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The *Qianjin Fang* (Thousand Gold Formulas) states: Baihe Bing (Lily Disease) refers to a condition where there is no fixed meridian pathology, because all vessels share a single origin, thus affecting the entire network of vessels. This typically arises after Shanghan (Cold Damage), Xu Lao (Deficiency and Emaciation), or major illnesses, when the body fails to fully recover, evolving into this disease. If symptoms manifest as aversion to cold and vomiting, the pathology is in the Upper Jiao (Upper Burner), and it should heal in approximately twenty-three days. If symptoms manifest as abdominal fullness, slight wheezing, hard stools, bowel movements only once every three to four days, occasionally with small amounts of loose stool, the pathology is in the Middle Jiao (Middle Burner), and it should heal in approximately sixty-three days. If symptoms manifest as dribbling urine and difficult urination, the pathology is in the Lower Jiao (Lower Burner), and it should heal in approximately thirty-three days. Treatment should follow the specific symptoms. Guo Yong stated: Sun Simiao’s (Sun Shi) discussions are mostly found in ancient texts. Only this discussion divides symptoms into the Upper, Middle, and Lower Jiao, which is not seen in ancient books. Could the original text have been lost? If it were truly divided by Jiao, each location would have corresponding treatments, and it should not be said, as Zhang Zhongjing did, that "various medicines cannot cure it." In fact, various Baihe Tang (Lily Decoction) formulas were used at that time. Other discussions on Baihe Bing in the *Qianjin Fang* are recorded in the *Jin Gui Yao Lue* (Essential Prescriptions from the Golden Cabinet). Only this particular discussion differs.

The *Jin Gui Yao Lue* states: Baihe Bing occurs when all vessels, sharing a single origin, are affected by the disease. The patient desires to eat but cannot; often remains silent; desires to lie down but cannot sleep; desires to walk but cannot move. Food sometimes tastes good, but at other times the smell of food causes disgust. There may appear to be chills, but actually there are none; there may appear to be fever, but actually there is none. The mouth is bitter, and the urine is red. (*Qianjin Fang* notes: In the morning, the mouth is bitter, and urination is red and painful.) Various medicines cannot cure it; taking medicine results in severe vomiting and diarrhea, as if afflicted by spirits. Patients with Baihe Bing appear physically normal, with a pulse that is slightly rapid. If headache occurs during urination, healing takes sixty days. If there is no headache during urination but a sensation of shivering cold, healing takes forty days. If urination feels comfortable but dizziness occurs, healing takes twenty days. These symptoms may appear before the illness starts, emerge four to five days after onset, or appear mildly after twenty days or a month. Treatment should follow the symptoms. The *Qianjin Fang* adds: If symptoms appear more than one month and twenty days after onset, treatment is prone to error. Guo Yong stated: This discussion has unclear expressions, which are now supplemented with words from the *Qianjin Fang*. For example, if symptoms appear after one month and twenty days, treating before that period would inevitably lead to error. Thus, the phrase "treatment is prone to error" in the *Qianjin Fang* is most critical. The "symptoms" mentioned refer to the three conditions during urination.

Wang Shuhe stated: The symptoms of Baihe Bing include silence, desire to lie down but inability to sleep; appearing like a healthy person who desires to go out but cannot; desiring to eat but unable; sometimes finding food palatable, sometimes repulsed by the smell of food; seeming cold without actual cold, seeming hot without actual heat; bitter mouth in the morning, yellow-red urine; physical appearance is normal, pulse is slightly rapid. All vessels share one origin and are diseased; treatment should follow the symptoms.

The *Jin Gui Yao Lue* further states: When Baihe Bing manifests in Yin, treat it using Yang methods; when it manifests in Yang, treat it using Yin methods. Attacking Yin when Yang signs are present, and then inducing sweating, is a counter-therapeutic approach (Ni). Attacking Yang when Yin signs are present, and then using purgation, is also a counter-therapeutic approach.

The *Qianjin Fang* states: If Baihe Bing is located in Yin, attacking Yang will not resolve the Yin pathology. Inducing sweating again is a counter-therapeutic approach. If located in Yang, attacking Yin will not resolve the Yang pathology. Using purgation again will prevent the disease from healing. Guo Yong stated: The meaning of the *Jin Gui Yao Lue* is that when Yang signs are seen, one should attack Yin; if one does not attack Yin but induces sweating instead, it is a counter-therapeutic approach. When Yin signs are seen, one should attack Yang; if one does not attack Yang but uses purgation instead, it is also a counter-therapeutic approach. This is easy to understand. The *Qianjin Fang* means that when attacking Yang while Yin signs are present, one must not induce sweating while Yin is unresolved, lest Yang be attacked again, hence it is called counter-therapeutic. When attacking Yin while Yang signs are present, one must not use purgation while Yang is unresolved, lest Yang be attacked again, hence it is called counter-therapeutic. The intent here is difficult to comprehend.

The *Jin Gui Yao Lue* further states: For Baihe Bing treated with sweating, Baihe Zhi Mu Tang (Lily and Anemone Decoction) is appropriate. The *Wai Tai Mi Yao* (Prescriptions from the Imperial Outer Library) records: After sweating, if sweating is induced again; after purgation, if sweating is induced again; after vomiting, if sweating is induced again.

The *Jin Gui Yao Lue* further states: For Baihe Bing treated with purgation, Baihe Huashi Daizhe Tang (Lily, Talcum, and Hematite Decoction) is appropriate.

The *Jin Gui Yao Lue* further states: For Baihe Bing treated with vomiting, Baihe Jizi Tang (Lily and Egg Yolk Decoction) is appropriate.

The *Jin Gui Yao Lue* further states: For Baihe Bing not treated with vomiting, purgation, or sweating, with symptoms remaining as initially, Baihe Di Huang Tang (Lily and Rehmannia Decoction) is appropriate.

The *Jin Gui Yao Lue* further states: If Baihe Bing persists for a month and transforms into thirst, Baihe Xi Fang (Lily Wash Formula) is appropriate.

The *Jin Gui Yao Lue* further states: If Baihe Bing involves thirst that does not resolve, Gualou Muli San (Trichosanthes Root and Oyster Shell Powder) is appropriate.

The *Jin Gui Yao Lue* further states: If Baihe Bing transforms into fever, Baihe Huashi San (Lily and Talcum Powder) is appropriate.

The *Qianjin Fang* states: For Baihe Bing transforming into abdominal fullness and pain, Baihe San (Lily Powder) is appropriate.

Guo Yong stated: Examining closely, the *Jin Gui Yao Lue* mentions that sweating, purgation, and vomiting can all result in Baihe Bing. However, the *Qianjin Fang* says that after Baihe Bing has already undergone sweating, if sweating is induced again; after purgation, if sweating is induced again; after vomiting, if sweating is induced again. Its implication seems to be that Baihe Bing itself recurs after sweating, purgation, or vomiting, rather than indicating that Shanghan transforms into Baihe Bing after these treatments. This resembles the treatment of relapse due to overexertion within Baihe Bing, rather than showing the correct medications for sweating, purgation, or vomiting in the context of Baihe Bing. This interpretation is not entirely satisfactory. It is likely that due to centuries of transcription and correction, errors were added, and this is not Sun Simiao’s original text. Therefore, the *Huo Ren Shu* (Book Reviving People) uses only the original text of the *Jin Gui Yao Lue*, excluding the added words like "induced again" from the *Qianjin Fang*. Pang Anzhi directly revised the language to: "Treating Baihe Bing after sweating, Treating Baihe Bing after purgation, Treating Baihe Bing after vomiting," which removes doubt even more effectively.

Another discussion states: Zhang Zhongjing used Baihe (Lily Bulb) to treat Baihe Bing, which does not correspond to the main indications of Baihe in the *Shen Nong Ben Cao Jing* (Divine Farmer's Materia Medica). Since ancient times, no one has understood its rationale. Thus, Sun Simiao said: Shanghan and miscellaneous diseases have existed since antiquity. Ancient sages had many preventive measures. As for Zhang Zhongjing, he demonstrated divine efficacy. Seeking the profound meaning, its depth is unfathomable. Therefore, physicians cannot deeply study and admire it. This is one reason for such lack of deep study. Ancients believed that even a sage like Sun Simiao was puzzled, let alone later scholars. However, Baihe must be treated with Baihe. If wise men cannot know, then regarding the previously mentioned Jiao theory, since each has its location and corresponding herbs, treatment according to charts would be easy. One does not necessarily need Baihe to treat it. Guo Yong therefore suspected this was not Sun Simiao’s words. Or perhaps, seeing the Jiao symptoms as described earlier, one need not ask if it is Baihe Bing or not, and could treat all with Jiao-specific herbs. But how could the plant Baihe get its name from treating Baihe Bing? Or was it named Baihe Bing because Baihe is required to treat it? These cannot be determined. However, I recall my teacher curing a servant’s illness with Baihe Tang. At that time, I did not pay much attention nor carefully observe the symptoms. Although he appeared similar to cold/heat, hunger/fullness, desire to walk/lie down—resembling current Baihe Bing symptoms—he continuously called his own name throughout the night. Upon waking, he had no memory of it. This symptom is extremely puzzling. Is this what is meant by "as if afflicted by spirits"? Perhaps someone has such symptoms, so I record it here. This symptom is also similar to the "Xie Xie" (limb flaccidity and weakness) mentioned in the *Su Wen* (Basic Questions).