鼓胀2(早期肝硬化)
孙某某，女，60岁
初诊
患者慢性肝炎10余年。近日经某医院检查血浆蛋白下降，白球比值倒置，认为已发展到早期肝硬化。建议中医治疗。
现证脘腹及两胁胀满不舒，食后为甚，右胁隐痛，按之痛加，食欲不振，一身疲乏，心烦急躁，夜寐梦多。两脉弦滑且数，舌红苔薄黄。肝胆郁热入于血分，先用清化方法。
柴胡6克，黄芩10克，香附10克，川楝子10克，元胡10克，丹参10克，赤芍10克，郁金10克，七付
二诊
药后腹胀渐轻，夜寐较安，恶梦渐减。脉仍弦滑，按之濡软，舌红苔白。仍用调和肝胃方法。
荆芥6克，防风6克，川楝于6克，元胡6克，香附10克，木香6克，焦三仙各10克，柴胡6克，郁金10克，七付
三诊
药后诸证平稳。患者自行停药两周。近日腹胀又作，夜寐梦多。脉象濡滑且数，舌红苔黄且腻，湿热蕴郁不化，三焦不畅，仍用清化湿热方法，疏利三焦，以退其胀。
苏叶梗各10克，川楝子6克，香附10克，木香10克，佩兰10克(后下)，大腹皮10克，槟榔10克，焦三仙各10克，炒枳壳6克，七付
四诊
药后大便畅行，腹胀减轻，纳食有增。脉仍濡滑，舌红苔腻，仍用前法加减。
佩兰10克(后下)，藿香10克(后下)，苏叶梗各10克，丹参10克，赤芍10克，茜草10克，大腹皮10克，术香10克，郁盒10克，焦三仙各10克，水红花子10克，七剂
五诊
湿热蕴郁三焦，肝胆郁热未清，夜寐梦多，心烦急躁，脉象濡滑且数，舌红苔黄而腻，仍用清化方法。
川楝子6克，元胡6克，夏枯草10克，龙胆草2克，丹参10克，赤芍10克，焦三仙各10克，水红花子10克，青陈皮各10克，郁金10克，大腹皮10克，槟榔10克，七付
六诊
下肢沉重，无力以动，腰背作痛，脉象濡滑，按之有力而数，舌红苔黄腻。湿痰蕴热互阻，疏调气机，涤痰通络，以缓其痛。
苏叶梗各10克，半夏10克，莱菔子10克，白芥子6克，片姜黄6克，杏仁10克，枇杷叶10克，丝瓜络10克，桑枝10
克，大腹皮10克，钩藤10克(后下)，七付
七诊
药后下肢甚感轻快，腰背疼痛皆止。胸胁痞闷不舒，脘部尚有压痛。脉象濡滑且数，仍用舒调气机方法。
柴胡6克，黄芩6克，川楝子6克，半夏10克，黄连2克，杏仁10克，枇杷叶10克，丝瓜络10克，桑枝10克，焦三仙各10克，七付
八诊
舌黄根厚，脉象濡滑，湿热蕴郁，头目不清，脘腹胀满不舒。仍用清化湿浊方法。
苏叶梗各6克，青陈皮各10克，半夏10克，炒枳壳10克，焦三仙各10克，水红花子10克，大腹皮10克，槟榔10克，晚蚕沙10克，蔓剂子10克，七付
[按]：本案患者早期肝硬化，以脘腹胀满为主要表现，并有皖胁腰背诸痛。据脉舌色证分析，其为湿热蕴郁不化，肝胆郁热探入血分。故其治疗从请泄肝胆郁热，清化睥胃湿热，瘟血化瘀，疏利三焦几方面调理浦泄肝胆郁热用柴胡、黄芩、川檩子、龙胆草、夏枯草等；清化湿热用佩兰、藿香、茵陈、苏叶梗等；凉血化瘀用丹参、茜草、赤芍、郁金、元胡等；疏利三焦用焦三仙、水红花子、大腹皮、槟榔等；疏理气机用青陈皮、香附、木香、枳壳等；通络止痛用丝瓜络、桑枝、白芥子。治疗中不用扶正，不用守中，不用滋腻。依上法随证治之，并配以饮食调养、运动锻炼等方法，经过近一年的治疗，该患者各种症状消失，体力增强，肝功化验正常，白球比例正常，并恢复了正常工作。
癌1(转移性肝癌)
周某某，男，40岁
初诊
1985年5月20日，患者因胃脘部肿块伴疼痛呕吐于1984年11月经某某省医学院附属医院检查确诊为胃癌，并行胃全切术。1985年因肝区疼痛来北京某医院检查，B超提示肝内有占位性病变，诊断为转移性肝癌。
1985年3月14日，超声所见：左肝外段及内缘均见低回声区，分别为2.0×2.1cm，3.O× 2.9cm大小，边界尚清楚。右肝回声均匀，未见明显异常区。 提示：左肝内多发性占位性病变(M)。
患者自觉右胁下胀满不适，阵阵作痛，心烦急燥，夜寐梦多，口干咽燥，舌红瘦，苔白而于，右脉弦细滑，左脉弦细。此为肝热阴伤气机阻滞，络脉失和。良由情志不遂，肝郁日久，化火伤阴所致。先用疏调气机以解肝郁。
旋复花10克，片姜黄6克，蝉衣6克，僵蚕10克，香附10
克，术香6克，丹参10克，焦三仙各10克，20剂。
并嘱其注意忌食辛辣厚味，只吃清淡素食，并每日坚持散步运动，不可间断。
二诊：1985年6月10日
药后胁下渐舒适，疼痛大为减轻，诊脉仍弦细，舌红苔白且干，心烦梦多。气机渐调，郁热未清，继用疏调气机方法。
蝉衣6克，疆蚕10克，片姜黄6克，香附10克，杏仁10
克，枇杷叶10克，焦三仙各10克，6剂
三诊：1985年6月17日
舌红且干，脉弦细而数，夜寐欠安，仍属肝经郁热未清络脉失和之象，再以疏调，参以凉血化瘀。
半枝莲10克，白头翁10克，蝉衣6克，僵蚕10克，片姜黄6克，竹茹6克，枳壳6克，焦三仙各10克，6剂
四诊；1985年6月24日
夜寐渐安，心烦亦减，右脉弦细而滑，左脉濡软，郁热渐轻，仍用前法进退。
半枝莲10克，赤芍10克，茜草10克，半夏10克，陈皮6
克，蝉衣6克，僵蚕10克。片姜黄6克，焦三仙各10克，6剂
五诊：1985年7月1目
脉象滑软，舌红苔白，嗳气不舒，再以凉血化瘀通络方法。
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半枝莲10克，赤芍10克，茜草10克，陈皮6克，片姜黄6
克，蝉衣6克，僵蚕10克，焦麦芽10克，6剂
六诊：1985年7月8日
脉象濡软且靖，舌白腻润，诸症皆减，仍用凉血化瘀方法。
半枝莲10克，半边莲10克，半夏10克，陈皮6克，蝉衣6
克，僵蚕10克，片姜黄6克，焦三仙各10克，12剂
七诊：1985年7月22日
脉象濡软，舌红且绛，肝区不舒，用益气化瘀方法。
生黄芪10克，沙参10克，茯苓10克，赤芍10克，茜草10
克，蝉衣6克，僵蚕10克，片姜黄6克，6剂
八诊：1985年7月29日
日前复查B超，结果如下：
1985年7月27日超声所见：肝左内叶见1.3×1.2cm低回声团，边界清晰规则。余回声可。
超声提示：左肝内叶窦性占位病变(M)
诊脉弦细滑数，夜寐梦多，仍属郁热未清，热在阴分，继用凉血化瘀，益气活络方法。
生黄芪20克，沙参10克，麦门冬10克，五味子10克，半枝莲10克，赤芍10克，茜草10克，蝉衣6克，焦三仙各10
克，水红花子10克，片僵蚕6克，僵蚕10克，30剂
患者携上方返回山东老家，续服3个月，一切症状消失，身体日渐强壮。于1985年u月来京复查，结果如下。
1985年u月9日超声所见：肝内回声均匀，未见明显异常回声团，血管清晰。胰腺显示不清。
超声提示：肝内未见明显异常。
1986年8月患者再次返京复查，结果仍未有异常发现。
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[按]：本案为胃癌术后转肝癌，恶性程度很高，赵师用中医药辨证论治取得了满意疗效。综观本侧治疗全过程，大致可分为三个阶段。
第一个阶段包括初诊、二诊，以疏调气机以解肝郁为主。
虽然患者因癌肿消耗，手术及术后脾胃运化失司日久而致气阴两伤，但其病机的主要矛盾仍然是肝郁热。因为患者得知自已患了癌症，术后复发转移，自以为无法可治，将不久于世，故尔心情沉重，情绪低落，终日闷闷不乐。这是造成肝郁气机失调的主要因素之一。肝郁日久必然化热，故表现为肝郁热如心急烦躁，夜寐梦多。郁热在里必然伤阴，故又有口干、脉细、舌瘦等表现。比较起来，肝郁是主要的，第一位的。故治疗以疏调气机以解肝郁热，方用升降散为基础，蝉衣、僵蚕秉清化之气而升阳上达，合旋复花、杏仁、枇杷叶宣肺下气而降浊，用片姜黄疏利气血之瘀滞。以丹参助其活血化瘀，木香助其调气，焦三仙消积滞而通三焦。并教患者素食以保运化，锻炼以运气血，忌食辛辣厚味则六腑清净，郁热不生。如此综合调理则肝家郁热得以解散，虽不治癌，而直拨致癌之本矣。
治疗的第二阶段从三诊到六诊，经过第一阶段的治疗之后，气机渐畅，症状渐减，患者心情较前平静，也增强了治疗的信心。此时的治疗重点逐渐转移到凉血化瘀方面。因为肝为藏血之脏，肝郁热日久，必然造成热八血分而致瘀滞，故单纯疏调气机虽属必要，但针对性不强，必须和凉血化瘀结合起来，气血双调，故在升降散疏调气机的基础上，增入半枝莲清热解毒，白头翁、赤芍、茜草凉血化瘀。经过一个多月的调治，患者自觉各种病状逐渐减轻，精神状态也越来越好，信心十足，积极配合治疗，经B超复查，提示肝内原有的两处癌肿，
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一处消失，一处明显缩小。
治疗的第三个阶段从七诊开始在原来疏调气机、凉血化瘀的基础上，增入益气扶正之品，因为本病之初就存在气阴两伤，属正虚邪实之病。经过前二阶段的治疗之后，郁热邪气得以渐渐消散，此时再议扶正即无恋邪之虑，况诊其脉象濡软，气分已显不足，若一味专以清化方法并非上策，此时选用扶正祛邪最为恰当时机。故用药在疏调气机、凉血化瘀的基础上加生黄芪益气扶正，生脉散益气养阴。患者返里前携带方中又增入焦三仙、水红花子，因其返里后需长期服用，故增入焦三仙、水红花子以助化，如此则配伍全面，方宜长期服用。患者以此方坚持服用3个月，肝内肿物全消，收到了满意的治疗效果。
瘸2(子宫肌瘤)
万某，女，46岁
少腹右侧有块，按之作痛，已3月余。曾作妇科检查，确诊为子宫肌瘤，建议手术切除。患者不愿手术，前来就诊。近一年来，月经素乱，经期延长，且量多有块，近两三个月，经量尤多，甚至一月二至，蹦致疲乏不堪。诊脉弦滑细数有力。拟用活血化瘀方法。
柴胡6克，川楝子10克，黄芩6克，香附10克，三棱6克，莪术6克，木香10克，青陈皮各10克，夏枯草10克，益母草10克
患者服上方共三个月40余剂，月经恢复正常，少腹之块消失，无压痛，经妇科检查，确认子宫肌瘤已不存在。
[按]；子宫肌瘤多表现为月经过多，此为瘀血阻络，血不归经。治疗不必固经止血，只须化瘀通络消瘤，通因通用之法也。若为粘膜下肌瘤，此法甚效，可收瘤消血止之功。消瘤借重三棱、莪术，余药仍坩清肝热调气机而已。
鼓胀2（早期肝硬化）
孙某某，女，60岁
初诊
患者患有慢性肝炎10多年。近日在某医院检查发现血浆蛋白下降，白球比值倒置，被认为已发展到早期肝硬化。建议进行中医治疗。
目前症状为脘腹及两侧胁肋部胀满不适，进食后加重，右胁隐痛，按压时疼痛加剧，食欲不振，全身疲乏，心烦急躁，夜间睡眠多梦。双侧脉象弦滑且数，舌质红，苔薄黄。此为肝胆郁热深入血分，先用清化湿热的方法。
柴胡6克，黄芩10克，香附10克，川楝子10克，延胡索10克，丹参10克，赤芍10克，郁金10克，七剂
二诊
服药后腹胀逐渐减轻，夜间睡眠较安稳，噩梦逐渐减少。脉象仍呈弦滑，但按之濡软，舌质红，苔白。仍用调和肝胃的方法。
荆芥6克，防风6克，川楝子6克，延胡索6克，香附10克，木香6克，焦三仙各10克，柴胡6克，郁金10克，七剂
三诊
服药后诸症平稳。患者自行停药两周。近日腹胀再次发作，夜间睡眠多梦。脉象濡滑且数，舌质红，苔黄且腻，为湿热蕴结郁滞不化，三焦气机不畅，仍用清化湿热的方法，疏利三焦，以消除腹胀。
苏叶梗各10克，川楝子6克，香附10克，木香10克，佩兰10克（后下），大腹皮10克，槟榔10克，焦三仙各10克，炒枳壳6克，七剂
四诊
服药后大便通畅，腹胀减轻，食欲增加。脉象仍濡滑，舌质红，苔腻，仍用前法加减。
佩兰10克（后下），藿香10克（后下），苏叶梗各10克，丹参10克，赤芍10克，茜草10克，大腹皮10克，木香10克，郁金10克，焦三仙各10克，水红花子10克，七剂
五诊
湿热蕴结郁滞于三焦，肝胆郁热未清，夜间睡眠多梦，心烦急躁，脉象濡滑且数，舌质红，苔黄而腻，仍用清化方法。
川楝子6克，延胡索6克，夏枯草10克，龙胆草2克，丹参10克，赤芍10克，焦三仙各10克，水红花子10克，青皮陈皮各10克，郁金10克，大腹皮10克，槟榔10克，七剂
六诊
下肢沉重，无力活动，腰背作痛，脉象濡滑，按之有力而数，舌质红，苔黄腻。湿痰蕴热互结阻滞，疏调气机，涤痰通络，以缓解疼痛。
苏叶梗各10克，半夏10克，莱菔子10克，白芥子6克，片姜黄6克，杏仁10克，枇杷叶10克，丝瓜络10克，桑枝10克，大腹皮10克，钩藤10克（后下），七剂
七诊
服药后下肢感觉轻快，腰背疼痛全部停止。胸胁痞闷不适，脘部仍有压痛。脉象濡滑且数，仍用舒调气机的方法。
柴胡6克，黄芩6克，川楝子6克，半夏10克，黄连2克，杏仁10克，枇杷叶10克，丝瓜络10克，桑枝10克，焦三仙各10克，七剂
八诊
舌苔黄厚根，脉象濡滑，湿热蕴结郁滞，头目不清爽，脘腹胀满不适。仍用清化湿浊的方法。
苏叶梗各6克，青皮陈皮各10克，半夏10克，炒枳壳10克，焦三仙各10克，水红花子10克，大腹皮10克，槟榔10克，晚蚕沙10克，蔓荆子10克，七剂
[按]：本案患者为早期肝硬化，以脘腹胀满为主要表现，并伴有胁肋、腰背等部位疼痛。根据脉象、舌象及症状分析，病因为湿热蕴结郁滞不化，肝胆郁热深入血分。因此治疗从清泄肝胆郁热、清化脾胃湿热、凉血化瘀、疏利三焦等方面进行调理。清泄肝胆郁热选用柴胡、黄芩、川楝子、龙胆草、夏枯草等；清化湿热选用佩兰、藿香、茵陈、苏叶梗等；凉血化瘀选用丹参、茜草、赤芍、郁金、延胡索等；疏利三焦选用焦三仙、水红花子、大腹皮、槟榔等；疏理气机选用青皮陈皮、香附、木香、枳壳等；通络止痛选用丝瓜络、桑枝、白芥子。治疗中不使用扶正药物，不固守中焦，不使用滋腻药物。依此法随证治之，并配合饮食调养、运动锻炼等方法，经过近一年的治疗，该患者各种症状消失，体力增强，肝功能化验正常，白球比例正常，并恢复了正常工作。
癌1（转移性肝癌）
周某某，男，40岁
初诊
1985年5月20日，患者因胃脘部肿块伴疼痛呕吐，于1984年11月经某省医学院附属医院检查确诊为胃癌，并行胃全切术。1985年因肝区疼痛来北京某医院检查，B超提示肝内有占位性病变，诊断为转移性肝癌。
1985年3月14日，超声所见：左肝外段及内缘均见低回声区，分别为2.0×2.1cm，3.0×2.9cm大小，边界尚清楚。右肝回声均匀，未见明显异常区。提示：左肝内多发性占位性病变（恶性）。
患者自觉右胁下胀满不适，阵阵作痛，心烦急躁，夜间睡眠多梦，口干咽燥，舌质红瘦，苔白而干，右脉弦细滑，左脉弦细。此为肝热阴伤、气机阻滞、络脉失和。良由情志不遂，肝郁日久，化火伤阴所致。先用疏调气机以解肝郁。
旋覆花10克，片姜黄6克，蝉蜕6克，僵蚕10克，香附10克，木香6克，丹参10克，焦三仙各10克，20剂。
并嘱其注意忌食辛辣厚味，只吃清淡素食，并每日坚持散步运动，不可间断。
二诊：1985年6月10日
服药后胁下渐感舒适，疼痛大为减轻，诊脉仍弦细，舌红苔白且干，心烦梦多。气机渐调，郁热未清，继用疏调气机方法。
蝉蜕6克，僵蚕10克，片姜黄6克，香附10克，杏仁10克，枇杷叶10克，焦三仙各10克，6剂
三诊：1985年6月17日
舌红且干，脉弦细而数，夜间睡眠欠安，仍属肝经郁热未清、络脉失和之象，再以疏调，参以凉血化瘀。
半枝莲10克，白头翁10克，蝉蜕6克，僵蚕10克，片姜黄6克，竹茹6克，枳壳6克，焦三仙各10克，6剂
四诊：1985年6月24日
夜间睡眠渐安，心烦亦减，右脉弦细而滑，左脉濡软，郁热渐轻，仍用前法进退。
半枝莲10克，赤芍10克，茜草10克，半夏10克，陈皮6克，蝉蜕6克，僵蚕10克，片姜黄6克，焦三仙各10克，6剂
五诊：1985年7月1日
脉象滑软，舌红苔白，嗳气不舒，再以凉血化瘀通络方法。
半枝莲10克，赤芍10克，茜草10克，陈皮6克，片姜黄6克，蝉蜕6克，僵蚕10克，焦麦芽10克，6剂
六诊：1985年7月8日
脉象濡软且静，舌白腻润，诸症皆减，仍用凉血化瘀方法。
半枝莲10克，半边莲10克，半夏10克，陈皮6克，蝉蜕6克，僵蚕10克，片姜黄6克，焦三仙各10克，12剂
七诊：1985年7月22日
脉象濡软，舌红且绛，肝区不适，用益气化瘀方法。
生黄芪10克，沙参10克，茯苓10克，赤芍10克，茜草10克，蝉蜕6克，僵蚕10克，片姜黄6克，6剂
八诊：1985年7月29日
日前复查B超，结果如下：
1985年7月27日超声所见：肝左内叶见1.3×1.2cm低回声团，边界清晰规则。余回声可。
超声提示：左肝内叶窦性占位病变（恶性）
诊脉弦细滑数，夜间睡眠多梦，仍属郁热未清，热在阴分，继用凉血化瘀，益气活络方法。
生黄芪20克，沙参10克，麦门冬10克，五味子10克，半枝莲10克，赤芍10克，茜草10克，蝉蜕6克，焦三仙各10克，水红花子10克，片僵蚕6克，僵蚕10克，30剂
患者携上方返回山东老家，续服3个月，一切症状消失，身体日渐强壮。于1985年11月来京复查，结果如下。
1985年11月9日超声所见：肝内回声均匀，未见明显异常回声团，血管清晰。胰腺显示不清。
超声提示：肝内未见明显异常。
1986年8月患者再次返京复查，结果仍未有异常发现。
[按]：本案为胃癌术后转肝癌，恶性程度很高，赵师用中医药辨证论治取得了满意疗效。综观本例治疗全过程，大致可分为三个阶段。
第一个阶段包括初诊、二诊，以疏调气机以解肝郁为主。
虽然患者因癌肿消耗，手术及术后脾胃运化失司日久而致气阴两伤，但其病机的主要矛盾仍然是肝郁热。因为患者得知自己患了癌症，术后复发转移，自以为无法可治，将不久于世，故尔心情沉重，情绪低落，终日闷闷不乐。这是造成肝郁气机失调的主要因素之一。肝郁日久必然化热，故表现为肝郁热如心急烦躁，夜寐梦多。郁热在里必然伤阴，故又有口干、脉细、舌瘦等表现。比较起来，肝郁是主要的，第一位的。故治疗以疏调气机以解肝郁热，方用升降散为基础，蝉蜕、僵蚕秉清化之气而升阳上达，合旋覆花、杏仁、枇杷叶宣肺下气而降浊，用片姜黄疏利气血之瘀滞。以丹参助其活血化瘀，木香助其调气，焦三仙消积滞而通三焦。并教患者素食以保运化，锻炼以运气血，忌食辛辣厚味则六腑清净，郁热不生。如此综合调理则肝家郁热得以解散，虽不治癌，而直拨致癌之本矣。
治疗的第二阶段从三诊到六诊，经过第一阶段的治疗之后，气机渐畅，症状渐减，患者心情较前平静，也增强了治疗的信心。此时的治疗重点逐渐转移到凉血化瘀方面。因为肝为藏血之脏，肝郁热日久，必然造成热入血分而致瘀滞，故单纯疏调气机虽属必要，但针对性不强，必须和凉血化瘀结合起来，气血双调，故在升降散疏调气机的基础上，增入半枝莲清热解毒，白头翁、赤芍、茜草凉血化瘀。经过一个多月的调治，患者自觉各种病状逐渐减轻，精神状态也越来越好，信心十足，积极配合治疗，经B超复查，提示肝内原有的两处癌肿，一处消失，一处明显缩小。
治疗的第三个阶段从七诊开始在原来疏调气机、凉血化瘀的基础上，增入益气扶正之品，因为本病之初就存在气阴两伤，属正虚邪实之病。经过前二阶段的治疗之后，郁热邪气得以渐渐消散，此时再议扶正即无恋邪之虑，况诊其脉象濡软，气分已显不足，若一味专以清化方法并非上策，此时选用扶正祛邪最为恰当时机。故用药在疏调气机、凉血化瘀的基础上加生黄芪益气扶正，生脉散益气养阴。患者返里前携带方中又增入焦三仙、水红花子，因其返里后需长期服用，故增入焦三仙、水红花子以助化，如此则配伍全面，方宜长期服用。患者以此方坚持服用3个月，肝内肿物全消，收到了满意的治疗效果。
瘤2（子宫肌瘤）
万某，女，46岁
少腹右侧有块，按之作痛，已3月余。曾作妇科检查，确诊为子宫肌瘤，建议手术切除。患者不愿手术，前来就诊。近一年来，月经素乱，经期延长，且量多有块，近两三个月，经量尤多，甚至一月二至，导致疲乏不堪。诊脉弦滑细数有力。拟用活血化瘀方法。
柴胡6克，川楝子10克，黄芩6克，香附10克，三棱6克，莪术6克，木香10克，青皮陈皮各10克，夏枯草10克，益母草10克
患者服上方共三个月40余剂，月经恢复正常，少腹之块消失，无压痛，经妇科检查，确认子宫肌瘤已不存在。
[按]：子宫肌瘤多表现为月经过多，此为瘀血阻络，血不归经。治疗不必固经止血，只须化瘀通络消瘤，通因通用之法也。若为粘膜下肌瘤，此法甚效，可收瘤消血止之功。消瘤借重三棱、莪术，余药仍为清肝热调气机而已。
Tumor Distension 2 (Early-stage Liver Cirrhosis)
Patient: Sun XX, Female, 60 years old
First Visit
The patient has suffered from chronic hepatitis for over 10 years. Recently, examination at a certain hospital revealed decreased plasma protein and an inverted albumin-globulin ratio, indicating progression to early-stage liver cirrhosis. Traditional Chinese Medicine (TCM) treatment was recommended.
Current symptoms include distension and discomfort in the epigastrium and hypochondriac regions, worsening after meals; dull pain in the right hypochondrium exacerbated by pressure; poor appetite; general fatigue; irritability and restlessness; and frequent dreaming during sleep. The pulse is wiry, slippery, and rapid bilaterally; the tongue is red with a thin yellow coating. This indicates liver-gallbladder qi stagnation transforming into heat entering the blood level. A method of clearing and resolving damp-heat will be used initially.
Chai Hu (Bupleuri Radix) 6g, Huang Qin (Scutellariae Radix) 10g, Xiang Fu (Cyperi Rhizoma) 10g, Chuan Lian Zi (Meliae Fructus) 10g, Yuan Hu (Corydalis Rhizoma) 10g, Dan Shen (Salviae Miltiorrhizae Radix et Rhizoma) 10g, Chi Shao (Paeoniae Radix Rubra) 10g, Yu Jin (Curcumae Radix) 10g. Seven doses.
Second Visit
After taking the medicine, abdominal distension gradually lightened, sleep became more peaceful, and nightmares decreased. The pulse remains wiry and slippery but feels soft upon pressure; the tongue is red with a white coating. The method of harmonizing the liver and stomach will still be used.
Jing Jie (Schizonepetae Herba) 6g, Fang Feng (Saposhnikoviae Radix) 6g, Chuan Lian Zi (Meliae Fructus) 6g, Yuan Hu (Corydalis Rhizoma) 6g, Xiang Fu (Cyperi Rhizoma) 10g, Mu Xiang (Aucklandiae Radix) 6g, Jiao San Xian (Fried Hawthorn, Fried Medicated Leaven, and Fried Barley each) 10g, Chai Hu (Bupleuri Radix) 6g, Yu Jin (Curcumae Radix) 10g. Seven doses.
Third Visit
Symptoms were stable after medication. The patient stopped medication on her own for two weeks. Recently, abdominal distension recurred, and sleep was disturbed by frequent dreams. The pulse is soggy, slippery, and rapid; the tongue is red with a thick yellow greasy coating. This indicates damp-heat accumulating and stagnating without transformation, causing obstruction of the Triple Burner (San Jiao). The method of clearing and resolving damp-heat will be used again to unblock the Triple Burner and reduce distension.
Su Ye Geng (Perillae Caulis and Folium) 10g each, Chuan Lian Zi (Meliae Fructus) 6g, Xiang Fu (Cyperi Rhizoma) 10g, Mu Xiang (Aucklandiae Radix) 10g, Pei Lan (Eupatorii Herba) 10g (added later), Da Fu Pi (Arecae Pericarpium) 10g, Bing Lang (Arecae Semen) 10g, Jiao San Xian (Fried Hawthorn, Fried Medicated Leaven, and Fried Barley each) 10g, Chao Zhi Ke (Stir-fried Aurantii Fructus) 6g. Seven doses.
Fourth Visit
After medication, bowel movements were smooth, abdominal distension decreased, and appetite increased. The pulse remains soggy and slippery; the tongue is red with a greasy coating. The previous method will be modified.
Pei Lan (Eupatorii Herba) 10g (added later), Huo Xiang (Agastaches Herba) 10g (added later), Su Ye Geng (Perillae Caulis and Folium) 10g each, Dan Shen (Salviae Miltiorrhizae Radix et Rhizoma) 10g, Chi Shao (Paeoniae Radix Rubra) 10g, Qian Cao (Rubiae Radix et Rhizoma) 10g, Da Fu Pi (Arecae Pericarpium) 10g, Mu Xiang (Aucklandiae Radix) 10g, Yu Jin (Curcumae Radix) 10g, Jiao San Xian (Fried Hawthorn, Fried Medicated Leaven, and Fried Barley each) 10g, Shui Hong Hua Zi (Polygoni Multiflori Caulis) 10g. Seven doses.
Fifth Visit
Damp-heat accumulates and stagnates in the Triple Burner; liver-gallbladder stagnation heat is not cleared. Symptoms include frequent dreaming during sleep, irritability, and restlessness. The pulse is soggy, slippery, and rapid; the tongue is red with a yellow greasy coating. The method of clearing and resolving will still be used.
Chuan Lian Zi (Meliae Fructus) 6g, Yuan Hu (Corydalis Rhizoma) 6g, Xia Ku Cao (Prunellae Spica) 10g, Long Dan Cao (Gentianae Radix) 2g, Dan Shen (Salviae Miltiorrhizae Radix et Rhizoma) 10g, Chi Shao (Paeoniae Radix Rubra) 10g, Jiao San Xian (Fried Hawthorn, Fried Medicated Leaven, and Fried Barley each) 10g, Shui Hong Hua Zi (Polygoni Multiflori Caulis) 10g, Qing Chen Pi (Citri Reticulatae Pericarpium Viride and Citri Reticulatae Pericarpium) 10g each, Yu Jin (Curcumae Radix) 10g, Da Fu Pi (Arecae Pericarpium) 10g, Bing Lang (Arecae Semen) 10g. Seven doses.
Sixth Visit
Lower limbs feel heavy and weak, unable to move easily; backache occurs. The pulse is soggy and slippery, forceful and rapid upon pressure; the tongue is red with a yellow greasy coating. Damp-phlegm and heat obstruct each other. The method of regulating qi mechanism, eliminating phlegm, and unblocking collaterals will be used to alleviate pain.
Su Ye Geng (Perillae Caulis and Folium) 10g each, Ban Xia (Pinelliae Rhizoma) 10g, Lai Fu Zi (Radish Seed) 10g, Bai Jie Zi (Mustard Seed) 6g, Pian Jiang Huang (Curcumae Longae Rhizoma) 6g, Xing Ren (Armeniacae Semen Amarum) 10g, Pi Pa Ye (Loquat Leaf) 10g, Si Gua Luo (Luffae Fructus Retinervus) 10g, Sang Zhi (Mori Ramulus) 10g, Da Fu Pi (Arecae Pericarpium) 10g, Gou Teng (Uncariae Ramulus cum Uncis) 10g (added later). Seven doses.
Seventh Visit
After medication, the lower limbs felt very light, and backache ceased. Chest and hypochondriac stuffiness and discomfort remain, along with tenderness in the epigastrium. The pulse is soggy, slippery, and rapid. The method of soothing and regulating the qi mechanism will still be used.
Chai Hu (Bupleuri Radix) 6g, Huang Qin (Scutellariae Radix) 6g, Chuan Lian Zi (Meliae Fructus) 6g, Ban Xia (Pinelliae Rhizoma) 10g, Huang Lian (Coptidis Rhizoma) 2g, Xing Ren (Armeniacae Semen Amarum) 10g, Pi Pa Ye (Loquat Leaf) 10g, Si Gua Luo (Luffae Fructus Retinervus) 10g, Sang Zhi (Mori Ramulus) 10g, Jiao San Xian (Fried Hawthorn, Fried Medicated Leaven, and Fried Barley each) 10g. Seven doses.
Eighth Visit
The tongue coating is yellow and thick at the root; the pulse is soggy and slippery. Damp-heat accumulates and stagnates, causing cloudiness of the head and eyes, and distension and discomfort in the epigastrium and abdomen. The method of clearing and resolving damp-turbidity will still be used.
Su Ye Geng (Perillae Caulis and Folium) 6g each, Qing Chen Pi (Citri Reticulatae Pericarpium Viride and Citri Reticulatae Pericarpium) 10g each, Ban Xia (Pinelliae Rhizoma) 10g, Chao Zhi Ke (Stir-fried Aurantii Fructus) 10g, Jiao San Xian (Fried Hawthorn, Fried Medicated Leaven, and Fried Barley each) 10g, Shui Hong Hua Zi (Polygoni Multiflori Caulis) 10g, Da Fu Pi (Arecae Pericarpium) 10g, Bing Lang (Arecae Semen) 10g, Wan Can Sha (Bombyx Batryticatus) 10g, Man Jing Zi (Viticis Fructus) 10g. Seven doses.
[Commentary]: The patient in this case had early-stage liver cirrhosis, primarily presenting with epigastric and abdominal distension, accompanied by pain in the hypochondriac, lumbar, and back regions. Analysis of the pulse, tongue, and symptoms indicates that damp-heat accumulated and stagnated without transformation, and liver-gallbladder stagnation heat entered the blood level. Therefore, treatment focused on clearing and draining liver-gallbladder stagnation heat, clearing and resolving spleen-stomach damp-heat, cooling blood and resolving stasis, and unblocking the Triple Burner. To clear and drain liver-gallbladder stagnation heat, Chai Hu (Bupleuri Radix), Huang Qin (Scutellariae Radix), Chuan Lian Zi (Meliae Fructus), Long Dan Cao (Gentianae Radix), and Xia Ku Cao (Prunellae Spica) were used; to clear and resolve damp-heat, Pei Lan (Eupatorii Herba), Huo Xiang (Agastaches Herba), Yin Chen (Artemisiae Scopariae Herba), and Su Ye Geng (Perillae Caulis and Folium) were used; to cool blood and resolve stasis, Dan Shen (Salviae Miltiorrhizae Radix et Rhizoma), Qian Cao (Rubiae Radix et Rhizoma), Chi Shao (Paeoniae Radix Rubra), Yu Jin (Curcumae Radix), and Yuan Hu (Corydalis Rhizoma) were used; to unblock the Triple Burner, Jiao San Xian (Fried Hawthorn, Fried Medicated Leaven, and Fried Barley), Shui Hong Hua Zi (Polygoni Multiflori Caulis), Da Fu Pi (Arecae Pericarpium), and Bing Lang (Arecae Semen) were used; to regulate qi mechanism, Qing Chen Pi (Citri Reticulatae Pericarpium Viride and Citri Reticulatae Pericarpium), Xiang Fu (Cyperi Rhizoma), Mu Xiang (Aucklandiae Radix), and Zhi Ke (Aurantii Fructus) were used; to unblock collaterals and relieve pain, Si Gua Luo (Luffae Fructus Retinervus), Sang Zhi (Mori Ramulus), and Bai Jie Zi (Mustard Seed) were used. During treatment, tonifying methods were not used, nor was the middle jiao guarded exclusively, nor were cloying substances employed. Following this method according to syndrome differentiation, combined with dietary regulation and exercise, after nearly one year of treatment, all symptoms disappeared, physical strength increased, liver function tests normalized, the albumin-globulin ratio returned to normal, and the patient resumed normal work.
Cancer 1 (Metastatic Liver Cancer)
Patient: Zhou XX, Male, 40 years old
First Visit
On May 20, 1985, due to a mass in the epigastrium accompanied by pain and vomiting, the patient was diagnosed with gastric cancer in November 1984 at the Affiliated Hospital of a Provincial Medical College and underwent total gastrectomy. In 1985, due to pain in the liver region, he visited a hospital in Beijing. Ultrasound indicated a space-occupying lesion in the liver, diagnosed as metastatic liver cancer.
Ultrasound findings on March 14, 1985: Hypoechoic areas were seen in the lateral segment and medial margin of the left liver lobe, measuring 2.0×2.1 cm and 3.0×2.9 cm respectively, with relatively clear boundaries. The right liver showed uniform echogenicity with no obvious abnormal areas. Impression: Multiple space-occupying lesions in the left liver (Malignant).
The patient felt fullness and discomfort under the right hypochondrium, intermittent pain, irritability, frequent dreaming during sleep, dry mouth and throat. The tongue was red and thin with a dry white coating. The right pulse was wiry, fine, and slippery; the left pulse was wiry and fine. This indicates liver heat injuring yin, qi mechanism obstruction, and collateral disharmony. This resulted from prolonged emotional constraint leading to liver qi stagnation, which transformed into fire and injured yin over time. Initially, the method of regulating the qi mechanism to relieve liver stagnation will be used.
Xuan Fu Hua (Inulae Flos) 10g, Pian Jiang Huang (Curcumae Longae Rhizoma) 6g, Chan Yi (Bombyx Batryticatus) 6g, Jiang Can (Bombyx Batryticatus) 10g, Xiang Fu (Cyperi Rhizoma) 10g, Mu Xiang (Aucklandiae Radix) 6g, Dan Shen (Salviae Miltiorrhizae Radix et Rhizoma) 10g, Jiao San Xian (Fried Hawthorn, Fried Medicated Leaven, and Fried Barley each) 10g. 20 doses.
He was instructed to avoid spicy and rich foods, eat only light vegetarian food, and persist in daily walking exercises without interruption.
Second Visit: June 10, 1985
After medication, hypochondriac discomfort gradually eased, and pain significantly reduced. The pulse remained wiry and fine; the tongue was red with a dry white coating; irritability and frequent dreaming persisted. The qi mechanism was gradually regulated, but stagnation heat was not cleared. The method of regulating the qi mechanism will continue.
Chan Yi (Bombyx Batryticatus) 6g, Jiang Can (Bombyx Batryticatus) 10g, Pian Jiang Huang (Curcumae Longae Rhizoma) 6g, Xiang Fu (Cyperi Rhizoma) 10g, Xing Ren (Armeniacae Semen Amarum) 10g, Pi Pa Ye (Loquat Leaf) 10g, Jiao San Xian (Fried Hawthorn, Fried Medicated Leaven, and Fried Barley each) 10g. 6 doses.
Third Visit: June 17, 1985
The tongue was red and dry; the pulse was wiry, fine, and rapid; sleep was restless. This still indicates uncleared liver channel stagnation heat and collateral disharmony. Regulation will continue, supplemented by cooling blood and resolving stasis.
Ban Zhi Lian (Scutellariae Barbatae Herba) 10g, Bai Tou Weng (Pulsatillae Radix) 10g, Chan Yi (Bombyx Batryticatus) 6g, Jiang Can (Bombyx Batryticatus) 10g, Pian Jiang Huang (Curcumae Longae Rhizoma) 6g, Zhu Ru (Bambusae Caulis in Taenia) 6g, Zhi Ke (Aurantii Fructus) 6g, Jiao San Xian (Fried Hawthorn, Fried Medicated Leaven, and Fried Barley each) 10g. 6 doses.
Fourth Visit: June 24, 1985
Sleep gradually improved, and irritability decreased. The right pulse was wiry, fine, and slippery; the left pulse was soggy and soft. Stagnation heat lightened. The previous method will be adjusted.
Ban Zhi Lian (Scutellariae Barbatae Herba) 10g, Chi Shao (Paeoniae Radix Rubra) 10g, Qian Cao (Rubiae Radix et Rhizoma) 10g, Ban Xia (Pinelliae Rhizoma) 10g, Chen Pi (Citri Reticulatae Pericarpium) 6g, Chan Yi (Bombyx Batryticatus) 6g, Jiang Can (Bombyx Batryticatus) 10g, Pian Jiang Huang (Curcumae Longae Rhizoma) 6g, Jiao San Xian (Fried Hawthorn, Fried Medicated Leaven, and Fried Barley each) 10g. 6 doses.
Fifth Visit: July 1, 1985
The pulse was slippery and soft; the tongue was red with a white coating; belching caused discomfort. The method of cooling blood, resolving stasis, and unblocking collaterals will be used.
Ban Zhi Lian (Scutellariae Barbatae Herba) 10g, Chi Shao (Paeoniae Radix Rubra) 10g, Qian Cao (Rubiae Radix et Rhizoma) 10g, Chen Pi (Citri Reticulatae Pericarpium) 6g, Pian Jiang Huang (Curcumae Longae Rhizoma) 6g, Chan Yi (Bombyx Batryticatus) 6g, Jiang Can (Bombyx Batryticatus) 10g, Jiao Mai Ya (Fried Hordeum Germinatum) 10g. 6 doses.
Sixth Visit: July 8, 1985
The pulse was soggy, soft, and quiet; the tongue coating was white, greasy, and moist; all symptoms decreased. The method of cooling blood and resolving stasis will still be used.
Ban Zhi Lian (Scutellariae Barbatae Herba) 10g, Ban Bian Lian (Lysimachiae Herba) 10g, Ban Xia (Pinelliae Rhizoma) 10g, Chen Pi (Citri Reticulatae Pericarpium) 6g, Chan Yi (Bombyx Batryticatus) 6g, Jiang Can (Bombyx Batryticatus) 10g, Pian Jiang Huang (Curcumae Longae Rhizoma) 6g, Jiao San Xian (Fried Hawthorn, Fried Medicated Leaven, and Fried Barley each) 10g. 12 doses.
Seventh Visit: July 22, 1985
The pulse was soggy and soft; the tongue was red and crimson; liver area discomfort occurred. The method of benefiting qi and resolving stasis will be used.
Sheng Huang Qi (Astragali Radix) 10g, Sha Shen (Glehniae Radix or Adenophorae Radix) 10g, Fu Ling (Poria) 10g, Chi Shao (Paeoniae Radix Rubra) 10g, Qian Cao (Rubiae Radix et Rhizoma) 10g, Chan Yi (Bombyx Batryticatus) 6g, Jiang Can (Bombyx Batryticatus) 10g, Pian Jiang Huang (Curcumae Longae Rhizoma) 6g. 6 doses.
Eighth Visit: July 29, 1985
Recent ultrasound re-examination results:
Ultrasound findings on July 27, 1985: A hypoechoic mass measuring 1.3×1.2 cm was seen in the medial segment of the left liver lobe, with clear and regular boundaries. Other echoes were acceptable.
Ultrasound impression: Sinusoidal space-occupying lesion in the left liver lobe (Malignant).
The pulse was wiry, fine, slippery, and rapid; frequent dreaming occurred during sleep. This still indicates uncleared stagnation heat, with heat in the yin level. The method of cooling blood, resolving stasis, benefiting qi, and activating collaterals will continue.
Sheng Huang Qi (Astragali Radix) 20g, Sha Shen (Glehniae Radix or Adenophorae Radix) 10g, Mai Men Dong (Ophiopogonis Tuber) 10g, Wu Wei Zi (Schisandrae Chinensis Fructus) 10g, Ban Zhi Lian (Scutellariae Barbatae Herba) 10g, Chi Shao (Paeoniae Radix Rubra) 10g, Qian Cao (Rubiae Radix et Rhizoma) 10g, Chan Yi (Bombyx Batryticatus) 6g, Jiao San Xian (Fried Hawthorn, Fried Medicated Leaven, and Fried Barley each) 10g, Shui Hong Hua Zi (Polygoni Multiflori Caulis) 10g, Pian Jiang Can (Curcuma-infused Bombyx Batryticatus) 6g, Jiang Can (Bombyx Batryticatus) 10g. 30 doses.
The patient took the above prescription back to his hometown in Shandong and continued taking it for 3 months. All symptoms disappeared, and his physique gradually strengthened. He came to Beijing for re-examination in November 1985. Results were as follows.
Ultrasound findings on November 9, 1985: Liver echoes were uniform; no obvious abnormal echo masses were seen; blood vessels were clear. The pancreas was poorly visualized.
Ultrasound impression: No obvious abnormalities in the liver.
In August 1986, the patient returned to Beijing for another re-examination, and no abnormalities were found.
[Commentary]: This case involved liver cancer metastasizing after gastric cancer surgery, with a high degree of malignancy. Master Zhao achieved satisfactory curative effects using TCM syndrome differentiation and treatment. Reviewing the entire treatment process of this case, it can be roughly divided into three stages.
The first stage includes the first and second visits, focusing mainly on regulating the qi mechanism to relieve liver stagnation.
Although the patient suffered from qi and yin deficiency due to cancer consumption and long-term dysfunction of spleen-stomach transportation after surgery, the main contradiction in the pathogenesis was still liver stagnation heat. Because the patient learned he had cancer, with postoperative recurrence and metastasis, believing there was no cure and that he would soon die, his mood was heavy, spirits low, and he was unhappy all day. This was one of the main factors causing liver qi mechanism disorder. Prolonged liver stagnation inevitably transforms into heat, manifesting as liver stagnation heat such as irritability and frequent dreaming. Heat stagnating internally inevitably injures yin, manifesting as dry mouth, fine pulse, and thin tongue. Comparatively, liver stagnation is primary and foremost. Therefore, treatment focused on regulating the qi mechanism to relieve liver stagnation heat. The formula used Sheng Jiang San (Ascending and Descending Powder) as a base. Chan Yi (Bombyx Batryticatus) and Jiang Can (Bombyx Batryticatus) possess clear-resolving properties to raise yang and ascend; combined with Xuan Fu Hua (Inulae Flos), Xing Ren (Armeniacae Semen Amarum), and Pi Pa Ye (Loquat Leaf) to diffuse lung qi, descend qi, and send turbidity down; Pian Jiang Huang (Curcumae Longae Rhizoma) was used to unblock qi and blood stasis. Dan Shen (Salviae Miltiorrhizae Radix et Rhizoma) assisted in invigorating blood and resolving stasis; Mu Xiang (Aucklandiae Radix) assisted in regulating qi; Jiao San Xian (Fried Hawthorn, Fried Medicated Leaven, and Fried Barley) eliminated accumulation and unblocked the Triple Burner. He taught the patient to eat vegetarian food to protect transportation, exercise to circulate qi and blood, and avoid spicy and rich foods so that the six fu organs remain pure and stagnation heat does not generate. Such comprehensive regulation allowed liver stagnation heat to dissipate. Although cancer was not directly treated, the root cause of cancer generation was addressed.
The second stage of treatment, from the third to sixth visits, after the first stage, the qi mechanism gradually smoothed, symptoms decreased, the patient's mood calmed compared to before, and confidence in treatment increased. The focus of treatment gradually shifted to cooling blood and resolving stasis. Because the liver stores blood, prolonged liver stagnation heat inevitably causes heat to enter the blood level resulting in stasis. Therefore, although regulating the qi mechanism alone is necessary, it lacks specificity; it must be combined with cooling blood and resolving stasis to regulate both qi and blood. Thus, on the basis of Sheng Jiang San (Ascending and Descending Powder) regulating the qi mechanism, Ban Zhi Lian (Scutellariae Barbatae Herba) was added to clear heat and detoxify; Bai Tou Weng (Pulsatillae Radix), Chi Shao (Paeoniae Radix Rubra), and Qian Cao (Rubiae Radix et Rhizoma) were added to cool blood and resolve stasis. After more than a month of regulation, the patient felt various symptoms gradually decreasing, mental state improving, confidence increasing, and actively cooperating with treatment. Re-examination by ultrasound indicated that of the two original cancerous tumors in the liver, one disappeared, and one shrank significantly.
The third stage of treatment began from the seventh visit. On the basis of regulating the qi mechanism and cooling blood/resolving stasis, herbs to benefit qi and support healthy qi were added. Because qi and yin deficiency existed from the beginning of this disease, belonging to a pattern of healthy qi deficiency and evil excess. After the first two stages of treatment, stagnation heat and evil qi gradually dissipated. At this time, discussing tonification poses no risk of retaining evil. Moreover, the pulse was soggy and soft, indicating insufficiency in the qi level. If one solely relied on clearing and resolving methods, it would not be the best strategy; now is the most appropriate time to choose supporting healthy qi and dispelling evil. Therefore, on the basis of regulating the qi mechanism and cooling blood/resolving stasis, Sheng Huang Qi (Astragali Radix) was added to benefit qi and support healthy qi, and Sheng Mai San (Generate the Pulse Powder) was used to benefit qi and nourish yin. Before returning home, Jiao San Xian (Fried Hawthorn, Fried Medicated Leaven, and Fried Barley) and Shui Hong Hua Zi (Polygoni Multiflori Caulis) were added to the prescription carried by the patient. Because he needed to take it long-term after returning home, these were added to aid digestion. Thus, the combination was comprehensive, suitable for long-term use. The patient persisted in taking this prescription for 3 months, the liver tumor completely disappeared, achieving satisfactory therapeutic results.
Tumor 2 (Uterine Fibroid)
Patient: Wan XX, Female, 46 years old
A mass in the right lower abdomen, painful upon pressure, present for over 3 months. Gynecological examination confirmed uterine fibroid, and surgical excision was recommended. The patient refused surgery and sought consultation. For the past year, menstruation has been irregular, periods extended, with heavy flow containing clots. In the last two to three months, menstrual flow was even heavier, occurring twice a month, leading to extreme fatigue. The pulse was wiry, slippery, fine, rapid, and forceful. The method of invigorating blood and resolving stasis was planned.
Chai Hu (Bupleuri Radix) 6g, Chuan Lian Zi (Meliae Fructus) 10g, Huang Qin (Scutellariae Radix) 6g, Xiang Fu (Cyperi Rhizoma) 10g, San Leng (Sparganii Rhizoma) 6g, E Zhu (Curcumae Rhizoma) 6g, Mu Xiang (Aucklandiae Radix) 10g, Qing Chen Pi (Citri Reticulatae Pericarpium Viride and Citri Reticulatae Pericarpium) 10g each, Xia Ku Cao (Prunellae Spica) 10g, Yi Mu Cao (Leonuri Herba) 10g.
The patient took the above prescription for a total of 3 months, over 40 doses. Menstruation returned to normal, the mass in the lower abdomen disappeared, with no tenderness. Gynecological examination confirmed that the uterine fibroid no longer existed.
[Commentary]: Uterine fibroids often present as menorrhagia, which is due to blood stasis blocking collaterals, causing blood to leave its vessels. Treatment does not need to firmly stop bleeding; rather, it requires invigorating blood, resolving stasis, unblocking collaterals, and eliminating the tumor, applying the method of treating obstruction with unblocking agents. If it is a submucosal fibroid, this method is very effective, achieving tumor elimination and hemostasis. Eliminating the tumor relies heavily on San Leng (Sparganii Rhizoma) and E Zhu (Curcumae Rhizoma); the remaining herbs are still for clearing liver heat and regulating the qi mechanism.