Objective: To explore the effective methods and ways for treatment of emergency of internal medicine with traditional Chinese medicine (TCM).

Methods:
　　(l) Ulcerative hemorrhage: for treament of haematemesis due to heat accumulation in the stomach, Xiexin Decoction (Decoction for Removing the Heart-fire) and Modified Shihui Bolus were used; for haematemesis due to Qi-deficiency, Modified Guipi Decoction (Decoction for Invigorating the Spleen and Nourishing the Heart) was used. General1y, for excess-syndrome, Dahuang (Radix et Rhizoma Rhei), Huangqin (Radix Scutellariae), Cebaiye (Cacumen Biotae), Baiji (Rhizoma Bletillae), Diyu (Radix Sanguisorbae), etc were employed; for deficiency syndrome, Dangshen (Radix Codonopsis Pilosulae), Baizhu (Rhizoma Atractylodis Macrocephalae), Ejiao (Colla Corii Asini), Huangqi (Radix Astragali seu Hedysari), Gancao (Radix Glycyrrhizae Praeparata), etc were used. Patients of the control group were ordered to take western medicines for antiacid, hemostasis, protection of the gastric mucus, and promoting healing of the ulcerative tissues;

(2) Cardiac failure: for Yang-deficiency with concurrent profuse phlegm, Fuzi (Radix Aconiti Praeparata), Wujiapi (Cortex Acanthopanacis Radicis), Chishao (Radix Paeoniae Rubra), Chuanxiong (Rhizoma Ligustici Chuanxiong), Jixueteng (Caulis Spatholobi), etc were used; combined with intravenous infusion of Qiangxinling (thevetin); for Qi-deficiency syndrome with pathogenic dampness, Dangshen (Radix Codonopsis Pilosulae), Zhuling (Polyporus), Fuling (Poria), Chishao (Raix Paeoniae Rubra), Cheqianzi (Semen Plantaginis), Niuxi(Radix Achyranthis Bidentatae), etc. Were used. Patients of the contro1 group were asked to take drugs for cardiac stimulants, diuretics, antibiotics, etc;

(3) Shock. for Yang-prostration syndrome, Modified Renshen Sini Decoction (Decoction for treating Cold Limbs Supplemented with Ginseng) was used; for heat-syncope syndrome, Yinqiao Baihu Decocton or Modified Chengqi Decoction was used in combination with Shengmai Injection, needling of Shuigou(DU 26), Neiguan (PC 6), Shixuan EX-UE l1), etc. Patients of the control group were treated with drugs for raising blood pressure, anti-infection, correcting disorder of acid-base balance, etc;

(4) Infectious high fever: for pyelonephritis, Modified Chaiqin (Chaihu-Huangqin) Decoction was used; for bacillary dysentery Shaoyao (Peony) Decoction or modified Baitouwong (Pulsatilla) Decoction was used. Patients of the contro1 group were treated with supporting treatment, antibiotics, etc.

(5) Coronary heart disease: for angina pectoris, patients were treated with Guanxin Huoxue Pill (Buguzhi-Fructus Psoraleae, Danshen-Radix Salviae Miltiorrhizae, Sanqi-radix Notoginseng, Chuanxiong-Rhizoma Chuanxiong, etc.), supplemented with Dangshen (Radix Codonopsis Pilosulae), Huangqi (Radix Astragali seu Hedysari), Zhelan (Herba Lycopi), etc. And intravenous injection of Shenmai Injection. Patients of the control group were treated simply with drugs warm in nature for promoting blood circulation.

Results: Of the 5l cases of ulcerative hemorrhage patients, 44 (86.27%) of Chinese drug group were cured, while of the 55 patients of the control group, 45 (8l .81%) were cured. In cardiac failure treatment trials, of the 48 cases in Chinese drug group, 39 (81.25%) were re1ieved, while of the 87 cases in western medicine group, 74 (85.06%) were relieved. In shock treatment trials, of the 75 cases, 72 (96.0%) were corrected in 48 hours, while of the 56 cases in western medicine group, 46 (82.0l%) were corrected in 48 hours. In infectious high fever trials, of the l299 cases in Chinese drug group, l256 (96.69%) had fever-free within 3-6 days, while of 479 cases in western medicine group, 456 (95.20%) had fever-free within 3-6 days. In the trials of coronary heart disease with angina pectoris, of the 75 cases in Chinese drug multiple ways group, 68 (90.67%) were relieved, While of the l29 cases in Chinese drug oral administration group, 93 (72.09%) were relieved.

Conclusion: Chinese medicinal herb treatment group is superior to western medicine group in correcting shock and in improving symptoms of coronary heart disease patients with angina pectoris, but has no significant difference in comparison with western medicine group in correcting ulcerative hemorrhage, cardiac failure and infectious high fever.

(Huang Xinyuan, Zheng Xin, Du Shuming Chongqing Institute of TCM, Chongqing, 4000l3, China)