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Diarrhea accompanied by a cool body and a fine pulse is a favorable sign. Diarrhea accompanied by fever and a large pulse is an unfavorable sign. If diarrhea is accompanied by a surprisingly solid pulse, death ensues.

If fever and severe diarrhea are accompanied by unceasing coldness of the extremities, death ensues.

If staring eyes, delirium, and diarrhea occur together, death ensues.

If the hands and feet are cold, there is no pulse, moxibustion fails to warm them, and the pulse does not return, death ensues.

In Shaoyin disease (disease of the Shaoyin channel), spontaneous diarrhea followed by restlessness and inability to sleep indicates death.

All the above conditions result from excessive pathogenic factors and the collapse of healthy qi downwards.

It is said that when Qi of the Six Fu organs rebels externally, the hands and feet become cold; when Qi of the Five Zang organs fails internally, uncontrollable diarrhea occurs.

Furthermore, if diarrhea is accompanied by a wiry pulse at the right Guan position (reflecting the Stomach), death ensues due to Stomach deficiency being unable to withstand the pathogen. Treatment should employ formulas similar to Lizhong Tang (Cinnamon Twig and Atractylodes Macrocephala Decoction); if the Stomach pulse becomes moderate, survival is possible.

Additionally, in Shanghan disease (Cold Damage disease) after six or seven days, if the pulse is slow, diarrhea occurs with fever, Huangqin Tang (Scutellaria Root Decoction) should be administered to clear the heat.

The abdomen should be cold and thus incapable of digesting food; if the patient can suddenly eat, this is called Chuzhong (Elimination of Zhong, indicating imminent death). The ability to eat indicates residual heat that has not yet cleared; this means the pathogenic heat in the Spleen channel remains while the Stomach Qi has perished.

Jinti (Muscle Twitching): Refers to jumping or trembling of the muscles.

This condition arises from excessive sweating, leading to depletion of Body Fluids, extreme deficiency of Yang Qi, and loss of nourishment for the muscles and sinews.

In Taiyang disease (disease of the Taiyang channel), if the pulse is weak, there is sweating and aversion to wind, Da Qinglong Tang (Major Green Dragon Decoction) must not be used. If administered, it will cause muscle twitching and trembling.

Furthermore, in Taiyang disease, if sweating fails to resolve the condition, and fever, dizziness, and body tremors with a desire to fall to the ground persist, Zhenwu Tang (True Warrior Decoction) should be used. If there is pulsation in the abdomen on either side, sweating is contraindicated; sweating would cause dizziness and body tremors. Treatment should focus on warming the channels and benefiting Yang Qi.

There are cases where sweating follows vomiting and purging, resulting in both exterior and interior deficiency, which is even more severe.

After vomiting and purging, if sweating leads to empty irritability, a very faint pulse, and after eight or nine days, epigastric fullness, hypochondriac pain, sensation of Qi rushing up to the throat, dizziness, and muscle twitching, it may eventually develop into Wei syndrome (Flaccidity syndrome), which is a very adverse condition.

Furthermore, in Taiyang disease, if sweating is followed by purging, causing skin twitching and chest irritability, and the complexion is greenish-yellow, the prognosis is difficult due to extreme Yang deficiency. However, if the complexion is yellow and the hands and feet are warm, it is easy to treat, indicating the recovery of Yang Qi.

Re entering the Blood Chamber: The Blood Chamber is the place where menstruation resides, also known as the Sea of Blood and the Chong Mai (Penetrating Vessel).

In men: It results from internal heat in the Yangming channel; once the pathogen enters, it causes bloody stool and delirium.

In women: It is transmitted directly via the Taiyang channel; upon entry, it presents differently depending on whether menstruation has just started or just stopped.

In Wind Strike (Wind-stroke/Exogenous Wind attack) with fever, if menstruation has just started, and after the fever subsides the pulse becomes slow, accompanied by chest and hypochondriac fullness resembling Jie Xiong syndrome (Chest Binding syndrome) and delirium, this indicates pathogenic retention in the chest and hypochondrium. Acupoint Qimen (LR14) should be punctured.

If seven or eight days have passed since Wind Strike, and menstruation has just stopped, with periodic chills and fever resembling malaria, this indicates stagnant blood. Xiaochaihu San (Minor Bupleurum Powder) should be used to disperse it.

In Shanghan disease with fever, if menstruation has just started, the patient is lucid during the day but delirious at night as if seeing ghosts, this is because the blood flows down without stagnation, and the pathogenic heat dissipates with the blood; the condition will heal spontaneously.