Analysis of the Treatment Strategy of Heart Failure with Preserved Ejection Fraction Based on ZHANG Boli's Theory of “Damp-turbidity and Phlegm-rheum Type of Diseases” / 中医杂志

Professor ZHANG Boli believed that the core pathogenesis of heart failure with preserved ejection fraction （HFpEF） is weak pulse at yang and wiry pulse at yin. By referring to the theory of “damp-turbidity and phlegm-rheum type of diseases”， he proposed that yin pathogens of damp-turbidity and phlegm-rheum may damage yang qi in each stage of HFpEF， thus aggravating the trend of weak pulse at yang and wiry pulse at yin， which played an important role in the deterioration of HFpEF. Therefore， Professor ZHANG Boli advocated that importance should be attached to the elimination of yin pathogen and the protection of yang qi during the various stages of HFpEF in order to delay the aggravation of weak pulse at yang and wiry pulse at yin； he put forward the idea of staged treatment that “yin pathogen should be dispelled and yang qi should be demonstrated”； and he formulated the treatment strategy of treating the disease as early as possible， eliminating pathogens and protecting yang， interrupting the disease trend， using warm-like medicinals， and activating blood circulation， to enrich the theoretical system of traditional Chinese medicine in the treatment of HFpEF.

Experience of ZHANG Boli in Staged Treating Very Early Onset Inflammatory Bowel Disease Based on the Theory of “Similar Diseases and Syndromes of Damp-Turbidity-Phlegm-Rheum” / 中医杂志

This article summarizes the experience of Professor ZHANG Boli in the staged treatment of very early onset inflammatory bowel disease （VEO-IBD）. Grounded in the theory of “similar diseases and syndromes of damp-turbidity-phlegm-rheum”， it is believed that dampness and turbidity are crucial pathogenic factors in VEO-IBD. During the acute phase， the core pathogenesis centers on the accumulation of turbid toxins in the intestines. The treatment focuses on dispelling dampness and clearing turbidity to eliminate turbid toxins， while also regulating the flow of qi and nourishing the spleen and kidney. During the remission phase， the core pathogenesis involves spleen and kidney deficiency， which is treated by invigorating the spleen and warming the kidney to strengthen the body resistance. Additionally， promoting blood circulation and eliminating stasis is integrated throughout the treatment process. Medications are chosen to be mild and gentle， emphasizing balance and harmony， and attention is given to the methods of administration and psychological well-being， ensuring comprehensive care for both body and mind.

New Explanation of Jichuan Decoction（济川煎） / 中医杂志

This paper explores the interpretation of Jichuan Decoction （济川煎） by tracing its name's origin， exa-mining the original texts of herbs in the decoction within Jingyue's Complete Works（《景岳全书》）， exploring the debate on the sovereign drug of Danggui （Angelica sinensis ［Oliv.］ Diels） and Roucongrong （Cistanche deserticola Y.C. Ma）， and analyzing the historical discussions on the efficacy of the decoction. It is believed that the original meaning of the name Jichuan Decoction （济川煎） refers to its strategy for treating “deficiency constipation”， which can be described as “increasing water to navigating the boat”. Danggui （Angelica sinensis ［Oliv.］ Diels） is considered the sovereign herb for nourishing blood and moistening dryness， while Roucongrong （Cistanche deserticola Y.C. Ma） serves as the minister herb for moistening the intestines and promoting bowel movements. It is concluded by the author that Jichuan Decoction （济川煎） does not primarily focus on warming the kidneys and assisting yang， but rather emphasizes nourishing blood， moistening dryness， and promoting bowel movements. Its main indication is constipation due to deficiency of yin and blood， which is supported by evidence from antiquarian materials.