Pei Zhengxue Medical Lecture Collection

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Pei Zhengxue Medical Lecture Collection
Reviewed by: Liu Shiru

Edited by: Wang Jing, Cao Jingyu, Li Guoying, Tian Jingxia

Author: Pei Zhengxue

Contributors: Dang Huifen, Wei Aiqing, Ma Qi, Huang Bangrong

Compiled by: Lü Pengqiang, Qi Li, Li Rongrong

Zhang Shunxian, Chen Haofang, Bao Qiqi

Gansu Science and Technology Press
Cataloging-in-Publication (CIP) Data
Pei Zhengxue Medical Lecture Collection / Written by Pei Zhengxue. --- --- Lanzhou: Gansu Science and Technology Press,
December 2017
ISBN 97854241
I . ①Pei ... Ⅱ. ①Pei ... Ⅲ. ①Integrated Traditional Chinese and Western Medicine---Collected Works Ⅳ. ①R2---031
China Version Library CIP Data Verification No. (2018) 014685
Pei Zhengxue Medical Lecture Collection, written by Pei Zhengxue

+:-----------------+:-----------------+:-------------+:----------------------+:-----------------------+

Publisher Responsible Editor Cover Design | > Wang Yongsheng Zuo Wenxuan Zhang Xiaole
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| | > | > | | > 1/32 Print Sheet | > 9 . 125 Words 230 Thousand
| | > | > | | > 4 | > First Printing in December 2017
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Table of Contents
[Part I Academic Thoughts]
[On the Integration of Traditional Chinese and Western Medicine 3]
[On the Modernization of Traditional Chinese Medicine 10]
[Pushing Macroscopic Syndrome Differentiation Towards Microscopic Syndrome Differentiation Is the Top Priority for Current TCM Academic Development]
[18]
Viewing "Different Diseases Treated the Same" from the Perspective of Integrated TCM and Western Medicine 22
Discussion on Syndrome Differentiation in Febrile Diseases 27
[On the Method of Strengthening the Spleen and Nourishing the Kidneys 36]
Examination and Comparison of Gui Zhi Shaoyao Zhimu Decoction 42
Traditional Chinese Medicines and Plant Classification 44
Part II Special Lectures
Chatting about the Treatment of Leukemia 49
Discussing Health Care for Middle-Aged and Elderly People 53
Chatting about Hypertension 58
1
Chatting about Cirrhosis 70
[Discussing Gastric Pain 74]
Chatting about Lung Cancer 82
The Necessity and Inevitability of Integrating TCM and Western Medicine 92
TCM Clinical Treatment Complements the Shortcomings of Modern Medicine 99
The Connotation and Models of TCM-Western Medicine Integration in Internal Medicine 105
Modern Research on TCM Zang-Xiang Theory 114
TCM Syndrome Differentiation (Part I) 119
TCM Syndrome Differentiation (Part II) 125
TCM Internal Medicine Prescription System 129
Strengthening the Body and Consolidating the Foundation with Immunity 136
Theory and Practice of Activating Blood Circulation and Removing Stasis 141
TCM-Western Medicine Understanding of Gastric Diseases 147
TCM-Western Medicine Understanding of Liver Diseases (Part I) 152
TCM-Western Medicine Understanding of Liver Diseases (Part II) 158
TCM-Western Medicine Understanding of Cardiovascular Diseases (Part I) 162
[TCM-Western Medicine Understanding of Cardiovascular Diseases (Part II) 168]
TCM-Western Medicine Understanding of Respiratory Diseases 176
TCM-Western Medicine Understanding of Blood Diseases 181
TCM-Western Medicine Understanding of Gynecological Diseases 188
2
TCM-Western Medicine Understanding of Kidney Diseases 193
TCM-Western Medicine Understanding of Autoimmune Diseases 200
TCM-Western Medicine Clinical View of Malignant Tumors 203
TCM and Western Medicine Views on Gynecological Diseases 207
Discussing Metabolic Syndrome 216
TCM Treatment of Women's and Children's Diseases 226
Discussing Health Care for Middle-Aged and Elderly People 232
Part III Disciples' Feedback
[Teacher-Student Reflections 239]
[Teacher-Student Reflections 242]
Reflections on Studying Under Master Pei 244
[Teacher-Student Reflections 247]
Learning Experiences 248
Teacher-Student Impressions 250
Impressions on Studying with Master Pei Zhengxue 253
Impressions on Studying with Master Pei 255
Admiring the Great Teacher, Following His Example 257
My One-Week Learning Experience with Master Pei 262
[Reflections on Learning and Inheriting Professor Pei Zhengxue's Academic Thoughts 269]
3
[Reflections on Inheriting the Academic Thoughts of National Master of Traditional Chinese Medicine Professor Pei Zhengxue 272]
Reflections on Studying Professor Pei Zhengxue's Academic Thoughts 274
My One-Week Learning Experience with Master Pei 277
On the Importance of Academic Thoughts on TCM-Western Medicine Integration 281
4
Preface
I have worked on the clinical front line for over fifty years, personally training nearly a thousand doctoral, master's, undergraduate, and advanced trainees. They are not only spread across the country, but some have even gone overseas to settle down and work in the United States, the United Kingdom, Canada, Kuwait, and other places, engaging in TCM and integrated TCM-Western medicine clinical practice. Now that I am eighty years old, every time I think back on this, I feel immensely gratified. Looking back over more than fifty years of clinical and teaching work, I have published 28 clinical monographs. In terms of teaching, I have given countless speeches and academic reports at various levels of academic conferences, as well as taught courses and passed on knowledge to different study groups and training classes. My students Liu Shiru, Wang Jing, and Dang Huifen have repeatedly suggested that these academic reports and lecture contents should be compiled and published to benefit readers. I accepted their suggestion and assigned Wang Jing and Dang Huifen to collect and organize the materials. They searched online for my lecture records over the years, downloaded the saved files from my computer, and also gathered some notes they took during daily learning sessions with me, totaling around 200,000 words. Later, I entrusted Comrade Liu Shiru to review and finalize the compilation, naming it "Pei Zhengxue Medical Lecture Collection." The content of this book covers all areas of TCM internal medicine and will be helpful to medical students at all levels, including both TCM and Western medicine practitioners. The book includes a chapter on reader feedback, which consists of the impressions and thoughts of those who attended the lectures, providing valuable insights into the lecture content. Comrades Liu Shiru, Wang Jing, and Dang Huifen are all my students. Liu Shiru has been practicing medicine for over twenty years and is quite well-known in the Jiuquan area; Wang Jing and Dang Huifen are recent graduates of Gansu University of Traditional Chinese Medicine, having studied under me for three years with excellent results, making them among the top graduate students I have ever mentored. I hope this book will bring benefits to a wide range of readers.

Gansu Provincial Academy of Medical Sciences February 10, 2017
2
Part I Academic Thoughts
On the Integration of Traditional Chinese and Western Medicine
Pei Zhengxue
The proposal of the issue of "integration of TCM and Western medicine" carries extremely important practical significance. It not only concerns the development and improvement of traditional Chinese medicine, but also the development and improvement of world medicine. Completing this major mission will elevate China's medical standards to a new height and make a tremendous contribution to human health care. Exploring and researching this issue is a glorious yet arduous task before us. Below are a few personal views on the integration of TCM and Western medicine. If there are any inappropriate points, I hope comrades will offer criticism and suggestions.
First, TCM and Western medicine emerged in different historical contexts.
Like other sciences, medicine must arise and develop on a certain socio-economic foundation. The superstructure that develops on different economic foundations often has different forms and contents. When the economic foundation changes, "the entire massive superstructure will change slowly or quickly." TCM and Western medicine grew up on different economic foundations, which inevitably led to their stark differences in form and content. TCM, as a medical science, roughly formed between the 5th and 4th centuries BC, when China was transitioning from a slave society to a feudal society. In line with the reform of the ownership of the means of production, medicine broke free from the shackles of divine authority and the idea of heavenly mandate, finally separating completely from witchcraft. The famous physician Bian Que was a representative figure of this period of transformation, and the ideas and viewpoints of China's earliest medical work, the "Inner Canon," were also initially formed during this time. Over the following two thousand plus years, China remained in a long feudal society (after the Opium War in 1840, it became a semi-feudal, semi-colonial society), with an economic foundation mainly based on individual agriculture and scattered handicrafts.
Such an economic foundation could not provide modern research equipment for the development of medicine, nor could it fully provide modern theoretical basis in physiology, pathology, and other fields. Therefore, when engaging in TCM clinical practice, people could only rely on patients' subjective feelings and the external manifestations of diseases. Apart from that, if there was anything else to rely on, it would be the medical workers' own thinking and analytical abilities. On the other hand, the development of Western medicine took place under completely different social conditions compared to TCM. Starting from the 16th century, with the development of industries such as mining and smelting, capitalism began to emerge, and various new machines and tools appeared one after another. In particular, the invention of telescopes and microscopes opened the door to the mysteries of nature for humanity, providing unprecedented favorable conditions. This enabled natural science to break free from the cage of scholastic philosophy and, based on extensive experimental research data, achieve broad and systematic development. In the field of medicine, due to the widespread use of microscopes, humanity began to explore the microscopic world. The development of cells and the understanding of blood circulation were both based on this foundation. In the mid-18th century, modern large-scale industry powered by steam engines emerged, further providing many necessary instruments and facilities for the development of medicine and promoting the emergence of a series of important theories and achievements in physiology, pathology, and other fields. Thus, Western medicine formed a complete academic system from theory to practice at an unprecedented speed. From the above situation, we can see that the development of Western medicine is based on capitalist industry. Before the rise of capitalism, the form and content of Western medicine were broadly similar to TCM, but its completeness and precision were still far inferior to TCM. The Milesian School in ancient Greece proposed that all things can be divided into opposing contradictions, such as dry and wet, cold and hot, etc., and that the elements that make up all objects are wind, fire, water, and earth. This idea is completely similar to the Yin-Yang and Five Elements theory of traditional Chinese medicine, philosophically belonging to naive materialism and spontaneous dialectics. Second, TCM and Western medicine have different forms and contents.
Because the economic foundations on which TCM and Western medicine rely for their development are different, this determines that the two have different forms and contents. Let's take bacterial dysentery as an example to illustrate the different characteristics shown by the two in disease recognition and treatment. Western medicine, through experimental research in pathogenetics, first recognized that this disease is caused by dysentery bacilli (Shigella, Salmonella, etc.). Through epidemiological experiments, it was further discovered that these bacteria enter the human body through water, hands, flies, and other routes. Further pathological experiments revealed that inflammatory changes (congestion, edema, inflammatory exudation, ulcers) form on the lower colon and rectal mucosa, and these inflammatory changes cause a series of systemic poisoning symptoms—fever, coma, convulsions, respiratory failure, circulatory failure—and local irritation symptoms—tenesmus, diarrhea, mucus-pus-blood stools. In treatment, using antibiotics to inhibit the pathogen is considered the key to treating this disease, along with correcting fluid and electrolyte balance, as well as addressing respiratory and circulatory failure. As we can see, Western medicine's understanding of this disease adopts an experimental research approach, with a progression from cause to symptom, and its treatment focuses on directly controlling the pathogen. On the other hand, TCM's understanding of dysentery starts with analyzing the most important symptom—pus-blood stools. Zhang Jiebin said, "Anyone suffering from dysentery must have pus-blood; if there is no pus-blood, how can it be called dysentery?" The slimy, greasy consistency indicates dampness; the bright red color indicates heat; when pus and blood mix together, it represents a combination of dampness and heat. In addition: ① Dysentery often occurs at the transition between the long summer (dampness) and summer (heat); ② The tongue coating of dysentery patients is often yellow (heat) and greasy (dampness); ③ The pulse of dysentery patients is often slippery (dampness) and rapid (heat). These three observations also support the above view, reflecting both the relationship between humans and nature and the overall relationship among various parts of the human body. The combination of dampness and heat easily obstructs the flow of qi; when qi flow is blocked, pain arises, leading to tenesmus. Therefore, TCM believes that the combination of dampness and heat is the root cause of dysentery, while tenesmus is the manifestation. In treatment, clearing heat and drying dampness addresses the root cause, while regulating qi flow and relieving pain targets the manifestation. From the above argument, we can see that TCM's understanding of dysentery uses a method completely different from Western medicine's experimental research approach—namely, logical reasoning. Its progression goes from symptom to cause (diagnosing the cause through symptom analysis), and its treatment focuses on reducing or eliminating the pathogen by adjusting the body's reactivity. Comparison Table of Disease Recognition Between TCM and Western Medicine