes kirilowii 12g, Coptis 1.5g, Bamboo Leaves 9g, Fried Zao Ren 9g.

The compositions of both formulas are as follows: Peony and Licorice Decoction and Platycodon Decoction serve as the foundational formulas for treating this condition; Polygonatum sibiricum, Dendrobium, Polygonum cuspidatum, He Shou Wu, Mountain Bean Root, and Radix Aristolochiae are essential herbs; Coptis is a key component for clearing heat and resolving fire. A small amount of Coptis is characteristic of this formula.

Clinical Application of Huang Lian Jie Du Tang – December 17, 1997

Huang Lian Jie Du Tang is a formula from Wang Kenda’s “External Clinic Secret Records,” composed of Huang Lian, Huang Qin, Huang Bai, and Shan Zhi. Originally, this formula was used to treat conditions like sores, carbuncles, and boils caused by intense internal heat. Recently, it has been used to treat hypertension, gastric ulcers, chronic gastritis, gastrointestinal bleeding, mania, insomnia, and schizophrenia. Japanese physician Nishizawa discovered that Huang Lian Jie Du Tang could kill Helicobacter pylori and protect the gastric mucosa in cases of gastric ulcers; Matsunaga Yuji found that this formula could stop bleeding in the lower gastrointestinal tract, including rectal inflammation and ulcerative colitis. Additionally, this formula can regulate the autonomic nervous system and suppress sympathetic nerve hyperactivity. Despite these effects, however, because this medicine is bitter and cold and can harm the stomach, traditional physicians often added Dry Ginger and Ban Xia. When combined, this formula became the Ban Xia Xie Xin Tang, specifically designed to treat gastrointestinal bleeding and chronic gastritis. I, on the other hand, combine this formula with Xiang Sha Liu Jun Tang, Da Dan Shen Yin, Sheng Long Mu, Wuchigug, White Peony, and other herbs as specialized treatments for stomach ailments, achieving even better therapeutic outcomes.

Several Herbs for Clearing Heat and Detoxifying – December 19, 1997

Polygonatum sibiricum: A herb from the Lily family, with a bulbous root, used for clearing heat, detoxifying, reducing swelling, and dispersing masses.

Luo Lu: A herb from the Asteraceae family, with a rhizome, used for clearing heat, detoxifying, reducing swelling, and promoting lactation.

White Moss Skin: The bark of the White Moss plant from the Rutaceae family, used for clearing heat, detoxifying, and dispelling wind and dampness.

Tou Fu Ling: The rhizome of the Tou Fu Ling plant from the Lily family, used for clearing heat, detoxifying, and eliminating dampness and fluid retention.

Bai Lai: The roots of the Bai Lai plant from the Grape family, used for clearing heat, detoxifying, and reducing swelling.

Reflections on the Xie Xin Tang – December 20, 1997

The Da Huang Huang Lian Xie Xin Tang is indicated for “stomach discomfort, with a tender texture upon palpation, and a pulse that feels floating in the Guan area”; Da Huang, Huang Lian, Huang Qin, and Fuzi are used in the Da Huang Huang Lian Xie Xin Tang, “stomach discomfort, accompanied by chills and sweating”; Ban Xia Xie Xin Tang is used for “vomiting and abdominal distension, with rumbling and loose stools”; Sheng Jiang Xie Xin Tang is used for “vomiting and abdominal distension, with rumbling and loose stools, accompanied by a sour taste in the mouth”; Gan Cao Xie Xin Tang is used for “vomiting and abdominal distension, with rumbling and loose stools, accompanied by restlessness and insomnia.”

New Insights into Si Ni San – December 20, 1997

According to the “Shanghan” chapter, verse 318: “For patients with Shaoyin disease, experiencing four contractions, who may cough, feel palpitations, have difficulty urinating, experience abdominal pain, or suffer from constipation or diarrhea, Si Ni San is the primary treatment.” The formula includes equal amounts of Chai Hu, Zhi Shi, White Peony, and Licorice, ground into a powder, taken in doses of one catty per serving, three times a day. For cough, add Wei Zi and Dry Ginger; for palpitations, add Gui Zhi; for difficulty urinating, add Fu Ling; for abdominal pain, add Fuzi; for constipation or diarrhea, add Dry Ginger and Xie Bai.

“Shaoyin disease is characterized by a faint, fine pulse that feels like one is drowsy,” indicating that the initial diagnosis is based on this pattern—four contractions are marked by “cold hands and feet.” Patients with cold extremities, whether experiencing cough, palpitations, difficulty urinating, abdominal pain, or constipation or diarrhea, can all be treated with this formula. It is believed that patients with disorders affecting the respiratory, circulatory, urinary, and digestive systems may all exhibit cold extremities; in such cases, this formula can be used for treatment.

From a modern medical perspective, this formula can treat conditions affecting all systems, especially those involving shock. My own experience shows that adding ingredients to Si Ni San can treat pancreatitis, gallstones, and cholecystitis; adding Si Ni San to Su Xing San can treat coughs primarily associated with bronchitis; combining Si Ni San with Ling Gui Shi Gan Tang can treat heart conditions; combining Si Ni San with Long Dan Xie Gan Tang can treat urinary tract disorders; combining Si Ni San with Fuzi Li Zhong Tang can treat chronic gastritis and chronic diarrhea. In conclusion, according to the original text’s meaning, Si Ni San is a general formula for treating peripheral circulatory failure. Recent domestic and international research reports indicate that Si Ni San promotes the production of gastric mucosal defense factors, thus protecting the safety and stability of the gastric mucosa. Si Ni San also has an inhibitory effect on gastric acid production, though this effect is less potent than that of H2 receptor antagonists. Beyond that, Si Ni San also has anti-ulcer properties. Thus, Si Ni San’s primary focus is on the epigastric region. I have also observed that adding Si Ni San with Xixin and Mutoong can treat cyanosis in the extremities, with excellent clinical results, demonstrating the clinical significance of Si Ni San in treating four contractions.

Elderly Urinary Abnormalities – December 22, 1997

There are two main causes of elderly urinary abnormalities: prostate enlargement and urinary incontinence.

1. Prostate Enlargement: Approximately 30% of men over 60 may experience prostate enlargement. To date, digital rectal examination remains the most common method for diagnosing prostate enlargement; through this examination, the size of the prostate and the presence of nodules on its surface can be determined, helping to differentiate it from prostate cancer. ① Stage One: Frequent nighttime urination, with discomfort in the perineal area; ② Presence of residual urine, approximately 30–50ml; ③ Increased residual urine, bladder expansion, urinary retention, and postrenal uremia. In stages one and two, surgical treatment is generally not required; stage three requires surgical intervention. Japanese physician Shiba Akira advocated for the use of Gui Fu Ba Wei Wan, Ji Sheng Shen Qi Wan, and Ling Jiang Shu Gan Tang for treating prostate enlargement. Persistent pain indicates blood stasis; in such cases, Da Huang Mudan Tang or Tao Ke Cheng Qi Tang can be used; for those with weaker physical strength, Gui Zhi Fu Ling Wan or Dang Gui Si Ni Jia Wu Zhu Yu, Sheng Jiang can be administered.

2. Urinary Incontinence: 30% of women over 60 experience urinary incontinence. ① Abdominal Pressure Incontinence: Often caused by relaxation of the urethral sphincter. Treatments like Bu Zhong Yi Qi Tang, Lian Zi Qing Xin Yin, and Wu Ling San can be used; ② Urgency Incontinence: Caused by reflexive contraction of the bladder, potentially due to neurological, central, or psychological factors. This condition is characterized by intense urge to urinate and frequent urination; Long Dan Xie Gan Tang or Shao Yang Yi Gan Tang can be used; ③ Reflex Incontinence: Urine flows out automatically, often due to fullness in the bladder; in such cases, Ba Wei Wan or Ji Sheng Shen Qi Wan can be used.

Han Chinese Research on Elderly Vaginitis – December 22, 1997

According to “Foreign Medical Dynamics” (1997.3, Qian Liqi, Cai Ting), this condition arises from the decline of ovarian function in older women, a lack of estrogen in the body, reduced local immunity, and bacterial proliferation. Elderly vaginitis, also known as atrophic vaginitis, affects approximately 98.5% of women during menopause. Clinically, symptoms include vaginal and vulvar atrophy, disappearance of rugose walls, brittle blood vessels, increased exudation, localized bleeding, vaginal burning and itching, yellow discharge, bloody secretions, painful intercourse accompanied by lower back pain, frequent, urgent, and painful urination, and in severe cases, systemic infections. Western medicine typically uses estrogen therapy as the first-line treatment, but long-term use carries the risk of cancer and comes with a range of side effects. Han Chinese medicine employs Ba Wei Wan, with an effectiveness rate exceeding 90%. Symptoms include: 99% of cases of vaginal discharge; 91% of cases of vulvar itching; 93% of cases of redness in the vaginal mucosa. Before medication, the maturity index of vaginal epithelial cells shifted to the left; after medication, the maturity index shifted significantly to the right. It is generally believed that Ba Wei Wan can alleviate lower back pain, Ji Sheng Shen Qi Wan can treat urinary disorders, and Wen Jing Tang can treat menopausal symptoms.

Takada Hiroaki used Ji Sheng Shen Qi Wan and Wen Jing Tang to treat elderly vaginitis and vaginal discharge, with effectiveness rates of 93% and 83%, respectively; vaginal congestion: 88.2% and 75%; vaginal maturity index shifts were 46.2% and 33.2%, respectively. Traditional Chinese medicine has fewer side effects than estrogen therapy.

Japanese Research on Rehmannia – December 23, 1997

Rehmannia contains high levels of raw rehmannia glycosides and low levels of mannitol; conversely, cooked rehmannia has high levels of mannitol and low levels of raw rehmannia glycosides. The amount of zeyu decreases in order from raw rehmannia, cooked rehmannia, and then cooked rehmannia. Cooked rehmannia promotes blood flow more effectively, while raw rehmannia does not possess this effect, indicating that the preparation process of rehmannia is a crucial factor.

Upper Abdominal Discomfort – December 30, 1997

The previously mentioned Xiang Sha Liu Jun Tang can treat this condition. Reading “Han Chinese Medical Diagnosis,” Japanese practitioners used Xiao Chai Hu, Si Ni San, Chai Hu Gui Zhi Tang, and Da Chai Hu to treat this condition, with an efficacy rate of 76%. All cases met the diagnostic criteria for non-ulcerous dyspepsia.

Ge Gen Tang for Arteriosclerotic Obstruction – Case Study – December 31, 1997

Ge Gen 10g, Gui Zhi 10g, White Peony 10g, Licorice 6g, Fresh Ginger 4g, Da Zao 4 pieces; this formula can treat arteriosclerotic obliterative vasculitis. According to “Han Chinese Medical Diagnosis” (1986.6), one case reported significant efficacy when this formula was used for this condition; others also reported that this formula could treat trigeminal neuralgia. The “Shanghan Lun” states, “When a person suffers from Sunlight Disease, with stiffness in the neck and back,” this formula can be used—indicating that its functions lie in calming nerve endings and improving vascular tension.

Cerebral Hemorrhage or Cerebral Infarction – December 31, 1997

Cerebral hemorrhage in the left hemisphere typically causes hemiplegia on the right side of the body, accompanied by aphasia. Previously, I have treated many cases, all of which used Dihuang Yinzi or Bu Yang Huan Wu Tang combined with Guan I, San Qi, and Shui Zhi. Looking at “Foreign Medical Dynamics” (1997.4), Noh Ei-ko (Japan) used the traditional Chinese medicine formula Ban Xia Hou Po Tang, achieving significant therapeutic effects for this condition. Ban Xia Hou Po Tang is a famous formula from the “Jin Gui,” where “When a woman experiences a lump in the throat, Ban Xia Hou Po Tang is used.” Later, the phrase “If the vomit cannot be expelled, and the throat cannot be opened” was added to elevate the formula’s meaning. This condition later came to be known as “Mei He Qi,” with the underlying mechanism being stagnation of liver qi, which rises and surges into the throat. The treatment approach should be to soothe and descend, with Hou Po, Su Jing, and Ban Xia being the most suitable formulas. My own experience shows that if combined with Zhi Shi, which breaks up qi and resolves masses, the effect becomes even greater. Thus, Dihuang Yinzi combined with Ban Xia Hou Po Tang plus Zhi Shi, and further supplemented with Shui Zhi and San Qi, can be considered an excellent treatment for this condition.

Applications of Aloe Vera – January 1, 1998

Aloe vera, a perennial plant from the Lily family, produces a sap that seeps out from the cross-section of its leaves. After boiling and concentrating, it becomes a bitter, cold-natured substance. It is usually made into pills, but decoctions are rarely used. ① Diuretic: Its diuretic properties are no different from those of Rhubarb, but its effects are even more potent! ② Insecticidal: Compared to Jie Jun, Pinellia, Leizhuan, and Coptis, its insecticidal power is much stronger. ③ Heat-Clearing and Fire-Lowering: Similar to Shan Zhi, Huang Lian, and Huang Qin. Given these three functions, this medicine is a sacred remedy for infantile malnutrition, though its smell is foul and unpleasant, causing nausea; therefore, it is mostly used in pill form rather than decoction.

Qiyu Tang for Aphasia – January 2, 1998

Qiyu Tang is suitable for aphasia in patients who still retain hearing, particularly those recovering from encephalitis or stroke. It contains 15g of White Atractylodes, 6g of Saffron, 6g of Tianma, 6g of Shi Changpu, 8g of Yuan Zhi, 10g of Danshen, 3g of Xixin, 8g of Jiang Chong, 3g of Quan Xie, 6g of Dan Nan Xing, 8g of Jie Gong, 8g of Ban Xia, and 6g of Gan Cao. White Atractylodes, Dan Nan Xing, and Ban Xia belong to the same family (Aristolochiaceae), all of which are excellent for dispelling wind-phlegm, relieving spasms, activating blood circulation, and treating stroke; Jie Gong and Gan Cao are components of the famous Jin Gui formula, Jie Gong Tang, specifically for treating phlegm obstruction in the throat and difficulty in swallowing. The two insects (Quan Xie and Jiang Chong) relieve spasms and dispel wind, and when paired with Jie Gong Tang, their combined effects are enhanced. Shi Changpu, Yuan Zhi, Tianma, Danshen, and Saffron are excellent for activating blood circulation and resolving blood stasis, making them ideal for treating post-stroke sequelae. The mnemonic is: “Dan Xing, Bai Fu, Ban Xia, Yuan Zhi, Shi Changpu, Tianma, Jie Gong, Dan Nan Xing—when you use these herbs, you can speak freely about stroke and aphasia.”

Stroke and Aphasia – January 2, 1998

Teacher Ling Gong was a teacher of mine during middle school. He suffered from cerebral infarction, resulting in hemiplegia on the right side of his body, aphasia, and speech impairment. Unable to speak clearly, I treated him with Dihuang Yinzi combined with Guan II, San Qi, and Shui Zhi. After 30 doses, he showed slight improvement, and his speech returned. I believe that using White Atractylodes, Ban Xia, Nan Xing, Tianma, Quan Xie, and Jiang Chong is appropriate—only the roots of plants from the Aristolochiaceae family can truly cure wind-phlegm; after 20 doses, his speech returned.

Preparation of Xie Huo Dan – January 5, 1998

Raw Gypsum 100g, Rhubarb 10g, Coptis 6g, Huang Qin 10g, Honeysuckle 40g, Forsythia 40g, Wild Chrysanthemum 40g, Seven-Leaf-One-Branch Flower 40g, Mountain Bean Root 40g, Fishy Herb 40g. Raw Gypsum was boiled five times, while the remaining herbs were boiled twice. The extracts were combined and concentrated into a paste, then mixed with 20mg of Guofu’an to make two packets of granules. Each packet contained 0.5–1 packet, taken twice daily after meals. Indicated for: This formula is an excellent remedy for clearing heat and resolving fire, suitable for all inflammatory conditions, such as upper respiratory infections, acute pharyngitis, tracheitis, pneumonia, systemic infections, and septicemia.

Xie Huo Dan Can Be Used for Both External and Internal Diseases – January 5, 1998

For all complications arising from upper respiratory infections, such as sinusitis, pharyngitis, tracheitis, pneumonia, etc., Xie Huo Dan can be taken alongside traditional Chinese medicine formulas for syndrome differentiation; hepatitis, nephritis, cholecystitis, appendicitis, and erythema lupus can also benefit from Xie Huo Dan when there is a possibility of infection; for surgical abscesses, sores, carbuncles, and boils, Xie Huo Dan can also be used; various gynecological inflammations can also be treated with Xie Huo Dan. This formula holds great significance—modern medicine refers to it as “combined infection,” while traditional Chinese medicine views it as “all six qi transformed into fire.” 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: Jin Yuan’s Four Great Masters, Liu Hejian, proposed the theory that all diseases are caused by fire. In his “Medical Three-Character Classic,” he wrote: “Liu Hejian specializes in treating fire; follow his teachings and you will be free from illness.” Based on over 40 years of clinical experience, I have come to deeply understand that whether it is due to external pathogenic factors or internal deficiency, in cases of acute illness, fire may not necessarily be present; however, in chronic conditions, fire is often indispensable! When fire arises, it harms qi, and when qi is harmed, the body becomes deficient—this is precisely what is meant by “when evil gathers, qi must also be deficient.” The advent of “Xiaohuo Dan” was aimed at eliminating evil, while the introduction of “Fuzheng Chongji” was designed to strengthen the body. To treat chronic illnesses, one must address both evil and qi simultaneously for complete recovery!

Preparation of Fuzheng Chongji – January 5, 1998

60g of Kusun, 30g of Huangqi, 5g of Ren Shen Su, 30g of Sheng Longmu, 20g of Nü Zhen Zi, 20g of Han Lian Cao, 20g of Sang Ji Sheng, and 10g of Gan Cao. Brew Sheng Longmu with water four times, then decoct the remaining herbs two to three times, combine the extracts, and concentrate them into a paste. Add 3g of Caogou powder to the mixture, yielding a daily dose sufficient for four packages. Take one package twice daily. This formula can increase blood pressure, elevate white blood cell count, boost immunity, regulate heart rate, and promote sleep. It has effects such as boosting white blood cells, raising blood pressure, calming the mind, reducing inflammation, and enhancing immune function—and it is particularly effective for neurasthenia. Many young women who are physically weak often benefit from this treatment.

Treatment of Adrenal Cortex Insufficiency – January 20, 1998

This condition is known as Addison’s disease, characterized by fatigue, darkened skin on the face, low blood pressure, and pigmentation at the junction of the skin and mucous membranes throughout the body. My late father’s prescription, “Xian Mao, Yin Yang Huo, Dang Gui, Chuan Xiong, Tao Ren, Hong Hua, Bi Xie, Fu Ling, Bu Gu Zi, Jiao Shan Zha.” This formula is often remembered as “Tao Hong Er Fo Bi Fu.”

New Insights into Blood Pressure Reduction – January 22, 1998

The aforementioned formulas for lowering blood pressure include Qiju Dihuang Tang, Jianling Tang, Xia Ku Cao Compound, Kuding Cha Compound, and Zhen Gan Xi Feng Tang. However, lowering diastolic blood pressure is no easy task! Twenty years ago, when I treated Wang Zhendong at Factory 504 for hypertension, I added Sheng Di, Yuan Shen, Mai Dong, and Sheng Shi to the above formulas. As a result, his diastolic blood pressure dropped significantly. This method has been tested repeatedly and proven effective—it is an empirical formula. Sheng Di, Yuan Shen, and Mai Dong nourish the water; when water nourishes the wood, the yang energy within the wood does not surge.

Treatment of Hemangiomas – January 29, 1998

In the past, we used leeches, Yuan Hu, and oysters, ground into powder, and administered them daily with yellow wine. Later, we began using a compound formula consisting of leeches, San Ling, E Zhu, Seaweed, Kombu, prepared milk powder, pangolin scales, tiger's tail, soapberry thorns, He Shou Wu, Bai Hua She Tiao Cao, and Ban Zhi Lian. These treatments can grow anywhere on the body; hemangiomas that develop in the liver parenchyma are often spongy, making them difficult to distinguish from cancer!

Typically, these tumors require enhanced CT scans to diagnose. I once developed a formula for liver cancer, which could treat both liver cancer and this condition.

Several Case Consultations – February 6, 1998

Around the Spring Festival, I was invited to consult at several hospitals outside our city. Here are some records of those consultations.

1. A case of ascites due to excessive fluid infusion in elderly patients: At the end of the Year of Ding Chou, I was invited to consult at Tieyuan Hospital. The mother of a former secretary of the Qilihe District Committee, aged 82, had experienced acute cholecystitis seven weeks prior and underwent surgery. One week later, her abdomen had swollen to the size of a water buffalo, with water gurgling around the surgical incision. The attending physician was alarmed and asked Dr. Xu, the head of the surgery department, to examine the case. Dr. Xu replied, “Is this ascites caused by liver cirrhosis?” He immediately requested a consultation with a liver disease specialist, and the hospital invited me to join them. Upon examination, I found that his pulse was deep, fine, and with signs of a fixed rhythm; auscultation revealed a weak first heart sound and multiple premature beats. His liver was enlarged, he had significant ascites, and his lower limbs were swollen. Preoperative ultrasound and CT scans did not reveal any signs of liver cirrhosis; his spleen was not enlarged, and the liver’s density was uniform across all layers—liver cirrhosis could be ruled out. He concluded, “Is it heart failure? (Cardiogenic ascites)?” When I inquired about his treatment, he mentioned that he had received eight IV fluids per day, totaling 4,000 ml, with a drip rate as high as 80–100 drops per minute. I warned him, “This patient is already elderly; even with this amount and speed of fluid administration, it could trigger heart failure—let alone after surgery!” I advised him to reduce the fluid volume to 500 ml per day and limit the infusion to antibiotics instead. The patient’s condition improved noticeably the next day: urine output increased, ascites decreased, his spirits improved, and after one week, his stitches were removed. He recovered and was discharged, heading to Xinjiang to recuperate at his family’s home in Sanyu.

2. The Provincial People’s Hospital invited me to consult on a case involving Mr. Liu, who had suffered from chest pain for three months. He had been diagnosed with coronary heart disease, but medications had failed to alleviate his symptoms, and his condition continued to worsen. He requested that the hospital invite me to provide a consultation. When I visited him, I found a mass in the upper abdomen, measuring 3 cm × 4 cm. I ordered a gastroscopy and biopsy, which revealed lymphoma. I explained that this was not Hodgkin’s disease and immediately initiated chemotherapy with COHP regimens. After just one course of treatment, his condition improved significantly, his pain subsided, and he was discharged.

The lesson from this case is that malignant ascites in the abdominal cavity often originates from the serosa of the stomach, infiltrating into the stomach and stimulating the stomach to produce spasmodic pain. Mr. Liu had pre-existing coronary heart disease and had experienced angina attacks in the precordial region. A cardiac examination at the provincial hospital showed signs of myocardial ischemia, leading to a diagnosis of coronary heart disease. When I ordered a gastroscopy, I had not anticipated the possibility of non-Hodgkin’s lymphoma. Initially, I considered gastric cancer as the cause of his stomach pain—but through biopsy, I discovered that non-Hodgkin’s lymphoma was a rare outcome!

3. An 80-year-old man was brought to Lan Medicine Hospital for consultation. He had a high fever, cough, and chest pain, and X-rays showed inflammatory changes in both lungs. After administering antibiotics, his fever subsided, and his condition improved slightly; however, he frequently experienced hiccups, and intravenous injections of Guifang’an and Madinglin were ineffective. Acupuncture at Zusanli also proved unhelpful. I recommended a combination of Dingxiang Shidi Tang and Xuanfu Daihe Tang, which greatly reduced his hiccups. Then, I prescribed Xiangsha Liujun Tang for another two doses, and he recovered and was discharged.

4. I was invited to consult at the Provincial Cadre Rehabilitation Center. Mr. Xue Yingcheng, Director of the Water Resources Department, suffered from urinary calculi, with unbearable pain in both flanks, blood in his urine, and a burning sensation in his urethra. Renal pelvic imaging showed no clear image in the left kidney, while the right kidney contained calculi. A CT scan revealed bilateral renal calculi. I formulated a formula: Ji Neijin, Qianjin Cao, Hai Jin Sha, Yu Jin, Hua Shi, Hai Fu Shi, Shi Wei, Da Huang, San Ling, E Zhu, Zhi Lu, Chuang Shan Jia, Zao Jiao Shi, Chi Shao, Sheng Yi Ren, Niu Xi, Bai Hua She Tiao Cao, Ban Zhi Lian. After taking three doses, his blood in his urine stopped, and his pain also eased. He successfully underwent lithotripsy and recovered.

Treatment of Erectile Dysfunction – February 23, 1998

Mr. Li, who had been married for three years without having children, struggled with sexual relations with his wife. His wife even sought a divorce, asking me to treat him. I examined his pulse, finding a deep, fine pulse in both the left and right sides. His complexion was dull, and I prescribed a formula: Rumen, Tu Si Zi, Niu Xi, Yin Yang Huo, Po Gu Zhi, Ba Ji Tian, Wei Ling Xian, Wu Wei Zi, Fu Pen Zi, Jin Ling Zi, Qian Shi, Gou Qi Zi, Sheng Di, Yuan Shen, San Ling, E Zhu, Dang Gui, Bai Shao, Leeches, and Centipede. After taking 20 doses, he saw remarkable improvement; after 40 doses, he was fully recovered. There are two other formulas that are equally effective for treating this condition: ① Er Xian Lu Su Tu, Six Flavors Rise to Heaven; ② Huangshan Lamb Paper Five茅, Ba Zhong Lu Qi Gui Zi Yun. Additionally, there are also formulas containing Dang Gui, Bai Shao, Leeches, and Gan Cao—this is the Zhen Wei Tang. Furthermore, the use of Centipede alone also demonstrated significant efficacy in treating erectile dysfunction.

PCR Testing – February 27, 1998

PCR testing is currently the most advanced detection method, offering gene-specific identification—accurate and standardized. Its operation is similar to cloning techniques. Our hospital uses this method to test for gonococci, mycoplasmas, chlamydia, tuberculosis bacteria, tuberculosis antibodies, Helicobacter pylori, EB virus, p53 genes, and more in blood, stool, urine, pleural effusion, ascites, gastric juice, secretions, peritoneal effusion, and cerebrospinal fluid.

Attempts to Turn Hepatitis B Surface Antigen Negative – March 9, 1998

In the autumn of the Year of Ding Chou, a patient with a tuberculous cavity came to Lan for treatment. While administering anti-tuberculosis drugs, I also prescribed Xiong Huang Wuchong Wan. After three months of treatment, most of the cavities had closed. The patient’s mental state improved, his weight increased, his complexion became rosy, and all of his original “big three positives” turned negative. I thought to myself: Xiong Huang Wuchong Wan consists of 70g of Xiong Huang, wrapped in a large radish, steamed until cooked, then Xiong Huang was extracted. Adding 60g of Jiang Chong, 60g of Quan Xie, 30 centipedes, a pair of Gejie, and 60g of Shou Gong, the mixture was ground and sifted, then packaged into 0.25g capsules. Taking three capsules daily, each time three pills, this formula is a wonderful remedy for treating tuberculous cavities, demonstrating definite efficacy in inhibiting Mycobacterium tuberculosis and also showing notable effects in suppressing fibrosis. The possible reversal of three systems may be related to this, and we can further explore its application in clinical practice in the future.

Consultation at the Main Hospital – March 12, 1998

Mr. Ma, a 22-year-old man with liver cancer and ascites, had previously suffered from pericarditis and underwent pericardiectomy five years ago. The main hospital suggested rapidly infusing 3,000 ml of fluid daily, causing his abdomen to swell like a drum. His renal function was failing, with a blood urea nitrogen level of 21.8 mmol/L, oliguria, and a daily urine output of only 300 ml. His heart rhythm was irregular. That evening, the department director invited me to consult at his family’s request. I explained that this case was also due to rapid fluid infusion and excessive fluid volume, leading to heart failure. I suggested: ① reduce the fluid volume; ② slow down the infusion rate. Administering 0.4 mg of西地兰 once daily, 100 mg of furosemide twice daily, along with a traditional Chinese medicine formula—Xiao Cheng Qi Tang—relieved his abdominal distension the next day, corrected his heart failure, eliminated atrial fibrillation, and provided comfort in his abdomen. Mr. Ma was delighted.

Electrolyte Imbalance in Liver Cirrhosis with Ascites – March 13, 1998

When liver cirrhosis leads to sodium and water retention in the abdominal cavity, intracellular potassium levels drop. Moreover, when diuretics are used to remove excess fluid, potassium levels become even lower. Therefore, it is advisable for patients with liver cirrhosis to regularly supplement potassium; low potassium levels can also lead to low calcium, low magnesium, low chlorine, and low sodium. In summary, patients with liver cirrhosis in the stage of ascites are often “low in everything.” A small portion of liver cirrhosis can also lead to hepatorenal syndrome, where blood urea nitrogen rises, CO2-P decreases, creatinine, creatine, urea, and uric acid all increase, and electrolyte levels in the blood undergo dramatic changes—first from low potassium to high potassium. Because phosphate excretion is impaired, hyperphosphatemia and hypocalcemia occur. Some patients develop hyperparathyroidism, where calcium levels rise while phosphorus levels fall, and CO2-P decreases, leading to acidosis. Acid can bind sodium and calcium ions, so low sodium and low calcium become even more pronounced. Reduced resistance makes the body more susceptible to infection, resulting in decreased urine output and increasing the risk of hepatic encephalopathy.

Several Formulas for Innovation and Renewal – March 13, 1998

1. Pu Fuzhou’s experience-based formula for treating the stomach: 15g of Uchi Gu, 15g of Bai Shao, 10g of Bai Ji, 6g of Sheng Gan Cao, 10g of Ji Neijin, 15g of Xiang Yuan, 15g of Chi Shi Zhi. The mnemonic for this formula is: “U Chicken, White Chicken, Raw Chicken, Ji, Red, Xiang.” This is the Shaoyao Gan Cao Decoction from the Golden Cabinet, specifically used to treat gastric spasms; Xiang Yuan promotes qi circulation, Chi Shi Zhi acts as astringent, and Uchi Gu helps neutralize acidity—treating stomach pain with this formula is as simple as turning over one’s hand.

2. The Bai Yu Tang from Zunyi Medical College: This formula is highly effective in treating acute biliary tract infections: 3g of Chen Xiang, 15g of Mu Xiang, 15g of Bai Shao, 6g of Yu Jin, 30g of Yin Cheng, 30g of Qian Jin Cao, 15g of Man Xiao, 10g of Da Huang, 10g of Shan Zhi, 15g of Long Dan Cao. The mnemonic is: “Two Fragrances, White Jade, Yin, Gold, Big Mountain, Dragon.”

Shanghai University of Traditional Chinese Medicine’s Anlu No. 1 – March 15, 1998

Ginger worms, whole scorpions, centipedes, and earthworms, each in equal parts, were packed into 0.25g capsules. This formula has the effect of increasing appetite, with an effectiveness rate of 84.6%; it also increases white blood cell counts effectively in 64.1% of cases; and it boosts platelet counts in 74.1% of cases. This indicates that this formula can treat various types of anemia.

Shanghai University of Traditional Chinese Medicine’s Anlu No. 2 – March 16, 1998

30g of Huangqi, 15g of Dang Gui, 15g of Jin Yin Hua, 15g of Gan Cao. This formula has a noticeable antipyretic effect. It shows that combining traditional Chinese medicine’s heat-clearing and detoxifying agents with tonifying and strengthening agents can enhance the antipyretic effect. Li Dongyuan’s “Sweet Warm, Heat-Removing” approach is worth noting here. Among formulas for clearing heat, it is advisable to add tonifying ingredients—this way, the effects of clearing heat become even more pronounced.

Treatment of Testicular Disorders – March 17, 1998

Chuan Lian Zi, Yuan Hu, Fu Ling, Ze Xie, Che Qian Zi, Cang Zhu, Huang Bo, Yi Ren, Niu Xi, Ju He, Li He, Qing Chen Pi, Bai Hua She Tiao Cao, Ban Zhi Lian. The mnemonic is: “Four Wonders, Five Pairs, Testicles, Red Swelling, Relieve.”

Thyroid Nodules – March 18, 1998

Earthworms, bee nests, whole scorpions, centipedes, and pangolins—these are the “earth nest, full centipede” formulations. This formula is specifically used to treat thyroid nodules, boost white blood cells, and improve overall health. The effect of pangolins in boosting white blood cells is particularly notable. The son of Chief Engineer Qiao from the Second-Level Station of Tian Shui suffered from aplastic anemia. I used pangolins to boost white blood cells and improve platelet counts, achieving remarkably good results. I also discovered that this medicine could help dissolve nodules in the neck, exhibiting a clear nodular-reducing effect. Adding Xiaoliu Wan, Huang Yao Zi, and Xia Ku Cao to the above formulas made the therapeutic effects even more pronounced.

Premature Contractions – March 19, 1998

I primarily used Zhi Gan Cao Tang to treat this condition. Previously, I had used Ban Lou Xiang Cao, Chen Zhi, and Chuan Xiang; for early fluctuations, I supplemented with Sheng Shen and Zhike; for excessive pulsations, I added Jishi and Jigeng; for mountain people, I used Jin Yuan Kong Sheng Dan. Xiao Jian Zhong, Da Jian Zhong, Tian Wang Bu Xin, Gui Pi, and other commonly used formulas were also employed. Recently, Mr. Yang Zhendong from Taiyuan, Shanxi, proposed that 20g of Sheng Di, 20g of Danshen, 20g of Kusun, and 20g of Mai Dong should be used in larger doses. Jishi, Zhike, and Yuan Hu are the most commonly used herbs—but they are not necessarily in large doses; especially Yuan Hu, which is a top-tier remedy for arrhythmias.

Xiong Shi San Bian Tang – March 21, 1998

10g of Tian Ma, 6g of Chuan Xiong, 6g of Bai Zhi, 6g of Xi Xin, 10g of Da Huang, 10g of Man Xiao, 6g of Di Long, 6g of Qi She, 6g of Gan Cao. The mnemonic for this formula is: “Seasoning, Cheng Qi, Two Worms, Tian, Chuan Xiong, Bai Zhi, Xi Xin, Blood Stagnation, Peach Red, Four Substances, Yang Excess, White Dragon, Hook Vine, Choose the Right One—long-term illness, entering the network, not difficult to treat; all worms and centipedes can be preserved.”

Treatment of Adrenal Function Deficiency – March 13, 1998

10g of Tu Si Zi, 10g of Gou Qi Zi, 10g of Qing Xiang Zi, 20g of Chuan Lian Zi, 20g of Huang Jing, 12g of Sheng Di, 10g of Mai Dong, 15g of Bei Sha Shen, 20g of Bai Shao, 3g of Sha Ren, 15g of Ji Xue Teng, 10g of Ji Neijin, 20g of Ci Shi, 15g of Hai Zhi, 15g of Kombu, 15g of San Ling, 15g of E Zhu, and 15g of Hai Zhi. The mnemonic is: “Four Substances, Five Nourishments, Sand, Chicken, Stone, Grass, Top-notch Effect.” The above formula was used by the Hunan Institute of Traditional Chinese Medicine to treat intracranial tumors.

Clinical Use of Liver Cancer Medications – March 24, 1998

A common group of medications includes Ban Zhi Lian, Sheng Yi Ren, Danshen, Fo Shou, Yu Jin, Dang Gui, Da Qing Ye, Ji Neijin, Gan Cao, and Ma Chi Xuan. The mnemonic is: “Golden Buddha, Return, Ma, Yi, Half, Dan.”

Another common group of medications includes Hu Zhang, Bai Hua She Tiao Cao, Xian He Cao, Gui Ban, Bie Jia, San Ling, E Zhu, Hai Zhi, Kombu, Yin Chen, Muliu, Jishi, Feng Fang, Shan Jia, Dan Nan Xing, Sheng He Shi, Bai Shao, Nü Zhen Zi, and 0.1g of Musk Powder (taken in two doses). The mnemonic is: “Four Mountains, White Tiger, Three Ma Grass, Southern Room, Jishi, Stone, Nü Zhen Zi.”

Two Formulas for Colon Cancer – March 25, 1998

1. After colon cancer surgery, patients often experience difficulty passing stools, mucus-bloody diarrhea, tenesmus, loss of appetite, insomnia: Dang Gui, Chuan Xiong, Cang Zhu, Chen Pi, Fang Feng, Jishi, Huang Qin, Huang Lian, Hou Pu, Bin Lang, Sheng Huang Qi, Mu Xiang, Sheng Yi Ren, Gan Cao. The mnemonic is: “Fo Ping, Two, Yi, Qi, Bin Lang, Jishi, a single formula is truly effective.”

2. Abdominal fullness and heavy feeling in the anus, frequent bowel movements, soft or watery stools with mucus and blood, soreness and weakness in the lower limbs, gradual decline in physical strength, followed by blood in the sputum and frequent hiccups: Bai Hua She Tiao Cao, Ban Zhi Lian, Sheng Yi Ren, Donggua Zi, Huai Hua, Shan Cigu, Bai Shu, Nü Zhen Zi, Han Lian Cao, E Zhu, Danshen, Leeches. The mnemonic is: “Yi, Donggua, Bai, White, Two, Huai, Shan, E Zhu, Wind.”

The Third World Qigong Conference – March 24, 1998

This conference was held in Beijing, China, with representatives from 19 countries including the United States, the United Kingdom, Germany, France, and China—over 200 participants. American scholar H. Li designed a brainwave analysis instrument that revealed that the frequency of tremors caused by fear ranges from 0 to 4 Hz; those caused by attachment and desire range from 4 to 8 Hz; those arising from religious rituals are between 8 and 14 Hz; and those generated by excessive thinking reach 14 to 22 Hz. By simulating the tremor frequencies of qigong masters during qigong practice, H. Li discovered that these frequencies exhibit distinct variations. H. Li named this instrument the Qigong Simulator. This allowed us to prove that patients can harness their own life force to achieve healing—a principle generally believed to be true: “When the heart is sincere, miracles happen.” The psychological factor accounts for 20–30% of the success rate in medical treatment, so the results are often faster than those achieved by ordinary doctors. Japanese scholar Tōdō Yoshio conducted quantitative research on the effects of qigong practice, comparing the speed of heartbeats and the pressure in capillaries at the fingertips. They found that there were significant differences in performance between experienced qigong practitioners, beginners, and ordinary people—statistically significant differences. Swedish renowned physicians, through their studies in China, gained a completely different understanding of fundamental medical concepts. They believed that “doctors should be teachers, not carpenters.”

Four Types of Traditional Chinese Medicine – April 2, 1998

Xiong Huang: A crystalline mineral containing arsenic, a red-yellow opaque solid. Xiong Huang is produced in the sunlit areas of mountains, while Xiong Huang produced in the shaded areas of mountains is called Xing Huang. Generally, Xiong Huang is redder in color, while Xing Huang is darker in color. Xiong Huang is considered superior to Xing Huang; it is typically used externally, but should not be taken orally for extended periods. Centipede: The entire body of a centipede, a creature belonging to the family Scorpionidae, has been traditionally used in traditional Chinese medicine to calm the wind, stop convulsions, clear heat, and detoxify—both internally and externally. Recent studies have shown that this herb is effective in treating infectious hepatitis, and it has also been used to treat erectile dysfunction, nocturnal emission, and premature ejaculation; it has been used to treat chronic osteomyelitis; it has also been used to treat tuberculous cavities; it has been used to treat corns; it has been used to treat cancer; and it has been used to treat various connective tissue proliferations. Whole Scorpion: The dried body of a scorpion, a species of arthropod belonging to the family Scorpionidae, has been traditionally used to calm the wind, stop convulsions, reduce swelling, and detoxify—its effects are almost identical to those of the centipede. Carpenter’s Spider: Its effects are largely similar to the previous two herbs, calming the wind, stopping convulsions, reducing swelling, and dispersing nodes—but this herb has a stronger node-dispersing effect and a weaker heat-clearing effect.

Common Abbreviations Used in Ultrasound – April 3, 1998

GB: Gallbladder; RK: Right Kidney; LK: Left Kidney; AB: Abscess; C: Cyst; H: Hematoma; M: Mass; AO: Abdominal Aorta; PT: Pancreatic Tail; SP: Spleen; SPV: Spleen Vein; S: Spine; FE: Membrane Hole; D: Duodenum; PV: Portal Vein; L-DL: Hepato-duodenal Ligament; ST: Stomach; CA: Celiac Artery; SMA: Superior Mesenteric Artery; P: Pancreas; IVC: Inferior Vena Cava; LAD: Left Adrenal Gland; T: Tumor; BL: Bladder; V: Ureter; SE: Stones; VT: Uterus; CY: Teratoma.

Chronic Lymphocytic Leukemia – April 9, 1998

CLL is relatively rare, occurring mostly in older adults over 50 years old—men are more likely to develop it than women. In the early stages, patients may experience generalized lymph node enlargement, increased white blood cell counts, and a predominance of lymphocytes; in the middle stages, liver and spleen enlargement and thrombocytopenia may occur; in the late stages, anemia and fever are common. Bone marrow examination reveals that immature lymphocytes account for more than 5%. Treatment options include: 2mg of Bendamustine, tid, po, with a treatment cycle of two weeks; corticosteroids such as PDN can also be used. If Bendamustine is unavailable, cyclophosphamide can be employed. Daily dose of 150 mg, with 10 g per course; alternatively, 200 mg IV qd, with a 2-week course, combined with hormones, traditional Chinese medicine, and Xiaofeng Chushi Capsules. In summary, CLL is a highly differentiated blood cancer with a relatively low malignancy grade and poor sensitivity to combination chemotherapy. High-dose chemotherapy can damage the body, potentially worsening the condition or even leading to death. Recently, there have been reports from abroad advocating for combination chemotherapy using M regimen, though this remains a subject of ongoing debate.

Vitiligo Formula, April 12, 1998

Bai Shao 20g, He Shou Wu 20g, Han Lian Cao 20g, Zi Cao 20g, Guan Zhong 15g, Cang Zhu 6g, Dan Shen 20g, Ku Shen 20g, Bai Ti Li 30g. The formula: Bai Shou, Han Lian, Zi Cao, Cang Zhu, Dan Shen, Ku Shen, Bai Ti Li.

True Polycythemia, April 15, 1998

This condition is a bone marrow proliferative disorder that affects both stem cells and the three major cell lineages—red, white, and platelet—resulting in elevated levels across all three. Bone marrow aspiration reveals complete bone marrow hyperplasia, which closely resembles aplastic anemia, with active proliferation on one side and proliferative disorders on the other. Clinically, we observe increased numbers of all three cell lineages, along with hepatosplenomegaly, particularly prominent in the red cell lineage. Red blood cell counts rise, hemoglobin levels increase, and hematocrit (HCT) and red blood cell distribution width (RDW) also increase. Platelet counts also rise, as do white blood cell counts. Patients may experience facial flushing, headaches, fatigue, skin itching, decreased vision, and numbness in the limbs. Treatment options include oral phosphorus 32, which is preferred—administered at 2 curies per dose, twice daily, with each course lasting one week, followed by a one-week break before resuming treatment. A small number of patients may benefit from maraline or taxol.

Hemochromatosis, April 15, 1998

This condition is also known as hepatic porphyrin disease or hemoporphyrinuria. Its primary symptom is abdominal pain caused by porphyrin metabolism disorders. The pain is often severe but lacks obvious physical signs; it can be localized or diffuse, recurring intermittently, sometimes lasting several days, with most episodes lasting half a day, while shorter episodes are rare. During attacks, urine may appear dark brown, though routine urinalysis shows no occult blood; all major routine tests remain normal. Liver function abnormalities are common, which is why this condition is referred to as hepatic porphyrin disease. Treatment primarily involves diphenylhydantoin and corticosteroids, though these treatments offer only limited relief or no effect at all. Traditional Chinese medicine formulas such as Xue Fu Zhu Yu Tang and Ge Xia Zhu Yu Tang are effective treatments for this condition.

Fever-Reducing Formulas for Leukemia, April 15, 1998

Leukemia, especially acute leukemia, often presents with fever due to the disease itself, in addition to fevers triggered by colds or infections. In the 1970s, I treated Li Ying, a 15-year-old employee’s daughter at Lanzhi Railway Station, who suffered from ALL and experienced persistent high fever accompanied by excessive sweating, despite antibiotic treatment. I prescribed Qinghao Biejia Tang combined with Baihu Tang, adding 10g of fresh Huoxiang, 10g of fresh Peilan, 20g of fresh Lotus Leaf, 10g of fresh Bamboo Leaves, 10g of tender Bamboo Skin, 20g of fresh Reed Root, 20g of fresh Reeds, and 6g of Thickened Bark Flower. After three doses, her fever subsided significantly. This formula incorporated Yue Meizhong’s “Qixian Tang,” employing the principle of “water treating fire.” Another case involved Lu Ning, son of a member of the Gansu Provincial Party Committee, who was diagnosed with ANLL after chemotherapy. His condition improved somewhat, but he continued to suffer from high fever and excessive sweating for more than ten days, despite antibiotics and corticosteroids. I proposed a formula consisting of 10g of Mulberry Leaves, 10g of Chrysanthemum Flowers, 20g of Honeysuckle, 20g of Forsythia, 20g of Platycodon, 20g of Reed Root, 10g of Apricot Kernel, 30g of Raw Gypsum, 10g of Anomoea, 30g of Japonica Rice, 10g of Huoxiang, 10g of Peilan, and 10g of Bamboo Leaves. After five doses, his fever was completely resolved. In conclusion, Huoxiang, Peilan, Bamboo Leaves, Platycodon, Reed Root, Lotus Leaf, Bamboo Leaves, and Bamboo Skin are all excellent herbal remedies for reducing fever in cases of reactive fever.

Several Important Experience Formulas, April 15, 1998

1. Yulin Zhu: As the name suggests, “Yulin” signifies the precious nature of this formula—like a pearl held in one’s hand. It contains 10g of Dang Gui, 10g of Bai Shao, 6g of Chuan Xiong, 12g of Sheng Di, 10g of Dang Shen, 10g of Bai Zhu, 12g of Fuling, 6g of Gan Cao, 10g of Lu Jiao Shuang (dissolved), 10g of Tu Si Zi, 10g of Du Zhong, and 10g of Chuan Jiao. This formula can be prepared as a decoction, taken once daily, or up to five times the dose and made into pills with honey, taking 1–2 pills each morning and evening with warm water. For cold uterus, add Ginger, Cinnamon, and Aconite; for heat in the uterus, add Motherwort, Earth Bone Peel, and Red Cortex; for abdominal pain, add Ligusticum Chuanxiong, and Poria. The formula’s mnemonic is: “Du, Tu, Jiao, and Cinnamon; Motherwort, Earth Bone Peel, and Aconite for uterine deficiency and cold.”

2. Upper Respiratory Infection & Cough Formula: Fifty years ago, when my father treated my cough, which had persisted for a long time without improvement, he used this formula. Just three doses were enough to eliminate the cough completely. Ingredients include 10g of Mulberry Leaves, 20g of Chrysanthemum Flowers, 6g of Pinellia, 6g of Tangerine Peel, 12g of Poria, 6g of Ledebouriella, 10g of Herba Schizandra, 10g of Flos Lonicerae, 20g of Platycodon, 6g of Licorice, 10g of Ephedra, 10g of Apricot Kernel, 20g of Raw Gypsum, 10g of Roasted Loquat Leaves, 10g of Zhejiang Bezoar, 10g of Mint. This formula is quite common, yet Loquat, Bezoar, and Mint are valuable herbs—each of the three herbs begins with the letter “B,” so it could be called the “Three B Soup.”

Effective Formulas for Alopecia Areata, April 15, 1998

I’ve treated patients with this condition using a combination of Eucommia ulmoides, two types of Polygonum cuspidatum, Goji Berries, Morus Alba, and Bai Ti Li; I’ve also used Tu Si Zi, He Shou Wu, Four Substances, Two Types of Polygonum cuspidatum, Bai Ti Li, Earth Bone Peel, Papaya, and Licorice; another formula includes Dan Pi, Gardenia, Sheng Di, Yuan Shen, Mai Dong, Herba Schizandra, Red Flower, Dry Lotus Root, and Lotus Rhizome. The formula’s mnemonic is: “Dan, Ji, and Jing; Herba Schizandra and Red Lotus Root help promote hair growth quickly.”

Chronic Pharyngitis, May 4, 1998

10g of Mulberry Leaves, 10g of Apricot Kernel, 6g of Pinellia, 6g of Tangerine Peel, 12g of Poria, 6g of Licorice, 10g of Citrus Peel, 10g of Bai Qian, 10g of Qian Hu, 10g of Gong Ying, 10g of Baizhang, 6g of Fresh Plum, 10g of Hawthorn, 10g of Cowherb, 10g of Roasted Loquat Leaves, 10g of Zhejiang Bezoar, 10g of Mint, 15g of Winter Bamboo, 15g of Mai Dong, 10g of Plumbago, 10g of Herba Schizandra, 10g of Gou Lou, 10g of Aster, 10g of Eupatorium, 10g of Herba Schizandra, 10g of Gou Lou, 10g of Gou Lou, 10g of Zhejiang Bezoar, 10g of Mint, 10g of Peilan, 10g of Thyme, 15g of Winter Bamboo, 10g of Gou Lou, 10g of Zhejiang Bezoar, 10g of Mint, 10g of Peilan, 10g of Thyme, 10g of Gou Lou, 10g of Gou Lou, 10g of Zhejiang Bezoar, 10g of Mint, 10g of Peilan, 10g of Thyme, 10g of Gou Lou, 10g of Gou Lou, 10g of Zhejiang Bezoar, 10g of Mint, 10g of Peilan, 10g of Thyme, 10g of Gou Lou, 10g of Gou Lou, 10g of Zhejiang Bezoar, 10g of Mint, 10g of Peilan, 10g of Thyme, 10g of Gou Lou, 10g of Gou Lou, 10g of Zhejiang Bezoar, 10g of Mint, 10g of Peilan, 10g of Thyme, 10g of Gou Lou, 10g of Gou Lou, 10g of Zhejiang Bezoar, 10g of Mint, 10g of Peilan, 10g of Thyme, 10g of Gou Lou, 10g of Gou Lou, 10g of Zhejiang Bezoar, 10g of Mint, 10g of Peilan, 10g of Thyme, 10g of Gou Lou, 10g of Gou Lou, 10g of Zhejiang Bezoar, 10g of Mint, 10g of Peilan, 10g of Thyme, 10g of Gou Lou, 10g of Gou Lou, 10g of Zhejiang Bezoar, 10g of Mint,......Daily dose of 150 mg, with 10 g per course; alternatively, 200 mg IV qd, with a 2-week course, combined with hormones, traditional Chinese medicine, and Xiaofeng Chushi capsules. In summary, CLL is a highly differentiated blood cancer with a relatively low malignancy grade and poor sensitivity to combination chemotherapy. High-dose chemotherapy can damage the body, potentially worsening the condition or even leading to death. Recently, some foreign reports have suggested the use of combination chemotherapy regimens such as M, though this remains a subject of ongoing debate.

Vitiligo Formula, April 12, 1998

Bai Shao 20g, He Shou Wu 20g, Han Lian Cao 20g, Zi Cao 20g, Guan Zhong 15g, Cang Zhu 6g, Dan Shen 20g, Ku Shen 20g, Bai Ti Li 30g. The formula: Bai Shou, Han Lian, Zi Cao, Cang Zhu, Dan Shen, Ku Shen, Bai Ti Li.

True Polycythemia, April 15, 1998

This condition is a bone marrow proliferative disorder that affects both stem cells and the three major cell lineages—red, white, and platelet—resulting in elevated levels across all three. Bone marrow aspiration reveals complete bone marrow hyperplasia, which is often seen in conjunction with aplastic anemia, where one side shows active proliferation while the other exhibits dysplasia. Clinically, we observe increased numbers of all three cell lineages, with hepatosplenomegaly, particularly prominent in the red cell lineage. Red blood cell counts rise, hemoglobin levels increase, along with elevated hematocrit (HCT) and red blood cell distribution width (RDW). Platelet counts also increase, as do white blood cell counts. Patients may experience facial flushing, headaches, fatigue, skin itching, decreased vision, and numbness in the limbs. Treatment options include oral phosphorus 32 as the first-line treatment, taken at 2 curies twice daily, with each course lasting one week; after a one-week break, the medication can be resumed. A small number of patients may benefit from maraline or taxol.

Hemochromatosis, April 15, 1998

This condition is also known as hepatic porphyrin disease or hemoporphyrinuria. Its primary symptom is abdominal pain caused by porphyrin metabolism disorders. The pain is intense but often lacks obvious physical signs; it can occur in various locations, sometimes recurring and sometimes subsiding, lasting for several days at a time—though most cases last only a few hours, with rare instances lasting up to 1–2 hours. During episodes, urine appears dark brown, yet routine urinalysis shows no occult blood; all three major routine tests remain normal. Liver function abnormalities are common, which is why this condition is referred to as hepatic porphyrin disease. Treatment primarily involves diphenylhydantoin and corticosteroids, though these treatments offer only limited relief or are ineffective. Traditional Chinese medicine formulas like Xue Fu Zhu Yu Tang and Ge Xia Zhu Yu Tang are effective treatments for this condition.

Fever-Reducing Formulas for Leukemia, April 15, 1998

Leukemia, especially acute leukemia, often presents with fever due to the disease itself, in addition to fevers triggered by colds or infections. In the 1970s, I treated Li Ying, a 15-year-old employee’s daughter at Lanzhi Railway Station, who suffered from ALL and experienced persistent high fever accompanied by excessive sweating, despite antibiotic treatment. I prescribed Qinghao Biejia Tang combined with Baihu Tang, adding 10g of fresh Huoxiang, 10g of fresh Peilan, 20g of fresh Lotus Leaf, 10g of fresh Bamboo Leaves, 10g of tender Bamboo Shoots, 20g of fresh Reed Root, 20g of fresh Reeds, and 6g of Poria. After three doses, her fever significantly subsided. This formula was developed based on Mr. Yue Meizhong’s Qi Xian Tang, employing the principle of “water treating fire.” Another case involved Lu Ning, son of a member of the Gansu Provincial Party Committee, who had been treated with chemotherapy but continued to suffer from high fever and excessive sweating for more than ten days, despite antibiotics and corticosteroids. I proposed a formula consisting of 10g of Mulberry Leaves, 10g of Chrysanthemum Flowers, 20g of Honeysuckle, 20g of Forsythia, 20g of Platycodon, 20g of Reed Root, 10g of Apricot Kernel, 30g of Raw Gypsum, 10g of Anomoea, 30g of Japonica Rice, 10g of Huoxiang, 10g of Peilan, and 10g of Bamboo Leaves. After five doses, his fever subsided. In conclusion, Huoxiang, Peilan, Bamboo Leaves, Platycodon, Reed Root, Lotus Leaf, Bamboo Leaves, and Bamboo Shoots are all excellent herbal remedies for reducing fever in cases of reactive fever.

Several Important Experience Formulas, April 15, 1998

1. Yulin Zhu: As the name suggests, “Yulin” signifies the precious nature of this formula—like a pearl held in one’s hand. It contains 10g of Dang Gui, 10g of Bai Shao, 6g of Chuan Xiong, 12g of Sheng Di, 10g of Dang Shen, 10g of Bai Zhu, 12g of Fuling, 6g of Gan Cao, 10g of Lu Jiao Shuang (dissolved), 10g of Tu Si Zi, 10g of Du Zhong, and 10g of Chuan Jiao. This formula can be prepared as a decoction, taken once daily, or it can be made into pills by diluting with honey at a ratio of 5 times the amount of the raw material, taking 1–2 pills each morning and evening with warm water. For those with cold uterus, add ginger, cinnamon, and angelica root; for those with heat in the uterus, add Motherwort, Earth Bone Skin, and Red Cortex. For abdominal pain, add Ligusticum chuanxiong and Poria cocos. The formula’s mnemonic is: “Du, Tu, Jiao, and Poria; Motherwort and Earth Bone Skin, plus Angelica Root and Cinnamon,” for those with uterine deficiency and cold.
2. A Formula for Cold and Cough: Fifty years ago, when my father treated a patient with chronic cough that had not responded to conventional treatments, he used this formula, which cured the patient after just three doses. It included 10g of Mulberry Leaves, 20g of Chrysanthemum Flowers, 6g of Pinellia, 6g of Tangerine Peel, 12g of Poria, 6g of Bupleurum, 10g of Perilla, 10g of White Peony, 10g of Aster, 20g of Platycodon, 6g of Licorice, 10g of Ephedra, 10g of Apricot Kernel, 20g of Raw Gypsum, 10g of Roasted Loquat Leaves, 10g of Zhejiang Bezoar, 10g of Mint. While this formula is quite common, Loquat, Bezoar, and Mint are valuable herbs—each of the three herbs begins with the letter “B,” so it could be called the “Three B Soup.”
3. A Formula for Alopecia Areata, April 15, 1998

I have treated patients with this condition using a combination of Eucommia ulmoides, two types of Goji berries, wolfberry, black cohosh, and white peony; I’ve also used Tu Si Zi, He Shou Wu, four ingredients, two types of Goji berries, earth bone skin, papaya, and licorice; another formula includes Dang Shen, Gardenia, Sheng Di, Yuan Shen, Mai Dong, Jing Jie Suo, Red Flower, Dry Lotus Root, and Lotus Rhizome. The formula’s mnemonic is: “Dang Shen and Gardenia increase fluid, Jing Jie Suo increases the flow of blood, and Red Flower and Dry Lotus Root accelerate hair growth.” 4. Chronic Pharyngitis, May 4, 1998

10g of Mulberry Leaves, 10g of Apricot Kernel, 6g of Pinellia, 6g of Tangerine Peel, 12g of Poria, 6g of Licorice, 10g of Citrus Peel, 10g of White Peony, 10g of Perilla, 10g of Herba Lysimachiae, 10g of Verbena, 6g of Fresh Ginger, 10g of Ume Plum, 10g of Cornus Fruit, 10g of Cowherb, 10g of Roasted Loquat Leaves, 10g of Zhejiang Bezoar, 10g of Mint, 15g of Asparagus, 15g of Mai Dong, 10g of Bupleurum, 10g of Gouguo, 10g of Purple Flower, 10g of White Peony. Note: Itching in the throat often triggers paroxysmal cough! This condition is characterized by a sensation of phlegm in the throat, making it difficult to stop coughing—coughing sounds like barking dogs. Upon closer examination, the throat only shows a slight increase in filter-like lesions, with relatively mild inflammation. 5. Submandibular Malignant Mixed Tumor, May 4, 1998

Professor Zhu Zengbo from Hubei College of Traditional Chinese Medicine treated this condition with large doses of 100g each of Summer Herb and Snake Tongue Grass, along with 30g each of Seaweed and Kelp. Although I believe the dosage should not be too high, the formula still holds promise. 6. Lung Cancer Remedies, May 4, 1998

Professor Li Jiren and Professor Cheng Yifu from Wuhu Medical College in Anhui Province compiled “Experiences in Treating Cancer by Famous Old Chinese Doctors,” which included 16 cases of lung cancer. Looking at all the cases, common medications included: ① Nourishing Yin and Moistening the Lung: North Sand Ginseng, Mai Dong, Asparagus, Five-flavor Berry, American Ginseng, Sheng Di, Cordyceps; ② Clearing Heat and Detoxifying: Snake Tongue Grass, Half-Branch Lily, Snake Six Grains, Fishy Herb, Chonglou, Summer Herb; ③ Softening and Dispersing Knots: Zhejiang Bezoar, Mountain Iris, Three-Edge Polygon, Osteospermum, Seaweed, Raw Job's Tears, Winter Melon Seeds, Sea Mussel Powder, Purple Flower; ④ Stopping Bleeding: Crane Grass, Three-Seven, White Lichen. Among them, Zhu Zengbo used a formula composed of Poria, Dang Shen, Bai Zhu, Chinese Yam, Broad Bean, Winter Melon Seeds, Cordyceps, North Sand Ginseng, White Lichen, Snake Tongue Grass, Native Tuber, Three-Seven, Osteospermum, Three-Edge Polygon, Sea Mussel, White Flower, Dan Shen, Raw Job's Tears; this formula aligns well with my own experience in treating lung cancer. 7. Reconsidering Multiple Myeloma (MM), May 6, 1998

The cause of this disease is often linked to asbestos lung, viral infections, or radioactive substances. Clinically, it commonly affects men between the ages of 40 and 60, with a male-to-female ratio of approximately 2:1. The main clinical manifestations include anemia, bone pain, feeling cold, osteolytic changes, and may also be associated with hyperuricemia and renal failure. Cold intolerance can develop into Raynaud’s phenomenon, characterized by spasms in the extremities. Laboratory tests reveal reduced hemoglobin levels, decreased platelets, markedly elevated ESR, increased serum calcium levels, elevated total plasma protein levels, imbalanced albumin-to-globulin ratios, increased globulins, increased M proteins, elevated IgE, IgG, and IgA levels, positive results in the本周氏 test, and an increase in plasma cells in peripheral blood. Early detection through X-rays, CT scans, and MRIs can reveal osteolytic changes. Treatment options include PAM as the best choice for this condition, with CTX and VCR as complementary medications; Corticosteroids and other hormonal therapies can also be used. 8. Annual Osteoporosis, May 19, 1998

As people age, the sex glands begin to decline in their secretions. With lower levels of estrogen and testosterone, the adrenal cortex often becomes overactive, suppressing sex hormone production. When sex hormone levels are insufficient, the adrenal cortex produces excess cortisol, leading to central obesity and bone demineralization. On the other hand, as aging progresses, the parathyroid gland functions decline, resulting in hypocalcemia. These underlying mechanisms can directly impact bone health; in severe cases, fractures may occur, with the most common type being compression fractures of the spine. Paralysis-like symptoms may even develop. Treatment options include calcium supplements, estrogen therapy, ethinylestradiol, testosterone, vitamin D, and rest. Additional notes: Individuals with central obesity often have elevated adrenal cortical levels, leading to heightened emotional states, irritability, and an increased risk of hypertension and diabetes. Conversely, individuals with balanced bodies are less prone to these issues. Teenage girls, whose estrogen levels are high during puberty, tend to have relatively lower adrenal cortical function, thus avoiding central obesity—and maintaining a slender figure. 9. New Insights into Chronic Glomerulonephritis, May 20, 1998

In the spring of the Year of the Tiger, I treated Wang, a railway bureau employee who had suffered from chronic glomerulonephritis for many years, with no improvement despite numerous treatments. After taking White Marsh Root, Stone Reed, Jisheng Shenqi, Tu Si Zi, Ba Ji Tian, Yin Yang Huo, Poria, Dan Shen, Job’s Tears, Buddha’s Hand, Hou Pu, Huo Shi, Huo Xi, Dry Lotus Root, and other herbs, after 10 doses, his protein levels dropped from ++++ to +, and after another 10 doses, the protein was completely cleared. This formula was once known by a mnemonic: “White Stone, Jisheng, Ba, Xian, Shen, Qi, Four Waters, plus Lotus Root.” Another formula included “Stone Pen, White Mushroom, Big Soap, Gold,” “Red Peony, Bad Sauce, plus Fang Feng.” Yet another formula contained “Loquat, Yellow Rabbit, Two Hundred and Four.” These three formulas are considered the “three treasures” for treating kidney problems—each formula suited for patients with kidney deficiency, while the other two were ideal for patients with spleen deficiency. For long-term conditions affecting the meridians, Guizhi Fuling Wan and Yishen Tang were recommended. 10. Traditional Chinese Medicine Treatment for Gastric Cancer, June 1, 1998

Professor Hong Ziyun from Hubei College of Traditional Chinese Medicine treated a patient with gastric mucosal adenocarcinoma, who experienced persistent, severe stomach pain that worsened periodically, accompanied by a burning sensation. The patient used Sichuan Pepper, Dried Ginger, Asarum, Ume Plum, Huang Lian, Pinellia, Poria, Dan Shen, Job’s Tears, Buddha’s Hand, Hou Pu, Turmeric, Red Peony, Bad Sauce, Half-Branch Lily, and other herbs, brewed into a decoction. After seven doses, his condition improved significantly, and all symptoms disappeared. Note: This formula was a modification of the Ume Plum Pill. Sichuan Pepper, Dried Ginger, Asarum, Ume Plum, Huang Lian—these ingredients were key components of the Ume Plum Pill. Pinellia, Hou Pu, Job’s Tears, and Poria worked on the stomach, helping to eliminate dampness and descend rebellious qi, restoring stomach energy. Dan Shen, Red Peony, and Turmeric promoted blood circulation and resolved stagnation, specifically targeting long-standing blockages in the stomach. Bad Sauce and Half-Branch Lily helped clear heat and detoxify, thereby alleviating inflammation in the stomach. Mnemonic: “After the Ume Plum Pill, Golden Dan Shen and Poria; Pinellia, Hou Pu, Job’s Tears, and Bad Sauce—these combinations are perfectly suited for relieving stomach pain in gastric cancer patients.” 11. Treatments for Insomnia, June 28, 1998

In the summer of the Year of the Tiger, I treated an elderly woman who had suffered from insomnia for many years, despite seeking treatment from countless doctors. I examined her pulse and found signs of arteriosclerosis, with blood pressure reaching 150/100 mmHg. I prescribed the following formula: Pinellia, Qianghuo, Xiangru, Raw Job’s Tears, Woodlice Grass, Duhuo, Weilingxian, Zhimu, Poria, Chuanxiong, Fried Hawthorn Seeds, Pistacia Seed, Acacia Bark, Longan Peel, Night-Blooming Jasmine, Raw Lishou. After seven doses, her condition improved significantly, and her chronic illness was completely resolved in just one day! The patient expressed gratitude to me, saying, “Sir, you truly are a divine doctor!” I usually combine the Gui Pi Tang with the Suo Zao Ren Tang for insomnia, a common formula used in official medical practice—but it only works for patients with low blood pressure! Later, I added Summer Herb, Raw Oyster, Bai Shao, Licorice, Ligustrum, Five-flavor Berry, Poria, Far Eastern Ginseng, and Longan Seeds; I also incorporated Summer Herb, Raw Oyster, Bai Shao, Scutellaria, Pinellia, Dan Shen, Poria, and Longan Seeds. 12. Analysis of Nasopharyngeal Cancer Cases, July 2, 1998

The relationship between nasopharyngeal cancer and EB virus has been clearly established: in high-incidence areas, the positive rate of EB virus complement fixation antibodies is significantly higher than in low-incidence areas. China’s high-incidence regions are located in the Pearl River Delta. EB virus is a herpesvirus discovered by Epstein in 1964. While this virus is widely prevalent among humans, its incidence is relatively low. Therefore, further research is needed to determine the exact relationship between EB virus infection and nasopharyngeal cancer. Early symptoms of nasopharyngeal cancer sometimes manifest as unilateral proptosis, which must be carefully distinguished from intracranial diseases. Nasopharyngeal cancer is the most common tumor in the head, typically occurring between the ages of 30 and 60, with males being more frequently affected than females, in a ratio of 2.5:1. Low-grade squamous cell carcinoma accounts for 85.6% of cases, and metastasis to cervical lymph nodes can occur early on; in advanced stages, metastasis to bones, liver, and lungs may occur. The 5-year survival rate after radiation therapy is around 50%. 13. Bone Metastatic Cancer, July 5, 1998

85% of bone metastatic cancers originate from breast cancer, prostate cancer, or lung cancer. Two-thirds of breast cancer cases, half of prostate cancer cases, and one-third of lung cancer cases can develop bone metastases. Bone metastases most commonly occur in the proximal parts of long bones, followed by the spine. Clinical symptoms often present as bone pain, though pathological fractures can also occur—though they are relatively rare. Treatment primarily focuses on chemotherapy and radiation therapy, with surgery rarely employed. Recently, nuclear medicine therapy has gained popularity, offering the best option for treating bone metastases. 14. Case Study of Xin Lan Ying from Eji Banner, Inner Mongolia, July 5, 1998

In the spring of the Year of the Tiger, Xin Lan Ying, a middle school teacher from Inner Mongolia, was diagnosed with a 3 cm × 4 cm lesion in the left lower lobe of her lung, accompanied by blood in her sputum and chest tightness and cough. She had been suffering from this condition for over a year, with negative tumor markers and negative cytology results from six sputum smears. Her condition had persisted for nearly a year. Upon reviewing the imaging, I observed that the lesion was not deeply dense and showed no typical spicules. I concluded that it was an inflammatory pseudotumor. After one month of antibiotic treatment, the lung lesion became lighter, and her cough eased. Radiologists noted that the lung mass required further investigation. After discharge, I instructed her to return for a follow-up exam in one month. However, she was unable to come for the checkup in time due to her children’s exams. A phone call revealed that her condition had not fully recovered—she still experienced intermittent cough, fever, or occasional blood in her sputum. One year later, she returned for a consultation, and a biopsy confirmed that she had lung cancer, specifically high-grade adenocarcinoma. In future cases like this, we should proceed with caution! Proceed with caution! 15. Revisiting Lung Cancer, July 10, 1998

Lung cancer is the most common cancer among men, ranking first among all cancers. The male-to-female ratio is 6:1, indicating that women are less likely to develop lung cancer. Smoking, asbestos, and heavy metal salts are risk factors for lung cancer. Here, we should recognize the significance of asbestos lung and the close relationship between multiple myeloma (MM) and asbestos. The pathology of lung cancer shows that squamous cell carcinoma accounts for about half, while adenocarcinoma and undifferentiated tumors make up the other half. Some studies report that adenocarcinoma is more common than “undifferentiated,” while others suggest that “undifferentiated” is more common than adenocarcinoma. The term “undifferentiated” refers to undifferentiated cancer; squamous cell carcinoma and “undifferentiated” often appear in the center of the tumor, while adenocarcinoma tends to be more peripheral. Squamous cell carcinoma is more common in men aged 50–60, whereas “undifferentiated” is more prevalent among young men. Adenocarcinoma, on the other hand, is more common in women. Diagnosis of this disease relies on: ① Medical history: Lung cancer without treatment has a 1-year survival rate of around 50%. Some statistics show that surgical treatment has a 1-year survival rate of 73.3%, while chemotherapy alone has a 36% survival rate; without treatment, the 1-year survival rate is less than 10%. Surgical treatment combined with chemotherapy can achieve a 97% survival rate (Practical Oncology Clinical Practice, page 120), which is characteristic of non-small cell lung cancer. Small cell lung cancer, however, has an average survival time of less than six months, but this disease is highly sensitive to chemotherapy drugs—after treatment, the 1-year survival rate can reach 50%, while without treatment, the average survival is less than six months. ② Chest X-ray: Lobulation, spicules (radiographic coronas), high density, and peripheral blur are the four main characteristics. Due to varying clinical experiences and practices, doctors’ interpretations differ slightly; clinicians should adapt their approach based on individual circumstances and not rely solely on radiological diagnosis as the sole basis for diagnosis. ③ CT scans are superior to X-rays for diagnosing lung cancer, providing a layered view that is particularly useful when the nature of a mass cannot be determined. At the same time, cancer markers such as Fe protein, carcinoembryonic antigen, and β antibody are valuable for diagnosing lung cancer. 16. Progressive Muscular Dystrophy, July 22, 1998

The cause of this disease remains unclear, but it is generally classified into three types: ① False Hypertrophy: Common in children under 10 years old, where muscles in the hips, shoulders, and lower legs become weak, yet false hypertrophy may occur—this phenomenon is most commonly seen in the calf muscles. ② Shoulder Girdle Type: This type is more common in adolescents and young adults, characterized by atrophy and weakness of the deltoid muscle and gluteus maximus, leading to difficulty in movement, even to the point of being bedridden. ③ Facial and Limb Type: This type can occur in middle-aged and young adults, where facial muscles atrophy and become weak, often exhibiting characteristics similar to type ②. Typically, CPK and PK are specific diagnostic markers for this disease; CPK stands for creatine kinase, while PK stands for pyruvate kinase. Western medicine currently lacks specific treatments for this disease; some patients have tried adding insulin to glucose to nourish muscles, but no significant therapeutic effect was observed. Others have used Galantamine, but again, no remarkable results were achieved. Traditional Chinese medicine views this disease as part of the “withering” category and recommends Zhang Xichun’s Zhenwei Tang: Astragalus, Cornus fruit, round meat, processed milk powder, walnut kernel, native earthworm, deer antler glue, belladonna, and Dang Gui. The formula’s mnemonic is: “Add milk powder to the blood-tonifying soup, and use native earthworm, horse antler glue, and turtle shell.” 17. Oral Ulcers Can Cause Low Fever, July 28, 1998

Little girl Pei Xinhua had a persistent high fever after returning from Beijing, having previously shopped in Beijing during her trip, where heavy rain poured down and her clothes were thin, causing her to feel cold and wind-stricken. After combining traditional Chinese and Western medicine, her fever subsided, and her body recovered. However, her body temperature fluctuated between 36.5°C and 37.2°C. Upon closer examination, ulcers appeared in her mouth. I realized that I could treat her with a formula based on Xie Huang San, and after two doses, her fever returned to normal. 18. Endoscopic Therapy in the Digestive System, July 30, 1998

Endoscopic procedures in the digestive system were traditionally used for diagnosis, but in recent years, they have increasingly been used for treatment as well. The most commonly used and highly effective methods include gastroscopy for removing foreign objects and polyps; upper gastrointestinal endoscopy for stopping bleeding—when esophageal varices are present, ligations and sclerosants can be used simultaneously, achieving significant hemostatic effects and completely replacing the traditional three-cavity, two-bag method for hemostasis. Endoscopic stenting for esophageal cancer or late-stage cardia cancer has short-term efficacy; placing an endoscopic stent after surgery can keep the esophagus open, ultimately extending life. Endoscopic surgery for gallbladder removal has been widely adopted domestically; besides the gallbladder, other organs such as the appendix, kidneys, and uterus can also be removed. Endoscopic lithotripsy can be used to treat intrahepatic bile ducts, and it can also expand narrow bile ducts—nowadays, this is a good method for addressing complex bile duct problems. However, surgical complications are still unavoidable; the mortality rate for gallbladder removal is 1%, while the complication rate for bile duct trauma ranges from 2% to 6%, with cases of bile duct bleeding, acute inflammation, and necrotizing pancreatitis also being common. 19. Latest Diabetes Medication—Bayglucin, July 30, 1998

In 1995, Bayer’s China Pharmaceutical Division held a press conference in Beijing titled “Alpha-Glucosidase Inhibitors—Bayglucin,” marking a new era in diabetes treatment, with groundbreaking significance. Previously, diabetes medications were categorized into two groups: ① biguanides; ② sulfonylureas. Bayglucin’s emergence was a unique development, and it can be considered a third class of medications. Bayglucin is an oral hypoglycemic drug, suitable for type 1 diabetes, but it is also effective for type 1 diabetes. 20. Overview of Bone Marrow Diagnosis for Leukemia, July 30, 1998

Acute leukemia: There is a marked or extreme increase in nucleated cells (this is what is known as bone marrow hyperplasia). 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: Life is lively), in classification, the presence of more than 30% primitive cells is a characteristic; those predominantly composed of granulocytes are referred to as acute

granulocytic leukemia. In acute granulocytic leukemia, if primitive cells account for more than 90%, it is classified as M1; if primitive cells make up more than 30%, it is classified as M2; M3 represents early myeloid leukemia with primitive cells accounting for more than 30%; M4 indicates that both primitive monocytes and early myeloid cells exceed 30%; M5 signifies that primitive monocytes account for more than 30%; M6 denotes that the red system exceeds 30%, while primitive monocytes also exceed 30%; M7 indicates that primitive large cells account for more than 30%. Acute lymphoblastic leukemia: primitive lymphocytes account for more than 30%–20%, L1 shows small cells, L2 presents large cells (inconsistent), and L3 displays large cells (consistent).

Chronic leukemia: in the bone marrow, immature cells are predominantly intermediate and late myeloid cells, with primitive cells not exceeding 10%.

Indicators of chronic leukemia transitioning to acute: when primitive cells exceed 6%, it is considered suspicious; between 10% and 30%, it is classified as an acute phase; above 30%, it is considered an acute transition phase. Complete remission is defined as primitive cells accounting for less than 5%.

Octreotide for the Treatment of Upper Gastrointestinal Hemorrhage – July 30, 1998

Octreotide is currently the preferred medication for treating upper gastrointestinal bleeding (EVB, esophageal variceal hemorrhage; GMb, other upper gastrointestinal hemorrhages). Administer 0.1 mg per vial, first diluting 0.1 mg in 20 ml of NS for intravenous infusion, then adding 0.2 mg to 500 ml of NS for intravenous infusion; this treatment can be continued for up to 2 weeks, with a total dose reaching up to 3 mg. The emergence of this medication has significantly shifted the treatment paradigm away from traditional, classic methods such as three-cavity, two-bag compression hemostasis and pituitary posterior lobe oxytocin therapy for upper gastrointestinal hemorrhage. Octreotide’s hemostatic efficacy lies in reducing PV pressure and decreasing blood flow into the submucosal layer of the upper gastrointestinal tract.

Rejuvenation and Repair of Hepatitis B – August 3, 1998

10 g of川牛膝, 30 g of Dan Shen, 10 g of Mai Dong, 6 g of Zhi Gan Cao, 12 g each of Sheng and Shu Di, 15 g of Bai Shao, 6 g of Cang Mu, 15 g of Long Kui, 15 g of Hu Zhang, 30 g of Huang Qi, 10 g of Qin Tiao, 15 g of Ban Lan Gen, 10 g of Dang Gui, 20 g of Huang Jing, 10 g of Dang Shen, 10 g of Ze Xie, 10 g of Shan Yao, 20 g of Shen Qu, 15 g of Jun Chen, 6 g of Yu Jin, 20 g of Ju Er, 10 g of Yuan Hu, 10 g of Chuan Lian Zi, 10 g of San Ling, 10 g of E Zhu, 6 g of Rou Gui—this formula incorporates San Ling, E Zhu, Qing Pi, Rou Gui, and Yu Jin. Patients with significant liver function impairment often experience pain in the hepatic region, along with changes in the four-fiber tests; by adjusting the formula accordingly, we can enhance its analgesic effects while also promoting protection against liver cirrhosis.

Treatment of Alopecia Areata – August 3, 1998

Previously, I used Yigong San with modifications, which proved effective in treating this condition. Recently, I read in “China’s Clinical Handbook of Integrated Traditional and Western Medicine” that this formula should be based on Taohong Siwu Tang, with additions of Bai Zhi, Yin Yang Huo, Sheng Ma, Bo Zi Ren, Yuan Zhi, Tu Si Zi, etc. Bai Zhi dispels wind, as it is precisely the wind that can reach the top of the head; Sheng Ma helps medicines ascend to the upper layers of the body, while Tu Si Zi and Yin Yang Huo strengthen yang energy and eliminate yin stagnation. Combined with previous uses of Nü Zhen Zi, Sheng Di, Han Lian Cao, Gou Qi Zi, He Shou Wu, Bai Ti Li, Ce Bai Ye, Po Guo Zhi, this formula can be considered a comprehensive approach to treating hair loss.

Reconsidering Jaundice – August 6, 1998

The total bilirubin level in the blood should not exceed 1 mg, with direct bilirubin not exceeding 0.2 mg and indirect bilirubin not exceeding 0.8 mg—meaning the indirect bilirubin is approximately four times the direct bilirubin. Direct bilirubin refers to conjugated bilirubin, which is formed after liver processing through the combination of two glucose molecules; this type of bilirubin can be filtered through the glomeruli, and it is often associated with obstructive jaundice. Indirect bilirubin, on the other hand, is non-conjugated bilirubin—a free form of bilirubin released when red blood cells rupture and fail to bind to glucose molecules; this type of bilirubin is more commonly associated with hemolytic jaundice. Liver-induced jaundice is characterized by the presence of both direct and indirect bilirubin, with a direct-to-indirect ratio of around four to one.

Heart Auscultation Area – August 7, 1998

The aortic valve auscultation area is located in the right second intercostal space at the sternal manubrium; the second aortic valve auscultation area is situated in the left second to third intercostal spaces; the pulmonary artery valve auscultation area is located in the left second intercostal space beside the sternal manubrium. Although these are simple issues, they are often overlooked, so it’s important to remember them to prevent future confusion.

Recent New Effective Medications – August 20, 1998

1. Fudan Xin: A combination of cefoxitin and sodium bicarbonate, containing 0.5 g per vial, administered via intravenous drip at 2 g daily, with each dose being 2 g; it is effective against a wide range of Gram-positive and Gram-negative bacteria, particularly suitable for patients with antibiotic resistance.

2. Prilosec (Cisapride): For symptoms such as fullness in the digestive tract, belching, acid reflux, nausea, upper abdominal pain, or heartburn. Take 5 mg, tid, PO.

3. Hua Su Tablets: Used for infections of the oral cavity, periodontium, gums, and throat; also effective against fungal infections and lichen planus. Under the action of oral saliva, active iodine is rapidly released, killing various microorganisms including those mentioned above. Take in tablet form.

4. Xibilin: Capsules, a new medication for treating migraines. Take 1 capsule each night, for long-term use. In addition to treating migraines, it can also help alleviate dizziness.

5. Spironolactone: 100 mg capsules, taken once daily, 200 mg each time, demonstrating significant efficacy against deep-seated fungal infections and oral candidiasis.

6. Temani: A broad-spectrum antibiotic, a third-generation quinolone-based antibacterial drug. Similar products include Talvid, a third-generation product of pipemidic acid.

7. Qiangli Ba Fu Ning: A new medication for headaches, chosen as a first-line analgesic. Each tablet contains 50 mg, take 1–2 tablets at a time, 3–4 times daily.

8. Kaibo Tong: A novel antihypertensive medication, with additional functions to protect the liver, kidneys, brain, and blood vessels, slowing down the progression of arterial atherosclerosis; it can also improve glucose metabolism and overcome insulin resistance.

9. Tianda Capsules: The most effective new medication for treating autonomic dysfunction; indications include isolation, suspicion, depression, irritability, insomnia with frequent dreams, memory decline, lack of concentration, elevated blood lipids, osteoporosis, joint and muscle pain, dry skin.

10. Loten Xin (Benazepril): Protects the kidneys while lowering blood pressure; a third-generation angiotensin-converting enzyme inhibitor, with functions including blood pressure reduction, cardiac strengthening, diuresis, and kidney protection. Take 20 mg per tablet daily, 1 tablet per day, with a course of 2 weeks; 14 tablets constitute a pack, clearly indicating the dosage instructions.

11. Damaikang: Suitable for type II diabetes, taken 80 mg per tablet twice daily, especially for obese patients with cardiovascular disease. Contraindicated for severe ketoacidosis, pregnant women, or patients with liver or kidney dysfunction.

12. Fenikang: A new ibuprofen formulation, taken 1 tablet in the morning and evening.

13. Losi Ke: A pain reliever for the upper digestive tract, specifically designed for gastric and duodenal ulcers.

Case Study: Minister Yang Limin’s Insomnia – September 23, 1998

In the autumn of Wuyin, Minister Limin sought treatment for his long-term insomnia. Previously, he often took tranquilizers, allowing him to sleep for only two or three hours at a time. After a thorough examination, aside from slow and reduced cerebral blood flow, no other ailments were found. His pulse was strong and powerful, with symptoms including bitter mouth, dry throat, irritability, insomnia, discomfort in both flanks, a red tongue with a thin coating, and a history of external injuries affecting six ribs—though without displacement, with good recovery. A prescription was prescribed: Dang Gui, Chuan Xiong, Chi Shao, Sheng Di, Tao Ren, Hong Hua, Chai Hu, Zhi Shi, Jue Yi, Gan Cao, Niu Xi, Zhi Mu, Fu Shen, Yuan Zhi, Chao Zao Ren, Bo Zi Ren, Huang Qin, Sheng Long Mu, Xiang Ru, Sheng Yi Ren, Zhu Sha, Sheng Shi Gao, Huang Lian. After seven doses of the medicine, his symptoms greatly improved, his sleep increased to 5–6 hours per night, his appetite returned, his mental state improved, and he only experienced flank pain twice. The formula was adjusted to remove the Xue Fu Zhu Yu Tang, adding Tong Mai Ling, Suan Zao Ren Tang, Ban Qiang He Ji, Ding Xin Tang, Chai Hu Jia Long Gu Mu Li Tang: Chi Shao, Chuan Xiong, Hong Hua, Jiang Xiang, Dan Shen, Zhi Lu Mo, Mu Che Cao, Sheng Rou Di, Yu Jin, Zhi Mu, Fu Shen, Yuan Zhi, Chao Zao Ren, Bo Zi Ren, Ban Xia, Qiang Du Hu, Xiang Ru, Yi Ren, Wei Ling Xian, Dang Shen, Huang Lian, Da Zao. This formula was taken for 10 doses. This formula aimed to treat cerebral and coronary artery atherosclerosis through Tong Mai Ling, as arteriosclerotic lesions often lead to insomnia, headaches, and chest discomfort; it was essential to clear the meridians and unblock the blood flow to address the root cause. The root of insomnia lies in the heart and brain—both the heart’s blood vessels and the brain’s blood vessels may become blocked, leading to insomnia; Chai Hu Jia Long Gu Mu Li Tang focused on alleviating symptoms by clearing the mind and relaxing the chest. Ding Xin Tang, Suan Zao Ren Tang, and Ban Qiang He Ji formed a three-layered defense, advancing step by step, wave after wave, aiming to calm the mind and soothe the spirit, with the ultimate goal of victory. While this formula had its strengths, its complexity made it difficult to digest for some patients! However, it turned out that the previous medications did not harm the stomach, indicating that the patient’s spleen and stomach were still healthy and could tolerate the treatment. One week after starting the formula, there were no further calls, but we anticipated good news soon! As I wrote this, I called Minister Limin to inquire about his progress; he informed me that the medication was effective, his condition was stabilizing, and after three doses, he came for a follow-up visit!

Mother of Vice County Chief Yang Baozhen – October 2, 1998

The patient suffered from ovarian cancer combined with ascites. After chemotherapy, her symptoms improved, but on the final day, she developed a fever, with significant rebound tenderness in her abdomen, persisting despite high fever treatments. Even after administering a high dose of antibiotics, the fever continued for three days. After taking Zhuyè Shigao Tang supplemented with Zengye Chengqi Tang, the patient had two bowel movements, and her fever slightly subsided. She then followed with Gui Zhi Fuling Tang combined with Qing Hao Bie Jia San and Zhuyè Shigao Tang, completing five doses, and her fever and overall condition improved.

Treatment of Anemia – October 5, 1998

Initially, she used Dang Chuan San Zi Ji Dan Hong, Hei Shan Long Ma Si Shen Yun, and later incorporated: San Zi He Lian Da Guo Sang, Sheng Di Shan Yu, and other herbs prepared together. Now, looking at the cases treated by Huang Wendong, she used Dang Shen, Bai Zhu, Huang Qi, Zhi Gan Cao, Sheng Di, Shan Yu, Tu Si Zi, Ma Qian Zi, Dang Gui, Bai Shao, Xian He Cao, Lu Jiao Pian, Ba Ji Tian, Da Zao—these formulas were distinguished by the use of Xian He Cao, Lu Jiao Pian, and Ba Ji Tian.

In summary, based on Gui Pi Tang, one can add Sheng Di, Shan Yu, Dang Gui, Bai Shao (four-six), and even include Lu, Tu, Ma, Xian, and Ba—this formula is known as “Lu Tu Ma Xian,” where “six six” refers to the two before “four six”; based on Gui Pi Tang, anemia can indeed be cured.

Two Experiences – October 20, 1998

1. Use of Lumbrical for Brain Infarction: Patient Qu Yueqian suffered from cerebral thrombosis, resulting in hemiplegia. After multiple hospitalizations without significant improvement, he was introduced to Lumbrical No. 2, taken three times daily, with remarkable results. His gait became lighter than before, and he came to see me again, saying, “This medicine is truly miraculous!”

2. Tai Neng for Fever Reduction: Its effectiveness surpassed all previous antibiotics; each vial contained 500 mg, administered via intravenous drip, with adults receiving 2 g daily, divided into two intravenous infusions. Typically, it is recommended to dissolve 250 ml of normal saline in each vial.

Recent Advances in Antihypertensive Medications – October 20, 1998

Early antihypertensive drugs like Jiang Ya Ling, Li Xue Ping, and Magnesium Sulfate were followed by Fudan Pills. These medications all worked by expanding blood vessels; in the 1960s, Beta-blockers like Propranolol emerged; in the 1970s, Ca2+ channel blockers like Nitroglycerin, Nifedipine, and Isordil appeared; in the 1980s, Angiotensin-Converting Enzyme Inhibitors like Captopril (Thiosemicarbazide) and Benazepril (Loten Xin) were introduced; in the 1990s, Nimodipine (20 mg, taken three times daily) emerged.

Treatment of Bone Metastasis – November 5, 1998

Xin Lan Ying had bone metastases from lung cancer, accompanied by severe pain. She received 4–5 injections of Demerol daily, though she became somewhat addicted. After chemotherapy and radiation therapy failed to provide relief, she underwent a 3-day course of 8Sr3m radioactive isotopes, which showed noticeable results within a week—her pain was significantly alleviated, and she was discharged! She was instructed to return for a follow-up exam six months later. This case involved highly differentiated adenocarcinoma; due to the disease’s long duration—three years—biopsies were negative, tumor markers were also negative. Initially, it was thought to be an inflammatory pseudotumor, but after anti-inflammatory treatment, the condition improved. Eventually, bone metastasis occurred, prompting a percutaneous lung biopsy. The diagnosis confirmed highly differentiated lung adenocarcinoma, highlighting that even highly differentiated cancers can metastasize.

Notes on Anemia Treatment – November 6, 1998

When the body receives excessive fluid intake but excretion is insufficient, extracellular fluid increases, causing water to move into cells and increase intracellular fluid volume. This leads to electrolyte dilution and depletion, resulting in symptoms such as hyponatremia and hypokalemia. Treatment involves using diuretics to promote fluid removal, while also replenishing potassium, sodium, and calcium levels.

Re-Understanding Myocardial Infarction (AMI) – December 14, 1998

AMI and angina pectoris both belong to coronary heart disease. The latter presents with brief, short-lived chest pain lasting just a few seconds, whereas AMI is characterized by persistent, intense chest pain that may radiate to the left arm or left shoulder. The duration of a myocardial infarction can extend for several hours or even days; during this time, patients may experience hypotension, increased white blood cell counts, elevated neutrophils, and accelerated erythrocyte sedimentation rates. Additionally, patients may develop complications such as heart failure, pulmonary embolism, or cardiac rupture. Treatment principles include: ① Rest and oxygen therapy; for pain relief, administer Demerol or Strong Pain Relief, and once the pain subsides, rest to reduce myocardial oxygen consumption—this is the primary concern in treating this condition; ② Antibiotics: Antibiotic therapy is essential, as myocardial infarctions can quickly become infected; ③ Coronary Vasodilation: Nitroglycerin 0.2–0.3 mg, dissolved in 10% glucose 40 ml for intravenous infusion, or 5 mg dissolved in 500 ml of 10% glucose for intravenous infusion; for heart pain relief, nitroglycerin can be dissolved in water or taken orally; Beta-blockers like Propranolol and Ca2+ channel blockers like Nitroglycerin can also be used; ④ In cases of shock, Dopamine, Noradrenaline, or Epinephrine can be used; for heart failure, Digoxin or Sydraline can be employed; ⑤ Furthermore, given the potential for myocardial nutritional disorders, insulin 8 units and KCl can be added to 500 ml of hypertonic glucose for intravenous infusion—this is known as a nutrient solution or a stimulating solution; ⑥ Fibrinolytic agents like Urokinase 50,000–100,000 units can be administered in 5% glucose, followed by the use of Reticulase No. 2, taken PO, tid; ⑦ Rest and low-flow oxygen therapy, with continuous monitoring via electrocardiogram; ⑧ In some large hospitals, floating catheters can be inserted to observe changes in intracardiac hemodynamics—this procedure requires strict sterile conditions, which are often difficult to achieve in general hospitals.

New Medications for Diabetes Treatment – December 16, 1998

Damaikang: A sulfonylurea-based diabetes medication suitable for type II diabetes. This medication promotes insulin secretion and reduces the body’s demand for insulin; it is also known as Glimepiride, taken 80 mg per tablet twice daily, 2 tablets each time. Another new medication for diabetes treatment is the aforementioned Byetta. Byetta is neither a biguanide nor a sulfonylurea—it is a third-generation diabetes treatment medication.

Molecular Biology of Hepatitis B Virus (HBV) – December 21, 1998

The outer shell of the hepatitis B virus contains three immunogenic proteins with strong antigenic properties, capable of inducing the body to produce highly specific antibodies with protective effects. These three immunogens are S1 and S2: the former consists of 108 amino acids, while the latter comprises 55 amino acids; additionally, the tail of S2 (the N-terminal region) often exhibits activity in binding to serum albumin—once bound, it is known as PHSA (albumin receptor), possessing distinct antigenic properties. These three antigens can be referred to as outer shell factors, namely HBsAg (surface antigen), which today is recognized as the result of the combined expression of S1, S2, and PHSA genes. The core of the hepatitis B virus is formed by the c gene and a small amount of free e gene. The former can be called HbcAg, while the latter is referred to as HBeAg. Both have strong antigenic properties and can induce the body to produce specific antibodies—but due to the viral outer shell’s protective covering, antibodies induced by the c gene lack protective significance. The e gene is a fragmented e gene, closely resembling the viral outer shell, thus exhibiting a more pronounced ability to induce antibody-mediated protection. The c gene resides within the outer shell’s protective layer, making its induced antibodies difficult to detect through conventional methods; they can only be detected in the nucleus of hepatocytes.

Cough Caused by Chronic Pharyngitis – December 22, 1998

This cough is long-lasting and difficult to treat. I once used licorice, Su Ye, ginger, Pinellia, A Jiao, black plum, millet hulls, almond, Su Geng, Hou Pu, Zhi Shi, Gua Lou, Huang Lian, Niu Bang Zi, Bai Ye, Gui Zhi, Da Zao, Jue Yi, Chen Pi, Bai Bu, Jing Jie, Qian Hu, Bai Qian, Zi Wan—each of these ingredients proved highly effective. This formula includes Gan Su, Xiao A Mei, Zhi Sou, Gui Zhi Hou Pu Xing Zi Tang, Half-Plum Thickening Soup, and Xiao Jian Xiong Tang with Zhi Shi. Gan Su and Zhi Sou are excellent remedies for cough; Half-Plum Thickening Soup is specifically used for pharyngeal obstruction, where mucus cannot be expelled or swallowed, commonly known as “mei he qi,” which is actually the primary symptom of chronic pharyngitis. Xiao Jian Xiong with Zhi Shi is a remedy for the lower part of the body—when pressed, it feels painful, serving as a specialized agent for spasm relief, helping to relieve spasms in the gastrointestinal tract and even the trachea. The former is said to address upward rising stomach qi, while the latter addresses upward rising lung qi. When examining upward rising lung qi and stomach qi, both are often dominated by the parasympathetic nervous system; Western medicine uses Ephedrine (which stimulates sympathetic nerves, activating alpha and beta receptors) and Atropine (which suppresses the parasympathetic nervous system and inhibits cholinesterase). In traditional Chinese medicine, Gui Zhi Tang harmonizes the vital energy and defensive qi, equivalent to Atropine, while Mahuang Tang, which relieves asthma and corrects upward rising qi, is comparable to Ephedrine. According to “Shanghan Lun,” “When the Yang channels of cold illness are tense and the Yin channels are sluggish, the abdomen may feel tight and painful; first treat with Xiao Jian Zhong, and if the condition does not improve, then Xiao Chai Hu Tang should be used.” Xiao Qinglong Tang treats irritability, asthma, cough, thirst, vomiting, hiccups, and diarrhea—treats both the lungs and the stomach. The lungs belong to Metal, while the stomach belongs to Earth; Metal can generate Earth, which is why this principle is applied.

Weight Loss and Beauty Pill – December 28, 1998

30 mg of thyroid powder, 250 mg of rhubarb, 200 mg of rehmannia, 25 mg of hydrochlorothiazide, and benzylamine… 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: 喋啶10mg, above mixed into 2 capsules, 3 times a day, 1–2 capsules each time, with warm water.

Take the medicine by dissolving it in water; the effects of this formula include promoting metabolism, reducing appetite and eliminating accumulation, and promoting diuresis and reducing edema—through these mechanisms.

This formula can help achieve weight loss and enhance physical appearance. However, the dosage is relatively low: 0.25g of rhubarb cannot effectively induce a laxative effect, and 0.2g of rehmannia does not cause a reduction in appetite. Therefore, after its introduction, this formula had only a small impact on patients, though it was considered to have some effect, though not a significant one. Given that the formulation of this medicine must be completely revised to truly achieve weight loss goals.

500g of raw rhubarb, 500g of raw rehmannia, and 100g of thyroid powder are all ground into a fine powder, sifted through a sieve, and then combined with 100 tablets of hydrochlorothiazide and 100 tablets of indomethacin. The mixture is further ground and divided into 100 packages, with each package containing 1 dose. Each dose contains 5g of raw rhubarb, 5g of raw rehmannia, 1g of thyroid powder, 25mg of hydrochlorothiazide, and 10mg of indomethacin. This medicine can be taken as a single dose or divided into two doses daily.

Experience of My Father in Treating Hematuria – December 29, 1998

My father primarily used white foxtail grass root, large and small thistles, cypress leaves, and female privet as first-line treatments for hematuria; he also referred to them as “White Leaf, Two Female Beauties.” Recent reports indicate that using black nightshade, female privet, plantain, feather grass, half-leaf lotus, and gardenia can be considered “Mountain, Bird, Two, Plantain, Half.” Because this formula is simple, combining these herbs results in “White Leaf, Two Female Beauties, Mountain, Bird, Two, Half.” The aforementioned “A Fa Decoction with Wheat and Mountain Dandan” is even more effective when used together to treat hematuria.

Treatment of Molluscum Contagiosum – December 29, 1998

The previous molluscum elimination decoction has proven effective; now, we can try another formula. Use 12g of rehmannia, 10g of angelica sinensis, 10g of female privet, 10g of black nightshade, 10g of gardenia, 10g of peppermint, 6g of phellodendron, and 12g of polygonum cuspidatum. The key phrase for this formula is: “Two Mountains, Peppermint, Gardenia, Polygonum.”

Clinical Applications of PCR Technology – December 30, 1998

PCR stands for “Polymerase Chain Reaction.” In 1985, American scientist Mulli first developed a nucleic acid DNA amplification technique that simulated the natural process of DNA replication outside the body. Essentially, this technology is a cell-free cloning method that can rapidly amplify extremely small amounts of genetic material—traces of DNA—up to millions of times, thereby enabling the detection of positive results. This technology is now widely used in clinical and basic medical testing. PCR can also be simply referred to as a monoclonal technology. It can detect hepatitis A, B, C, D, E, F, G viruses, as well as HIV, hemorrhagic fever, rabies, and other diseases. It can also identify mycoplasma, chlamydia, fungi, bacteria, protozoa, and more. Furthermore, it is applied in tumor monitoring and forensic identification. Compared to traditional methods like reverse blood agglutination, enzyme-linked immunoassays, and radioimmunoassays, PCR is more sensitive. However, due to its high sensitivity, China’s cloning technology is still in its early stages—equipment is lacking, and technical standards are not yet fully established, leading to a higher number of false positives. As a result, its use has been temporarily suspended, and it will only be officially adopted once improvements are made.

External Treatments for Hemangiomas – December 31, 1998

30g of five-times-grapefruit fruit, 10g of red-rooted peony, 10g of spurge, 6g of bloodstone, 6g of safflower, 10g each of processed milkweed and prepared licorice, 0.05g of musk, 20g of creeping buttercup, 20g of mountain yam, and 15g of sappan wood—all ground into a fine powder and applied with diluted vinegar. The saying goes: “Five tails, great blood, permeate flowers, fragrant aroma; in the city of Suzhou, safflower is cool.”

Thiamine Deficiency (Beriberi) – January 4, 1999

This condition is commonly known as beriberi, with primary symptoms including heaviness, numbness, and swelling in the lower limbs. Some patients may experience a loss of sensation or dullness, and even movement may become impaired. In some cases, patients may develop stiffness, tremors, muscle atrophy, and a loss or weakening of the knee tendon reflex and Achilles tendon reflex in both lower limbs, along with abnormal sensations such as a “sock-like” or “glove-like” feeling. This condition is often difficult to distinguish from progressive muscular dystrophy and polyneuritis, significantly affecting the effectiveness of clinical treatment. In fact, it is the most common disease seen in clinical practice; therefore, all chronic wasting patients hospitalized should take vitamin B supplements to prevent beriberi.

People often mistake athlete’s foot and foot moisture for beriberi, completely overlooking the true condition—this is a common problem in the medical community today! Oral vitamin B supplementation is the primary treatment for these symptoms.

Niacin Deficiency – January 4, 1999

Niacin, also known as vitamin PP, can lead to skin roughness, cracks, pigmentation, and keratinization when deficient. Patients may also experience fatigue, insomnia, forgetfulness, irritability, and in severe cases, a range of psychiatric symptoms such as reduced speech, delusions, visual hallucinations, auditory hallucinations, limb tremors, hemiplegia, and cerebellar ataxia. Gastrointestinal symptoms may include diarrhea, abdominal pain, and bloating; in severe cases, patients may develop paralytic intestinal obstruction.

Re-understanding Diabetes – January 5, 1999

1. Previously, it was believed that diabetic coma was caused by acidosis due to elevated ketone bodies and decreased CO₂ binding capacity. In 1986, Dreccpvtela first described a type of diabetic coma without ketosis, where hyperglycemia and increased plasma osmolarity were the primary causes. Typically, blood glucose levels could exceed 30 mmol/L; at this point, blood viscosity increases, osmotic pressure rises, and sodium levels also increase. The preferred treatment was high-dose insulin therapy.

2. Recent major discoveries have shown that diabetes can also cause specific microvascular diseases. It is generally believed that diabetes lasting more than 15 years can lead to these conditions—microvascular diseases such as atherosclerosis, which can affect the coronary arteries, small arteries in the extremities, cerebral arteries, renal arteries, and retinal arteries. Consequently, diabetic patients may develop coronary heart disease, cerebral infarction, diabetic nephropathy, retinal lesions, and lower limb necrosis.

3. In recent years, it has also been discovered that diabetic patients are particularly prone to neuropathy, including radiculitis and polyneuritis.

4. Hepatic diabetes: The essence of hepatic diabetes lies in liver dysfunction, which restricts the conversion of liver glycogen. As a result, blood glucose levels rise significantly, urine glucose tests are positive, and fasting blood glucose levels remain normal—this is what is known as hepatic diabetes. Treatment involves avoiding glucose intake and focusing on liver protection, allowing the liver function to gradually recover over time.

Adriamycin (ADM) and E-adriamycin (E-ADM) – January 7, 1999

ADM is a second-generation product in the class of anti-cancer drugs called anthracyclines. E-ADM is a third-generation product in the same class, and both have broad anti-cancer spectra, suitable for treating tumors in the neck and forehead, soft tissue tumors, kidney cancer, bladder cancer, thyroid cancer, breast cancer, malignant lymphoma, small cell lung cancer—and in general, all cancers except ovarian cancer and testicular cancer. Dosage and administration: Adriamycin 10 mg per vial, typically administered every 3 weeks at 40–60 mg via intravenous infusion; weekly at 20–30 mg via intravenous infusion, with addition of 250 ml of NS. E-adriamycin 10 mg per vial, given every 3 weeks at 60–100 mg, and weekly at 30 mg. The total dose for ADM is 500 mg, while for E-ADM it is 1000 mg; the total dose for ADM is smaller, whereas the total dose for E-ADM is larger. Both drugs share the side effect of bone marrow suppression, but E-ADM has greater cardiac toxicity than ADM.

Both drugs are DNA intercalators, inhibiting cancer cell division and achieving anti-cancer efficacy. They are effective in both S-phase and M-phase.

Cisplatin (PDD) and Carboplatin (CBP) – January 7, 1999

Both are synthetic platinum-based compounds; in 1973, China first synthesized cisplatin (PDD). Later, they synthesized its second-generation product, carboplatin. Besides the usual side effects of chemotherapy—bone marrow suppression and gastrointestinal symptoms—their main side effects also include more pronounced toxicity to the kidneys, ears, and nervous system. The second-generation product, carboplatin, is less toxic in this regard, making its emergence a major advancement in drug production. This medication is used for liver cancer, gastrointestinal tumors, ovarian tumors, testicular tumors, and non-small cell lung cancer.

Small Forum – January 12, 1999

1. Before 1927, people generally believed that hypertensive patients did not need to lower their blood pressure. That same year, Smich proposed the use of adrenergic beta-blockers, and reserpine and hydralazine became popular for a time. Later, adrenergic receptor blockers—Q receptors, beta-blockers, calcium channel blockers, angiotensin-converting enzyme inhibitors—were introduced as four major classes of drugs.

2. Approximately 50–90% of patients with obstructive sleep apnea syndrome are hypertensive; those who experience more than 20 episodes per night have an 8-year mortality rate of 37%.

3. Some foreign researchers believe that nifedipine (Xiangtongding) is not effective enough to cover nighttime and early morning hypertension due to its short duration of action, leading to intermittent blood pressure fluctuations and potentially causing myocardial ischemia. However, this view is not universally accepted within the medical community. Recently, sustained-release nifedipine tablets and amlodipine (Luohe Xi) have emerged.

4. In recent years, our understanding of hypertension has undergone a breakthrough. The central mechanism involves insulin resistance: when blood pressure rises, the body's sensitivity to insulin-mediated glucose utilization decreases, leading to hyperinsulinemia. Over time, this can promote lipoprotein dyslipidemia.

Two Insights – January 12, 1999

1. A remedy for stomach fullness and discomfort (old formula, new application): three-edged rhizome, curcuma, wu yu, wu yao, burdock seed, citrus peel, pinellia, poria, salvia, motherwort, agarwood, cardamom, ginger, galangal, amomum villosum.
2. A remedy for stomach pain (old formula, new application): northern sand ginseng, ophiopogon, bamboo shoots, dendrobium, salvia, agarwood, cardamom, pinellia, atractylodes macrocephala, raw dragon and magnesium, squid bone. Although these two formulas were commonly used in the past, they have recently yielded remarkable results for dozens of patients, with an impact so profound that it has never been seen before.

Tumor Naming – January 13, 1999

There are four types of malignant tumor names: ① those originating from epithelial tissue are called carcinomas; ② those originating from mesenchymal tissue are called sarcomas; ③ those originating from fibrous tissue are called mesoblastomas. Certain malignant tumors are often preceded by the word “malignant,” such as malignant lymphoma, malignant mixed tumor, or malignant teratoma. Traditionally, all squamous cell carcinomas and adenocarcinomas—including basal cells and transitional epithelium—are classified as such. Mesenchymal tumors, on the other hand, originate from the mesoderm.

Acute Mesenteric Lymphadenitis in Children – January 18, 1999

Children aged 4–12 often develop this condition if they suffer from pulmonary infection or infection of the mesenteric region itself. The clinical symptoms include abdominal pain; in some children, doctors may palpate enlarged mesenteric lymph nodes in the abdomen, but in most cases, palpation is negative. Recently, comrades Ma Duanlan and Wang Xuemei at Weihai Hospital in Shandong Province used ultrasound to diagnose this condition, noting that it is quite common in clinical practice.

Gastric Symptoms in Liver Cirrhosis with Ascites – January 30, 1999

Patients with liver cirrhosis accompanied by ascites are in advanced stages of the disease. Varices in the esophageal veins are only one manifestation of submucosal venous dilation in the gastrointestinal tract; simultaneously, nearly the entire gastrointestinal mucosa exhibits similar changes. As a result, the entire gastrointestinal mucosa becomes congested, swollen, and even inflamed. When gastrointestinal pathology occurs, the physiological functions of the gastrointestinal tract also undergo corresponding changes: ① delayed emptying; ② reduced absorption; ③ compensatory increases in secretory function; ④ disrupted coordination between the stomach and intestines. Based on these four functional disorders, patients may experience: ① abdominal distension, most noticeable after meals, sometimes with full abdominal distension; ② easy bleeding—positive occult blood in stool indicates that massive bleeding may occur at any time; severe abdominal pain suggests that massive bleeding is imminent, requiring immediate use of belladonna, atropine, or even a dose of morphine; ③ loss of appetite, thick yellowish coating on the tongue, indicating gastrointestinal infection and inflammation, with potential ulcers appearing on the mucosa; ④ pain immediately after eating suggests that ulcers have formed in the gastrointestinal tract; pain occurring 2 hours later indicates ulcers in the duodenum; pain around 5 hours suggests ulcers in the intestines.

Based on these mechanisms, Western medicine can employ medications like metoclopramide and domperidone to promote emptying; maalox and ranitidine to suppress secretion; belladonna tablets, atropine, scopolamine, and 6–542 to relieve spasms. In conclusion, Western medicine alone is insufficient when it comes to treating gastrointestinal symptoms! Traditional Chinese medicine often uses the Xiangsha Liu Junzi Tang as a foundation, along with Banxia Xie Xin Tang, Xuanfu Daihe Tang, Yangliuxian Stomach Medicine, Danshen Decoction, Dajianzhong Tang, Zhizhi Tang, Raw Dragon and Magnesium, Squid Bone, Shaoyao Gancao Tang—adjusting and modifying prescriptions based on clinical conditions. However, how easy is it to master these approaches? Although the gastrointestinal tract is part of the autonomic nervous system, its activities are coordinated and organic, not performed in a rigid, simultaneous manner. The stomach prefers acidity, while the intestines prefer alkalinity; the stomach needs rest, while the intestines need movement; the stomach produces more enzymes, while the intestines produce more fluids; the stomach digests but absorbs little, while the intestines absorb but digest little. All these factors highlight that the gastrointestinal tract has vastly different characteristics—no single formula or single medication can fully address its complexities! As the ancients said, “If there is heat in the chest, cold in the stomach, and stagnant qi in the abdomen, Huanglian Tang is the key”; “When the abdomen is full and vomiting occurs, food cannot be swallowed, and the abdomen feels painful—benefiting from Wumei Wan”; “Vomiting with fullness, rumbling in the abdomen, and diarrhea—Half-Leaf Xie Xin Tang is the key.” Formulas like Huanglian Tang, Wumei Wan, and Half-Leaf Xie Xin Tang all combine both hot and cold properties, illustrating the ancient sages’ profound understanding of medicinal principles—and in doing so, their therapeutic effects are superior to those of purely Western or traditional Chinese medicines!

Side Effects Caused by Medications in Clinical Practice – February 3, 1999

Medications often cause numerous side effects in clinical settings. If clinicians lack sufficient experience, they may mistakenly believe that their condition has worsened or that complications have arisen, leading them to prescribe additional medications—only to end up worsening their health, leaving them overwhelmed and unable to find a solution! In the spring of Dingchou, I suffered from coronary heart disease, with persistently high blood viscosity. An ECT scan at the provincial hospital showed widespread ischemia in the anterior, lateral, and interventricular walls. In addition to traditional Chinese medicine, I took Xinmai Ning orally, 3 times a day, 3 tablets each time—this medicine contained antacids, a renowned lipid-lowering agent. However, after 3 months, I began to experience occasional muscle cramps in my chest, as well as shoulder pain that prevented me from raising my arms. I thought my condition had relapsed, so I continued to take coronary vasodilators and medications for bile and pancreatic issues (I had previously suffered from chronic pancreatitis), but none of these treatments worked. I then reviewed all the information about antacids and realized that their side effects could actually increase muscle nerve tension, even causing pain! I stopped taking the medication, and the pain suddenly subsided. At the end of the year in Wu Yin, patient Wang repeatedly experienced high fever; despite continuous antibiotic use, his fever only grew worse. After stopping the antibiotics, his fever subsided! My cousin Beili had liver disease, including ascites, vomiting blood, and black stools. Later, she experienced persistent abdominal distension, but after taking Xiangsha Liu Junzi Tang, her stomach felt comfortable as usual. However, about 3 hours after taking the medicine, she again felt severe abdominal pain. This case shows that traditional Chinese medicine formulas can be very effective in treating abdominal distension, but once the medicine reaches the duodenum, it can stimulate existing ulcerated areas on the mucosa, causing stomach spasms and resulting in severe pain. Everything has its dual nature—medications can cure diseases, but they can also cause illness!

Current Status and Control Issues of Sexually Transmitted Diseases in China – February 4, 1999

Sexually transmitted diseases in China are becoming increasingly prevalent, with incidence rates rising year after year and expanding across regions. In 1995, the number of cases reached 3.6 million, with an incidence rate of 30 per 100,000—an increase of 20% compared to 1990. Sexually transmitted diseases include syphilis, gonorrhea, soft chancre, and fourth-stage sexually transmitted diseases. Today, the scope of these diseases has expanded beyond the original areas, and they now include non-gonococcal urethritis, genital warts, genital herpes, and AIDS. In 1991, the Ministry of Health issued regulations governing the management of sexually transmitted diseases, stipulating that any cases of AIDS, syphilis, gonorrhea, genital warts, non-gonococcal urethritis, soft chancre, genital herpes, or sexually transmitted lymphogranuloma must be reported to sexually transmitted disease prevention and control agencies. Syphilis and non-gonococcal infections are growing the fastest. The highest incidence rates are among individuals aged 20–39, accounting for 83.1% of all sexually transmitted diseases; adolescent girls are experiencing a steady increase in cases, and the detection rate of sexually transmitted diseases among high-risk groups—such as sex workers, prostitutes, drug users, and individuals engaging in promiscuous sexual activity—is significantly higher than that of the general population.

Mycoplasma and Chlamydia were once the pathogens responsible for trachoma, while the latter primarily caused lung infections. Since these pathogens are neither bacteria nor viruses, they are non-cellular organisms. Because they lack a cell wall, drugs that target cell wall synthesis—such as penicillin and cephalosporin—are ineffective. The preferred medications are erythromycin, tetracycline, azithromycin, spiramycin… macrolides are effective; recently, azithromycin has been prescribed as a single dose of 1 mg, taken for 3 days as a course of treatment, with reliable therapeutic outcomes. Traditional Chinese medicine offers the Huangjing Liuchao Tang as a particularly effective treatment. Non-gonococcal urethritis can progress rapidly, directly leading to infections of the prostate, seminal vesicles, vas deferens, bladder, ureters, and kidneys—causing significant harm. One patient suffered from bilateral renal atrophy and chronic renal failure, ultimately leading to death.

Dosage and Administration of Several Antibiotics – February 4, 1999

① Fluoroquinolones: pipemidic acid, piperaquine, ciprofloxacin, ofloxacin—available in capsule form, each with a dosage of 0.1–0.2 g; aside from ciprofloxacin, which is administered via intravenous infusion, most other drugs are not suitable for intravenous use. ② Macrolides: erythromycin, spiramycin, midecamycin, azithromycin, lincomycin—each with a dosage of 0.1–0.2 g per tablet, taken 1–2 times daily, tid; only lincomycin can be administered via intravenous infusion, while the others should not be infused. Azithromycin is also frequently used; the side effects of this group of drugs include nausea, vomiting, indigestion, and caution should be exercised—especially for patients with liver disease or those who have pre-existing gastrointestinal issues.

Microcirculatory Changes in Liver Cirrhosis Following Hepatitis – February 5, 1999

Yang Zhiyong and colleagues at the Infectious Disease Hospital in Xiaogan, Hubei Province (published in the Microcirculation Journal, December 1998) demonstrated that microcirculatory changes in liver cirrhosis following hepatitis are characterized by slower blood flow velocity, blurred vessel lumen clarity, and increased exudation, bleeding, and red blood cell aggregation. These changes are associated with liver dysfunction, increased globulin levels, decreased albumin levels, and reduced prothrombin levels in liver cirrhosis. Due to the loss of negative charge on the surface of red blood cells, the surface potential declines, disrupting the mutual repulsion between cells, leading to increased blood viscosity and slower flow. Based on these findings, patients with liver cirrhosis often experience heaviness in the limbs, dark purple tongue, and edematous, congested gastrointestinal mucosa. Combined with portal hypertension, the edema in the gastrointestinal mucosa becomes even more pronounced, making digestion increasingly difficult. Swelling, nausea, diarrhea, and intestinal rumbling occur continuously, while loss of appetite and fatigue worsen. Traditional Chinese medicine often employs methods to promote blood circulation and resolve stasis, with Salvia miltiorrhiza as the first choice. Yang Shude’s formula consistently incorporates oyster and safflower; the Jinkui Biejia Jianwan formula also follows this principle for treating similar conditions.

Professor He Zesheng of the Fourth Military Medical University of the People’s Liberation Army and colleagues (Microcirculation Journal, December 1998) studied the regulation of gastric microcirculation in chronic portal hypertension and found that: ① the gastrointestinal microcirculatory system is generally dilated and congested—a chronic, gradual process closely related to portal hypertension, liver function status, and the body’s own microcirculatory regulation capabilities; ② congestion and dilation of the mucosal veins are the most severe and most prominent, appearing earliest—in the middle or early stages of liver cirrhosis—characterized by increased open arteriovenous shunts; ③ the opening of arteriovenous shunts is one of the hallmarks of gastrointestinal microcirculatory regulation.

In summary, the microcirculatory characteristics of the stomach and intestines in cases of portal hypertension are as follows: ① dilation and congestion of submucosal veins; ② slowed blood flow; ③ increased blood viscosity; ④ extensive opening of arteriovenous shunts. 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: 放。由此则导致胃肠黏膜之充血、水肿、渗出，从而吸收不良，出现腹胀、腹痛、腹泻、肠鸣音亢进、食欲不振，此时可出现少量渗血，大便潜血阳性。饮食不慎，酸、辣、凉、肉等及不易消化之饮食均可导致胃肠道之大出血，因而胃肠道之护理对肝硬化患者来说是保证生命之最重要手段。

乙癸同源饮治疗肝病与沙参麦门冬汤治疗胃病 1999.2.5

胃脘之疼痛（慢性胃炎、胃及十二指肠球部溃疡）先前余总以香

砂六君子汤合半夏泻心汤加枳实、白芍、生龙牡而见功；近来余以叶

氏养胃汤加减治疗则效似更捷。查叶氏养胃汤乃北沙参、麦冬、玉

竹、石斛、桑叶、扁豆也，加丹参、木香、草蔻、白芍、枳实、白术、生龙

牡、乌贼骨为一临床疗效甚好之方剂。乙癸同源饮为南通市中医院

之王若兰老中医出示之秘方，系在《柳州医话》一贯煎之基础上加首

乌、鳖甲、牡蛎、红花而来，一贯煎之前半部分正好是北沙参、麦冬、

玉竹、石斛，说明一贯煎之治肝胃、乙癸同源饮之治肝胃，方中之胃

药者北沙参、麦冬、玉竹、石斛也。先父每以此方治胃，谓斯方与香砂

六君子汤成为调节阴虚与阳虚之一对效方，为治疗胃病之关键。现

治胃之方尚有丹参饮、三术吴乌蒲黄肉、枳实代当效灵丹、物地黄良

香、失效散、504胃药、乌马金干火硝硝、白鹤飞飞过草壳、膈下逐淤

汤等，上述方剂均为活血化淤药。说明前人在活血化淤方面下了很

大工夫，同时亦说明此病届入晚期时，顽固性疼痛实属化淤之证，

504胃药中有元胡、乌马合剂有干漆者，是此理也。

胃脘疼痛之治疗 1999.2.8

胃脘之痛由溃疡病及慢性胃炎形成者占90%,临床表现多以脘

腹胀满及疼痛为主，饭后即胀而欲吐者为胃之排空不良，饭后0.5～1小时痛者病多在胃，中医治疗胃之胀满疼痛有下列几种方药：①北

沙参、麦、玉竹、石斛、花粉、桑叶、扁豆、丹参、木香、草蔻、枳实、厚

朴、大黄、制乳没；②党参、白术、干姜、附子、半夏、木香、枳实、甘草、丹参、草蔻；③瓜蒌、薤白、半夏、丹参、檀香、砂仁、木香、白芍、当归、

川楝子；④半夏、黄连、黄芩、干姜、党参、丹参、木香、草蔻；⑤当归、

白芍、川芎、黄精、良姜、制乳没。

上述五个方剂中：①方适合于舌红少苔，胃脘痛而烧灼者；②方

适合于舌胖大苔白腻，胃脘胀满者；③方适合于胸脘胀满不舒者；④方适合苔黄腻，胃脘烧灼疼痛者；⑤方适合于胃脘疼痛日久而舌有淤斑者。用药之加减：出血加汉三七、白芍、乌贼骨；恶心加旋覆花、

生赭石、半夏、生姜；呃逆加丁香、柿蒂、苏叶、豆蔻；胀著者加半夏、

陈皮；痛著加明矾、元胡、川楝子、制乳没、香附；排空不佳者加枳实、

白术；肠鸣加川椒、干姜；两肋疼痛加柴胡、枳实、香附、郁金；大便干

结加大黄；餐后4小时痛者病重在肠加小茴香、芦巴子、元胡、川楝

子；夜间睡后痛醒者痉挛也，加肉桂、川椒、干姜、荜拨、良姜之类，总

以兴奋交感神经系统缓解其痉挛也。中医之调味剂多属热性，均具

散寒祛邪之功，此可谓行气止痛也。

行气药与温中散寒药 1999.2.8

1.行气药：行气药与胃肠药多能促进肠蠕动，增加排空，故具除

满、消胀、止痛之作用，如枳实、青皮、乌药、川楝、大腹皮之属，行气

药之用量不宜过大，大则破气。近人用枳实、川楝子量偏大，前者用

于升压，后者用于扩冠，是当别论也。

2.温中散寒药：此种药物能兴奋胃肠交感神经系统，故有明显

之解痉作用，如川椒、干姜、肉桂、吴萸、荜拨、高良姜、小茴香、胡椒

粉、乌头、附子等，此类药大多属于家常日用之香料也。

血尿之治验 1999.2.11

戊寅之岁末，省人民医院检验科李某，女，血尿多年，百医无效，

求余诊治。余诊断为局灶性肾炎，用阿胶、血余炭、生地、当归、麦冬、

山栀、丹皮、丹参、女贞子、旱莲草、白茅根、凤尾草、车前子、半枝莲，

服7剂，尿血阴性，浮肿消失。于是甘肃省人民医院检验科之患者共5

人相约来门诊求治，其中3例为局灶性肾炎。总之前方可加用济生肾

气、桂枝茯苓、杷山黄菟、石葶白茵、龙胆泻肝、小柴胡、补中益气汤、

桃红四物、益肾汤、三黄泻心汤等自可左右逢源。

全身炎症反应综合征 1999.2.12

全身炎症反映综合征（SIRS)是衰弱机体受到外源损伤打击或

感染原侵袭时，机体产生内源性免疫炎性因子，并立即形成"瀑布效

应"，从而引发全身多脏器功能损害及代谢紊乱，此又名多器官功能

障碍综合征（MODS).上述疾患多为危重病人时并发，通常之发病模式是严重细菌感染、创伤。在此重危疾患的基础上出现瀑布效应，继

则全身衰竭（休克、呼吸衰竭）。

肝硬化腹水患者胃脘痛之再识 1999.2.23

前已述及因门脉高压，胃肠系膜充血，黏膜之水肿，"见肝之病

当先传脾"之症发矣！此时出现三种病机：①胃肠动力学之变化，出

现胃之排空、肠之蠕动紊乱；②胃酸之分泌增加，此属代偿性；③肠

系膜血管之脆性增加，易致出血。上述三种机理往往同时存在，互相

促进，胃脘之痛呈发作性者总以胃酸刺激溃疡面有关，故用甲氰咪

胍与雷尼替丁疗效显著，若痛剧者则加颠茄类，余之胃安康系多种

机理之总合也。

慢性咽喉炎急发致咳嗽 1999.2.26

戊寅岁末，省委常委、秘书长牟本理同志上感咳嗽，因工作忙

未能彻底治疗，阵咳胸闷，咽峡肿痛，求余诊治。时见咽峡红肿、悬

雍垂偏向右侧、声音嘶哑、舌质红、少苔、脉弦大无力。余谓此属西

医之慢性咽峡炎，因感冒急发，合并急性气管炎之属，然以中医角

度观之咳喘无痰，咽痒喉痛，凉则咳起，遇风亦作，阵咳时如犬吠

状，当属热甚伤营，燥火刑金。余用生地12g、元参10g、麦冬10g、浙

贝10g、桔梗10g、白芍15g、甘草6g、薄荷6g、苏叶10g、半夏6g、生姜

6g、阿胶（烊化）10g、乌梅6g、粟壳6g、杏仁10g、百部6g、荆芥10g、前

胡10g、橘核20g、紫菀10g、金银花20g、连翘15g、公英15g、败酱15g、

麻黄10g、生石膏30g,水煎服，上方服用5剂，病大愈。查此为养阴

清肺、甘苏小合剂、止嗽、五味、麻杏等之合方，基本方义乃"滋阴

也"。滋阴之法，则可降火，查舌红无苔、咽红甚、干咳无痰者，乃阴

虚咳嗽，此证非滋阴降火不能中其的，养阴清肺为首选方也。甘苏

合剂中之阿胶乃滋阴补血之佳品，与养阴清肺汤合用，正相宜矣！

此方之中加炙杷叶则更好，盖杷叶止喉中之痒，补清燥救肺之缺

也。先父治久咳不止有一方：苏叶10g、杏仁10g、半夏6g、陈皮6g、茯

苓12g、麻黄10g、生石膏10g、浙贝10g、薄荷10g、杷叶10g、桑叶10g、

菊花10g、金银花15g、连翘15g、桔梗15g、芦根10g、甘草6g,斯方治

久咳之在气分者如神。

非淋尿道炎 1999.3.4

此属性病，由衣原体、支原体引起，系性生活传播；近来因澡

具、游泳等传播者亦不为少，故亦有不属性生活传播者。此病之临

临床表现远远超出普通尿道之感染，除具备尿频、尿急、尿痛外，通常

由肛周至前阴有明显之不舒及痛、痒，范围大至整个会阴部及两

股、少腹、腰部。一部分患者可逆行上溯至两肾及输尿管；极少数患

者可出现肾功能衰竭。治疗此病西药以喹诺酮制剂为首选。氧氟沙

星、环丙沙星、氟哌酸等均有一定疗效。近来推荐阿奇霉素（特太

力）0.25g×12,分3次3日服完，有一定疗效。中药治疗此症以黄精六

草丹为首选，所谓六草即灯心草、旱莲草、车前草、金钱草、紫草、龙

胆草，黄精20g合之则黄精六草丹也：余之经验乃用济生肾气汤，此

方治老年性尿道炎如神，用以治疗此症常与前述之六草丹同组一方则

取效捷矣。

动脉硬化之头痛 1999.3.9

动脉硬化之头痛多见于脑梗塞、高血压、高血糖症，患者辄见

颈项及头顶之疼痛，部位时有变化。余曾用清上蠲痛汤治之未效；

再投血府逐淤汤亦未效，思之后以二汤合方则大效。由此观之斯证

虽属中医之血证，然此本也；巅顶之上唯风能到，此标也，标本兼治则

效矣！

再生障碍性贫血又一得 1999.3.17

天水乔栋，15年前患再障求治于余。曾先后住院3次，余均以健

胃补肾法治疗逐渐获效。血色素曾达14g,患者病大愈而参加工作，

后因出现遗精，去补肾药，只用健脾药归脾汤之类，服3月血色素骤

降，患者一般情况转差。HGB:5.6g。余遂复用补肾之剂：生地12g、

山萸10g、山药10g、丹皮10g、当归10g、川芎10g、仙鹤草10g、何首乌

15g、土大黄15g、鸡血藤15g、丹参15g、红花6g、黑大豆20g、山栀10g、

圆肉10g、马钱子1个（油炸）、菟丝子15g、枸杞子15g、女贞子15g、五

味子10g、大云10g、地骨皮10g、鹿茸2g、穿山甲6g、沙苑子10g、破故纸10g,水煎服，日1剂，此方服60剂，患者病情明显好转，血色素达12.8g,且持续保留无下降趋态。查此方乃六味地黄汤合当川四神

鸡丹红，黑山龙马四子云，再加破故纸、地骨皮、穿山甲、鹿茸（地破

山茸）。

抗菌素耐药性再说 1999.3.17

当前流行之抗菌素大体有：①B～内酰胺酶类；②大环内酯类；

③氨基糖甙类；④氯霉素类；⑤喹喏酮类。致病微生物通过：①自身

细胞膜之加固来抵抗抗生素之介人，这一作用主要是通过外膜蛋白

之组成和数量来改变其通透性，使抗菌素不能穿透外膜而到达靶

位，因而产生耐药；②改变靶位蛋白与抗生素之亲和力；③产生β-

内酰胺灭活，此种作用主要存在于头孢类抗菌素和青霉素类中。近

年来该类抗菌素之发展较快，临床应用较为普遍，但很快即出现了

抗药性。20世纪70年代之先锋I(头孢噻吩钠）；80年代之先锋Ⅳ(头

孢胺苄）、先锋V(头孢唑啉钠）、先锋VI(头孢雷定）；90年代之先锋

铋（头孢哌酮），菌必治（头孢曲松）很快对大量致病菌出现了抗药

性，于是人们专门研制了一批针对抑制β-内酰胺灭活酶之新制剂：

舒普深、美他醇、达克舒林、复达欣、头孢克肟。请注意：β-内酰胺存

在于头孢、青霉素等抗菌素中，此类抗菌素之所以能制菌，全靠β-

内酰胺之作用，道高一尺，魔高一丈，致病菌在与抗菌素之长期较量

中，自身出现了一种酶能使β-内酰胺灭活失去作用，于是抗菌素则

失去作用，细菌则具备了抗药性，此种酶则叫做β-内酰胺灭活酶，

可简称为β-内酰胺酶，当前之制药工业则力图使原有之头孢、青霉

素等对β-内酰胺酶具有强大之抵抗力。

天然杀伤细胞 1999.3.17

机体免疫系统中存在一种天然杀伤细胞，当机体内出现感染、

肿瘤、异物时，天然杀伤细胞则奋起杀伤，以消除邻近之异常抗原。

此种细胞具有非凡的选择性，它们对健康细胞与非健康细胞区别能

达到了微机所不能达到的程度。最近加利福尼大学斯坦福研究小组

的马科斯提出"遗漏自我"学说，认为天然杀伤细胞之表面受体是识

别人体抗原之标志，抗原中有一些抗原，可关闭自身以逃避杀伤细

胞之发现，而其他抗原则被自然杀伤细胞杀灭，关闭逃避之抗原则

形成感染或癌肿之存在和继续。骨髓移植或器官移植之排异现象可

否通过"遗漏自我"学说之研究取得理想结局，尚是科学界拭目以待

之课题。

肠易激综合征 1999.3.19

《中华内科杂志》（1999.2期）肠易激综合征（IBS)之临床主要表

现为腹痛、腹胀、排便异常、黏液便，多呈阵发性表现，与饮食、情绪

等有较明显之关系，但肠镜及培养、镜检均缺乏形态学和生化指标。

既往将此叫做过敏性结肠炎、过敏结肠，日人曾谓此曰胃肠综合征。

1978年Manning等报道了109例门诊患者，并随访观察17～26月，着重

观察IBS与器质性同类疾病的鉴别。最后结论是：本病乃腹痛伴排便

异常为特点之肠功能性疾病，下列四类症状可资与其他器质性病变

相鉴别：①腹痛伴稀便；②腹痛伴便次增加；③排便后腹痛缓解；④

腹胀。还有几个症状如黏液便及便急或便不尽等，可予参考之。后来

在罗马（1988年）国际会议上提出了诊断IBS的罗马标准。除上述内

容外，①病程恒》3月；②干硬便亦算一特点（即时干时稀也）。上述临

床表现属中医之脾胃湿热，连理汤乃正治之法也。

溃疡病发病与治疗再议 1999.3.19

《中华内科杂志》（1999.2期）载王盛根文及朱人敏文，二文对消

化性溃疡（DU)进行了研究，目前认为：①Hp；②胃酸；③排空障碍是

引致DU形成之三因素。王氏等分别采用抗生素、法莫替丁、促排空

药治疗溃疡病，结果显示法莫替丁组对症状之缓解、溃疡之愈复均

优于其他二者，抗菌素对症状之缓解、溃疡之愈复亦佳，然不及制酸

药，促排空药则仅小效矣！由此可见溃疡之形成与胃酸关系最为密切，Hp次之，排空则占第三位，然三者之间有相辅相成之关系，当排

空缓慢时则胃酸之分泌增加，同时Hp亦相应增加，反之Hp增加时则

排空亦更加缓慢，胃酸亦相应增加也。

糖尿病肾病与血液黏度1999.4.1

《血液流变学杂志》（8卷1期34～36P)糖尿病（DDM)中有I型

（IDDM)、Ⅱ型（NIDDM)之分，前者为岛素依赖型，后者为非胰岛

素依赖型。本文采用169列Ⅱ型糖尿病重点研究了合并DN(糖尿病

肾病）及DR(糖尿病视网膜病变）者，发现前者并发率为50%左右，

60岁以上病人超过50%,60以下病人低于50%,DN之诊断要点在24

小时尿蛋白总排出率，如《20ug/min则为不合并肾病；》20ug/min则

为DN(糖尿病肾病），《200ug/min则为微量蛋白，》200ug/min则为大

量蛋白尿。经过血液流变学的检查，结果证明糖尿病患者之血黏度

明显高于常人；合并DN者又明显高于不合并DN者，合并DR者大多

数合并DN,男女性别方面女性较男性在DN、DR诸方面均略高。

慢性肾功能衰竭继发甲状旁腺亢进症 1999.4.1

慢性肾功能衰竭时随着BUN和CO2-P之升高与降低，患者出现

多尿、高K^+^、高Ca^2+^、低磷。高Ca^2+^之出现并非完全出自CRF,更重要之

原因在于肾衰（CRF)继发甲状旁腺功能之亢进（甲旁亢），Ca^2+^之升

高一方面影响心肌之应激能，严重时可促进心衰及心脏停搏；另一

方面尚可促进甲状旁腺细胞之凋亡，此种凋亡反过来则可抑制甲状

旁腺之亢进。慢性肾衰时常引起低钙与高磷。此为CRF之通常表现，

合并高钙则说明已经继发了甲旁亢。

抗幽门螺杆菌感染治疗功能性消化不良 1999.4.1

幽门螺杆菌与消化性溃疡、慢性胃炎、胃癌之关系已为众所周知；与功能性消化不良之关系尚待进一步之研究。《中华内科杂志》

（1999.2期）用抗菌药物阿莫西林、甲硝唑、利特林等抑制Hp,结果功

能性消化不良（FD)有了明显的改变。此一发现对中医长期以来"苦 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: Can strengthen the stomach—this argument has been clearly strengthened: Huanglian enters the stomach meridian, and when there is heat in the chest and evil in the stomach, Huanglian Decoction is indicated for those with abdominal pain that feels like vomiting; Banxia Xiexin Decoction treats fullness and distension in the lower abdomen; Li.

The Huanglian and other ingredients in Dongheng Qingwei Powder reflect that traditional Chinese medicine has long recognized the role of Hp inhibition in preventing and controlling Hp infections objectively.

What is the relationship between changes in tongue coating and Hp? Yellow coating, white coating, and greasy coating represent three different properties—heat, cold, and damp—and how do they relate to the material basis of the gastrointestinal tract and the entire body? Further research is needed in the future.

Carcinoid Syndrome, April 1999

Carcinoid syndrome refers to a group of rare malignant tumors with a slow onset, typically occurring in the digestive system, though it can also occur in the bronchus and lungs. Some carcinoids are asymptomatic, while others can lead to carcinoid syndrome. The most common sites of carcinoid tumors include the appendix, followed by the small intestine, stomach, and bronchus-lungs. The main symptoms of carcinoid syndrome include: ① skin flushing, followed by redness, cyanosis, or pallor—this phenomenon is known as the "three-color phenomenon"; ② gastrointestinal symptoms such as abdominal distension, diarrhea, and bowel sounds; in severe cases, patients may experience dehydration and electrolyte imbalances; ③ skin flushing can be accompanied by asthma and difficulty breathing; ④ liver enlargement may occur if the disease has spread to the liver; ⑤ bone pain may occur if the disease has metastasized to the bones. Diagnosis: ① Urine histamine testing: 23–90 µg/24 hours (normal range), with levels significantly elevated in this condition, potentially reaching up to 4.5 mg per day; ② Serum serotonin levels (5-HT) — normal range 0.1–0.3 µg — can rise to 0.3–3 µg/ml; ③ Skin flushing provocation test: Administering 1 µg of epinephrine intravenously, observing facial flushing within 60–90 seconds, even leading to hypotension or tachycardia, is considered positive.

Treatment Experience for Darkened Facial Complexion in Liver Cirrhosis Patients, April 1999

In advanced stages of liver cirrhosis, due to the destruction of liver function, the body’s tissues and cells are unable to obtain the necessary nutrients, particularly affecting the pituitary-adrenal axis. As a result, adrenal cortical insufficiency leads to darkening of the patient’s face. Previously, my father successfully treated adrenocortical insufficiency using herbs such as Coptis chinensis, Epimedium, Morinda officinalis, Rehmannia glutinosa, Phellodendron amurense, and Angelica sinensis. If there was edema, the addition of Yuebi Decoction was beneficial. In February of Jiyou, Party Bomin, a professor at the Art Department of Gansu Normal University, suffered from ascites due to liver cirrhosis and had darkened facial skin. I added these herbs to his liver treatment regimen; after four months, his facial complexion improved. Professor Party remarked that this formula was highly effective, and his family and colleagues all praised its remarkable efficacy in traditional Chinese medicine.

Treatment of Liver Pain, April 1999

Liver pain is one of the most common clinical symptoms in patients with liver disease, but it remains a challenging issue that requires urgent attention. Western medicine has not achieved significant therapeutic results; however, traditional Chinese medicine offers notable efficacy, which is one of the primary reasons why many patients turn to TCM for treatment. I believe that the onset of this symptom often stems from liver enlargement, which compresses the nerve endings in the liver capsule; it can also result from obstruction or infection of the intrahepatic bile ducts. Additionally, degeneration and necrosis of hepatocytes, along with fibrous tissue proliferation extending toward the liver capsule, contribute to liver pain. These three causes of liver pain are often accompanied by bitter taste in the mouth, dry throat, irritability, and quick temper—these symptoms fall under the category of liver qi stagnation in traditional Chinese medicine. When liver qi stagnates, fire arises, and when qi stagnates, blood stasis is inevitable. Qi stagnation and blood stasis, combined with fire arising from liver qi, form the primary pathogenic mechanisms behind liver pain. Therefore, regulating qi and activating blood circulation, as well as clearing heat and reducing fire, are the two fundamental principles for treating liver pain.

1. Regulating Qi and Activating Blood Circulation: (Chaihu Shugan San Compound) Chaihu, Zhike, Bai Shao, Chuan Xiong, Xiang Fu, Dan Shen, Mu Xiang, Cao Kou, Yuan Hu, Chuan Lian Zi, Zhi Lu Mo, Qing Pi, Rou Gui, Jiang Hua, San Ling, E Zhu.
2. Clearing Heat and Reducing Fire: (Danpi He Zheng Fang) Chaihu, Zhi Shi, Bai Shao, Gan Cao, Chuan Xiong, Xiang Fu, Da Huang, Huang Lian, Huang Qin, Mu Xiang, Yuan Hu, Chuan Lian Zi, Zhi Lu Mo, Chuan Jiao, Gan Jiang, Gong Ying, Baisang.

These two formulas serve as the primary treatment approach; additional herbs such as Qing San Gui Jiang, Qing Che Shu Jin Gua Luo, and others can be adjusted as needed.

Hypertension and Renal Arteriosclerosis, April 1999

Approximately 20% of adults in China suffer from hypertension; based on these figures, there are roughly 90 million hypertensive patients in China. Preliminary surveys indicate that only about 12% of hypertensive patients receive treatment, while only 3% manage to effectively control their blood pressure. Historically, hypertension was often associated with cerebrovascular accidents, coronary heart disease, renal artery sclerosis, and hypertensive heart disease. However, in recent years, thanks to advances in drug therapy, cerebrovascular accidents have decreased, while renal artery sclerosis has seen a significant increase, whereas coronary heart disease remains at its original level. The earliest clinical manifestations of renal artery sclerosis include proteinuria—protein levels in urine tests ranging from + to ++++, initially at ±~+, then stabilizing for a period before rapidly increasing upon exposure to triggering factors. Typically, a urine protein level of >150 mg/day is considered the simplest criterion for diagnosing renal artery sclerosis. Additionally, monitoring for microalbuminuria and B2 microglobulin is essential.

Electrolyte Disturbance Correction Formula, April 1999