2. Control Group

Except for not taking traditional Chinese medicine, the Western medical treatment is the same as that of the treatment group.

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Middle Section: Clinical Applications

Published by Hefei Four Provinces Publishing House

Table 1: Comparison of Symptom Recovery Between Treatment and Control Groups

Large | | | | +--------+ | | > % | +----------+--------+ | > Ten | > Number of Cases | | +--------+ | | > % | +----------+--------+ | > Ten Ten | > Number of Cases | | +--------+ | | > % | +--------+----------+--------+ | > Lower | > - | > Number of Cases | | +--------+ | | > % | +----------+--------+ | > Ten | > Number of Cases | | +--------+ | | > % | +----------+--------+ | > Ten Ten | > Number of Cases | | +--------+ | | > % | +--------+----------+--------+ | > Gate | > 12↓ | > Number of Cases | | +--------+ | | > % | +----------+--------+ | > 12～20 | > Number of Cases | | +--------+ | | > % | +----------+--------+ | > 20个 | > Number of Cases | | +--------+ | | > % | +--------+----------+--------+ | > Belly | > - | > Number of Cases | | +--------+ | | > % | +----------+--------+ | > Ten | > Number of Cases | | +--------+ | | > % | +----------+--------+ | > Ten Ten | > Number of Cases | | +--------+ | | > % | +--------+----------+--------+ | > Door | > 12↓ | > Number of Cases | | +--------+ | | > % | +----------+--------+ | > 12～20 | > Number of Cases | | +--------+ | | > % | +----------+--------+ | > 20个 | > Number of Cases | | +--------+ | | > % | +--------+----------+--------+ | > Belly | > - | > Number of Cases | | +--------+ | | > % | +----------+--------+ | > Water | | | | +--------+ | | > % | +----------+--------+ | > Ten | > Number of Cases | | +--------+ | | > % | +----------+--------+ | > Ten Ten | > Number of Cases | | +--------+ | | > % | +--------+----------+--------+ | > Gate | > 12↓ | > Number of Cases | | +--------+ | | > % | +----------+--------+ | > 12～20 | > Number of Cases | | +--------+ | | > % | +----------+--------+ | > 20個 | > Number of Cases | | +--------+ | | > % | +--------+----------+--------+ | > Belly | > - | > Number of Cases | | +--------+ | | > % | +----------+--------+ | > Water | | | | +--------+ | | > % | +----------+--------+ | > Ten | > Number of Cases | | +--------+ | | > % | +----------+--------+ | > Ten Ten | > Number of Cases | | +--------+ | | > % | +--------+----------+--------+ | > Gate | > 12↓ | > Number of Cases | | +--------+ | | > % | +----------+--------+ | > 12～20 | > Number of Cases | | +--------+ | | > % | +----------+--------+ | > 20個 | > Number of Cases | | +--------+ | | > % | +--------+----------+--------+ | > Belly | > - | > Number of Cases | | +--------+ | | > % | +----------+--------+ | > Water | | | | +--------+ | | > % | +----------+--------+ | > Ten | > Number of Cases | | +--------+ | | > % | +----------+--------+ | > Ten Ten | > Number of Cases | | +--------+ | | > % | +--------+----------+--------+ | > Gate | > 12↓ | > Number of Cases | | +--------+ | | > % | +----------+--------+ | > 12～20 | > Number of Cases | | +--------+ | | > % | +----------+--------+ | > 20個 | > Number of Cases | | +--------+ | | > % | +--------+----------+--------+ | > Belly | > - | > Number of Cases | | +--------+ | | > % | +----------+--------+ | > Water | | | | +--------+ | | > % | +----------+--------+ | > Ten | > Number of Cases | | +--------+ | | > % | +----------+--------+ | > Ten Ten | > Number of Cases | | +--------+ | | > % | +--------+----------+--------+ | > Gate | > 12↓ | > Number of Cases | | +--------+ | | > % | +----------+--------+ | > 12～20 | > Number of Cases | | +--------+ | | > % | +----------+--------+ | > 20個 | > Number of Cases | | +--------+ | | > % | +--------+----------+--------+ | > Belly | > - | > Number of Cases | | +--------+ | | > % | +----------+--------+ | > Water | | | | +--------+ | | > % | +----------+--------+ | > Ten | > Number of Cases | | +--------+ | | > % | +----------+--------+ | > Ten Ten | > Number of Cases | | +--------+ | | > % | +--------+----------+--------+ | > Gate | > 12↓ | > Number of Cases | | +--------+ | | > % | +----------+--------+ | > 12～20 | > Number of Cases | | +--------+ | | > % | +----------+--------+ | > 20個 | > Number of Cases | | +--------+ | | > % | +--------+----------+--------+ | > Belly | > - | > Number of Cases | | +--------+ | | > % | +----------+--------+ | > Water | | | | +--------+ | | > % | +----------+--------+ | > Ten | > Number of Cases | | +--------+ | | > % | +----------+--------+ | > Ten Ten | > Number of Cases | | +--------+ | | > % | +--------+----------+--------+ | > Gate | > 12↓ | > Number of Cases | | +--------+ | | > % | +----------+--------+ | > 12～20 | > Number of Cases | | +--------+ | | > % | +----------+--------+ | > 20個 | > Number of Cases | | +--------+ | | > % | +--------+----------+--------+ | > Belly | > - | > Number of Cases | | +--------+ | | > % | +----------+--------+ | > Water | | | | +--------+ | | > % | +----------+--------+ | > Ten | > Number of Cases | | +--------+ | | > % | +----------+--------+ | > Ten Ten | > Number of Cases | | +--------+ | | > % | +--------+----------+--------+ | > Gate | > 12↓ | > Number of Cases | | +--------+ | | > % | +----------+--------+ | > 12～20 | > Number of Cases | | +--------+ | | > % | +----------+--------+ | > 20個 | > Number of Cases | | +--------+ | | > % | +--------+----------+--------+ | > Belly | > - | > Number of Cases | | +--------+ | | > % | +----------+--------+ | > Water | | | | +--------+ | | > % | +----------+--------+ | > Ten | > Number of Cases | | +--------+ | | > % | +----------+--------+ | > Ten Ten | > Number of Cases | | +--------+ | | > % | +--------+----------+--------+ | > Gate | > 12↓ | > Number of Cases | | +--------+ | | > % | +----------+--------+ | > 12～20 | > Number of Cases | | +--------+ | | > % | +----------+--------+ | > 20個 | > Number of Cases | | +--------+ | | > % | +--------+----------+--------+ | > Belly | > - | > Number of Cases | | +--------+ | | > % | +----------+--------+ | > Water | | | | +--------+ | | > % | +----------+--------+ | > Ten | > Number of Cases | | +--------+ | | > % | +----------+--------+ | > Ten Ten | > Number of Cases | | +--------+ | | > % | +--------+----------+--------+ | > Gate | > 12↓ | > Number of Cases | | +--------+ | | > % | +----------+--------+ | > 12～20 | > Number of Cases | | +--------+ | | > % | +----------+--------+ | > 20個 | > Number of Cases | | +--------+ | | > % | +--------+----------+--------+ | > Belly | > - | > Number of Cases | | +--------+ | | > % | +----------+--------+ | > Water | | | | +--------+ | | > % | +----------+--------+ | > Ten | > Number of Cases | | +--------+ | | > % | +----------+--------+ | > Ten Ten | > Number of Cases | | +--------+ | | > % | +--------+----------+--------+ | > Gate | > 12↓ | > Number of Cases | | +--------+ | | > % | +----------+--------+ | > 12～20 | > Number of Cases | | +--------+ | | > % | +----------+--------+ | > 20個 | > Number of Cases | | +--------+ | | > % | +--------+----------+--------+ | > Belly | > - | > Number of Cases | | +--------+ | | > % | +----------+--------+ | > Water | | | | +--------+ | | > % | +----------+--------+ | > Ten | > Number of Cases | | +--------+ | | > % | +----------+--------+ | > Ten Ten | > Number of Cases | | +--------+ | | > % | +--------+----------+--------+ | > Gate | > 12↓ | > Number of Cases | | +--------+ | | > % | +----------+--------+ | > 12～20 | > Number of Cases | | +--------+ | | > % | +----------+--------+ | > 20個 | > Number of Cases | | +--------+ | | > % | +--------+----------+--------+ | > Belly | > - | > Number of Cases | | +--------+ | | > % | +----------+--------+ | > Water | | | | +--------+ | | > % | +----------+--------+ | > Ten | > Number of Cases | | +--------+ | | > % | +----------+--------+ | > Ten Ten | > Number of Cases | | +--------+ | | > % | +--------+----------+--------+ | > Gate | > 12↓ | > Number of Cases | | +--------+ | | > % | +----------+--------+ | > 12～20 | > Number of Cases | | +--------+ | | > % | +----------+--------+ | > 20個 | > Number of Cases | | +--------+ | | > % | +--------+----------+--------+ | > Belly | > - | > Number of Cases | | +--------+ | | > % | +----------+--------+ | > Water | | | | +--------+ | | > % | +----------+--------+ | > Ten | > Number of Cases | | +--------+ | | > % | +----------+--------+ | > Ten Ten | > Number of Cases | | +--------+ | | > % | +--------+----------+--------+ | > Gate | > 12↓ | > Number of Cases | | +--------+ | | > % | +----------+--------+ | > 12～20 | > Number of Cases | | +--------+ | | > % | +----------+--------+ | > 20個 | > Number of Cases | | +--------+ | | > % | +--------+----------+--------+ | > Belly | > - | > Number of Cases | | +--------+ | | > % | +----------+--------+ | > Water | | | | +--------+ | | > % | +----------+--------+ | > Ten | > Number of Cases | | +--------+ | | > % | +----------+--------+ | > Ten Ten | > Number of Cases | | +--------+ | | > % | +--------+----------+--------+ | > Gate | > 12↓ | > Number of Cases | | +--------+ | | > % | +----------+--------+ | > 12～20 | > Number of Cases | | +--------+ | | > % | +----------+--------+ | > 20個 | > Number of Cases | | +--------+ | | > % | +--------+----------+--------+ | > Belly | > - | > Number of Cases | | +--------+ | | > % | +----------+--------+ | > Water | | | | +--------+ | | > % | +----------+--------+ | > Ten | > Number of Cases | | +--------+ | | > % | +----------+--------+ | > Ten Ten | > Number of Cases | | +--------+ | | > % | +--------+----------+--------+ | > Gate | > 12↓ | > Number of Cases | | +--------+ | | > % | +----------+--------+ | > 12～20 | > Number of Cases | | +--------+ | | > % | +----------+--------+ | > 20個 | > Number of Cases | | +--------+ | | > % | +--------+----------+--------+ | > Belly | > - | > Number of Cases | | +--------+ | | > % | +----------+--------+ | > Water | | | | +--------+ | | > % | +----------+--------+ | > Ten | > Number of Cases | | +--------+ | | > % | +----------+--------+ | > Ten Ten | > Number of Cases | | +--------+ | | > % | +--------+----------+--------+ | > Gate | > 12↓ | > Number of Cases | | +--------+ | | > % | +----------+--------+ | > 12～20 | > Number of Cases | | +--------+ | | > % | +----------+--------+ | > 20個 | > Number of Cases | | +--------+ | | > % | +--------+----------+--------+ | > Belly | > - | > Number of Cases | | +--------+ | | > % | +----------+--------+ | > Water | | | | +--------+ | | > % | +----------+--------+ | > Ten | > Number of Cases | | +--------+ | | > % | +----------+--------+ | > Ten Ten | > Number of Cases | | +--------+ | | > % | +--------+----------+--------+ | > Gate | > 12↓ | > Number of Cases | | +--------+ | | > % | +----------+--------+ | > 12～20 | > Number of Cases | | +--------+ | | > % | +----------+--------+ | > 20個 | > Number of Cases | | +--------+ | | > % | +--------+----------+--------+ | > Belly | > - | > Number of Cases | | +--------+ | | > % | +----------+--------+ | > Water | | | | +--------+ | | > % | +----------+--------+ | > Ten | > Number of Cases | | +--------+ | | > % | +----------+--------+ | > Ten Ten | > Number of Cases | | +--------+ | | > % | +--------+----------+--------+ | > Gate | > 12↓ | > Number of Cases | | +--------+ | | > % | +----------+--------+ | > 12～20 | > Number of Cases | | +--------+ | | > % | +----------+--------+ | > 20個 | > Number of Cases | | +--------+ | | > % | +--------+----------+--------+ | > Belly | > - | > Number of Cases | | +--------+ | | > % | +----------+--------+ | > Water | | | | +--------+ | | > % | +----------+--------+ | > Ten | > Number of Cases | | +--------+ | | > % | +----------+--------+ | > Ten Ten | > Number of Cases | | +--------+ | | > % | +--------+----------+--------+ | > Gate | > 12↓ | > Number of Cases | | +--------+ | | > % | +----------+--------+ | > 12～20 | > Number of Cases | | +--------+ | | > % | +----------+--------+ | > 20個 | > Number of Cases | | +--------+ | | > % | +--------+----------+--------+ | > Belly | > - | > Number of Cases | | +--------+ | | > % | +----------+--------+ | > Water | | | | +--------+ | | > % | +----------+--------+ | > Ten | > Number of Cases | | +--------+ | | > % | +----------+--------+ | > Ten Ten | > Number of Cases | | +--------+ | | > % | +--------+----------+--------+ | > Gate | > 12↓ | > Number of Cases | | +--------+ | | > % | +----------+--------+ | > 12～20 | > Number of Cases | | +--------+ | | > % | +----------+--------+ | > 20個 | > Number of Cases | | +--------+ | | > % | +--------+----------+--------+ | > Belly | > - | > Number of Cases | | +--------+ | | > % | +----------+--------+ | > Water | | | | +--------+ | | > % | +----------+--------+ | > Ten | > Number of Cases | | +--------+ | | > % | +----------+--------+ | > Ten Ten | > Number of Cases | | +--------+ | | > % | +--------+----------+--------+ | > Gate | > 12↓ | > Number of Cases | | +--------+ | | > % | +----------+--------+ | > 12～20 | > Number of Cases | | +--------+ | | > % | +----------+--------+ | > 20個 | > Number of Cases | | +--------+ | | > % | +--------+----------+--------+ | > Belly | > - | > Number of Cases | | +--------+ | | > % | +----------+--------+ | > Water | | | | +--------+ | | > % | +----------+--------+ | > Ten | > Number of Cases | | +--------+ | | > % | +----------+--------+ | > Ten Ten | > Number of Cases | | +--------+ | | > % | +--------+----------+--------+ | > Gate | > 12↓ | > Number of Cases | | +--------+ | | > % | +----------+--------+ | > 12～20 | > Number of Cases | | +--------+ | | > % | +----------+--------+ | > 20個 | > Number of Cases | | +--------+ | | > % | +--------+----------+--------+ | > Belly | > - | > Number of Cases | | +--------+ | | > % | +----------+--------+ | > Water | | | | +--------+ | | > % | +----------+--------+ | > Ten | > Number of Cases | | +--------+ | | > % | +----------+--------+ | > Ten Ten | > Number of Cases | | +--------+ | | > % | +--------+----------+--------+ | > Gate | > 12↓ | > Number of Cases | | +--------+ | | > % | +----------+--------+ | > 12～20 | > Number of Cases | | +--------+ | | > % | +----------+--------+ | > 20個 | > Number of Cases | | +--------+ | | > % | +--------+----------+--------+ | > Belly | > - | > Number of Cases | | +--------+ | | > % | +----------+--------+ | > Water | | | | +--------+ | | > % | +----------+--------+ | > Ten | > Number of Cases | | +--------+ | | > % | +----------+--------+ | > Ten Ten | > Number of Cases | | +--------+ | | > % | +--------+----------+--------+ | > Gate | > 12↓ | > Number of Cases | | +--------+ | | > % | +----------+--------+ | > 12～20 | > Number of Cases | | +--------+ | | > % | +----------+--------+ | > 20個 | > Number of Cases | | +--------+ | | > % | +--------+----------+--------+ | > Belly | > - | > Number of Cases | | +--------+ | | > % | +----------+--------+ | > Water | | | | +--------+ | | > % | +----------+--------+ | > Ten | > Number of Cases | | +--------+ | | > % | +----------+--------+ | > Ten Ten | > Number of Cases | | +--------+ | | > % | +--------+----------+--------+ | > Gate | > 12↓ | > Number of Cases | | +--------+ | | > % | +----------+--------+ | > 12～20 | > Number of Cases | | +--------+ | | > % | +----------+--------+ | > 20個 | > Number of Cases | | +--------+ | | > % | +--------+----------+--------+ | > Belly | > - | > Number of Cases | | +--------+ | | > % | +----------+--------+ | > Water | | | | +--------+ | | > % | +----------+--------+ | > Ten | > Number of Cases | | +--------+ | | > % | +----------+--------+ | > Ten Ten | > Number of Cases | | +--------+ | | > % | +--------+----------+--------+ | > Gate | > 12↓ | > Number of Cases | | +--------+ | | > % | +----------+--------+ | > 12～20 | > Number of Cases | | +--------+ | | > % | +----------+--------+ | > 20個 | > Number of Cases | | +--------+ | | > % | +--------+----------+--------+ | > Belly | > - | > Number of Cases | | +--------+ | | > % | +----------+--------+ | > Water | | | | +--------+ | | > % | +----------+--------+ | > Ten | > Number of Cases | | +--------+ | | > % | +----------+--------+ | > Ten Ten | > Number of Cases | | +--------+ | | > % | +--------+----------+--------+ | > Gate | > 12↓ | > Number of Cases | | +--------+ | | > % | +----------+--------+ | > 12～20 | > Number of Cases | | +--------+ | | > % | +----------+--------+ | > 20個 | > Number of Cases | | +--------+ | | > % | +--------+----------+--------+ | > Belly | > - | > Number of Cases | | +--------+ | | > % | +----------+--------+ | > Water | | | | +--------+ | | > % | +----------+--------+ | > Ten | > Number of Cases | | +--------+ | | > % | +----------+--------+ | > Ten Ten | > Number of Cases | | +--------+ | | > % | +--------+----------+--------+ | > Gate | > 12↓ | > Number of Cases | | +--------+ | | > % | +----------+--------+ | > 12～20 | > Number of Cases | | +--------+ | | > % | +----------+--------+ | > 20個 | > Number of Cases | | +--------+ | | > % | +--------+----------+--------+ | > Belly | > - | > Number of Cases | | +--------+ | | > % | +----------+--------+ | > Water | | | | +--------+ | | > % | +----------+--------+ | > Ten | > Number of Cases | | +--------+ | | > % | +----------+--------+ | > Ten Ten | > Number of Cases | | +--------+ | | > % | +--------+----------+--------+ | > Gate | > 12↓ | > Number of Cases | | +--------+ | | > % | +----------+--------+ | > 12～20 | > Number of Cases | | +--------+ | | > % | +----------+--------+ | > 20個 | > Number of Cases | | +--------+ | | > % | +--------+----------+--------+ | > Belly | > - | > Number of Cases | | +--------+ | | > % | +----------+--------+ | > Water | | | | +--------+ | | > % | +----------+--------+ | > Ten | > Number of Cases | | +--------+ | | > % | +----------+--------+ | > Ten Ten | > Number of Cases | | +--------+ | | > % | +--------+----------+--------+ | > Gate | > 12↓ | > Number of Cases | | +--------+ | | > % | +----------+--------+ | > 12～20 | > Number of Cases | | +--------+ | | > % | +----------+--------+ | > 20個 | > Number of Cases | | +--------+ | | > % | +--------+----------+--------+ | > Belly | > - | > Number of Cases | | +--------+ | | > % | +----------+--------+ | > Water | | | | +--------+ | | > % | +----------+--------+ | > Ten | > Number of Cases | | +--------+ | | > % | +----------+--------+ | > Ten Ten | > Number of Cases | | +--------+ | | > % | +--------+----------+--------+ | > Gate | > 12↓ | > Number of Cases | | +--------+ | | > % | +----------+--------+ | > 12～20 | > Number of Cases | | +--------+ | | > % | +----------+--------+ | > 20個 | > Number of Cases | | +--------+ | | > % | +--------+----------+--------+ | > Belly | > - | > Number of Cases | | +--------+ | | > % | +----------+--------+ | > Water | | | | +--------+ | | > % | +----------+--------+ | > Ten | > Number of Cases | | +--------+ | | > % | +----------+--------+ | > Ten Ten | > Number of Cases | | +--------+ | | > % | +--------+----------+--------+ | > Gate | > 12↓ | > Number of Cases | | +--------+ | | > % | +----------+--------+ | > 12～20 | > Number of Cases | | +--------+ | | > % | +----------+--------+ | > 20個 | > Number of Cases | | +--------+ | | > % | +--------+----------+--------+ | > Belly | > - | > Number of Cases | | +--------+ | | > % | +----------+--------+ | > Water | | | | +--------+ | | > % | +----------+--------+ | > Ten | > Number of Cases | | +--------+ | | > % | +----------+--------+ | > Ten Ten | > Number of Cases | | +--------+ | | > % | +--------+----------+--------+ | > Gate | > 12↓ | > Number of Cases | | +--------+ | | > % | +----------+--------+ | > 12～20 | > Number of Cases | | +--------+ | | > % | +----------+--------+ | > 20個 | > Number of Cases | | +--------+ | | > % | +--------+----------+--------+ | > Belly | > - | > Number of Cases | | +--------+ | | > % | +----------+--------+ | > Water | | | | +--------+ | | > % | +----------+--------+ | > Ten | > Number of Cases | | +--------+ | | > % | +----------+--------+ | > Ten Ten | > Number of Cases | | +--------+ | | > % | +--------+----------+--------+ | > Gate | > 12↓ | > Number of Cases | | +--------+ | | > % | +----------+--------+ | > 12～20 | > Number of Cases | | +--------+ | | > % | +----------+--------+ | > 20個 | > Number of Cases | | +--------+ | | > % | +--------+----------+--------+ | > Belly | > - | > Number of Cases | | +--------+ | | > % | +----------+--------+ | > Water | | | | +--------+ | | > % | +----------+--------+ | > Ten | > Number of Cases | | +--------+ | | > % | +----------+--------+ | > Ten Ten | > Number of Cases | | +--------+ | | > % | +--------+----------+--------+ | > Gate | > 12↓ | > Number of Cases | | +--------+ | | > % | +----------+--------+ | > 12～20 | > Number of Cases | | +--------+ | | > % | +----------+--------+ | > 20個 | > Number of Cases | | +--------+ | | > % | +--------+----------+--------+ | > Belly | > - | > Number of Cases | | +--------+ | | > % | +----------+--------+ | > Water | | | | +--------+ | | > % | +----------+--------+ | > Ten | > Number of Cases | | +--------+ | | > % | +----------+--------+ | > Ten Ten | > Number of Cases | | +--------+ | | > % | +--------+----------+--------+ | > Gate | > 12↓ | > Number of Cases | | +--------+ | | > % | +----------+--------+ | > 12～20 | > Number of Cases | | +--------+ | | > % | +----------+--------+ | > 20個 | > Number of Cases | | +--------+ | | > % | +--------+----------+--------+ | > Belly | > - | > Number of Cases | | +--------+ | | > % | +----------+--------+ | > Water | | | | +--------+ | | > % | +----------+--------+ | > Ten | > Number of Cases | | +--------+ | | > % | +----------+--------+ | > Ten Ten | > Number of Cases | | +--------+ | | > % | +--------+----------+--------+ | > Gate | > 12↓ | > Number of Cases | | +--------+ | | > % | +----------+--------+ | > 12～20 | > Number of Cases | | +--------+ | | > % | +----------+--------+ | > 20個 | > Number of Cases | | +--------+ | | > % | +--------+----------+--------+ | > Belly | > - | > Number of Cases | | +--------+ | | > % | +----------+--------+ | > Water | | | | +--------+ | | > % | +----------+--------+ | > Ten | > Number of Cases | | +--------+ | | > % | +----------+--------+ | > Ten Ten | > Number of Cases | | +--------+ | | > % | +--------+----------+--------+ | > Gate | > 12↓ | > Number of Cases | | +--------+ | | > % | +----------+--------+ | > 12～20 | > Number of Cases | | +--------+ | | > % | +----------+--------+ | > 20個 | > Number of Cases | | +--------+ | | > % | +--------+----------+--------+ | > Belly | > - | > Number of Cases | | +--------+ | | > % | +----------+--------+ | > Water | | | | +--------+ | | > % | +----------+--------+ | > Ten | > Number of Cases | | +--------+ | | > % | +----------+--------+ | > Ten Ten | > Number of Cases | | +--------+ | | > % | +--------+----------+--------+ | > Gate | > 12↓ | > Number of Cases | | +--------+ | | > % | +----------+--------+ | > 12～20 | > Number of Cases | | +--------+ | | > % | +----------+--------+ | > 20個 | > Number of Cases | | +--------+ | | > % | +--------+----------+--------+ | > Belly | > - | > Number of Cases | | +--------+ | | > % | +----------+--------+ | > Water | | | | +--------+ | | > % | +----------+--------+ | > Ten | > Number of Cases | | +--------+ | | > % | +----------+--------+ | > Ten Ten | > Number of Cases | | +--------+ | | > % | +--------+----------+--------+ | > Gate | > 12↓ | > Number of Cases | | +--------+ | | > % | +----------+--------+ | > 12～20 | > Number of Cases | | +--------+ | | > % | +----------+--------+ | > 20個 | > Number of Cases | | +--------+ | | > % | +--------+----------+--------+ | > Belly | > - | > Number of Cases | | +--------+ | | > % | +----------+--------+ | > Water | | | | +--------+ | | > % | +----------+--------+ | > Ten | > Number of Cases | | +--------+ | | > % | +----------+--------+ | > Ten Ten | > Number of Cases | | +--------+ | | > % | +--------+----------+--------+ | > Gate | > 12↓ | > Number of Cases | | +--------+ | | > % | +----------+--------+ | > 12～20 | > Number of Cases | | +--------+ | | > % | +----------+--------+ | > 20個 | > Number of Cases | | +--------+ | | > % | +--------+----------+--------+ | > Belly | > - | > Number of Cases | | +--------+ | | > % | +----------+--------+ | > Water | | | | +--------+ | | > % | +----------+--------+ | > Ten | > Number of Cases | | +--------+ | | > % | +----------+--------+ | > Ten Ten | > Number of Cases | | +--------+ | | > % | +--------+----------+--------+ | > Gate | > 12↓ | > Number of Cases | | +--------+ | | > % | +----------+--------+ | > 12～20 | > Number of Cases | | +--------+ | | > % | +----------+--------+ | > 20個 | > Number of Cases | | +--------+ | | > % | +--------+----------+--------+ | > Belly | > - | > Number of Cases | | +--------+ | | > % | +----------+--------+ | > Water | | | | +--------+ | | > % | +----------+--------+ | > Ten | > Number of Cases | | +--------+ | | > % | +----------+--------+ | > Ten Ten | > Number of Cases | | +--------+ | | > % | +--------+----------+--------+ | > Gate | > 12↓ | > Number of Cases | | +--------+ | | > % | +----------+--------+ | > 12～20 | > Number of Cases | | +--------+ | | > % | +----------+--------+ | > 20個 | > Number of Cases | | +--------+ | | > % | +--------+----------+--------+ | > Belly | > - | > Number of Cases | | +--------+ | | > % | +----------+--------+ | > Water | | | | +--------+ | | > % | +----------+--------+ | > Ten | > Number of Cases | | +--------+ | | > % | +----------+--------+ | > Ten Ten | > Number of Cases | | +--------+ | | > % | +--------+----------+--------+ | > Gate | > 12↓ | > Number of Cases | | +--------+ | | > % | +----------+--------+ | > 12～20 | > Number of Cases | | +--------+ | | > % | +----------+--------+ | > 20個 | > Number of Cases | | +--------+ | | > % | +--------+----------+--------+ | > Belly | > - | > Number of Cases | | +--------+ | | > % | +----------+--------+ | > Water | | | | +--------+ | | > % | +----------+--------+ | > Ten | > Number of Cases | | +--------+ | | > % | +----------+--------+ | > Ten Ten | > Number of Cases | | +--------+ | | > % | +--------+----------+--------+ | > Gate | > 12↓ | > Number of Cases | | +--------+ | | > % | +----------+--------+ | > 12～20 | > Number of Cases | | +--------+ | | > % | +----------+--------+ | > 20個 | > Number of Cases | | +--------+ | | > % | +--------+----------+--------+ | > Belly | > - | > Number of Cases | | +--------+ | | > % | +----------+--------+ | > Water | | | | +--------+ | | > % | +----------+--------+ | > Ten | > Number of Cases | | +--------+ | | > % | +----------+--------+ | > Ten Ten | > Number of Cases | | +--------+ | | > % | +--------+----------+--------+ | > Gate | > 12↓ | > Number of Cases | | +--------+ | | > % | +----------+--------+ | > 12～20 | > Number of Cases | | +--------+ | | > % | +----------+--------+ | > 20個 | > Number of Cases | | +--------+ | | > % | +--------+----------+--------+ | > Belly | > - | > Number of Cases | | +--------+ | | > % | +----------+--------+ | > Water | | | | +--------+ | | > % | +----------+--------+ | > Ten | > Number of Cases | | +--------+ | | > % | +----------+--------+ | > Ten Ten | > Number of Cases | | +--------+ | | > % | +--------+----------+--------+ | > Gate | > 12↓ | > Number of Cases | | +--------+ | | > % | +----------+--------+ | > 12～20 | > Number of Cases | | +--------+ | | > % | +----------+--------+ | > 20個 | > Number of Cases | | +--------+ | | > % | +--------+----------+--------+ | > Belly | > - | > Number of Cases | | +--------+ | | > % | +----------+--------+ | > Water | | | | +--------+ | | > % | +----------+--------+ | > Ten | > Number of Cases | | +--------+ | | > % | +----------+--------+ | > Ten Ten | > Number of Cases | | +--------+ | | > % | +--------+----------+--------+ | > Gate | > 12↓ | > Number of Cases | | +--------+ | | > % | +----------+--------+ | > 12～20 | > Number of Cases | | +--------+ | | > % | +----------+--------+ | > 20個 | > Number of Cases | | +--------+ | | > % | +--------+----------+--------+ | > Belly | > - | > Number of Cases | | +--------+ | | > % | +----------+--------+ | > Water | | | | +--------+ | | > % | +----------+--------+ | > Ten | > Number of Cases | | +--------+ | | > % | +----------+--------+ | > Ten Ten | > Number of Cases | | +--------+ | | > % | +--------+----------+--------+ | > Gate | > 12↓ | > Number of Cases | | +--------+ | | > % | +----------+--------+ | > 12～20 | > Number of Cases | | +--------+ | | > % | +----------+--------+ | > 20個 | > Number of Cases | | +--------+ | | > % | +--------+----------+--------+ | > Belly | > - | > Number of Cases | | +--------+ | | > % | +----------+--------+ | > Water | | | | +--------+ | | > % | +----------+--------+ | > Ten | > Number of Cases | | +--------+ | | > % | +----------+--------+ | > Ten Ten | > Number of Cases | | +--------+ | | > % | +--------+----------+--------+ | > Gate | > 12↓ | > Number of Cases | | +--------+ | | > % | +----------+--------+ | > 12～20 | > Number of Cases | | +--------+ | | > % | +----------+--------+ | > 20個 | > Number of Cases | | +--------+ | | > % | +--------+----------+--------+ | > Belly | > - | > Number of Cases | | +--------+ | | > % | +----------+--------+ | > Water | | | | +--------+ | | > % | +----------+--------+ | > Ten | > Number of Cases | | +--------+ | | > % | +----------+--------+ | > Ten Ten | > Number of Cases | | +--------+ | | > % | +--------+----------+--------+ | > Gate | > 12↓ | > Number of Cases | | +--------+ | | > % | +----------+--------+ | > 12～20 | > Number of Cases | | +--------+ | | > % | +----------+--------+ | > 20個 | > Number of Cases | | +--------+ | | > % | +--------+----------+--------+ | > Belly | > - | > Number of Cases | | +--------+ | | > % | +----------+--------+ | > Water | | | | +--------+ | | > % | +----------+--------+ | > Ten | > Number of Cases | | +--------+ | | > % | +----------+--------+ | > Ten Ten | > Number of Cases | | +--------+ | | > % | +--------+----------+--------+ | > Gate | > 12↓ | > Number of Cases | | +--------+ | | > % | +----------+--------+ | > 12～20 | > Number of Cases | | +--------+ | | > % | +----------+--------+ | > 20個 | > Number of Cases | | +--------+ | | > % | +--------+----------+--------+ | > Belly | > - | > Number of Cases | | +--------+ | | > % | +----------+--------+ | > Water | | | | +--------+ | | > % | +----------+--------+ | > Ten | > Number of Cases | | +--------+ | | > % | +----------+--------+ | > Ten Ten | > Number of Cases | | +--------+ | | > % | +--------+----------+--------+ | > Gate | > 12↓ | > Number of Cases | | +--------+ | | > % | +----------+--------+ | > 12～20 | > Number of Cases | | +--------+ | | > % | +----------+--------+ | > 20個 | > Number of Cases | | +--------+ | | > % | +--------+----------+--------+ | > Belly | > - | > Number of Cases | | +--------+ | | > % | +----------+--------+ | > Water | | | | +--------+ | | > % | +----------+--------+ | > Ten | > Number of Cases | | +--------+ | | > % | +----------+--------+ | > Ten Ten | > Number of Cases | | +--------+ | | > % | +--------+----------+--------+ | > Gate | > 12↓ | > Number of Cases | | +--------+ | | > % | +----------+--------+ | > 12～20 | > Number of Cases | | +--------+ | | > % | +----------+--------+ | > 20個 | > Number of Cases | | +--------+ | | > % | +--------+----------+--------+ | > Belly | > - | > Number of Cases | | +--------+ | | > % | +----------+--------+ | > Water | | | | +--------+ | | > % | +----------+--------+ | > Ten | > Number of Cases | | +--------+ | | > % | +----------+--------+ | > Ten Ten | > Number of Cases | | +--------+ | | > % | +--------+----------+--------+ | > Gate | > 12↓ | > Number of Cases | | +--------+ | | > % | +----------+--------+ | > 12～20 | > Number of Cases | | +--------+ | | > % | +----------+--------+ | > 20個 | > Number of Cases | | +--------+ | | > % | +--------+----------+--------+ | > Belly | > - | > Number of Cases | | +--------+ | | > % | +----------+--------+ | > Water | | | | +--------+ | | > % | +----------+--------+ | > Ten | > Number of Cases | | +--------+ | | > % | +----------+--------+ | > Ten Ten | > Number of Cases | | +--------+ | | > % | +--------+----------+--------+ | > Gate | > 12↓ | > Number of Cases | | +--------+ | | > % | +----------+--------+ | > 12～20 | > Number of Cases | | +--------+ | | > % | +----------+--------+ | > 20個 | > Number of Cases | | +--------+ | | > % | +--------+----------+--------+ | > Belly | > - | > Number of Cases | | +--------+ | | > % | +----------+--------+ | > Water | | | | +--------+ | | > % | +----------+--------+ | > Ten | > Number of Cases | | +--------+ | | > % | +----------+--------+ | > Ten Ten | > Number of Cases | | +--------+ | | > % | +--------+----------+--------+ | > Gate | > 12↓ | > Number of Cases | | +--------+ | | > % | +----------+--------+ | > 12～20 | > Number of Cases | | +--------+ | | > % | +----------+--------+ | > 20個 | > Number of Cases | | +--------+ | | > % | +--------+----------+--------+ | > Belly | > - | > Number of Cases | | +--------+ | | > % | +----------+--------+ | > Water | | | | +--------+ | | > % | +----------+--------+ | > Ten | > Number of Cases | | +--------+ | | > % | +----------+--------+ | > Ten Ten | > Number of Cases | | +--------+ | | > % | +--------+----------+--------+ | > Gate | > 12↓ | > Number of Cases | | +--------+ | | > % | +----------+--------+ | > 12～20 | > Number of Cases | | +--------+ | | > % | +----------+--------+ | > 20個 | > Number of Cases | | +--------+ | | > % | +--------+----------+--------+ | > Belly | > - | > Number of Cases | | +--------+ | | > % | +----------+--------+ | > Water | | | | +--------+ | | > % | +----------+--------+ | > Ten | > Number of Cases | | +--------+ | | > % | +----------+--------+ | > Ten Ten | > Number of Cases | | +--------+ | | > % | +--------+----------+--------+ | > Gate | > 12↓ | > Number of Cases | | +--------+ | | > % | +----------+--------+ | > 12～20 | > Number of Cases | | +--------+ | | > % | +----------+--------+ | > 20個 | > Number of Cases | | +--------+ | | > % | +--------+----------+--------+ | > Belly | > - | > Number of Cases | | +--------+ | | > % | +----------+--------+ | > Water | | | | +--------+ | | > % | +----------+--------+ | > Ten | > Number of Cases | | +--------+ | | > % | +----------+--------+ | > Ten Ten | > Number of Cases | | +--------+ | | > % | +--------+----------+--------+ | > Gate | > 12↓ | > Number of Cases | | +--------+ | | > % | +----------+--------+ | > 12～20 | > Number of Cases | | +--------+ | | > % | +----------+--------+ | > 20個 | > Number of Cases | | +--------+ | | > % | +--------+----------+--------+ | > Belly | > - | > Number of Cases | | +--------+ | | > % | +----------+--------+ | > Water | | | | +--------+ | | > % | +----------+--------+ | > Ten | > Number of Cases | | +--------+ | | > % | +----------+--------+ | > Ten Ten | > Number of Cases | | +--------+ | | > % | +--------+----------+--------+ | > Gate | > 12↓ | > Number of Cases | | +--------+ | | > % | +----------+--------+ | > 12～20 | > Number of Cases | | +--------+ | | > % | +----------+--------+ | > 20個 | > Number of Cases | | +--------+ | | > % | +--------+----------+--------+ | > Belly | > - | > Number of Cases | | +--------+ | | > % | +----------+--------+ | > Water | | | | +--------+ | | > % | +----------+--------+ | > Ten | > Number of Cases | | +--------+ | | > % | +----------+--------+ | > Ten Ten | > Number of Cases | | +--------+ | | > % | +--------+----------+--------+ | > Gate | > 12↓ | > Number of Cases | | +--------+ | | > % | +----------+--------+ | > 12～20 | > Number of Cases | | +--------+ | | > % | +----------+--------+ | > 20個 | > Number of Cases | | +--------+ | | > % | +--------+----------+--------+ | > Belly | > - | > Number of Cases | | +--------+ | | > % | +----------+--------+ | > Water | | | | +--------+ | | > % | +----------+--------+ | > Ten | > Number of Cases | | +--------+ | | > % | +----------+--------+ | > Ten Ten | > Number of Cases | | +--------+ | | > % | +--------+----------+--------+ | > Gate | > 12↓ | > Number of Cases | | +--------+ | | > % | +----------+--------+ | > 12～20 | > Number of Cases | | +--------+ | | > % | +----------+--------+ | > 20個 | > Number of Cases | | +--------+ | | > % | +--------+----------+--------+ | > Belly | > - | > Number of Cases | | +--------+ | | > % | +----------+--------+ | > Water | | | | +--------+ | | > % | +----------+--------+ | > Ten | > Number of Cases | | +--------+ | | > % | +----------+--------+ | > Ten Ten | > Number of Cases | | +--------+ | | > % | +--------+----------+--------+ | > Gate | > 12↓ | > Number of Cases | | +--------+ | | > % | +----------+--------+ | > 12～20 | > Number of Cases | | +--------+ | | > % | +----------+--------+ | > 20個 | > Number of Cases | | +--------+ | | > % | +--------+----------+--------+ | > Belly | > - | > Number of Cases | | +--------+ | | > % | +----------+--------+ | > Water | | | | +--------+ | | > % | +----------+--------+ | > Ten | > Number of Cases | | +--------+ | | > % | +----------+--------+ | > Ten Ten | > Number of Cases | | +--------+ | | > % | +--------+----------+--------+ | > Gate | > 12↓ | > Number of Cases | | +--------+ | | > % | +----------+--------+ | > 12～20 | > Number of Cases | | +--------+ | | > % | +----------+--------+ | > 20個 | > Number of Cases | | +--------+ | | > % | +--------+----------+--------+ | > Belly | > - | > Number of Cases | | +--------+ | | > % | +----------+--------+ | > Water | | | | +--------+ | | > % | +----------+--------+ | > Ten | > Number of Cases | | +--------+ | | > % | +----------+--------+ | > Ten Ten | > Number of Cases | | +--------+ | | > % | +--------+----------+--------+ | > Gate | > 12↓ | > Number of Cases | | +--------+ | | > % | +----------+--------+ | > 12～20 | > Number of Cases | | +--------+ | | > % | +----------+--------+ | > 20個 | > Number of Cases | | +--------+ | | > % | +--------+----------+--------+ | > Belly | > - | > Number of Cases | | +--------+ | | > % | +----------+--------+ | > Water | | | | +--------+ | | > % | +----------+--------+ | > Ten | > Number of Cases | | +--------+ | | > % | +----------+--------+ | > Ten Ten | > Number of Cases | | +--------+ | | > % | +--------+----------+--------+ | > Gate | > 12↓ | > Number of Cases | | +--------+ | | > % | +----------+--------+ | > 12～20 | > Number of Cases | | +--------+ | | > % | +----------+--------+ | > 20個 | > Number of Cases | | +--------+ | | > % | +--------+----------+--------+ | > Belly | > - | > Number of Cases | | +--------+ | | > % | +----------+--------+ | > Water | | | | +--------+ | | > % | +----------+--------+ | > Ten | > Number of Cases | | +--------+ | | > % | +----------+--------+ | > Ten Ten | > Number of Cases | | +--------+ | | > % | +--------+----------+--------+ | > Gate | > 12↓ | > Number of Cases | | +--------+ | | > % | +----------+--------+ | > 12～20 | > Number of Cases | | +--------+ | | > % | +----------+--------+ | > 20個 | > Number of Cases | | +--------+ | | > % | +--------+----------+--------+ | > Belly | > - | > Number of Cases | | +--------+ | | > % | +----------+--------+ | > Water | | | | +--------+ | | > % | +----------+--------+ | > Ten | > Number of Cases | | +--------+ | | > % | +----------+--------+ | > Ten Ten | > Number of Cases | | +--------+ | | > % | +--------+----------+--------+ | > Gate | > 12↓ | > Number of Cases | | +--------+ | | > % | +----------+--------+ | > 12～20 | > Number of Cases | | +--------+ | | > % | +----------+--------+ | > 20個 | > Number of Cases | | +--------+ | | > % | +--------+----------+--------+ | > Belly | > - | > Number of Cases | | +--------+ | | > % | +----------+--------+ | > Water | | | | +--------+ | | > % | +----------+--------+ | > Ten | > Number of Cases | | +--------+ | | > % | +----------+--------+ | > Ten Ten | > Number of Cases | | +--------+ | | > % | +--------+----------+--------+ | > Gate | > 12↓ | > Number of Cases | | +--------+ | | > % | +----------+--------+ | > 12～20 | > Number of Cases | | +--------+ | | > % | +----------+--------+ | > 20個 | > Number of Cases | | +--------+ | | > % | +--------+----------+--------+ | > Belly | > - | > Number of Cases | | +--------+ | | > % | +----------+--------+ | > Water | | | | +--------+ | | > % | +----------+--------+ | > Ten | > Number of Cases | | +--------+ | | > % | +----------+--------+ | > Ten Ten | > Number of Cases | | +--------+ | | > % | +--------+----------+--------+ | > Gate | > 12↓ | > Number of Cases | | +--------+ | | > % | +----------+--------+ | > 12～20 | > Number of Cases | | +--------+ | | > % | +----------+--------+ | > 20個 | > Number of Cases | | +--------+ | | > % | +--------+----------+--------+ | > Belly | > - | > Number of Cases | | +--------+ | | > % | +----------+--------+ | > Water | | | | +--------+ | | > % | +----------+--------+ | > Ten | > Number of Cases | | +--------+ | | > % | +----------+--------+ | > Ten Ten | > Number of Cases | | +--------+ | | > % | +--------+----------+--------+ | > Gate | > 12↓ | > Number of Cases | | +--------+ | | > % | +----------+--------+ | > 12～20 | > Number of Cases | | +--------+ | | > % | +----------+--------+ | > 20個 | > Number of Cases | | +--------+ | | > % | +--------+----------+--------+ | > Belly | > - | > Number of Cases | | +--------+ | | > % | +----------+--------+ | > Water | | | | +--------+ | | > % | +----------+--------+ | > Ten | > Number of Cases | | +--------+ | | > % | +----------+--------+ | > Ten Ten | > Number of Cases | | +--------+ | | > % | +--------+----------+--------+ | > Gate | > 12↓ | > Number of Cases | | +--------+ | | > % | +----------+--------+ | > 12～20 | > Number of Cases | | +--------+ | | > % | +----------+--------+ | > 20個 | > Number of Cases | | +--------+ | | > % | +--------+----------+--------+ | > Belly | > - | > Number of Cases | | +--------+ | | > % | +----------+--------+ | > Water | | | | +--------+ | | > % | +----------+--------+ | > Ten | > Number of Cases | | +--------+ | | > % | +----------+--------+ | > Ten Ten | > Number of Cases | | +--------+ | | > % | +--------+----------+--------+ | > Gate | > 12↓ | > Number of Cases | | +--------+ | | > % | +----------+--------+ | > 12～20 | > Number of Cases | | +--------+ | | > % | +----------+--------+ | > 20個 | > Number of Cases | | +--------+ | | > % | +--------+----------+--------+ | > Belly | > - | > Number of Cases | | +--------+ | | > % | +----------+--------+ | > Water | | | | +--------+ | | > % | +----------+--------+ | > Ten | > Number of Cases | | +--------+ | | > % | +----------+--------+ | > Ten Ten | > Number of Cases | | +--------+ | | > % | +--------+----------+--------+ | > Gate | > 12↓ | > Number of Cases | | +--------+ | | > % | +----------+--------+ | > 12～20 | > Number of Cases | | +--------+ | | > % | +----------+--------+ | > 20個 | > Number of Cases | | +--------+ | | > % | +--------+----------+--------+ | > Belly | > - | > Number of Cases | | +--------+ | | > % | +----------+--------+ | > Water | | | | +--------+ | | > % | +----------+--------+ | > Ten | > Number of Cases | | +--------+ | | > % | +----------+--------+ | > Ten Ten | > Number of Cases | | +--------+ | | > % | +--------+----------+--------+ | > Gate | > 12↓ | > Number of Cases | | +--------+ | | > % | +----------+--------+ | > 12～20 | > Number of Cases | | +--------+ | | > % | +----------+--------+ | > 20個 | > Number of Cases | | +--------+ | | > % | +--------+----------+--------+ | > Belly | > - | > Number of Cases | | +--------+ | | > % | +----------+--------+ | > Water | | | | +--------+ | | > % | +----------+--------+ | > Ten | > Number of Cases | | +--------+ | | > % | +----------+--------+ | > Ten Ten | > Number of Cases | | +--------+ | | > % | +--------+----------+--------+ | > Gate | > 12↓ | > Number of Cases | | +--------+ | | > % | +----------+--------+ | > 12～20 | > Number of Cases | | +--------+ | | > % | +----------+--------+ | > 20個 | > Number of Cases | | +--------+ | | > % | +--------+----------+--------+ | > Belly | > - | > Number of Cases | | +--------+ | | > % | +----------+--------+ | > Water | | | | +--------+ | | > % | +----------+--------+ | > Ten | > Number of Cases | | +--------+ | | > % | +----------+--------+ | > Ten Ten | > Number of Cases | | +--------+ | | > % | +--------+----------+--------+ | > Gate | > 12↓ | > Number of Cases | | +--------+ | | > % | +----------+--------+ | > 12～20 | > Number of Cases | | +--------+ | | > % | +----------+--------+ | > 20個 | > Number of Cases | | +--------+ | | > % | +--------+----------+--------+ | > Belly | > - | > Number of Cases | | +--------+ | | > % | +----------+--------+ | > Water | | | | +--------+ | | > % | +----------+--------+ | > Ten | > Number of Cases | | +--------+ | | > % | +----------+--------+ | > Ten Ten | > Number of Cases | | +--------+ | | > % | +--------+----------+--------+ | > Gate | > 12↓ | > Number of Cases | | +--------+ | | > % | +----------+--------+ | > 12～20 | > Number of Cases | | +--------+ | | > % | +----------+--------+ | > 20個 | > Number of Cases | | +--------+ | | > % | +--------+----------+--------+ | > Belly | > - | > Number of Cases | | +--------+ | | > % | +----------+--------+ | > Water | | | | +--------+ | | > % | +----------+--------+ | > Ten | > Number of Cases | | +--------+ | | > % | +----------+--------+ | > Ten Ten | > Number of Cases | | +--------+ | | > % | +--------+----------+--------+ | > Gate | > 12↓ | > Number of Cases | | +--------+ | | > % | +----------+--------+ | > 12～20 | > Number of Cases | | +--------+ | | > % | +----------+--------+ | > 20個 | > Number of Cases | | +--------+ | | > % | +--------+----------+--------+ | > Belly | > - | > Number of Cases | | +--------+ | | > % | +----------+--------+ | > Water | | | | +--------+ | | > % | +----------+--------+ | > Ten | > Number of Cases | | +--------+ | | > % | +----------+--------+ | > Ten Ten | > Number of Cases | | +--------+ | | > % | +--------+----------+--------+ | > Gate | > 12↓ | > Number of Cases | | +--------+ | | > % | +----------+--------+ | > 12～20 | > Number of Cases | | +--------+ | | > % | +----------+--------+ | > 20個 | > Number of Cases | | +--------+ | | > % | +--------+----------+--------+ | > Belly | > - | > Number of Cases | | +--------+ | | > % | +----------+--------+ | > Water | | | | +--------+ | | > % | +----------+--------+ | > Ten | > Number of Cases | | +--------+ | | > % | +----------+--------+ | > Ten Ten | > Number of Cases | | +--------+ | | > % | +--------+----------+--------+ | > Gate | > 12↓ | > Number of Cases | | +--------+ | | > % | +----------+--------+ | > 12～20 | > Number of Cases | | +--------+ | | > % | +----------+--------+ | > 20個 | > Number of Cases | | +--------+ | | > % | +--------+----------+--------+ | > Belly | > - | > Number of Cases | | +--------+ | | > % | +----------+--------+ | > Water | | | | +--------+ | | > % | +----------+--------+ | > Ten | > Number of Cases | | +--------+ | | > % | +----------+--------+ | > Ten Ten | > Number of Cases | | +--------+ | | > % | +--------+----------+--------+ | > Gate | > 12↓ | > Number of Cases | | +--------+ | | > % | +----------+--------+ | > 12～20 | > Number of Cases | | +--------+ | | > % | +----------+--------+ | > 20個 | > Number of Cases | | +--------+ | | > % | +--------+----------+--------+ | > Belly | > - | > Number of Cases | | +--------+ | | > % | +----------+--------+ | > Water | | | | +--------+ | | > % | +----------+--------+ | > Ten | > Number of Cases | | +--------+ | | > % | +----------+--------+ | > Ten Ten | > Number of Cases | | +--------+ | | > % | +--------+----------+--------+ | > Gate | > 12↓ | > Number of Cases | | +--------+ | | > % | +----------+--------+ | > 12～20 | > Number of Cases | | +--------+ | | > % | +----------+--------+ | > 20個 | > Number of Cases | | +--------+ | | > % | +--------+----------+--------+ | > Belly | > - | > Number of Cases | | +--------+ | | > % | +----------+--------+ | > Water | | | | +--------+ | | > % | +----------+--------+ | > Ten | > Number of Cases | | +--------+ | | > % | +----------+--------+ | > Ten Ten | > Number of Cases | | +--------+ | | > % | +--------+----------+--------+ | > Gate | > 12↓ | > Number of Cases | | +--------+ | | > % | +----------+--------+ | > 12～20 | > Number of Cases | | +--------+ | | > % | +----------+--------+ | > 20個 | > Number of Cases | | +--------+ | | > % | +--------+----------+--------+ | > Belly | > - | > Number of Cases | | +--------+ | | > % | +----------+--------+ | > Water | | | | +--------+ | | > % | +----------+--------+ | > Ten | > Number of Cases | | +--------+ | | > % | +----------+--------+ | > Ten Ten | > Number of Cases | | +--------+ | | > % | +--------+----------+--------+ | > Gate | > 12↓ | > Number of Cases | | +--------+ | | > % | +----------+--------+ | > 12～20 | > Number of Cases | | +--------+ | | > % | +----------+--------+ | > 20個 | > Number of Cases | | +--------+ | | > % | +--------+----------+--------+ | > Belly | > - | > Number of Cases | | +--------+ | | > % | +----------+--------+ | > Water | | | | +--------+ | | > % | +----------+--------+ | > Ten | > Number of Cases | | +--------+ | | > % | +----------+--------+ | > Ten Ten | > Number of Cases | | +--------+ | | > % | +--------+----------+--------+ | > Gate | > 12↓ | > Number of Cases | | +--------+ | | > % | +----------+--------+ | > 12～20 | > Number of Cases | | +--------+ | | > % | +----------+--------+ | > 20個 | > Number of Cases | | +--------+ | | > % | +--------+----------+--------+ | > Belly | > - | > Number of Cases | | +--------+ | | > % | +----------+--------+ | > Water | | | | +--------+ | | > % | +----------+--------+ | > Ten | > Number of Cases | | +--------+ | | > % | +----------+--------+ | > Ten Ten | > Number of Cases | | +--------+ | | > % | +--------+----------+--------+ | > Gate | > 12↓ | > Number of Cases | | +--------+ | | > % | +----------+--------+ | > 12～20 | > Number of Cases | | +--------+ | | > % | +----------+--------+ | > 20個 | > Number of Cases | | +--------+ | | > % | +--------+----------+--------+ | > Belly | > - | > Number of Cases | | +--------+ | | > % | +----------+--------+ | > Water | | | | +--------+ | | > % | +----------+--------+ | > Ten | > Number of Cases | | +--------+ | | > % | +----------+--------+ | > Ten Ten | > Number of Cases | | +--------+ | | > % | +--------+----------+--------+ | > Gate | > 12↓ | > Number of Cases | | +--------+ | | > % | +----------+--------+ | > 12～20 | > Number of Cases | | +--------+ | | > % | +----------+--------+ | > 20個 | > Number of Cases | | +--------+ | | > % | +--------+----------+--------+ | > Belly | > - | > Number of Cases | | +--------+ | | > % | +----------+--------+ | > Water | | | | +--------+ | | > % | +----------+--------+ | > Ten | > Number of Cases | | +--------+ | | > % | +----------+--------+ | > Ten Ten | > Number of Cases | | +--------+ | | > % | +--------+----------+--------+ | > Gate | > 12↓ | > Number of Cases | | +--------+ | | > % | +----------+--------+ | > 12～20 | > Number of Cases | | +--------+ | | > % | +----------+--------+ | > 20個 | > Number of Cases | | +--------+ | | > % | +--------+----------+--------+ | > Belly | > - | > Number of Cases | | +--------+ | | > % | +----------+--------+ | > Water | | | | +--------+ | | > % | +----------+--------+ | > Ten | > Number of Cases | | +--------+ | | > % | +----------+--------+ | > Ten Ten | > Number of Cases | | +--------+ | | > % | +--------+----------+--------+ | > Gate | > 12↓ | > Number of Cases | | +--------+ | | > % | +----------+--------+ | > 12～20 | > Number of Cases | | +--------+ | | > % | +----------+--------+ | > 20個 | > Number of Cases | | +--------+ | | > % | +--------+----------+--------+ | > Belly | > - | > Number of Cases | | +--------+ | | > % | +----------+--------+ | > Water | | | | +--------+ | | > % | +----------+--------+ | > Ten | > Number of Cases | | +--------+ | | > % | +----------+--------+ | > Ten Ten | > Number of Cases | | +--------+ | | > % | +--------+----------+--------+ | > Gate | > 12↓ | > Number of Cases | | +--------+ | | > % | +----------+--------+ | > 12～20 | > Number of Cases | | +--------+ | | > % | +----------+--------+ | > 20個 | > Number of Cases | | +--------+ | | > % | +--------+----------+--------+ | > Belly | > - | > Number of Cases | | +--------+ | | > % | +----------+--------+ | > Water | | | | +--------+ | | > % | +----------+--------+ | > Ten | > Number of Cases | | +--------+ | | > % | +----------+--------+ | > Ten Ten | > Number of Cases | | +--------+ | | > % | +--------+----------+--------+ | > Gate | > 12↓ | > Number of Cases | | +--------+ | | > % | +----------+--------+ | > 12～20 | > Number of Cases | | +--------+ | | > % | +----------+--------+ | > 20個 | > Number of Cases | | +--------+ | | > % | +--------+----------+--------+ | > Belly | > - | > Number of Cases | | +--------+ | | > % | +----------+--------+ | > Water | | | | +--------+ | | > % | +----------+--------+ | > Ten | > Number of Cases | | +--------+ | | > % | +----------+--------+ | > Ten Ten | > Number of Cases | | +--------+ | | > % | +--------+----------+--------+ | > Gate | > 12↓ | > Number of Cases | | +--------+ | | > % | +----------+--------+ | > 12～20 | > Number of Cases | | +--------+ | | > % | +----------+--------+ | > 20個 | > Number of Cases | | +--------+ | | > % | +--------+----------+--------+ | > Belly | > - | > Number of Cases | | +--------+ | | > % | +----------+--------+ | > Water | | | | +--------+ | | > % | +----------+--------+ | > Ten | > Number of Cases | | +--------+ | | > % | +----------+--------+ | > Ten Ten | > Number of Cases | | +--------+ | | > % | +--------+----------+--------+ | > Gate | > 12↓ | > Number of Cases | | +--------+ | | > % | +----------+--------+ | > 12～20 | > Number of Cases | | +--------+ | | > % | +----------+--------+ | > 20個 | > Number of Cases | | +--------+ | | > % | +--------+----------+--------+ | > Belly | > - | > Number of Cases | | +--------+ | | > % | +----------+--------+ | > Water | | | | +--------+ | | > % | +----------+--------+ | > Ten | > Number of Cases | | +--------+ | | > % | +----------+--------+ | > Ten Ten | > Number of Cases | | +--------+ | | > % | +--------+----------+--------+ | > Gate | > 12↓ | > Number of Cases | | +--------+ | | > % | +----------+--------+ | > 12～20 | > Number of Cases | | +--------+ | | > % | +----------+--------+ | > 20個 | > Number of Cases | | +--------+ | | > % | +--------+----------+--------+ | > Belly | > - | > Number of Cases | | +--------+ | | > % | +----------+--------+ | > Water | | | | +--------+ | | > % | +----------+--------+ | > Ten | > Number of Cases | | +--------+ | | > % | +----------+--------+ | > Ten Ten | > Number of Cases | | +--------+ | | > % | +--------+----------+--------+ | > Gate | > 12↓ | > Number of Cases | | +--------+ | | > % | +----------+--------+ | > 12～20 | > Number of Cases | | +--------+ | | > % | +----------+--------+ | > 20個 | > Number of Cases | | +--------+ | | > % | +--------+----------+--------+ | > Belly | > - | > Number of Cases | | +--------+ | | > % | +----------+--------+ | > Water | | | | +--------+ | | > % | +----------+--------+ | > Ten | > Number of Cases | | +--------+ | | > % | +----------+--------+ | > Ten Ten | > Number of Cases | | +--------+ | | > % | +--------+----------+--------+ | > Gate | > 12↓ | > Number of Cases | | +--------+ | | > % | +----------+--------+ | > 12～20 | > Number of Cases | | +--------+ | | > % | +----------+--------+ | > 20個 | > Number of Cases | | +--------+ | | > % | +--------+----------+--------+ | > Belly | > - | > Number of Cases | | +--------+ | | > % | +----------+--------+ | > Water | | | | +--------+ | | > % | +----------+--------+ | > Ten | > Number of Cases | | +--------+ | | > % | +----------+--------+ | > Ten Ten | > Number of Cases | | +--------+ | | > % | +--------+----------+--------+ | > Gate | > 12↓ | > Number of Cases | | +--------+ | | > % | +----------+--------+ | > 12～20 | > Number of Cases | | +--------+ | | > % | +----------+--------+ | > 20個 | > Number of Cases | | +--------+ | | > % | +--------+----------+--------+ | > Belly | > - | > Number of Cases | | +--------+ | | > % | +----------+--------+ | > Water | | | | +--------+ | | > % | +----------+--------+ | > Ten | > Number of Cases | | +--------+ | | > % | +----------+--------+ | > Ten Ten | > Number of Cases | | +--------+ | | > % | +--------+----------+--------+ | > Gate | > 12↓ | > Number of Cases | | +--------+ | | > % | +----------+--------+ | > 12～20 | > Number of Cases | | +--------+ | | > % | +----------+--------+ | > 20個 | > Number of Cases | | +--------+ | | > % | +--------+----------+--------+ | > Belly | > - | > Number of Cases | | +--------+ | | > % | +----------+--------+ | > Water | | | | +--------+ | | > % | +----------+--------+ | > Ten | > Number of Cases | | +--------+ | | > % | +----------+--------+ | > Ten Ten | > Number of Cases | | +--------+ | | > % | +--------+----------+--------+ | > Gate | > 12↓ | > Number of Cases | | +--------+ | | > % | +----------+--------+ | > 12～20 | > Number of Cases | | +--------+ | | > % | +----------+--------+ | > 20個 | > Number of Cases | | +--------+ | | > % | +--------+----------+--------+ | > Belly | > - | > Number of Cases | | +--------+ | | > % | +----------+--------+ | > Water | | | | +--------+ | | > % | +----------+--------+ | > Ten | > Number of Cases | | +--------+ | | > % | +----------+--------+ | > Ten Ten | > Number of Cases | | +--------+ | | > % | +--------+----------+--------+ | > Gate | > 12↓ | > Number of Cases | | +--------+ | | > % | +----------+--------+ | > 12～20 | > Number of Cases | | +--------+ | | > % | +----------+--------+ | > 20個 | > Number of Cases | | +--------+ | | > % | +--------+----------+--------+ | > Belly | > - | > Number of Cases | | +--------+ | | > % | +----------+--------+ | > Water | | | | +--------+ | | > % | +----------+--------+ | > Ten | > Number of Cases | | +--------+ | | > % | +----------+--------+ | > Ten Ten | > Number of Cases | | +--------+ | | > % | +--------+----------+--------+ | > Gate | > 12↓ | > Number of Cases | | +--------+ | | > % | +----------+--------+ | > 12～20 | > Number of Cases | | +--------+ | | > % | +----------+--------+ | > 20個 | > Number of Cases | | +--------+ | | > % | +--------+----------+--------+ | > Belly | > - | > Number of Cases | | +--------+ | | > % | +----------+--------+ | > Water | | | | +--------+ | | > % | +----------+--------+ | > Ten | > Number of Cases | | +--------+ | | > % | +----------+--------+ | > Ten Ten | > Number of Cases | | +--------+ | | > % | +--------+----------+--------+ | > Gate | > 12↓ | > Number of Cases | | +--------+ | | > % | +----------+--------+ | > 12～20 | > Number of Cases | | +--------+ | | > % | +----------+--------+ | > 20個 | > Number of Cases | | +--------+ | | > % | +--------+----------+--------+ | > Belly | > - | > Number of Cases | | +--------+ | | > % | +----------+--------+ | > Water | | | | +--------+ | | > % | +----------+--------+ | > Ten | > Number of Cases | | +--------+ | | > % | +----------+--------+ | > Ten Ten | > Number of Cases | | +--------+ | | > % | +--------+----------+--------+ | > Gate | > 12↓ | > Number of Cases | | +--------+ | | > % | +----------+--------+ | > 12～20 | > Number of Cases | | +--------+ | | > % | +----------+--------+ | > 20個 | > Number of Cases | | +--------+ | | > % | +--------+----------+--------+ | > Belly | > - | > Number of Cases | | +--------+ | | > % | +----------+--------+ | > Water | | | | +--------+ | | > % | +----------+--------+ | > Ten | > Number of Cases | | +--------+ | | > % | +----------+--------+ | > Ten Ten | > Number of Cases | | +--------+ | | > % | +--------+----------+--------+ | > Gate | > 12↓ | > Number of Cases | | +--------+ | | > % | +----------+--------+ | > 12～20 | > Number of Cases | | +--------+ | | > % | +----------+--------+ | > 20個 | > Number of Cases | | +--------+ | | > % | +--------+----------+--------+ | > Belly | > - | > Number of Cases | | +--------+ | | > % | +----------+--------+ | > Water | | | | +--------+ | | > % | +----------+--------+ | > Ten | > Number of Cases | | +--------+ | | > % | +----------+--------+ | > Ten Ten | > Number of Cases | | +--------+ | | > % | +--------+----------+--------+ | > Gate | > 12↓ | > Number of Cases | | +--------+ | | > % | +----------+--------+ | > 12～20 | > Number of Cases | | +--------+ | | > % | +----------+--------+ | > 20個 | > Number of Cases | | +--------+ | | > % | +--------+----------+--------+ | > Belly | > - | > Number of Cases | | +--------+ | | > % | +----------+--------+ | > Water | | | | +--------+ | | > % | +----------+--------+ | > Ten | > Number of Cases | | +--------+ | | > % | +----------+--------+ | > Ten Ten | > Number of Cases | | +--------+ | | > % | +--------+----------+--------+ | > Gate | > 12↓ | > Number of Cases | | +--------+ | | > % | +----------+--------+ | > 12～20 | > Number of Cases | | +--------+ | | > % | +----------+--------+ | > 20個 | > Number of Cases | | +--------+ | | > % | +--------+----------+--------+ | > Belly | > - | > Number of Cases | | +--------+ | | > % | +----------+--------+ | > Water | | | | +--------+ | | > % | +----------+--------+ | > Ten | > Number of Cases | | +--------+ | | > % | +----------+--------+ | > Ten Ten | > Number of Cases | | +--------+ | | > % | +--------+----------+--------+ | > Gate | > 12↓ | > Number of Cases | | +--------+ | | > % | +----------+--------+ | > 12～20 | > Number of Cases | | +--------+ | | > % | +----------+--------+ | > 20個 | > Number of Cases | | +--------+ | | > % | +--------+----------+--------+ | > Belly | > - | > Number of Cases | | +--------+ | | > % | +----------+--------+ | > Water | | | | +--------+ | | > % | +----------+--------+ | > Ten | > Number of Cases | | +--------+ | | > % | +----------+--------+ | > Ten Ten | > Number of Cases | | +--------+ | | > % | +--------+----------+--------+ | > Gate | > 12↓ | > Number of Cases | | +--------+ | | > % | +----------+--------+ | > 12～20 | > Number of Cases | | +--------+ | | > % | +----------+--------+ | > 20個 | > Number of Cases | | +--------+ | | > % | +--------+----------+--------+ | > Belly | > - | > Number of Cases | | +--------+ | | > % | +----------+--------+ | > Water | | | | +--------+ | | > % | +----------+--------+ | > Ten | > Number of Cases | | +--------+ | | > % | +----------+--------+ | > Ten Ten | > Number of Cases | | +--------+ | | > % | +--------+----------+--------+ | > Gate | > 12↓ | > Number of Cases | | +--------+ | | > % | +----------+--------+ | > 12～20 | > Number of Cases | | +--------+ | | > % | +----------+--------+ | > 20個 | > Number of Cases | | +--------+ | | > % | +--------+----------+--------+ | > Belly | > - | > Number of Cases | | +--------+ | | > % | +----------+--------+ | > Water | | | | +--------+ | | > % | +----------+--------+ | > Ten | > Number of Cases | | +--------+ | | > % | +----------+--------+ | > Ten Ten | > Number of Cases | | +--------+ | | > % | +--------+----------+--------+ | > Gate | > 12↓ | > Number of Cases | | +--------+ | | > % | +----------+--------+ | > 12～20 | > Number of Cases | | +--------+ | | > % | +----------+--------+ | > 20個 | > Number of Cases | | +--------+ | | > % | +--------+----------+--------+ | > Belly | > - | > Number of Cases | | +--------+ | | > % | +----------+--------+ | > Water | | | | +--------+ | | > % | +----------+--------+ | > Ten | > Number of Cases | | +--------+ | | > % | +----------+--------+ | > Ten Ten | > Number of Cases | | +--------+ | | > % | +--------+----------+--------+ | > Gate | > 12↓ | > Number of Cases | | +--------+ | | > % | +----------+--------+ | > 12～20 | > Number of Cases | | +--------+ | | > % | +----------+--------+ | > 20個 | > Number of Cases | | +--------+ | | > % | +--------+----------+--------+ | > Belly | > - | > Number of Cases | | +--------+ | | > % | +----------+--------+ | > Water | | | | +--------+ | | > % | +----------+--------+ | > Ten | > Number of Cases | | +--------+ | | > % | +----------+--------+ | > Ten Ten | > Number of Cases | | +--------+ | | > % | +--------+----------+--------+ | > Gate | > 12↓ | > Number of Cases | | +--------+ | | > % | +----------+--------+ | > 12～20 | > Number of Cases | | +--------+ | | > % | +----------+--------+ | > 20個 | > Number of Cases | | +--------+ | | > % | +--------+----------+--------+ | > Belly | > - | > Number of Cases | | +--------+ | | > % | +----------+--------+ | > Water | | | | +--------+ | | > % | +----------+--------+ | > Ten | > Number of Cases | | +--------+ | | > % | +----------+--------+ | > Ten Ten | > Number of Cases | | +--------+ | | > % | +--------+----------+--------+ | > Gate | > 12↓ | > Number of Cases | | +--------+ | | > % | +----------+--------+ | > 12～20 | > Number of Cases | | +--------+ | | > % | +----------+--------+ | > 20個 | > Number of Cases | | +--------+ | | > % | +--------+----------+--------+ | > Belly | > - | > Number of Cases | | +--------+ | | > % | +----------+--------+ | > Water | | | | +--------+ | | > % | +----------+--------+ | > Ten | > Number of Cases | | +--------+ | | > % | +----------+--------+ | > Ten Ten | > Number of Cases | | +--------+ | | > % | +--------+----------+--------+ | > Gate | > 12↓ | > Number of Cases | | +--------+ | | > % | +----------+--------+ | > 12～20 | > Number of Cases | | +--------+ | | > % | +----------+--------+ | > 20個 | > Number of Cases | | +--------+ | | > % | +--------+----------+--------+ | > Belly | > - | > Number of Cases | | +--------+ | | > % | +----------+--------+ | > Water | | | | +--------+ | | > % | +----------+--------+ | > Ten | > Number of Cases | | +--------+ | | > % | +----------+--------+ | > Ten Ten | > Number of Cases | | +--------+ | | > % | +--------+----------+--------+ | > Gate | > 12↓ | > Number of Cases | | +--------+ | | > % | +----------+--------+ | > 12～20 | > Number of Cases | | +--------+ | | > % | +----------+--------+ | > 20個 | > Number of Cases | | +--------+ | | > % | +--------+----------+--------+ | > Belly | >

<!-- translated-chunk:28/39 -->

| | | 28 | | 16.67 | | | | | | | 32 | 14 | 30.00 | 44 | | | | △18.18 | | | | | | | | | *20.78 | 23.33 | 73.33 | 16 | | | | 29 | | 36 | | | | | | | 108 | | 26.67 | | | | | △18.83 | | 60.00 | | | | | | | *70.13 | 18 | | | | | | 93 | | | | | | | | | 27 | 30.00 | | | | | | △62.99 | | 20 | | | | | | | *17.53 | | | | | | | 98 | | 3.33 | | | | | | | 19 | 22 | | | | | | △63.64 | | | | | | | | | *12.34 | 36.67 | | | | | | 27 | | 24 | | | | | | | 124 | | | | | | | △17.53 | | 40.00 | | | | | | | *80.52 | 36 | | | | | | 29 | | | | | | | | | 12 | 60.00 | | | | | | △18.83 | | | | | | | | | *7.793 | | | | | | | 52 | | | | | | | | | 18 | | | | | | | △33.77 | | | | | | | | | *11.68 | | | | | | | 102 | | | | |

| | | > | > 86 | | | | | > △66.23 | > | | | | | | > *55.847 | | | | | | > | | | | | | > 68 | | | | | | > | | | | | | > *44.16 | | | +---------+ | | | | | | > % | | | | +----------+---------+ | | | | > 25～50 | > 例數 | | | | | +---------+ | | | | | | > % | | | | +----------+---------+ | | | | > 50 ↑ | > 例數 | | | | | +---------+ | | | | | | > % | | | | +----------+----------+---------+ | | |

TTT | > 6↓ | > 例数 | | | | +---------+ | | | | | | > % | | | | +----------+---------+ | | | | > 6～12 | > 例數 | | | | | +---------+ | | | | | | > % | | | | +----------+---------+ | | | | > 12个 | > 例數 | | | | | +---------+ | | | | | | > % | | | | +----------+----------+---------+ | | | A/G | > 正常 | > 例數 | | | | +---------+ | | | | | | > % | | | | +----------+---------+ | | | | > G 偏 | > 例数 | | | | | > 高 | | | | | | +---------+ | | | | | | > % | | | | +----------+---------+ | | | | > 倒置 | > 例数 | | | | | +---------+ | | | | | | > % | | | | +----------+----------+---------+ | | | Y - 球 | > 25↓ | > 例敷 | | | 蛋 白 | | | | | | +---------+ | | | | | | > % | | | | +----------+---------+ | | | | > 25～50 | > 例數 | | | | | +---------+ | | | | | | > % | | | | +----------+---------+ | | | | > 50 f | > 例數 | | | | | +---------+ | | | | | | > % | | | | +---------+----------+---------+ | | | TBIL | > 17↓ | > 例数 | | | | +---------+ | | | | | | > % | | | | +----------+---------+ | | | | > 17～34 | > 例数 | | | | | +---------+ | | | | | | > % | | | | +----------+---------+ | | | | > 34 ↑ | > 例数 | | | | | +---------+ | | | | | | > % | | | | +---------+----------+---------+ | | |

HBSAG | > - | > 例数 | | | | | +---------+ | | | | | > % | | | | +----------+---------+ | | | | > 十 | > 例數 | | | | | +---------+ | | | | | > % | | | |

註：GPT 用卡門氏法、TBIL單位：μmol/L

△P>0.05 △治療組、對照組治療前統計學處理

*P<0.01～0.05

*治療組、對照組治療後統計學處理

中篇臨床應用

合肥圖書出版社發行

組高於治療組，統計學處理，P<0.05，有顯著性差異。治療組、對照組治療前後體徵恢復見表1，檢驗指標恢復見表2。在治療組治癒之51例患者中，用藥1療程2例，2療程者11例，3療程者20例，4療程者12例，5療程者6例；對照組治癒之6例中，4療程2例，5療程2例，7療程2例。

食道癌臨證治療拾零 裴正學

食道癌在中國北方發病較多，其發病率僅次於胃癌。其主要治療方法以手術為首選，配合放療、化療，然而一部分病者在初診時已失去手術機會；中上段食道癌患者之手術難度較大，絕非所有患者均能適用。有鑑於此，餘數十年來研究食道癌中藥治療，以期讓無條件手術或不適合手術的患者帶來一線生機。

例1

甲子秋，患者徐某，男性，50歲。胃脘脹滿、咽下困難月餘。經鋇劑攝影、胃鏡確診食道中段腺癌，鑑於患者經濟困難，要求服用中藥，回家調養。

中醫辨證： 舌紅苔黃厚膩、尺脈弱、關脈弦。

處方： 六味地黃合半夏瀉心，水煎，取汁800 ml，分4次2日服完（即每次200 ml，早晚飯後服）。

丁丑春，患者來診，謂上方堅持服用300餘劑，效果明顯，目前已無任何症狀，診見其顏面紅潤、體格健壯，無吞咽困難及胃脘不舒，鋇劑攝影無陽性發現，胃鏡檢查：食道中段未見異常，慢性淺表、萎縮性胃炎。此例之治癒實屬奇跡，患者將原方加厚裱糊為紙板，該板因久用磨損，其上字跡斑駁，隱約可辨。余問患者何以能堅持服藥數年？答曰：先是服藥10餘劑，自覺服後，飲食稍能通流，因無他法，只有埋頭服藥，1年後病情明顯好轉，越有信心，故能堅持至今。

〔按〕上方乃六味地黃湯、半夏瀉心湯、半夏厚朴湯、托裏透膿散之合方，六味地黃湯扶正固本、瀉心及半夏厚朴瀉火燥濕、行氣寬中，托裏透膿散軟堅活血、扶正散瘀。諸方共奏治癌之功效，久服不輟，竟成大功。

裴正學中醫學——中醫理論與臨床病案討論

例2

庚辰二月，患者張某，56歲，男性。咽下困難3月餘，伴胃脘脹滿，鋇劑攝影、胃鏡確診為食道上段鱗癌、萎縮性胃炎併腸化、幽門螺桿菌陽性。曾經Co60照射20次，總劑量6000 cGy，咽下較前略有好轉，僅能進食牛乳及茶水等，胃脘脹滿較前加重，求治於余。

中醫辨證： 舌質紅苔厚膩，脈沉弦數。患者除上述症狀外，大便秘結、小便赤澀。

處方： 大承氣湯合三黃瀉心湯、啓膈散加味：

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「新訂桃仁承氣湯」治療暴發型痢疾的感想 裴正學

暴發型痢疾，目前已有一些行之有效的治療辦法，如大劑量阿托品療法、激素療法、冬眠療法等。這些療法的使用，使本病的死亡率有所減少，但仍未達到理想程度。3年來，筆者在西醫補液和氯黴素注射的配合下試用「新訂桃仁承氣湯」治療暴發型痢疾26例，療效滿意。

裴正學中醫學——中醫理論與臨床病案討論

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中篇臨床應用

合肥圖書出版社發行

裴正學中醫學——中醫理論與臨床病案時論

合肥四雪出版社發行

患和腦症狀結合。朱丹溪很重視這一論點，開始用硝黃治療痢症，並謂：「痢疾初得一二日間，以利為法，切不可使用止澀之劑。若實者，調胃承氣，大小承氣，三一承氣湯下之。」大硝黃使腸腔為之蕩滌，使細菌及其毒素得以迅速排出體外，從而減少了全身毛細血管中毒症狀，同時硝黃的瀉下作用使腦組織的水腫得以緩解，腦症狀可隨之減輕。

因此對暴發型痢疾來說，這個「攻下」措施的使用，確係當務之急，是一種「釜底抽薪」的治療方法，在本病的諸種矛盾之中，這是解決主要矛盾的有效措施。但在重視「攻下」的同時，還必須注意運用清熱解毒、化瘀、調氣、疏表等法，使處方用藥在重視主要矛盾的同時兼顧次要矛盾。清熱解毒可消除或減少細菌及毒素的致病作用，化瘀可改善病竈的血循，促其向癒。調氣可調節腸蠕動，與化瘀同用可產生緩痙止痛作用，使腸管功能趨於正常。疏表為痢症初起之參症療法。

中國醫學在這方面的豐富的內容我們必須深入學習，如張仲景的葛根芩連湯寓疏表於清熱解毒之中，張氏又謂：「熱利下重者，白頭翁湯主之。」為後世醫家所重視。戴思恭治痢善用木香調氣，提出：「痢疾古名滯下，以氣滯成積，積久成痢，治法當以順氣為先……」，王肯堂以「……或下墜異常，積中有紫黑而又痛甚，此為死血」，用桃仁以化瘀。宋代餘綱主張以敗毒散加陳倉米治痢，則對症下藥，筆者在以硝黃攻下為主的基礎上，選用芩連以清熱解毒，桃仁以化瘀行血，木香以調氣，桂枝疏表，暢通血脈以改善末梢循環。重用馬齒莧以增加清熱解毒之功。從而形成了「新訂桃仁承氣湯」。

此方與仲景「桃仁承氣湯」類似。查「桃仁承湯」係仲景為膀胱蓄血症而專設，仲景謂：「太陽病不解，熱結膀胱，其人如狂，血自下，下者癒。其外不解者，尚未可攻，當先解其外，外解已，但少腹急結者，乃可攻之，宜桃仁承氣湯。」其中的「熱結膀胱」，不少傷寒論注家提出異議。錢潢指出：「注家有血蓄膀胱之說，尤在經。」認為是由於「熱在下焦，血受煎迫，故溢入迴腸（迴腸即大腸）。」至於用桃仁承氣湯治療痢疾，吳昆認為：「痢疾初起質實者此方主之。若初間失下，反用固澀之藥，以致邪熱內蓄，血不得行，腹痛欲死者，急以此方主之。」吉益東洞認為本方主治「痢疾小腹急痛者」。綜上所述，讓我們用新訂桃仁承氣湯治療暴痢，提供了一些參考的依據。

1. 「新訂桃仁承氣湯」治療暴發型痢疾26例，雖然是在西醫補液和氯黴素肌注的配合下，但因其治癒率比單純抗生素治療的療效為高，而接近於目前獲得好評的阿托品療法。因此「新訂桃仁承氣湯」治療暴痢的作用是可以肯定。

中篇臨床應用

合肥四雪出版社發行

2. 文中的病例1，是在阿托品療法、冬眠療法乏效的情況下，使用本方而獲得療效，說明本方在治療暴痢方面較之阿托品療法、冬眠療法，有其獨到之處。文中的病例2是僅用本方（未用抗生素）而獲得療效，說明單獨使用本方，亦能治癒暴痢，為今後進一步研究本方之療效，提供了新途徑。

（《新中醫》1973.4）

肝硬化隨談 裴正學

各種肝損害最後均可導致肝硬化之產生，其中A、B、C、D、E、F等肝炎病毒所致之肝炎如未經治療或治療不當，均有發展為肝硬化之可能，B肝、C肝、D肝較其他肝炎之肝硬化傾向更多。

除肝炎引發之肝硬化外，營養不良性病變、酒精及藥物慢性中毒、寄生蟲等均具致肝硬化之可能。另外，尚有一些疾病如肝豆狀核變性、紅斑性狼瘡、長期心臟衰竭等亦可出現肝硬化，但這種肝硬化是症狀性肝硬化，也叫繼發性肝硬化。肝硬化之病理基礎，是肝臟組織之纖維變性致使肝臟中門脈系統、膽管系統受壓，肝門靜脈壓之升高引起食道靜脈、胃底靜脈之曲張、脾臟腫大、腹水、下肢水腫；膽管系統壓力增高所致肝大、黃疸，前者稱為肝門靜脈性肝硬化，後者稱為瘀膽性肝硬化。關於膽汁鬱積性肝硬化之形成原因還有各種說法，膽汁鬱積與肝組織之纖維化孰先孰後眾說不一，免疫系統之缺陷係此型肝硬化之特色，許多問題尚待進一步研究。

臨床診斷肝硬化主要以脾大、免疫球蛋白之增加、白蛋白之相對減少，最後出現白球蛋白比例（A/G）失調或倒置、食道靜脈曲張、肝門靜脈口徑增大、腹水等依據；膽汁鬱積性肝硬化則係在上述臨床表現之基礎突顯黃疸加重，部分病人會出現ESR加快及多肽抗體之改變。

肝硬化之治療西醫以保肝為主要方法，出現腹水、上消化道出血、肝性腦病變等併發症時，其對症治療豐富多彩，短期療效堪稱滿意，從長期療效看，尚不能令人滿意，因此西認為肝硬化一旦合併腹水，則屬不治之症。

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History of Traditional Chinese Medicine Treatment for Liver Cirrhosis

Traditional Chinese Medicine has a long history of treating liver cirrhosis, with numerous prescriptions. As early as the late Eastern Han Dynasty, the "Jin Gui Yao Lue" proposed the principle of "when liver disease is observed, one should understand that it can spread to the spleen," indicating that patients with liver cirrhosis first experience gastrointestinal symptoms such as abdominal distension, loss of appetite, loose stools, and upper gastrointestinal bleeding. Modern research has confirmed that when portal hypertension occurs in liver cirrhosis, the submucosal vessels of the entire gastrointestinal tract become congested and dilated to varying degrees, leading to mucosal edema and exudation. In severe cases, there may be a reactive increase in gastric acid secretion, and some patients may develop erosion, ulcers, and bleeding of the gastrointestinal mucosa. This demonstrates that the understanding of traditional Chinese medicine is entirely consistent with modern medicine; the only difference is that traditional Chinese medicine recognized this earlier by more than a thousand years.

Based on the above understanding, the main therapeutic approach in traditional Chinese medicine for liver cirrhosis is to soothe the liver and harmonize the stomach. Soothing the liver integrates modern medical functions such as liver protection, bile promotion, and prevention of fibrosis into a comprehensive treatment method, with representative formulas including Xiaoyao San, Chaihu Shugan San, Si Ni San, and Si Wu Tang. Harmonizing the stomach combines regulation of gastrointestinal motility, relief of smooth muscle spasm, prevention of mucosal erosion, and

280

Pei Zhengxue's Traditional Chinese Medicine—A Discussion on TCM Theory and Clinical Cases

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ulceration, suppression of gastric acid, and enhancement of appetite into a comprehensive treatment method, with representative formulas including Si Jun Zi, Xiang Sha Liu Jun Zi Tang, Ban Xia Xie Xin Tang, Gui Pi Tang, and Bu Zhong Yi Qi Tang.

In the above prescriptions, raw dragon bone and oyster shell are added to enhance acid suppression and wound healing; salvia miltiorrhiza, astragalus, angelica sinensis, white peony, polygonum multiflorum, and polygonatum sibiricum are added to strengthen liver protection; salvia miltiorrhiza, agastache rugosa, amomum villosum, corydalis yanhusuo, melia toosendan, and processed myrrh are added to relieve spasm and alleviate pain; zhishi, houpu, rhubarb, dried ginger, aconite, sanleng, e zhu, cinnamon, green tangerine peel, and turmeric are added to eliminate distension and relieve pain. For patients with bleeding, xuan fu hua, raw ochre, panax notoginseng, rhubarb, coptis, and scutellaria are added; for those with persistent black stools, huozhong tu, Lizhong Tang, and Fuzi Lizhong Tang are added. In these formulations, salvia miltiorrhiza, astragalus, and polygonatum sibiricum should be used in relatively large doses, typically between 20–40 grams. Ascites and edema in patients with liver cirrhosis are inevitable late-stage symptoms, and once ascites develops, infectious complications often follow. Therefore, the formula should include greater amounts of da fupi, gourd peel, plantago seeds, honeysuckle, forsythia, dandelion, houttuynia, white snake tongue grass, and hemiphragmium. When liver cirrhosis is present, some liver tissue remains in the stage of chronic active hepatitis, and the effects of hepatitis viruses continue. Thus, the formula should also include qin jiao, indigo root, and big blue leaves. Patients with liver cirrhosis may develop hepatic necrosis due to improper treatment, excessive fatigue, recurrent colds, or emotional stress; this condition is known as subacute or chronic severe hepatitis. Its clinical features include rapidly worsening jaundice, relatively low transaminase levels—a phenomenon called "jaundice-enzyme dissociation"—a shrinking dullness border of the liver, and a dramatic increase in ascites. Severe cases often develop hepatic encephalopathy.

At this stage, the patient's condition is critical, and hospitalization for Western medical rescue is generally recommended. However, complementary treatment with traditional Chinese medicine is also very important. The TCM method of unblocking the bowels often yields remarkable results. The author frequently uses Da Chai Hu Tang combined with nasogastric tube feeding, which can accelerate the patient's recovery and healing. The ingredients of this formula are:

The herbs are decocted twice to yield a total of 400 ml, which is then administered via nasogastric tube in three divided doses, spaced three hours apart. While administering this formula, Western medical treatment is carried out concurrently, including sodium glutamate, sodium aspartate, acetylglutamate, heparin, glucagon, antibiotics, large-volume intravenous fluids, and electrolyte correction as needed.

Two points must be particularly emphasized: ① Throughout the rescue process, protect the kidneys to prevent renal dysfunction and the occurrence of hepatorenal syndrome; ② Protect the gastrointestinal tract to prevent gastrointestinal bleeding. For the former, avoid using antibiotics that affect kidney function, such as streptomycin and gentamicin, and promptly correct disturbances in high potassium, low potassium, low sodium, and other electrolyte imbalances. For the latter, avoid medications that damage the gastrointestinal mucosa. Routine intravenous infusion of ranitidine and oral administration of famotidine are recommended. After the patient regains consciousness, the aforementioned TCM nasal-gastric tube feeding should be promptly replaced with modified formulas such as Xiao Chai Hu He Xiang Sha Liu Jun Zi Tang and Lizhong Tang to nourish the stomach qi.

Regarding gastrointestinal bleeding in advanced liver cirrhosis, this is another challenging problem in treating the disease. Massive bleeding is often caused by rupture of esophageal varices or gastric fundal veins, while minor bleeding may result from seepage and erosion across the entire digestive mucosa. The former presents with copious hematemesis and melena, whereas the latter shows positive fecal occult blood. Western medicine has several effective methods for treating massive upper gastrointestinal bleeding, such as the use of pituitrin and octreotide, which have demonstrated significant efficacy. Combined with timely blood transfusion, these treatments often alleviate upper gastrointestinal bleeding. The use of a three-lumen two-balloon catheter can also be effective for some patients; however, based on the author's experience, prolonged placement of this catheter often leads to patient asphyxia and agitation, exacerbating the bleeding, and removal of the catheter can cause re-bleeding due to adhesion and traction. Traditional Chinese medicine treats upper gastrointestinal bleeding most effectively with a combination of San Huang

Middle Section: Clinical Application

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Xie Xin Tang, Xuan Fu Dai Zhe Tang, and Mi Hong Dan, when combined and adjusted, provide the best therapeutic effect. The author proposes the following formula:

| Rhubarb 10g | Coptis 10g | Scutellaria 10g | Xuan Fu Hua 10g | Raw Ochre 10g | Pinellia 6g | | Gan Cao 6g | Ginger 6g | Jujube 4 pieces | Cinnamon 3g | Huozhong Tu 60g | |

(First decoct for 10 minutes to obtain the herbal extract), then decoct again for 300 ml (total of both decoctions), and administer in three divided doses, spaced three hours apart, one dose per day. For treating black stools, the Yellow Earth Decoction from the "Jin Gui Yao Lue" is the preferred choice. The ingredients of this formula are as follows (first decoct for 5 minutes to obtain the herbal extract):

| Astragalus 20g | Coptis 6g | Phellodendron 6g | Atractylodes 10g | | Fuzi 6g | Donkey-hide gelatin 10g (melted) | Dried Ginger 6g | Huozhong Yellow Earth 60g |

(Journal of Lanzhou Medical College, February 2002)

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Diagnosis and Evaluation of Atherosclerosis

Academic Study

Pei Zhengxue

Atherosclerosis is a non-inflammatory, degenerative, proliferative lesion of the arteries, which often leads to thickening and hardening of the arterial wall, narrowing of the lumen, and loss of elasticity throughout the vessel wall, thereby causing a series of pathological changes in various related organs of the human body.

Pei Zhengxue's Traditional Chinese Medicine—Analysis of TCM Theory and Clinical Cases

Published by Heji Book Publishing House

Clinical manifestations. Coronary atherosclerosis causes angina pectoris, myocardial infarction, and myocardial sclerosis. Cerebral atherosclerosis leads to cerebral thrombosis, cerebral ischemia, cerebral hemorrhage, and brain atrophy. Renal atherosclerosis results in refractory hypertension and renal insufficiency. Lower limb atherosclerosis causes intermittent claudication and lower limb necrosis. Mesenteric artery atherosclerosis causes abdominal pain and hematochezia.

Clinically, coronary atherosclerosis commonly presents with chest tightness, chest pain, palpitations, shortness of breath, and occasional radiating pain from the chest to the back and vice versa. Cerebral atherosclerosis manifests as headache, dizziness, insomnia and vivid dreams, spontaneous sweating, forgetfulness, feeling cold on the outside but hot inside, restlessness, and irritability. Some patients with cerebral atherosclerosis may experience vertigo similar to Meniere's disease, others may exhibit tremors and convulsions akin to Parkinson's disease, while still others may display psychiatric-like disturbances in consciousness. The clinical manifestations of renal atherosclerosis, in addition to all the symptoms of hypertension, also include signs of chronic nephritis, such as proteinuria and edema; in severe cases, it can lead to renal failure.

Based on the above, the clinical manifestations of atherosclerosis involve an extremely wide and complex range of symptoms affecting every system in the human body.

In diagnosing this disease, in addition to considering the aforementioned clinical manifestations, elevated blood lipids also serve as an important diagnostic criterion, especially the elevation of β-lipoproteins. Fundus examination can detect atherosclerosis, particularly the degree of cerebral atherosclerosis. In recent years, angiography has been used in various regions to examine vascular stenotic lesions, providing a certain degree of assistance. Doppler ultrasound examination helps diagnose peripheral arterial stenosis. In differential diagnosis, it is important to distinguish atherosclerosis from inflammatory vascular stenosis, such as polyarteritis nodosa and thromboangiitis obliterans. Additionally, congenital arterial stenosis, such as aortic and renal artery stenosis, should also be differentiated. Furthermore, the ischemia caused by this disease in related organs should be distinguished from other diseases.

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Middle Section: Clinical Application

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Water | > Symptoms | > Dizziness, lower back pain, leg fatigue, tinnitus, five heart discomforts, tidal heat and night sweats, weak pulse, red tongue with little coating. Treatment should nourish the kidneys and liver. Not | | | Contain | | | Wood | | | +----------+-----------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------+ | > Prescription | > Zhibai Dihuang Tang with modifications as follows +----------+----------------+---------------------------------+----------------+----------------+----------------+---------------------------------+----------------+--------------------------------------------------+ | > Sheng Di | > 12g | > Shan Yu Rou | > 6g | > Fu Ling | > 10g | > Ze Xie | > 6g | > Jiang Xiang | > 10g | > Zhi Mu | > 6g | > Huang Bai | > 6g | > Dan Shen | > 15g | | > 12g | | > 10g | | | | | | | | | | > 30g Heart | > Symptoms | > Chest tightness and pain, palpitations and shortness of breath, occasional radiating pain from the chest to the back and vice versa, tense and irregular pulse, thin white coating. Blood | | | Stasis | | | Belt | | | +----------+-----------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------+ | > Prescription | > Treatment should invigorate blood circulation and remove stasis, while broadening the chest and regulating qi. Use Guan Xin II No. with Gua Luo Bai Ban Xia Tang as follows +----------+-----------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------+ | > Gua Luo | > 10g | > Xie Bai | > 10g | > Ban Xia | > 6g | > Hong Hua | > 6g | > Jiang Xiang | > 6g | > Dan Shen | > 20g | | | | Blood | > Symptoms | > Dizziness and body twitching, limb convulsions, numbness in hands and feet, forgetfulness and restlessness, red tongue with no coating, deep and rapid pulse. Treatment should nourish yin, enrich blood, and extinguish wind. Deficiency | | | Life | | | Wind | | | +----------+--------------------------------------------------+----------------+--------------------------------------------------+----------------+---------------------------------+----------------+----------------+ | > Prescription | Da Ding Feng Zhu with modifications as follows | | > Sheng Gui Ban | > 20g | > A Jiao | > 10g (melted) | > Mai Dong | > 10g | | | > 20g | | > Wu Wei Zi | > 6g | | > Gan Cao | > 6g | | | > 10g | | | | | | | | | 20g | | | | | | +----------+---------------------------------+----------------+ | | | | | | > Sheng Long Mu | > 20g | > Sheng Bie Jia | | | | | | | > | > 12g | > | | | | | | > Sheng Di | > 20g | > Huo Ma Ren | | | | | |

| > | | > | | | | | | | > Sang Zhi | | > Gou Ding | | | | | | | | | | +--------------------------------------------------+----------------+---------------------------------+----------------+----------------+ | | | | | > Tian Ma 1 0 g 蜈 蚣 2g 薑蟲 6g

Heart | > Symptoms | Palpitations, forgetfulness, insomnia and vivid dreams, pale complexion, poor appetite, fatigue, lack of energy, and reluctance to speak. Treatment should tonify the heart and spleen. Spleen | | Two | | Deficiency | | +----------+-----------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------+ | > Prescription | > Gui Pi Tang with modifications: +----------+---------------------------------+----------------+----------------+----------------+----------------+---------------------------------+----------------+----------------+----------------+----------------+

<!-- translated-chunk:30/39 -->

| > Xun Shen | > 10 g | > Bai Zhu | > 10 g | > Huang Qi | > 30 g | > Fu Ze | > 12 g | > Yuan Zhi, Jiang Xiang | > 6g, 3g | > Chao Ju Ren, Mai Dong +----------+---------------------------------+----------------+----------------+----------------+----------------+---------------------------------+----------------+ | | | > Long Yan Rou | > 10g | > Dang Gui | > 10g | > Mu Xiang | > 3g | > Dan Shen | > 30 g | | | Pei Zhengxue's Traditional Chinese Medicine —— Central Mechanism of Instant Transportation Clinical Case Discussion Combining Four Mothers Publishing House Minxing Is it cerebral congestion? "The Juyang type of厥 results in head swelling, heaviness of the head making it impossible to walk, and eye twitching," "The Yangming type of厥 causes facial redness and heat, along with delirium and hallucinations," "The Shaoyang type of厥 leads to sudden facial swelling and heat." All these phenomena are manifestations of cerebral congestion." Based on the above arguments, Zhang Xichun formulated the "Zhen Gan Xi Feng Tang" to treat this condition. The formula heavily uses Huai Niuxi (30–60 g) and also adds iron rust ground into a concentrated solution for internal consumption. It is said that if cerebral congestion causes red eyes and cataracts, this solution can be used externally as well.

3. Discussion from "Lin Gai Cuo" (the original text of the book is quoted below)

The diseases treated by the "Xuefu Zhuyu Tang" are listed as follows:

Headache | > No exterior symptoms, no interior symptoms, no qi deficiency or phlegm-dampness, suddenly occurring and then disappearing, ineffective after trying all kinds of treatments, cured after taking one dose of this formula. Chest pain | > Sudden chest pain, previous treatments all ineffective, one dose of this formula immediately relieves the pain. Unable to bear pressure on the chest | > Mr. A Lin, Governor of Jiangxi Province, aged 74, could sleep at night with his chest exposed, but couldn't sleep when covered with a layer of cloth. After using this formula, three doses cured him. Can only sleep when heavy objects are pressed on the chest | > A 22-year-old woman had been sleeping with a maid pressing on her chest for two years. After using three doses of this formula, she was cured. Heart and spirit heat | > Body feels cool, but heart and spirit feel hot, hence the name "lantern disease," indicating blood stasis inside. It is believed that the more one tries to tonify虚热, the more blood stasis accumulates; the pulse becomes芤 large, increasingly congealed. This formula clears blood heat and resolves stasis in three doses. Dullness and confusion | > Unable to handle small matters, which indicates blood stasis; three doses can improve the situation. Irritability | > Usually calm, but becomes irritable when ill, which is due to blood stasis; one or two doses will definitely help. Frequent nightmares | > Indicates blood stasis; one or two doses of this formula can cure it. Rapid heartbeat | > Using Guipi Anshen and other methods has been ineffective; this formula works every time. Sleeplessness | > People who cannot sleep at night get up during the night, sit down again and want to sleep, spending the whole night without rest. In severe cases, they roll around in bed. This is blood stasis in the Xuefu, and taking more than ten doses of this formula can eradicate it completely. Occasional fever at night | > Every night there is a brief fever accompanied by temporary skin heat; one dose of this formula can cure it, and in severe cases, two doses are needed.

This experience-sharing article consists of 33 pieces, all written by the author's students and clinical physicians from various regions who have shared their insights and feelings based on the author's experience. All articles were published in medical journals across China, including two articles from Taiwanese medical journals.

Introduction to Professor Pei Zhengxue's Experience in Treating Malignant Tumors by Supporting Vital Energy and Consolidating the Root

Xue Wenhan, Li Min, Wang Nanyao

Professor Pei Zhengxue is a renowned expert in integrated traditional Chinese and Western medicine in China, born in 1938 in Wushan, Gansu Province. He graduated from the Medical Department of Xi'an Medical University in 1961 and served as the Vice President of the Gansu Provincial Academy of Medical Sciences. Currently, he is a director of the Chinese Society of Integrated Traditional Chinese and Western Medicine, an editorial board member of the "Chinese Journal of Integrated Traditional Chinese and Western Medicine," and a member of the Gansu Provincial Political Consultative Conference. His major works include "Commentary on Blood Syndrome," "New Compilation of Warm Disease Studies," "Pharmacology and Clinical Application of Rhubarb," and "Diagnosis and Treatment of Hepatitis B," among others. The first contemporary monumental work on integrated traditional Chinese and Western medicine in internal medicine, edited by Professor Pei Zhengxue—“Integrated Traditional Chinese and Western Medicine Internal Medicine”—won the “International Gold Award for Outstanding Contribution” at the Third World Congress of Traditional Medicine held in the United States in April 1996. Professor Pei Zhengxue was also honored as one of the “Top 100 Stars of Ethnic Medicine Worldwide,” and in 1997, the State Administration of Traditional Chinese Medicine recognized him as one of the 500 most famous veteran TCM doctors nationwide.

Professor Pei Zhengxue has always emphasized the importance of supporting vital energy and consolidating the root in the treatment of tumors. The author was fortunate enough to study under him and has summarized his experience as follows:

Pei Zhengxue's Traditional Chinese Medicine —— Discussion on TCM Theory and Clinical Cases

Published by Hefei National Medicine Publishing House

Cutting, while the spleen and kidney are the main links in the pathological evolution of deficiency of vital energy. The former is the postnatal foundation, the sea of food and water, capable of transforming food and water essence into qi and blood to nourish the organs; the latter is the innate foundation, the source of essence and blood, storing true yin and containing primordial yang, serving as the root of yin and yang in the organs. Therefore, strengthening the spleen and tonifying the kidney are the most important principles for supporting vital energy.

In clinical application, gastric cancer fundamentally stems from weakness of the spleen and stomach. Clinically, it is further divided into two major categories: qi deficiency and yin deficiency. For the former, symptoms include fullness in the epigastric region, poor appetite, loose stools, and a pale tongue with thin white coating; the prescription is Xiangsha Liujunzi Tang with modifications. For the latter, symptoms include discomfort in the epigastric region, dry mouth and bitter taste, and a red tongue without coating; the prescription is Ye's Yangwei Tang with adjustments. As for liver cancer, it often manifests as pain in the liver area, poor appetite, fatigue, jaundice, abdominal distension, and loose stools, indicating stagnation of liver qi and wood overcoming earth. In such cases, Xiaoyao San, Chaishao Liujunzi Tang, and Xiangsha Liujunzi Tang with modifications are used. However, esophageal cancer typically presents as emaciation, difficulty swallowing, and a red tongue with little coating, indicating deficiency of both liver and kidney yin. In this case, Liuwei Dihuang Tang is combined with Huangqi, Danggui, and Danshen. Leukemia manifests as dizziness, fatigue, pallor, or fever, or nosebleeds, indicating deficiency of both qi and yin. In such cases, Liuwei Dihuang combined with Shenmai San with modifications is used.

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The purpose of using traditional Chinese medicine to support vital energy is to reduce the side effects of radiation and chemotherapy, thereby enhancing their therapeutic efficacy. Thus, combining traditional Chinese medicine for supporting vital energy and consolidating the root with Western radiation and chemotherapy forms a complementary approach, which is an effective model for treating malignant tumors in modern internal medicine. Generally speaking, the dosage, efficacy, and side effects of radiation and chemotherapy are positively correlated. Chemotherapy often fails because severe side effects prevent patients from receiving the maximum dose. These side effects mainly manifest as bone marrow suppression, weakened immunity, and gastrointestinal reactions, often leading to infections, which are common causes of death among cancer patients.

Western medicine's use of blood transfusions can only address immediate needs, while recent use of some immune enhancers can improve the body's immune status to a certain extent. Experimental studies have shown that traditional Chinese medicine for tonifying the kidney and strengthening the spleen can improve the body's hematopoietic, immune, autonomic nervous, and endocrine systems, thus fundamentally improving the body's overall responsiveness. Among them, tonifying the kidney focuses on improving the body's specific immune, hematopoietic, and endocrine systems, while strengthening the spleen focuses on improving the body's non-specific immune and autonomic nervous systems. Clinically, Professor Pei has formulated a traditional Chinese medicine called "Lanzhou Formula" for patients undergoing radiation and chemotherapy. This formula was named "Lanzhou Formula" as early as 1974 after curing a case of leukemia at the Suzhou Hematology Conference. It consists of Liuwei Dihuang Tang combined with Shenmai San, supplemented with Taizishen, Beishashen, and Dangshen, integrating kidney-tonifying and spleen-strengthening functions into one. Clinical application has proven that this formula can maximize the therapeutic effect of radiation and chemotherapy. At this point, radiation and chemotherapy should be regarded as a method of eliminating pathogenic factors under the TCM concept of supporting vital energy and expelling evil, which has profound clinical significance.

("Journal of Traditional Chinese Medicine Research," August 1999)

Analysis of Professor Pei Zhengxue's Treatment of Megaloblastic Anemia

Li Wenfu, Xue Wenhan

Pei Zhengxue, male, born in 1938. Graduated from Xi'an Medical University in 1961, professor, chief physician, and a renowned expert in integrated traditional Chinese and Western medicine in China, recipient of a special government allowance. His major works include "Commentary on Blood Syndrome," "Selection of Rhubarb," "New Compilation of Disease Studies," and "Practical Internal Medicine of Integrated Traditional Chinese and Western Medicine," among others. The first contemporary monumental work on integrated traditional Chinese and Western medicine in internal medicine, "Practical Internal Medicine of Integrated Traditional Chinese and Western Medicine," which he edited, won the "International Gold Award for Outstanding Contribution" at the Third World Congress of Traditional Medicine held in the United States in April 1996, and he was also honored as one of the "Top 100 Stars of Ethnic Medicine Worldwide." In 1997, the State Administration of Traditional Chinese Medicine recognized him as one of the 500 most famous veteran TCM doctors nationwide. His proposed "Sixteen-Character Policy" for integrated traditional Chinese and Western medicine has become an important school of thought in the field of TCM today and has a significant influence throughout the national TCM community.

Megaloblastic anemia is a type of macrocytic anemia caused by deficiencies in folic acid and vitamin B₁₂, leading to disturbances in deoxyribonucleic acid metabolism. Clinically, patients often present with dizziness, fatigue, palpitations and shortness of breath after activity, with decreased hemoglobin and red blood cell counts. Some patients may also exhibit hematological abnormalities such as reduced white blood cells and platelets, as well as digestive symptoms like abdominal distension, diarrhea, epigastric discomfort or poor appetite, constipation, bitter taste, and oral ulcers. Western medicine often treats this condition by supplementing vitamin B₁₂ or folic acid, but such treatments usually fail to provide a complete cure.

Professor Pei believes that this disease is caused by impaired function of the spleen and stomach. He often says: "The spleen and stomach are the great source of qi and blood production, and also the postnatal foundation." What he means is that the spleen and stomach play a crucial role in the body's absorption of nutrients and the formation of blood components. The spleen is responsible for transformation and ascending movement, favoring dryness and disliking dampness; the stomach is responsible for receiving and descending, favoring moisture and disliking dryness. Under normal physiological conditions, the spleen and stomach alternate between ascending and descending, dryness and moisture, jointly maintaining the balance of the body's digestion and absorption functions. Therefore, when the function of the spleen and stomach is disrupted, and there is no source for producing qi and blood, megaloblastic anemia is likely to occur. Hence, Professor Pei believes that the primary approach to treating megaloblastic anemia should be to tonify the spleen and stomach, which combines syndrome differentiation with disease identification and has yielded satisfactory results in clinical practice.

He has two representative formulas: one is Xiangsha Liujunzi Tang, and the other is Banxia Xiexin Tang. The former focuses on strengthening the spleen and removing dampness, treating symptoms such as fullness, poor appetite, fatigue, vomiting, diarrhea, pale tongue with thin white coating, and deep, fine pulse, which corresponds to chronic gastritis in modern medicine. The latter focuses on harmonizing the stomach and reversing upward flow, suitable for cases of disharmony between middle-jiao cold and heat, causing epigastric fullness and discomfort, or vomiting and diarrhea, yellow tongue with greasy coating, and rapid, string-like pulse, which corresponds to gastritis of the gastric antrum or chronic inflammatory lesions throughout the entire stomach and gastric antrum in modern medicine. In clinical practice, flexible application is required: if dry mouth and little coating appear, Beishashen, Maidong, Yuzhu, and Shihu can be added. If nosebleeds or tooth bleeding occur, Dandpi Tan, Xueyu Tan, Bohe Tan, and Zonglu Tan can be added. For diarrhea, ginger and Fuzi can be added; for constipation, rhubarb and Huanglian can be increased. For low platelet count, Yuzhu, Huangjing, Shengdi, and Banlangen can be added.

Pei Zhengxue's Traditional Chinese Medicine —— Discussion on TCM Theory and Clinical Cases

Here are two case examples:

Case 1

Patient Li, female, 60 years old. Has a history of chronic gastritis and recurrent nasal bleeding for two years, worsening over the past three days. Despite multiple treatments with no effect, she sought treatment from Professor Pei in August 1999.

Initial TCM diagnosis: The patient appears listless and fatigued, with a sallow complexion, poor appetite, bitter and dry mouth, abdominal distension and constipation, intermittent nasal bleeding, deep and fine pulse, and a red tongue with little coating.

Laboratory tests: RBC: 2.01×10¹²/mm³, MCV: 120 fl, PLT: 50×10³/mm³, Hb: 5 g/dl, WBC: 2.9×10³/mm³.

Bone marrow examination: Bone marrow shows a significant increase in nucleated cells, mainly megakaryocytes.

Western medical diagnosis: Megaloblastic anemia. In addition to administering 500 μg of vitamin B₁₂ intramuscularly once daily and 30 mg of folic acid orally once daily, the focus is on using traditional Chinese medicine to regulate the spleen and stomach.

Prescription: Decoction to be taken twice daily, warm, one dose per day, for a total of 10 doses.

| Beishashen | 15g | Maidong | 10g | Yuzhu | 6g | Shihu | 6g | Danshen | 10g | Muxiang | 6g | | Caodoukou | 3g | Bohetan | 15g | Dandpitan | 15g | Xueyutan | 15g | Rhubarb | 6g | Huanglian | 3g |

Second Visit

After taking the above formula for 10 doses, the patient's nasal bleeding significantly decreased, and constipation improved, but she still had poor appetite and a bitter taste. The formula was adjusted by removing Bohetan and Dandpitan, adding Huanglian 3g, Huangqin 10g, and Jiaosanxian each 6g, continuing for another 10 doses, while discontinuing vitamin B₁₂ and folic acid, and advising her to strengthen nutrition and get adequate rest.

Third Visit

After taking the original formula for another 10 doses, all symptoms improved, but she still felt slightly fatigued, had poor appetite, and experienced abdominal distension, with occasional nasal bleeding. Her tongue was red with thin yellow coating, and her pulse was string-like.

Laboratory tests: RBC: 3.03×10⁶/mm³, MCV: 92 fl, PLT: 60×10³/mm³, Hb: 9 g/dl, WBC: 3.2×10³/mm³.

Treatment continued to focus on strengthening the spleen and regulating the stomach, with additional support for soothing the liver.

Prescription: Decoction to be taken twice daily, warm, one dose per day, for a total of 10 doses.

| Muxiang | 3g | Caodoukou | 3g | Beishashen | 10g | Maidong | 10g | Yuzhu | 6g | | Baizhu | 10g | Fuling | 12g | Chaihu | 10g | Baishao | 10g | Dandpi | 10g | | Zhizi | 10g | Danggui | 10g | Huanglian | 3g | Huangqin | 10g | | |

Fourth Visit

After taking another 20 doses, all symptoms disappeared, and laboratory and bone marrow tests showed normal results, with very rare occurrences of nasal bleeding. Her mental state and diet also improved significantly.

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Part Two: Sharing of Experience

Case 2

Mr. Wang, male, 50 years old. Experiences discomfort in the epigastric region, fullness after meals, dizziness, fatigue, and poor appetite for three years, sometimes accompanied by nausea and diarrhea. His tongue is pale with thin white coating, and his pulse is string-like.

Laboratory tests: RBC: 2.56×10⁶/mm³, Hb: 8.2 g/dl, MCV: 98 fl. Gastroscopy reveals chronic inflammation in the gastric body. He has previously tried vitamin B₁₂, folic acid, tinidazole, and other Western medicines for half a year without success, so he seeks treatment from Professor Pei. The patient appears pale, listless, thin, with a pale tongue and thin white coating, and a slippery pulse. He has also undergone bone marrow examination at another hospital, which diagnosed him with megaloblastic anemia.

Western medical diagnosis: ① Chronic gastritis; ② Megaloblastic anemia.

TCM diagnosis: Deficiency of spleen and stomach qi. Treatment should focus on tonifying qi and strengthening the spleen, using Xiangsha Liujunzi Tang with modifications.

Prescription: The formula aims to tonify qi, strengthen the spleen and stomach, promote qi circulation, remove dampness, and eliminate phlegm. Decoction to be taken twice daily, warm, one dose per day, for a total of 10 doses.

Second Visit

After taking the above formula for more than 10 doses, the patient reports that the discomfort in the epigastric region and the feeling of fullness after meals have significantly eased, but he still feels dizzy and fatigued, and occasionally has trouble sleeping. Tongue and pulse remain unchanged from before.

Laboratory tests: WBC 2.9×10³/mm³, Hb: 8.6 g/dl, MCV: 96 fl. Professor Pei believes that the spleen produces blood, while the heart governs blood, so although the patient's spleen and stomach function have improved, the anemia has not yet been resolved. He therefore switches to a treatment method that simultaneously strengthens the spleen and heart, and tonifies both qi and blood, using Guipi Tang with modifications.

Prescription: Decoction to be taken twice daily, warm, one dose per day, for a total of 10 doses.

Third Visit

After taking the above formula for more than 10 doses, the symptoms of spleen and stomach qi deficiency and weak transformation have disappeared. The patient's epigastric discomfort has further improved, and his diet, spirits, and sleep have also improved.

Laboratory tests: RBC: 3.4×10⁶/mm³, Hb: 9.6 g/dl, MCV: 92 fl. After further adjustments to the formula, a total of 40 doses of traditional Chinese medicine were taken, and subsequent blood tests returned to normal.

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Fourth Visit

The patient's condition has remained stable, but five days ago, due to improper diet, he again experienced epigastric discomfort, nausea, and loose stools, four times a day, along with poor appetite. Therefore, he revisited the clinic, considering chronic gastritis combined with acute gastritis, and decided to treat it primarily with traditional Chinese medicine.

Prescription: Decoction to be taken twice daily, warm, one dose per day, for a total of five doses.

Fifth Visit

The patient's nausea and diarrhea have disappeared, but he still experiences epigastric discomfort and poor appetite.

Laboratory tests: RBC: 3.6×10⁶/mm³, Hb: 10 g/dl, MCV: 94 fl. Therefore, the formula was changed to Xiangsha Liujunzi Tang combined with Banxia Xiexin Tang, to enhance the functions of harmonizing the stomach, reversing upward flow, and resolving blockages. Decoction to be taken twice daily, warm, one dose per day, for a total of 10 doses. After the final test and bone marrow examination, all results were normal, and follow-up for three years showed no recurrence.

("Journal of Traditional Chinese Medicine," April 2001)

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Professor Pei Zhengxue's Experience in Treating Chronic Hepatitis

Li Min, Zhong Xu

Professor Pei excels in treating liver diseases and has accumulated rich clinical experience in this field, with unique insights. The following is a summary:

For long-standing illnesses that have entered the collaterals, with symptoms such as hepatosplenomegaly, drugs that activate blood circulation, remove blood stasis, soften hard masses, and disperse nodules can also be added to the formula:

As for cirrhotic ascites, treatment usually involves two aspects: yang deficiency with water overflow and damp-heat combination. For the former, add Wuling San and Zhenwu Tang; for the latter, add Huashi, Mutong, Cheqianzi, Dafupi, and Hulu Pi.

Case 1

Mr. Ma, male, 30 years old, medical record number 11595, employee of the Jingtai County Agricultural and sideline Products Company, was admitted to the general ward for treatment due to persistent black stools for 15 days, accompanied by abdominal distension for one week. The patient reported fullness on both sides of the abdomen, fatigue, loss of appetite, and a bitter taste in the mouth and throat.

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Physical Examination: Lethargy, sallow complexion, mild scleral icterus, no abnormalities noted on cardiac and pulmonary examination, normal hepatic dullness, spleen enlarged beyond the costal margin by 4 cm and palpable, moderately firm consistency, abdominal distension, positive shifting dullness, bilateral lower extremity edema.

Ultrasound: Cirrhotic ascites, splenomegaly (thickness 5.0 cm).

Upper Gastrointestinal Barium Study: Esophageal varices.

Gastroscopy Findings: Severe esophageal varices.

Laboratory Tests: Hemoglobin 8 g/dL, fecal occult blood test (++), normal liver function. Negative surface antigen, total protein 4.5 g/dL, albumin 3.2 g/dL, globulin 4.2 g/dL.

Diagnosis: Decompensated cirrhosis.

TCM Differentiation: Liver depression with spleen deficiency; prolonged stagnation transforms into fire, spleen deficiency generates dampness, leading to excessive water-damp accumulation and qi stagnation with blood stasis. Professor Pei prescribed Danzhi Xiaoyao San as the primary formula for treatment.

Prescription:

One dose daily.

Western medicine was administered concurrently for hemostasis and albumin supplementation. After 40 days of hospitalization, abdominal distension resolved along with other symptoms. Repeat fecal occult blood test was negative. Repeat upper GI barium study showed significant improvement in varices. Repeat ultrasound revealed resolution of ascites, improved liver function, and reduced splenomegaly (thickness 4.0 cm). The patient was discharged after more than 80 days of hospitalization.

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Professor Pei Zhengxue’s Experience in Treating Arthritis

Li Min, Xue Wenhan

[Introduction to Professor Pei Zhengxue]

Professor Pei Zhengxue is a renowned Chinese-Western medicine integrative specialist, born in 1938 in Wushan, Gansu Province. He graduated from the Medical Department of Xi’an Medical University in 1961 and served as the Vice President of the Gansu Provincial Academy of Medical Sciences. Currently, he holds the positions of President of the Gansu College of Traditional Chinese Medicine Guidance, Editorial Board Member of the Chinese Journal of Integrated Traditional and Western Medicine, Chief Editor of the Journal of Integrated Traditional and Western Medicine Research, Director of the Chinese Society of Integrated Traditional and Western Medicine, Vice Chairman and Secretary-General of the Gansu Society of Integrated Traditional and Western Medicine, Member of the Gansu Provincial Senior Evaluation Committee for Traditional Chinese Medicine and Integrated Traditional and Western Medicine, and Member of the Gansu Provincial Political Consultative Conference.

His major works include “Commentary on Blood Syndrome,” “New Edition of Formulas in Traditional Chinese Medicine,” “Pharmacology and Clinical Applications of Rhubarb,” “Diagnosis and Treatment of Hepatitis B,” “Selected Cases of Pei Shen’s Medical Practice,” “New Edition of Warm Disease Studies,” “Practical Internal Medicine of Integrated Traditional and Western Medicine,” among others. In addition, he has published over 60 medical papers in national medical journals and has received five provincial-level awards for outstanding papers, two second-class awards, three third-class awards, and one provincial science and technology progress award over the years.

After his book “Commentary on Blood Syndrome” was published in Japan, it had a significant impact. In May 1985, Professor Tan Eiichi, President of Shizuoka Medical University in Japan, traveled specifically to Lanzhou to consult with Professor Pei on related issues in the book. His specially formulated prescription for treating leukemia was designated as the “Lanzhou Formula” at the National Hematology Conference in 1974 and has been widely used in hospitals across China for over a decade with remarkable therapeutic effects.

His biography has been included in “Contemporary World Celebrities Biographies,” “Contemporary Famous Figures in Traditional Chinese Medicine,” “Great Dictionary of Famous Doctors in Contemporary China,” and “Cambridge World Celebrity Directory (Foreign Language Edition).” In February 1992, he edited and published the first comprehensive work on integrated internal medicine in contemporary times—“Practical Internal Medicine of Integrated Traditional and Western Medicine.” At the Third World Congress of Traditional Medicine held in the United States in April 1996, he was awarded the “International Gold Award for Outstanding Contribution,” and he himself was honored as one of the “Top 100 Stars in Ethnic Medicine Worldwide.” In 1997, the State Administration of Traditional Chinese Medicine recognized Professor Pei Zhengxue as one of the 500 most famous senior TCM doctors in China, and three domestic TCM institutions, including the Hong Kong University of Chinese Medicine, appointed him as a visiting professor. Professor Pei’s “Sixteen-Character Guiding Principle” for integrated traditional and western medicine has attracted attention from the entire field of TCM and has become an important school of thought in the current TCM community. Professor Pei obtained the title of Chief Physician in 1987, has been a recipient of special government allowances since 1992, and was named an Advanced Worker in Integrated Traditional and Western Medicine nationwide in 1994.

The arthritis discussed in this article refers specifically to rheumatoid arthritis and rheumatic arthritis, which fall under the category of “Bi syndrome” in TCM. According to the “Plain Questions – Discussion on Bi Syndrome”: “What is called ‘Bi’ is when one is heavily affected by wind, cold, and dampness at different times.” It further states: “When wind, cold, and dampness combine, they form ‘Bi.’” Wind, cold, and dampness are the fundamental causes of this disease; once they invade the body, they flow through the meridians and joints, obstructing the smooth circulation of qi and blood and resulting in Bi syndrome. When wind combines with cold, it is called “wind-cold”; when it combines with heat, it is called “wind-heat”; when it combines with dampness, it is called “wind-damp”; and if the condition persists and enters the collaterals, it develops into “blood Bi.”

<u>Pei Zhengxue’s TCM—Discussion on TCM Theory and Clinical Case Studies</u>

Published by Hepei Book Publishing House 303

Published by Hepei Book Publishing House

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Example 2

Ms. Yang, female, 33 years old, with joint redness, swelling, and pain for one week, accompanied by sore throat, fever, sweating, thirst, red tongue with thin yellow coating, and rapid, wiry pulse. This case is classified as heat Bi.

Prescription: Modified Gui Zhi Shaoyao Zhimu Tang, administered for seven doses, resulting in fever subsiding, sweating ceasing, and significant symptom relief. The original formula was then adjusted by removing Sheng Shi Gao, followed by another ten doses, ultimately leading to complete recovery of all symptoms.

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Example 3

Ms. Wang, female, 52 years old, with pain and deformity in both hand and wrist joints, as well as pain in major joints, with a disease course of over ten years and loss of working capacity. Dark tongue with thin coating, fine and涩 pulse—this case is classified as blood Bi caused by long-term illness. Professor Pei’s prescription:

After taking 14 doses of the prescription, pain in all joints eased somewhat; after 30 doses, various symptoms markedly improved, and joint mobility changed from stiffness to flexibility.

(“Modern TCM” 1998.3)

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Clinical Impressions of Pei Zhengxue’s Use of Ling Gui Zhu Gan Tang in Treating Rheumatic Heart Disease

Liang Yujie, Xue Wenhan, Li Min, Wang Nanyao, Xue Wenjun

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Example 1

Patient Zhang, female, 51 years old. Shortness of breath for over ten years, worsening in the past five days, accompanied by palpitations, chest tightness, fatigue, especially exacerbated by exertion, rendering her unable to care for herself. She sought medical attention on October 10, 1996.

Physical Examination: Patient presents with mitral facies, orthopnea, pulse rate of 82 beats per minute, cardiac percussion reveals leftward enlargement of cardiac borders, auscultation reveals unequal heart sounds, heart rate of 90 beats per minute, irregular rhythm, with a grade II harsh blowing systolic murmur audible at the apex, mild edema in both lower extremities, swollen tongue with thin white coating, and intermittent pulse.

<u>Pei Zhengxue’s TCM—Discussion on TCM Theory and Clinical Case Studies</u>

Published by Hepei Book Publishing House

Western Diagnosis: ① Rheumatic heart disease (mitral valve insufficiency); ② Heart failure; ③ Atrial fibrillation.

TCM Differentiation: Phlegm turbidity obstructing the interior.

Prescription: Modified Ling Gui Zhu Gan Tang combined with Zhen Wu Tang:

After taking more than ten doses, shortness of breath and orthopnea alleviated, but palpitations and chest tightness persisted, with pulse rate of 74 beats per minute, heart rate of 84 beats per minute, irregular rhythm, pale tongue with thin white coating and intermittent pulse. Therefore, the above formula was modified by removing Fuzi and Bai Shao, adding 10g of Ejiao, four jujubes, 10g of Codonopsis, 20g of Ophiopogon, and 10g of Semen Cassiae. Another fifteen doses were taken, and the patient’s symptoms improved. Subsequently, Ling Gui Zhu Gan Tang was used as the main formula with adjustments, and after taking more than twenty doses, all symptoms disappeared, allowing the patient to fully resume daily activities. Pulse rate was 72 beats per minute, heart rate 73 beats per minute, and the rhythm became more regular than before.

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Example 2

Mr. Lei, male, 30 years old. Shortness of breath for five years, often worsening after a cold or physical exhaustion, accompanied by intermittent cough, producing pink frothy sputum, fatigue, and pain in both knee joints. He sought medical attention in October 1995, with wheezing heard in both lungs and leftward enlargement of cardiac borders upon percussion.

Western Diagnosis: Rheumatic heart disease (mitral stenosis).

TCM Differentiation: Phlegm-fluid obstruction, lung losing its ability to disperse and descend. Treatment focuses on warming yang and promoting diuresis, while also dispersing the lung and relieving asthma.

Prescription: Modified Ling Gui Gan Tang combined with Ma Xing Shi Gan Tang:

Poria 15g　　Honeysuckle 15g　　Cinnamon Twig 12g　　Forsythia 15g　　Atractylodes 10g　　Ephedra 6g　　Licorice 6g　　Apricot Kernel 10g　　Semen Trichosanthes 15g　　Four Jujubes 4 pieces　　Sheng Shi Gao 30g

After taking more than twenty doses of the above formula, shortness of breath lessened, cough and sputum production ceased, but joint pain persisted, along with low-grade fever and elevated ESR. Therefore, the prescription was adjusted to Ling Gui Zhu Gan Tang combined with Gui Zhi Shaoyao Zhimu Tang:

Cinnamon Twig 12g　　White Peony Root 12g　　Anemarrhena 10g　　Atractylodes 10g　　Aconite 10g (decocted for 60 minutes)　　Ledebouriella 12g　　Ephedra 6g　　Licorice 6g　　Four Jujubes 4 pieces　　Poria 15g　　Dioscorea 15g　　Cortex Moutan 15g

After taking more than twenty doses, the patient’s joint pain disappeared, and ESR returned to normal. Subsequently, Ling Gui Zhu Gan Tang was used with adjustments for another month, completely eliminating all symptoms. A follow-up chest X-ray showed that the left atrium had shrunk compared to before.

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Next Part: Sharing Experience

307

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Warming yang and promoting diuresis are the main therapeutic principles, with Ling Gui Zhu Gan Tang as the primary formula. Ling Gui Zhu Gan Tang originates from “Jin Gui Yao Lue,” with main indications being “phlegm-fluid in the epigastrium, fullness in the chest, dizziness,” and “shortness of breath with slight fluid retention.” In this formula, Poria primarily strengthens the spleen and transforms dampness; Cinnamon Twig warms yang and transforms qi; Atractylodes strengthens the spleen and benefits qi, serving as a complementary treatment; and Licorice harmonizes all the herbs, acting as a guiding agent. As stated in “Medical Gate Laws”: “Phlegm-fluid represents yin, suppressing yang; using this yang-tonifying herb to transform qi and expand yang is the correct approach.” Based on the cases treated by Professor Pei, this formula indeed effectively eliminates various clinical symptoms in patients with rheumatic heart disease, significantly improving their quality of life, and even leading to noticeable improvements in cardiac X-rays and echocardiograms for some patients after treatment.

(“Hunan Journal of Traditional Chinese Medicine” 1999.3)

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Professor Pei Zhengxue’s Experience Using Chai Hu Shu Gan San to Treat Gallbladder Disorders—Ha Lüzhong

From 1982 to 1983, I accompanied Chief Physician Pei Zhengxue for over a year, during which he employed a method combining disease patterns with clinical practice to treat various complex conditions, achieving remarkable therapeutic effects and greatly benefiting me. Now, I would like to share my humble impressions regarding his use of Chai Hu Shu Gan San in treating gallbladder disorders.

My teacher believes that Chai Hu Shu Gan San has obvious spasmolytic, choleretic, and analgesic effects. Therefore, when treating gallbladder disorders, he always uses this formula as the main prescription, making adjustments as needed. Although TCM does not have specific terms for cholecystitis or gallstones, descriptions such as “when the gallbladder is distended, there is pain under the ribs, bitterness in the mouth, and frequent sighing” (“Spiritual Pivot—Discussion on Distention”) and “for all types of jaundice accompanied by abdominal pain and vomiting, Chai Hu Tang is appropriate” (“Golden Cabinet—Jaundice”) provide valuable references for diagnosing and treating this condition. My teacher believes that the main symptoms of gallbladder disorders are limited to pain under the ribs, bitterness in the mouth, jaundice, vomiting, and abdominal distension—conditions that fall under the TCM diagnosis of liver qi stagnation, wood overcoming earth, and internal accumulation of damp-heat. Among these symptoms, liver qi stagnation is the root cause that triggers the other manifestations; therefore, when treating this disease, it is essential to focus on the overarching principle of soothing the liver and promoting qi circulation. Thus, Chai Hu Shu Gan San is used as the base formula, with modifications made according to the specific situation. The six fu organs function best when they are unobstructed, especially during acute episodes of this disease, where, in addition to the aforementioned liver-soothing effects, agents that promote bowel movement and clear blockages are consistently added. Combining Chai Hu Shu Gan San with San Huang and Cheng Qi formulas often yields excellent results.

Chai Hu Shu Gan San relieves liver stagnation; adding ingredients such as rhubarb, scutellaria, coptis, and mirabilite not only resolves Shaoyang stagnation but also clears Yangming organ blockages, achieving a dual effect of clearing both Shaoyang and Yangming. Among them, zhishi promotes qi circulation and disperses stagnation, chuanxiong activates blood circulation and promotes qi flow, peony softens the liver and calms yin to relieve urgency, and xiangfu regulates qi and relieves pain. Rhubarb and mirabilite clear Yangming organ blockages, contributing to the overall effect of unblocking the organs; scutellaria clears Shaoyang stagnation and heat, while banxia harmonizes the stomach. On top of these basic adjustments, if there is severe heat, add goldthread, summer dry grass, hedyotis, and tiger stick; if there is pain, add chuanlianzi, yuanhu, and processed milkweed.

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