The experience in the use of
Chinese herbal therapy
Introduction of clinic experience of Dr. Hu, Xiru (2)
11. The treatment of coronary heart
Short of breath may not always
mean a weakness condition. The chest Bi syndrome is actually a
half-surface, half-inside overwhelming condition.
In 1960 years, with the
development of CEG, the diagnosis of coronary heart disease
became more and more clear. The articles and clinic research
reports on the combination of western medicine and Chinese medicine
gradually increased. For the fact that the coronary heart
disease usually has choking feeling and pain in the chest, it is
believed that the nature of the disease is the phlegm and blood
stagnation in the chest (heart). This is a pretty common
agreement. However, it did not come to a common agreement for
whether the disease belongs to a weakness or a overwhelming
condition. Quit many doctors believe that it is a weakness
condition, for the fact that the patients usually have short of
breath, cold hands and feet, poor circulation in the end of
extremes, showing of poor blood supplication in CEG and heart
infarction, etc. The principle of the treatment is therefore
suggested to be Qi-nourishing and circulation-activating
therapy. Dr. Hu believes that, the coronary heart disease
belongs to the chest Bi syndrome in the Chinese medicine. As
stated in the book <<Jing Kui Yao Luo, heart pain and short of
breath>>, the second paragraph: “if a
person has no cold or fever, but feels short of breath, it
belongs to a overwhelming condition”. This means that the
coronary heart disease (the Chest Bi syndrome with pain in heart
area) often shows as Xie Qi overwhelming condition.
Dr. Hu studied the six Jing diagnosis system and herbal
indication diagnosis, often uses prescription of Da Chaihu Tang
plus Guizhi Fuling Wan. Let’s discuss the treatment bellow:
Case 1. Li XX,
male, 67 years of old. File number 159790.
First visit: May 28, 1965. The
patient felt short of breath, pain and choking sensation in the
chest for one month more. On April 23, he was diagnosed as heart
infarction (recovering stage). He took various western medicine
drugs in vain. He then tried Chinese medicine. The therapy used
was to nourish the Qi, to improve blood circulation, to clear
phlegm and to dredge the energy conduct. The herbs used were Bai
Renshen, Huangqi, Guoluo, Chishao, Jiangxiang, Taoren, Xiebai,
Yujing, etc. He used such therapy for months also in vain.
Currently, he felt burning and hot pain in the left side of the
chest, short of breath, which was worse when moving physically.
He felt some times cold and some times hot, felt choking
sensation in the stomach area, bitter in mouth, bloating feeling
in head, and poor sleep. His stool was slightly dry. The tongue
cover was yellow. The pulse was string and slippery. Dr. Hu gave
him the Da Chaihu Tang and Guizhi Fuling Wan with some
modifications: Chaihu 12 grams, Banxia 9 grams, Huangqin 9
grams, Baishao 9grams, Zhishi 9 grams, fresh ginger 9 grams,
Chinese date 4, Guizhi 9 grams, Fuling 12 grams, Taoren 9 grams,
Dahuang 6 grams, Shigao 30 grams, and roasted Gancao 3 grams.
The second visit: June 1. After
the herbal therapy for three days,
most of the symptoms subsided. The only remaining symptoms were
choking feeling at night, heart burn sensation after meal and
dry stool. His tongue cover was yellow and pulse was string,
slippery and slightly frequent. To the prescription above,
increased was the Dahuang to 9 grams.
The third visit: on December 23,
after the herbal therapy for additional two doses, the choking
feeling at night subsided. He only felt short of breath when in
activity out of the door, which could gradually disappeared
after a rest. He did not continue the treatment from then.
Today, he came for cough for one week. He was given Banxia Houpu
Comments: For this case, during
the previous and later treatment, he was given the
circulation-improving and Qi-dredging therapy. But the previous
treatment is in vain, but the one with Dr. Hu was very
effective. The key point is: the previous doctor did not pay
attention to the cold, hotness, weakness and overwhelming
condition of the patient. While Dr. Hu considered the condition
belonged to overwhelming hotness, which is again believed in the
half-surface and half-inside portion
of the body. Further more, it was diagnosed as the indication of
Da Chaihu Tang and Guizhi Fuling Wan. Therefore, the result was
excellent. There are many cases as such. Here let’s look at
another case of Dr. Hu, so to understand the characteristics of
Dr. Hu in the treatment of coronary heart disease and the
accurate in the herbal indication diagnosis.
In the winter of 1950, there was a
man with name Qi Xinghua, 50 years of old. He had heart disease
usually with palpitation and choking sensation in chest. The
color of his hands were different, one was white and another
purple. One day after got up bed, he felt sudden
pain and choking feeling in the chest. The pain was so severe as
knife cut. He had heavy sweat, fearing to move little bit, and
crying. His wife gave him opium, which did not work at all. A
western medicine doctor was invited urgently to see him. He was
given heart-strengthening medicine,
which again did not work. Then Dr. Hu was asked to come. His
pulse was thin, weak but with spiritual sensation (e.g. with
kind of life energy feeling). The patient was told the condition
was not so bad. The western medicine doctor heard this, and went
up to leave. The patient family advised
him to stay and told him no worry, since the Dr. Hu was also
very familiar to the patient. The doctor asked Dr. Hu why you
said the condition is not so bad. Dr. Hu said, “This is because
that, according to the Chinese medicine, the pulse is still with
life energy feeling.” The western medicine doctor invited Dr. Hu
to continue for the treatment. Dr. Hu give the prescription of
Da Chaihu Tang plus Taoren Chenqi Tang, which was asked to cook
as soon as possible. Soon later after the patient drunk the
herbal extract, his pain subsided. The same herbal therapy was
asked to continue for additional two
doses, and the color in both hands turned the same. The chest
pain did not come back later. This case was described by a
memory. There was no CEG to aprove the diagnosis. Based on the
very painful sensation in the chest, with heavy sweat, it is
hard to exclude the possibility of heart infarction. No matter
it is heart infarction or not, it is very smart that Dr. Hu
contributed the condition as an overwhelming condition and the
indiction to the Da Chaihu Tang plus Taoren Chenqi Tang.
For there is phlegm or stagnated
blood to block the Yang Qi circulation in the chest, it is
reasonable to dissolve the phlegm and to improve the blood
Patients with coronary heart
disease usually have poor blood circulation. They feel cold in
the hands and feet, choking sensation in the chest, short of
breath, pale face, and chronic fatique, etc. In Chinese
medicine, it should be regarded as Yang deficiency. Further more
analysis, such Yang deficiency condition is a surface
phenomenon, while the block of energy flow by phlegm and/or
stagnated blood is the real cause. It
is the block of the chest Yang that causes the disturbance of
the Yang Qi circulation. This means that, such coronary heart
disease is also a Xie Qi overwhelming condition. Dr. Hu has such
Case 2. An XX,
female, 74 years of old. File number: 162346.
The first visit: June 14, 1965.
The patient had angina for more than one year. She often felt
very much pain in the chest. Once in onset, she was unable to
lay down in horizontal, and felt hard to have breath. She took
various western medicine quite often. She had heavy sweat, felt
dry in mouth but no desire to drink. The stool was dry, the
tongue cover was thick and white, and the pulse was string and
thin. Her condition was diagnosed as the block in chest by
phlegm and by stagnated blood. The phlegm-dissolving and
stagnation-clearing therapy was used to her. The prescription
given was Guoluo Xiebai Banxia Tang with some additions: Guolou
45 grams, Xiebai 27grams, Banxia 75 grams, liquor 60 ml, Guizhi
9 grams, Zhishi 9 grams, Taoren 9 grams, Chenpi 30 grams, and
Baishao 12 grams.
Results: after the herbal therapy
for three days, the pain was reduced, but it was still pain
after little labor work. To the above formula, added was Fuling
12 grams. The prescription was continued for six days. The chest
pain came and gone. The prescription was continued. After one
month, there was no more pain in the chest at all.
Comments: These two cases both
belong to the block of phlegm and stagnated blood in the chest.
For the treatment, both used phlegm-dissolving and
stagnation-clearing therapy. However, in the case 1, the hotness
symptoms is apparent, and in case 2, the cold symptoms.
Therefore for the treatment, the herbal prescriptions were very
different. Dr. Hu said, in his lecture for the Guolou Xiebai
Banxia Tang, that the Guolou works to release the chest
stagnation, to clear the phlegm and to stop cough. The herb
Xiebai works to loose knob or mass, and to stop pain. When used
in one prescription, they work to solve the chest Bi syndrome,
chest pain with cough, asthma and phlegm spitting. When cooked
the herbs with the liquor, the liquor makes the herbs move in
the body smoothly. For the use of large amount of Banxia, is for
the reason that the condensed water reverse phenomenon is
apparent. It can be seen from these two cases that, it is the
important principle in the treatment of coronary heart disease,
the phlegm-dissolving therapy. In the book <<Jin Kui Yao Luo,
heart pain and short of breath>>, in the first paragraph, it
stated: “…”. This means that the upper Jiao is with Yang
deficiency, and the lower Jiao is with Cold and condensed water
overwhelming, the cold and condensed
water reverse up to cause the chest Bi syndrome, e.g. the chest
pain. This means that Chinese realized the cause of the coronary
heart disease in quite early age. It also means that the
coronary heart disease is more with overwhelming Xie Qi in the
body. Therefore for the treatment, it should be focused on the
dispelling of the Xie Qi. This is the characteristic in Dr. Hu’s
treatment of this disease.
For atrioventricular conduction disorder,
the circulation-improving and phlegm-dissolving therapy works.
Generally speaking, the rough pulse
can be seen in the later stage of a external disease, which is
due to the sweat, diarrhea, or vomit, all of which exhausts the
body liquid portion. For the treatment, it is usually used the
roasted Gancao Tang with modification. However, Dr. Hu not
always follow such common rule, but use the herbal therapy based
on syndrome diagnosis and herb indication diagnosis.
Case 3. Zhu XX, male, 48 years of
old. File number 134621.
The first visit: Aug. 12, 1964.
The patient had palpitation for half years. In a hospital, he
was given the Qi-nourishing and blood-nourishing herbal therapy.
He was given the Zhi Gancao Tang, Bozi Yangxing Dan, Tianwang
Buxing Dan, and so on. No any improvement, but he started to
have hot-disliking feeling, cold-liking feeling, and poor sleep.
ECG showed that he had block in the atrioventricular conduct,
degeneration of heart muscle. The current conditions when he
visited Dr. Hu were: palpitation, poor sleep, poor appetite,
pain in stomach, dull pain in the heart area, numb in hands and
feet, bitter taste in mouth, yellow urine and dry stool. The
tongue cover was white and greasy, the pulse was rough. He was
given Da Chaihu Tang plus Guizhi Fuling Wan, plus Longgu and
Muli: Chaihu 12 grams, Banxia 9 grams, Huangqin 9 grams, Guizhi
9 grams, Fuling 9 grams, Baoshao 9 grams, Zhishi 9 grams, Taoren
9 grams, Honghua 6 grams, Chinese date 4, fresh ginger 9 grams,
Dahuang 6 grams, Longgu 15 grams, and Muli 15 grams.
Results: After the herbal therapy
for one day, the pain in stomach stopped. The appetite
increased. The numb in hands and feet stopped. The sleep was
improved. To the prescription above, removed was the Huanghua,
added was Danpi 9 grams. After 6 doses, the chest pain stopped.
Sleep was normal, and the palpitation was no longer apparent.
The rough pulse did not show.
Comments: A disease may show as
commonly showed, or it may show as a changed manner. To know its
change, it is needed to carefully make the diagnosis. This
patient had palpitation, poor appetite, numb in hands and feet,
as well as rough pulse. All seemed to indicate a weakness
condition. It is not wrong in the beginning to use Zhi Gancao
Tang for the treatment. However, after the treatment, the
patient started bitter taste in mouth, yellow urine, dry stool,
and dull pain, etc, suggesting that the condition is
Shaoyang-Yangming co-esixt phase with blood stagnation.
Therefore, the Da Chaihu Tang,
Guizhi Fuling Wan, Longgu and Muli were used in the same
prescription to harmonize the Shaoyang and Yangming phase, to
activate blood circulation, to clear the blood stagnation, with
herbs to calm emotion. For the herbs match the body condition,
the condition was improved soon.
The longer time remaining of
phlegm in the body could cause heart failure. It is needed to
use Yang-warming, and water-depleting therapy for the treatment.
After a long history of coronary
heart disease, there would be a trend to develop heart failure,
showing palpitation and swelling and so on. When the condition
shows the weakness in the body life energy, it should also use
nourishing therapy. Dr. Hu, in this case, uses Lizhong Tang or
Zhen Wu Tang for the treatment. It has been indicated in the
book <<Jin Kui Yao Luo, heart pain and short of breath>> that …
Dr. Hu explained, for choking sensation in the chest, the Zhishi
Xiebai Guizhi Tang works to reverse the reversed Qi, so as to
solve the bloating and choking sensation in the chest. The
prescription Renshen Tang however works for the similar choking
and bloating feeling that is due to the weakness of Qi in the
middle of the body, so that the condensed water flows down to
the stomach area. Therefore, the former prescription is used for
a overwhelming condition, while the later Lizhong Tang (e.g. the
Renshen Tang) is used for a deficient condition (a weakness
condition). It can be seen that, whenever there is a middle Cold
condition with Qi deficiency in coronary heart disease, Dr. Hu
also uses warming therapy for the
treatment, but which should be accompanied with
phlegm-dissolving therapy, for there is down-flowing of
condensed water in the body. After a long time coronary heart
disease and when there is a heart failure, it is easy for
patient to have such condition.
Case 4. Huo XX, male, 62 years of
The first visit: October 15, 1965.
The patient had swelling in legs, choking feeling in chest, and
asthma for two months. He had a history of coronary heart
disease and myocardial strain for five years. For the later two
months, he felt choking sensation in chest, worse palpitation,
asthma with slight physical activity, as well as swelling in the
legs. The western medicine treated him with heart-strengthening
and urine-stimulating therapy, but in
vain. He was also given herbal therapy for ten days without
any improvement either. He felt further more dizziness, more
palpitation, so came to Dr. Hu. The condition when he met Dr. Hu:
choking feeling in chest, palpitation, dizziness, short of
breath, bloating feeling in stomach area, purple color in the
mouth lips, dry mouth, dry stool, less urine, and strong
swelling in the legs. The tongue cover was white and greasy. The
tongue per se was purple in color. The pulse was deep, string,
and thin. Dr. Hu gave him Mu Fangji Tang with removal of Shigao,
plus Fuling and Mangxiao Tang:
Mu Fangji 12 grams, Guizhi 9
grams, Dangshen 18 grams, Fuling 18 grams, and Mangxiao 12 grams
(drink directly without cook).
Results: After the treatment for
three days, the swelling in legs subsided dramatically, the
dizziness, asthma and bloating feeling in the stomach were
dramatically less. From the above prescription, removed was
Mangxiao, added was Shigao 30 grams. After six days of
treatment, the swelling stopped, and the chest choking feeling
and palpitation were no longer felt.
Comments: This case is a typical
coronary heart disease in Qi-deficient, middle-Cold condition.
Therefore, the herb Dangshen and Guizhi were used to nourish the
middle Qi. For the middle deficiency and Cold, there was
condensed water reverse up, so the patient felt choking in
chest, asthma, and palpitation.
For the condensed water spilling over, the patient has
swelling in the legs. In this situation, it should be done to
warm the Yang and to deplete the water. It is common to use
herbs to nourish the Qi and to warm the middle. But after a long
history, the phlegm is easy to develop Fire. The Fire flushes up
when the body is in middle weakness condition. For the
treatment, it should also pay attention to reverse the
reversing. This is easy to be omitted by some doctors who paid
more attention to use Huangqi to nourish the middle Qi. The
Huangqi in this time would however make the Qi only lifting but
not descending, so to make the reverse worse, to make worse the
choking feeling and to cause more
trouble as dizziness. That Dr. Hu diagnosed the condition as the
indication of Mu Fangji Tang without Shigao, but plus Fuling and
Mangxiao Tang, is for the reason that, the patient had not only
clear middle Qi deficiency, but also Qi reverse and overwhelming
water accumulation, and at the same time, the patient had
bloating feeling in stomach area, rough urine and bowel
movement, and dry mouth. For these reasons, the herb Dangshen is
used to warm and to nourish middle Qi, as a key herb in the
herbal prescription. The Guizhi is used to warm the middle Qi
and to overturn the reversed Qi, as of an assistant. The Fangji
and Fuling work to deplete extra water to dissolve the
accumulated water, as of a helper. The Mangxiao works to clear
Fire and to release the bloating feeling. By this way, both the
symptoms and the cause of the disease are treated the same time,
so the healing effect is very fast. Here it should be emphasized
the overturning effect by the Guizhi. It is opposite of the
raising effect of Huangqi. The difference in one herb makes the
healing effect different dramatically. For the overturning
effect of the herb Guizhi, Dr. Hu sai again and again that, it
would be clearly understood after study the various Guizhi Tang
in the book <<Shang Han Lun>>.
The above is the commonly used
herbs by Dr. Hu. The coronary heart disease is very different in
terms of its severity and the accompanying symptoms. Therefore
its treatment is also largely variable from patient to patient.
There are many prescriptions in the Jing Fang for this disease.
Use them, if there is indication for them. This is the rule.
12. The treatment of brain disease
There are many diseases that is
associated to the brain. The commonly seen such diseases are
headache, dizziness, nausea, coma, stroke, dementia, epilepsy,
madness, stress, poor sleep, tinnitus, deafness, muscle
paralysis or spasm, etc. In western medicine, they can be seen
in brain tumor, thrombosis in brain, bleeding in brain,
epilepsy, poliomyelitis, menopause syndrome, migraine,
depression, schizophrenia, and so and so on. Dr. Hu has very
special experience in the treatment of such diseases.
Though there are so many different
diseases in brain system, the herbal prescription of Dai Chaihu
Tang is the most recommended.
If we have a review of the cases
that Dr. Hu treated, the most impressive finding is that, for
the brain diseases, he used most often is the herb prescription
Dai Chaihu Tang plus Guizhi Fuling Wan. From analysis of these
cases, we can find the characteristics
of his experience.
Case 1. (Post cerebral concusion
syndrome). Jiang XX, male, 25 years of old. File number 110354.
The first visit: August 23, 1964.
One day in year 1957, the patient fell
off the bed and lost consciousness. Six days later, he waked up.
But he felt dizziness, headache, and annoying feeling.
He had been treated in local hospital with western
medicine but in vain. He also tried Chinese medicine. The herbs
used were mostly the Shoudi, Wuweizi, Ziheche, Hetaoren,
Longyanrou, Sangshen, Danshen, Chuanxiong, etc, such
kidney-nourishing and Jing-supplying herbs. For no improvement,
he came to Beijing to see Dr. Hu. On
visit, he felt dizziness from time to time, headache, spasm and
tightness feeling on the neck with gas pushing up feeling. The
headache felt as thorn pounching. He felt often annoyed,
bloating feeing in the stomach area, cold hands and feet, and
poor sleep. He could only sleep for 3 to4 hours at night. The
stool was dry. The tongue tip was red in color. The tongue cover
was white and the root was greasy. The pulse was string,
slippery and frequent. Dr. Hu gave him Da Chaihu Tang plus
Guizhi Fuling Wan plus Shigao: Chaihu 12 grams, Banxia 9 grams,
Huangqin 9 grams, Zhishi 9 grams, Chinese date 4, fresh ginger 9
grams, Fuling 9 grams, Guizhi 9 grams, Baishao 9 grams, Dahuang
6 grams, Danpi 9 grams, Taoren 9 grams, and Shigao 45 grams.
Results: After the herbal therapy
for three days, the dizziness and headache reduced, the annoyed
feeling reduced too. The bloating feeling in stomach was
subsided. The bowel movement turned normal. From the above
prescription, Shigao was decreased to 30 grams. The new
prescription was continued for three days and no any symptoms at
Comments: This patient had
suffered from the problem for seven years. It is really a long
history. The previous doctors focused on the saying that a long
term disease must have a weakness condition, and on the symptoms
as dizziness, cold hands and feet, and poor sleep, so they
diagnosed the condition as kidney deficiency with Jing (micro-nutration
material) deficiency syndrome. For the empty of the brain, they
used Dihuang, Shanyurou, Longyanrou, Wuweizi, Ziheche, and
Hetaoren. Though there were also Danshen and Chishao in the
prescription, it is to use a nourishing therapy to a
overwhelming condition, a principle mistake in the treatment,
which makes the disease lasted for a long time without
improvement. For the symptoms of bloating feeling in the stomach
area, stiff neck and dry stool, it is known that the disease is
in the Shaoyang-Yangming phase. For the disease has been there
for seven years due to trauma, and for the fact that the patient
felt headache as thorn pounching, and poor sleep, it is known
that there is long term of blood stagnation. Therefore this is
an indication of Da Chaihu Tang plus Guizhi Fuling Wan. For
there is annoyed feeling, so added was Shigao to clear the
annoyed feeling. For the herbs match the condition, and the
herbs work to the cause of the disease, the symptoms subsided
Case 2 (Mumps with cerebritis).
Dong XX, female, 7 years of old. File number: 1790265.
visit: September 2, 1965. The patient had fever, swelling and
pain in the cheek for one week. For recent several days, she had
headache, dizziness, nausea and vomit. In hospital, her
condition was diagnosed as mumps with cerebritis. For being
virus infection, there was no matching therapy in western
medicine, she was suggested to see Chinese medicine. The current
symptoms were: swelling and pain in cheek, which was more in the
left side. The swelling side is also very much in red and hard
when touch. She felt dizziness, headache, as well as nausea and
vomit form time to time. She had no desire to eat, had
cold-fever shift feeling and had constipation. The body
temperature was 38.2 C. The tongue cover was white-yellow in
color. The pulse was string and frequent. She was given Da
Chaihu Tang plus Yinhua, Liangqiao, Pugongying, Gancao and
Shigao: Chaihu 15 grams, Banxia 9 grams, Zhishi 9 grams, fresh
ginger 9 grams, Baishao 9 grams, Chinese date 4, Dahuang 6
grams, Yinhua 12 grams, Liangqiao 15 grams, Pugongying 24 grams,
Zhi Gancao 6 grams, and Shigao 60 grams.
Results: The herbs were cooked
twice. The extract was separated for two day’s intake. After two
days, the swelling in cheek was reduced. The headache subsided.
There was still remaining dizziness. The nausea was less. She
only vomited once for the two days. The fever was reduced to 37.
4C. From the prescription above, reduced was Dahuang. The herbal
tea was drunk for one day. The nausea stopped. The dizziness
reduced but still with sweat and desire to lay down. She was
then given Xiao Chaihu Tang plus Shigao: Chaihu 6 grams,
Huangqin 6 grams, Banxia 9 grams, Dangshen 6 grams, fresh ginger
9 grams, Chinese date 4, Zhi Gancao 3grams, and Shigao 30 grams.
After additional three doses, all the symptoms were away.
Comments: For this case, the
patient’s condition was the Taiyang, Shaoyang and Yangming, the
three Yang co-exist phases. Therefor she was given Da Chaihu
Tang to solve the three Yang phases, with the addition of
Yinhua, Liangqiao, Pugongying, Gancao and Shigao to increase the
Fire-clearing and Toxic-detoxifying effect of the whole
prescription. The prescription focused on the XieQi dispelling
and brain-calming effects. When theXie Qi subsided, the body
defence energy was also exhausted, so the patient had sweat and
desire to have a sleep. For this reason, the prescription Xiao
Chaihu Tang plus Shigao was used to harmonize the middle
stomach, to calm the stomach so as to calm the spirit.
Case 3. (Hysteria). Duan XX,
female, 14 years of old. File number: 173651.
The first visit: September 29,
1965. The patient had the first menstruation several years ago.
It did not came later for years. On July this year, she had nose
bleeding once. On April 23 this year, she suddenly had spasm
in the arms and legs and had a coma. Such onset came more and
more frequent lately. Before each onset, she had dislike feeling
for food, pain in right upper side of the belly, choking feeling
in chest, and spit acid water in mouth. Once she felt a gas
pushing from lower belly up to the chest, she would have such
spasm, cold in arms and legs, as well as frequent breath, crying loudly, bitter taste in mouth, dry stool, cloudy mind. She
could wake up once acupuncture was performed on her Renzhong
point. When she was not under the onset, she disliked noise. She
felt dizziness when watch a film. Recently, the onset became
more and more frequent. It was usually trigerred out by eating or
drinking. The tongue cover is thin and white. There were purple
spots on the tip of the tongue. The pulse was string, thin and
slight frequent. She was given Da Chaihu Tang plus Taohe Chenqi
Tang: Chaihu 9 grams, Banxia 9 grams, Huangqin 9 grams, Zhishi 9
grams, Baiahao 9 grams, Guizhi 9 grams, Toaren 9 grams, Fuling 9
grams, Dahuang 6 grams, fresh ginger 9 grams, Chinese date 4,
Danpi 9 grams, and Mangxiao 9 grams (drink directly, without
Results: After the herbal therapy
for one dose, the convulsion and stomach pain did not happen
again. The acid water spitting stopped. She still felt
dizziness. The herbal prescription was changed to Xiao Chaihu
Tang plus Danggui Shaoyao San: Chaihu 12 grams, Dangshen 9
grams, Zhi Gancao 6 grams, Danggui 9 grams, Baishao 9 grams,
Chuanxiong 6 grams, Banxia 9 grams, Huangqin 9 grams, Zexie 9
grams, fresh ginger 9 grams, Chinese date 4, Cangzhu 9 grams,
Fuling 9 grams, and Wuzhuyu 9 grams. The herbal prescription was
modified in different ways several times and it was continued
for three months. All the symptoms subsided.
Comments: The hysteria belongs to
neurosis. No proper medicine in western medicine to solve it.
Chinese medicine, however, has pretty good results for its
treatment. It is worthwhile to mentioned that, by the organ
diagnosis system, it is believed to due to Liver Qi sluggish, or
Phlegm blocking, etc. Dr, Zhichong Zhang (a very famous TCM
doctor in current times) believed it is to the “Liver
spasm/epilepsy”. He is good at using prescription Xiaoyao San
for the treatment. This herbal prescription works more to
nourish the blood, to deplete water, to dredge Qi circulation,
and to warm nourishing. It is apparently different to the
therapeutical principle by Dr. Hu, who uses Phlegm-dissolving,
Qi-dredging, and colon-cleansing therapy. However, in
consultation for patients, Dr. Zhang also believed that, the Chaihu-containing prescription has good therapeutic results to
brain diseases, similar to what Dr. Hu believed. This is
worthwhile to further study.
Case 4. (Epilepsy).
Zhang XX, male, 46 years of old.
The first visit: March 13, 1981.
The patient came into coma for one minute after beat by electric
force. His body was burned wound for seven spots. From then on,
he usually had epilepsy. It was about once every half month,
with continuous headache every day. He had had Chinese medicine
treatment and western medicine treatment at local hospital, but
in vain. The current conditions: he felt bloating and choking
feeling in the chest, fullness and bloating feeling in the
belly. He felt nausea and headache in back of head in early
morning. He was easy to lose memory too. His tongue cover was
white, but yellow and greasy on the root part. The pulse was
string. He was given Da Chaihu Tang plus Guizhi Fuling Wan plus
Shigao: Chaihu 18 grams, Banxia 12 grams, Huangqin 9 grams,
Zhishi 9 grams, fresh ginger 9 grams, Chinese date4, Guizhi 9
grams, Taoren 9 grams, Baishao 9 grams, Fuling 9grams, Danpi 9
grams, Dahuang 6 grams, Zhi Gancao 6 grams, Shigao 45 grams.
Results: After the herbal therapy
for 16 doses, the nausea and headache subsided. The epilepsy
onset reduced in entensity, which was about once a month. She
still felt easy to forget. The herbal therapy was continued for
additional 10 doses, the epilepsy stopped to come. The poor
memory gradually recovered.
Comments: Other doctors/students
felt interesting and urgently asked for prescription and made
note for the case. Dr. Hu simply said: “This case, well, simply
because the herbs and the body condition matched”. In book
<<Shang Han Lun>>, the 237 paragraph, it indicated: … In the
explanation of this paragraph, Dr. Hu said: That the person
behaves as madness and tends to lose memory is the key sign of
the presence of dead blood in the body. If the blood stagnation
developed gradually and it takes a long time, it shows as loss
of memory. If it formed quickly, it shows as madness. For newly
developed blood stagnation, it is easy to solve, such as to use
Taohe Chenqi Tang. If it developed gradually, it is difficult to
solve. The prescription Didang Tang has to be used. The poor
memory and madness both belong to the mental disease and
neurosis. From this, it can be implied that, the various mental
and neurosis problems might be due to stagnated blood in the
body. The use of blood stagnation-dispelling therapy would
mostly work. So, for madness, epilepsy, such mental disease, the
blood stagnation-dissolving therapy would be one of the
effective therapies. There are many cases with such mental
diseases, who were successfully cured with the Da Chaihu Tang
plus Guizhi Fuling Wan alone. For example, in May 22, 1975,
there was a patient from other city. He was 18 years of old. He
catched dementia suddenly, failed to speak. Lumbar pounching
test found nothing wrong. He was treated in local hospital fof
half year without any improvement. Dr. Hu gave him the Da Chaihu
Tang plus Guizhi Fuling Wan, and let him bring home to continue.
After one month, he told Dr. Hu by a letter that after 20 doses,
he was gradually improved and now he could speak. Another
example is a female, she was 20 years of old. She came in
December 1967. She looked as drunk as foolishness. She had no
answer when she was asked for a question. She did not speak at
home. She had been treated for a long time but in vain. Her
tongue cover was yellow. The pulse was slight frequent. She was
given the Da Chaihu Tang plus Guizhi Fuling Wan plus Shigao.
After a continuous ten doses of the herbal therapy, she turned
completely normal. She started to work and became active and
rich to talk.
Case 5. (Cerebral infarction).
Chui XX, male, 66 years of old. A patient of Capital airport.
The first visit: March 5, 1966.
The patient got cerebral infarction two weeks ago. He had
paralysis and numb on the left side of the body. The walk was
unbalanced, needing help by others. He felt dry mouth and had
desire to drink. The stool was hard. The tongue cover was white
and it was greasy on the root. The pulse was string, slippery
and frequent. The blood pressure was 190/120 mmHg. He was given
Da Chaihu Tang pluse Guizhi Fuling Wan plus Shigao: Chaihu 12 g,
Banxia 9 g, Huangqin 9 g, Baihsao 9 g, Zhishi 9 g, Dahuang 9 g,
fresh ginger 9 g, Chinese date 4, Guizhi 9 g, Danpi 9 g, Fuling
9 g, Taoren 9 g, Shigao 45 g.
The second visit: April 1. After
the herbal therapy above for 6 doses, he could walk easily
without others help. The bowel movement was 3 to 4 times a day.
Blood pressure was 160/100 mmHg. The same prescription was
continued with reduction of Dahuang to 6 g.
The third visit: April 8. The left
paralysis turned better. The left arm was not so flexible yet.
Blood pressure was 150/96 mmHg. The same prescription was
continued for a while for a maintenance.
Comments: These cases were only
some of the cases treated by Dr. Hu. No matter it is a organic
disease or only a functional disorder of the brain, there is
chance to use the Da Chaihu Tang. Of course the premise is that
there is the indication to the prescription.
The real reason for hysteria is
the exhaustion of Yang Qi. It is reasonable therefore to use
Case 6 (Hysteria). Wang XX,
female, 26 years of old. Translator in air force.
The patient was scared when she
watched a repair of electrical line. She had scare, palpitation,
poor sleep, headache, poor appetite, and nausea. She had phlegm
noise in the throat from time to time. She would feel scare and
her face would turn pale whenever there is sudden noise. She
could not help from being annoyed, restless and sworing at
gradually lost body weight. When she came to the clinic, her
tongue cover was white and greasy. The pulse was string,
slippery and on the Chun position, floating. Her condition was
considered to be Cold-Water rushing up. The therapy used was to
warm the phlegm and to overturn the reversed Qi. She was given
Guizhi Tang without Shaoyao, but with Shuxi, Longgu and Muli:
Guizhi 9 g, fresh ginger 9 g, Zhi Gancao 6 g, Chinese date 4,
Banxia 12 g, Fuling 12 g, Longgu 15g, Muli 15 g.
Results: After the herbal therapy
for three doses, the palpitation and phlegm noise in throat were
reduced. After six doses, the appetite and sleep were improved.
After additional ten doses, no any more symptoms left.
Case 7. (Hysteria). Liu XX, male,
30 years of old.
The first visit: April 5, 1966. In
1966, in the area of Tailai, the North-East part of
China, there appeared a mad
dog, who bite every people, which worried the resident very much.
One day, the patient met the mad dog. Though he was not bitten,
he was scared very much so to sick. He felt flustered, scared,
palpitation, and poor sleep, etc. He was treated with both
western medicine and Chinese medicine but in vain. He was
introduced by other patient to come to see Dr. Hu. On visit, the
patient looked calm. No special sick signs. He only felt
flustered, and choking feeling in chest. From time to time, he
felt scared, which he could not help to stop. He often had poor
sleep with night sweat. His tongue cover was white and greasy.
The pulse was string and frequent. Combined the findings from
the tongue cover and the pulse, his condition was diagnosed as
Yang deficiency with Water reverse up, so to cause the Heart
Yang Qi is inactivated. It is the indication to Guizhi Gancao
Longgu Muli Tang: Guizhi 12 g, Zhi Gancao 6 g, Fuling 15 g,
Longgu 30 g, Muli 30 g.
Results: After the herbal therapy
for 6 doses, all the symptoms went away. He felt glad to go
home. He wrote a letter after one year and said there was no
recurrence at all.
Comments: The two cases above both
are scared condition. The diagnosis with western medicine is
clear: nervous disease. The treatment with various diazepam and
similar remedies does not work at all. On the other side, the
Chinese medicine works for such condition. For ordinary TCM
doctors, they would consider Yin blood deficiency or Yin
deficiency with Yang overwhelming, once they see the flustered,
poor sleep and night sweat. This might be due to their different
understanding of the book <<Shang Han Lun>>, the paragraph 112:
… For the reason that they did not understand the indication of
the Guizhi without Shaoyao but with Suxi Muli Longgu Tang and
Guizhi Gancao Longgu Muli Tang, they would not be able to use
this prescriptions when they meet such clinic conditions.
Therefore, once they meet the scared condition, they would think
it is the Heart Blood deficiency, or Heart Yang overwhelming
condition. For the treatment, they would likely use the herb
Shengdi, Baishao, Suanzaoren, Boziren, Longgu and Muli to
nourish the Heart Yang and to dive-store the Yang Qi.
The main reason for such
difference in the understanding of the book <<Shang Han Lun>>,
as pointed out by Dr. Hu, that the book <<Shang Hang Lun>> and
the <<Nei Jing>> belongs to different theoretical systems. Let’s
just have a look at the explanations by these two books for the
cause of the scared condition: ……
For the Guizhi without Shaoyao but
with Suxi Muli Longgu Tang and Guizhi Gancao Longgu Muli Tang,
Dr. He explained: in the Shanghang disease and if the pulse
feels floating, it should be treated by the use of Mahuang Tang
to create sweat to dispel the Xie Qi. However, if the patient
was to face a fire (by toast, by cover with hot towl, or by the
use of moxibustion, etc.) to create a sweat, it is a wrong
therapy. By this wrong way, the body liquid portion would be
exhausted rather than the sweat would work to bring the Xieqi
out of the body. Such sweat would trigger the gas/air rushing
up, which again to stir out that liquid inside body to push up,
so as to form madness, flustered, and scared feeling. This is
the reason for the scared condition. The Guizhi without Shaoyao
but with Suxia Muli Longgu Tang can solve such scared condition
due to stirring of air/water inside body by facing to a fire
therapy, so it is also called a “Reverse-saving herbal
prescription”. This prescription is developed from the Guizhi
Tang but removed is the Shaoyao, but added is Suxi (to dispel
phlegm), Longgu and Muli (both are to calm down the scare).
Therefore it is used for a Guizhi Tang condition with scared
It should be pointed out that, the
herb Suxi (the Chinese name means the painting oil produced in
China). It herbal nature is not
so bitter or spicy. It works to dispel phlegm and to stop
malaria. It has no surface-releasing effect. Dr. Hu usually uses
herb Banxia and Fuling, etc. to replace it. From the two cases
above, it can be seen that, the replacement works well in the
prescription. He did not use any Suanzaoren or Boziren, such
calming herbs, but use the herbs to dispel the reversed
air-pushing force in the body. When the stirred air/gas downtuns
to its original position, the emotion returns to calm again. ……
That Dr. Hu pointed out that the <<Nei Jing>> and <<Shang Han
Lun>> are different medical theory system is based on the
concrete reasons. It also reflects his exact and precise
scientific attitude in medical research – not follow every
13. The dizziness is not always
due to the Liver Yang overwhelming. The inside Xie overwhelming
condition could also make the condition worse and last a long
Case 8. (Hypertension, stroke) Liu
XX, female, 65 years of old.
The first visit: Nov. 9, 1965.
One day when Dr. Hu had a healthcare travelling in Yanqin
China, one old man send his
wife with a wheelchair to see Dr. Hu. The lady had stroke for
three days. She felt dizziness, annoyed so as hard to fall into
sleep. Her left half body failed to move. The previous doctor
gave her herbal therapy to calm Liver, and to dive the Yang, in
addition to have Lingyangjiao powder (5 fen) to drink directly.
The patient drunk one time, all the symptoms became worse. She
felt more annoyed and hard to fall into sleep all the night. She
felt hot air rushing up, choke feeling in chest. Her tongue
cover was yellow and greasy. The tongue was red in color. The
pulse was string, slippery and frequent. The blood pressure was
260/160 mmHg. The husband asked Dr. Hu: “Can you promise to cure
her condition? If not, we are not going to continue the
treatment. The Lingyangjiao only costs 5 dollars. We cannot
afford it at all.” Dr. Hu said: I can not promise you to cure.
But the prescription I would like you to try costs only about
0.2 dollars. You can try one dose.” The old man agreed to try.
So Dr. Hu gave her the prescription: Dahuang Tang plus Shigao:
Huanglian 6 g, Huangqin 9 g, Zhizi 9 g, Shigao 45 g, and Dahuang
9 g. He reminded the old man: first to rinse the Dahuang in
water. Use the water to cook other herbs.
Results: After one such dose
treatment, the patient came back the afternoon next day. The old
man bended his knee to Dr. Hu, said: “We meet our benefactor to
save life!”. He begged Dr. Hu to continue the prescription. Dr.
Hu asked the patient body reaction to the previous herbs and
knew that, after drunk the herbal tea, the lady had a bowel
movement. Most of the symptoms subsided dramatically. The blood
pressure became 150/100 mmHg. She was given Da Chaihu Tang plus
Guizhi Fuling Wan plus Shigao for maintenance.
Case 9. (Hypertension) Zhao XX,
male, 53 years of old. File number:154112.
The first visit: December 6, 1965.
The patient had hypertension for more than 20 years. He often
felt headache, dizziness, and poor sleep. He came at April 2,
1965 for a treatment. The doctor at that time gave him herbs to
balance the Liver, to dive the Yang, to activate circulation, to
nourish the Qi, the Yin and the Heart. The treatment lasted for
half year without apparent improvement. For the later one month,
he often felt dizziness, poor sleep, annoyed, easy to feel
upset, flustered, nose bleeding, dry stool, and paralysis in the
left side of the body. His blood pressure was 170/130 mmHg. The
tongue is red in color. The tongue cover was yellow. The pulse
was string and frequent. His condition was diagnosed as Yangming
phase with inside Fire. The therapy is to clear the inside Fire.
He was given the prescription Xiexing Tang plus Shengdi Tan:
Dahuang 9 g, Huanglian 6 g, Huangqin 9 g, Shengdi Tan 9 g.
Results: After drinking the herbal
tea for three doses, the bowel movement became easier. The
annoyed feeling and nose bleeding subsided. The sleeping was
better. He felt chest choking feeling from time to time. The
prescription was changed to Da Chaihu Tang plus Guizhi Fuling
Wan plus Shigao. This herbal therapy was lasted for one month.
The dizziness and headache and other symptoms were stopped. His
blood pressure was 150-160/100-110 mmHg.
Comment: A cure or improvement of
a disease does not depend on the use of more herbal ingredients
in a prescription, but on the match of the prescription to the
disease condition. This can be well proven by the two cases
above. In case 8, the patient was given a lot of herbs to
balance the Liver and to dive the Yang, as well as given
Lingyangjiao. The patient however, did not feel any good but
worse. Dr. Hu used only five ordinary herbs and solved the
problem. In case 9, it was a 20-year long disease. The previous
doctors used many different ways without any improvement. Dr. Hu
used only 4 herbs and they works. What’s the reason for this
difference? The reason is very simple. The previous doctors
worked on the symptomatical Yang overwhelming, but not on the Xie
overwhelming in nature, but Dr. Hu has not only very rich clinic
experience but he also learnt the nature of the Dr. Zhongjing
Zhang, the Shang Han Lun. It is him who find the clinic
condition is a Yangming inside overwhelming condition, so used
the Three Yellow XieXing Tang to focused on the nature and the
core of the disease. The herbs are not many in the number but
work very well.
14. For the Meniere’s disease and
epilepsy, the water rushing-up is the very common cause.
Case 1, (Meniere’s disease). Chen
XX, female, 25 years of old. University student.
The first visit: Oct. 16, 1965.
The patient felt dizziness, floating vision, nausea, flustered,
no appetite, and hard to read book, all for four to five months.
Western medicine diagnosed as Meniere’s disease and gave her
various medicine for the treatment but no any improvement. Her
blood pressure was normal. She felt dry in mouth, but no desire
to drink. She felt sleepy, fatique but physical movement is
normal. The menstruation was less volume in the later part of
the circle. The tongue cover was white with greasy in the root.
The pulse was deep, thin and string. Her condition was diagnosed
as Blood deficiency with water overwhelming. She was given
herbal therapy to nourish blood and to deplete water. The
prescription was Danggui Shaoyao San plus Xio Banxia Tang plus
Wuzhuyu: Danggui 9 g, Baisho 9g, Chuangxiong 6 g, Cangzhu 9 g,
Zexie 15 g, Fuling 9 g, Banxia 15g, fresh ginger 12 g, Wuzhuyu 9
Results: After the herbal therapy
for three doses, all the symptoms subsided.
Case 1. (Meniere’s disease). Liu
XX, female, 19 years of old. Student.
The first visit: October 3, 1977.
The patient had dizziness, tinnitus and deafness for two months.
She was diagnosed as Meniere’s disease in hospital. She had been
treated with both western medicine and Chinese medicine but no
any improvement. She had stopped class for two months. So she
asked her relatives to introduce her to Dr. Hu for treatment.
The current condition when she saw Dr. Hu was heavy dizziness,
so much so that she could not get up. The dizziness was more
severe if she opened eyes. She felt deafness, tinnitus and dry
mouth but no desire to drink. From time to time, she felt
choking feeling in chest and felt flustered. Her tongue cover
was thick and white. The pulse was deep and thin. Her condition
was diagnosed as Cold-Water reverse up to attack the brain and
to block the brain. The herbal therapy was given to warm the
middle and to dissolve the water. She was given Ling Gui Zhu Gan
Tang: Fuling 18 g, Guizhi 9 g, Cangzhu 9 g, Zhi Gancao 6 g.
The second visit: October 12:
After the herbal therapy for 8 doses, the dizziness subsided,
the tinnitus reduced and the deafness was improved. To the
prescription above, added was Guizhi to 12 g, and Fuling 24 g.
The third visit: After the new
prescription for 6 doses, no any symptoms left. For fear
recurrence, the patient wanted to continue the herbal therapy.
She was advised it
is not necessary.
Case 2. (Epilepsy). Wang XX,
male, 46 years of old. File number: 136766.
The first visit: March 8, 1966:
The patient had epilepsy for three years. In the beginning, the
onset came without rule. The condition had been improved for a
while with western medicine. Lately, the onset came relatively
more frequent, about once every half month. Once it comes, the
patient had convulsion in arms and legs, spit white boubble from
mouth, and lost consciousness. The treatment in the local
hospital was no any effect, so he came from Xingjiang province
to Beijing for treatment. Recently, the onset had
been for one week. He felt dry mouth, slight bloating in
stomach, from time to time dizziness, and tinnitus. No any other
discomfort feeling. His tongue cover was white. The pulse was
string and thin. His condition was diagnosed as Water sticks in
the Shaoyang phase. He was given herbal therapy to harmonize the
Shaoyang and to dissolve the water. The prescription Xiao Chaihu
Tang plus Ling Gui Zhu Gan Tang plus Shigao was used: Chaihu 12
g, Banxia 12 g, Dangshen 9 g, Huangqin 9 g, fresh ginger 9 g,
Cangzhu 9 g, Fuling 9 g, Guizhi 9 g, Chinese date 4, Zhi Gancao
6 g, Shigao 45 g.
Results: After the herbal therapy
for 6 doses, the dizziness and stomach bloating feeling were
improved. The epilepsy did not come. The herb Shigao in the
prescription was reduced to 30 g. The western medicine was asked
to stop. After additional two weeks’ treatment, it still did no
happen. He was asked to continue to drink the herbal tea at
home, to write letter if there is any onset. But no any letter
Case 3. (Epilepsy). Hu XX, 14
years of old. File number: 177285.
The first visit: October 18, 1965.
The patient had acute jaundice hepatitis. After treatment, the
jaundice subsided but he felt no appetite and the lab test
showed the liver function was fluttered. He, from time to time,
felt dizziness and dazzled. For the recent one year, he had
epilepsy onset almost once every half month. In the beginning of
the onset, he first felt a are force pushed up to the throat,
soon his arms and legs started to convulsion, followed by tight
bite of teeth, then he falled into coma and spit white bubbles
from mouth. He took western medicine sedative drugs quite often,
but the onset still came once every half month. He was easy to
feel fatique, especially after each onset. For poor appetite,
his body was very slim. The tongue is clean without covering.
The pulse was string, thin, and slight frequent. His condition
was diagnosed as Blood deficiency with water overwhelming. He
was asked to stop the western medicine, but given Chaihu Guizhi
Ganjiang Tang plus Danggui Shaoyao San: Chaihu 12 g, Huangqin 9
g, Guizhi 9 g, Baishao 9 g, Chuanxiong 6 g, Cangzhu 9g, Fuling 9
g, Zexie 15 g, Tianhuanfeng 18 g, Longgu 15 g, Muli 5 g, Zhi
Gancao 6 g.
The second visit: October 25: The
appetite was improved slightly. Recent days, he coughed and spit
white phlegm. The formula above was used again but with addition
of Banxia Houpu Tang: Banxia 12 g, Houpu 9 g, Suzi 9 g, fresh
ginger 9 g, Fuling 9 g, Chaihu 12 g, Tianhuafeng 18 g, Longgu 15
g, Muli 15 g, Guizhi 9 g, Danggui 9 g, Baishao 9 g, Chuanxiong 6
g, Zexie 12 g, Cangzhu 12 g, and Zhi Gancao 6 g.
The third visit: October 29: The
cough stopped. But he had frequent urination, and poor sleep. He
was given Zhuling Tang plus Danggui Shaoyao Sang: Zhuling 9 g,
Fuling 9 g, Zexie 12 g, Huashi 15 g, Baishao 9 g, Chuangxiong 6
g, Suanzaoren 15 g, Ajiao 9 g.
The forth visit: November 2: The
frequent urination stopped. The dizziness and sleep were better.
He felt pain in the right upper side of the belly, and had
little less appetite. The above herbal tea of October 18 was
The fifth visit: December 17: The
belly side pain stopped. No onset of epilepsy. Lab test for
liver function turned normal.
He was asked to stop herbal therapy.
Comments: For the four cases
above, the western medicine diagnosis were all clear and
confirmed, e.g. they belong to Meniere’s disease and epilepsy.
From the Chinese medicine diagnosis point view, the common point
for all the four cases were the phlegm rushing up to affect
brain function. However, the treatment for each case was
different. In the case 10, the blood deficiency is apparent, so
the Danggui Shaoyao Sang was used. For the Yang deficiency and
accumulation fo water in the stomach, the Xiao Banxia plus
Wuzhuyu was used. For the case 1, for apparent inside Cold and
water overwhelming, it is a typical condition, in which there is
inside water and the water rushes up to affect brain function,
which was the indication of Ling Gui Zhu Gan Tang, therefore the
original such prescription was used without any modification.
This prescription is to warm the stomach, to dissolve the water
and reverse the up-rushed water down. It worked very soon. For
case 2, for the apparent Shaoyang phase, the Xiao Chaihu Tang is
used to harmonize the half-surface and half-side phase of the
body. The Ling Gui Zhu Gan Tang was used to clear the water, and
to reverse the up-reversed water, as well as to use the Shigao
to clear Fire in the upper part of the body. For case 3, it is
also a water overwhelming condition, so the principle of the
herbal therapy is also to nourish the blood and to dispel the
overwhelming water. However, during the treatment, the symptoms
changed again and again, so the herbal prescription was changed
several times too. By this way, not only the hepatitis, cough,
urinary system problems were solved, but also the epilepsy were
solved. From these case reports, it can be seen that, Dr. Hu
treats epilepsy and Meniere’s disease that belong to phlegm and
water overwhelming, most of time he follows the “for disease
that is caused by phlegm and water, use warm herbs to harmonize
it.”. At the same time, Dr. Hu does not stick to only one herbal
prescription for the treatment, but focuses on herb indications.
15. The headache is annoying very
much. It can be cured however, if the herbal therapy matchs the
Case 4. Han XX, male, 35 years of
old. File number: 173044.
The first visit: October 16, 1966.
The patient had headache and dizziness for more than five years.
He had been checked by various ways but no any clear diagnosis.
He took western medicine pain killer, which worked only
temporally but no cure. He also tried various Chinese medicine
therapies but in vain too. The herb Tianma, Chuanxiong, etc.
that he took, could
be account to pounds. Recently, the headache came without fixed
time but it happened mostly after catching cold or hot, tired or
poor sleep. The pain usually came in the sides of the head, more
on the left than on the right side. For the movement he saw Dr.
Hu, he felt dry mouth and had desire to drink water. No any
other symptoms. His tongue cover was thin and white. The pulse
was string and thin. This is Shaoyang-Yangming co-exist phases.
He was given Xiao Chaihu Tang plus Shigao: Chaihu 12 g, Dangshen
9 g, Huangqin 9 g, Banxia 12 g, fresh ginger 9 g, Zhi Gancao 6
g, Chinese date 4, and Shigao 60 g.
Results: After the herbal therapy
for three doses, no any more symptoms.
Comments: This case, though the
diagnosis is not clear from western medicine point of view,
might belong to chronic phyringolaryngitis. This is based on his
symptoms, the herbs used and the healing result. No matter what
is the western medicine diagnosis for him, his condition was
diagnosed as Shaoyang-Yangming phases. Further diagnosis
suggested it is the Xiao Chaihu Tang plus Shigao condition. For
the condition so gave him the herbs. The many years’ problem was
solved very soon. Otherwise, without proper diagnosis, just use
so called Chanxiong, Tianma, and Quanxie, etc. it would be hard
to solve the problem.
Case 5. Chen XX, male. 44 years of
old. File number: 97771.
The first visit: March 25, 1965.
The patient had frequent headache for five years. The headache
was related to the weather change, emotional flutte, and
poor sleep. The western medicine diagnosed him as “nervous
headache”. For recent one week, his afternoon headache became
more severe. He also felt the head heavy as tightened by a ring.
It felt more on the front and on the back of the headache. The
neck and upper back of the body felt tight and sour. He felt dry
throat and had desire to drink. He also felt nose stiff at
night. He had poor sleep with more dream. The tongue cover was
white with greasy in root. The pulse was deep, string and thin,
with left side floating. His condition was diagnosed as
Taiyang-Yangming co-exist phases. It was the indication of Da
Qinglong Tang pus Cangzhu: Mahuang 15 g, Guizhi 6 g, fresh
ginger 9 g, Chinese date 4, Zhi Gancao 6 g, Xingren 6 g, Jiegen
9 g, Cangzhu 18 g, Shigao 45 g.
Results: After the herbal therapy
for three days, the headache and heavy feeling in head were
reduced. The nose stiffness at night was improved. To the above
prescription, added was Yiyiren 15 g. This herbal prescription
was used for 6 doses. The symptoms subsided gradually. After one
month, the headache was no long apparent.
Comments: This kind of “nervous
headache” is commonly seen in clinic. For western medicine, the
diagnosis should exclude the possible sinusitis, and nasitis,
etc. Many of such nervous headache are eventually diagnosed as
the inflammation in the nose cavity, after X-ray detect.
However, no matter what’s the western medicine diagnosis, in
Chinese medicine, it can be diagnosed as the Wetness sluggished
in the body surface, and it develops into fire after a long time
of the sluggish. The condition belongs to Taiyang-Yangming
co-exist phases. It is the indication of Da Qinglong Tang plus
Cangzhu prescription. This is the cure of the cause of the
disease. Therefore, the pain can be stopped without the use of
herbs such as Chuanxiong and Tianma.
Case 6. Ye XX. Female. 43 years of
old. File number: 51575.
The first visit: April 7, 1965.
The patient had recurrent left side headache for more than 10
years. It usually came out when she felt tired or had poor
sleep. The western medicine diagnosed the condition as “nervous
headache”. She had various treatment but no any improvement. The
pain can be temporally reduced after taking pain killer or drink
strong tea. Later, the onset came more frequently. She would
feel nausea when taking pain killer. She had also dizziness,
palpitation, poor sleep, dry mouth with desire to drink hot
water. She has had a history of surgical removal of ovaries and
uterus. Her tongue cover was white and tongue was pink in color.
The pulse was deep and thin. Her condition belongs to blood
deficiency with water overwhelming, and with choked fire rushing
up to disturb the head. It is the indication to Danggui Shaoyao
San plus Shigao and Wuzhuyu: Danggui 9 g, Baishao 12 g,
Chuangxiong 9 g, Cangzhu 12 g, Zexie 24 g, Zhi Gancao 6 g,
Wuzhuyu 9 g, and Shigao 45 g.
Results: After the herbal therapy
for 4 doses, no any symptoms left.
Comments: This headache comes on
the left side. She had also dizziness, palpitation and poor
sleep. It is therefore known that she had blood deficiency with
water overwhelming, but also a blood stagnation. Therefore the
Danggui Shaoyao San was used to nourish blood, to deplete water,
and to activate blood circulation. For there was much more Cold
and Water inside the body, large amount of herb Cangzhu, Fuling
and Zexie were used to warm the stomach and to deplete water.
For the water had been rushing up, the herb Wuzhuyu was used to
warm the stomach and to reverse the rushing water. For the water
had been developed into Fire, the Shigao was used to clear the
upper Fire. In the treatment of headache, Shiggao and Wuzhuyu
are usually used together. This is one of the characteristics of
Dr. Hu in herbal therapy.
Case 7. Xu XX, male, 46 years of
old. File number 155605.
The first visit: April 8, 1965.
The patient had headache and dizziness for three years. Western
medicine diagnosed it was “arachnoiditis, cerebral
arteriosclerosis, basilar artery poor circulation and chronic
asthmatic bronchitis”. Currently, she felt blirring in eyes when
she had mental work, felt as air pushing up from stomach,
tinutis, fever with headache, bloating feeling in the temples
both side, pain in lower back, pain in outside of left leg,
short of breath and asthma when going up steps. Laterly, she had
cough and spit yellow phlegm for three months. She had hot
feeling in hands and feet, and dry mouth. The tongue cover was
white. The pulse was deep and string. This is Shaoyang-Yangming
co-exist phases with blood stagnation. It is the indication to
the Da Chaihu Tang plus Guizhi Fuling Wan. The herbs used were:
Chaihu 12 g, Banxia 12 g, Huangqin 9 g, Chishao 9 g, fresh
ginger 9 g, Guizhi 9 g, Fuling 9 g, Taoren 9 g, Danpi 9 g, Zhi
Gancao 2 g, Honghua 9 g, Shigao 45 g.
The second visit: April 15. After
the herbal therapy for three days, the headache and dizziness
both subsided. The up-pushing feel was reduced. He still had
cough with more phlegm, and felt cloudy in vision. He was given
Banxia Houpu Tang with additions: Banxia 12 g, Fuling 12 g, Suzi
9 g, Jupi 15 g, fresh ginger 9 g, Gualu 24 g, Xuanfuhua 9 g,
Zhuru 6 g, Xingren 9 g, Shigao 45 g.
The third visit: April 15. The
cough and phlegm were reduced. From the April 8 prescription,
removed were Chinese date and Honghua, but added Shengdi 9 g.
The fourth visit: After two months
of herbal therapy with Da Chaihu Tang plus Guizhi Fuling Wan,
the headache stopped, the dizziness was slight only, the tinnitus
happened only at night occasionally and he can work with mental
ability for hours. No any other symptoms.
Comments: In this case, it is
again with the Da Chaihu Tang plus Guizhi Fuling Wan for the
treatment. The headache is the main complain of patient, and the
patient had also some other symptoms in the cerebral and bronchy
systems. In the treatment, the herbal prescription matches the
disease nature and location, so the healing effect is excellent.
To study this case, we can learn such principle in the diagnosis
and treatment of headache in clinic.
Case 8. Li XX, female. 43 years of
old, living in the Jingzhou city, North-east of
The patient suffered from headache
and nausea for 6 to 7 years. For later two years, she felt
blirring in vision. She had tried various therapies here and
there and the problem was diagnosed as “Chronic glaucoma”. She
tried both western medicine and Chinese medicine without any
improvement. For the recent one month, she lost vision in the
left eye, so she came to
for treatment. The current condition when she saw Dr. Hu: She
felt there was something
covering on the eye, severe headache so that as the head
is to split, which was accompanied with nausea, dry eyes, hot
feeing in heart and in hands and feet, and dry mouth without
desire to drink. Her tongue cover was thin and white. The pulse
was string and thin. Her condition belonged to Blood deficiency
with Cold water pushing up. The herbal therapy should focus to
nourish the blood and to deplete the water, to nourish and blood
and the micro-nutrition material to the
body. She was given
Wuzhuyu Tang plus Chaihu Guizhi Ganjiang Tang and Danggui
Shaoyao San: Wuzhuyu 9 g, Dangshen 9 g, Ganjiang 6 g, Chinese
date 4, Chaihu 12 g, Huangqin 9 g, Guizhi 9 g, Tianhuafeng 12 g,
Danggui 9 g, Baishao 9g, Chuanxiong 9 g, Zexie18 g, Longgu 15 g,
Muli 15 g, Fuling 12 g, Cangzhu 9 g, Zhi Gancao 6 g.
Results: After the herbal therapy
for three days, the overall feeling was pretty good. After 21
days, the vision became gradually clear. For the two months, the
same prescription wes kept the same. The left eye became clear.
The headache stopped.
Comments: This headache is due to
Cold water pushing up to the head. For there was loss of vision
in the left eye, hot feeling in the chest, hands and feet, and
dry eyes, etc. it is known that the condition belongs to the
deficiency of blood and micro-nutrition material in the body.
Such deficient condition fails to nourish the eye. Therefore,
the Wuzhuyu Tang, Chaihu Guizhi Ganjiang Tang, and Danggui
Shaoyao San were all used, so as to make the headache subsided
and the vision recovered. It can be said that this is mysterious
result. However, for Chinese medicine, it does not exceeds its
normal healing consequence range. Dr. Hu had a lot of such
successful cases. For some, he uses the Wuzhuyu Tang plus
Danggui Shaoyao San. For others, he may use only the Wuzhuyu
Tang, or Xiao Chaihu Tang plus Wuzhuyu Tang plus Shigao. Here we
are not going to list them more. All the treatment follow the
principles in the diagnosis and treatment introduced by our old
time doctors. The key point is: the herbal indication diagnosis
must be accurate and precise.
Case 9. Chen
XX, female, 33 years of old. File number: 37488.
The first visit: March 7, 1967.
The patient suffered from left headache for one year. The
western medicine diagnosed as trigeminal mialgia. It comes and
goes and some time less and some times worse. He had history of
hepatitis. Lately, the onset became more severe. The pain was
felt on the left face, head, and around the left eye, with
dizziness and dazzled. The bowel movement was loose, 2 to 3
times a day, which was said already for one year. She felt dry
mouth but no desire to drink. The tongue cover was white with
greasy in the root. The pulse was deep, thin and string. This
condition belongs to upper-fire and lower-cold condition. The
herbal therapy to be given should work to open and to descend
with bitter and spicy herbs. She was therefore given Banxia
Xiexing Tang plus Wuzhuyu: Banxia 12 g, Dangshen 9 g, Huangqin 9
g, Huanglian 6 g, Ganjiang 6 g, Zhi Gancao 6 g, Chinese date 4
and Wuzhuyu 9 g.
Results: After the herbal therapy
for three days, the headache and diarrhea both were improved.
From the prescription, Huangqin was reduced to 6 g, with
addition of Shigao 30 g. This prescription was continued for 12
days. The headache stopped, the bowel movement was normal.
Comment: This case is also a Cold
Water pushing up to the head so to cause the headache. For a
long time sluggish of the water, the water develops into Fire to
form a upper Fire and lower Cold condition. Single Wuzhuyu Tang
would not be able to clear the upper Fire. Only with the use of
the Fire-clearing prescription, the inside Cold would be worse.
So, the Banxia Xiexing Tang is used with the Wuzhuyu to cause a
opening-descending effect, so the make the lower cold be able to
deplete. With the addition of Shigao to clear the upper Fire,
such combination works to solve both the Fire and Cold, so the
headache could subside.
(Post-surgical removal of
craniopharyngeal duct tumor). Du XX, female, 58 years of old.
File number: 66405.
The first visit: June 1, 1978. The
patient suffered from headache, nausea and vomit for 20 years.
Since 1962, she often felt headache in the morning, and nausea.
In December 17, 1963, she was diagnosed as
neuritis, partial optic atrophy. In June 1972, she had surgical
craniopharyngeal duct tumor. After
the surgery, she still often felt headache so she often took
veramon to stop the pain. In May 1977, she suddenly had
convulsion, severe headache, loss of vision on the right eye,
bloating pain in the left eye, with nausea, and bitter taste in
mouth. The tongue was white. The pulse was string and thin. She
was given Xiao Chaihu Tang plus Guizhi Fuling Wan plus Shigao
and Wuzhuyu: Chaihu 12 g, Huangqin 9 g, Banxia 12 g, Dangshen 9
g, fresh ginger 9 g, Chinese date 4, Zhi Gancao 6 g, Guizhi 9 g,
Fuling 9 g, Danpi 9 g, Taoren 9 g, Shigao 45 g, and Wuzhuyu 12
Results: After the herbal therapy
for three days, the symptoms were better. The original
prescription was modified little bit and asked to continue for
25 doses. After that, all the symptoms subsided.
Comments: This case belongs to
block of phlegm, blood stagnation, showing Taiyang-Shaoyang
co-exist phases. Therefore, the Xiao Chaihu Tang was used to
harmonize the in between phase of disease and the Guizhi Fuling
Wan was to dissolve phlegm and deplete water. The additional
Wuzhuyu was to deplete water and to down-move dirty thing and the
Shigao to clear upper Fire. The use of Shigao and Wuzhuyu at the
same time is the experience of Dr. Hu. The patient themselves
also had experience: the Shigao and Wuzhuyu work excellent for
the headache and pain in the eyes.
16. If the blood cannot nourish
the heart, the sleeping would be poor. If there is Xie Qi
disturb the emotion, the problem would be worse.
Case 11. Zhang XX, female, 65
years of old. File number: 16248.
The first visit: Dec. 13, 1965.
The patient suffered from poor sleep for many years. She had had
visited various doctors for the treatment but on any use. The
current condition was: She had poor sleep. If the condition was
not severe, she might be able to have a shallow sleep but with a
lot of dream. If it was severe, she could not have any sleep for
continuous one to two days. She often felt dizziness, dry mouth,
palpitation, annoyed and flustered, and had sweat. The tongue
was red in color and the tongue cover was white. The pulse was
thin, frequent and weak, especially on right wrist. The
condition was Ying Bood deficiency, so that the Yang could not
dive in the Yin portion at night. The herbal therapy should
focus to dive the Yang into the Yin. The herbal prescription was
Suanzaoren Tang plus Longgu and Muli: Fresh Suanzaoren 30 g,
Zhimu 12 g, Fuling 15 g, Chuanxiong 9 g, Zhi Gancao 6 g, Longgu
12 g, and Muli 24 g.
The second visit: December 17.
After the herbal therapy for 3 doses, the sleep was slightly
improved. She still felt annoyed, palpitation, sweat, dizziness
and dry mouth without desire to drink. From the prescription
above, removed was the Longgu, added the Danggui 9 g, Baishao 12
g, Guizhi 9 g, and Baishu 9 g.
The third visit: December 22.
After additional three doses, all symptoms subsided. For a
maintenance, the herbs were drunk for additional three doses.
Comments: This case is the
commonly seen condition, in which the Yang could not dive into
the Yin at night due to the Yin and Blood deficiency. The herb
Suanzaoren is a very strong contracting nourishment herb. It is
especially to strengthen the nerves and the emotion. In the
prescription, it is used as the key herb ingredient, taking its
advantage of nourishing the weakness, contracting the emotion,
so to improve the sleeping. The use of Chuanxiong and Gancao are
to harmonize and to buffer the spasm. The Zhimu and Fuling are
to solve the annoyed and the palpitation. The Longgu and Muli
are to strengthen the scattered emotion, to stop sweat and to
seal the micro-nutritional material in the body, and to calm
down emotion and enhance willingness. All herbs work together
to nourish the Yin and Blood, to attract the emotion and to help
the Yang to be able to dive into the Yin at night, so that the
sleeping was improved.
Case 12. Wu XX, Male, 31 years of
old. File number: 563 (Capital airport file number)
The first visit: March 18, 1966.
The patient had poor sleep for three years. He felt warm in the
body, had sweat during the day time. The western medicine
diagnosis was post-poisoning syndrome (by gasulene). He could
only have a sleep for 3 to 4 hours every night. He often felt
headache, dizziness and dry mouth with desire to drink. The
stool was first hard then loose, 2 to 3 times a day. His urine
was yellow to red in color. The tongue cover was white with
slight greasy. The pulse was weak and frequent. This condition
belongs to the Up-stirring by Wetness-Fire. The herbal therapy
should focus to clear the wetness and to clear the Fire. He was
given Zhuling Tang plus Suanzaoren: Zhuling 9 g, Fuling 9 g,
Zexie 15 g, Huashi 15 g, Ajiao 9 g, Suanzaoren 24 g.
The second visit: March 25. After
the herbal therapy for 6 days, the sleep was improved. He could
have a sleep for 4 to 5 hours every night. The bowel movement
was one to two times a day.
To the prescription above, added was Cangzhu 9 g.
The third visit: April 1. The
sleep was basically normal. The headache subsided. He felt
dizziness some times. No any other symptoms. The prescription
above was continued for a maintenance.
Comment: The poor sleep in this
case was due to the poisoning by gasoline (lead poisoning),
that causes disorder in nervous system. The condition showed as
Shaoyin-Taiyin co-exist condition, and ws the indication to the
Zhuling Tang, so the Zhuling Tang was used to clear water and to
clear Fire. The herb Zhuling works with Fuling, Zexie, and
Huashi, all together to clear the water. The use of Ajiao was
to nourish the Yin and to humidify the dryness. The Suanzaoren
worked to contract emotion and calm down emotion. Therefore,
this prescription was used for the poor sleep that is caused by
Wetness-Fire up-stirring with Yin and Blood deficiency.
Case 13. Jing XX, female, 29 years
The first visit: December 22,
1965. The patient suffered from poor sleep for more than 12
years. The western medicine and Chinese medicine did not improve
her condition at all. For the recent two months, she could
almost have no any sleep for the whole night. She could feel
tired but the mind was very clear. During the day time, she felt
cloudy mind and bloating feeling in head, and dry mouth. No any
other discomfort. She had severe pain in belly before
menstruation. Her tongue cover was white and slight yellow. The
pulse was deep with kind of force. This was blood stagnation
condition, in which, the stagnated blood blocked the meridian (the
energy flow), so that the Yang could not dive into the Yin. She
was given Da Chaihu Tang plus Taohe Chenqi Tang plus Longgu and
Muli: Chaihu 12 g, Banxia 12 g, Huangqin 9 g, Zhike 9g, Baishao
9 g, fresh ginger 9 g, Chinese date 4, Guizhi 9 g, Taoren 9 g,
Danpi 9 g, Fuling 9 g, Dahuang 6 g, Zhi Gancao 6 g, Longgu 30 g,
Muli 30 g, Mangxiao 9 g (direct drink, no cook with other
Results: After the herbal therapy
for three doses, She could fall into sleep for one to two
hours. The cloudy mind and dizziness were reduced. From the
prescription, Mangziao was deleted. It was continued for six
doses. She had no longer had pain in the belly, and the sleep
Comments: In the book <<Shang Han
Lun>>, the paragraph 237, it states: “In the Yangming phase, if
the person tends to lose memory, the condition belongs to blood
stagnation remains in the body.” It means that, the stagnated
blood would block energy flow (meridian), the blood could not
circulate up to the brain to nourish the mind, so that the
person tends to forget things. For the same reason, when the
stagnated blood fails to circulate up to nourish the brain, the
Yin deficiency in the brain would cause the Yang fails to dive
into the Yin at night and to cause poor sleep. For this case,
the patient had pain in belly before menstruation, indicating
the presence of stagnated blood. Therefore, the blood
circulation-improving and stagnation-clearing therapy works
well. To use the Da Chaihu Tang plus Taohe Chenqi Tang is the
clinic experience of Dr. Hu.
Case 14. Zhang
XX, male, 38 years of old. File number: 182577.
The first visit: December 13,
1965. The patient had poor sleep for more than one year. He felt
pain some times in the left side of belly, and palpitation. He
often had yawn, and tearing. His tongue cover was white and
greasy, and the pulse was string. This is a blood deficiency and
water overwhelming condition. The herbal therapy should focus to
nourish the blood and to deplete water. He was given Danggui
Shaoyao San plus Ling Gui Zhu Gan Tang and Suanzaoren Tang with
some modification: Danggui 9 g, Baishao 12 g, Chuanxiong 9 g,
Cangzhu 9 g, Zexie 12 g, Fuling 15 g, Guizhi 12 g, Zhimu 9 g,
Chao Zaoren 15 g, Zhi Gancao 6 g, Longgu 30 g, and Muli 30 g.
The second visit: December 20.
After the herbal therapy for 3 doses, he still felt poor sleep.
He had cold feeling in the stomach, more belching, and bloating
feeling in the stomach area. From the prescription above, herb
Zhimu was removed, but Banxia 9 g, and fresh ginger 9 g, and
Jupi 12 g were added.
The third visit: January 3, 1966.
The belly pain stopped. The belching reduced. The palpitation
and poor sleep were improved. The prescription was continued.
Comments: For a poor sleep due to
Yin and blood deficiency, use Suanzaoren Tang to nourish the Yin
and blood, so as to contract and bring the Yang and to improve
sleep. When the blood deficiency is with water overwhelming, the
Yang-warming and water-depleting therapy must be used together
with the blood nourishing therapy. When the water overwhelming
and Yang deficiency are apparent, the Zhimu that works to
nourish the Yin and to calm mind should be be used for its too
bitter-cold nature. In this case, it should be used the Banxia,
fresh ginger, and Chenpi should be used to warm the stomach and
to deplete water.
The case reports above show only
partial cases that Dr. Hu saw for the patients with disease
associated with the brain. Though they are not complete, we can
find that the Jing Fang can be used to solve various organic or
functional disorders. At the same time, it can be seen that the
herbs work for the brain-associated diseases is because it is
used following the TCM principle. Especially the cause and
course of a disease and the functional mechanism of the herbs,
all must follow the TCM theory. It should be emphasized that,
Dr. Hu, when treat the brain-associated disease, uses no too
mush numbers of herbs, no matter how complex the disease and how
long the disease is in length, whereas the healing effect
remains excellent. The most important reason for this is his
precise herbal indication diagnosis.
17. The treatment of blood system
The diseases in the blood system
(heamotopathy) include large amount of various diseases. Dr. Hu
has a lot of such cases. It is not going to introduce all of
them, but only the commonly seen bleeding, anemia, and blood
The bleeding after surgery risks
life. The Chinese Jing Fang therapy solve the problem.
Case 1. Song XX. Female. 17 years
of old. File number (in a hospital): 114533.
The first consultation: October
11, 1982. The patient had bleeding in nose for half month. The
patient had, from the birth, the cleft lip and cleft palate. On
her 2 years of old, she had the cleft lip treated by surgery.
For the fact that she had congenital
glycogenstorage disease, and increased GPT, she did not have the
cleft palate treated. Up to the last month, after consultation
with the agreement by the physicians for the surgical treatment,
she had the surgery for the cleft palate. During the surgery,
she had little blood transfusion and the surgery was successful.
On the first and the second days after the surgery, she had only
low fever (body temperature 37.5 C), and no any other symptoms
or discomfort. However, surprisingly, on the third day, there
was effusion of blood from the surgical wound. There was no any
effect with the use of idione gauze, or various bleeding-stop
medicines. TCM doctor was asked again for a consultation. She
was given Qi-nourishing and Bleeding-stop herbs but still no
effect. For lose of large amount of blood, she had had to have
blood infusion to maintain life. On the first and second day,
the blood transfusion can maintain for 24 hours. From the third
day, it could only work for 12 hours. Thereafter, she needed
blood transfusion everyday. So far to the time when Dr. Hu was
asked for consultation, she had 3000 ml blood transfusion. Dr.
Hu was urgently asked for consultation.
The condition on the consultation:
… (The original Chinese text here are mostly the lab test
On the consultation, the girl was
clear in consciousness but she preferred to close eyes and no
willingness to see people. She felt annoying and sweat. She had
pale face. There was black-purple color blood clot in the nose
holes. She had dry mouth and had desire to drink water. She had
hungry feeling and had desire to eat, but for fear of wound
blood effusion, she was not allowed to eat. The stool was black
and loose, once a day. The tongue was red without tongue cover.
The pulse was thin, slippery and frequent. The condition belongs
to blood deficiency with Fire stirring. She was urgently given
herbal therapy to clear Fire, to stop bleeding, as well as to
nourish the weakness and the Yin. The herb prescription was
Qiong Gui Jiao Ai Tang with modification: Shengdi 30 g,
Danggui 10 g, Ajiao 10 g, Aiye 10 g, Dangshen 10 g, Baishao10 g,
Zhi Gancao 10 g, Baizhu 10 g, Shigao 50 g.
Results: After one dose, the
bleeding stopped. On the second day, she could eat some fluid
food and the blood transfusion stopped. On the third day, she
felt less appetite, so the Shengdi in the prescription was
changed to 15 g, with addition of Shengdi Tan 15 g. The
prescription was continued for three days. The appetite was
normal, and the in vein transfusion stopped to use. On October
18, her face was pint with humidity. There is spirit in eyes.
Apart from slight sweat, no any other discomfort at all. The
prescription was continued for additional two doses.
Comments: For such large amount of
bleeding. There was no any way from western medicine, even if
with large amount of blood transfusion. For Chinese medicine,
the Qi and Blood nourishing therapy and the bleeding-stop
therapy had been used too, but for the prescription did not
target the clearance of upper Fire, the bleeding-stopping herbs
did not work either. Upon consultation, the patient life risked
seriously. If the further herbal therapy did not match the
condition, there would have no change at all to save the life.
At this movement, thanks for the rich clinic experience of Dr.
Hu in the practice of theory of Dr. Zhongjing Zhang, he caught
the point of the disease, and diagnosed the condition as Qiong
Gui Jiao Ai Tang. Therefore, one dose worked excellent to stop
the bleeding. It surprised all, the doctors and the family.
Patient has urine bleeding without any discomfort. TCM
can still make diagnosis and to solve it.
Case 2. Lin XX, male, 38 years of
old. Pilot of airforce.
The first visit: February 19,
1966. The patient had bleeding in urine once every five to six
months, since 1962. He had no any other discomfort or symptoms.
Since January 16 this year, the urine bleeding became worse. It
did stop after taking bleeding-stopping medicine. He then went
to hospital for check. With various endoscope check and more
other kinds of detect, they found nothing wrong. The urine is
clear blood urine with fresh red in color. There were rich in
red blood cells under microscope detect. Urine protein was .
He was suspected to be kidney cancer. But it could not be
confirmed with other
more detect or lab test. His tongue cover was white, and the
pulse was thin and string. Dr. Hu gave him Qiong Gui Jiao Ai
Tang plus Guizhi Fuling Wan: Shengdi 30 g, Danggui 9 g, Taoren 9
g, Danpi 9 g, Guizhi 9 g, Baishao 9 g, Fuling 9 g, Zexie 9 g,
Ajiao 9 g, Aiye 3 g, Yiyiren 24 g.
Results: After the herbal therapy
for three doses, the color of urine became lighter but started
to have small clots. After seven doses, the blood clot
disappeared. The urine protein became (-), red blood cells (-).
For the herbal therapy worked, it was continued for 30 doses (30
days). On April 10 for consultation, Dr. Hu told him, for no
bleeding in urine or any discomfort, the herbal therapy can be
stopped. If there is any recurrence, the patient can come again.
Comments: This is no-pain urine
bleeding. The first suspect was cancer, which however could
not be confirmed by various detect or lab tests. For Chinese
medicine, for no symptoms, it was also difficult to solve the
problem. Dr. Hu had been asked how to do and what to do. Dr. Hu
supervised and said, first, the urine was red in color,
indicating it is a hotness; second, the long term urine suggests
it is a blood stagnation. For this reason, the Qiong Gui Jiao Ai
Tang and Guizhi Fuling Wan plus Yiyiren is indicated so as to
nourish the weakness, to cold down the blood, to remove the
blood stagnation and to activate blood circulation. For Chinese
medicine, no matter there is the symptoms or not, a diagnosis
can still be made. This is Chinese medicine: medicine is a
“imagination and perception”.
Patient had bleeding in stool for nine years. The herbal
Huangtu Tang solved the problem by only nine doses.
Case 3. Wang XX. Male. 39 years of
old. File number: 185193.
The first visit: June 12, 1968.
The patient had recurrent stomach pain and bleeding in stool for
nine years. After various check, he was diagnosed as gall
bladder infection, and colonitis with bleeding. The current
condition: from time to time, he had black stool, which some
times was black and purple in color. He often felt pain in left
belly and in stomach area. He felt annoyed at night, dry mouth
with desire to drink but being unable to drink a lot. The
appetite was ok, but could not tasted delicious. From time to
time, he felt dizziness and fatique, felt cold hands and feet.
His face was withered yellow. The tongue cover was white and
greasy. The pulse was deep and thin. The condition was diagnosed
as a long term of water accumulation that developed into Fire.
The Fire hurt the blood vessels, so to cause bleeding. The
herbal therapy is used to warming the cold, to nourish the blood
and to clear the Fire. He was given Huangtu Tang plus Lizhong
Tang with modification: Dangshen9 g, Baizhu 9 g, Huangqin 9 g,
dried ginger 6 g, Danggui 9 g, Chunxiong 6 g, Aiye 9 g, Chuan
Fuzi 6 g, Zhi Gancao 6 g, Ajiao 9 g, Fulonggan 60 g (cook to get
the water extract, which is then used to cook other herbal
Results: After the herbal therapy
for nine doses, the pain in the stomach stopped, and bleeding in
stool became less and less until no more at al.
Comments: For the first two cases,
which are blood deficiency with Fire, it is the Fire that causes
bleeding. For the treatment, the herbs should work to nourish
the blood and to clear the Fire. It focused on the Fire
clearance. In the case here, the patient had not only blood
deficiency, but also Yang deficiency with water overwhelming, as
well as the blood deficiency that developed into Fire; the long
terms of water sluggishness causes also Fire. It is a complex
condition with weakness. For the treatment, the main target is
to warm the Yang, accompanied by Fire-clearing. Among the herbs
used, the Fulinggan (Huangtu) is a warming-contracting herb able
to stop bleeding. The Shengdi, Ajiao and Aiye work together to
stop bleeding. The Gancao, Baizhu, dried ginger, Fuzi, and
Dangshen work to nourish the middle stomach and to dispel water.
The Huangqin helps to clear Fire. Therefore, the whole
prescription is able to warm middle stomach, to nourish the
weakness, to produce blood, to deplete water, as well as to
clear the false Fire, so as to make the nine-year bleeding
In uterine bleeding, the bleeding is hard to stop. The
use of Xiao Chaihu Tang works to stop it.
Case 4. Zhao XX. Female. 22 years
of old. Student.
The first visit: April 5, 1966.
The patient had spotting bleeding from uterus for two years. She
had first menstruation on her 16 years of old. The first three
months, it was not regular but after half year, it turned pretty
normal. In early this year, when she removed the warming system
at home, for heavy labor work, she caught common cold. At that
movement, it was the time her menstruation came. To unexpected,
after the common cold subsided, the bleeding did not stop until
now. She had been to hospital for check many times, no clear
finding. She was given bleeding-stopping medicine too. No any
therapy worked for her to stop bleeding. This was true when she
visited Chinese medicine. Her symptoms did not reduce but became
more and worse. She asked friends to introduce her to see Dr.
Hu. The condition at that time: She had continous bleeding from
uterus, the color of which was pink in color. Some times, there
was small blood clots in the bleeding. She felt often doll pain
in stomach, fatique, dizziness, or headache, dry mouth, poor
appetite, or flustered and annoyed, and hot feeling in hands and
feet. The tongue cover was white and thin. The tongue was slight
red in color. The
pulse was deep and thin. Dr. Hu gave her Xiao Chaihu Tang plus
Danggui Shaoyao San plus Shengdi and Aiye: Chaihu 12 g, Dangshen
9 g, Huangqin 9 g, Banxia 12 g, fresh ginger 9 g, Chinese date
4, Danggi 9 g, Chuanxiong 6 g, Zhi Gancao 6 g, Fuling 9 g,
Cangzhu 9 g, Zexie 9 g, Shengdi 15 g,and Aiye 9 g.
After the herbal therapy for ten days, the bleeding stopped. She
was asked to continue the prescription for a while for
maintenance. After three months, her classmate told that she was
Comments: It is very surprised for
the herbs used in this case. Generally speaking, if the
menstruation continued for a long time, it would be first of all
considered to be due to blood deficiency, blood stagnation,
spleen deficiency that fails to seal the blood within the blood
vessels, the liver deficiency that fails to store blood in
liver, kidney deficiency that fails to hold blood in the body,
or due to Qi deficiency and blood escape to spill
out, etc. How
can use Xiao Chaihu Tang in this case? The answer would be clear
after reviewing the explanation by Dr. Hu for this herbal
prescription. In the book <<Shng Han Lun>>, paragraph 101: “For
Shang Han disease with Wind attack, even if there is only one
symptom for Chaihu Tang, use the Xiao Chaihu Tang, no need to
wait until all the symptoms come to show.” In the explanation of
this prescription, Dr. Hu wrote: “The external Xie Qi attacks
the body, and it passes into the Shaoyang phase, in the
beginning, the symptoms indicating the Xiao Chaihu Tang is not
all shown. If the doctor does not know how to use Xiao Chaihu
Tang, it would make the small disease lasts for a long and long
time without cure. In clinic, there are a lot of such examples.
This should be paid more attention.
In another book <<Jing Kui Yao
Luo, Female after birth delivery>>, in the appendix prescription
(1): the <<Qian Jing Fang>> San Wu Huangqin Tang works to
female, who catches infection after attack by Wind, who feels
annoying hotness in hands and feet. If the woman has headache,
use Xiao Chaihu Tang. If no headache but annoying feeling, use
the San Wu Hungqin Tang. Dr. Hu stated for this paragraph:
“Wind-attack after birth delivery, for a improper treatment, the
disease was not solved. After a long time, the disease develops
into Fire. If the patient in such condition has headache, the
use of Xiao Chaihu Tang works.”
From here, it can be seen the deep understanding by Dr.
Hu for the indication to the Xiao Chaihu Tang. Once seeing the
patient here, he could identify it is the indication of Xiao
Chaihu Tang plus Danggui Shaoyao San. Therefore, the herbs
worked excellent for this girl. From this case, we realized what
Dr. Hu said: the herb indication diagnosis is the continue of
traditional Chinese Liu Jing and Ba Gang diagnosis system, and
it is the key and the most important part of the TCM diagnosis.
His statement is the summary of his life-long clinic experience,
and it is scientific comment.
21. Aplastic anemia is severe, but the
herbal therapy to nourish blood and to remove water works
Case 5. Zhao XX, Male, 26 years of
old. Coutryside doctor in Miyun county,
The first visit: July 27, 1977:
The patient had fatique, bleeding, and anemia for seven years.
For no clear reason, he felt fatique, flustered, short of
breath, and nose bleeding. His condition was diagnosed as
anemia. After various western medicine therapies and Chinese
herbal therapy, no any improvement. Later, after bone marrow
smear test, it was diagnosed as aplastic anemia. He prescribed
herbal therapy for himself, which did not work either. The
current condition: pain in the chest and back. He felt cold on
the bac as ice, chilly, short of breath, palpitation, and
dizziness when got up. His face was withered yellow. He felt dry
mouth, hot feeling in hands and feet. There were scattered
bleeding spots on the skin. Lab. test: Hb 9 g; platelet 35000,
WBC 2900. His tongue cover was white. The tongue was slight
dark. The pulse was thin and weak. This condition belongs to
blood deficiency with water overwhelming. It was the indication
for Ling Gui Zhu Gan Tang plus Danggui Shaoyao San: Guizhi 9 g,
Baishao 12 g, Danggui 9 g, Chuanxiong 9 g, Fuling 12 g, Cangzhu
9 g, Zexie 18 g, Zhi Gancao 6 g.
The second visit: September 17.
After the herbal therapy for 10 doses (10 days), all the
symptoms were improved. After additional 20 days of the herbal
therapy, the bleeding spots on skin disappeared. He felt sour in
legs, burning feeling in belly. The herbal prescription was
changed to Chaihu Guizhi Ganjiang Tang plus Danggui Shaoyao San:
Chaihu 12 g, Guizhi 9 g, dried ginger 6 g, Danggui 9 g, Baishao
12 g, Chuanxiong 9 g, Fuling 12 g, Zexie 18 g,Cangzhu 9 g, Zhi
Gancao 6 g, Tianhuafeng 12 g, Huangqin 9 g, Muli 15 g.
The third visit: October 23. He
had no any symptoms. No more bleeding spot on skin. Hb was 13.1
g, platelet 50000, WBC 3500. The same prescription was continued
for a maintenance.
Comments: Aplastic anemia is a
kind of anemia caused by unknown causes, which might be due to
some chemical, physical or biologica things. It is characterized
by reduced blood cell production in bone marrow. There had been
a lot of studies for the cause, the mechanism and the treatment
of this disease during 1960 and 1970 period. For the fact that
this disease is easy to be accompanied by infection and to cause
fever, a Fire-clearing therapy is needed. However, for the idea
that it should be treated considering it is an acute exhausting
and Hotness disease, it is treated more with Fire-clearing
therapy but less with Cold-dispelling and warm-nourishing
therapy. This case is such example. Generally speaking, it would
be considered as Yin and blood deficiency that cause inside
Fire, when there are dry mouth, hot feeling in hands and feet in
the afternoon, and bleeding spots on skin. People omit the
possible blood deficiency with water overwhelming and long time
of such water overwhelming could cause inside Fire too. This is
true for this case. Dr. He used the warm-nourishing,
blood-nourishing and water-depleting therapy cured a lot of
patients. For example, there was lady with name Xu, who had
anemia for many years. Her Hb was 8.1 g. She had stomach pain,
poor appetite, and mucus material in her stool. She was given
Fuling Yin plus Si Ni San, plus Wuzhuyu. After one month, the
stomach pain stopped, the appetite and bowel movement were
improved. Hb became 10.8 g. It can be seen that, the
warm-nourishing, blood-nourishing and water-depleting therapy is
one the most important therapies in the treatment of aplastic
22. Purpura may not always be a Fire
condition. A bowel-movement-stimulating therapy or a waming
therapy might work for it too.
Case 6. Li XX, male, 17 years of
When the patient had swimming in a
lake, he found purpura spots on skin. Later he felt pain in
belly, had diarrhea and the purpura spread to whole of the body.
He was admitted in the ward in a hospital for treatment. He was
given blood-stopping therapy, and pain killer, and so on for
symptomatic treatment. The belly pain and skin purpura were not
improved and he became slim and slim up to nearly only a bone
skeleton. Later, for his hard stool, he was given castor oil
orally. After having a lot of dirty blood from the stool, the
stomach pain stopped, and the purpura gradually subsided. His
body became gradually more in body weight. So he was discharged
from hospital. Half years later, the disease had onset again. He
was admitted into the same hospital and given the same castor
oil for the treatment but in vain. For no choice, he was brought
home and later he was brought to Dr. Hu for treatment. The
current condition at that movement: there were scattered
bleeding spots on skin all over the body. He often felt pain in
stomach. His stool was hard to pass. He felt annoyed and
irritable. The tongue was purple in color. The tongue cover was
yellow. The pulse was deep and string. His condition was
considered to be the block of blood vessels by stagnated blood.
He was given Di Dang Tang plus Da Chaihu Tang: Shuizhi 6 g,
Mangchong 6 g, Taoren 6 g, Dahuang 9 g, Chaihu 12 g, fresh
ginger 9 g, Banxia 12 g, Zhike 9 g, Huangqin 9 g, and Chinese
Results: After the herbal therapy
for one day, he had several liters of black blood in his stool.
The pain in belly stopped. The purpura gradually became better.
The symptoms subsided. A following up 10 years later showed
everything was normal.
Comments: This case was the one
Dr. Hu saw on 1050’s. After daily clinic work, Dr. Hu had
introduced this case to us. Especially when he talked about the
diagnosis, he emphasized that, it indicated the body had blood
stagnation when he had dirty blood in stool after taking castor
oil. If at that time, the doctor was brave to use the Di Dang
Tang plus Da Chaihu Tang, one dose might solve all the problems.
Case 7. Chen
XX, female, 33 years of old. File number: 53892.
The first visit: March 12, 1964.
The patient had purpura on skin for 5 years. Since summer 1959,
she found purpura or stagnated blood spots on skin. At the same
time, she had bleeding from nose, mouth, gum and intestine. In
Youyi Hospital in
Beijing, she was diagnosed as allergic
purpura, after various lab tests. She had a history of
nephroptosis, arthritis, endometrosis, chronic enlargement of
spleen and liver. She was given blood transfusion for 800 ml.
The condition remained the same. She was diagnosed in a TCM
hospital as Qi and Blood double deficiency condition. She was
given Huangqi, Danggui and Ajiao and other herbs but the herbal
therapy did work for a short time, but not for a long time. The
current condition when she saw Dr. Hu: there were scattered
purpura spots on skin. She felt from time to time dizziness,
heavy head, sweat, dry mouth, loose bowel movement. Appetite was
pretty normal. The tongue is pale in color. The tongue cover was
thin and white. The pulse was string on left side and deep, thin
and weak on right side. This was Shaoyang-Taiyin co-exist
phases. It was the indication to Chaihu Guizhi Tang plus Fuzi
Lizhong Tang: Chaihu 12 g, Huangqin 9 g, fresh ginger 9 g,
Banxia 9 g, Guizhi 9 g, Baishao 9 g,Chuan Fuzi 9 g, Dangshen 9
g, Danggui 12 g, Chuanxiong 12 g, Fuling 9 g, Zexie 9 g, Chinese
date 4, Zhi Gancao 6 g.
The second visit: March 16. After
the herbal therapy for three days, all the symptoms were
improved. From the prescription, removed was Chuan Fuzi, but
added Danshen 30 g, and Ajiao 9 g.
The third visit: March 31: She had
swelling in legs and the purpura became worse. She felt cold in
lower belly, bloating in belly, dry mouth with desire to drink
and difficult urination. Her face was pale. She said that her
purpura and bleeding would be more whenever she felt strong
swelling. Previously she took diuretics when the swelling was
severe, but the swelling did not go much away but she would feel
more flustered and palpitation, as well as more purpura and
bleeding in skin. She was given Mufangji Tang plus Danggui
Shaoyao San plus Huangqi: Mufangji 9 g, Dangshen 9 g, Guizhi 9
g, Shigao 45 g, Danggui 9 g, Fuling 9 g, Chuanxiong 9 g, Cangzhu
9 g, Zexie 12 g, Zhuling 9 g, Baishao 9 g, Huangqi 15 g.
The forth visit: April 7. After
the herbal therapy for 6 days, the healing results were
satisfied. On April 4, the swelling in upper part of the body
subsided clearly and that in the legs was also reduced. She felt
more comfort in emotion. No more numb feeling in hands and feet
when she lay down or bend on the knee. She felt more energy
physically. Nore more tired feeling when she did clearing work
in office. The pain in the knee was reduced. The bloating in
belly stopped. The pain in the upper side of the belly was
improved apparently. After eat, she had slight bloating and pain
in the stomach area and on the upper side of the belly. Most of
the purpura on skin was subsiding. She still felt dry mouth and
had desire to drink warm water. She had frequent urination. To
the prescription above, added was Shendi Tan 15 g, and Qiancao
12 g for a continuous maintenance.
Comments: From the course of the
treatment of this case, it can be seen that, it is effective
when using Chaihu Guizhi Tang plus Fuzi Lizhong Tang. But it
became worse after removal of the warming Fuzi, but adding the
Blood-cooling and bleeding-stopping Danshen and Ajiao. It had
also been found that, the swelling was related to the onset and
severity of the purpura. For this reason, the use of Mufangji
Tang plus Huangqi to nourish the Qi and to deplete water, could
make the swelling dissolved and the purpura subsided. For this,
Dr. Hu made a summary that, when there was swelling, the blood
was diluted, which created chance for bleeding and for purpura.
Therefore, the swelling was must be treated. This is a special
and unique therapy for this case. However, the treatment of the
disease needs a overall analysis. The herbs sould be given based
on their indications (symptoms and clinic signs). This case
showed as Qi-blood deficiency but water overwhelming. So, the
herbal therapy should be given to nourish the Qi and the blood,
and to deplete extra water. The condition in this case is the
indication to the Mufangji Tang plus Danggui Shaoyao San plus
Huangqi. By this way, the bleeding stopped without use of any
Case 8. He XX, male, 58 years of
old. File number: 160462.
The first visit: September 20,
1965. On one day in April 1964, the patient found purpura on his
crus, during a shower. The purpura was some times worse and some
times better. From time to time, he had bleeding in stool or in
urine. He had been treated in various big hospital, but no any
improvement. On June 15, 1965, he came to the hospital where Dr.
Hu worked. Lab test showed that, his blood WBC was 2500,
platelet 85000, bleeding time 1’30”, cloting time 30”.
WBC: neutral 66%, lympha
cells 34%. Hb: 13.4 g. He was given stomach-warming, blood
circulation-activating, liver-harmanizing and
stagnation-dissolving theray fro more than 300 doses, but no
improvement. Dr. Hu was therefore asked for a consultation. The
current condition on consultation: there were purpura spots all
over the crus, which was scattered on the thighs. Some times,
the purpura could also be seen on the back of the hands. The
purpura became worse after physically exhausted (when he felt
tired), or whenever there was herb Cangzhu in the herbal
formula. He had hot feeling in the afternoon, felt dry in throat
the bitter in mouth. He had slight pain little over the naval.
The tongue cover was thin and white. The pulse was string and
thin. Dr. Hu gave him Sini San plus Siwu Tang with some
additions: Chaihu 12 g, Chishao 12 g, Zhishi 9 g, Zhi Gancao 6
g, Danggui 9 g, Chuanxiong 9 g, Shengdi Tan 30g, Guizhi 9 g,
Qiancao 18 g, Ajiao 9 g, Zicao 6 g.
Results: After the herbal therapy
for six days, the purpura subsided dramatically. Pain over the
naval was reduced. He still felt bitter in mouth and dry in
throat. To the prescription above, added was Shigao 45 g. After
one week, the low fever stopped. The Shengdi Tan was reducedto15
g. After additional half mouth, no any symptoms.
Comments: From the symptoms, there
was both hotness and cold in this case. The use of Si
Ni San and
Si Wu Tang should be regarded to match the condition. For Si Ni
San, it is stated in the book <<Shang Han Lun>>, paragraph 318,
that: “For Shaoying Bing, the person has reverse cold from the
hands and feet, and the person may have cough, or palpitation,
or difficulty in urination, or pain in belly, or diarrhea. In
this case, use Si Ni San.” In the explanation for the use of the
Si Ni San, Dr. Hu said: “This state is clearly indicating a
Shaoyang phase, but it is named as Shaoyin phase. The reason
might be: (1), the original condition belongs to Shaoyin phase,
now it develops into the Shaoyang phase (e.g. the phase between
the body surface and the inside part of the body). (2), Due to
stagnation of Hotness and Qi in the body, the blood circulation
is affected, which causes the pulse being weak, hands and feet
being reverse cold, similar to the phenomena of a Shaoyin phase
condition, so it is named as Shaoyin condition, with the aim to
remind a distinquishment diagnosis between the two similar
clinic conditions. In this case, the person had bitter taste in
mouth, dry in throat, and hot feeling in the afternoon, so it is
known that his condition belongs to the Shaoyang phase. He had
purpura in the crus, indicating that the blood circulation is
hurt. For this reason, it is proper to give him the Si Ni San
plus Si Wu Tang. In the prescription, the use of Guizhi and
Fuling bears the meaning of Guizhi Fuling Wan. With addition of
Qiancao, Zicao and Ajiao was to cool blood, to activate blood
circulation and to stop bleeding. Though the herbs used were
ordinary ones, they worked excellent for the herbs matching the
23. Though blood stagnation condition was
quite common in clinic, the herbal prescription Xia Yuxue Tang
Case 9. Yang XX, female, 30 years
At that time, it was before year
1949. The patient suffered from disease and had to lay down on
bed all the day. Her family was very poor. Her neighbour felt
pity for her, so the neighbour invited Dr. Hu to see the
patient. The patent looked very slim, with black color and tint
on her face. Her lower belly was hard, fullness and pain, when
touched. She had bowel movement once a day. The tongue was
purple and dark. The tongue cover was yellow to brown in color.
The pulse was deep and string. Dr. Hu believed that her
condition was due to a hidden dry blood clot in the lower belly.
She need a herbal therapy to urgently remove the dry clot. She
was given Xia Yuxue Tang plus Shexiang: Dahuang 15 g, Taoren 9
g, Zhechong 6 g, and Shexiang little.
Results: For her family was very
poor, she got only little bit Shexiang. She was asked to fold
the Shexiang in a gauze. Cook the herbs in water. Dip the gauze
that contained the Shexiang in the herbal extract once and then
took it out for use next time. She drunk one dose of the herbal
tea. She had a bowel movement with black and purple stool and
black water a big basin. The stomach pain was reduced, and the
appetite was improved. She was then given Xuefu Zhuyu Tang,
Guizhi Fuling Wan with some modification. After one month, her
face became white, and she got body weight, as changed into an
Comments: In this case, the
western medicine diagnosis was not clear. For her condition was
up to very severe, the Chinese medicine treated her according to
her current conditions. Only several herbs worked so excellent.
This is the characteristics of Chinese medicine. It is not an
achievement of a single doctor, but a clinic experience summary
of thousands of thousands of doctors in generations. For this,
Dr. Hu believed that, to praise Dr. Zhongjing Zhang as the
medical sage is an overpraising. It is also overpraising that
the book <<Shang Han Lun>> is the one person’s contribution. In
the development of Chinese medicine, it is important to first
of all learning the clinic experience of previous doctors.
24. The treatment of lupus
If the lupus cannot be cured with
conventional medicine, you can try the Chinese medicine. Among
the TCM, the Jing Fang would be possible to help.
Lupus is a self immunal disorder.
The disease is located in the connective tissue of the body. It
can involve the skin, mucus, blood vessels, heart, liver,
kidney, lung, brain, stomach, intestine, lympha system, and
blood, and so on. The main clinic condition of the patient are:
fever, skin rash of red color, joint pain and swelling. Most
patients have fever, especially in acute onset stage. The pattern
of the fever is irregular, which is some times high and other
times lower. The fever can last long time or short time. The
patient rarely has chilly or feels cold. The fever can subsides
after a sweat temporally. Most patients have long term low
fever. The sweat happens mostly during the day time, and less at
night. The skin rash shows more as butterfly shape on cheek, or
red color around the nail. The skin rash can also be some other
shapes, such as ring, multiple shapes, pimples,
maculopapule, or a net-shaped purple spot, etc. The skin
rash is usually worse after sunshine exposure. In addition, it
can be seen bruise spot on palm or on sole. In severe case, there
could be stenosis of the fingers and toes, or no-pain obstacle
ulcer in mouth and in throat. In more than 90% of cases, there
is joint pain, similar to rheumatoid arthritis. The swelling is
also very common. For mild cases, it may show as ache in the
lower back and slight swelling in legs. In severe case, the
patient may have headache and dizziness, even nausea and vomit,
or pitting edema with ascites in belly.
For the treatment of lupus, the
use of hormone product in western medicine has some effect.
Especially in the acute stage with high fever, it can improve
symptoms. But it does not work in some cases. In addition, the
use of hormone products has lots of severe side effects, which
are hard to correct. Therefore, many patients were told there no
any therapy to solve their problems, after they have been given
the hormone product for the treatment. At that movement, they
might come to Chinese medicine. From the clinic condition, its
onset and symptoms, lupus mostly belongs to, in Chinese
medicine, the Bi syndrome, Water syndrome, red color skin rash,
and swelling, etc. By Chinese condition diagnosis and herb
indication diagnosis, there would be some healing effect. There
are many clinic reports stating that Chinese medicine helps to
solve the side effects of hormone products, and to allow the
reduction in the dose of the hormone products. In some other
reports, it stated that the Chinese herbal therapy works to make
skin rash disappear, to reduce pain in joints, to improve kidney
function and to improve overall body condition. By six meridian
diagnosis and by use the Jing Fang, there are also healing
Case 1. Li XX, female, 32 years of
The first visit: Dec. 10, 1967.
The patient had fever, skin rash on face and on back for more
than one year. For his unknown reason fever and skin rash, she
had been visiting some hospital in Beijing, and her condition was diagnosed as
lupus. She was given hormone product treatment without clear
improvement. After introduction by a friend, she visited Dr. Hu.
The current condition at that time: she had irregular fever,
skin rash in cheek and back, which was with falling scurf
similar to psoriasis. She often had pain on the neck, back and
lower back, dry mouth and annoying feeling. She was easy to have
sweat on head. The tongue cover was thin and white. The pulse
was string, thin and frequent. The condition was diagnosed as in
Shaoyang phase, which was blood deficiency with water
overwhelming. The herbal therapy was given to nourish the blood
and to deplete water. The prescription was Chaihu Guizhi
Ganjiang Tang plus Danggui Shaoyao San: Chaihu 15 g, Huangqin 9
g, Tianhuafeng 12 g, Muli 15 g, Longgu 15 g, Guizhi 15 g,
Baishao 9 g, Danggui 9 g, Chuanxiong 9 g, Cangzhu 9 g, Fuling 9
g, Zexie 15 g, Shigao 45 g.
Results: After the herbal therapy
for six days, she felt some healing effect. After 30 days of the
therapy, the skin rash on cheek and back basically subsided. The
lab test for blood was normal. The fever was stopped. No pain on
the back or lower back. When rechecked in that hospital, the
doctors there felt very surprised and satisfied. She was asked
to keep the case file in a proper way and asked to stop the
herbal therapy. After half month however, the skin rash recurred
on cheek, without any other symptoms. She came back to Dr. Hu
again. Dr. Hu prescribed her the same herbal prescription but
Comments: It is pity that there
was no way to keep following up with this case. However, it is
not easy to make western medicine doctors felt surprising by the
short term healing effects. This case suggests that, it works
for Chinese herbal therapy in the treatment of lupus. It works
by the six Jing diagnosis, the use of Jing Fang theory. The
clinic experience of Dr. Hu is with reference value.
Case 2. Song
XX, female, 40 years of old. Worker of a manufactory.
The first visit: July 25, 1971.
The patient had skin rash on cheek for half year. Half year ago,
she went to a dentist to pull of a tooth. The dentist doubted
she might have lupus, after seeing a skin rash on the top of her
nose, in between the eyebrow. She was refused to have any
treatment for the tooth. After several times of checks, she was
diagnosed as lupus, after finding the lupus cells. She was told
that that was a hopeless disease to cure and was suggested to go
to Chinese medicine. The current condition at that time to see
Dr. Hu: there were two skin rash (red and purple color), on the
top of the nose and in between the eyebrow. There was white
crust, which looked as white frost, over the skin rash, and
which was with little liquid secretion. It felt not very itch,
but became severe after exposure to sunshine. She felt fatique,
poor appetite, and nausea some times, headache and dizziness,
and dry mouth. From time to time, she felt hot in the body but
the temperature was not high. The bowel movement and urination
were normal. The tongue cover was white with less humidity. The
pulse was thin and deep. The condition belongs to blood
deficiency and water overwhelming in Shaoyang phase. The herbal
therapy was given to nourish the blood and to deplete extra
water so to harmonize the Shaoyang phase. The prescription was
Chaihu Guizhi Ganjiang Tang plus Danggui Shaoyao San.
Chaihu 12 g, Huangqin 9 g,
Tianhuafeng 12 g, Muli 15 g, Guizhi 9 g, dried ginger 6 g,
Danggui 9 g, Chuanxiong 9 g, Zexie 15 g, Fuling 9 g, Cangzhu 9
g, Baishao 9 g, and Zhi Gancao 6 g.
The second visit: Feb. 11, 1972.
After the herbal therapy, the skin rash between the eyebrows
shrunk. Overall condition was improved. The prescription was
The third visit: June 2, 1973. The
overall physical conditions were much improved. There was only a
small spot of skin rash on the top of the nose. No any other
Comments: This case has been
followed up for two years. The data is very valuable. The
similarity with the previous case is that both case belong to
blood deficiency and water overwhelming. The difference is that,
the case 1 had annoying feeling and sweat, which was the hotness
developed from long term of water stagnation. In the treatment,
the Shigao was therefore used. From these two cases, it can be
seen that, when the lupus shows as blood deficiency and water
overwhelming, which is in Shaoyang phase, the herbal therapy to
nourish the blood and to deplete extra water, so to harmonize
Shaoyang phase, works.
Case 3. Zhou XX, male, 21 years of
old. A patient in a hospital ward.
The first time of consultation:
January 4, 1966. The patient had overall body swelling for one
year. It was diagnosed as lupus nephritis. He was told that
there was no way to cure his disease and he needed to take long
time of hormone therapy. He had been to TCM hospital in Shanghai to use herbal
therapy for three months, without any clear improvement. When he
returned back, he was admitted into the hospital ward again with
both western medicine and Chinese herbal therapy. The condition
was not improved but became worse. The dose of hormone had to be
doubled. Cortisone was 60 mg per day, with
dihydrochlorothiazide the same time. Still no any
improvement. His parents so came to Beijing to ask Dr. Hu for a
consultation. For long time intake of hormone products, his body
was severely swelling. The face is full as round moon and the
eye was as a thin line. There was often protein, red blood
cells, and white blood cells in urine. He often felt fatique.
From time to time he felt palpitation, sweat, little urine,
headache, nausea and no desire to eat. Blood pressure was
160/105 mmHg. Non-protein nitrogen was 120 mg/ml. The tongue
cover was thin and white. The tongue was red in color. The pulse
was deep, thin and frequent. Dr. Hu gave him Yuebi puls Zhu
Tang: Mahuang 18, Shigao 60 g, fresh ginger 9 g, Zhi Gancao 6 g,
Chinese date 5, and Cangzhu 18 g.
Results: After three days of
herbal therapy above, the volume of urine increased. The
swelling reduced. Nausea stopped and appetite was improved.
After herba drinking, he had dizziness and skin itch. For his
parents were also medical staff, they let other doctor see the
prescription. The doctor said it is because the dose of herb
Mahuang was too big. The herbal therapy was discontinued then.
However, the symptoms remained. They also stop to use the
dihydrochlorothiazide, then the dizziness and itch stopped, but
he started to have belly bloating, nausea, vomit, hard to eat,
headache and blirring vision. The blood pressure was 150/100
mmHg. The blood vessels in the bottom of eye became thin, with
swelling there. Dr. Hu was asked again for consultation. Dr. Hu
gave Banxia Houpu tang plus Chenpi: Banxia 12 g, Houpu 9 g,
fresh ginger 9 g, Suzi 9 g, Fuling 12 g, Chenpi 30 g. After one
dose, the vomit stopped. After two doses, the appetite was
improved. For swelling, annoyed, and poor sleep, he was given
Banxia Houpu Tang plus Zhuling Tang; Banxia 12 g, Houpu 9 g,
Fuling 12 g, Suzi 9 g, fresh ginger 12 g, Zexie 9 g, Chenpi 9 g,
Ajiao 9 g. After three days, the bloating stopped, the urine
increased and the swelling reduced. For the reduction of
swelling on face, the eye became bigger. The appetite was
improved. He could eat 20 dumplings each meal. For he still had
dry mouth, annoyed and sweat, he was asked to continue the Yubi
plus Zhu Tang. After one month, the body shape became slimmer.
The swelling was not very much. Non-protein nitrogen was 80
mg/ml. Prednisone was used 5 mg per day. The herbal tea was
still using for a maintenance.
Comments: This case was not
followed up as the case 2. The healing effect of Chinese herbal
therapy could anyway be noticed. The herbal therapy made it
possible to use very low dose of hormone. It should be pointed
out that, Dr. Hu did not treat this disease for the lupus cells
found. It does not mean that he found a herb or herbal formula
that could kill the lupus cells, to battle against allergic
reaction or to improve immune system. He, in stead, make
diagnosis according to patient’s symptoms and clinic conditions.
For this patient, he had swelling, obesity. Chinese medicine
considers he has condensed water in the body, which causes the
various symtoms. However, in each difference phase of the
disease, he had different symptoms, so the herbal prescriptions
were also different. In the beginning, he had dramatic swelling,
sweat, headache, deep-thin-frequent pulse, which was
water-overwhelming and inside-fire condition. The prescription
was Yubi plus Zhu Tang and the healing effect was pretty good.
On the second visit, he had more dizziness, nausea and bloating
in belly, which was phlegm and Qi stagnation condition. The
prescription was Banxia Houpu Tang plus Chenpi. On the third
visit, he had difficult in urine, annoyed and poor sleep, which
was inside water accumulation and loss of liquid part in the
body also. The prescription was changed to Banxia Houpu Tang
plus Zhuling Tang. On the fourth visit, he again showed Yubi
plus Zhu Tang, which made the condition became better soon. The
herbs made it possible to reduce the dose of hormone therapy. No
matter which was the diagnosis of western medicine, the herbs
should be anyway used if there is indication to use that herbs
or herbal prescriptions. This is the characteristics of Chinese
medicine. However, Dr. Hu had very deep impression to use Yubi
plus Zhu Tang for the treatment of nephronitis, and swelling. He
pointed out that it is approven in clinic experience that this
prescription works more if the swelling is due to functional
damage in kidney. It works very well for swelling and ascites
due to nephritis.
Many times it is surprising that, after subside of swelling, the
nephritis is also cured radically. For the kidney damage in the
lupus, it might also work. This needs further more observation.
25. The treatment of Lin syndrome
In most cases, the Lin syndrome is
due Hotness accumulation in the lower cavity of the body. In
clinic it can show as largely variable symptoms.
For the symptoms of the Lin
syndrome, in book <<Jin Kui Yao Luo: Xiaoke, difficulty in
urine, and Lin syndrome>>, it states in paragraph 151: “ The
syndrome of the Lin disease is: the urine is as rice soup. The
patient felt spasm in lower stomach area, which tends to expand
to the navel”. In book <<Jin Kui Yao Luo: Female and pregnancy
disease>>, it says that the Lin syndrome is “hard in urination”.
Therefore, it is known that, the Lin disease or Lin syndrome
means that, patient has frequent urination, short and harsh
urination, pain or pounch pain in urine duct, the urination is
as drops by drops, there is urine retension feeling after
urination, spasm in lower stomach or the pain can attract into
the lower back. The Lin syndrome can be seen more in the
infectious disease and stone in urinary system or chyluria. It
is a quite common disease in human history. For the cause of the
Lin syndrome, …. Most doctors believe that it is caused by Fire
in urine bladder, though there is also some that is caused by
kidney deficiency or by Qi stagnation. For the treatment, most
herbal therapies focus on Wetness-clearing and Fire-clearing
therapy. If there various
some other syndrome, it is needed to follow the six Jing
diagnosis system and further more follow the herb indication
Case 1. Ding XX, male, 36 years of
old. File number: 169559.
The first visit: August 16, 1965.
The patient had pain, bleeding in urine and pain in lower back
for three months. Three months ago during a travel in a train,
he ate chicken, drunk beer but less water. Soon later he felt
pain in belly and in lower back. The pain felt as cut or tear.
It came from time to time in a series. In the beginning, he felt
bloating in belly without urine when he drunk water. Later, he
had little urine but painful in urine duct, when drinking water.
Exam in hospital showed: a lot of red blood cells in urine under
microscope; no sign of stone in X-ray radiography. He was given
antibiotics but no any improvement. Currently, he felt pain also
on right side of back. The urine was pink in color. It was full
of red blood cells under microscope in urine sample. He had
constipation. The tongue cover was yellow-brown and dry. The
pulse was string and thin on left side, deep and thin on right
side. He was given Zhuling Tang plus Dahuang and Yiyiren:
Zhuling 9 g, Fuling 9 g, Zexie 12 g, Huashi 15 g, Ajiao 9 g,
Yiyiren 30 g, and Dahuang 1.2 g.
The second visit: Aug. 19: After
three days of treatment, the lower back pain was less but felt
more as sour and heavy. No more pain in urine duct. He felt sour
and heavy in the side of lower belly and on groves. The stool
was no longer hard but it past not easily. He was given Chaihu
Guizhi Ganjiang Tang plus Danggui Shaoyao San: Chaihu 12 g,
Huangqin 9 g, Tianhuafeng 18 g, Muli 15 g, Guizhi 9 g, dried
ginger 6 g, Baishao 12 g, Danggui 9 g, Chuanxiong 9 g, Fuling 9
g, Cangzhu 9 g, Zexie 12 g, Yiyiren 30 g, Zhi Gancao 6 g,
Sangjisheng 30 g.
The third visit: Aug. 25: After
another three days, the symptoms all subsided. However, after
detect by urine bladder endoscope and X-ray check, it was
confirmed a stone in right side ureter. He had pounching pain in
urine duct again. To the herbal prescription (Aug. 16), added
was Jinqiancao 60 g.
The fourth visit: Aug. 30: After
two days of the herbs, the urine duct felt very painful, with
difficult to pass urine. In the urine, there was blood clots and
mucus. Soon later, there was stone of soya bean size in urine.
Later, the urination became smooth.
The fifth visit: Sept. 7: No any
Comments: In the begging of this
case, the condition belonged to Wetness-Fire down-flowing. The
use of Zhuling Tang plus Yiyiren can be regarded a correct
therapy. For the pain in the right side, it can be regarded as a
sing of blood stagnation, which was an accompanying symptom. So,
a small of mount of Dahuang was used to activate blood
circulation and to clear the blood stagnation. This is one of
the characteristics in the herbal therapy by Dr. Hu. On the
second visit, for the pain in the belly, the lower back and in
the urine duct was not so much but more sour and heavy, which
can be regarded as the deficiency in the body life energy after
exhaustion by the disease. The condition belonged to blood
deficiency and water overwhelming, which was regarded as
unexpected syndrome during the disease course. He was therefore
given Chaihu Guizhi Ganjiang Tang plus Danggui Shaoyao San.
After found stone by urine bladder endoscope and later he felt
pain again in urine duct, the condition was regarded as the sign
of Wetness-Hotness down-flowing. For this, in the herbal
formula, added was Zhuling Tang plus large amount of Jinqiancao,
to help the excretion of the stone. After than, the disease was
Case 2. Han XX, female, 31 years
of old. File number: 5157.
The first visit: January 23, 1965.
The patient had “pressing nephritis” during pregnancy 13 year
ago. It subsided after birth delivery. On September 11, 1964,
she had frequent urine, urgent urine, pain in urine, pain on
lower back and bloating feeling in belly, etc. It was diagnosed
as “recurrent nephritis, acute urinary infection and urine
bladder”. She was given anti-biotics but no improvement. Therefore
she visited Chinese medicine. She was believed as kidney
deficiency with heart fire overwhelming, spleen deficiency with
Qi weakness. The corresponding herbal therapy however did not
work either. She later went to Dr. Hu. The current condition:
she had frequent urine, 50 times during the day time and 30
times more at night. Some times, the urine was continuous as
drops so that she even could not leave the urine basin. She felt
very painful in the urine duct, the hotness feeling in urine
duct too. Some times, she had blood silk or blood clots in the
urine. She felt bloating pain on the left lower back. From time
to time, she also felt bloating in belly. She had slight
swelling on legs. She often felt dizziness, palpitation, spasm
in lower stomach, and very much dry mouth. She had had history
of trichomonas vaginalis, abortion, painful menstruation. Her
tongue was red in color. The tongue cover was white. The pulse
was thin and frequent. The condition belonged to Wetness-Hotmess
down-flowing with blood stagnation. The herbal Zhuling Tang plus
Yiyiren were given: Zhuling 9 g, Fulingpi 9 g, Zexie 12 g,
Yiyiren 45 g, Huashi 15 g, Ajiaozhu 9 g, Dahuang 0.9 g.
The second visit: January 27.
After the herbal therapy for three days, the frequent urine,
painful urine, and lower back pain all were reduced. The color
of urine was no longer dark. There was no hot or burning feeling
in urine duct. She still felt lower back pain and stomach
bloating. Pulse was still thin and frequent. All suggested that,
the Fire has been removed but the Wetness remained the most
problem. She was given Shenzhao Tang: Fulingpi 9 g, Baizhu 9 g,
dried ginger 9 g, and Zhi Gancao 6 g.
The third visit: February 5: There
was no more frequent urine. The vomule of urine increased
dramatically. The lower back pain and stomach bloating were
reduced. The puse was not frequent. She was asked to take the
prescriptions above in turn.
The fourth visit: February 13: No
more pain in urine duct. She felt sour and pain in lower back
and spasm in lower stomach, after little labor work. She had
slight swelling in leg. The pulse was slight frequent again. She
was given Shenqi Wan: Shendi 24 g, Shanyurou 12 g, Shanyao 9 g,
Danpi 9 g, Fuling 9 g, Zexie 12 g, Guizhi 9 g, and Fuzi 6 g.
The fifth visit: March 11: After
drink of the herbal tea above for three days, there was no more
lower back pain. The swelling in legs subsided. The appetite was
improved. The same herbal tea was sked to continue. She had only
accasionally dizziness and lower back pain, no more other
Comments: This case of Lin
syndrome has frequent onset of symptoms for a long time. The
acute stage and the chronic stage comes and goes in turn. The
body life energy and the disease energy changed in turn too.
Therefore, the treatment needs to pay the attention to use the
herbs according to the current conditions. When it is needed to
dispel the Xie Qi, it should be used the Xie-dispelling therapy.
When the body energy is deficient, the herbs should be used to
nourish the Qi. This is the key point for the treatment.
Whenever there is stone inside but
also body surface syndrome, to release the body suface and to
dissolve water overwhelming would make a radical healing for the
Case 3. Li XX, male, 47 years of
old. File number: 17020.
The first visit: July 27, 1975.
The patient felt a mass on the upper belly for two months. For
no any discomfort, he did not go to a doctor. For recent one
month, he felt pain in the left upper belly and went to hospital
for a check. He was suspected to have a tumor. …… After various
lab test and other detect, he was diagnosed as “both side kidney
tumor? Kidney tuberculosis?” For not confirmed, he was
recommended to have a surgical treatment. For he needed to wait
for the surgical schedule, he wanted to try Chinese herbal
therapy first and went to Dr. Hu. The current at time: he had
pain and bloating feeling on the left belly. He felt dizziness
and palpitation, had sweat and disliked wind. He felt dry mouth
and had desire to drink. After drink, he still felt thirsty but
had water noise in the stomach. He had frequent urine, pain in
urine duct. His tongue cover was white. The plus was floating
and frequent. The heart beat was 100 time per min. This
condition belonged to body surface weakness, water overwhelming
in stomach, depletion of body liquid, and blood stagnation. All
of the conditions indicated the Wuling San, Zhuling Tang plus
Dahuang: Zhuling 9 g, Zexie 15 g, Cangzhu 9 g, Fuling 9 g,
Guizhi 9 g, Huashi 30 g, Ajiao 9 g, Dahuang 3 g, Yiyiren 30 g.
Results: After the herbal therapy
for two days, the urine was increased. There were big stone in
urine of green bean size. After three doses, there were
continuous stones in urine as sands for four to five days. The
mass in the stomach disappeared. No more any other symptoms.
Following up for five years found nothing wrong.
Comments: The stone disease
locates inside of the body. Generally speaking, in the
treatment, the attention is paid mostly on the inside
conditions, without more attention to dispel Xie Qi in the body
surface condition. Dr. Hu. Based on the six Jing diagnosis and
herbal indication diagnosis, naturally pays attention to the
dispelling of Xie Qi in the body surface phase. As it is
commonly known that, the formation of stone in the body is
associated with the Wetness (Water, condensed water)
down-flowing. However, during the dispelling of the Wetness
should not omit the possible exist of external Xie Qi in body
surface phase. During the lecture on the prescription Guizhi
Tang, Da Qinglong Tang, Wuling San and Ling Gui Zhu Gan Tang,
Dr. Hu emphasized again and again that, whenever the Water stops
in the stomach, or in the inside of the body, there would be
block inside. In this case, the body surface layer is neither
released. Therefore, if not to dispel the water, the body
surface-releasing therapy would not work; if only use the
surface-releasing therapy, so to create a sweat, the inside
water would be stirred up to create various unexpected syndrome.
At such condition, the correct way is to use the body
surface-releasing therapy and the water-dispelling therapy the
same time. In the case here, he had both clear and strong
external Xie Qi in the body Taiyang phase, and inside Wetness
and inside water overwhelming, as well as dificiency in body
liquid portion, and blood stagnation. For the treatment, the
body surface-releasing, the wetness-dispelling, the
liquid-nourishing, and blood stagnation-dissolving therapy, all
must be used. This is the indication for Wuling San and Zhuling
Tang plus Dahuang. In the herbal prescription, there was no
specific herbs to improve the stone movement, but after drink of
the herbal tea, the stone comes out along with the
wetness-dispelling and body surface-releasing. Similar cases as
such can be found in many case records by Dr. Hu.
The Lin syndrome belongs to inside
condition, in which the Yang Qi is weak. To warm the Yang Qi and
to dispel the Water work well.
Case 4. Wang XX. Female, 75 years
of old. File number: 15398.
The first visit: August 20, 1964.
The patient had frequent urine, leak of urine for three month.
Last year in March, she had frequent urine, pain in urine, and
urgent urine. She was diagnosed as infections in urine bladder
and she was given antibiotics for treatment. The symptoms went
away. This year in May, she had the same symptoms again but
antibiotics did not work at all this time. For a long time use
of western medicine, she had poor appetite, nausea, and
dizziness, all which forced her to visit Chinese medicine. She
had been given herb Mutong, Cheqianzi, Huangbo, Yizhiren,
Sangpiaoxiao and Qianshi, etc. without any clear improvement.
The current condition when she saw Dr. Hu: she had frequent
urine, leak in urine, and continuous drop of urine after
urination. She felt numb in lower stomach, palpitation,
dizziness, nausea, poor appetite, chilly, reverse cold feeling
in hands and feet, and numb and bloating feeling in lower
stomach. Her tongue cover was white and wet. The tongue was
slight dark red in color. The pulse was deep, thin and slow. Her
condition belonged to inside Cold Water stagnation. The herapy
was to warm the Yang Qi so to dissolve the Cold water. The
herbal prescription was Zhenwu Tang: Zhi Fuzi 9 g, fresh ginger
9 g, Fuling 9 g, Baizhu 9 g, and Baishao 9 g.
Results: After the herbal therapy
for one day, the nausea and dizziness stopped. The appetite was
improved. The frequent urine was no more. After three doses,
there is no any symptoms.
Comments: No matter for acute or
for chronic Lin syndrome, there would be either a Fire or a Cold
condition. This case
belongs to Cold condition without apparent body surface
syndrome. It is a Taiyin phase condition with inside Cold and
weakness condition. The formation of some chronic disease is due
to in time treatment, or improper treatment, which exhaust body
liquid portion and body Yang Qi, so as to form the inside cold
and weakness condition. There were two paragraphs in the book
<<Shang Han Lun>> to indicate such inside water condition
transforms into inside cold and weakness condition, due to
improper sweat therapy. …When a Lin syndrome is with the body
surface condition and also inside water condition. We have
already discussed above the importance to release the body
surface and to dispel the inside water the same time.
26. Treatment of Prostatitis.
Prostatitis can show various
symptoms. For the treatment, the correct and precise diagnosis
is very important for a radical cure.
Prostatitis is quite common in
clinic. It can be in a either acute or a chronic stage. For the
acute prostatitis, the clinic manifestation is the urgent urine,
frequent urine, pain in urine duct, bloating and heavy feeling
and pain in the perineal region, which could expand to the lower
back, the penis, and groin. The person could have fever,
cold-dislike feeling, headache and body muscle pain, etc.,
similar to the acute Lin syndrome above. The lab test for the
prostate fluid can show pus cells. Finger
test on colon can find enlarged prostate,
which feels hot or burning hot, and pain on touch, or feels a
kind of floating feeling on the prostate. If the pus mass is
broken, there could be thin pus fluid, of bad odor, when the
prostate is pounched through the urine duct, colon, or perineal
area. After that, the whole body symptoms could subside. The
clinic manifestation of chronic prostatitis is sluggished
urination, frequent urine, urgent urine, burning sensation in
urine duct when passing the urine, or pain in urine duct, or
bleeding in urine, or difficulty in urination, or continueous
drops by drops after urination, or there is white fluid from
urine duct at the end of urination or during bowel movement. The
person may feel falling-bloating pain in perineal region, which
may attract to the penis or testis, or feel pain in the lower
belly, groin or inside part of thigh. For the severity of the
disease is variable, and the disease history is long or short,
the clinic condition is also very variable. The common body
symptoms could be fatique, dizziness, hot feeling in inside of
the chest, in palm and in sole, poor sleep, heavy dream, sour
sensation in the knee and weakness in the lower back, disorder
in sexual ability, such as impotency, spermatorhea, or premature
ejaculation, etc. It is worthwhile to pointed out that, there
are many patients who have very little clinic symptoms or almost
no symptoms. They come to doctor for their spermatorhea or
premature ejaculation. The diagnosis of prostatitis is confirmed
only after various tests or checks above. Generally speaking,
the lab test for prostate fluid is sufficient to establish the
In old Chinese medicine history,
there is no term of prostatitis. However, the similar clinic
conditions were described in medical literatures. In Chinese
medicine, the acute prostatitis belongs to the “hanging
carbuncle”. The chronic prostatitis belongs to …. From this, it
can be seen that the prostatisis would have various clinic
conditions/syndromes. For the treatment, it should also be paid
attention to make correct six Jing diagnosis and precise herbal
indication diagnosis to reach a radical cure.
Case 1. Li XX, male, 46 years of
old. File number: 121641.
The first visit: May 31, 1965. The
patient had a history of chronic prostatitis. For the recent one
week, he had dizziness and headache. He felt fever and disliked
cold, no sweat, but fatique and weak in arms and legs. He drunk
two doses of Sangju Yin with some modification, the fever
remained. For there being urgent urine, pain in urine and cloudy
urine, he was given Bazhen San with modification. The symptoms
remained no improvement. Today, he still felt fever and chilly,
sour in whole body, and fullness and choking feeling in the
chest. He had sometimes sweat, urgent urine, pain in urine duct,
and cloudy urine. The body temperature in the afternoon was 38C.
The bowel movement was normal. The urine was yellow to red in
color. The tongue was pink with purple spots. The tongue cover
was white and greasy. The pulse was thin, slippery and frequent,
with floating feeling on the left side. The lab test for the
urine: Lots of WBC, RBC 8-10. His condition seemed to be the
Wetness-Hotness down-flowing, but the herb Bazhen San did not
work. It imples that there must be something hidden there. After
detailed consultation, he said, he felt bitter in mouth,
fullness and chocking feeling in chest. From the state in the
book <<Shang Han Lun>>, paragraph 263, “if patient has no body
surface syndrome, but fever for seven to eight days, and if the
pulse is floating and frequent, the bowel movement-stimulating
therapy can be used.”, it can be realized that, his condition
belongs to the Wetness-Hotness chocking inside, which is the
indication for Dai Chaihu Tang plus Zen Yi Chenqi Tang. The
herbs so given were: Chaihu 12 g, Baishao 12 g, Zhishi 9 g,
Banxia 9 g, Huangqin 9 g, fresh ginger 9 g, Chinese date 4,
Dahuang 6 g, Zhi Gancao 6 g, Shengdi 15 g, Maidong 12 g,
Xuanshen 12 g, and Shigao 60 g.
Comments: After the herbal therapy
for two days, the fever subsided. For he still having pain in
urine duct and urgent urine, the herbal prescription was changed
to Zhuling Tang plus Dahuang. This new prescription was
continued for six days. All symptoms disappeared.
Comments: For this case, the
disease location is in the prostate, but the condition is
located in the Shaoyang and the Yangming phases, as well as with
depletion of body liquid portion. At this movement, if the
Wetness-clearing therapy is used alone, there would be more
depletion of the liquid portion, which would make the Xie Qi
sticking more tight inside of the body so as to damage more body
defense energy. This further more may make the local prostate
developing into pus mass, even to form fostula. Dr. Hu, based on
the Mater Zhongjing Zhang, the Jing Fang system, in the
diagnosis. His diagnosis was correct and precise and the herbs
used matched the clinid conditions. The herbs used cleared the
inside Fire and harmonized the in-between phase of the body, as
well as nourished the body liquid portion, therefore, the herbs
worked to reduce the body temperature. Additional herbal
prescription worked to clear the remaining Xie Qi, so all the
Case 2. Liu XX, male, 45 years of
old. File number: 137865.
The first visit: March 9, 1966.
The patient started to have fever and pain in urine duct on
February 25, 1966. His condition was diagnosed as acute onset of
chronic prostatitis. He had been given western medicine for
treatment for one week. For no clear improvement, he went to
Chinese medicine for help. He had been given spicy-cooling herbs
to release the body surface, and herbs to clear the Wetness and
the Hotness. He got more sweat and the other symptoms remained
the same. The current condition when he visited Dr. Hu: sweat,
wind-disliking, headache, pain in the body, bitter in mouth,
chocking feeling in chest, pain in the lower back, dry stool,
red urine, and pain in the urine duct. His tongue cover was thin
and white. The pulse was thin, string and slippery. This was a
condition, in which the body surface syndrome remained and the
inside Fire was overwhelming too, showing a threeYang co-exist
phases. It is the indication for Chaihu Guizhi Tang plus Huangqi
and Shigao: Chaihu 12 g, Huangqin 9 g, fresh ginger 9 g, Banxia
9 g, Dangshen 9 g, Chinese date 4, Guizhi 9 g, Baishao 9 g,
Huangqi 15 g, Zhi Gancao 6 g, and Shigao 45 g.
Results: After the herbal therapy
for three days, the headache and pain in the body subsided. The
sweat and wind-dislike feeling reduced. To the prescription
above, added was Yiyiren 18 g, and Maidong 12 g. After another
six doses, all the symptoms disappeared.
Comments: In this case, there was
dry stool, red urine and pain in the urine duct, all of which
seemed to be inside Fire overwhelming condition. Dr. Hu,
however, noticed that the patient had wind-dislike feeling,
sweat and pain in the body, diagnosed it as body surface
weakness condition. When the body surface is weak, the Yin and
Wei Qi in the body surface were weak, so which implies that the
stomach is also weak, so that the inside Fire is a weak fire,
not a overwhelming fire. It is therefore the condition for
Chaihu Guizhi Tang plus Huangqi and Shigao. After the herbal
therapy, the body surface was released, the in-between phase was
harmonized and so the symptoms disappeared. The herbal therapy
did not focus on the anti-inflammation, while the inflammation
subsided any way.
Case 3. Wang XX, male, 30 years of
old. File number: 3341 (Capital airport file series)
The first visit: June 11, 1966.
The patient suffered from chronic prostatitis for half year. He
took western medicine and Chinese herbal therapy for the
treatment. There was no improvement. The current condition when
he saw Dr. Hu: He had pain in the lower back, felt pain in the
lower stomach from time to time, or felt falling and bloating
pain in testis, or harsh pain in the urine duct. When he had
bowel movement, there was white, milk-like fluid out of urine
duct. The urine was frequent and the volume was less. The urine
was red and yellow in color. He felt dry mouth and had desire to
drink. The tongue cover was white with greasy on tongue root.
The pulse was string and slippery. His condition was believed to
belong to Wetness- and Blood-stagnation in prostate. The herbal
therapy was to clear the Wetness and to dissolve the blood
stagnation. He was given Zhuling Tang plus Yiyiren and Dahuang:
Zhuling 9 g, Zexie 12 g, Huashi 12 g, Yiyiren 30 g, Ajiao 9 g,
and Dahuang 3 g.
Results: After the herbal therapy
for only two days, the all symptoms reduced dramatically. For
strong pain in the lower back, the prescription above was used
together with Chaihu Guizhi Ganjiang Tang for half month. After
that, all the symptoms subsided basically.
Comments: Dr. Hu often uses the
Zhuling Tang (with some modification) for the treatment of
pyelonephritis, cystitis, acute or chronic prostatitis, or
inflammation in urinary system. The main point for the herbal
indication diagnosis is thirsty, e.g. there is inside Fire
condition. For this case, though there was pain in the lower
back, the person had no clear body surface syndrome, but the
thirsty, desire to drink, pain in the urine duct and yellow
urine, all of which suggested the Wetness and Hotness with blood
stagnation. So, he used the Zhuling Tang plus Yiyiren and
Dahuang for the treatment.
Case 4. Fang XX. Male. 43 years of
old. Fine number: 132645.
The first visit: December 7, 1965.
The patient had continuous drops of urine after urination,
frequent urine, and contracting sensation of testis for three
months. The lab test for prostate fluid showed WBC 15-20,
normal corpusclesoflecithin ( ). It was diagnosed as chronic
prostatitis. He was given western medicine treatment, but the
effect was not dramatic. Later, he was referred to Chinese
medicine and he drunk herbal tea to nourish kidney, and to relax
liver. The symptoms were not improved but worse. The current
condition when he visited Dr. Hu: he often felt lower back pain,
poor urine, urine retension feeling after urination, frequent
urine and lower stomach spasm after eat. He also felt
hanging-swing sensation in heart, dizziness and contracting
sensation in the testis and penis. He felt chilly and more
dizziness. The tongue cover was white and the pulse was thin and
string. His condition was to be external Cold and internal Water
overwhelming. He was given prescription Wuling San: Guizhi 9 g,
Fuling 12 g, Zexie 15 g, Zhuling 9 g, and Cangzhu 9 g.
Results: After the herbal therapy
for three days, the symptoms all reduced. After six days, no any
Comments: The front perineal
region is the accumulating area for Zong tendons, which is
associated and dominated by the liver and kidney. Usually, once
there is contracting feeling in the perineal region, the liver-
and kidney-nourishing therapy should be considered. This case,
however, is due to attack by Water inside, as well as is
accompanied by external Cold. In this case, the nourishing
therapy would stirs the inside water, to make the water reverse
rushing up to cause hanging-swing feeling in heart, dizziness,
and blirring vision. The body defense energy and the Xie energy
combat together, so both the body surface and the inside are in
an stress stage, and so the body feels chilly and spasm in
stomach, testis and penis. At this time, the correct therapy
should be to release the body surface and to dispel the water,
the same time. This is exactly the function of Wuling San. From
this case, it can be seen that, in case 3 and this case 4,
though both being chronic prostatitis, for their difference in
clinic conditions, the herbs used are also different. Whether
Chinese herbal therapy works or not, depends on the disease
nature diagnosis and also the herbal indication diagnosis. This
needs always be remembered.
Case 5. Chen
XX, male, 36 years of old. File number: 196986.
The first visit: July 30, 1967.
The patient often had falling and bloating sensation or pain in
the perineal region, since 1963. His condition was diagnosed as
chronic prostatitis by western medicine. He had been given both
western medicine and Chinese herbal therapy for the treatment,
but no any clear improvement. For the recent one month, the
symptoms became worse. He felt bloating feeling in the perineal
region, which was worse at night, so as to affect sleeping. From
time to time, he felt spasm and pain in lower stomach, sour and
weak in the lower back and in the knee. He felt continuous drops
of urine after urination. There was white fluid flowing out of
penis after urination or after bowel movement. His tongue was
white. The pulse was deep, string, and thin, with slippery
feeling on the Chi position. This condition belonged to inside
weakness and Cold. It was the indication of Xiao Huixiang
Sangpiaoxiao Wuyao Tang: Guizhi 9 g, Baishao 18 g, fresh ginger
9 g, Chinese date 4, Zhi Gancao 6 g, Yitang 60 g, Xiao Huixiang
9 g, Sangpiaoxiao 9 g, and Wuyao 9 g.
Results: After the herbal therapy
for six days, the falling sensation and pain in the perineal
region was reduced. To the prescription, added were Yiyiren and
Zhuling. It was continued for one month. All the symptoms
Comments: It is stated in the book
<<Jin Kui Yao Luo: Blood Bi syndrome and exhausting disease>>,
the paragraph 13 that, if the person has weakness, exhausted
condition with spasm sensation in stomach, palpitation and
nose bleeding, pain in stomach, loss of sperm fluid
during dream, sour in arms and legs, hot feeling in palm and
sole, dry mouth and throat, use Xiao Jianzhong Tang for the
treatment.” It is mostly referring to the stomach pain due to
inside weakness and cold condition. Many patients with chronic
prostatitis have also such weakness and inside cold condition,
indicating the use of Xiao Jianzhong Tang. The use of this
herbal prescription usually works well.
27. Impotency might be caused by
Xie Qi attack. The use of kidney-nourishing therapy might only
make the condition worse.
Case 6. Bai XX, male, 35 years of
old. File number: 163411.
The first visit: June 23, 1965.
The patient had poor sleep since 1961, which became worse and
worse. He felt dizziness, tinnitus, premature ejaculation,
spermatorhea and poor urine. The western medicine diagnosis was
chronic prostatis and nervous exhaustion. For no healing effect
by the western medicine, he went to Chinese medicine. He was
given Renshen Yangrong Wan, Quanlu Wan, etc. There was no effect
either. The symptoms were worse and worse. The current condition
when he visited Dr. Hu: He had poor sleep, sweat at night and
during day time, cloudy mind and bloating sensation in head,
tinnitus, dizziness, feeling to vomit, dare not to open eyes,
palpitation feeling in lower stomach region, premature
ejaculation, and spermatorhea three times a week. The tongue
cover was white, with thick cover at tongue root portion. The
pulse was deep, thin and frequent. This is a condition, in which
the body Yang Qi is deficient in the perineal region, so the
false fire reversing up. It is the indication for Guizhi Longgu
Muli Tang: Guizhi 9g, Baishao 9g, Baiwei 9 g, fresh ginger 9 g,
Chinese date 3, Longgu 15 g, Muli 15 g, Fuzi 9g, and Zhi Gancao
Results: After the herbal therapy
for six days, the sleep was improved, with only once
seprmatorhea. On July 2, he himself turned to another doctor and
changed herbal prescription to use Zhibo Dihuang Wan. The
spermatorhea and tinnitus became worse. He returned to Dr. Hu.
Dr. Hu gave him the previous prescription with the addition of
Suanzaoren. After two months, the spermatorhea stopped. The
premature ejaculation reduced. The tinnitus remained. He was
given Suanzaoren Tang for months. The symptoms gradually
Comments: The prostatitis usually
causes disorders in sexual function, such as spermatorhea,
premature ejaculation and impotency, etc. To solve these
problems, of course the prostatitis should be treated. For the
treatment of prostatitis, the diagnosis is needed. In this case,
it has been evidenced in the beginning and during the treatment
that to give kidney-nourishing therapy right away is not a
proper way, after seeing the spermatorhea and premature
ejaculation. It is needed to make sure the nature of the
disease, and cause for the prostatitis, and so to give
corresponding herbs. In this case, for a long term of poor
sleep, sweat at night and during the day, the body external
defense system is weak, so external Xie Qi is easy to attack the
body. For a long time, the body develops into Yang deficiency in
the lower portion of the body, but floating false Fire on the
upper portion of the body. For the treatment, it is needed to
use herbs to re-balance the Yin and Wei Qi so as to dispel Xie
Qi out of the body, and at the same time, to use herb Fuzi to
warm-nourishing the lower portion of the body, by use of Baiwei,
Longgu and Muli to attract the floating false fire down. By this
way, it is possible to solve the prostatitis, as well as the
spermatorhea and premature ejaculation.
Case 7. Cang XX, male, 30 years of
old. File number: 98603.
The first visit: February 28,
1963. The patient had impotency, premature ejaculation for four
years (since marriage). He had been given both western medicine
and Chinese herbal therapy for the treatment, but no
improvement. He was diagnosed to have chronic prostatitis. He
was given for Gui Fu Dihuang Wan and still no improvement. The
current condition when he visited Dr. Hu: impotency of penis.
The penis could erect but not hard enough. It could not last for
longer time, so there was premature ejaculation. There was
leakage of sperm fluid whenever seeing a sex photo or picture,
or had sexual mind. There was white fluid out of penis, before
or after bowel movement. He felt sour in lower back, and
tinnitus. The tongue cover was white. The pulse was string and
thin. The condition was diagnosed as dis-harmany between the
Yin and the Wei Qi in the body, with hotness in the upper
portion of the body, but cold in the lower part of the body. For
the treatment, the herbs should work to harmany the Yin Qi and
the Wei Qi, to warm the lower part but cool the upper part of
the body. It was the indication for Guizhi plus Longgu and Muli
Tang: Guizhi 9 g, Baishao 9 g, fresh ginger 9 g, Chinese date 4,
Baiwei 9 g, Chuan Fuzi 9 g, Longgu 24 g, Muli 24 g, and Zhi
Gancao 6 g.
Results: After the herbal therapy
for three days, the tinnitus reduced dramatically. The sperm
fluid leakage with sex stimulation and the white fluid out of
penis during bowel movement were also reduced. To the
prescription above, added was Si Ni San. After this new
prescription for six days, the symptoms were improved, with
occasional tinnitus and sour on lower back. The emotion was
improved too. He was given Si Ni San plus Danggui Shaoyao San,
Er Jia Longgu Muli Tang. After six days, the impotency was
Comments: The patient had long
term of chronic prostatitis, with impotency and premature
ejaculation, which indicating that the Yang Qi is weak in the
lower part of the body and false Yang floating in the upper part
of the body. The point is that, the Yang is not sufficient to
seal. For such clinic condition, doctors in old time had had
quite mature experience in the treatment. …… The aim to use the
Guizhi plus Longgu Muli Tang is to warm the lower cold, and to
harmany the Yin and Wei Qi in the body, to attract the floating
Yang and to dive it into the lower part of the body (the Yin).
The Yang functions to seal and the Yin functions to hold, so to
seal the sperm fluid from leakage. Again, for this patient, for
a long time disease, he felt poor emotion. Therefore in the
later treatment, the Si Ni San was used to release and to dredge
the liver Qi, so to make the Yang Qi circulate smoothly. To
treat chronic prostatitis as such allows also for the improvement
of premature ejaculation and impotency.
28. The treatment of nephritis
Here the nephritis we are going to
discuss refers to the acute glomerulo nephritis and chronic
glomerulo nephritis. It refers to the acute or chronic nephritis
after an immunal disorder following inflammation by
streptococcus. In clinic, there is swelling, and low volume of
urine. Under the microscope for urine test, it can be seen RBC,
tubes and there is protein in the urine. The person could have
high blood pressure and so on. This disease belongs to the Water
disorder in Chinese medicine. In the book <<Jin Kui Yao Luo:
Shui Qi Bing>>, paragraph 1: “The water disorder can be
separated into wind water, skin water, Zhen Water, stone water,
and yellow sweat.” Which kind of water disorder the nephritis
belongs to? On the paragraph 5, it stated: “for the inside water
disorder, the person has yellow color on the face, eyes and skin
all over the body. The pulse is deep, the urine is poor, so to
cause the water disorder; if the urine is easy to pass, to cause
loss of body liquid portion and the person feels thirsty, use
Yuebi plus Zhu Tang for the treatment.” The acute or chronic
nephritis are usually with this condition. For the inside water
disorder, some doctors believed that it should mean “skin water”
or “surface water”. They think that, the Yuebi Jia Zhu Tang works
to external Xie attack and inside water overwhelming and if the
person has inside water overwhelming, there should have no
external Xie attack. Actually, the “inside water” here should
mean “the water comes from inside, e.g. due to poor urination.”
Therefore, in the water disorder, there is water overwhelming
inside and also external Xie Qi in the body surface phase, which
is just the common seen phenomenon in the nephritis. It does
not mean that the inside water condition means the nephritis.
During the course of nephritis, there could be various clinic
manifestations, so there could be various herbal indications too.
For the treatment of nephritis, it is not importance for the
term “nephritis”, but for the herbal indications. For example
in the book <<Jin Kui Yao Luo: Water Qi Bing>>, paragraph 20: it
states: “For the Wind water condition, the person’s pulse is
floating. The person feels heavy in the body, sweat and dislikes
wind. In this case, use Fangji Huangqi Tang.” In paragraph 21:
“in the Wind water condition, if the person feels dislike wind,
has swelling all over the body, the pulse is floating and the
person does not feel thirsty, and has no strong hot feeling, use
Yubi Jia Zhu Tang for the treatment.” These two paragraph both
discuss the treatment of Wind water condition. The first one
talks about body surface weakness condition and the later one
discuss the body surface overwhelming condition. For the body
surface is different in the weakness and the overwhelming, the
herbs used is different. The previous herbal prescription works
to enhance the body surface and to dispel water and the later
prescription works to create sweat and to dispel water.
There are many herbal
prescriptions that can be used for the treatment of nephritis.
For example, if the person has swelling in the arms and
water Qi is located in the skin, the arms and legs shaking
slightly, the condition belongs to body surface weakness and
inside water overwhelming. It is the indication for Fangji
Huangqi Tang. If the person has sour in the lower back, swelling
in the arms and legs, dizziness, palpitation, the disease is
located in-between the body (middle layer of the body). It is a
blood deficiency and water overwhelming condition. It is the
indication for Chaihu Guizhi Ganjiang Tang plus Danggui Shaoyao
San. If the person, after a long time of disease, has swealing
and cold feeling in the arms and legs, poor urine, discomfort in
the lower stomach region, showing Yang deficiency and water
overwhelming, it is the indication for BaWei Wan… There are lots
of herbal formula to use.
Case 1. Yu XX. Male. 35 years of
old. File number: 7246.
The first visit: July 5, 1965. The
patient had chronic nephritis for two years. He had been
admitted in hospital for the treatment for three months without
improvement. He asked to leave the hospital to try Chinese
herbal therapy. He had swelling all over the body. He felt tired
in the arms and legs, pain in the lower back, and no thirsty in
mouth. The content of urine protein was fluctuated. The tongue
cover was thin and white with yellow in the root. The pulse was
deep and string. He was given Yubi Jia Zhu Tang: Mahuang 18 g,
Shigao 45 g, fresh ginger 9 g, Chinese date 4, Zhi Gancao 6 g,
Cangzhu 12 g, and Fuling 9 g.
Results: After the herbal therapy
for three days, the amount of urine increased, the swelling
reduced. He felt light in the body. He decided to continue the
herbal prescription and continued for three months without any
change of the prescription. After that, the swelling subsided.
Urine protein was (-).
Comments: This is typical case of
“inside water” condition, e.g. the Yuebi Jia Zhu Tang. Though the
disease course was several years, the condition was still the
external Xie in the body surface and water overwhelming inside.
Therefore it is the indication for Yuebi Jia Zhu Tang and it
worked well. Dr. Hu said that, this prescription works not only
to improve the symptoms, but also to improve kidney function.
This is the experience, not only a guess. It should be pointed
out that, this patient continued the prescription by him self
for three months. Though it is due to the prescription worked so
no need to change the herbs, it was continued for the symptoms
did not change to new ones. Therefore, once the herbs match the
body condition, they work very fast. If there is new symptoms or
if the symptom become changed, the herbs should also be changed
Case 2. Ma XX,
female, 12 years of old. File number 171525.
The first visit: September 4,
1965. The patient had swelling on the face three days ago. She
felt dizziness and bloating sensation on the head, no desire to
eat. She had constipation with dry stool. The urine was yellow
and little in volume. The tongue cover was thick, white. The
pulse was string and frequent. The blood pressure was 150/100
mmHg. Protein in urine was ( ). Her
condition was diagnosed as acute nephritis. She was given
Yuebi Jia Zhu Tang: Mahuang 18 g, fresh ginger 9 g, Chinese date
4, Zhi Gancao 6 g, Cangzhu 24 g, and Shigao 60 g.
The second visit: September 6.
After the herbal therapy for two days, the swelling subsided. She
still felt dizziness and had strong cough, felt fullness and
chocking feeling in the chest, no desire to eat. The tongue
cover was white with yellow in the root. The pulse was thin and
frequent. She was given Xiao Chaihu Tang plus Ma Xing Shi Gan
Tang: Chaihu 9 g, Huangqin 9 g, fresh ginger 9 g, Banxia 9 g,
Chinese date 4, Dangshen 6 g, Mahuang 6 g, Xingren 9 g, Zhi
Gancao 6 g, Chenpi 9 g, and Shigao 60 g.
The third visit: September 8.
After the herbal therapy for three days, the cough subsided, the
bloating feeling in chest was reduced. She still felt dizziness
and had dry stool. Blood pressure was 110/70 mmHg. She was given
the same prescription, but removal of Mahuang, with addition of
Houpu 9 g and Zhuling 9 g.
The fourth visit: September 13.
After the herbal therapy, the dizziness disappeared. No any
other symptoms, though the pulse was frequent and the tongue
cover was white, and urine wasy yellow. She was given Danggui
Shaoyao San plus Zhuling Tang plus Shigao: Danggui 9 g, Baishao
6 g, Chuangxiong 9 g, Fuling 9 g, Zexie 9 g, Cangzhu 9 g,
Zhuling 12 g, Huashi 12 g, Shigao 30 g.
The fifth visit: September 17. No
any discomfort. Urine protein (-).
Comments: This case had short
history of disease, but had various changes in the symptoms, so
the herbal prescriptions were changed according to the clinic
conditions. In addition, from the beginning of the disease, she
had been treated by Chinese herbal therapy, no by western
medicine with hormone therapy. That the recovery of the disease
was so fast might be also related to this fact. Hope that all
the patients with nephritis could be treated as such.
If there is evidence of Xie Qi in
the body, it should be careful to use the nourishing therapy in
the treatment of nephritis. If the condition is pure weakness
condition, no hesitate to use the nourishing therapy.
Case 3. Song XX. 19 years of old.
The first visit: July 26, 1966.
The patient had sour throat, fever, chilly, slight cough for 6
days. He took Aspirin but the fever remained. After he had red
color in urine and little urine, he went to hospital, where he
was diagnosed as a common cold. The treatment given to him did
not work either. The fever remained, followed by swelling on eye
lids, swelling on legs, headache and reduced urine even no
urine. The body temperature was 38 to 38.5 C. Lab test for urine
showed protein ( ), WBC in full view, tubes 2 – 4. He was
asked to admit into the ward for treatment. No poor financial
status, he only took the muscle injection for one day. The fever
subsided but any other symptoms remained the same. He was
introduced to see Dr. Hu. The current condition: He had swelling
on face, eyes and legs. He felt headache and dizziness, fever
and chilly, slight pain in lower back, and little volume and
yellow urine. The tongue cover was thick and white. The pulse
was thin, slippery and frequent. He was given Yuebi Jia Zhu
Tang: Mahuang 18 g, Shigao 60 g, fresh ginger 9 g, Chinese date
4, Zhi Gancao 6 g, and Cangzhu 12 g.
Results: After the herbal therapy,
the swelling reduced dramatically. The volume of the urine
increased. After three days, the swelling disappeared
completely. After six days, the urine protein was ( ). He still
felt sour in lower back and fatique. He was given Chaihu Guizhi
Ganjiang Tang plus Danggui Shaoyao San: Chaihu 9 g, Huangqin 9
g, Tianhuafeng 12 g, Guizhi 9 g, dried ginger 6 g, Danggui 9 g,
Baishao 9 g, Chuanxiong 9 g, Zexie 9 g, Cangzhu 9 g, Fuling 9 g,
Zhi Gancao 6 g. The herbal tea was drunk for one month. Urine
protein was (-). After one month break, he returned to work. On
December 6, 1966, the following up showed urine tests were
normal. He felt comfort.
Comments: For this case, in the
beginning, the condition was external Xie Qi attack and water
overwhelming inside. He was given Yuebi Jia Zhu Tang. When the
swelling was no longer apparent but the condition showed blood
deficiency and water overwhelming, the prescription changed to
nourish the blood, to warm Yang Qi and to dispel the Water.
Yao XX. Male. 23 years of old. File:
The first visit: December 11,
1965. Since May this year, the patient was found to have
glomerulo nephritis. He was given vitamins,
quinoline, and cortisone but no any effect. The current
condition when he visited Dr. Hu: Swelling, sour in lower back,
fatique, short of breath after little physical work, poor
appetite, dizziness, dry mouth with desire to drink. The urine
was little in volume and yellow in color. The tongue cover was
white and greasy. The pulse was deep, thin and slippery. Urine
density was 1.020. Urine protein was ( ), RBC 15-20, tubes
2-3, WBC 1-3. He was given
Chaihu Guizhi Ganjiang Tang plus Danggui Shaoyao San:
Chaihu 12 g, Guizhi 9 g, Huangqin 9 g, Tianhuafeng 12 g, Muli 15
g, dried ginger 6 g, Danggui 9 g, Baishao 9 g, Cangzhu 9 g,
Chuanxiong 9 g, Zexie 9 g, Fuling 9 g, Zhi Gancao 6 g.
Results: After the herbal therapy
for 6 days, the lower back pain and fatique were improved. He
still had swelling, poor appetite, less urine. The current days,
he had dizziness, nausea, sweat and strong wind-disliking
feeling. He was given Fangji Huangqi Tang plus Mufangji Tang:
Huangqi 12 g, Guizhi 9 g, Fuling 9 g, Mufangji 9 g, Dangshen 9
g,fresh ginger 9 g, Shigao 45 g, Cangzhu 9 g, Zhi Gancao 6 g.
After six days, the urine increased in volume. The swelling,
sweat, wind-disliking feeling, and lower back pain, all were
improved. Nausea stopped. After two months of the continuous
herbal therapy, all the symptoms were improved. He felt
occasional dizziness. Urine test showed urine protein ( ), tube
0-1, RBC 1-8. It is still under treatment.
Comments: For this case, from
beginning, it was a Qi- and Blood-deficiency condition. He was
given Chaihu Guizhi Ganjiang Tang plus Danggui Shaoyao San to
nourish the blood and to deplete water. After six doses, though
having some healing effect, the symptoms did not change
dramatically. After further diagnosis, it was believed to be
body surface weakness with overwhelming inside. His prescription
was changed to Fangji Huangqi Tang plus Mufangji Tang, which
improved the symptoms dramatically. However, the kidney function
was not further more improved after a long time of herbal
therapy. The possible reason for this might be: for the chronic
nephritis, it is needed to have long time treatment; or once
patient has had hormone therapy, the Chinese herbal therapy
would be hard to show effect. Whether this is true needs further
29. The treatment of headache
The headache is more seen in
Taiyang phase. However, it should also be paid attention to
identify if there is co-exist other phase.
Headache is quite common in
clinic. It can be a single symptom, or occurs in various acute
and chronic diseses. Brain-origin diseases commonly have
headache as one of their symptoms. This has been discussed
before. Here we focus on the discussion of headache that is not
caused by brain or by nerve system. For the cause of the
headache, there are a lot of discusses in old medical books and
literatures. …… It should be stated specifically that, the six
Jing diagnosis system introduced in <<Shang Han Lun> could yield
more correct and fast direction for the diagnosis and treatment
of headache. For example, in the first paragraph of the book, it
stated: “If a disease in the Taiyang phase, the person feels
headache, stiff neck and chilly. The pulse is floating.” It
implies that the headache is more likely related to the Taiyang
phase. It should be pointed out that, someone think that this
only means a headache in a common cold. The reason for such
misunderstanding is that, firstly, they did not understand the
real nature of a disease in the Taiyang phase. Secondly, it is
due to the habit of doctors in later generations to separate the
cause of the headache into the external common cold and inside
damage. They regard the Taiyang phase/disease as external
disease and consider the “inside’ headache as no external Xie Qi
attack to the body. Therefore, they think the acute headache is
associated with Taiyang disease/phase, while a chronic headache
is not associated to Taiyang disease/phase.
In fact, headache can occur in
either an acute or a chronic disease. Headache suggests there is
Taiyang disease (the disease is in Taiyang phase), though in
many cases, the disease with headache is no longer only in
Taiyang phase alone, but is with other phases too. For example,
as in Taiyang-Shaoyin co-exist phase, Taiyang-Shaoyang phase,
Taiyang-Yangming phase, or Taiyang-Taiyin phase, etc. By this
way, the six Jing diagnosis of headache is clear and the
principle in the treatment is so settled down. This means: if
the headache is in Taiyang phase, use sweat therapy; if it is in
Taiyang-Shaoyin phase, use body surface-releasing plus warming
and strengthing therapy; if it is in Taiyang-Shaoyang phase, use
harmonizing therapy; or if it is in Taiyang-Taiyin phase, use
body surface-releasing therapy and inside-warming therapy the
same time. Under such principle, choose proper herbal
prescriptions by herbal indication diagnosis, the headache can
be solved radically. Here we introduce several cases to discuss.
If the headache is in Taiyang
phase, use sweating therapy. If it is also with Shaoyin phase,
use warming therapy the same time.
Case 1. Ren XX, female, 21 years
of old. File number: 49703.
The first visit: Dec. 21, 1965.
The person got common cold last night. She felt headache, pain
all over the body, pain in the lower back, chilly, no sweat. She
felt nausea and vomit. She usually had stomach pain and
diarrhea. Her tongue cover was thin and white. The pulse was
floating and frequent. She was given Gegen Tang plus Banxia:
Gegen 9 g, Mahuang 9 g, Guizhi 9 g, fresh ginger 9 g, Baishao9
g, Chinese date 4, Zhi Gancao 6 g, Banxia 9 g.
Results: After the herbal therapy
for one day, the symptoms were reduced dramatically. After the
second dose, all the symptoms subsided.
Comments: This is the headache in
Taiyang phase with body surface overwhelming condition.
Therefore the herb Mahuang and Guizhi were used to stimulate a
sweat. For there was diarrhea, it suggested to have Yangming
phase the same time. So the herb Gegen was used to stop diarrhea
and the Banxia is used to reverse the uprising stomach Qi, so to
stop nausea. This headache is associated with a recent common
cold. To release the body surface is therefore works well.
Case 2. Zhang XX, male, 52 years
of old. File number: 123526.
visit: Dec. 12, 1965. The person had headache for two years.
Usually, to take pain killer could release the pain, but not
prevent the recurrence. She also had often stomach pain and so
want to use Chinese herbal therapy. Current condition: the
headache was more on the top, the back neck. She felt body pain,
and pain in the both knees. She often felt hot in the body, had
sweat and wind-dislike feeling. The tongue cover was thin and
white. The pulse was slow and thin. She was given Guizhi Tang:
Guizhi 9 g, Baishao 9 g, fresh ginger 9 g, Chinese date 4, and
Zhi Gancao 6 g.
Results: After the herbal therapy
for two days, all the symptoms were improved, though she still
felt pain in the body, under the ribs. She had hard stool, poor
appetite and willing to vomit. She was given Da Chaihu Tang plus
Guizhi Fuling Wan plus Shigao: Chaihu 12 g, Banxia 9 g, Baishao
9 g, Huangqin 9 g, Zhishi 9 g, fresh ginger 9g, Chinese date 4,
Guizhi 9 g, Taoren 9 g, Danpi 9 g, Dahuang 9 g, Fuling 9 g,
Shigao 30 g.
Results: After the herbal therapy
for three days, all the symptoms subsided.
Comments: In this case, it was
initially diagnosed as Taiyang phase with body surface weakness
condition, so she was given Guizhi Tang for the treatment.
However, she showed Shaoyang-Yangming co-exist phases after the
treatment. She had pain under ribs. Considering that she may
have blood stagnation after a long term of disease, she was then
given Dai Chaihu Tang plus Guizhi Fuling Wan plus Shigao. Two
doses of the herbal therapy solved the all symptoms. From this
case, it can be seen that, in this case, it was body surface
weakness condition, and it was inside overwhelming condition,
implying the struggling of the body defense energy and the Xie
Qi energy in the body, which make the clinic condition changed.
Once the clinic condition changes, the herbal prescription
should also be changed accordingly. It is not true that there is
one herbal prescription that works exclusively for headache.
This is the truth for the treatment of any disease.
Case 3. Xu XX, male, 47 years of
old. File number: 3752.
The first visit: May 4, 1978. The
patient had headache on right side for two days. He felt no
ambition and no energy, reverse cold feeling on hands, chilly
and no sweat. No special taste in mouth. No desire to drink. The
tongue was pink. The tongue cover was thin and white. The pulse
was deep and thin. There was multiple enlargement of follicles
in throat. He was given Mahuang Fuzi Gancao Tang plus
Chuanxiong: Mahuang 10 g, Pao Fuzi 10 g, Zhi Gancao 6 g,
Chuanxiong 10 g.
Results: After the herbal therapy
for one day, he had slight sweat on head. The headache stopped.
He did not continue the herbs. He had a break for two days. No
any discomfort at all.
Comments: The headache in this
case belonged to Shaoyin body surface weakness condition. The
herbs given to him worked to warm the Yang, to strength the body
defense system and to release the body surface. After the body
surface was released, the headache went away. It should be
pointed out that, such body Yin condition with body surface
weakness and cold is the Shaoyin phase. It does not occur in the
first or the second days of the common cold, but can happen in
chronic headache. Such as the case introduced in the treatment
of asthma, for case of Mr. Xu, is the common headache and asthma
in the same patient. For it is Shaoyin body surface weak and
cold condition, the Mahuang Fuzi Gancao Tang worked well. It
suggests that the Shaoyin body surface weakness and cold
condition can also be seen in chronic disease. Here it should be
pointed out that Dr. Hu believed that, the body surface
condition can be separated into the Yin and the Yang phase. The
Yang phase is the Taiyang phase and the Yin phase is the Shaoyin
phase, e.g. the Taiyang and the Shaoyin both located in the body
surface layer. It is the strength of the body defense energy and
the disease-causing Xie Qi, that determines the manifestation of
the body surface phase (Yang phase of Yin phase). If the body
condition shows as weakness and cold, it belongs to the Shaoyin
phase. If it is overwhelming hotness, it is Taiyang phase. If the
Taiyang phase is not treated correctly, or if the disease lasts
for a long time, the disease can shrink into the Shaoyin phase
with more possible headache.
The symptoms of headache could be
largely variable. It needs to use two or more herbal
prescriptions together to solve the pain.
Case 4. Liu XX, female, 36 years
of ol. File number: 76443.
The first visit: March 9, 1965.
The patient had recurrent headache for 5 years. The headache
occurred mostly in the afternoon, when she felt tired, or had
poor sleep. She went to hospital for the treatment many times
without any improvement. She was diagnosed as “nervous
headache”. The use of pain killer or sedative medicine only
release the pain for a while but no any radical result. For the
headache became worse for recent one month mostly on the front
head, the X-ray was performed and the result suggested she may
have sinus infection. For no effect by the use of antibiotic,
she went to Chinese medicine for the treatment. The current
condition when she visited Dr. Hu: the headache was more in the
front head, with bloating pain behind the eyes, tightness
feeling on the back neck, heavy feeing in head, sour and pain on
body back, dry throat, easy to feel annoyed, but no stiff nose
or running nose. The tongue cover was white with greasy on root.
The pulse was deep, thin and string with floating feeling on the
left Chun position. She was given Yuebi Jia Zhu Tang plus Banxia
and Jiegen Tang: Mahuang 12 g, fresh ginger 9 g, Zhi Gancao 6 g,
Chinese date 4, Shigao 45 g, Cangzhu 15 g, Banxia 12 g, and
Jiegen 9 g.
Results: After the herbal therapy
for three days, the headache was improved dramatically. After
six doses, the headache stopped. She still felt tightness on the
back of the neck. After additional six doses, no any symptoms
Comments: This case is apparently
a chronic disease. The clinic condition showed as external Xie
Qi but water overwhelming inside, e.g. a Taiyang-Yangming
co-exist phases. She was then given the Yuebi Jia Zhu, Banxia
and Jiegeng Tang to release the body surface and to dispel the
inside water, so to solve the problem.
Case 6. Chen
XX, male, 15 years of old. File number: 135393.
The first visit: April 8, 1965.
For the recent ten days, the patient had headache, fever,
chilly, desire to vomit, poor appetite, sweat, fatique, and
weakness in legs. The tongue cover was thin and white. The pulse
was string and thin. The body temperature was 38 C. He was given
Chaihu Guizhi Tang with some addition: Chaihu 12 g, Huangqin 9
g, Banxia 9 g, Dangshen 9 g, Guizhi 9 g, Chishao 9 g, Zhi Gancao
6 g, fresh ginger 9 g, Chinese date 4, Jiegen 6 g, Shigao 45 g.
The second visit: April 9. After
the herbal therapy for one day, all the symptoms subsided,
except he felt sour and weakness in the body. The body
temperature was 37C. To the above prescription, removed was
Guizhi and Shaoyao for one day for a maintenance.
Comments: The headache in this
case was with sweat, fever and chilly, indicating the body
surface was choking. The poor appetite and willing to vomit
suggested the Xie Qi had moved into the Shaoyang phase. The dry
throat and annoyed feeling suggested the condition was also in
Yangming phase. Therefore, it is a three Yang co-exist phases.
For this reason, he was given Chaihu Guizhi Tang plus Shigao.
One dose made the symptoms solved dramatically. For the body
surface had been released while the inside and the in-between
phases both were not completely solved, so she was given Xiao
Chaihu Tang plus Shigao for a maintenance.
Case 6. Xue XX. Female, 26 years
of old. File number 228165.
The first visit: January 7, 1967.
The patient had migraine for six to seven years. She was treated
in local hospital for a long time without improvement. For the
recent one year, the onset came more often. She was introduced
by her friends to come to Dr. Hu in Beijing. The current conditions when she came:
she had headache almost every day. The pain was more on and
above the temple. It was some time less and some times severe.
When it was severe, she felt nausea, vomit, or diarrhea. She had
to lay down on bed for four to five days without movement. When
the pain was severe, she could also feel pain on the face. She
often felt dizziness. The tongue cover was white with greasy on
root. The pulse was deep and thin. She was given Xiao Banxia
Tang plus Ling Gui Zhu Gan Tang plus Wuzhuyu: Banxia 12 g, fresh
ginger 9 g, Dangshen 9 g, Wuzhuyu 12 g, Chinese date 4, Guizhi 9
g, Baizhu 9 g, Fuling 9 g, Zhi Gancao 6 g.
Comments: In this case, the
headache had been for six to seven years. It still showed as
Taiyang-Yangming co-exist phases. For the treatment, she was
given body surface-releasing and inside-warming therapy. For the
phlegm over rushing-up severe, she was also given Ling Gui Zhu
Gan Tang plus Wuzhuyu to warm the middle and to reverse the
rushing phlegm. For the phlegm was very strong to cause severe
vomit, she was also given Xiao Banxia Tang to dissolve the water
and to directing the water down. It should be pointed out here
that, once there is a condition, in which there is external Xie
Qi in the body surface and overwhelming water inside, the body
surface-releasing therapy must be used together with the
water-depletion therapy the same time. In such case, if only the
body surface-releasing therapy or only the water-dissolving
therapy is used, not only the condition would not be improved,
but also makes the disease condition worse. This opinion has
been emphasized many times by Dr. Hu. It should be paid more
attention to this opinion.
Case 7. Li XX.
Male. 26 years of old. File number: 152205.
The first visit: January 5, 1966.
The patient had headache for two years. It was due to study in
middle school. He had a history of stomach disorder, which was
gradually less and less now. Occasionally he would only feel heat
burning, acid reflex, but he from time to time felt water
accumulation (water noice) in the stomach. He usually felt
cloudy in mind, heavy in head and kind of dizziness. The
headache came from time to time with descending and tightness in
between the eye brows. In the afternoon, he often had
hot-bloating feeling rushing up to the head and face. Some
times, the headache felt as thorn pain, or as electric from neck
into the brain. The pain could be on the left side or on the top
or on the back of the head. On onset, the pain needed to be
pressed with hands for one to two min to subside. Such headache
came two to three times a day. He suffered from such pain for a
long time, so that his study and work were affected. The most scareful thing is that he felt as having a strang thing growing
in the brain. He had been visiting various hospitals but most
time he was diagnosed as “nerve headache”. He took medicine
every day without improvement but with more side effects from
the medicine. Some times he felt nausea, or stomach pain, or
poor sleep. He did visit Chinese medicine, and was given
blood-nourishing, wind-sedating, and emotion-calming
therapies, by taking Tianma Gouteng Yin, Zhen Gan Xi Feng Tang,
etc. without effect either. When he visited Dr. Hu, his tongue
cover was white with greasy on root. The pulse was deep, thin
and string. He was given Wuzhuyu Tang plus Ling Gui Xiong:
Wuzhuyu 9 g, Dangshen 9 g, fresh ginger 9 g, Chinese date 4,
Danggui 6 g, Chuanxiong 6 g, and Fuling 12 g.
Results: After the herbal therapy
for three days, the severe headache came only once. The
dizziness and bloating feeling in the head, and the tightness
feeling in between the eyes were improved. The sleep was better.
He could read book with improved memory. To the prescription
above, added was Dangshen 12 g, Danggui 9 g, and Chuanxiong 9 g.
After 9 days, all the symptoms subsided.
Comments: In the book << Shang Han
Lun>>, paragraph 387, it states: “If the person had nausea with
spiting of air bubbles,
and with headache, use Wuzhuyu Tang.” It means that, for
inside weakness and cold condition with water reverse rushing
up, use Wyzhuyu Tang for the treatment. In this case, it was the
inside weaknees and cold condition with water rushing up
condition, which caused the headache. Therefore, the herbal
therapy was used to warm the middle, to down-turning the Qi, to
descending the reverse and to stop vomit. For the pain felt as
thorn pain, and for the possibility that there would be blood
stagnation in a long term disease course, the herb Danggui and
Chuanxiong were added to nourish the blood and to activate the
circulation. Also for the strong accumulation of water in the
stomach region, the herb Fuling was used to dispel the water.
All the herbs worked together, calmed down the stomach,
harmonized the blood, so to solve the headache.
It is quite
common for a headache that is caused by phlegm. There are a lot
of chance so to use the Wuzhuyu Tang. For the phlegm condition
vary very much in the body, the herbal prescription should also
be different from person to person and from disease stage to
stage. When the water/condensed water/phlegm stays in the body
for a long time and develops into fire, to cause upper fire and
lower cold condition, we may choose herbal prescription Banxia
Xiexing Tang, Shengjing Xiexing Tang, Xiao Chaihu Tang, Chaihu
Guizhi Ganjiang Tang, or with addition of Shigao. When the water
up-rush is apparent, use Ling Gui Zhu Gang Tang together. All in
all, it works better with the addition or reduction of the
Case 8. Li XX. Female. 36 year of
old. File number: 1915.
The first visit: May 6, 1966. The
patient had left side migraine after birth delivery for three
years. From time to time she felt stomach pain, sour arm and leg
on the left side, dry mouth but no desire to drink, nausea with
spit of clear water. The tongue cover was white and wet. The
pulse was string and thin. Her condition belongs to body surface
weakness with water overwhelming. The herbal therapy was used to
strengthen the middle stomach region, to harmonize the Yin and
to enhance the Wei in the body, as well as to warm the middle
and to dispel the water. She was given Duanggui Si Ni Tang plus
Wuzhuyu and Shenjiang Tang: Danggui 9 g, Guizhi 9 g, Baishao 9
g, Chinese date 6, Zhi Gancao 6 g, fresh ginger 15 g, Xixin 9 g,
Tongcao 6 g, Wuzhuyu 9 g.
Results: After the herbal therapy
for four days, the headache subsided dramatically. No more pain
in the stomach area. The sour arm and leg on the left side was
reduced. To the prescription, increased was the Wuzhuyu to 12 g.
After seven doses, no any discomfort left.
Comments: The Danggui Si Ni Tang
is initially to treat the external cold due to the Yin and Wei
disharmony. The person had had original blood deficiency and
water overwhelming in the body surface, now there was clear cold
water inside too. Therefore she felt pain in the stomach from
time to time, nausea with spit of the clear water. It is
actually a Taiyang-Taiyin co-exist conditions. For the treatment,
it is needed to dispel the inside cold and water, so the herb
Wuzhuyu and fresh ginger were added to harmonize the Rong blood
and to dispel the cold water, and so as to solve the headache.
The discussion above is mostly for
the headache of weakness and cold condition. In clinic, the
headache due to fire overwhelming is also quite common. For the
latter has been discussed in the brain disease, there is not
more need to discuss it here.
In the modern Chinese medicine
textbook, the headache is separated into the external common
cold and inside damages. In the clinic, the doctor must know
well the organ diagnosis system and must have some experience in
the use of herbal therapy, so as to be able to solve most of the
headache. While if we apply the six meridian diagnosis system
for the treatment of headache, the target of the diagnosis would
be focused on the Taiyang phase, followed by verify the possible
co-exist of other phases and to identify the herbal indications
to choose herbal prescription. It only needs to get familiar to
the herbal indications in the book <<Shang Han Lun>> in the
treatment of headache.
30. The treatment of appendicitis
Appendicitis is called intestine
carbuncle in Chinese medicine. It though belongs to surgical
disease, it can also be cured in many cases by non-surgical
therapies. In western medicine, they use anti-biotics, which
could make disappear the inflammation, but the appendicitis is
easy to recur, and eventually it is still needed to have a
surgical treatment. Therefore, western medicine terms such
non-surgical treatment as conservative therapy. It means that
the surgical treatment is not a conservative therapy, e.g. it is
an active therapy or a radical therapy. Chinese herbal therapy
is different from the western conservative therapy. The Chinese
herbal therapy works fast and it is with less rate of
recurrence, thanks for our doctors in old times. The experience
in the treatment of appendicitis has well been documented in
book <<Jin Kui Yao Luo>>…… This means that, the Chinese herbal
therapy has not only the experience for the treatment of acute
appendicitis, but also that of chronic appendicitis. That such
experience is very valuable for the fact that it works in the
use. Of course, it needs to be able to know really how to use
this herbal prescription, and be able to modify the ingredients
according to the clinic conditions.
Here let’s take some case
examples to have a discussion.
Case 1. Gao XX, male, 35 years of
The first visit: Aug. 15, 1952.
The patient had high fever and pain in belly for two days. He
was diagnosed as acute appendicitis and was asked to admit in
hospital for surgical operation treatment The patient had
several times of surgical operations for hurt from a war before.
For fear the pain and sufferings from surgical operation, he
refused to have surgical treatment. His condition developed so
that he had to lay down on bed with pain in belly and with
crying. He had invited several Chinese medicine doctors to come
for prescription, but none would like to start herbal therapy
for him. His relatives later invited Dr. Hu to come for an
consultation. His condition when Dr. Hu saw him: he had very
much pain in belly, and crying without stop. Body temperature
was 40 C. The body felt burning without sweat. The lower belly
was very pain when touch, so he refused to be touched. The
tongue was red in color and tongue cover was yellow. The pulse
was slippery and frequent. Dr. Hu quickly had a believing that
his condition was three Yang co-exist phases with blood
stagnation and pus. He was given Da Chaihu Tang and Dahuang
Mudanpi Tang: Chaihu 24 g, Huangqin 9 g, Baishao 9 g, Banxia 9
g, fresh ginger 12 g, Zhishi 12 g, Chinese date 4, Dahuang 6 g,
Mudanpi 12 g, Taoren 9 g, Dongguazi 12 g, and Mangxiao 12 g.
Results: After the herbal therapy
for one day, the fever reduced and the pain was less. The
patient himself took bus to come to Dr. Hu. After six doses,
there was no any symptoms.
Comments: The life condition of
the patient in this case is very severe. If the treatment was
improper, the lift would be lost. For this, ordinary doctors
dared not to give prescription for treatment. However, if a
doctor could identify the nature of the disease at that time and
was able to identify the proper herbal prescription for the
treatment, it was possible to solve such severe clinic
condition. Dr. Hu was able to do this, indicating that he was
very good at the Chinese medicine diagnosis and herbal
indication diagnosis. It should be pointed out that, in the book
<<Shang Han Lun>>, it stated that, the intestine carbuncle
should be treated by Dahuang Mudanpi Tang. How Dr. Hu used the
Da Chaihu Tang for the treatment? This is because the patient
condition belongs to three Yang co-exist phases. It is the Da
Chaihu Tang that matches the three Yang condition, so that it
would be able to clear the Fire, to remove the blood stagnation
and to dispel the pus very fast. This is the clinic experience
of Dr. Hu and it is the characteristic of his use of herbs, but
it also follows the six Jing diagnosis rules. If the patient has
fever, the Da Chaihu Tang can be used. If the patient has no
fever, the Da Chaihu Tang might also be used, as shown in case 2
Case 2. Cao XX, male, 40 years of
old. File number:0063.
The first visit: June 10, 1965.
The patient had pain in right side lower belly for two to three
days. The western medicine diagnosis was acute appendicitis. The
Mcburney’s point is positive. The body temperature was not high.
Blood WBC: 8800. The current condition: he had pain on the right
side of lower belly, dry throat, bitter taste in mouth, slight
nausea, dry stool. The tongue cover was yellow in color. The
pulse was string and slippery. He was given Da Chaihu Tang plus
Dahuang Mudanpi Tang: Chaihu 12 g, Banxia 9 g, Huangqin 9 g,
Baishao 9 g, Zhishi 9 g, Taoren 9 g, Mudanpi 9 g, Dongguazi 12
g, Dahuang 6 g, Mangxiao 9 g.
Results: After the herbal therapy
for three days, the stomach pain stopped, but there was a
bloating feeling on the right side of lower belly, as well as a
belly pain before bowel movement. The Mangxiao in the
prescription above was reduced to 6 g, but Zhi Gancao 3 g was
added. The herbal tea was drunk for six days. No any discomfort
Comment: In this case, the patient
had no fever, but pain in the right side of belly, dry mouth,
bitter taste in mouth, slight nausea, and dry stool, etc. which
indicating the use of Da Chaihu Tang. Therefore it was used with
Dahuang Mudanpi Tang. For no high fever, the amount of Chaihu
used was dramatically less than in the pervious case. It is
therefore known that, though the herbal indication was the same,
the amount of herbal ingredients could be different. For the
patient was the staff of the same hospital, friends and
co-worker joked with him: “Soon or later you need a cut (by
surgical operation)!” It means that his appendicitis would soon
or later recur and the surgical operation would not be avoided.
But so far no any recurrence.
Case 3. Qi XX, male, 19 years of
old. File number: 14296.
The first visit: June 25, 1965.
The patient had pain in the right side of lower belly for four
months. Four months ago, she had pain in the right side of
lower belly. It was diagnosed as “sub-acute appendicitis”. He
was given conservative therapy in hospital for one month. The
symptoms subsided. Soon later, he felt headache, dizziness, dry
mouth with desire to drink, bloating pain in the right side of
lower belly. He came to the same hospital as Dr. Hu worked, some
other doctors gave him Chinese herbal therapy for two months but
the condition was not improved. He later went to Dr. Hu for the
treatment. He complained pain on the right side of the lower
belly. The tongue cover was white with greasy in the root. The
pulse was string and slippery. Upon press the belly, there was
pain over the position of appendix, and he refused to touch
there. It was known that there was stagnated blood and pus on
the lower belly. The herbal therapy was
designed to dispel the stagnation and to dispel the pus.
He was given Dahuang Mudanpi Tang plus Shaoyao Gancao Tang plus
Yiyiren: Mudanpi 15 g, Taoren 12 g, Dongguazi 9 g, Yiyiren 24 g,
Baishao 12 g, Zhi Gancao 6 g, Dahuang 6 g, and Mangxiao 6 g.
Results: After the herbal therapy
for two days, the patient felt very well, though there was still
pain when pressing the appendix position. The herbal therapy was
continued for additional three days and the disease was cured.
Comments: This case was with a
long history. There was no evidence for the presence of any
other phases or disease conditions, so the single Dahuang
Mudanpi Tang was used. For a long time of disease course, the
body was hurt by loss of the liquid part and the body was with
blood deficiency, the Shaoyao Gancao Tang was used to produce
more liquid portion to the body and to relax the spasm, so to
stop the pain. For the wetness accumulation and the pus was
fixed, the herb Yiyiren was added to clear the Wetness and to
dispel the pus. This case further more indicates that, the cure
of a disease does not depend on the number of the herbs or the
cost of the herbs, but on the exact match of the herbs to the
Case 4. Chu XX, male, 38 years of
old. File number: 31846.
The first visit: February 16,
1967. The patient had pain in the right and lower belly for ten
days. He started to have pain in his right and lower belly on
the fall of 1965. It was diagnosed as acute appendicitis. He was
injected anti-biotic for one week and the symptoms subsided. In
winter last year, he had similar pain again. He was given
anti-biotic again and the pain subsided again. This time, for
drinking cold tea, the pain recurred. The injection of
anti-biotics no long worked. Doctors recommended him to have
surgical operation for the treatment. For his hesitation, he
went to Chinese medicine for help. The current condition: he had
pain in the right and lower belly. The pain was severe some
times but less for other times. It could feel as twist pain or
thorn pain. The hands and feet felt cold. He also felt
dizziness, palpitation, dry mouth without desire to drink, and
stool was normal. Opon pressing his belly, there was no
tightness on the muscle, but there was pressing pain on the
Mcburney point. The tongue cover was white. The tongue was dark.
The pulse was deep, thin, string and frequent. He was given Yiyi
Fuzi Baijiang San plus Danggui Shaoyao San: Yiyiren 24 g, Fuzi 6
g, Baijiangcao 18 g, Danggui 9 g, Baishao 18 g, Baizhu 9 g,
Zexie 12 g, Chuanxiong 6 g.
Comments: After the herbal therapy
for three days, the belly pain stopped. There was slight
pressing pain on the Mcburney point. The herbal therapy was
continued for additional three days. Following up for three
years showed no recurrence.
Comments: This case and the case 3
both are chronic appendicitis. For the former, the Dahuang
Mudanpi Tang was used, while in this case, the Yiyi Fuzi
Baijiang San plus Danggui Shaoyao San was used. This is because
the clinic conditions in the two cases were different. That
means, for the Chinese medicine to treat a disease, it does not
depend on whether the disease is acute or chronic, but on the
clinic conditions, especially whether the body condition is Fire
or Cold, weakness of overwhelming. Chinese medicine does not
give Fire-clearing and Toxic-dispelling therapy once seeing an
inflammation condition. It bases on the principle, on which the
Cooling therapy is used for a Fire condition and a Warming
therapy is given for a Cold condition. Especially for a chronic
inflammation condition, there would be more chance to use the
warming-nourishing therapy. For example in this case, it is the
use of Fuzi, Danggui and Baizhu, etc. to warm the Yang Qi, and
to dispel the wetness, so as to dissolve the inflammation. The
Yiyi Fuzi Baijiang San used here is to treat the stagnated blood
and pus, in which the body condition belongs to cold-fire
mixture. The Yiyiren in the prescription, for its sweat and cold
in herbal nature, works to clear the wetness and to dispel the
pus, to solve the Bi syndrome and to relax the spasm. The
Baijiangcao works to dispel the stagnation and to dispel the
pus. The dose of Fuzi is small, which works to mostly activate
the sluggished Qi, so to pump the dispelling of the pus. The
co-use of Danggui Shaoyao San is to warm the middle, to clear
the wetness, to nourish the blood and to dispel the pus. It works
with the other herbal ingredients in the prescription together
to dissolve the blood stagnation and to dispel the pus. Dr. Hu,
based on the herb indication for the Yiyi Fuzi Baijiang San to
work for “skin as fish scale”, uses for the treatment of skin
inflammation and favus of the scalp (or similar skin diseases).
It works well. It means that, it works for the pus and carbuncle
in the stomach and intestine system, and also that out of skin.
Dr. Hu said, the concept of the “body surface” the “body inside”
or “in between the body”, does not mean the location of the
disease, but mean the location of the “herbal indications”. That
one single herbal prescription can work for disease in the
non-surgical and a surgical disease. The reason for it is that
it depends on the diagnosis of body condition, and herbal
31. The treatment of diarrhea
The term of diarrhea (in Chinese)
is first described in the book <<Shang Han Za Bing Lun>>. It one
of the diseases that the book mostly discussed. Master Zhongjing
Zhang paid very much attention to the diarrhea. He wrote a
separate chapter to discuss it. In the book, there are many
chapters for the diarrhea and there are many herbal
prescriptions for the treatment of diarrhea. The herbal
prescription does not only treat the diarrhea, but also
dysentery. Doctors later than Master Zhongjing Zhang has
separate the book <<Shang Hang Za Bing Lun>> into <<Shang Han
Lun>> and <<Jin Kui Yao Luo>>. In the book <<Shang Han Lun>>,
there are many paragraphs to discuss the treatment of diarrhea.
For example, the outline for the diagnosis of disease in the
Taiyin phase is “The person felt bloating in belly, had vomit,
can not eat, and had diarrhea which is worse and worse”, and
“the person had diarrhea but does not feel thirsty”. The symptom
of diarrhea is important for the diagnosis and for the
prediction of the healing result. That “people dies in the Taiyin
phase” is the summarized recognition by Dr. Hu in study the
<<Shan Han Lun>> for his whole life. The main reason is that,
most people has diarrhea which belongs to the Taiyin phase, when
the person dies. …… After carefully study the book <<Shang Han
Lun>>, it is not hard to find that the diarrhea belongs to
inside condition, which can be separated into the Yin and Yang
conditions. The Yang phase means that the disease is in the
Yangming inside overwhelming condition, and the Yin phase means
the Taiyin inside weakness and cold condition. The Yangming
diarrhea is more associated with the Wetness, the Fire and the
overwhelming condition. In the treatment, the herbs are Gegen
Huangqin Huanglian Tang, Baitouwen Tang, Da Chenqi Tang, Dahuang
Huanglian Xiexin Tang, etc. For the Taiyin phase, the herbs used
are Lizhong Tang, Wuzhuyu Tang, etc. If the Taiyin phase is
co-exist with Taiyang, Shaoyang, Shaoyin, or Yueyin phase, the
herbs used are Gegen Tang, Banxia Xiexin Tang, Zhenwu Tang,
Wumei Wan, etc.
These discusses are very in detail. The herbal prescriptions are
very rich in numbers and the healing effect is quite ensured.
The diarrhea discussed includes ordinary loose stool and the
dysentery. It is proven in practice that, after really know the
experience of Master Zhongjing Zhang in the diagnosis of
diarrhea, it would be possible to treat loosen bowel movement
and dysentery. Therefore, the experience of Master Zhongjing
Zhang for the treatment of diarrhea must be studied.
Case 1. Wu XX, female, 36 years of
old. File number: 211158. (Common cold of digestive system
The first visit: July 6, 1967. The
patient has common cold with cough and diarrhea for 20 days. He
was given anti-biotic injection without effect. The current
condition: cough, short of breath, chilly with dislike of wind
and col, dry mouth with no desire to drink, no desire to eat.
The bowel movement was three to four times a day with loose
stool. The tongue cover was white, and the pulse was thin,
string and frequent. She was given Gegen Tang plus Shigao:
Gegen 9 g, Guizhi 9 g, Baishao 9 g, Zhi Gancao 6 g, Chinese date
4, Mahuang 6 g, fresh ginger 9 g, Shigao 45 g.
Result: After the herbal therapy
for two days, all the symptoms disappeared.
Comments: This case belongs to
Taiyang-Yangming co-exist phases with diarrhea. Dr. Hu usually
uses Gegen Tang plus Shigao to solve the condition. “Diarrhea is
treated with Shigao?” This is a common question and suspection.
In the book <<Shang Han Lun>>, it stated in paragraph 4: “on the
first day of the Shang Han disease, the disease is in the
Taiyang phase. If the pulse is calm, the disease would not pass
into the deeper phase. If the person tends to have vomit, to
feel annoyed and if the pulse is frequent and urgent, it would
pass into the deeper phase”. In this case, the patient had
cough, dislike wind and cold, dry mouth, and frequent pulse,
suggesting that the common cold has develop deeper into the
Yangming phase. The diarrhea is due to the Hotness in the
Yangming phase. The Gegen Tang plus Shigao is used to clear the
Yangming Fire, so that the body surface is released and the
Yangming inside fire is cleared, and the diarrhea is so stopped.
If the doctor is not familiar with the Jing Fang (the herbs in
the Shang Han Lun), he may use Huoxiang Zhen Qi Tang. However,
the comparison in clinic proved that, the later herbal
prescription does not work faster than the former. Therefore,
this case is introduced here for discussion.
Case 2. Liu XX,
female, 50 years of old. (Acute gastroenteritis)
The first visit: September 12,
1965. The patient ate a bowl of grapes yesterday. This morning,
she felt tired, dry mouth and sour and weak in legs. After drunk
three cups of hot tea, she felt hot in the body, cloudy mind,
and cold-dislike feeling. In the afternoon, her skin felt very
hot as burning. Her body temperature was 40.1 C.
She had no desire to eat
and tended to vomit. She felt annoyed. The tongue was thick and
white with less wet. The pulse was frequent and urgent. She was
given Gegen plus Banxia and Shigao Tang: Gegen 12 g, Mahuang 9
g, Zhi Gancao 6 g, Baishao 9 g, Guizhi 6 g, fresh ginger 9 g,
Banxia 12 g, Chinese date 3, Shigao 60 g.
The second visit: September 13.
After drunk of the herbal tea last night, she was in a
trance-like sleep and had a vomit with large amount of clear
water. In the middle night, she had diarrhea with large amount
of water-like stool, of red in color. After diarrhea, she foll
into sleep and the body hot feeling reduced. The body
temperature was 37.4 C. The mind became graducally clear. She
still had some diarrhea, but the volume was less. She still had
trend to vomit. She was given Beitouwen Tang plus Hungqin,
Banxia and fresh ginger: Baitouwen 6 g, Huangqin 9 g, Huangbo 9
g, Huanglian 9 g, Qinpi 9 g, Baishao 9 g, Gancao 6 g, Chinese
date 3, Banxia 12 g, and fresh ginger 9 g.
The third visit: September 14.
Yesterday afternoon, the symptoms were much improved. The body
is not hot, and the pulse was calm. The body temperature was 36
C. She still felt weak, no desire to eat. Today, she had little
sweat and could eat. She was asked to take care of eating and
have a rest. No more discomfort.
Comments: This case is acute
diarrhea. Most possibly it is acute gastroenteritis. In the
original case record, it wrote “water-like stool, red in color”.
It can not exclude the dysentery. No matter it is dysentery or
gantroenteritis, in the time of Master Zhongjing Zhang, the use
of herbs depends on the clinic manifestations. In this case, in
the beginning of the disease, it belongs to Taiyang-Yangming
co-exist phases. In the book <<Shang Han Lun>., paragraph 33, it
stated: “in the Taiyang-Yangming co-exist phases,
if the person has no diarrhea, but nausea, use Gegen plus
Banxia to treat.” Therefore she was given the Gegen Tang plus
Banxia. For she had annoyed feeling, the Shigao was added. On
the second day, she had vomit and diarrhea, it was the
Taiyang-Shaoyin co-exist phases. In the same book, it stated in
paragraph 371: “If the person has hot-diarrhea with falling
feeling in anus, use Baitouwen Tang” and in paragraph 172: “in
the Taiyang-Shaoyang co-exist phase, if the person has diarrhea,
give Huangqin Tang; if the person has nausea, give Huangqin plus
Banxia and fresh ginger.” Therefore, she was give the Baitouwen
Tang plus Huangqin, Banxia and fresh ginger. For the herbs
matched the clinic condition, the herbs was used and the disease
was cured. Chinese medicine of course can also be used in acute
Case 3. Peng XX, female, 30 years
of old. File number 31221 (acute enteritis)
The first visit: August 26, 1965.
The patient had eaten grapes at the noon the day before
yesterday. At that night, she caught cold. This morning, she
felt tired, sour in legs, and dry mouth. After drunk four cups
of hot green tea, she soon felt hot with cold-disliking feeling.
This afternoon, she felt annoyed, sweat, pain in stomach and had
diarrhea for three times. When she came for consulting, her
tongue cover was white and greasy. The pulse was slippery, and
frequent with floating feeling on the Chun position. She was
given Gegen Qin Lian Tang: Gegen 24 g, Huangqin 9 g, Huanglian 6
g, Zhi Gancao 6 g.
Results: After the herbal therapy
for one day, the belly pain and diarrhea were reduced. After
three doses, all the symptoms subsided.
case is similar to the previous case 3, in terms of both had
Yangming inside Fire condition. The case 2 had clear body surface
condition as well, so the Gegen plus Banxia and Shigao was used
first. After the body surface condition was released, used the
Baitouwen Tang plus Huangqin to clear the Yangming inside Fire.
In the case 3, however, the Xie Fire shrunk deep. Though the
body surface condition had not been complete released, the body
Taiyang phase is not so strong, and the Yangming inside Fire was
very strong. Therefore the Gegen Qinliang Tang was used to clear
the Yangming inside Fire. For the same acute diarrhea, the body
condition is different, the herbs used are also different. This
is the characteristics of Chinese medicine.
Case 4. Tong XX, male, 40 years of
old. (Diarrhea in which the patient can not drink water at all)
The first visit: July 15, 1943.
The patient was generally healthy. He was white in skin color
and with good body shape. In the summer, he got some kind of
infectious disease. He felt pain in belly, had fever and
diarrhea with falling feeing in anus and with frequent willing
to go to have bowel movement. He felt nausea and vomited to much
so that he could not drink any water. His bowel movement was up
to 30 times a day with blood and water in the stool. The stool
was black, grey in color with terrible bad odor. Later, the
stool was only little blood-water as spasm. He could not even
get up from the toilet. He had been treated in a big hospital.
No any improvement. Most of the Chinese medicine doctors also
felt no confidence to help, so Dr. Hu was invited for the
treatment. When Dr. Hu went to his home, the patient was with
pale face and with grey and dark tint on face. The tongue cover
was white with greasy in root and with less wet on the tongue.
The pulse was thin and frequent. The other body conditions were
as described above. The condition was so severe to risk life. At
that movement, there was no body surface condition. The body
condition belongs to Shaoyang-Yangming co-exist phases. The
sweating and the bowel movement stimulating therapy were not at
all proper to use. The only way for the treatment is to use the
Shaoyang harmonizing therapy. He was given Xiao Chaihu Tang plus
Shigao: Chaihu 24 g, Huangqin 9 g, Dangshen 9 g,
Banxia 12 g,
fresh ginger 9 g, Chinese date 4, Zhi Gancao 6 g, Shigao 90 g.
In addition, he was asked to eat one watermelon, slowly and
little by little.
Results: In the beginning, he ate
the watermelon as he drunk water. Once eat, there was vomit.
But after vomit, he still was asked to eat. The next day, the
healing effect showed up. On the second day, the vomit stopped.
He had better physical energy and could sit up. The family
members worried he could not eat. Dr. Hu asked him do not eat
any food for several days. On the seventh day, the diarrhea was
dramatically improved. The diarrhea became two to three times a
a day. The patient told he had cold feeling, indicating that the
inside fire was reduced. He was given Xiao Chaihu Tang, with
removal of Dangshen, but addition of Xiyangshen 9 g. On the
eighth day, he could eat some. After a maintenance treatment for
half month, everything turned normal.
Comments: This case belongs to the
mouth-closing dysentery. The western medicine regards the
dysentery as bacteria infection but anti-biotics do not work. In
Chinese medicine, based on the current clinic condition of each
person to use herbs, it works and it saves life.
Here I remembered the introduction
chapter of book <<Huang Han Yi Xue>> by Mr. Tang Ben Qiu Zhen:
In the time of Japanese Ming Zhi Wei Xing, the Japanese made
great efforts to develop western medicine and to delete Chinese
medicine. Dr. Tang Ben was very great in western medicine.
However, his only daughter got diarrhea. He used all the western
medicine, but no any improvement. He looked his daughter to die
in front of him. He felt very sad and sorrowful, so much so that
he would fall into crashed down emotionally. His friend by
chance brought a Chinese book to him. It was <<Yi Jie Tie Zhu>>
(it means the strong skeleton of Chinese medicine). He was soon
attracted by the Chinese culture and Chinese medicine. He no
longer felt empty in heart. He studied the book day and night
and used his learning in his clinic. He felt more success. He so
cited his experience into a book. This is the famous <<Huang
Han Yi Xue>> (the name of the book means the Medicine of the
Here I also sigh with feeling: if
the Dr. Tang Ben learned from Master Zhongjing Zhang, his
daughter would not die? In the case 4, if there is no the
knowledge system from Master Zhongjing Zhang, would he got
alive? The lesson in history is so deep and strong but there are
sill some people who bloat that they know since and who still
catch the same mistakes as Japanese in their Ming Zhi Wei Xing
time. The example is as the Mr. Hou Chen proposed to stop the
Chinese medicine. Even today, there are some persons who doubt
the use of Xiao Chaihu Tang plus Shigao could treat the
dysentery in which the patient could not drink water at all?
Which herb or herbs in the prescription work to kill the
bacteria? How much percent of patients would be cure with the
According to the theory of western
medicine, and if the therapy failed, they would make a summary:
“The herbs do not work for dysentery.” This is really as a bind
cat meets a died rat. The main reason for this is that, the
Chinese medicine and western medicine belongs to different
medical theory system. They follow the different mind in the
treatment. Western medicine is to kill the bacteria and Chinese
medicine is to help the body defense system so to struggle
against the Xie Qi (in this case the bacteria). The herb
prescription Xiao Chaihu Tang plus Shigao is used for any
disease that are in the Shaoyang-Yangming phases. It can be used
for common cold, pneumonia, hepatitis, cerebritis, etc, in which
the disease is in the Shaoyang-Yangming phase and it works well.
However, no matter which disease, if it is not in the
Shaoyang-Yangming phase, the herbal prescription would not work.
If this prescription is used in the first three cases above, it
would not work at all. Only when the disease developed in the
Shaoyang-Yangming phase, such as in the case 4, its use would
work. This is the nature of the condition diagnosis or syndrome
diagnosis of Chinese medicine. “The more typical in a nature,
the more popular in the world”. That Chinese medicine stands
alone in the medical systems in the world, for its unique
Chinese phylosophy in the diagnosis and treatment.
Case 5. Zhang XX, female, 31 years
of old. File number:493431. (Diarrhea with pregnancy)
The first visit: March 10, 1965.
The patient started to have belly pain and diarrhea three days
ago. There was red and white mucus in the stool. The diarrhea
was two to three time during the day and seven times at night.
She felt falling feeling in anus, nausea, poor appetite and felt
cold. Her urine was yellow in color. Western medicine treatment
did not work. She had a history of blood flucks disease. At the
time she suffered from the diarrhea, she was in pregnancy for
seven months. Her tongue cover was thin and white. The tongue
was slight red in color. The pulse was deep, thin, slippery and
frequent. The condition belongs to Wetness- and
Hotness-down-flowing, which hurt the blood portion of the
body. The herbal therapy should aim to clear the Fire, to cool
blood, as well as to dissolve the wetness and to direct off the
stagnation. She was given Baitouwen Tang plus Gancao Ajiao Tang:
Baitouwen 9 g, Huanglian 6 g, Huangbo 3 g, Qinpi 3 g, Gancao 9
g, and Ajiao 9 g.
The second visit: March 12. After
the herbal therapy for one day, the diarrhea reduced to twice a
day, without red mucus in stool. This morning she had diarrhea
twice. On the second time, there was little mucus in the stool.
To the previous prescription, added was Fuling 9 g.
The third visit: After one dose of
the herbal tea, the belly pain subsided. She had diarrhea twice
last night. The stool was loosed. The urine was yellow. The
appetite was well. To the second prescription above, added was
Jiao Baizhu 9 g. The prescription was used for two days.
Comments: This case also belongs
to Yangming phase with diarrhea. The difference is that the
patient was a woman with pregnancy. Therefore, in the treatment,
it would be worry for the fetus. For this, Dr. Hu has mature
experience. That is: if the dysentery is with falling feeling in
anus, and if the stool is with red blood and white mucus, mostly
use Baitouwen Tang. If the patient is after birth delivery or
with pregnancy, and if such patients are with a weak condition
with short of breath, add Ajiao and Gancao to nourish the
Case 6. Zhang
XX, male, 29 years of old. File number:168767. (Chronic
The first visit: October 12, 1965.
The patient had diarrhea and bloating feeling in stomach for 4
months. He had pain in right upper side of belly for 4 to 5
years, which was diagnosed as chronic hepatitis. For the
symptoms were not severe, he did not pay much attention for the
treatment. For recent 4 months, the pain became more severe, as
well as he felt pain in stomach, bloating in belly, nausea and
diarrhea which was four to five times a day.
The lab test showed that the liver function was normal.
He had been given Chinese herbal therapy for the diarrhea and
stomach pain but no effect. He had also acid reflex, hot feeling
in the body in the afternoon, dry mouth, palpitation, and oily
food-dislike feeling. His tongue cover was white. The pulse was
deep and thin. He was given Banxia Xiexin Tang: Banxia 12 g,
Dangshen 9 g, Huangqin 9 g, Huangbo 9 g, dried ginger 9 g,
Chinese date 4, and Zhi Gancao 6 g.
Results: After the herbal therapy
for six days, the diarrhea, pain in belly, acid reflex and hot
feeling in the body, all subsided. The heart burn feeling, dry
mouth, nausea, palpitation, dizziness and pain in the right
upper belly all were reduced. The appetite was improved. To the
previous prescription, added was Wuzhuyu 6 g, Fuling 9 g. After
a few months, most of the symptoms stopped. He felt only slight
pain on the right upper side of the belly.
Comments: This case is
Shaoyang-Taiyin co-exist phases, which showed as upper hot and
lower cold condition. The Banxia Xiexin Tang was used to a
spicy-opening and bitter-descending effect. All the herbs worked
to strengthen the stomach, to clear the fire, and to dispel the
water, so as to stop the diarrhea and to clear any other
Case 7. Ren XX, female, 16 years
of old. File number: 185192 (Chronic dysentery)
The first visit: December 30,
1965. The patient had dysentery in 1958. For a long time, the
treatment she got did not work at all. Currently, the stool was
with mucus stuff. The diarrhea could be up to five to six times a
day. She felt pain in belly, noise in intestine, dry mouth and
bloating feeling in stomach region. Her tongue cover was white
with greasy in root. The pulse was strintg and thin. She was
given Banxai Xiexin Tang plus Shaoyao: Banxia 12 g, Huangqin 9
g, Huanglian 9 g, Dangshen 9 g, dried ginger 9 g, Chinese date
4, Zhi Gancao 9 g, and Baishao 9 g.
Results: After the herbal therapy
for six days, the belly pain and stomach bloating feeling
reduced. There was no white pus-like stuff in stool. The bowel
movement was two to three times a day. The same herbal
prescription was continued for seven days. No any discomfort at
all after that.
Comments: This case is
Shaoyang-Taiyin co-exist phases. For the stomach Qi is not
active, the water was accumulated, showing upper hot and lower
cold condition in the body. For this reason, the herb Dangshen
was used to nourish the middle Qi, and to enhance the stomach.
Chinese date and Gancao worked to harmonize the stomach. The
Banxia is to reverse the rushing up Qi and to calm the stomach.
The dried ginger works to warm the middle stomach, to dispel the
lower cold, and to dispel the Cold. The herb Huangqin and
Huanglian worked to clear the upper fire, to release the
bloating and to stop the diarrhea. For the belly pain is severe,
the Shaoyao was used to clam down the intestine spasm. From the
experience in this case, it can be seen that, the Banxia Xiexin
Tang can be used for acute or chronic diarrhea. In another
words, no matter the diarrhea is acute or chronic, the herbal
prescription can be used if the clinic condition belongs to the
Shaoyang-Taiyin co-exist phases.
Case 8. Liu XX, male, 38 years of
old. File number 178894 (Chronic enteritis)
The first visit: November 1, 1965.
The patient had diarrhea for 40 days. He had diarrhea six to
seven times a day, with stomach pain, intestine noise before
the bowel movement. He often felt bloating in the stomach
region. Whenever he drunk water, he would feel palpitation in
the stomach region. He had bitter taste in mouth, dry mouth,
cloudy mind, and tinnitus. The tongue cover was white. The pulse
was deep and thin. He was given Shengjiang Xixin Tang: fresh
ginger 12 g, Banxia 12 g, Dangshen 9 g, Huangqin 9 g, Huangbo 9
g, dried ginger 3 g, and Zhi Gancao 6 g.
The second visit: November 4.
After the herbal therapy for three days, the diarrhea stopped.
The previous herbal tea was drunken one dose once every other
day for a maintenance.
Comments: This case had
palpitation in stomach region after water drink, indicating the
cold condition was severe. Therefore the Shengjiang Xiexin Tang
was used. In the prescription, the herb Huangbo is to replace
Huanglian, for the huanglian was not available. This is the same
reason in the case bellow.
Case 9. Rong XX, female. 70 years
of old. File number: 93148 (Acute enteritis)
The first visit: October 27, 1963.
From yesterday, the patient had diarrhea, which was three to
four times a day. She had belly pain for two weeks already. She
had dry mouth and throat, severe intestine noise, bloating in
stomach region, stiff neck, slight pain and bloating feeing in
head, and dry eyes. The tongue cover was white with little
dryness. The pulse was thin and frequent. She was given Gancao
Xiexin Tang: Zhi Gancao 12 g, Banxia 12 g, Huangqin 9 g, Huangbo
9g, Dangshen 9 g, dried ginger 9 g, and Chinese date 4.
Results: After the herbal therapy
for three days, the diarrhea stopped. The stiff neck and belly
pain was not reduced yet. She was given Chaihu Guizhi Ganjiang
Tang plus Danggui Shaoyao San for a maintenance.
Comments: This case is the upper
hot and lower cold condition, similar to the case above. In this
case, the stomach Qi was more weak, so that the Gancao Xiexin
Tang was used.
Case 10. Li XX, male, 58 years of
old. File number: 155413 (Functional disorder of intestine)
The first visit: April 6, 1965.
The patient got cold and had diarrhea for three months. He had
diarrhea three to four times a day, with non-digested food in
the stool. He felt bloating feeling in the belly, which would be
worse after meal. Some times he would feel belching and
dizziness. His tongue cover was white and wet. The pulse was
thin and slow. The condition belongs to inside weakness and cold
with water accumulation, which causes the disorder in the Qi
movement and circulation. The principle in the treatment would
be to warm the middle, to nourish the Qi, to harmonize the
stomach and to dispel the extra water. He was given Lizhong Tang
plus Cheni, Baibiandou: Dangshen 9 g, Pao ginger 6 g, Zhi Gancao
6 g, Cangzhu 9 g, Chenpi 15 g, and Chao Baibiandou 9 g.
Results: After the herbal therapy
for six days, the diarrhea was basically stopped. The bloating
feeling in belly was less. With additional six doses, all the
Comments: This case is typical
inside weakness and cold condition with diarrhea, e.g. it
belongs to Taiyin phase with diarrhea. It is the condition for
Lizhong Tang, so it works very fast.
32. Chronic colonitis
Case 1. Gu XX, male, 54 years of
old. File number: 182864 (Chronic colonitis)
The first visit: December 7, 1965.
The patient had chronic diarrhea for six years. In year 1959, he
had acute colonitis. It was not cured after treatment. His
diarrhea was light some times and severe some other times. In
April this years, he was diagnosed as early stage of liver
cirrhosis. The current condition: the stool was loosed and
sticky. Stool was expelled out often as little by little. From
time to time, he felt as no control of the stool after bowel
movement. He often felt slight pain in the right rib region,
which was worse when he laid down on left side. The lab test
for liver function however was normal. He felt pain in stomach
region, fatique, dry mouth and poor appetite. The tongue cover
was white. The pulse was thin, string, and slight frequent. The
condition belongs to Taiyin-Shaoyang co-exist with diarrhea. It
is the indication for Wuzhuyu Tang plus Shengjing Xiexin Tang:
Wuzhuyu 9 g, fresh ginger 15 g, Dangshen 9 g, Huangqin 9 g,
Maweilian 12 g, dried ginger 9 g, Chinese date 4, and Zhi Gancao
Results: After the herbal therapy
for three days, the stomach pain reduced. The appetite was
better. The bowel movement was improved with less times and more
volume. He still felt some kind of remaining feeling of stool
inside the anus. From the prescription above, removed was dried
ginger, but added Paojiang 6 g, Huangbo 6 g. The prescription
was continued for six doses. The stool was dramatically better,
which was two to three times a day. The pain in the right upper
side of the belly was also less. From the prescription above,
removed the Maweilian. It was used for six days. The diarrhea
stopped. He only felt very slight pain in the right upper belly.
Comments: The diarrhea in this
case was due to inside cold water overwhelming. The body defense
energy was still sufficient, so showing as Shaoyang-Taiyin
co-phases. He was therefore given Wuzhuyu Tang plus Shengjiang
Xiexin Tang for the treatment, to warm the middle, to dispel the
extra water, as well as to clear the upper fire, so to dispel
the Xie Qin and calm the defense Qi in the body.
Case 2. Sun XX, male, 38 years of
old. File number: 134809 (Chronic hepatitis)
The first visit: April 6, 1968. In
year 1961, the patient was diagnosed as hepatitis without
jaundice. After treatment, the lab test showed normal in liver
function. However, he felt bloating in the belly, pain in the
upper side of the belly, with continuous diarrhea. In August
1964, he had been given western medical treatment in our current
hospital. For no effect, he went to Chinese medicine. After
three months, his pain and bloating feeling were improved, but
the diarrhea remained no change. It was two to three times a
day, some time five to six times a day. The belly bloating was
severe, especially after meal. He had intestine noise, frequent
gas, bitter taste in mouth, poor sleep, and cold feeling in
belly, in lower back and in the legs. He felt cold in arms and
legs. He could be waken up at night by the cold feeling. His
tongue was white. The pulse was deep and thin. Physical exam
showed the liver was one finger enlarged. When pressed, the
liver was middle level of hard. The pressing pain was slight.
There was water noise in stomach region. This condition belongs
to inside weakness and cold, e.g. it is Taiyin phase with
diarrhea. He was given Fuzi Gengmi Tang plus Renshen Tang: Pao
Fuzi 6 g, Banxia 9 g, fresh ginger 9 g, Chinese date 4, Zhi
Gancao 6 g, Genmi 15 g, Dangshen 9 g, and Cangzhu 9 g.
Results: After the herbal therapy
for three days, he felt improvement. After nine days, the
diarrhea stopped and no any other discomfort.
Comments: This case and the case 1
both belong to inside weakness and cold condition, e,g. the
Taiyin phase with diarrhea. In this case, the inside weakness
and cold is more severe, so Pao Fuzi was given to warm the Yang
Qi. For the strong intestine noise, suggesting the inside water
accumulation, the dried ginger was changed to fresh ginger to
warm the middle and to dispel the water. Though the disease
history of this case is very long and the condition was severe,
for the herbs matched the clinic conditions, the symptoms were
solved fast. The Jing Fang theory has to be really studied and
mastered. Here it should be pointed out that, the Fuzi and the
Banxia are very good couple. The use of them at the same time in
clinic works very well, which has been well documented in the
book <<Shang Han Lun>> by Master Zhongjing Zhang. However, it
has been listed in the “Eighteen conflicting herbal couples” and
refused to sell to patients by herbal shops. It is with no any
meaning to be so. There have been a lot of doctors and scholars
who studied this phenomenon and published a lot of articles to
correct this mistake, but the medical authority did not express
their own comments yet. It is very pity.
Case 3. Suo XX,
male, 57 years of old. (Allergic colonitis)
The first visit: July 16, 1965.
The patient had diarrhea and belly pain for three years. Three
eayes ago, he suffered from pneumonia. He had been admitted in
hospital for treatment. The pneumonia was cured, but he had long
time of belly pain, diarrhea after that. Western medicine
diagnosed it as allergic colonitis. Various treatments had been
given but no one worked. He had also been given Chinese herbal
therapy for the treatment for years, no any improvement either.
The herbs he was given were mostly the Xiangsha Liu Jungzi
Tang, Shen Ling Baizhu San, or Buzhong Yiqi Tang. Current
condition: he had belly pain and diarrhea, which was two to
three times a day, and which would be worse after oily meal. He
often felt stomach pain, bloating in belly, intestine noise,
headache, bitter taste in mouth, dry mouth and throat with
desire to drink and cold arms and legs. His tongue cover was
white and greasy. The pulse was deep, string, and thin, with
floating feeling on the left Chun position. His body was bigger
in size. His condition belongs to the mixture of Cold and Fire.
It is the Jueyin-Taiyin co-exist condition. He was given Wumei
Wan as cooked soup to drink: Wumei 15 g, Xixin 6 g, dried ginger
6 g, Huanglian 6 g, Huangbo 6 g, Danggui 6 g, Zhi Fuzi 9 g,
Chuanjiao9 g, Guizhi 9 g, and Dangshen 9 g.
Results: After the herbal therapy
for six doses, the bitter taste in mouth reduced, and the arms
and legs felt warm. The bowel movement became one to two times a
dy. The herbal tea was continued for 14 days. The stomach pain
subsided and the bowel movement became once a day.
Comments: This case is also a
inside weakness and cold condition. For cold water accumulation
for a long time, the water developed into Fire, so showing as
the mixture of cold and fire. The difference from the case 1 is
that, that in case 1, the body Yang Qi, the defense energy, it
relatively sufficient, while in this case here, the body defense
energy is clearly not sufficient, so that the disease is in
half-surface and half-inside, weakness and cold condition, e.g,
the co-exist of the Yueyin and Taiyin. It is the indication of
the Wuwei Wan.
Case 4. Luo XX,
male, 32 yeas of old. File number: 99211.
The first visit: October 16, 1963.
The patient had diarrhea for one year. Most doctors diagnosed it
as “nervous exhaustion”. He had been treated in the current
hospital for three months. The herbs used were mostly the
Huangqi Jianzhong Tang, Gancao Xiexin Tang, Shenling Baizhu San,
etc. No clear improvement. The current condition: He felt belly
pain, diarrhea, which occurred mostly in the early morning, for
four to five times a day. He had intestine noise, sour and weak
in legs, cold in body, fatique, impotency and some times poor
sleep, dizziness, dry mouth with pain, but no thirsty. His urine
was clear as water. The tongue was white and greasy. The pulse
was deep and thin. The condition was Shaoyang-Taiyin co-exist
condition. He was then given Si Ni San plus Ling Zhu Fu
Shengjiang: Chaihu 12 g, Zhishi 12 g, Baishao 12 g, Zhi Gancao 6
g, Chuan Fuzi 9 g, Fuling 9 g, Cangzhu 9 g, fresh ginger 9 g.
Results: After the herbal therapy
for eight days, the belly pain stopped. The bowel movement
became once a day. The dizziness was improved. He could read
newspaper. The sleep and emotion was normal. He felt no so good
with diet, bloating in stomach region, sour in lower back. To
the prescription above, added was Chenpi 15 g. After that, all
the symptoms subsided.
Comments: The condition in this
case is complex. It has to be carefully diagnosed. For his dry
throat and pain in throat, once he told doctors, the doctors
would use cold herbs. After use of the herbs, his diarrhea
became worse. Therefore later when he visited doctor, he dared
not to mention the dry and pain in throat. It is actually the
Shaoyang choking Fire. In the book <<Shang Han Lun>>, paragraph
318, it stated: “In the disease is in Shaoyin phase, the person
has cold hands and feet, or cough, or palpitation, or difficult
urination, or stomach pain, or diarrhea with falling feeling
inside the anus, use Si Ni Sang for the treatment.” This
paragraph is titled as Shaoyin phase, but actually it implies
that, the disease is initially the Shaoyin phase, now it develops
or passes into the Shaoyang phase already. For the Fire
sluggished and choking inside, the blood circulation is
affected, so the pulse is deep and thin, and the person has
reversely cold hands and feet, similar to the manifestation of
Shaoyin phase, but it is actually Shaoyang phase. In this case,
there is diarrhea and no thirsty, it is clearly Taiyin phase with
diarrhea. So, the whole body condition is Shaoyang-Taiyin
co-exist phases. Therefore, the Si Ni Sang was used to harmonize
the Shaoyang phase, and the Ling Zhu Fu were used to warm the
middle, to dispel the cold, and to dispel the extra water. For
the intestine noise is strong, used the fresh ginger to warm and
to dispel the cold water. Though this condition belongs to the
Shaoyang-Taiyin co-exist phases, it is different to the previous
varirous Xiexin Tang conditions. For the
previous Xiexin Tang
condition, the upper Fire is overwhelming, so the Huangqin and
Huanglian were used to clear the Fire. In this case here, the
Fire is due to Shaoyang choking, so only use Chaihu, Zhishi and
Shaoyao to release the choking fire. From this case, in which
the previous use of Gancao Xiexin Tang did not work, it can be
recognized: it it not enough to make a correct six Jing diagnosis
for the treatment. It is really needed to have a precise herbal
indication diagnosis too. In this way, the herbs used, the
disease can be cured. Dr. Hu has very rich experience in the
treatment of acute and chronic diarrhea, as well as in that of
cholera. He said he had used Fulong Gan and Baifan for the
treatment of cholera. The patient would taste the Baifan water
sweet, so he could drink it slowly. Let him stop to drink
whenever the patient feels astringent. This is the way to prevent
diarrhea and prevent dehydration. The experience is so valuable,
but it is pity to find the case record. We can only mention it
 In the Ba Gang
diagnosis system, a common cold is categorized into
Wind-Hotness, Wind-Cold, Shu-Hotness, Dryness-Hotness,
Cold-Dryness, or Phlegm-Wetness, Liver-Fire, etc.
 Jing Fang: the
herbal prescription introduced in the book “Shang Han
Lun”. Jing means principle. Fang means herbal
 Wen Bing Pai: a
famous TCM style. Bing means disease. Pai means style,
 Shi Fang: a TCM
style differs from either Jing Fang style or Wen Bing
style. Currently in
China, this is more
popular TCM style. However, it should be mentioned that,
the “popular” does not mean it is the best style.
 If the common
cold develops into deep stage as some other disease,
such as pneumonia, the text book will not agree that it
is a common cold in the beginning, but calls it a early
stage of the pneumonia. The idea of Dr Hu here is: no
matter the common cold eventually develop into other
phase or not, if the clinic manifestation is similar to,
the same as, a common cold, it should be regarded as a
common cold. The treatment should follow the Liu Jing
 A very famous TCM
 Bi syndrome is
the syndrome, in which person feels pain or heavy in the
joints. It can be the collective name of various
arthritis, the term used by western medicine.