3. Integrated Western and Traditional Chinese Medicine Treatment of Liver Cancer

Traditional Chinese Medicine believes that the pathology of liver cancer is due to stagnation of liver qi and the dominance of liver wood over earth, so the fundamental treatment for liver cancer is to soothe the liver and strengthen the spleen. The “Jin Kui Yao Lue” proposes the preventive and therapeutic principle of “when you see a liver disease, know that it will affect the spleen, so you should first strengthen the spleen,” laying the foundation for our use of the “Ju Fang” Xiaoyao San. By modifying this formula, we have achieved short-term “cure” for two liver cancer patients in clinical practice. The formula uses large doses of Salvia miltiorrhiza and Astragalus to enhance tonification and consolidation, while also incorporating Baihua She She Cao and Ban Zhi Lian to clear heat and detoxify, reducing swelling and eliminating toxins. Among the formulas we commonly use in clinical practice are the self-designed Liver Cancer No. 1 Formula (Bupleurum, Citrus Peel, Red and White Paeonia, Turtle Shell, Oyster Shell, Softshell Turtle Shell, Citrus Peel, Angelica Sinensis, Salvia miltiorrhiza, Astragalus, Baihua She She Cao, Ban Zhi Lian) and Liver Cancer No. 2 Formula (Astragalus, Salvia miltiorrhiza, Softshell Turtle Shell, Angelica Sinensis, Paeonia, Coix Seed, Fairy Grass).

(From the “Academic Papers Collection of Gansu Provincial Academy of Medical Sciences,” 1998)

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Professor Pei Zhengxue’s Experience in Treating Arrhythmias

Xue Wenhan and Li Min

Arrhythmias are clinically classified as either tachyarrhythmias or bradyarrhythmias, which can occur independently or be associated with various heart diseases, such as coronary heart disease, heart failure, myocarditis, and cardiac autonomic dysfunction, exacerbating pre-existing heart conditions. Professor Pei Zhengxue has extensive experience and remarkable efficacy in treating arrhythmias with traditional Chinese medicine, summarized below.

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

Published by Hefei Book Publishing House

Case 1

Mr. Xu, male, 62 years old, manager, has experienced palpitations accompanied by discomfort in the precordial region for 8 years. He sought medical attention on October 26, 1996. His pulse was 100 beats per minute, blood pressure 16/10 kPa, and cardiac examination revealed clear heart sounds and a heart rate of 102 beats per minute. There were 6–10 premature beats per minute, no pathological murmurs heard in the precordial region, and the electrocardiogram showed: ① myocardial ischemia; ② frequent multifocal premature beats. Combined with a fine and irregular pulse, and a red tongue with thin yellow coating and petechiae.

TCM Syndrome Differentiation: Deficiency of both qi and yin, with blood stasis obstructing the channels. Treatment focuses on tonifying qi and nourishing yin, as well as resolving blood stasis.

Prescription: Decoction to be taken orally.

After taking the above formula for more than 20 doses, the precordial pain disappeared, but mild palpitations persisted, along with occasional fatigue and epigastric discomfort. Tongue examination showed a red tongue with thin yellow coating and a fine, rapid pulse. The original formula was then adjusted by removing Ligusticum Chuanxiong and Safflower, adding Amomum 6 g, Sandalwood 6 g, Atractylodes 10 g, and Poria 12 g. After continuing to take the medication for another 20 doses, all symptoms disappeared, with a heart rate of 86 beats per minute and only 1–2 premature beats per minute; the electrocardiogram showed occasional atrial premature beats.

Case 2

Ms. Zhao, female, 50 years old, farmer, has experienced paroxysmal palpitations for 2 years, accompanied by right upper abdominal pain and insomnia with vivid dreams. She sought medical attention on January 4, 1997. Her pulse was 104 beats per minute, blood pressure 12/8 kPa, and heart sounds were clear. Heart rate was 119 beats per minute, rhythm regular, with a grade II blowing murmur audible in the precordial region. Abdomen was soft and flat, with tenderness in the right upper quadrant.

Electrocardiogram: Sinus tachycardia.

Western Medical Diagnosis: ① Sinus tachycardia; ② Chronic cholecystitis; ③ Hysteria.

TCM Syndrome Differentiation: Based on a red tongue with little coating and a wiry, rapid pulse, the condition is attributed to liver qi stagnation turning into fire, disturbing the mind. Treatment focuses on soothing the liver and resolving qi stagnation, as well as calming the spirit and stabilizing the mind.

Prescription: Chai Hu Jia Long Gu Mu Li Tang combined with Gan Mai Da Zao Jia Wei:

After taking this formula for more than 10 doses, palpitations and insomnia with vivid dreams improved, but right upper abdominal pain persisted. Therefore, the original formula was adjusted by removing Polygala and fried jujubes, adding Zhi Shi 10g, Mu Xiang 10g, and Jin Qian Cao 20g. After taking the medication for another 20 doses, all symptoms disappeared.

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Next Section: Inheritance of Experience

This includes sinus bradycardia, sick sinus syndrome, atrioventricular junctional arrhythmias, and various conduction blocks. Clinically, these conditions often manifest as shortness of breath, dizziness, fatigue, chest tightness, and a slow, irregular pulse with pauses. Teacher Pei believes these conditions are mostly caused by deficiency of yang qi and obstruction by phlegm-dampness, with treatment focusing on warming yang qi, tonifying qi, and transforming phlegm. The representative formula is Ma Huang Fu Zi Xi Xin Tang.

If accompanied by precordial pain, purple-dark tongue with petechiae, this formula can be used in combination with Coronary Heart Disease No. 1; if accompanied by insomnia with vivid dreams, lack of energy and reluctance to speak, and a deep, fine, powerless pulse, this formula can be used in combination with Gui Pi Tang; if accompanied by fullness and distension in the chest and abdomen, with thick white tongue coating, this formula can be used in combination with Ling Gui Zhu Gan Tang; if accompanied by cold limbs, abdominal distension, and edema with reduced urination, this formula can be used in combination with Zhen Wu Tang; if accompanied by shortness of breath, excessive sweating, and dry mouth, this formula can be used in combination with Sheng Mai San. In addition, tea tree roots grown in the Longnan region (also known as tea tree roots) are effective for various types of bradyarrhythmias and can be used in combination or separately.

Case 3

Mr. Xue, male, 61 years old, has experienced precordial pain for one month, accompanied by shortness of breath and fatigue. He sought medical attention on October 7, 1997. His pulse was 52 beats per minute, blood pressure 12/8 kPa. Heart sounds were clear, heart rate 52 beats per minute, with no arrhythmias, and no pathological murmurs heard in any valve. Tongue examination showed a pale tongue with thin white coating and a wiry pulse.

Electrocardiogram: ① Myocardial ischemia; ② Sinus bradycardia; ③ Complete right bundle branch block.

Western Medical Diagnosis: ① Coronary heart disease; ② Sinus bradycardia; ③ Complete right bundle branch block.

TCM Syndrome Differentiation: Deficiency of heart yang and blood stasis obstructing the channels, treatment focuses on warming and unblocking heart yang, as well as activating blood circulation and removing blood stasis.

Prescription: Ma Huang Fu Zi Xi Xin Tang combined with Coronary Heart Disease No. 2, with modifications:

| Ephedra | 6 g | Aconite | 6g | Asarum | 3g | Red Peony | 10g | Ligusticum Chuanxiong | 6 g | | Safflower | 6g | Agarwood | 10g | Salvia miltiorrhiza | 10g | Leech | 6g (to be taken separately) | Party Members | 10 g | | Winter Fragrance | 10 g 6g | Schisandra and Amomum | 3g 6g | Sophora | 15g | Panax Notoginseng | 3g (to be taken separately) | Tea Tree Roots | 30 g |

After taking the above medication for more than 20 doses, the precordial pain completely disappeared, but mild shortness of breath persisted. Examination showed a heart rate of 58 beats per minute and blood pressure of 13/8 kPa. The original formula was then adjusted by removing leech and Panax Notoginseng, adding Astragalus 30g, Cinnamon 10g, Atractylodes 12g, and Poria 15g. After taking the medication for another 30 doses, all symptoms disappeared, and a follow-up electrocardiogram two months later showed normal results.

Case 4 ---

Ms. Ma, female, 50 years old, has experienced shortness of breath accompanied by dizziness, chest tightness, and sore throat for five months. She sought medical attention on December 4, 1994. Her pulse was 54 beats per minute, blood pressure 14/8 kPa.

The patient had a red and swollen throat, clear heart sounds, heart rate 56 beats per minute, with a diastolic grade II rumbling murmur audible in the precordial region. Tongue examination showed a pale tongue with white coating, and the pulse was slippery and slow. The electrocardiogram showed: congenital bradycardia.

Western Medical Diagnosis: ① Rheumatic heart disease (mitral stenosis); ② Congenital bradycardia.

[Pei Zhengxue Traditional Chinese Medicine—Discussion on TCM Theory and Clinical Cases]{.underline}

358

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The Hefei diagram is published by the publishing house.

TCM Syndrome Differentiation: Heart Yang Deficiency and Phlegm-Damp Obstruction; Treatment Principle: Warm Yang and Transform Phlegm.

Prescription: Modified Yuling Guizhi Gancao Decoction combined with Mahuang Fuzi Xixin Decoction:

| Poria | 15 g | Cinnamon Twig | 12 g | Atractylodes | 10 g | Licorice | 6g | Ephedra | 6g | Aconite | 6g | | Xixin | 3g | Pinellia | 6g | Forsythia | 15g | Forsythia | 15g | Dandelion | 15 g | Patrinia | 15g |

After taking more than 20 doses, the sore throat disappeared, dizziness and fatigue eased, but chest tightness persisted. Examination revealed a pale tongue with thin white coating and a涩 pulse. The original formula was adjusted by removing Forsythia, Forsythia, Dandelion, and Patrinia, adding Gualou 10g and Allium 10g. After another 30+ doses, all symptoms improved. Pulse rate was 68 beats per minute, blood pressure 15/10 kPa, and ECG was normal.

Teacher Pei Zhengxue’s Experience in Treating Internal Injury Headache

Xue Wenhan and Li Min

I studied under Chief Physician Pei Zhengxue for three years and now summarize his experience in treating internal injury headache as follows:

Pei Zhengxue’s TCM—Discussion on TCM Theory and Clinical Cases

Published by Hepei Book Publishing House

Blood. Use Guipi Decoction. If accompanied by chest discomfort, use it together with Coronary No. 2; if accompanied by cold intolerance and cold limbs, add Aconite and Cinnamon Twig; if there is poor appetite and abdominal distension, add Salvia miltiorrhiza, Agarwood, and Amomum villosum.

5. Wind Pathogen Invading the Upper Parts

Headaches often manifest as unilateral headaches, occurring in paroxysms, with attacks related to emotional changes.

All Western medical examinations were normal, mostly diagnosed as vascular-neural headaches. Mr. Pei believed it was caused by wind pathogen, so treatment should focus on dispelling wind and relieving pain, using Qing Shang Juan Tong Tang. If accompanied by chills, body pain, and floating pulse—indicating wind-cold exterior syndrome—add Ephedra, Cinnamon Twig, Schizonepeta, or switch to Jiuwei Qianghuo Tang; if accompanied by nasal congestion, add Xanthium seed and Magnolia flower; if accompanied by low blood pressure, combine with Guipi Decoction.

For all of the above types of headaches, based on syndrome differentiation, Chuanxiong, Baizhi, and Xixin can be added.

After taking the above medication for 20 doses, the headache and numbness in both hands, as well as blurred vision, gradually subsided. Blood pressure was 20/14 kPa. The original formula was adjusted by removing Chuanxiong, Baizhi, and Xixin, adding Raw Hematite 15g, Raw White Peony 15g, and Chuanlianzi 20g. After another 20+ doses, all symptoms disappeared. Blood pressure was measured at 20/12 kPa.

---

Example 2

Patient Zhang, female, 68 years old. Headache for 3 years, accompanied by dizziness, tinnitus, chest tightness, and memory impairment. She previously reported that medications such as Weinaolutong did not improve her condition.

TCM Syndrome Differentiation: Pale tongue with thin white coating,弦涩 pulse, blood pressure 18/13 kPa

Laboratory Tests: Blood viscosity higher than normal, brain CT shows brain atrophy.

ECG: Myocardial ischemia.

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Part Two: Experience Transmission 361

Published by Hepei Book Publishing House

Western Medical Diagnosis: ①Cerebral arteriosclerotic headache; ②Coronary heart disease.

TCM Syndrome Differentiation: Stasis-induced headache; treatment principle: activate blood circulation and remove stasis.

Prescription: Modified Xuefu Zhuyu Tang, prescription as follows:

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Example 4

Patient Wang, female, 32 years old. Headache worsens after fatigue, accompanied by insomnia, frequent dreams, forgetfulness, weakness, lower back and knee soreness, and excessive vaginal discharge.

Examination: Blood pressure 12/8 kPa, pale tongue with little coating, deep and fine pulse.

Western Medical Diagnosis: ①Low blood pressure; ②Menstrual irregularities.

TCM Syndrome Differentiation: Treatment principle: tonify qi and nourish blood.

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Pei Zhengxue’s TCM—Discussion on TCM Theory and Clinical Cases

Published by Hepei Book Publishing House

Prescription:

After taking the above medicine for more than 10 doses, vaginal discharge decreased, lower back and knee soreness disappeared, and headache and other symptoms eased. Therefore, Eucommia, Raw Coix Seed, and Epimedium were removed, and Chuanxiong 6g, Baizhi 6g, and Xixin 3g were added. After another 7 doses, all symptoms disappeared, and blood pressure was measured at 13/7 kPa.

---

Example 5

Patient Qiu, male, 38 years old, with unexplained headache for 2 years. Recently, after catching a cold, the headache worsened, accompanied by chills, general body aches, and dry throat.

Clinical Examination: Blood pressure 16/10 kPa, pale tongue with thin white coating, floating pulse.

Western Medical Diagnosis: ①Vascular-neural headache; ②Common cold.

TCM Syndrome Differentiation: First treat by dispersing wind and releasing the exterior, while also clearing interior heat.

Prescription: After taking 3 doses of medicine, chills and general body aches disappeared, and headache eased. The original formula was adjusted by removing Shengdi, Jingjie, and Ephedra, adding Angelica 10g, Vitex 10g, Chrysanthemum 10g, and Ophiopogon 10g. After another 10+ doses, all symptoms eased.

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Pei Zhengxue’s Experience in Treating Allergic Subsepsis

Zhang Taifeng, Zhang Huifang, Yang Yuzhen, and Cui Ying

Allergic subsepsis (Wissler-Fanconi syndrome) clinically presents mainly with recurrent fever, rash, joint pain, and persistently elevated ESR. Modern medicine has no cure for this condition except for routine use of hormones. This disease falls under the category of autoimmune disorders. In “Jin Gui Yao Lue·Zhong Feng Li Jie Bing Mai Zheng Bing Zhi,” it is written: “When all joints ache, the body becomes emaciated, the legs swell as if they were detached, one feels dizzy and short of breath, and wants to vomit—Guizhi Shaoyao Zhimu Tang is the main treatment.” “If the joints cannot bend or straighten and are painful—Wutou Tang is the main treatment.” These descriptions are quite similar to the clinical manifestations of this disease.

Professor Pei Zhengxue believes that the symptoms mentioned in the above passages—emaciation, swollen legs, dizziness, shortness of breath, and nausea—indicate a deficiency in the body’s own immunity. When righteous qi declines, evil qi takes advantage of the weakened state, leading to conflict between righteous and evil qi, which results in symptoms such as fever, joint and whole-body pain, rash, and accelerated ESR. Using Guizhi Shaoyao Zhimu Tang to harmonize Ying and Wei and to disperse depression and promote yang is the correct treatment. Adding Astragalus, Angelica, and Rehmannia to this formula to strengthen the body’s foundation, substituting Chuanwu and Caowu for Aconite, and adding one fried Strychnos nux-vomica seed—these adjustments, along with combining traditional Chinese and Western medicine, have yielded relatively satisfactory results in treating this disease. The following case studies are presented.

---

Pei Zhengxue’s TCM—Discussion on TCM Theory and Clinical Cases

Published by Heji Book Publishing House

---

TCM Syndrome Differentiation: Main symptoms include fever and chills, generalized joint pain, shortness of breath and fatigue, coarse breathing, faint rash, dry mouth and desire to drink, red urine, loose stools, deep and fine pulse, red tongue with little yellow coating. The syndrome is characterized by damp-heat stagnation and cold congealing in the meridians, treated by dispelling wind and dampness, and dispersing cold to relieve pain.

Prescription:

After taking 62 doses of medicine, the patient no longer had a fever, cervical lymph nodes were not enlarged, laboratory tests returned to normal, and the patient was discharged. The patient continued to take traditional Chinese medicine at home for another 20 doses, and all symptoms disappeared. Follow-up for 4 years showed no recurrence.

---

Example 2

Zhang, male, 41 years old, medical record number: 16518. Admitted on March 19, 1998. The patient developed general malaise and fever (body temperature 38°C) after catching a cold on November 17, 1997. Pain in both lower limbs, mainly in large joints, without morning stiffness, and movement was not restricted. Anti-rheumatic treatment was ineffective, and hormone therapy for one week was also ineffective.

Physical examination: Body temperature 39.0°C, flushed face, red throat, tonsils grade II enlarged, no secretions, no enlarged lymph nodes in neck, armpits, or groin, no joint tenderness, scattered rash on chest and back that fades upon pressure; liver not palpable, spleen palpable 2 cm below ribs, soft texture, ultrasound shows splenomegaly.

Laboratory tests: White blood cells 10.6×10³/mm³, neutrophils 69%, hemoglobin 14.8 g/dL, red blood cells 2.11×10⁶/mm³, platelets 214×10³/mm³, ESR 132 mm/hr; serum protein electrophoresis: albumin 3.91%, globulin α₁ 12.2%, α₂ 24.1%, β 3.1%, γ 41.2%, lactate dehydrogenase 326 U/L, α-hydroxybutyrate transaminase 99 U/L, triglycerides 344 mg/dL, C-reactive protein 5.73 mg/dL, antinuclear antibody negative, anti-“O” <1:400, rheumatoid factor positive; routine urine, stool, liver function, and kidney function all normal; bone marrow smear shows mild infectious bone marrow; tuberculin test, LE cell test, and Widal reaction all negative; three blood cultures showed no bacterial growth.

Western Medical Diagnosis: Allergic subsepsis. Treatment included oral corticosteroids 30mg daily (taken once in the morning), intravenous levofloxacin 0.2g, and Shenqi Fuzheng injection 100ml intravenously. After 15 days, corticosteroid dosage was reduced according to the same method, and the reduction was completed in 6 weeks.

TCM Syndrome Differentiation: Main symptoms include fever and chills, joint pain, shortness of breath and laziness, flushed face, faint rash, poor appetite and bloating, clear and long urine, straining during bowel movements, large and weak pulse, pale tongue with white coating. The syndrome is characterized by wind-cold obstructing the meridians and deficiency of middle qi. Treatment principle: warm the meridians to dispel cold, and sweetly warm to eliminate heat.

Prescription: Guizhi Shaoyao Zhimu Tang plus Buzhong Yiqi Tang

After taking 32 doses of medicine, the patient’s clinical symptoms disappeared and he was discharged. After taking another 55 doses at home, all laboratory tests returned to normal, and follow-up for 3 years showed no recurrence.

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Part Two: Experience Transmission

365

Published by Heji Book Publishing House

Cinnamon Twig | > 10g | > White Peony | > 15g | > Zhimu | > 10g | > Ephedra 3g Chuanwu | > 1 5 g | > 15g Dry Ginger | > 6g | > | | | | | > Grass Wu | | | > Xixin | | | | | | (decocted for 60 minutes first) | | > | | | | | | | | | > Atractylodes 10g Xunshen 10g | | | | | | | | | +-------+--------+---------+-----------------------+----------+--------------+ | | | > 3g | > Fangfeng | > 12g | > Strychnos nux-vomica 1 seed (fried) Astragalus | > 30 g Angelica 10 g | | | | | | > | > | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | |......The Hefei diagram is published by the publishing house.

TCM Syndrome Differentiation: Deficiency of Heart Yang and obstruction by phlegm-dampness; treatment should warm the Yang and transform phlegm.

Prescription: Modified Yuling Guizhi Gancao Tang combined with Mahuang Fuzi Xixin Tang:

| Poria | 15 g | Cinnamon Twig | 12 g | Atractylodes | 10 g | Licorice | 6g | Ephedra | 6g | Aconite | 6g | | Xixin | 3g | Pinellia | 6g | Forsythia | 15g | Forsythia | 15g | Dandelion | 15 g | Patrinia | 15g |

After taking more than 20 doses, the sore throat disappeared, dizziness and fatigue eased, but chest tightness persisted. Examination revealed a pale tongue with thin white coating and a wiry pulse. The original formula was adjusted by removing Forsythia, Forsythia, Dandelion, and Patrinia, adding Gualou 10g and Allium 10g. After another 30+ doses, all symptoms improved. Pulse rate was 68 beats per minute, blood pressure 15/10 kPa, and ECG was normal.

Teacher Pei Zhengxue’s Experience in Treating Internal Injury Headache

Xue Wenhan and Li Min

I studied under Chief Physician Pei Zhengxue for three years and now summarize his experience in treating internal injury headache as follows:

Pei Zhengxue’s TCM—Discussion on TCM Theory and Clinical Cases

Published by Hebei Publishing House

Blood. Use Guipi Tang. If accompanied by chest discomfort, use it together with Coronary No. II; if accompanied by cold intolerance and cold limbs, add Aconite and Cinnamon Twig; if there is poor appetite and abdominal distension, add Salvia miltiorrhiza, Agarwood, and Amomum villosum.

5. Wind Pathogen Invading the Upper Parts

Headaches often present as unilateral headaches, occurring in paroxysms, with attacks related to emotional changes.

All Western medical examinations were normal, often diagnosed as vascular-neural headache. Mr. Pei believed it was caused by wind pathogen, so treatment should dispel wind and relieve pain, using Qing Shang Juan Tong Tang. If accompanied by chills, body pain, and floating pulse—indicating wind-cold exterior syndrome—add Ephedra, Cinnamon Twig, Schizonepeta, or switch to Jiuwei Qianghuo Tang; if accompanied by nasal congestion, add Xanthium seed and Magnolia bark; if accompanied by low blood pressure, combine with Guipi Tang.

For all these types of headaches, based on syndrome differentiation, Sichuan Lovage, Angelica dahurica, and Asarum can be added.

After taking the above medicine for 20 doses, headache and numbness in both hands, as well as blurred vision, alleviated. Blood pressure was 20/14 kPa; the original formula was adjusted by removing Sichuan Lovage, Angelica dahurica, and Asarum, adding Raw Hematite 15g, Raw White Peony 15g, and Melia tomentosa 20g. After another 20+ doses, all symptoms disappeared. Blood pressure was 20/12 kPa.

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Example 2

Patient Zhang, female, 68 years old. Headache for 3 years, accompanied by dizziness, tinnitus, chest tightness, and memory impairment. She previously reported that medications such as Weinaolutong did not improve her condition.

TCM Syndrome Differentiation: Pale tongue with thin white coating, wiry and涩 pulse, blood pressure 18/13 kPa

Laboratory Tests: High blood viscosity, brain CT shows brain atrophy.

ECG: Myocardial ischemia.

---

Part Two: Experience Inheritance 361

Published by Hebei Publishing House

Western Medical Diagnosis: ① Cerebral arteriosclerotic headache; ② Coronary heart disease.

TCM Syndrome Differentiation: Stasis-induced headache; treatment should activate blood circulation and remove stasis.

Prescription: Modified Xuefu Zhuyu Tang, prescription as follows:

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Example 4

Patient Wang, female, 32 years old. Headache worsens after fatigue, accompanied by insomnia, frequent dreams, forgetfulness, weakness, soreness in waist and knees, and excessive vaginal discharge.

Examination: Blood pressure 12/8 kPa, pale tongue with little coating, deep and fine pulse.

Western Medical Diagnosis: ① Low blood pressure; ② Menstrual irregularities.

TCM Syndrome Differentiation: Treatment should tonify qi and nourish blood.

---

Pei Zhengxue’s TCM—Discussion on TCM Theory and Clinical Cases

Published by Hebei Publishing House

Prescription:

After taking the above medicine for more than 10 doses, vaginal discharge decreased, soreness in waist and knees disappeared, and headache and other symptoms eased. Therefore, Eucommia, Raw Coix Seed, and Epimedium were removed, and Sichuan Lovage 6g, Angelica dahurica 6g, and Asarum 3g were added. After another 7 doses, all symptoms disappeared, and blood pressure was 13/7 kPa.

---

Example 5

Patient Qiu, male, 38 years old, with unexplained headache for 2 years. Recently, after catching a cold, the headache worsened, accompanied by chills, general body aches, and dry throat.

Clinical Examination: Blood pressure 16/10 kPa, pale tongue with thin white coating, floating pulse.

Western Medical Diagnosis: ① Vascular-neural headache; ② Common cold.

TCM Syndrome Differentiation: First treat to disperse wind and release the exterior, while clearing interior heat.

Prescription: After taking 3 doses of medicine, chills and general body aches disappeared, and headache eased. The original formula was adjusted by removing Rehmannia, Schizonepeta, and Ephedra, adding Angelica sinensis 10g, Vitex negundo 10g, Chrysanthemum morifolium 10g, and Ophiopogon japonicus 10g. After another 10+ doses, all symptoms eased.

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Pei Zhengxue’s Experience in Treating Allergic Subsepsis

Zhang Taifeng, Zhang Huifang, Yang Yuzhen, and Cui Ying

Allergic subsepsis (Wissler-Fanconi syndrome) clinically presents mainly with recurrent fever, rash, joint pain, and persistently elevated ESR. Modern medicine has no cure for this condition except routine use of hormones. This disease falls under the category of autoimmune disorders. In “Jin Gui Yao Lue·Zhong Feng Li Jie Bing Mai Zheng Bing Zhi,” it is written: “For pain in all joints, emaciation, swelling of the feet as if they were detached, dizziness, shortness of breath, and nausea, Guizhi Shaoyao Zhimu Tang is the main prescription”; “If the joints cannot be bent or stretched, with pain, Wutou Tang is the main prescription.” These descriptions are quite similar to the clinical manifestations of this disease.

Professor Pei Zhengxue believes that the symptoms mentioned in the above passages—emaciation, swollen feet as if detached, dizziness, shortness of breath, and nausea—indicate a deficiency in the body’s own immunity. When righteous qi declines, evil qi takes advantage of the weakness, leading to conflict between righteous and evil qi, resulting in symptoms such as fever, joint and whole-body pain, rash, and accelerated ESR. Using Guizhi Shaoyao Zhimu Tang to harmonize Ying and Wei and to dispel depression and promote yang is the correct treatment. Adding Astragalus, Angelica sinensis, and Rehmannia to this formula to strengthen the body’s foundation, substituting Aconite and Grass Aconite for Aconite, and adding one fried Strychnos nux-vomica seed—these adjustments, along with combining traditional Chinese and Western medicine, have yielded relatively satisfactory results in treating this disease. The following case studies are presented.

---

Pei Zhengxue’s TCM—Discussion on TCM Theory and Clinical Cases

Published by Hebei Publishing House

---

TCM Syndrome Differentiation: Main symptoms include fever and chills, generalized joint pain, shortness of breath and fatigue, coarse breathing, faint rash, dry mouth with desire to drink, red urine, loose stools, deep and fine pulse, and red tongue with little yellow coating. The syndrome is due to damp-heat stagnation and cold congealing in the meridians, so treatment should dispel wind and dampness, and disperse cold to relieve pain.

Prescription:

After taking 62 doses of medicine, the patient no longer had a fever, cervical lymph nodes were not enlarged, laboratory tests returned to normal, and the patient was discharged. The patient continued to take traditional Chinese medicine at home for another 20 doses, and all symptoms disappeared. Follow-up for 4 years showed no recurrence.

---

Example 2

Zhang, male, 41 years old, medical record number: 16518. Admitted on March 19, 1998. On November 17, 1997, the patient caught a cold and developed general malaise, fever (body temperature 38°C), pain in both lower limbs mainly in large joints, no morning stiffness, unrestricted movement, ineffective treatment with anti-rheumatic drugs, and one week of hormone therapy.

Physical examination: Body temperature 39.0°C, flushed face, red throat, tonsils grade II enlarged, no secretions, no enlarged lymph nodes in neck, armpits, or groin, no joint tenderness, scattered rash on chest and back that fades upon pressure; liver not palpable, spleen palpable 2 cm below ribs, soft texture, ultrasound shows splenomegaly.

Laboratory tests: White blood cells 10.6×10³/mm³, neutrophils 69%, hemoglobin 14.8 g/dL, red blood cells 2.11×10⁶/mm³, platelets 214×10³/mm³, ESR 132 mm/hr; serum protein electrophoresis: albumin 3.91%, globulin α₁ 12.2%, α₂ 24.1%, β 3.1%, γ 41.2%, lactate dehydrogenase 326 U/L, α-hydroxybutyrate transaminase 99 U/L, triglycerides 344 mg/dL, C-reactive protein 5.73 mg/dL, antinuclear antibody negative, anti-“O” <1:400, rheumatoid factor positive; routine urine, stool, liver function, and kidney function all normal; bone marrow smear shows mild infectious bone marrow; tuberculin test, LE cells, and Widal reaction all negative; three blood cultures showed no bacterial growth.

Western Medical Diagnosis: Allergic subsepsis. Treatment included oral corticosteroids 30mg daily (taken once in the morning), intravenous levofloxacin 0.2g, and Shenqi Fuzheng injection 100ml intravenously. After 15 days, corticosteroid dosage was gradually reduced according to the same method, completing the reduction in 6 weeks.

TCM Syndrome Differentiation: Main symptoms include fever and chills, joint pain, shortness of breath and laziness, flushed face, faint rash, poor appetite and bloating, clear urine, straining during bowel movements, large and weak pulse, and pale tongue with white coating. The syndrome is due to wind-cold obstructing the meridians and deficiency of middle qi. Treatment should warm the meridians to disperse cold and use sweet-warm methods to clear heat.

Prescription: Guizhi Shaoyao Zhimu Tang combined with Buzhong Yiqi Tang

After taking 32 doses of medicine, the patient’s clinical symptoms disappeared and was discharged. After taking another 55 doses at home, all laboratory tests returned to normal, and follow-up for 3 years showed no recurrence.

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Part Two: Experience Inheritance

365

Published by Hebei Publishing House

Cinnamon Twig | > 10g | > White Peony | > 15g | > Zhimu | > 10g | > Ephedra 3g | > Aconite | > 1 5 g | > 15g Dry Ginger | > 6g | > | | | | | > Grass Aconite | | | > Asarum | | | | | | (decocted for 60 minutes first) | | > | | | | | | | | | > Atractylodes 10g | > Angelica sinensis 10g | | | | | | | | +-------+--------+---------+-----------------------+----------+--------------+ | | | > 3g | > Fangfeng | > 12g | > Strychnos nux-vomica 1 seed (fried) | > Astragalus 30 g | > Angelica sinensis 10 g | | | | | | > | > | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | |......

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Physical examination revealed jaundice of the sclera and generalized skin, with no palpable hepatosplenomegaly. The abdomen was soft, shifting dullness was negative, and there was mild pitting edema in both lower limbs. Liver function tests showed GPT at 189 units, total bilirubin at 3.14 mg/dL, and bilirubin reagent test at 2 units, leading to a diagnosis of acute icteric hepatitis.

TCM Syndrome Differentiation: Damp-heat in the liver and gallbladder.

Prescription: Teacher Pei’s proposed formula is as follows:

One dose daily. After 7 consecutive days of treatment, the jaundice gradually subsided; after 3 weeks, the jaundice completely disappeared, and follow-up tests showed normal total bilirubin and GPT levels.

Clinical Experience of Teacher Pei Zhengxue in Treating Pancreatitis Complicated with Cholecystitis

Li Min, Xue Wenhan, Zhen Yufeng

Chronic pancreatitis complicated with cholecystitis (referred to as biliary-pancreatic syndrome) is a common clinical condition. It typically presents with left upper abdominal pain radiating to the left flank, left chest, and back. Most patients have a history of gallstones or cholecystitis, so when left flank pain occurs, it is often accompanied by right lower quadrant pain. The disease course is prolonged, serum amylase levels are within the normal range, and clinical symptoms are often atypical, making misdiagnosis and missed diagnosis common. In clinical practice, Teacher Pei has extensive experience in diagnosing and treating this condition, summarized as follows:

[Pei Zhengxue’s Traditional Chinese Medicine—Discussion on TCM Theory and Clinical Cases]{.underline}

Published by Hefei Book Publishing House

Clinical Experience of Teacher Pei Zhengxue in Treating Chronic Bronchitis

Xue Wenhan, Li Min, Wang Nanyao

Chronic bronchitis (hereafter referred to as chronic bronchitis) generally manifests as cough, sputum production, or shortness of breath, often triggered by recurrent external pathogenic factors. Teacher Pei Zhengxue (hereafter referred to as Teacher Pei) believes that from a TCM perspective, chronic bronchitis is primarily caused by wind pathogens invading the lungs. “Wind is the origin of all diseases,” and “when wind pathogens invade upward, they first affect the lungs.” The lungs govern exhalation, while the kidneys govern inhalation; prolonged lung disease inevitably harms the kidneys, which is known as “the mutual generation of metal and water.” Gansu Province is located in northwest China, where the north is the source of cold water and the west is a dry metallic region. Therefore, patients with chronic bronchitis in this area not only exhibit dampness-related symptoms such as cough, wheezing, and phlegm obstructing the lungs, but also dry mouth, dry throat, dry nose, difficulty expectorating, and even dry cough without phlegm—symptoms indicative of dryness. In summary, chronic bronchitis in this region originates from wind-cold invasion, involves alternating dampness and dryness, and subsequently transforms into internal heat. Acute pathogenic factors are the primary issue, while long-standing deficiency is the root cause; excess pathogenic factors are the manifestation, and deficiency is the underlying basis.

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

Published by Hefei Book Publishing House