According to the theory of traditional Chinese medicine, there are some patterns of syndrome that lead to myelodysplastic syndrome.1. Pattern of Deficiency of Kidney Yin2. Pattern of Spleen and kidney Deficiency Yang3. Pattern of Toxic-Heat Accumulatio4. Pattern of Phlegm and Blood StasisOur TCM clinical practice has showed that integration of Chinese medicine and western medicine is a very good choice for this disease. When treating myelodysplastic syndrome, Chinese doctors will take everything into consideration, including the following conditons.1. Smoking or tobacco use.2. Old age (more than 60 years old).3. Exposure to radiation such as in the presence of an atomic bomb or nuclear reactors.4. Exposure to benzene and chemicals used in the production of rubber and petroleum.5. Previous radiation or chemotherapy and radiomimetic agents such as nitrosourea, busulfan and procarbazine.6. Disorders such as Fanconi anemia, acquired aplastic anemia, congenital neutropenia, familial platelet disorder and Shwachman-Diamond syndrome7. The disorder occurs along with the mutation of the bone marrow stem cell which causes impairment in the blood precursor cells.