Golden Mirror of Clinical Practice from Famous Doctors of Ancient and Modern Times: Blood Disease Volume, p. 167

Chinese Oriental Medicine Printing Organization, 1999

Translated by Shirliey Fung

            Case 1: Gu Mo, woman, 30 years-old. Patient’s first examination was November 14, 1976.

            The patient has had tuberculosis for ten years. She has a history of coughing up blood. In the past month she has, and continues to have, repeated episodes of coughing up blood. In the last two days, the volume of blood has increased, and she has had a light cough. Yesterday, she presented with fever and chills and a cloudy head.

            The Western diagnosis is an enlargement of the bronchial lube, leading to hemoptysis. The patient’s tongue coat was thin and slightly yellow. It was enlarged. Her pulse was slippery and thin and rapid.

            There is evidence of lung yin deficiency, phlegm heat accumulation in the lungs, and liver fire scorching upward, punishing metal and damaging the collaterals.

            The treatment plan is to nourish the lungs, clear the liver, and calm the collaterals with Dan Xi Ke Xue Fang combined with Er Zhi Wan, modified: he zi rou 9g,  chao zhi zi 9g, gua lou pi 9g, nan bei sha shen ming 9 g, hai fu shi 12g, hei zao lian 12 g, ce bai ye 12 g, chao mai dong 12g, chao yu zhu 12g, bai mao gen 30g, qing dai (wrapped) 1.2 g.

            The patient’s cough stopped on the second day of taking the formula and her fever and chills ceased. The patient still presented with night sweats. Hao zao lian, ce bai ye, bai mao gen were taken out of the original formula and zhi nu zhen, di gu pi, bai bu ming, 12 g each, and sang ye, bai shao ming, 9 g each, were added. 

            Five bags later, hemoptysis did not reappear, night sweating also stopped, and food intake returned to normal. To the above formula, di gu pi, sang ye, bai shao were removed and hei zao lian 12 g was added. Seven bags later, the patient recovered from all of the various patterns. The patient was seen on an outpatient basis for six months without seeing any signs of relapse.

            In pulmonary tuberculosis yin deficiency, the liver body does not stay in good repair, liver fire counterflows, punishing the lungs and harming the luo, which causes an increase in hemoptysis. Ying and wei are not harmonized, causing fever and chills. Use the method of boosting the lungs, clearing the liver, and calming the luo. The formula uses sha shen, mai dong, and yu zhu to enrich and nourish the lung yin; qing dai, zhi zi to drain the liver fire and cool the blood; gua lou pi, hai fu shi to clear and transform phlegm heat; he zi rou astringes the dissipated lung qi.  Descend and depurate lung qi, and liver qi does not counterflow; calm the blood collaterals and hemoptysis spontaneously stops.