比较中西药之效力，固不可先存偏见，尤不可不具多次之实验。余对肺痨病一症，本诸历年临床之实验，下一断语曰，中药实胜于西药也。盖此症治疗中，虽有时借重西药之止嗽止血等剂，然不过利用一时，根本奏功，全在中药。此中分际，苦于余之笔墨拙劣不能言传。但不用西药，完全以中药治疗虽能有效，不能奏厥全功，然虽不能完全治愈，最低限度，亦可以带病延年。限于本沦所采用之中药，若滥用其他中药，流弊极大，不在此例。反之，若不用中药，完全以西药治疗，其一时的特效，似胜过于中药，例如咳嗽，注射或内服麻醉剂，十之八九，可以立止，然非根本治法。然根本不如中药之效力，持续常久。且西药内之补剂，其意义不与中药补剂相同，不可误认即为中药之滋阴补血之类，常见有误服西药之补剂，反而诱起吐血，即其明征。即肺痨病恒用之补剂，例如鱼肝油、帕勒托等，均有流弊，历经试验，亦不如中药确实。以故西医对此症，除用天然疗法用外科手术更危险外，药物疗法，可谓等于无用。但若采用西药西医理论一部分之特长，以补中药、中医医理一部分之缺点，挹彼注兹，则中西医药之对于此症，实亦有其相得益彰之价值。但单独适用中或西医一种之治法，则收效均不完全，尤以西药之缺点更多。总而言之，余所指定之有效中药，其效力实胜于西药，若于中药药力不能达到治疗目的之某时间内，参用西药，则其收效之速，更胜于单用中药。中西药互用，中间总要隔开二十四小时，以免中西药相合，致起化学作用，危及人体，此一般医者之恒言。然余既深知中西药对此症有不可偏废之理，希望当代学者，深研余所历举，关于此症之各药，其化学作用，究竟如何？是否若干年后，有根本化除中西新旧等字之一日，而成为世界医学，是则余所深望者。故对本病治法，余颇自喜也。
（医验）向日凡中医治愈之大病，在西医多疑为并非本病，不过类似之症而已。例如肺痨病，西医认为绝无特效疗法，一旦经中医治愈，则疑为必系普通之气管支疾患，非必真为结核性之肺痨病。此种观念，不但容易错误，且可阻碍中西两医学之接近，常此以往，真如自画鸿沟。余以为学者正当态度，不应如此，没必互相盲訾，何异市侩耶？余深愿对此道感觉兴趣者，切不可自信过高，置多数病人于不顾，而自分其门户之见也。此处所列数医验，乃择其千真万确，较重之肺痨病，而又取其住址确实，环境较险，信而有征，易于访问者，详举数例，以概其余，愿高明教之。
祁连城，住德县东关，患肺痨病，时年二十岁，于光绪二十五年，延余诊治。所现病状，为咳嗽，咯血特甚，日哺发热，脉细数，自汗，患病已年馀，瘦弱已极，已成第三期肺痨，除嘱其注意摄生，严格适用空气、日光滋养疗法外，参看《肺痨病自疗法》内服药一如上述。即前论治法内所采取之各药品，唯图节省文字，诺方总列于后，以免重录。调养半年已痊愈，身体强壮此人现仍健在，从未再发，肺痨病治愈后，往往因事复发。近已年逾五旬，康健犹昔。此症以熟地为主药，白芍等次之，此症年岁较远，特录之，以见中药治疗此重症，痊愈后，永未再发也。
陈幼廷，德县东关太平街洪昌号经理，年二十馀岁。于民国二十六年，宋京就诊，所现症为虚热，咳嗽，吐稀痰极多，两颊发赤，咯血特甚，虚汗，脉虚数已极，衰弱太甚病已经年；经诊断后，认为第三期肺痨，给予《肺痨病自疗法》一册，嘱其严格照办，一面与以此症以白芍为主，茯苓次之，馀药即本论所谈者。中药膏剂，并令服西药爱儿邦药片。约数月，已渐恢复健康，适值战事，逃难流离，不能服药者累月，然幸未发生变故，平靖后，又服药二月馀，即痊愈。乃又因妻丧，哀劳过甚，又咯血数口，急服前药，又平复矣。此症对于疗养方法，限于时势，不能完全做到，是以向愈较缓。当此症来诊时败象皆具，肺脏已有崩溃之险，法在不治。幸而药饵有灵，故在治疗期中，虽一再逢着北方之大变乱，家庭之大悲哀，颠沛流离，而又加以焦虑商业，哀愁丧葬，均犯此症之大不违，乃竟病势渐退，卒未演成大险，得以保全生命，此本案之所以可记也。
王维山，住北京府右街八号，年二十四岁。直系血族中，因患肺痨病而死者，已数人，于二十七年四月来诊。因供警职，不易请假，故仅有咳嗽，仍勉强支持。以前仅有剧烈之咳嗽，自觉身体格外疲劳，不思饮食，近忽失音，咯血，咽痛而干，自汗，吐稀痰极多，特别感觉胸内灼烁极甚，午后体温更高，不能向左边躺卧，诊脉细数。肺痨虽大多慢性，然至第三期亦有两三月内即致命者，此症现象，颇似此类。认为第二期肺痨，乃以本方以白芍为主治之，即止血，未出一月，嗽止，汗止、失音亦去、饮食增加，即最痛苦之胸内灼热与最可虑之午后发热，亦随之即愈，诚大幸也。此症若再勤务，必不能治，且其血族遗传，又有此症，殊属危险，余劝其先辞职务，是以治愈较速，以其体气尚未大衰也。
吴夫人，住北京新街口时克亮胡同一号，年三十馀岁，于二十六年四月，先患渗出性叻膜炎，经治愈者，吴君充第二监狱医职，自己治愈。诱起肺病，有极顽固剧烈之咳嗽，所吐之痰甚多，且稀，有腐败臭味，午后热度微高，饮食大减，脉沉涩，恒觉胸胁有水潴留。此症在中医，多以为痰饮，实则病理上，以肋膜炎诱起肺结核者，此例正多，是此症已成肺痨病，且浸润极速，稍延误，必不能治矣。据吴君病者之夫称曾服止嗽药及注射百克妥尔等药，均未见效。延余诊治，先服汤剂，以茯苓为主，白芍次之，饮药同前例。即大效，继服膏剂，约月馀而愈。
曹君，住西四大拐棒胡同二十三号，年二十一岁，系鞋匠学徒，于二十六年三月延诊。据称病因患温症水泻，每日勉强饮酒治病，或告以偏方，如此误人甚矣，约二月之久，遂患咳嗽痰喘，头晕、盗汗特甚，午后发热，失眠，衰弱已极，两肩高耸诊脉，右手无脉，左手脉细数而微，饮食极少，脱力种种危象毕露。至此已延迟三月馀矣。余既认定为第三期肺痨，乃与前药，以白芍为主，不用茯苓，佐以杏仁、生地、沙参、橘红、牡蛎、贝母、竹叶、元参、梨等味。月艮五、六剂后，喘止、盗汗止，咳减，热度下降，右手脉出现，精神已振。此症中间曾用拕氏散、重曹，凡七日，均见大效，用此药时，均在白天，夜十点钟服中药，特记于此。
肺痨病主方此方不可不经诊断随便滥用，加减时务宜慎重。
白芍六钱至一两茯苓五钱至——两山药四钱至八钱生地三钱至八钱熟地四钱至八钱芡实四钱苡仁四钱贝母二钱至五钱沙苑四钱杏仁四钱至六钱橘红五分至，一钱梨—枚为引。吐血加藕节八钱汉三七末—钱。虚汗加生牡蛎一两鳖甲一两（先煎）。
咳甚加炙紫苑四钱粟壳三钱炙桑皮三钱。痰多而稀，重用茯苓，加远志根三钱。咽干咽痛，力口元参三钱竹叶三钱去茯苓。此方各药，虽皆平常习用之品，然不知几经比较，几经试验，几经失败，而后始能成功。余确认此寥寥数药，实为治肺痨病之主药，此药凡遇对于极重之肺痨十剂内外必见大效。凡咳嗽，痰喘，失音，吐血，虚汗，胸内热灼，午后发热，泄泻，全身衰弱等现象，耐心服之，自然诸症减退。若病势不同，临证加减，不过一、二味，凡本论未采用之治痨各药，均经试验多次，深知其绝无效用，故不列入，而此寥寥数味，又深知其确有奇效也。医者倘信余言，不必再试他药，亦不可轻视此等中药也。
建莲子，苡仁与山药，扁豆同用，确能调养脾胃，久服毫无流弊，对于衰弱已极之肺痨，为必需之品，久服不但消肿，且有退热之效，但必须与止咳滋阴等药合用耳。麦冬、天冬、花粉、白茅根、金银花、丹皮、地骨皮、熟地、元参、枸杞子、瓜蒌仁、海浮石、沙参，有时可用，然用时必须谨慎，不可滥与。
肺痨病服中药五、六剂，如见效后，不可常服汤剂，以常服膏剂为愈，恐伤胃也。余喜将汤剂加重分两，改作膏剂，一日三次，用开水化服，但有泄泻倾向者，不可加蜜。可以饴糖代之。
汉三七、桑寄生，有时可用，但必须斟酌尽善，方可加入，否则以不用为是。
其他对症西药，一时用之，未尝不可，但不可认为主方，本编原非专讲西药，故从略。
大吐血时，以生白芍一两，藕节—两，杏仁五钱，汉三七三钱，煎妥分三次，于一日间服下，比较西药和平有效。大吐血后，血虽止，而心脏衰弱太甚时觉忐忑不宁者，必非小恙，应以生白芍—两，台参五钱，炙黄芪五钱，当归身六钱，炒枣仁四钱，龙眼肉三钱，炙甘草二钱煎服，一日三次。此药不可加入以前止嗽等药，盖此症不救，顷刻致命，西药之强心剂，历试不如此方也。此方见效后，必连服三、五剂，分量酌减，心脏衰弱现象减去后，仍用以前治肺痨药，疗治肺病可也。凡忐忑现象连续而宋，每隔数分钟一次者，急速以此法治之，迟恐不及。若危险过甚，已有虚脱之虑时，注射西药强心剂亦可，但病势稍缓仍用中药可也。
人参、白术、当归，必俟肺病治疗成效大著后，诸症皆退，而后可以渐渐试行加入，稍有不适，立即勿用。在诸症（例如热咳、咯血）未退以前，此等药总以不用为是，以其补性呆滞，恒有助热之流弊也。
本论未采取之各学说，及中西药品强半均在无效之例，不可再试，以余已遍试四十馀年，深知其无用也。（注射药亦在内）以上所列中药，不知经过几百次之实验，始能确定其效力，而笔之于此。学者不可以其平常而忽之，更不可随意加减，致减效力，以余对此种药品之分量，亦试验多次矣。所列数例，均择其确实可以查访，除居住余之故乡（德县）即近在北京者，其他远人，不愿列入，以免又蹈前人医案，故为铺张之虚伪陋习。
普通之咳嗽，及稍久之气管支病，万不可误认为肺痨病，冒然以余之方法治之，以免误人。余以十二分热诚，希望真正之西医，研究余此种报告之是否确实，并希望抛开中西新旧各成见，实事求是，直接访问病家，请其说明，共谋增加治疗此症之方法及效力，或于医术上不无小补也。
二、杂病类杂病亦有多种，此皆摘录其最常见，及最有经验者。
血崩（一）血崩妇女病中，以此症为较多，治法稍误，多致殒命。西医书名此症为子宫瘤，包括于中医崩漏、带下等症之内，但此论则专指血崩之重症言也。
（原因）为房事过多，遗传，及病毒转移等例如淋毒等。
（症候）本病初起，多有月经不调，继有肉汁状赤白带下，中医以其颜色不一。过事区别，其说殊不足取。渐次入于初期，此时出血，点滴不绝，中医谓之经漏，多由于外来刺激（例如交接，出血放恶臭，发疼痛，或便秘或下利，呕吐，身体衰弱，此后子宫内毒瘤已成，频频出血，颜色浅深不一，现癌性恶液质，患部起肿疡，病者往往自觉少腹内有肿形物，渐大，腰痛，背胀尤甚，时常癌肿压迫尿道，小便不通，全经过一年至一年半，卒发大出血。中医谓之血崩若中医治疗错误，则必发尿毒症，及腹膜炎而致死。然此症若遇高明中医治疗得法，可以带病延年，非必死之症，西医之说，非定论也。此症西医根据解剖，认为癌瘤，最为精当，中医牵拉冲任奇经，而又加以种种玄说，理想之谈，不如西医解剖之确凿可据。故余说明此症病理、病状、纯采西医学说，然治疗此症，则根据确实无疑之经验，大声疾呼，使患此症者，急速猛醒，认清西医片面之决定，（预后）万不可信。即西医对此症所下断语“此症全经过自一年至一年半，体躯衰弱，卒发尿毒症，腹膜炎而死。”等语，即可证明，西医对此症，尚无适当疗法，然西医非冒然下断语者，是必经过各医院之报告统计，而后笔之医典，确定病程，吾人亦不可轻视之。余之所以希望西医之能读是书者，取而加以研究，其命意在此，盖据此论断可见西医遇是症，若非割治必于一年至一年半之期间内，取死亡之转归，自无疑义。其割治之法，亦非十分完善，常见有子宫瘤割治，反而变生他症，而致死者，不一而足，然因割治而完全根治者，亦有之。且有因癌瘤肿大过甚，每逢经期，血阻不通，全身血管怒张胀痛，面部红紫，或则尿闭不通，危险立至者，此时病者，如系身体强壮，宁以早割治为愈。盖割治子宫瘤，虽非十分完善之法，但至内服药饵无灵，于其坐视其死，固不如冒险一割，犹可望其幸而脱险也。早年余诊一德州桑园镇张厚庵君之夫人，其子宫瘤现象，即如上述，余曾劝其速赴医院割治，后不知其果割否也？以余回藉不数日即去，不知其究竟矣。中医治不得法，其杀人罪恶，亦等于西医。
Comparing the efficacy of Chinese and Western medicines, one must certainly not harbor preconceived biases, nor can one fail to possess multiple experiments. Regarding pulmonary tuberculosis (Pulmonary Tuberculosis), based on years of clinical experimentation, I make the following conclusion: Chinese medicine is actually superior to Western medicine. In the treatment of this condition, although Western medicinal agents for stopping coughs and bleeding are sometimes relied upon, this is merely a temporary utilization; the fundamental efficacy lies entirely in Chinese medicine. The distinction here is difficult to convey verbally due to my poor writing skills. However, if Western medicine is not used and treatment is conducted entirely with Chinese medicine, although effective, it may not achieve complete results; yet even if it cannot completely cure the disease, at the very least, it can allow the patient to live with the disease for an extended period. Limited to the Chinese medicines adopted in this treatise, the abuse of other Chinese medicines would cause great harm, which is not covered here. Conversely, if Chinese medicine is not used and treatment is conducted entirely with Western medicine, its immediate specific effects seem to surpass those of Chinese medicine; for example, for coughs, injections or oral anesthetics can stop them in eight or nine out of ten cases immediately, but this is not a fundamental treatment method. However, fundamentally, it does not match the lasting efficacy of Chinese medicine. Furthermore, the meaning of tonics in Western medicine is not the same as that in Chinese medicine; one must not mistakenly identify them as similar to the Yin-nourishing and blood-tonifying categories of Chinese medicine. It is common to see adverse reactions such as induced hemoptysis after taking Western tonics, which is clear evidence. Even commonly used tonics for pulmonary tuberculosis, such as cod liver oil and Parrot's preparations, have drawbacks; through repeated testing, they are found less reliable than Chinese medicine. Therefore, for this condition, aside from natural therapies, surgical operations are more dangerous, and drug therapy can be considered virtually useless. However, by adopting certain strengths of Western medical theory to compensate for certain deficiencies in Chinese medical theory, thereby supplementing one with the other, both Chinese and Western medicines indeed have complementary value for this condition. But applying either Chinese or Western medical methods alone yields incomplete results, especially given the greater shortcomings of Western medicine. In summary, the effective Chinese medicines I specify are truly superior to Western medicine. If Western medicine is used during periods when Chinese medicine fails to achieve therapeutic goals, the speed of effect is even faster than using Chinese medicine alone. When using Chinese and Western medicines together, there must always be a 24-hour interval to prevent chemical interactions between the two that could endanger the human body; this is a common saying among physicians. Since I deeply understand that neither Chinese nor Western medicine should be neglected for this condition, I hope contemporary scholars will deeply study the various drugs I have listed regarding this condition, specifically their chemical actions. Whether there will come a day in several years when the distinctions of "Chinese," "Western," "new," and "old" are fundamentally eliminated, leading to world medicine, is what I deeply hope for. Thus, I am quite pleased with the treatment methods for this disease.
(Medical Cases) In the past, major diseases cured by Chinese medicine were often suspected by Western doctors as not being the actual disease, but merely similar symptoms. For instance, pulmonary tuberculosis, which Western medicine considers has no specific curative therapy, once cured by Chinese medicine, was suspected by them to definitely be a common bronchial disorder, not necessarily true tuberculous pulmonary tuberculosis. This concept is not only prone to error but also hinders the rapprochement between Chinese and Western medicine. If this continues, it is like drawing a moat oneself. I believe the proper attitude for scholars should not be so; there is no need to blindly criticize each other, which is no different from being a peddler. I sincerely hope those interested in this field do not overestimate themselves, ignore the majority of patients, and divide along sectarian lines. The few medical cases listed here were selected because they are absolutely true, involve severe pulmonary tuberculosis, have confirmed addresses, relatively hazardous environments, are credible and verifiable, and easy to visit. Several examples are detailed to generalize the rest, hoping for instruction from experts.
Qi Liancheng, residing in Dongguan, De County, suffered from pulmonary tuberculosis at age twenty. In the 25th year of Guangxu, he sought my diagnosis. His symptoms included cough, severe hemoptysis, afternoon fever, fine and rapid pulse, spontaneous sweating. Having been ill for over a year, he was extremely emaciated, having reached the third stage of pulmonary tuberculosis. Besides advising him to pay attention to health preservation and strictly apply air and sunlight nourishment therapies (refer to *Self-Treatment of Pulmonary Tuberculosis* for internal medication as described above), i.e., the medicines adopted in the previous discussion on treatment methods, to save words, the prescription is listed below to avoid repetition. After half a year of recuperation, he recovered completely and became strong. This person is still alive today, never relapsed. Pulmonary tuberculosis often recurs after cure due to certain events. He is now over fifty years old, healthy as before. For this case, Prepared Rehmannia Root (Shu Di Huang) was the main herb, White Peony Root (Bai Shao) secondary. This case is recorded because it is older, to show that Chinese medicine can cure this severe condition permanently without recurrence.
Chen Youting, manager of Hongchang Store, Taiping Street, Dongguan, De County, aged over twenty. In the 26th year of the Republic of China, he visited Songjing for consultation. His symptoms included deficiency heat, cough, copious thin sputum, flushed cheeks, severe hemoptysis, deficiency sweating, extremely deficient and rapid pulse, extreme weakness. The illness had lasted a year. After diagnosis, it was determined to be third-stage pulmonary tuberculosis. A copy of *Self-Treatment of Pulmonary Tuberculosis* was given, instructing strict adherence. Simultaneously, White Peony Root (Bai Shao) was prescribed as the main herb, Poria (Fu Ling) secondary, with other herbs as discussed in this treatise. Chinese herbal paste was also prescribed, along with Western medicine Eribon tablets. After about several months, his health gradually recovered. Coinciding with war, he fled and could not take medicine for months, fortunately without incident. After stability, he took medicine for another two months and recovered. Later, due to his wife's death and excessive grief/labor, he coughed up blood again. Urgently taking the previous medicine, he stabilized. Due to the times, he could not fully adhere to convalescence methods, hence recovery was slower. When he first consulted, signs of decline were evident, with lung collapse imminent, deemed untreatable. Fortunately, the medicine worked. During treatment, despite facing major northern upheavals, family tragedies, displacement, anxiety over business, and sorrow over funerals—all contraindications for this disease—the condition gradually receded, avoiding major danger and preserving life. This is why this case is worth recording.
Wang Weishan, residing at No. 8 Fuyou Street, Beijing, aged twenty-four. Several direct relatives had died of pulmonary tuberculosis. He consulted in April of the 27th year. Due to police duties, leave was hard to get, so he only had a cough but managed to persist. Previously, he only had severe cough, feeling extra fatigue, loss of appetite. Recently, he suddenly lost his voice, had hemoptysis, dry and painful throat, spontaneous sweating, copious thin sputum, felt intense burning in the chest, higher temperature in the afternoon, unable to lie on the left side. Pulse was fine and rapid. Although pulmonary tuberculosis is mostly chronic, some reach the third stage and die within two or three months. This case resembled such. It was diagnosed as second-stage pulmonary tuberculosis. The formula used White Peony Root (Bai Shao) as the main treatment, i.e., stopping bleeding. Within a month, cough stopped, sweating stopped, voice returned, appetite increased. Even the most painful chest burning and most worrying afternoon fever healed accordingly. Truly fortunate. If he continued working, it would be incurable. Given the genetic history, it was dangerous. I advised him to resign first, hence faster cure, as his constitution had not greatly declined.
Madam Wu, residing at No. 1 Shikeliang Hutong, Xinkou Street, Beijing, aged over thirty. In April of the 26th year, she first suffered from exudative pleurisy, cured by herself while her husband, Mr. Wu, served as a doctor in the Second Prison. This induced lung disease with extremely stubborn and severe cough, copious thin sputum with putrid odor, slightly high temperature in the afternoon, greatly reduced diet, deep and choppy pulse, constant sensation of fluid retention in chest and hypochondrium. In Chinese medicine, this is often considered phlegm-fluid retention. Pathologically, however, pleurisy inducing pulmonary tuberculosis is common. This case had become pulmonary tuberculosis with rapid infiltration; slight delay would make it incurable. According to her husband, she had taken antitussives and injections of Bacterol, etc., with no effect. Sought my diagnosis. First took decoction, with Poria (Fu Ling) as main herb, White Peony Root (Bai Shao) secondary, drinking medicine as in the previous case. Great effect achieved. Continued with paste, recovering in about a month.
Mr. Cao, residing at No. 23 Guabang Hutong, West Four, aged twenty-one, apprentice shoemaker. Consulted in March of the 26th year. Claimed etiology was warm pathogen watery diarrhea, forcing himself to drink alcohol daily to treat illness, or using folk prescriptions, misleading people greatly. After about two months, developed cough with phlegm-wheezing, dizziness, severe night sweats, afternoon fever, insomnia, extreme weakness. Shoulders elevated. Pulse: right wrist pulseless, left wrist fine, rapid, and faint. Diet minimal. Various critical signs of exhaustion appeared. Delayed for over three months. Diagnosed as third-stage pulmonary tuberculosis. Prescribed previous medicine, with White Peony Root (Bai Shao) as main herb, no Poria, assisted by Apricot Kernel (Xing Ren), Raw Rehmannia Root (Sheng Di Huang), Glehnia Root (Sha Shen), Tangerine Peel (Ju Hong), Oyster Shell (Mu Li), Fritillaria Bulb (Bei Mu), Bamboo Leaf (Zhu Ye), Scrophularia Root (Yuan Shen), Pear, etc. After five or six doses, wheezing stopped, night sweats stopped, cough decreased, temperature dropped, right wrist pulse reappeared, spirit revived. During this case, Trousseau's Powder and Sodium Bicarbonate were used for seven days, all showing great effect. These were used during the day; Chinese medicine taken at 10 PM. Specifically recorded here.
Main Formula for Pulmonary Tuberculosis This formula must not be abused casually without diagnosis; modifications require caution.
White Peony Root (Bai Shao) 6 qian to 1 liang, Poria (Fu Ling) 5 qian to 1 liang, Chinese Yam (Shan Yao) 4 qian to 8 qian, Raw Rehmannia Root (Sheng Di Huang) 3 qian to 8 qian, Prepared Rehmannia Root (Shu Di Huang) 4 qian to 8 qian, Euryale Seed (Qian Shi) 4 qian, Coix Seed (Yi Yi Ren) 4 qian, Fritillaria Bulb (Bei Mu) 2 qian to 5 qian, Astragalus Complanatus Seed (Sha Yuan Zi) 4 qian, Apricot Kernel (Xing Ren) 4 qian to 6 qian, Tangerine Peel (Ju Hong) 5 fen to 1 qian, One Pear as guide. For hemoptysis add Lotus Node (Ou Jie) 8 qian, Panax Notoginseng Powder (Han San Qi Mo) 1 qian. For deficiency sweating add Raw Oyster Shell (Sheng Mu Li) 1 liang, Turtle Shell (Bie Jia) 1 liang (decoct first).
For severe cough add Honey-fried Aster Root (Zhi Zi Wan) 4 qian, Poppy Shell (Su Ke) 3 qian, Honey-fried Mulberry Bark (Zhi Sang Pi) 3 qian. For copious thin phlegm, heavily use Poria (Fu Ling), add Polygala Root (Yuan Zhi Gen) 3 qian. For dry/painful throat add Scrophularia Root (Yuan Shen) 3 qian, Bamboo Leaf (Zhu Ye) 3 qian, remove Poria. Although these herbs are common, they succeeded only after many comparisons, tests, and failures. I confirm these few herbs are the main drugs for treating pulmonary tuberculosis. For extremely severe cases, great effect is seen within ten doses. For cough, phlegm-wheezing, aphonia, hemoptysis, deficiency sweating, chest burning, afternoon fever, diarrhea, general weakness, patience in taking them will naturally reduce symptoms. If disease patterns differ, modify by one or two herbs clinically. All other anti-tuberculosis herbs not adopted in this treatise were tested multiple times and found ineffective, thus excluded. These few herbs are known to have miraculous effects. Physicians trusting my words need not try other drugs, nor轻视 these Chinese medicines.
Jian Lotus Seeds, Coix Seed (Yi Yi Ren) combined with Chinese Yam (Shan Yao) and Hyacinth Bean (Bian Dou) truly regulate spleen and stomach. Long-term use has no drawbacks. For extremely weak pulmonary tuberculosis, it is essential. Long-term use reduces swelling and fever, but must be combined with antitussive and Yin-nourishing herbs. Ophiopogon Tuber (Mai Dong), Asparagus Tuber (Tian Dong), Trichosanthes Root (Hua Fen), Imperata Rhizome (Bai Mao Gen), Honeysuckle Flower (Jin Yin Hua), Moutan Cortex (Dan Pi), Lycium Bark (Di Gu Pi), Prepared Rehmannia Root (Shu Di Huang), Scrophularia Root (Yuan Shen), Goji Berry (Gou Qi Zi), Trichosanthes Seed (Gua Lou Ren), Pumice Stone (Hai Fu Shi), Glehnia Root (Sha Shen) can sometimes be used, but must be cautious, not abused.
After taking Chinese medicine for pulmonary tuberculosis for five or six doses, if effective, do not continue decoctions frequently; paste is better to avoid damaging the stomach. I prefer increasing the dosage of decoction and converting to paste, taken three times daily dissolved in hot water. Those with diarrhea tendency should not add honey; maltose can substitute.
Panax Notoginseng (Han San Qi), Taxillus Chinensis (Sang Ji Sheng) can sometimes be used, but must be carefully considered before adding; otherwise, better not to use.
Other symptomatic Western medicines can be used temporarily, but not as main formulas. This compilation is not primarily about Western medicine, so omitted.
During massive hemoptysis, Raw White Peony Root (Sheng Bai Shao) 1 liang, Lotus Node (Ou Jie) 1 liang, Apricot Kernel (Xing Ren) 5 qian, Panax Notoginseng (Han San Qi) 3 qian, decocted and divided into three doses taken in one day, is comparatively safer and effective than Western medicine. After massive hemoptysis, if bleeding stops but heart weakness causes palpitations/restlessness, it is serious. Use Raw White Peony Root (Sheng Bai Shao) 1 liang, Codonopsis Root (Tai Shen) 5 qian, Honey-fried Astragalus Root (Zhi Huang Qi) 5 qian, Angelica Sinensis Root (Dang Gui Shen) 6 qian, Fried Ziziphus Seed (Chao Zao Ren) 4 qian, Longan Aril (Long Yan Rou) 3 qian, Honey-fried Licorice Root (Zhi Gan Cao) 2 qian, decocted and taken three times daily. Do not add previous antitussive herbs. If untreated, this condition is instantly fatal; Western cardiac stimulants tested historically are inferior to this formula. After effect, take continuously for three to five doses, reducing dosage. Once heart weakness subsides, resume previous pulmonary tuberculosis treatment. If palpitations occur continuously every few minutes, treat urgently with this method; delay may be too late. If danger is extreme with fear of collapse, inject Western cardiac stimulant, but revert to Chinese medicine when condition stabilizes.
Ginseng (Ren Shen), Atractylodes Macrocephala (Bai Zhu), Angelica Sinensis (Dang Gui) should only be gradually tried after significant pulmonary treatment results and symptom resolution. Stop immediately if any discomfort. Before symptoms (e.g., heat-cough, hemoptysis) resolve, these should generally be avoided due to their stagnant tonifying nature potentially causing heat.
Theories and half of Chinese/Western medicines not adopted in this treatise are largely ineffective; do not test again. I have tested extensively for over forty years and know their uselessness (including injections). The listed Chinese medicines were determined effective after hundreds of experiments. Scholars should not neglect them due to their commonality, nor modify arbitrarily reducing efficacy. I have also tested dosages multiple times. Selected cases are verifiable, excluding distant persons to avoid exaggeration common in previous medical records.
Ordinary coughs and long-standing bronchial diseases must not be mistaken for pulmonary tuberculosis; do not rashly use my methods to avoid harming others. With utmost sincerity, I hope genuine Western doctors study the accuracy of this report, discard prejudices regarding Chinese/Western/new/old, seek truth from facts, directly visit patients, ask for explanations, and jointly improve treatment methods and efficacy, perhaps contributing slightly to medical arts.
II. Miscellaneous Diseases There are various miscellaneous diseases, excerpting the most common and experienced ones.
Metrorrhagia (1) Among women's diseases, metrorrhagia is common. Slight error in treatment often leads to death. Western medicine names this uterine tumor, including it in Chinese medicine's metrorrhagia/metrostaxis (Beng Lou) and leukorrhea (Dai Xia) categories, but this treatise refers specifically to severe metrorrhagia.
(Cause) Excessive sexual intercourse, heredity, virus transmission, e.g., gonorrhea.
(Symptoms) Initially, menstrual irregularities, followed by meat-juice-like red and white vaginal discharge. Chinese medicine distinguishes by color, but excessive differentiation is not valuable. Gradually entering early stage, bleeding is continuous drops, called Jing Lou in Chinese medicine, often due to external stimuli (e.g., intercourse, foul-smelling bleeding, pain, constipation or diarrhea, vomiting, weakness). Later, uterine toxic tumor forms, frequent bleeding with varying colors, cancerous cachexia appears, ulceration at affected site. Patient often feels mass in lower abdomen, growing larger, backache, severe back distension. Cancerous tumor often compresses urethra, causing urinary retention. Entire process lasts one to one and a half years, finally sudden massive hemorrhage. Chinese medicine calls this Beng Lou. If Chinese treatment is wrong, uremia and peritonitis ensue, leading to death. However, if treated effectively by skilled Chinese medicine, patient can live with disease, not necessarily fatal. Western view is not definitive. Western medicine, based on anatomy, correctly identifies cancerous tumor. Chinese medicine pulling in Chong and Ren meridians and odd meridians with mystical theories is less accurate than Western anatomical evidence. Thus, I explain pathology and symptoms purely using Western medical theory, but treatment is based on undeniable experience. I urge patients to wake up quickly, recognizing Western one-sided decisions (Prognosis) are unreliable. Western prognosis "entire process one to one and a half years, body weak, dies of uremia/peritonitis" proves Western medicine lacks appropriate therapy. Western doctors don't make rash judgments; they rely on hospital statistics in medical texts. We shouldn't underestimate this. I hope Western doctors reading this study it. The implication is: seeing this prognosis, Western medicine faces surgery or death within 1-1.5 years. Surgical methods are imperfect; uterine tumor removal sometimes causes other diseases leading to death, though complete cure exists. Sometimes tumors swell excessively, blocking blood during menstruation, causing vascular engorgement, facial redness/purple, or urinary blockage, immediate danger. If patient is strong, early surgery is better. Though uterine tumor removal isn't perfect, when internal medicine fails, risking surgery is better than watching death. Early on, I treated Madam Zhang, wife of Zhang Hou'an from Sangyuan Town, Dezhou. Her uterine tumor matched description. I advised hospital surgery, didn't know result as I left hometown shortly. Ineffective Chinese treatment kills equally as Western medicine.