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Jie Xiong (Chest Binding) syndrome arises from Tai Yang disease (disease of the Tai Yang channel), where the patient has spontaneous sweating and should have taken Guizhi Tang (Cinnamon Twig Decoction), but was mistakenly treated with Chengqi Tang (Gut-Draining Decoction) via purgation, resulting in Jie Xiong. If palpation does not cause pain, but pain radiates to the umbilicus and lateral abdomen, and the area is intolerable to touch, it is Da Jie Xiong (Major Chest Binding), treated with Da Xian Xiong Tang (Major Trap the Chest Decoction). If pain occurs only upon palpation, with hardness below the heart, it is Xiao Jie Xiong (Minor Chest Binding), treated with Xiao Xian Xiong Tang (Minor Trap the Chest Decoction). If there is mental restlessness (Ao Nao), irritability, thirst, and pain in the epigastrium, it is Re Jie Xiong (Heat Chest Binding), treated with a small dose of Da Xian Xiong Tang. If there is mental restlessness and fullness/distension without fever, it is Han Jie Xiong (Cold Chest Binding), treated with San Wu Bai San (Three-Ingredient White Powder). If there is palpitations in the epigastrium, sweating on the head, and no significant heat in the body, it is Shui Jie Xiong (Water Chest Binding), treated with Xiao Ban Xia Fu Ling Tang (Minor Pinellia and Poria Decoction). If purgation has not been performed, it is not Jie Xiong, but rather a Half-Exterior Half-Interior syndrome, suitable for harmonization with Xiao Chai Hu Tang (Minor Bupleurum Decoction) added with Zhi Shi (Immature Bitter Orange) and Jie Geng (Platycodon Root). If purgation has already been performed, it is Jie Xiong. In Jie Xiong, if the pulse is floating and large, purgation should not be used immediately, as exterior signs still persist. If all symptoms of irritability are present in Jie Xiong, death is inevitable.

Pi (Glomus) syndrome results from Tai Yang disease where Mahuang Tang (Ephedra Decoction) was indicated but mistakenly treated with Chengqi Tang via purgation, leading to Pi Man (Glomus Fullness). This is due to the stagnation of deficient pathogenic factors; if purgation is desired, one must wait until the exterior syndrome resolves before proceeding, suitable for Xiao Chai Hu Tang added with Zhi Shi and Jie Geng. If there is aversion to cold, sweating, and glomus fullness, Fuzi Xi Xin Tang (Aconite and Coptis Decoction) is used. If urination becomes difficult after taking the medicine, Wu Ling San (Five-Ingredient Powder with Poria) is used. If the exterior syndrome remains unresolved and there is a sensation of obstruction and stuffiness in the epigastrium, it is called Zhi Jie (Branching Binding), treated with Chai Hu Gui Zhi Tang (Bupleurum and Cinnamon Twig Decoction). If the exterior syndrome is unresolved and multiple purgations are performed, leading to diarrhea accompanying heat and hardness in the epigastrium, this indicates simultaneous exterior and interior pathology, and Gui Zhi Ren Shen Tang (Cinnamon Twig and Ginseng Decoction) is appropriate.

Fu Man (Abdominal Fullness) occurs when pathogens enter the Tai Yin Spleen Earth. If accompanied by pain, it is a Interior Excess syndrome requiring purgation, using Chengqi Tang; if the fullness decreases intermittently, it is an Interior Deficiency syndrome requiring warming, using Li Zhong Tang. If the exterior syndrome is resolved but internal accumulation persists, yet it is not severe fullness, and chills and fever still occur, purgation is contraindicated, indicating the pathogen has not fully entered the Fu organs. If there is severe fullness and excess, with hard dry feces, even if few days have passed, purgation is required, indicating the pathogen has entered the Fu organs. In Tai Yang disease, mistaken purgation may cause abdominal fullness and pain at that time, treated with Gui Zhi Jia Shao Yao Tang (Cinnamon Twig Decoction plus Peony); if pain is severe, Gui Zhi Jia Da Huang Tang (Cinnamon Twig Decoction plus Rhubarb) is used. In Yang Ming disease, with fever, abdominal fullness, slight wheezing, dry mouth, and constipation, Xiao Chai Hu Tang is used; if hiccups occur with difficult urination, add Fu Ling (Poria). In combined Three-Yang disease, with abdominal fullness, heavy body difficult to turn, delirium, and numbness/loss of taste in the mouth, Xiao Chai Hu Tang is used. In Tai Yin disease, with abdominal fullness, vomiting, and inability to eat, Zhi Shi Li Zhong Tang (Immature Bitter Orange and Middle-Warming Decoction) is used. In Shao Yin disease, with dry throat, abdominal fullness, and constipation, urgent purgation is needed using Da Cheng Qi Tang (Major Gut-Draining Decoction). In diarrhea with abdominal fullness and body pain, first warm the interior with Si Ni Tang (Frigid Extremities Decoction), then release the exterior with Gui Zhi Tang. After sweating, if abdominal fullness occurs, warming is needed with Hou Po Ban Xia Sheng Jiang Ren Shen Tang (Magnolia Bark, Pinellia, Fresh Ginger, and Ginseng Decoction). After vomiting, if abdominal fullness occurs, a small amount of Tiao Wei Cheng Qi Tang (Regulate the Stomach Gut-Draining Decoction) is given. After purgation, if abdominal fullness occurs, Zhi Zi Chi Tang (Gardenia and Fermented Soybean Decoction) is used. Generally, abdominal fullness caused by Yang-Heat pathogens presents with fullness and dry throat; caused by Yin-Cold pathogens, it presents with fullness, vomiting, diarrhea, and inability to eat. If abdominal fullness occurs after previous emesis, sweating, or purgation, treatments vary accordingly.