Traditional Chinese Medicine Theory and Clinical Case Discussion

Efficacy Criteria

Chapter 58

| Near Recovery | Moderate Improvement | | Effective | Symptoms disappear, ascites resolves, spleen shrinks noticeably, liver function approaches normal, esophageal varices show only slight improvement or none at all. |

From Traditional Chinese Medicine Theory and Clinical Case Discussion · Read time 1 min · Updated March 22, 2026

Keywords专著资料, 全文在线浏览, 4. 繼承家風

Section Index

  1. Efficacy Criteria
  2. Clinical Experience of Teacher Pei Zhengxue in Treating Pancreatitis Complicated with Cholecystitis
  3. Clinical Experience of Teacher Pei Zhengxue in Treating Chronic Bronchitis

Efficacy Criteria

| Near Recovery | Moderate Improvement | | Effective | Symptoms disappear, ascites resolves, spleen shrinks noticeably, liver function approaches normal, esophageal varices show only slight improvement or none at all. | | Good | Symptoms improve, portal hypertension, liver function, and other indicators show minor improvements, with one or two specific indicators showing moderate improvement while others remain unchanged. | | No Effect | None of the indicators improve, or they worsen, or some indicators initially improved but then relapsed, or patients die due to worsening conditions and uncontrollable complications. |


Part Two: Experience Transmission

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Table 1: Comparison of Symptom Recovery Between the Two Groups

GroupAscitesSplenomegalyLower Limb Edema
Treatment GroupBefore Treatment94 (61.03%)85 (55.19%)
18 (11.69%)46 (29.87%)
After Treatment30 (50%)22 (36.67%)
Before Treatment24 (40%)20 (32.23%)
After Treatment
Control Group

X₁²=21.94 X₂²=0.2428 X₃²=23.5630 P<0.01 P>0.05 P<0.01

Table 2: Comparison of Test Indicator Recovery Between the Two Groups

GroupPortal Vein Diameter (mm)Esophageal Varices
12↓12~2020↑-+
Treatment GroupBefore Treatment5 (3.24%)73 (47.40%)76 (49.35%)5 (3.24%)
After Treatment29 (18.83%)87 (56.49%)38 (24.68%)125 (81.17%)
Difference Before and After
241438120
26 (43.33%)24 (40%)12 (20%)
18 (30%)12 (20%)
32 (53.33%)
60
6
Control GroupBefore Treatment10 (16.66%)
After Treatment
Difference Before and After10 (16.66%)
0
6
Control GroupBefore Treatment10 (16.66%)
After Treatment
Difference Before and After10 (16.66%)
0
6
Control GroupBefore Treatment10 (16.66%)
After Treatment
Difference Before and After10 (16.66%)
0
6
Control GroupBefore Treatment10 (16.66%)
After Treatment
Difference Before and After10 (16.66%)
0
6
Control GroupBefore Treatment10 (16.66%)
After Treatment
Difference Before and After10 (16.66%)
0
6
Control GroupBefore Treatment10 (16.66%)
After Treatment
Difference Before and After10 (16.66%)
0
6
Control GroupBefore Treatment10 (16.66%)
After Treatment
Difference Before and After10 (16.66%)
0
6
Control GroupBefore Treatment10 (16.66%)
After Treatment
Difference Before and After10 (16.66%)
0
6
Control GroupBefore Treatment10 (16.......Published by Hefei Book Publishing House

Physical examination revealed jaundice of the sclera and generalized skin, with no palpable hepatosplenomegaly, soft abdomen, negative shifting dullness, and 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 has formulated the following prescription:

White Peony Root, Moutan Bark, Honeysuckle15g, 6g, 15gAngelica Sinensis, Gardenia Fruit, Forsythia10g, 10g, 15gBupleurum, Artemisia Capillaris, Rheum10g, 30g, 10gPoria, Dandelion, Scutellaria12g, 15g, 15gAtractylodes, Herba Lysimachiae, Coptis10g, 15g, 3gLicorice, Hemiphragma6g, 15g

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 there is pain in the left flank, it is often accompanied by pain in the right hypochondrium. The disease course is prolonged, serum amylase levels are within the normal range, and clinical symptoms are often atypical, making misdiagnosis and missed diagnosis easy. 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}

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Clinical Experience of Teacher Pei Zhengxue in Treating Chronic Bronchitis

Xue Wenhan, Li Min, Wang Nanyao

Chronic bronchitis (hereinafter 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 (hereinafter referred to as Teacher Pei) believes that from a TCM perspective, chronic bronchitis is mostly caused by wind pathogens invading the lungs. “Wind is the origin of all diseases,” and “when wind pathogens invade the body, they first affect the lungs.” The lungs govern exhalation, while the kidneys govern inhalation; prolonged lung disease will inevitably harm the kidneys, which is known as “the mutual generation of metal and water.” Gansu Province is located in the northwest, 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, in addition to phlegm-dampness symptoms such as cough, wheezing, and sputum production, also exhibit dry mouth, dry throat, dry nose, difficulty expectorating, and even dry cough without sputum—symptoms of dryness. In summary, chronic bronchitis in this region originates from wind-cold, involves both dryness and dampness, and subsequently transforms into heat. Acute pathogenic factors are the primary cause, while long-term illness leads to deficiency of vital energy; pathogenic factors are the manifestation, while deficiency of vital energy is the root cause.

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

Published by Hefei Book Publishing House

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