然西医有极精之科学，而缺乏机会吸收中药之特长。中医中药，对此症本有其相当之特长，而又学说庞杂，立论玄虚，致使对此症远胜西法之中药，非经过数十年之试验失败与成功，屡屡比较，而又按其病者个人之体质，披沙拣金，而后幸得其真正有效之治法，而后敢断然纠正西医医典之错误，曰：“治子宫瘤症，中药胜于西药，治疗得法，绝不致于一年至一年半期间内，取死之转归。”西医对此症之外科手术必不得已时一用之，可以补中药之缺点，然此法亦非绝对的完善，不可不知。
（治法）西医治此症，内服药历试多无效，大出血时，服西医之止血剂，或用坐药，亦无特效，其外科截除术亦多流弊不可不知。二十六年，余治一东四牌楼演乐胡同二号王慕韶君之夫人，经诊得其肝脏郁血，完全硬变，胁痛至不可忍耐，询知其初系因子宫瘤，在某国医院割治后，不久即发现此症，历经中西有名医生诊治，均断为不冶之症。此病人年仅三十，见其割治前之相片，体貌丰腴，且询知当时子宫病，并不甚重，乃竟毅然割治，致罹此险，断送生命，岂不可惜。吾人对新学说，不呵不加深研，即便盲信，于信仰医术，更宜慎重，万不可存凡是西学，即为神圣之心理也。中医治此症，此处专指血崩、血漏圆妙灵活，向有清补、填补、滋阴、补气、和血、收涩诸治法。因人而施，率多奏效，其因医药无灵，终至死亡者，不过十之一、二，兹特录三案于下。甲症曾用乙药不效，乙症亦曾用甲药不效，一转移间，则此极危险之血崩，竟而皆有向愈之希望，虽不能云根治，然实足证明西医医典，所下之一年至一年半而死之断语，完全不能尽信矣。
（医验）（甲）尹夫人年四十馀岁，（此为余友尹汉岑君之夫人）住德州城内旧州署东街，于乙未年患血崩症先有带症甚重，先延西医诊治，服止血药麦角三日而血不能全止，出血过多乃延石冕卿先生，与余合诊，见其神衰气喘，六脉细小，乃议以大补气血，兼疏肝补脾，一剂大效，原方加减共服三十馀剂痊愈。此人至今尚健在兹录原方于下：大党参四钱当归身六钱炙黄芪四钱土炒白术一两炒白芍八钱山药八钱升麻一钱川芎一钱柴胡二钱煎服。（乙）张妪，年四十八岁，住通州南关外车里坟村（此余京寓女佣，现仍在此）于民国二十三年患血崩症。以前曾有带症，腰腹常痛，腹内有形如巨碗。（瘤）每次出血后，即渐小，经漏不止，积瘀多日，形又渐大，则必有大量血水流出，如此反复年馀，身体日衰，渐渐不能服务。且时常小便不通，头晕，干呕，酸软：而经血三、五日一至，时或每日不断，遂成重症。某夜忽又血崩，出血盈盆，遂致痉厥。（此症曾服西药及用坐药，以前并服尹夫人之中药方，均无大效）当注射强心针（哥罗纳金）一次，衰惫已极，六脉细微，以后即以中药治疗，兹录原方如下，此症若出血过多，实行西医之输血法，极有效，然非贫家所能办到。
第一方注重生血养阴此方服后精神渐苏，稍饮米汤，嘱其静卧勿动，最为紧要。
冬桑叶二钱杭菊二钱荆芥炭二钱北沙参三钱地榆炭二钱生地炭三钱怀山药三钱地骨皮二钱五藕节炭二钱当归身三钱金银花二钱炙鳖甲二钱五莲子肉三钱大熟地三钱枸杞子三钱柏子仁三钱水煎服。十一月初十日，此方服三剂。第二方注重生血，养阴化风此药服后头晕，腹痛均渐轻，精神饮食均好转。
北沙参四钱朱茯神二钱地骨皮三钱大熟地三钱枸杞子三钱生地炭三钱藕节炭三钱地榆炭二钱炙鳖甲二钱荆芥炭三钱当归身三钱五陈棕炭二钱怀山药三钱五薏米仁四钱金银花二钱炙甘草二钱莲子肉五钱杭白芍一钱银柴胡一钱水煎服。十二日，此药服三剂。第三方注重生血养阴，补气健睥此方服后，诸症轻减。
潞党参三钱大熟地四钱荆芥炭三钱真茯苓三钱当归身四钱陈棕炭二钱大生地三钱怀山药四钱薏米仁四钱莲子肉四钱枸杞子三钱北沙参四钱黑元参二钱炙鳖甲一钱五生枣仁三钱炙甘草二钱制香附二钱地骨皮三钱藕节二钱引，水煎服。十四日，此药服三剂。第四方注重生血养阴、建中止渴。
潞党参三钱五柏子仁三钱冬桑叶一钱五杭菊花二钱生枣仁四钱大熟地四钱真茯苓三钱怀山药五钱薏米仁四钱建莲肉四钱当归身四钱朱寸冬三钱补骨脂三钱地榆炭二钱荆芥炭二钱陈棕炭二钱地骨皮三钱北沙参三钱荷叶炭一钱五炙甘草二钱杜仲炭一钱川续断三钱大生地三钱水煎服。十六日，此药服三剂。第五方注重生血，化风健中，服此方后，病已愈大半，头晕大减。
冬桑叶—钱五杭菊花二钱潞党参四钱柏子仁三钱朱茯神二钱当归身四钱薏米仁五钱陈棕炭二钱大熟地四钱真茯苓三钱怀山药五钱贡阿胶二钱北沙参四钱大生地三钱建莲肉四钱杭白芍二钱土炒白术一钱五生枣仁三钱藕节三钱水煎眼。十九日，此方服三剂。第六方注重生血，养阴健中，此方服后，饮食渐加，精神恢复，血亦渐少，已能起床。；北沙参四钱怀山药五钱柏子仁三钱薏米仁五钱广砂仁一钱莲子肉四钱黑元参二钱大生地三钱大熟地三钱地榆炭二钱陈棕炭二钱杭白芍三钱朱寸冬三钱当归身三钱粉丹皮二钱藕节三钱引煎服。二十二日，此方服三剂。第七方服煎剂约二十馀剂，精神已恢复，身体已渐健壮，病者幸是农妇，体格素强，故病后恢复尚易，然血漏尚未全止，服此方百日，乃血止体强，照常工作，此丸药效力极确，不可忽视也。
白凤丸早晚各服一粒，白水送下，引用土炒白术，干姜等（查照原发单用引药）。
此症较（甲）症尤危险，当其大出血（血崩）之时，几无生望，注射强心针之后，虽觉心气稍可维持，然出血不止，几于无法可施，虽以大剂尹方（即前列甲症之验方）与服，总未生效。盖（甲）症系阳虚胜于阴虚，故用健脾为主，佐以参、芪等药，得收大效，此症（乙）纯系阴虚，故一再用（甲）方均不见效，而且出血更甚，（此症每隔十馀日，或七、八日即下血一次，下血后腹即不痛，越数日又腹疼，瘤肿愈大，则又下血，旋即肿块渐消，愈漏血愈多，约半年之久，其间亦用内服西药，及坐药等法，虽有小效，然血瘤愈肿愈大，时常小便不通，服西药利尿剂有效。）卒至毒瘤崩溃，若按照西医说法，病至如此，法在必死，乃于无可奈何中，竟于中医大滋阴治法之原则下，得以二十馀剂之中药，挽回其生命。且白凤丸一方，亦非奇异难得之品，殊不料其效力宏大，对中医视为难治，西医决为必死之子宫瘤，竟能如是之灵。此症在西医固为不治之症，即中医治不得法，十之八九，亦终归死亡。故录此二例，以资研究且（乙）症用（甲）方，绝不效，意者尹系富室，张系农妇，平日滋养不同，生活不同，体格不同，是以余以同一之主张，治此二症，则效于尹而不效于张耶。然两症均危险，（乙）症更危，命在须臾，现在均已强壮，饮食起居一如平人，甲已经过十八年，乙亦经过五年馀，康健优昔，且一在余之故乡，一现在北京本寓，均非远人，访问不难，愿虚心之士、高明医者，一研究之。
（丙）董夫人，住德县城内大寺街，此余友董瑞芝君之夫人，患血漏症，月馀不止，董君以傅青主成方与服不效。血色愈淡，患者日渐衰弱，面色黄瘦，延余诊治以十馀剂治愈，至今仍健在。此属初起之经漏症，录原方于下：第一方全当归三钱土白术四钱吴茱萸一钱炒杭芍三钱党参三钱大熟地三钱棕炭三钱炙芪一钱川芎一钱地榆三钱升麻五分姜枣引，水煎服。第二方照前方加汉三七一钱减升麻、川芎，馀药同前。计第一方服七剂，第二方服十二剂痊愈。头痛及眩晕（二）头痛及眩晕此指日久头痛或眩晕，或偏头痛而言，若初得之实证，不在此例。
（原因）日久头痛或偏头痛，按西医说，不外脑筋病，及牙齿、眼目疾患之影响。神经系眩晕一症，则更属于神经中枢衰弱之现象。而中医则率以肾虚阴亏，内风旋动八字为主旨。
（治法）中医有效治法，率以滋阴、清热、平肝、补肾为主。西医则先检查其病原例如有目疾、牙疾时，将病齿摘除，或治愈眼疾，则头痛自愈。而除去之，用药则不外止痛、健脑，与兴奋等剂，例如咖啡因之应用，但此药剧烈宜注意。此症以余之经验，若无牙、眼原因，总以中药治之为宜。
（医验）余少年时，身体甚弱，曾患偏头痛数年，一见凉风，立即头痛，嗣以从锻炼身体入手，注意强健，自然治愈。某年由京回籍，为次子结婚，忽以感冒无暇疗治，日久竟诱起偏头痛，左偏下午尤甚，鼻流黄涕，长途往返，痛苦异常，日惟以加当药片等，退热止痛，敷衍治疗，后竟一服西药，即便呕吐，连试不爽，且又不能根本治愈。不过暂时轻减乃改服中药，发散之中，兼止头痛，服药微效。此症初得即无暇发汗，迟延多日，未经注意，但此时已不宜用发散药，故无大效也。但每至午后，不但体温升高，而且偏头痛更甚，急以连翘、菊花、桑叶、黄芩、薄荷、苦丁茶、夏枯草，藁本、白芷、荷叶边、鲜茅根等药治之。一剂奇效，病减大半，三剂大效，六剂痊愈。此方治偏头痛极灵，屡试屡验也。
张夫人，住德县城内大营街，此余友张虎臣将军之夫人，年五十岁。患习惯头晕，甚则欲吐，遇有过劳，或忿怒病即发，左脉弦紧，右小而弱。此内风上逆，肝肾失其条达滋润之原理，因而上扰头巅也，治宜疏肝、滋肾，久服可得平稳。此症自服余药，今已数年未发。原方列下：霜桑叶二钱黄菊花四钱白蒺藜三钱鲜生地二钱生白芍三钱淡竹叶三钱嫩勾藤一钱生牡蛎二钱橹豆皮三钱黑芝麻三钱水煎服。每隔三、五日，不论头晕与否，必连赈二、三剂，并须注意摄生。胃溃疡（三）胃溃疡此症最多，中医有胃脘痛、胃痈、及俗名心口痛，种种病名，笼统含混，殊欠明了，此取西医病名也。
（原因）本病由胃粘膜受过当之刺激而起，例如胃酸过多俗名吐酸水，及过食辛辣焦香之物，例如烟、酒、油炸、火烤之物。
咀嚼不细，例如暴食，不嚼即咽下。大凉、大热、半生不熟，不易消化等物，及身体一切不摄生，例如饥饱、劳碌、及恣食过当。因而致使胃之血行起障碍，则本病生焉。
（症候）本病有一定症状，不难诊断，初起只常吐酸水，亦有不吐酸水者即渐渐胃痛。兹述于下：1．胃痛，此痛每于食后发生，当胃部痛极剧烈，甚则恒觉内部有挤压状血聚成病奇痛。
2．呕吐，此为必有症状，然吐出食物后痛即轻减。
3．背胀痛，此症状恒亘一、二星期，或二、三个月，时觉背部胀痛。
4，便秘，十之八九，患此症者，大便多干燥。
5．吐血，必经过大痛此症至出血期，则溃疡已破，吐血量极多，所吐之血，多暗赤色。同时一部分血液，由肠而下，经过肠之作用，变成暗黑色。患者食欲如常，或反亢进，舌多清洁无苔。此症疼痛，亦有放散至胸肋间者此症至出血期，已不致与其他疼痛误认矣。
（治法）中药对本病，可谓一无可取，历试多次，丝毫无效。连治胃脘痛各方包括在内故余对本症，完全采用西医治法，百无一失。盖此症初起，不过胃酸过多，吞酸食后胀闷，此时诊断，若兼有便秘，只与硫苦，合以重曹，一面疏通肠内容物，一面中和胃酸，犹中医所谓消食数日即可治愈。此指轻症而言，此时尚未形成肿疡若习常胃痛、呕吐，即可断定其胃内血行，已起障碍，是必先以人工盐、重曹等，清扫其肠胃，一方面必须与以止痛之药品例如盐莫，阿片丁等，但不可用极量。谨慎治疗，再加以饮食之摄生，二、三星期，亦可治愈。若患者发现大吐血及便血，则是溃疡已破，非常危险，第一须令患者静卧，禁止固形食物，三星期内只饮牛乳或米汤，不可食菜。切忌惊慌，内服次硝酸苍铅，此药能被覆溃疡面，促其结痂。重曹，痛甚者酌加盐莫，或菲沃斯越，并须每朝夕服人工盐，此药无习惯性，故常服无碍。约至四星期，不可间断。患者切不可起立行动，出血后，至第四星期，胃痛已去，可以室内起坐，缓步运动，可以酌食稀粥。此后再过一、二星期，可以稍食易消化之物，至少一个月内，不可断药，人工盐等小心看护，必能治愈，此症患者，女性及壮年较多。不必用外科手术也。此症治不得法，后遗症往往酿成中医所称之噎膈病，即俗名之倒食反胃病。
（医验）此症在未溃以前，不得谓之溃疡，只可称为胃痛，本编所列医验二则，皆已溃之重症也。
然而，西医拥有极其精密的科学体系，却缺乏吸收中药特长的机会。中医中药对此类病症本有其相应的特长，但由于学说庞杂，立论玄虚，致使那些在治疗此症方面远胜于西医方法的中药，必须经过数十年的试验（包括失败与成功），反复比较，并根据患者个人的体质，去粗取精，才能侥幸获得真正有效的治疗方法。在此基础上，才敢断然纠正西医医典中的错误，指出：“治疗子宫瘤症，中药优于西药；若治疗得当，绝不会在一年至一年半的时间内导致死亡。”西医对此症的外科手术仅在万不得已时使用一次，可以弥补中药的缺点，但这种方法也并非绝对完善，这一点不可不知。
（治法）西医治疗此症，内服药尝试多次大多无效；在大出血时，服用西医的止血剂或使用坐药，也无特效；其外科切除手术也多有弊端，不可不知。民国二十六年（1937年），我诊治了东四牌楼演乐胡同二号王慕韶先生的夫人。经诊察发现她肝脏郁血，完全硬变，胁痛剧烈难以忍受。询问得知，起初是因为子宫瘤，在某国医院接受割治后，不久便发现了此症。历经中西有名医生诊治，均判定为不治之症。这位病人年仅三十岁，看她割治前的照片，体态丰腴，且询问得知当时的子宫病并不严重，竟然毅然选择割治，导致遭受如此危险，断送生命，岂不可惜。我们对新学说，若不深入钻研，便盲目相信，那么在信仰医术时更应慎重，万万不可存有“凡是西学即为神圣”的心理。中医治疗此症，此处专指血崩、血漏，方法圆妙灵活，向来有清补、填补、滋阴、补气、和血、收涩等多种治法。因人施治，大多奏效。因医药无灵而最终死亡的，不过十分之一二。现特录三案如下：甲症曾用乙药无效，乙症亦曾用甲药无效，但在病情转移之间，这极危险的血症竟都有向愈的希望。虽不能说是根治，但这足以证明西医医典所下的“一年至一年半而死”的断语，完全不能尽信。
（医验）（甲）尹夫人，四十多岁。（这是我的朋友尹汉岑先生的夫人）住在德州城内旧州署东街。在乙未年患血崩症，先有严重的带下症。先请西医诊治，服用止血药麦角三日，但血不能完全止住。因出血过多，于是请石冕卿先生与我合诊。见其神气衰弱，气喘吁吁，六脉细小。于是商议以大补气血为主，兼疏肝补脾。一剂药后大见效，原方加减共服三十余剂痊愈。此人至今尚健在。兹录原方如下：大党参四钱，当归身六钱，炙黄芪四钱，土炒白术一两，炒白芍八钱，山药八钱，升麻一钱，川芎一钱，柴胡二钱。煎服。
（乙）张妪，四十八岁，住通州南关外车里坟村（这是我北京寓所的女佣，现在仍在此处）。于民国二十三年患血崩症。以前曾有带下症，腰腹常痛，腹内有形如巨碗的肿块（瘤）。每次出血后，肿块即逐渐变小，但经漏不止。积瘀多日后，肿块又逐渐变大，则必有大量血水流出。如此反复一年多，身体日渐衰弱，渐渐无法从事劳动。且时常小便不通，头晕，干呕，四肢酸软；月经三、五日一至，有时每日不断，遂成重症。某夜忽然又发生血崩，出血盈盆，遂致痉厥。（此症曾服西药及用坐药，以前并服用过尹夫人的中药方，均无大效。）当时注射强心针（哥罗纳金）一次，衰惫已极，六脉细微。以后即以中药治疗，兹录原方如下。此症若出血过多，实行西医的输血法，极有效，但非贫家所能办到。
第一方注重生血养阴。此方服后精神渐苏，稍饮米汤，嘱其静卧勿动，最为紧要。
冬桑叶二钱，杭菊二钱，荆芥炭二钱，北沙参三钱，地榆炭二钱，生地炭三钱，怀山药三钱，地骨皮二钱五，藕节炭二钱，当归身三钱，金银花二钱，炙鳖甲二钱五，莲子肉三钱，大熟地三钱，枸杞子三钱，柏子仁三钱。水煎服。十一月初十日，此方服三剂。
第二方注重生血，养阴化风。此药服后头晕、腹痛均渐轻，精神饮食均好转。
北沙参四钱，朱茯神二钱，地骨皮三钱，大熟地三钱，枸杞子三钱，生地炭三钱，藕节炭三钱，地榆炭二钱，炙鳖甲二钱，荆芥炭三钱，当归身三钱五，陈棕炭二钱，怀山药三钱五，薏米仁四钱，金银花二钱，炙甘草二钱，莲子肉五钱，杭白芍一钱，银柴胡一钱。水煎服。十二日，此药服三剂。
第三方注重生血养阴，补气健脾。此方服后，诸症轻减。
潞党参三钱，大熟地四钱，荆芥炭三钱，真茯苓三钱，当归身四钱，陈棕炭二钱，大生地三钱，怀山药四钱，薏米仁四钱，莲子肉四钱，枸杞子三钱，北沙参四钱，黑元参二钱，炙鳖甲一钱五，生枣仁三钱，炙甘草二钱，制香附二钱，地骨皮三钱，藕节二钱。引药：水煎服。十四日，此药服三剂。
第四方注重生血养阴、建中止渴。
潞党参三钱五，柏子仁三钱，冬桑叶一钱五，杭菊花二钱，生枣仁四钱，大熟地四钱，真茯苓三钱，怀山药五钱，薏米仁四钱，建莲肉四钱，当归身四钱，朱寸冬三钱，补骨脂三钱，地榆炭二钱，荆芥炭二钱，陈棕炭二钱，地骨皮三钱，北沙参三钱，荷叶炭一钱五，炙甘草二钱，杜仲炭一钱，川续断三钱，大生地三钱。水煎服。十六日，此药服三剂。
第五方注重生血，化风健中。服此方后，病已愈大半，头晕大减。
冬桑叶一钱五，杭菊花二钱，潞党参四钱，柏子仁三钱，朱茯神二钱，当归身四钱，薏米仁五钱，陈棕炭二钱，大熟地四钱，真茯苓三钱，怀山药五钱，贡阿胶二钱，北沙参四钱，大生地三钱，建莲肉四钱，杭白芍二钱，土炒白术一钱五，生枣仁三钱，藕节三钱。水煎服。十九日，此方服三剂。
第六方注重生血，养阴健中。此方服后，饮食渐加，精神恢复，血亦渐少，已能起床。
北沙参四钱，怀山药五钱，柏子仁三钱，薏米仁五钱，广砂仁一钱，莲子肉四钱，黑元参二钱，大生地三钱，大熟地三钱，地榆炭二钱，陈棕炭二钱，杭白芍三钱，朱寸冬三钱，当归身三钱，粉丹皮二钱，藕节三钱。引药：煎服。二十二日，此方服三剂。
第七方服煎剂约二十余剂，精神已恢复，身体已渐健壮。病者幸是农妇，体格素强，故病后恢复尚易。然血漏尚未全止，服此方百日，乃血止体强，照常工作。此丸药效力极确，不可忽视也。
白凤丸早晚各服一粒，白水送下，引用土炒白术、干姜等（查照原发单用引药）。
此症较（甲）症尤危险。当其大出血（血崩）之时，几无生望。注射强心针之后，虽觉心气稍可维持，然出血不止，几于无法可施。虽以大剂尹方（即前列甲症之验方）与服，总未生效。盖（甲）症系阳虚胜于阴虚，故用健脾为主，佐以参、芪等药，得收大效；此症（乙）纯系阴虚，故一再用（甲）方均不见效，而且出血更甚。（此症每隔十余日，或七、八日即下血一次，下血后腹即不痛，越数日又腹疼，瘤肿愈大，则又下血，旋即肿块渐消，愈漏血愈多，约半年之久，其间亦用内服西药，及坐药等法，虽有小效，然血瘤愈肿愈大，时常小便不通，服西药利尿剂有效。）卒至毒瘤崩溃。若按照西医说法，病至如此，法在必死。乃于无可奈何中，竟于中医大滋阴治法之原则下，得以二十余剂之中药，挽回其生命。且白凤丸一方，亦非奇异难得之品，殊不料其效力宏大。对中医视为难治、西医决为必死之子宫瘤，竟能如是之灵。此症在西医固为不治之症，即中医治不得法，十之八九，亦终归死亡。故录此二例，以资研究。且（乙）症用（甲）方，绝不效，意者尹系富室，张系农妇，平日滋养不同，生活不同，体格不同，是以余以同一之主张，治此二症，则效于尹而不效于张耶？然两症均危险，（乙）症更危，命在须臾。现在均已强壮，饮食起居一如平人，甲已经过十八年，乙亦经过五年余，康健优昔。且一在余之故乡，一现在北京本寓，均非远人，访问不难。愿虚心之士、高明医者，一研究之。
（丙）董夫人，住德县城内大寺街，此余友董瑞芝君之夫人，患血漏症，月余不止。董君以傅青主成方与服不效。血色愈淡，患者日渐衰弱，面色黄瘦。延余诊治，以十馀剂治愈，至今仍健在。此属初起之经漏症，录原方于下：
第一方全当归三钱，土白术四钱，吴茱萸一钱，炒杭芍三钱，党参三钱，大熟地三钱，棕炭三钱，炙芪一钱，川芎一钱，地榆三钱，升麻五分。姜枣引，水煎服。
第二方照前方加汉三七一钱，减升麻、川芎，馀药同前。计第一方服七剂，第二方服十二剂痊愈。
头痛及眩晕（二）头痛及眩晕
此指日久头痛或眩晕，或偏头痛而言。若初得之实证，不在此例。
（原因）日久头痛或偏头痛，按西医说，不外脑筋病，及牙齿、眼目疾患之影响。神经系眩晕一症，则更属于神经中枢衰弱之现象。而中医则率以肾虚阴亏，内风旋动八字为主旨。
（治法）中医有效治法，率以滋阴、清热、平肝、补肾为主。西医则先检查其病原，例如如有目疾、牙疾时，将病齿摘除，或治愈眼疾，则头痛自愈。而除去之，用药则不外止痛、健脑，与兴奋等剂，例如咖啡因之应用，但此药剧烈宜注意。此症以余之经验，若无牙、眼原因，总以中药治之为宜。
（医验）余少年时，身体甚弱，曾患偏头痛数年，一见凉风，立即头痛。嗣以从锻炼身体入手，注意强健，自然治愈。某年由京回籍，为次子结婚，忽以感冒无暇疗治，日久竟诱起偏头痛，左偏下午尤甚，鼻流黄涕，长途往返，痛苦异常。日惟以加当药片等，退热止痛，敷衍治疗。后竟一服西药，即便呕吐，连试不爽，且又不能根本治愈。不过暂时轻减。乃改服中药，发散之中，兼止头痛，服药微效。此症初得即无暇发汗，迟延多日，未经注意，但此时已不宜用发散药，故无大效也。但每至午后，不但体温升高，而且偏头痛更甚。急以连翘、菊花、桑叶、黄芩、薄荷、苦丁茶、夏枯草、藁本、白芷、荷叶边、鲜茅根等药治之。一剂奇效，病减大半，三剂大效，六剂痊愈。此方治偏头痛极灵，屡试屡验也。
张夫人，住德县城内大营街，此余友张虎臣将军之夫人，年五十岁。患习惯头晕，甚则欲吐，遇有过劳，或忿怒病即发。左脉弦紧，右小而弱。此内风上逆，肝肾失其条达滋润之原理，因而上扰头巅也。治宜疏肝、滋肾，久服可得平稳。此症自服余药，今已数年未发。原方列下：
霜桑叶二钱，黄菊花四钱，白蒺藜三钱，鲜生地二钱，生白芍三钱，淡竹叶三钱，嫩勾藤一钱，生牡蛎二钱，橹豆皮三钱，黑芝麻三钱。水煎服。每隔三、五日，不论头晕与否，必连赈二、三剂，并须注意摄生。
胃溃疡（三）胃溃疡
此症最多，中医有胃脘痛、胃痈、及俗名心口痛，种种病名，笼统含混，殊欠明了，此取西医病名也。
（原因）本病由胃粘膜受过当之刺激而起，例如胃酸过多（俗名吐酸水），及过食辛辣焦香之物，例如烟、酒、油炸、火烤之物。咀嚼不细，例如暴食，不嚼即咽下。大凉、大热、半生不熟、不易消化等物，及身体一切不摄生，例如饥饱、劳碌、及恣食过当。因而致使胃之血行起障碍，则本病生焉。
（症候）本病有一定症状，不难诊断。初起只常吐酸水，亦有不吐酸水者，即渐渐胃痛。兹述于下：
1．胃痛，此痛每于食后发生，当胃部痛极剧烈，甚则恒觉内部有挤压状血聚成病奇痛。
2．呕吐，此为必有症状，然吐出食物后痛即轻减。
3．背胀痛，此症状恒亘一、二星期，或二、三个月，时觉背部胀痛。
4．便秘，十之八九，患此症者，大便多干燥。
5．吐血，必经过大痛。此症至出血期，则溃疡已破，吐血量极多，所吐之血，多暗赤色。同时一部分血液，由肠而下，经过肠之作用，变成暗黑色。患者食欲如常，或反亢进，舌多清洁无苔。此症疼痛，亦有放散至胸肋间者。此症至出血期，已不致与其他疼痛误认矣。
（治法）中药对本病，可谓一无可取，历试多次，丝毫无效。连治胃脘痛各方包括在内，故余对本症，完全采用西医治法，百无一失。盖此症初起，不过胃酸过多，吞酸食后胀闷。此时诊断，若兼有便秘，只与硫苦，合以重曹，一面疏通肠内容物，一面中和胃酸，犹中医所谓消食，数日即可治愈。此指轻症而言，此时尚未形成肿疡。若习常胃痛、呕吐，即可断定其胃内血行，已起障碍，是必先以人工盐、重曹等，清扫其肠胃。一方面必须与以止痛之药品，例如盐莫，阿片丁等，但不可用极量。谨慎治疗，再加以饮食之摄生，二、三星期，亦可治愈。若患者发现大吐血及便血，则是溃疡已破，非常危险。第一须令患者静卧，禁止固形食物，三星期内只饮牛乳或米汤，不可食菜。切忌惊慌，内服次硝酸苍铅，此药能被覆溃疡面，促其结痂。重曹，痛甚者酌加盐莫，或菲沃斯越，并须每朝夕服人工盐，此药无习惯性，故常服无碍。约至四星期，不可间断。患者切不可起立行动。出血后，至第四星期，胃痛已去，可以室内起坐，缓步运动，可以酌食稀粥。此后再过一、二星期，可以稍食易消化之物。至少一个月内，不可断药。人工盐等小心看护，必能治愈。此症患者，女性及壮年较多。不必用外科手术也。此症治不得法，后遗症往往酿成中医所称之噎膈病，即俗名之倒食反胃病。
（医验）此症在未溃以前，不得谓之溃疡，只可称为胃痛。本编所列医验二则，皆已溃之重症也。
However, Western medicine possesses an extremely precise scientific system but lacks the opportunity to absorb the unique strengths of Chinese herbal medicine. Traditional Chinese Medicine (TCM) and its herbs inherently possess corresponding strengths for such conditions; yet, due to the complexity of theories and abstract arguments, those Chinese herbs that are far superior to Western methods in treating this condition must undergo decades of trials (including failures and successes), repeated comparisons, and be selected based on each patient's individual constitution—discarding the dross and selecting the gold—to hopefully obtain truly effective treatment methods. Only on this basis can one dare to decisively correct the errors in Western medical texts, stating: "For treating uterine fibroids (uterine tumors), Chinese medicine is superior to Western medicine; if treated correctly, it will absolutely not lead to a fatal outcome within one to one and a half years." Western surgical intervention for this condition should only be used as a last resort to supplement the shortcomings of Chinese medicine, but this method is also not absolutely perfect, a fact that must be known.
(Treatment Methods) In treating this condition, Western internal medicines have mostly proved ineffective after numerous trials. During massive hemorrhage, Western hemostatic agents or suppositories also lack specific effects; furthermore, surgical resection often has many drawbacks, which must be known. In 1937 (the 26th year of the Republic of China), I treated the wife of Mr. Wang Mushao, No. 2 Yanle Hutong, Dongsi Pailou. Upon examination, she was found to have hepatic blood stasis and complete cirrhosis, with unbearable hypochondriac pain. Inquiry revealed that initially, due to a uterine tumor, she underwent surgery at a foreign hospital, after which this condition soon appeared. Despite treatment by renowned TCM and Western doctors, all deemed it incurable. The patient was only thirty years old; looking at her pre-surgery photos, she had a plump physique, and inquiry confirmed that her uterine disease was not severe at the time. Yet, she resolutely chose surgery, leading to such danger and loss of life, how regrettable. We must not blindly believe in new theories without deep research; when having faith in medical treatments, we must be even more cautious and never harbor the psychology that "all Western learning is sacred." TCM treatment for this condition, specifically referring to metrorrhagia (sudden heavy vaginal bleeding) and metrorrhaxis (prolonged irregular vaginal bleeding), employs flexible and ingenious methods, traditionally including clearing and tonifying, filling and tonifying, nourishing Yin, tonifying Qi, harmonizing blood, and astringing. Treatment tailored to the individual often yields results. Deaths due to ineffective medicine account for only one or two out of ten. Here, three cases are recorded: Case A failed with Drug B, and Case B failed with Drug A, yet amidst the shift in condition, these extremely dangerous hemorrhages showed hope of recovery. Although not a radical cure, this sufficiently proves that the Western medical dictum of death within one to one and a half years cannot be fully trusted.
(Clinical Verification) (A) Madam Yin, over forty years old (wife of my friend Mr. Yin Hancen), lived on East Street of the Old Prefecture Office in Dezhou City. In the Yiwei year, she suffered from metrorrhagia, preceded by severe leukorrhea. She first consulted a Western doctor and took ergot for three days, but bleeding did not completely stop. Due to excessive blood loss, Mr. Shi Mianqing and I conducted a joint consultation. We observed weak spirit, shortness of breath, and fine, thin pulses in all six positions. We proposed a major tonic for Qi and Blood, combined with soothing the Liver and tonifying the Spleen. One dose yielded significant effect; taking the modified original prescription for over thirty doses led to recovery. This person is still alive today. The original prescription is recorded below: Radix Codonopsis (Dangshen) 4 qian, Radix Angelicae Sinensis (Danggui) body 6 qian, Prepared Radix Astragali (Huangqi) 4 qian, Earth-fried Radix Atractylodis Macrocephalae (Baizhu) 1 liang, Fried Radix Paeoniae Alba (Baishao) 8 qian, Rhizoma Dioscoreae (Shanyao) 8 qian, Rhizoma Cyperi (Shengma) 1 qian, Radix Chuanxiong (Chuanxiong) 1 qian, Radix Bupleuri (Chaihu) 2 qian. Decoct and take orally.
(B) Elderly Woman Zhang, 48 years old, lived in Che Lifan Village, outside South Gate, Tongzhou (my female servant in Beijing, still here). In 1934 (the 23rd year of the Republic of China), she suffered from metrorrhagia. Previously, she had leukorrhea, frequent lower back and abdominal pain, and a mass in the abdomen like a large bowl (tumor). After each episode of bleeding, the mass gradually shrank, but menstrual leakage persisted. After accumulating stasis for several days, the mass grew again, followed by the discharge of large amounts of bloody fluid. This cycle repeated for over a year, causing gradual physical decline until she could no longer work. She frequently experienced urinary retention, dizziness, dry heaving, and limb soreness; menstruation occurred every three to five days, sometimes daily, becoming a severe condition. One night, sudden metrorrhagia occurred, filling a basin, leading to convulsions. (This condition had previously taken Western medicines, suppositories, and Madam Yin’s TCM prescription, all with little effect.) At that time, one injection of a cardiac stimulant (Coronin) was administered; she was extremely debilitated with minute pulses. Thereafter, TCM treatment was adopted. The original prescriptions are recorded below. If bleeding were excessive, Western blood transfusion would be highly effective, but unaffordable for poor families.
First Prescription focuses on generating blood and nourishing Yin. After taking this, spirit gradually recovered, allowing slight intake of rice soup. Resting quietly was crucial.
Folium Mori (Sangye) 2 qian, Flos Chrysanthemi Indici (Juhua) 2 qian, Carbonized Herba Schizonepetae (Jingjie Tan) 2 qian, Radix Glehniae (Beishashen) 3 qian, Radix Sanguisorbae (Diyu) carbonized 2 qian, Radix Rehmanniae Preparata (Shengdi) carbonized 3 qian, Rhizoma Dioscoreae (Huai Shanyao) 3 qian, Cortex Lycii (Digupi) 2.5 qian, Node of Nymphaea (Oujie) carbonized 2 qian, Radix Angelicae Sinensis (Danggui) body 3 qian, Flos Lonicerae (Jinyinhua) 2 qian, Carapax et Plastrum Testudinis (Biejia) prepared 2.5 qian, Semen Nelumbinis (Lianzi) 3 qian, Radix Rehmanniae Preparata (Shudi) 3 qian, Fructus Lycii (Gouqi) 3 qian, Semen Ziziphi Spinosae (Baiziren) 3 qian. Decoct and take orally. On Nov 10, three doses were taken.
Second Prescription focuses on generating blood, nourishing Yin, and extinguishing wind. After taking this, dizziness and abdominal pain gradually lessened, and spirit/appetite improved.
Radix Glehniae (Beishashen) 4 qian, Poria with Hostwood (Zhufushen) 2 qian, Cortex Lycii (Digupi) 3 qian, Radix Rehmanniae Preparata (Shudi) 3 qian, Fructus Lycii (Gouqi) 3 qian, Radix Rehmanniae Preparata (Shengdi) carbonized 3 qian, Node of Nymphaea (Oujie) carbonized 3 qian, Radix Sanguisorbae (Diyu) carbonized 2 qian, Carapax et Plastrum Testudinis (Biejia) prepared 2 qian, Herba Schizonepetae (Jingjie) carbonized 3 qian, Radix Angelicae Sinensis (Danggui) body 3.5 qian, Cortex Cinnamomi (Chenzong) carbonized 2 qian, Rhizoma Dioscoreae (Huai Shanyao) 3.5 qian, Semen Coicis (Yimi) 4 qian, Flos Lonicerae (Jinyinhua) 2 qian, Radix Glycyrrhizae (Gancao) prepared 2 qian, Semen Nelumbinis (Lianzi) 5 qian, Radix Paeoniae Alba (Baishao) 1 qian, Radix Bupleuri (Chaihu) 1 qian. Decoct and take orally. On the 12th, three doses were taken.
Third Prescription focuses on generating blood, nourishing Yin, tonifying Qi, and strengthening the Spleen. After taking this, various symptoms alleviated.
Radix Codonopsis (Lutangshen) 3 qian, Radix Rehmanniae Preparata (Shudi) 4 qian, Herba Schizonepetae (Jingjie) carbonized 3 qian, Poria (Zhen Lingzhi) 3 qian, Radix Angelicae Sinensis (Danggui) body 4 qian, Cortex Cinnamomi (Chenzong) carbonized 2 qian, Radix Rehmanniae Preparata (Dashengdi) 3 qian, Rhizoma Dioscoreae (Huai Shanyao) 4 qian, Semen Coicis (Yimi) 4 qian, Semen Nelumbinis (Lianzi) 4 qian, Fructus Lycii (Gouqi) 3 qian, Radix Glehniae (Beishashen) 4 qian, Radix Scrophulariae (Xuanshen) black 2 qian, Carapax et Plastrum Testudinis (Biejia) prepared 1.5 qian, Semen Ziziphi Spinosae (Suanzaoren) raw 3 qian, Radix Glycyrrhizae (Gancao) prepared 2 qian, Rhizoma Cyperi (Xiangfu) processed 2 qian, Cortex Lycii (Digupi) 3 qian, Node of Nymphaea (Oujie) 2 qian. Guide: Water decoction. On the 14th, three doses were taken.
Fourth Prescription focuses on generating blood, nourishing Yin, building the Middle, and stopping thirst.
Radix Codonopsis (Lutangshen) 3.5 qian, Semen Ziziphi Spinosae (Baiziren) 3 qian, Folium Mori (Sangye) 1.5 qian, Flos Chrysanthemi Indici (Hangjuhua) 2 qian, Semen Ziziphi Spinosae (Suanzaoren) raw 4 qian, Radix Rehmanniae Preparata (Shudi) 4 qian, Poria (Zhen Lingzhi) 3 qian, Rhizoma Dioscoreae (Huai Shanyao) 5 qian, Semen Coicis (Yimi) 4 qian, Lotus Seed Meat (Jianlianrou) 4 qian, Radix Angelicae Sinensis (Danggui) body 4 qian, Radix Ophiopogonis (Cundong) cinnabar-coated 3 qian, Semen Psoraleae (Buguzhi) 3 qian, Radix Sanguisorbae (Diyu) carbonized 2 qian, Herba Schizonepetae (Jingjie) carbonized 2 qian, Cortex Cinnamomi (Chenzong) carbonized 2 qian, Cortex Lycii (Digupi) 3 qian, Radix Glehniae (Beishashen) 3 qian, Folium Nelumbinis (Heye) carbonized 1.5 qian, Radix Glycyrrhizae (Gancao) prepared 2 qian, Caulis Eucommiae (Duzhong) carbonized 1 qian, Radix Dipsaci (Xuduan) 3 qian, Radix Rehmanniae Preparata (Dashengdi) 3 qian. Decoct and take orally. On the 16th, three doses were taken.
Fifth Prescription focuses on generating blood, extinguishing wind, and strengthening the Middle. After taking this, the illness was largely cured, and dizziness significantly reduced.
Folium Mori (Sangye) 1.5 qian, Flos Chrysanthemi Indici (Hangjuhua) 2 qian, Radix Codonopsis (Lutangshen) 4 qian, Semen Ziziphi Spinosae (Baiziren) 3 qian, Poria with Hostwood (Zhufushen) 2 qian, Radix Angelicae Sinensis (Danggui) body 4 qian, Semen Coicis (Yimi) 5 qian, Cortex Cinnamomi (Chenzong) carbonized 2 qian, Radix Rehmanniae Preparata (Shudi) 4 qian, Poria (Zhen Lingzhi) 3 qian, Rhizoma Dioscoreae (Huai Shanyao) 5 qian, Colla Corii Asini (Ejiao) tribute grade 2 qian, Radix Glehniae (Beishashen) 4 qian, Radix Rehmanniae Preparata (Dashengdi) 3 qian, Lotus Seed Meat (Jianlianrou) 4 qian, Radix Paeoniae Alba (Baishao) 2 qian, Earth-fried Radix Atractylodis Macrocephalae (Baizhu) 1.5 qian, Semen Ziziphi Spinosae (Suanzaoren) raw 3 qian, Node of Nymphaea (Oujie) 3 qian. Decoct and take orally. On the 19th, three doses were taken.
Sixth Prescription focuses on generating blood, nourishing Yin, and strengthening the Middle. After taking this, appetite increased, spirit recovered, bleeding decreased, and she could get out of bed.
Radix Glehniae (Beishashen) 4 qian, Rhizoma Dioscoreae (Huai Shanyao) 5 qian, Semen Ziziphi Spinosae (Baiziren) 3 qian, Semen Coicis (Yimi) 5 qian, Fructus Amomi (Sharen) 1 qian, Semen Nelumbinis (Lianzi) 4 qian, Radix Scrophulariae (Xuanshen) black 2 qian, Radix Rehmanniae Preparata (Dashengdi) 3 qian, Radix Rehmanniae Preparata (Deshudi) 3 qian, Radix Sanguisorbae (Diyu) carbonized 2 qian, Cortex Cinnamomi (Chenzong) carbonized 2 qian, Radix Paeoniae Alba (Baishao) 3 qian, Radix Ophiopogonis (Cundong) cinnabar-coated 3 qian, Radix Angelicae Sinensis (Danggui) body 3 qian, Cortex Moutan (Danpi) 2 qian, Node of Nymphaea (Oujie) 3 qian. Guide: Decoct and take. On the 22nd, three doses were taken.
After taking approximately twenty-plus doses of decoctions, spirit had recovered, and the body gradually became robust. Fortunately, the patient was a peasant woman with strong constitution, so recovery was relatively easy. However, metrorrhaxis had not completely stopped. Taking this formula for one hundred days stopped the bleeding, strengthened the body, and allowed return to normal work. This pill medicine is extremely effective and cannot be ignored.
Baifeng Wan (White Phoenix Pill): Take one pill morning and evening with plain water. Guide: Earth-fried Radix Atractylodis Macrocephalae (Baizhu), Rhizoma Zingiberis (Ganjiang), etc. (Refer to original single guide prescription).
This case was more dangerous than Case (A). During massive hemorrhage (metrorrhagia), there seemed no hope of survival. After injecting the cardiac stimulant, heart qi could barely be maintained, but bleeding continued, leaving seemingly no options. Even administering a large dose of Yin’s Formula (the verified formula from Case A) was ineffective. Case (A) was characterized by Yang deficiency exceeding Yin deficiency, so treating primarily by strengthening the Spleen, assisted by Codonopsis and Astragalus, yielded great results. Case (B) was purely Yin deficiency; thus, repeated use of Case (A)’s formula was ineffective and worsened bleeding. (In this case, bleeding occurred every ten-plus days, or seven to eight days. After bleeding, abdominal pain ceased; after a few days, pain returned, the tumor swelled larger, causing more bleeding, then the mass gradually subsided, but leakage increased. This lasted about half a year. During this period, oral Western medicines and suppositories were used, yielding minor effects, but the blood tumor swelled larger, accompanied by frequent urinary retention. Western diuretics were effective.) Eventually, the malignant tumor collapsed. According to Western medicine, such a condition is inevitably fatal. Yet, under the principle of major Yin-nourishing treatment in TCM, over twenty doses of Chinese medicine miraculously saved her life. Moreover, Baifeng Wan is not a rare or exotic item; its efficacy is unexpectedly profound. For a uterine tumor considered difficult by TCM and definitely fatal by Western medicine, it worked so effectively. While Western medicine considers this incurable, even TCM fails in 80-90% of cases if treated improperly, leading to death. Thus, these two cases are recorded for study. Also, Case (B) did not respond to Case (A)’s formula. Perhaps because Yin was wealthy and Zhang was a peasant, their daily nutrition, lifestyle, and constitution differed? Therefore, using the same approach yielded results for Yin but not Zhang? Both cases were dangerous, with (B) being more critical, life hanging by a thread. Now both are robust, eating and living like normal people. Case (A) has passed eighteen years, Case (B) over five years, both healthier than before. One is in my hometown, the other in my Beijing residence, both accessible. I invite sincere scholars and skilled physicians to study them.
(C) Madam Dong, lived on Da Si Street in Dezhou City, wife of my friend Mr. Dong Ruizhi. She suffered from metrorrhaxis for over a month. Mr. Dong gave her Fu Qingzhu’s established formula, but it was ineffective. The blood color became paler, the patient grew weaker day by day, with sallow and emaciated complexion. I treated her, curing her in over ten doses. She is still alive today. This was an initial stage of menstrual leakage. The original prescription is recorded below:
First Prescription: Radix Angelicae Sinensis (Quandanggui) 3 qian, Earth-fried Radix Atractylodis Macrocephalae (Baizhu) 4 qian, Fructus Evodiae (Wuzhuyu) 1 qian, Fried Radix Paeoniae Alba (Hangshaoyao) 3 qian, Radix Codonopsis (Dangshen) 3 qian, Radix Rehmanniae Preparata (Shudi) 3 qian, Carbonized Cortex Cinnamomi (Zongtan) 3 qian, Prepared Radix Astragali (Zhi Huangqi) 1 qian, Radix Chuanxiong (Chuanxiong) 1 qian, Radix Sanguisorbae (Diyu) 3 qian, Rhizoma Cyperi (Shengma) 0.5 qian. Guide: Ginger and Jujube. Decoct and take orally.
Second Prescription: Based on the previous formula, add Radix Notoginseng (Sanqi) 1 qian, remove Rhizoma Cyperi (Shengma) and Radix Chuanxiong (Chuanxiong), rest remains the same. Total: First prescription taken for seven doses, second for twelve doses, leading to recovery.
Headache and Vertigo (II) Headache and Vertigo
This refers to chronic headache or vertigo, or migraine. Acute excess patterns at onset are not included here.
(Etiology) Chronic headache or migraine, according to Western medicine, is mainly related to brain disorders or influences from dental and ocular diseases. Neurological vertigo is more a phenomenon of central nervous system weakness. In TCM, the main focus is usually summarized in eight characters: Kidney deficiency, Yin depletion, and stirring of internal wind.
(Treatment) Effective TCM treatments mainly focus on nourishing Yin, clearing heat, pacifying the Liver, and tonifying the Kidney. Western medicine first checks for pathogens; for example, if there are eye or dental diseases, extracting diseased teeth or curing eye diseases may resolve the headache automatically. Medications are mainly analgesics, brain tonics, and stimulants, such as caffeine, but caution is needed due to its potency. Based on my experience, if there are no dental or ocular causes, TCM treatment is preferable.
(Clinical Verification) In my youth, my body was weak, and I suffered from migraines for years. Exposure to cool wind immediately triggered headaches. Later, through exercise and attention to health, it healed naturally. One year, returning home from Beijing for my second son’s wedding, I caught a cold and had no time to treat it. Over time, it induced a migraine, worse on the left side in the afternoon, with yellow nasal discharge. Long-distance travel caused extreme pain. I relied on aspirin tablets to reduce fever and pain, merely coping. Later, one dose of Western medicine caused vomiting; repeated attempts failed, and it couldn't cure the root cause, only providing temporary relief. I then switched to TCM, combining dispersing actions with headache relief, with minor effect. Since I missed the chance to induce sweating at the onset and delayed treatment for days, dispersing herbs were no longer suitable, hence limited effect. However, every afternoon, body temperature rose, and migraine worsened. I urgently prescribed Forsythia (Lianqiao), Chrysanthemum (Juhua), Mulberry Leaf (Sangye), Scutellaria (Huangqin), Mint (Bohe), Bitter Tea (Kudingcha), Prunella (Xiakucao), Ligusticum (Gaoben), Angelica Dahurica (Baizhi), Lotus Leaf Edge (Heyebian), and fresh Imperata Rhizome (Maogen). One dose yielded miraculous effect, halving the illness; three doses showed major improvement; six doses led to recovery. This formula is extremely effective for migraines, tested repeatedly.
Madam Zhang, lived on Daying Street in Dezhou City, wife of General Zhang Huchen, my friend, aged fifty. She suffered from habitual dizziness, sometimes nausea, triggered by overwork or anger. Left pulse was wiry and tight, right pulse small and weak. This is internal wind rising, with Liver and Kidney losing their free flow and moistening principles, disturbing the head. Treatment should soothe the Liver and nourish the Kidney; long-term use brings stability. Since taking my prescription, she hasn’t relapsed for years. Original prescription:
Frost-treated Folium Mori (Sangye) 2 qian, Yellow Chrysanthemum (Huangjuhua) 4 qian, Tribulus (Jili) 3 qian, Fresh Rehmannia Root (Xianshengdi) 2 qian, Raw White Peony Root (Shengbaishao) 3 qian, Light Bamboo Leaf (Danzhuye) 3 qian, Tender Uncaria (Gouteng) 1 qian, Raw Oyster Shell (Shengmuli) 2 qian, Broad Bean Hull (Ludoupi) 3 qian, Black Sesame (Heizhima) 3 qian. Decoct and take orally. Every three to five days, regardless of dizziness, take two to three consecutive doses, and pay attention to lifestyle preservation.
Gastric Ulcer (III) Gastric Ulcer
This condition is common. TCM terms include epigastric pain, gastric abscess, and colloquially "heartburn," which are vague and unclear. Hence, the Western medical term is adopted.
(Etiology) This disease arises from inappropriate stimulation of the gastric mucosa, such as excessive stomach acid (colloquially "acid regurgitation"), and overconsumption of spicy, fried, or roasted foods, e.g., tobacco, alcohol, fried foods, grilled items. Poor chewing, e.g., binge eating without chewing. Extreme cold, extreme heat, semi-raw, hard-to-digest foods, and general lack of self-care, e.g., irregular meals, overwork, and excessive indulgence. These cause obstacles in gastric blood circulation, leading to this disease.
(Symptoms) This disease has definite symptoms, making diagnosis easy. Initially, frequent acid regurgitation occurs, or some patients don't regurgitate acid but develop gradual epigastric pain. Described below:
1. Epigastric pain: Occurs after meals. When severe, it feels like internal squeezing or strange pain from blood accumulation.
2. Vomiting: A necessary symptom; pain alleviates after vomiting food.
3. Back distending pain: Lasts one to two weeks or two to three months, with intermittent back distension/pain.
4. Constipation: In 80-90% of cases, stools are dry.
5. Hematemesis: Must follow severe pain. At the bleeding stage, the ulcer has ruptured, with massive vomiting of dark red blood. Simultaneously, part of the blood passes through the intestines, turning dark black due to intestinal action. Appetite remains normal or increases. Tongue is usually clean without coating. Pain may radiate to the chest and ribs. At the bleeding stage, it is unlikely to be confused with other pains.
(Treatment) Chinese herbs seem useless for this disease, having been tried multiple times with zero effect. Including formulas for epigastric pain, I completely adopt Western treatment methods for this condition, with near-perfect success. Initially, it is merely excessive stomach acid and bloating after eating acid. Diagnosis, if accompanied by constipation, involves administering Glauber's salt (Mirabilite) with Sodium Bicarbonate, clearing intestinal contents while neutralizing stomach acid, similar to TCM's "digestion-promoting" method, curing in a few days. This refers to mild cases where no ulcer has formed. If chronic epigastric pain and vomiting persist, it indicates obstructed gastric blood circulation. First, cleanse the gastrointestinal tract with artificial salt and Sodium Bicarbonate. Simultaneously, administer analgesics, e.g., Morphine sulfate, Papaverine, but avoid maximum doses. Careful treatment, combined with dietary care, can cure in two to three weeks. If massive hematemesis and melena occur, the ulcer has ruptured, which is very dangerous. First, keep the patient lying down, forbid solid food, drink only milk or rice soup for three weeks, no vegetables. Avoid panic. Internally administer Lead Subnitrate, which covers the ulcer surface to promote scabbing. Use Sodium Bicarbonate; for severe pain, add Morphine sulfate or Phospho-Euphorbin. Take artificial salt morning and evening; this drug has no habit-forming properties, so long-term use is safe. Continue for about four weeks without interruption. The patient must not stand or walk. After bleeding, by the fourth week, when pain subsides, indoor sitting and slow walking are allowed, with light porridge. One or two weeks later, easily digestible foods can be slightly introduced. Medication must not be interrupted for at least one month. With careful nursing using artificial salt, etc., cure is certain. This condition is more common in women and young adults. Surgical operation is unnecessary. If treated improperly, sequelae often develop into TCM's "dysphagia" (Yige), colloquially "reverse eating disease."
(Clinical Verification) Before perforation, this condition cannot be called an ulcer, only epigastric pain. The two clinical cases listed in this compilation are both severe, perforated cases.