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Wind-stroke (Taiyang Wind-Strike) of this disease, presenting with fever and aversion to cold, indicates onset in the Yang aspect; diseases starting in the Yang aspect resolve in seven days. The body is extremely cold yet there is a reluctance to wear clothes; this is because the cold is on the skin surface while the heat is deep within the marrow. In Taiyang disease, presenting with fever, sweating, aversion to wind, and a slow pulse, it is named Wind-stroke.

In Taiyang disease, presenting with headache, fever, sweating, and aversion to wind, this is the Guizhi Tang (Cinnamon Twig Decoction) pattern. In Taiyang Wind-stroke, the pulse is floating at the superficial position and weak at the deep position; floating indicates spontaneous heat generation, while weak indicates spontaneous sweating; accompanied by aversion to wind, aversion to cold, fever, nasal congestion with roaring sound, and dry vomiting, this is also the Guizhi Tang pattern.

Taiyang disease presenting with fever and sweating occurs because Ying (Nutritive Qi) is weak and Wei (Defensive Qi) is strong, hence sweating. To treat this invasion of wind pathogen, Guizhi Tang should be the primary prescription (Guizhi Tang pattern). If the internal organs have no other pathology, but there is periodic fever and sweating that does not resolve, this is due to disharmony of Wei Qi. Administering diaphoresis before the onset time will lead to recovery (Guizhi Tang pattern).

When a patient frequently sweats spontaneously, it is because Ying Qi itself is harmonious; in those with harmonious Ying Qi, external harmony is lacking because Ying circulates within the vessels while Wei circulates outside. Re-inducing sweating to harmonize Ying and Wei leads to recovery (Guizhi Tang pattern).

In Taiyang disease, if after taking Guizhi Tang the vexation does not resolve, first puncture Fengchi (GB20) and Fengfu (GV16) acupoints, then administer Guizhi Tang for recovery (Guizhi Tang pattern).

In Taiyang disease, if exterior symptoms are unresolved and the pulse is floating and weak, diaphoresis should be used to resolve the exterior (Guizhi Tang pattern). In Taiyang disease, if exterior symptoms are unresolved, purgation must not be used; to resolve the exterior, Guizhi Tang should be the primary prescription (Guizhi Tang pattern).

If the pulse is floating and large, and only constipation is mentioned, inducing diarrhea through purgation is a major contraindication; if constipation is due to excess, resolution through sweating is possible (Guizhi Tang pattern).

In Taiyang disease that has not resolved, if the pulses at cun, guan, and chi positions temporarily cease, the patient will inevitably experience chills and tremors followed by sweating and resolution; if only the yang pulse is slightly active, sweating resolves it; if only the yin pulse is slightly active, purgation resolves it; if purgation is desired, Tiaowei Chengqi Tang (Regulate the Stomach and Order the Qi Decoction) is suitable (Guizhi Tang pattern).

Patients with a history of alcohol consumption should not be given Guizhi Tang; doing so will cause vomiting (Contraindicated Guizhi Tang pattern). If vomiting occurs after taking Guizhi Tang, pus and blood will likely be vomited subsequently (Contraindicated Guizhi Tang pattern). Guizhi Tang is originally for releasing the muscle layer; if the pulse is floating and tight, with fever and no sweating, it must not be administered (Contraindicated Guizhi Tang pattern).

Cold damage (Taiyang Cold Damage) without fever but with aversion to cold indicates onset in the Yin aspect; diseases starting in the Yin aspect resolve in six days. The body is extremely hot yet there is a desire to seek warmth; this is because heat is on the skin surface while cold is deep within the marrow. In Taiyang disease, whether fever has already appeared or not, there is invariably aversion to cold, body pain, vomiting and counterflow qi, and a pulse that is tight at both superficial and deep positions, named Cold Damage.

In Taiyang disease, presenting with headache, fever, body pain, lower back pain, bone and joint pain, aversion to cold, anhidrosis, and wheezing, this is the Mahuang Tang (Ephedra Decoction) pattern. A floating pulse indicates the disease is in the exterior, allowing for diaphoresis; a floating and rapid pulse also allows for diaphoresis (Mahuang Tang pattern).

For Cold Damage, diaphoresis is appropriate; relief should occur within half a day. If vexation recurs and the pulse is floating and rapid, diaphoresis can be repeated, preferably with Guizhi Tang (Mahuang Tang pattern).

In Cold Damage, if there is no bowel movement for six or seven days, accompanied by headache and fever, Chengqi Tang formulas may be considered; however, if urine is clear, the disease is not in the interior but remains in the exterior, requiring diaphoresis (This is a Mahuang Tang pattern). If there is a headache, epistaxis is likely, and Guizhi Tang is suitable (Mahuang Tang pattern).

In Taiyang disease, with a floating and tight pulse, fever, anhidrosis, and spontaneous epistaxis, the disease resolves (Mahuang Tang pattern).

In Cold Damage, if the pulse is floating and tight and diaphoresis is not performed leading to epistaxis, Mahuang Tang should be the primary prescription (Mahuang Tang pattern).

In Taiyang disease, with a floating and tight pulse, anhidrosis, fever, and body pain persisting for eight or nine days without resolution, Mahuang Tang should be the primary prescription. After medication, symptoms may slightly decrease, accompanied by vexation and blurred vision; in severe cases, epistaxis occurs, and the disease resolves upon bleeding due to excessive accumulation of Yang Qi (Mahuang Tang pattern).

Complicated Diseases: The characteristic of Taiyang disease is a floating pulse, stiffness and pain in the head and neck, and aversion to cold. In Taiyang disease lasting eight or nine days, resembling malaria with more heat than cold, no vomiting, normal urination and defecation, occurring two or three times a day with a floating and slow pulse, indicates impending resolution; a faint pulse with aversion to cold indicates deficiency of both Yin and Yang, prohibiting further diaphoresis, purgation, or emesis; a reddish complexion indicates the disease is unresolved due to lack of slight sweating, causing body itching (Guizhi Mahuang Ge Ban Tang / Cinnamon Twig and Ephedra Half-Half Decoction pattern).

The appearance resembles Cold Damage, but the pulse is not wiry and tight but weak; weakness implies thirst, and fire therapy would cause delirium; for weakness with fever, resolution through sweating is effective (Guizhi Yebibo Tang / Cinnamon Twig and Ma Bright Pill Decoction pattern).

In Taiyang disease with fever and aversion to cold, more heat than cold, and a weak pulse, this indicates absence of Yang (Yang deficiency), prohibiting further diaphoresis (Guizhi Yebibo Tang pattern).

After taking Guizhi Tang with heavy sweating, if the pulse becomes flooding and large, continue with Guizhi Tang as before; if symptoms resemble malaria occurring twice a day, sweating will resolve it (Guizhi Er Mahuang Yi Tang / Cinnamon Twig Two Parts Ephedra One Part Decoction pattern).

Generally, if diseases are treated with diaphoresis, emesis, or purgation, or if there is blood loss or fluid depletion, self-healing occurs when Yin and Yang naturally harmonize (Transmission of Channels).

Headache from Taiyang disease resolving after seven days occurs because the pathogen has exhausted its course in the channel; to prevent recurrence and transmission, acupuncture at the Foot-Yangming channel can stop transmission and cure the disease (Transmission of Channels).

For patients with wind disorders, if the exterior is resolved but discomfort persists, healing occurs in twelve days (Transmission of Channels).

In Cold Damage, if after two or three days there are no Yangming or Shaoyang symptoms, transmission has not occurred (Transmission of Channels).

On the first day of Cold Damage, the Taiyang channel is affected; a quiet pulse indicates no transmission; frequent urge to vomit, irritability, and an urgent, rapid pulse indicate impending transmission (Transmission of Channels).

Excess Yang Entering the Fu Organs: Taiyang Wind-stroke with a floating and tight pulse, fever, aversion to cold, body pain, anhidrosis, and restlessness is the Da Qinglong Tang (Great Blue Dragon Decoction) pattern, representing a pathway towards Yangming transformation.

Cold Damage with a floating and slow pulse, body heaviness without pain, occasionally lighter, and no Shaoyin symptoms is the Da Qinglong Tang pattern, approaching Yangming.

Cold Damage with a slippery pulse and cold limbs indicates internal heat, the Baihu Tang (White Tiger Decoction) pattern, a pathway towards Yangming.

Cold Damage with a floating and slippery pulse indicates internal heat and exterior cold, the Baihu Tang pattern, entering Yangming.

In Cold Damage with a floating pulse, fever, and anhidrosis, if the exterior is unresolved, Baihu Tang must not be given; if there is thirst for water and no exterior syndrome, Baibu Jia Renshen Tang (White Tiger Plus Ginseng Decoction) is the primary prescription (Baihu Tang pattern).

In Cold Damage without significant fever, dry mouth and throat, irritability, and slight aversion to cold on the back, Baibu Jia Renshen Tang is the primary prescription (Baihu Tang pattern).

If Taiyang disease is unresolved and heat binds in the Bladder, causing mental agitation like madness, spontaneous passage of blood leads to recovery; if the exterior is unresolved, interior attack is prohibited; once the exterior is resolved and only urgency and binding in the lower abdomen remain, attack is permissible (Taohhe Chengqi Tang / Peach Pit Regulate the Qi Decoction pattern, pathway to Yangming).

In Taiyang disease lasting six or seven days, if exterior signs persist, the pulse is faint and sinking, there is no chest binding, but the patient is manic due to heat in the lower jiao causing hardness and fullness in the lower abdomen; if urination is free, passing blood resolves the condition because Taiyang follows the channels and blood stasis with heat resides in the interior; Dandang Tang (Dredge the Reservoir Decoction) is the primary prescription (Dandang Tang pattern).

In Taiyang disease with yellowing of the body, a sinking and knotted pulse, hardness in the lower abdomen, and difficulty urinating, there is no blood stasis; if urination is free and the patient is manic, blood stasis is confirmed (Dandang Tang pattern).

In Cold Damage with heat, fullness in the lower abdomen, and expected difficulty urinating, but actual free urination indicates blood stasis requiring purgation; Dandang Wan (Dredge the Reservoir Pill) is suitable (Dandang Tang pattern).

Excess Yin Entering the Zang Organs: A floating and tight pulse typically indicates body pain; however, if the chi position pulse is slow, diaphoresis is prohibited (Contraindicated Mahuang Tang pattern, pathway to Shaoyin).

In Wind-stroke with a faint pulse, sweating, and aversion to wind, administering Da Qinglong Tang causes cold limbs, twitching muscles, and palpitations, which is a reverse reaction; Zhenwu Tang (True Warrior Decoction) should be used to rescue (Da Qinglong Tang pattern entering Shaoyin).

In Cold Damage, if the exterior is unresolved and there is fluid retention in the epigastrium, causing dry heaving, fever, and cough, or thirst, diarrhea, belching, difficulty urinating with lower abdominal fullness, or wheezing, this is the Xiao Qinglong Tang (Minor Blue Dragon Decoction) pattern, entering Taiyin and Shaoyin pathways.

In Taiyang disease, if urination is frequent due to excessive drinking, palpitations in the epigastrium occur; if urination is scant, internal urgency occurs (Xiao Qinglong Tang pattern).

In Cold Damage with fluid retention in the epigastrium, cough with slight wheezing, fever, and no thirst, Xiao Qinglong Tang is the primary prescription. Thirst after taking the medicine indicates cold has gone and the disease is resolving (Xiao Qinglong Tang pattern).

In Wind-stroke, fever persisting for six or seven days with vexation, presenting with exterior and interior signs, thirst for water, and vomiting after drinking, named Water Counterflow, is the Wuling San (Five-Ling Powder) pattern, entering Taiyin.

In Cold Damage, sweating with thirst is treated with Wuling San; without thirst, Fuling Gancao Tang (Poria and Licorice Decoction) is used (Wuling San pattern).

If a disease in the Yang stage is wrongly cooled with cold water, suppressing the heat causes increased vexation and goosebumps; wanting water but not being thirsty is treated with Wenli San; if ineffective, Wuling San is given. For Cold-Excess Chest Binding without heat signs, Sanwu Xiantong Tang (Three-Item Small Trap Decoction) or Baisan (White Powder) may be used (Wuling San pattern).

Ruined Disease: After three days of Taiyang disease, if diaphoresis, emesis, purgation, or warm needle therapy fail to resolve the condition, it is called Ruined Disease. Guizhi Tang is no longer applicable; one must identify the error and treat according to the syndrome.

Originally indicating diaphoresis but using purgation, or originally indicating purgation but using diaphoresis, constitutes a reverse treatment.

In Taiyang disease, if sweating fails to resolve the condition and purgation is used, and the pulse remains floating, the disease is unresolved and exterior release is needed (Guizhi Tang pattern entering Yangming).

After severe purgation and subsequent diaphoresis, if urination is difficult, fluids are depleted; do not forcibly treat, wait for natural urination to restore health (Fluid Depletion from Diaphoresis).

After diaphoresis, Guizhi Tang method should not be used; if sweating occurs with wheezing and no high fever, Maxing Gan Shi Tang (Ephedra, Apricot Kernel, Licorice, and Gypsum Decoction) is the primary prescription (Maxing Gan Shi Tang pattern).

After diaphoresis, excessive water intake causes wheezing; cooling the body with water also causes wheezing (Wheezing after Sweating).

After purgation, Guizhi Tang method should not be used; if sweating occurs with wheezing and no high fever, Maxing Gan Shi Tang is the primary prescription (Maxing Gan Shi Tang pattern).

After taking Guizhi Tang and sweating heavily, if severe vexation and thirst persist with a flooding pulse, this is the Renshen Baihu Tang (Ginseng White Tiger Decoction) pattern.

After Cold Damage emesis and purgation, if unresolved after seven or eight days, with heat bound in the interior, exterior and interior both hot, occasional aversion to wind, extreme thirst, dry tongue, vexation, and desire to drink several liters of water, Renshen Baihu Tang is the primary prescription (Renshen Baihu Tang pattern).

In Taiyang disease, if purgation is used first and fails, followed by diaphoresis, causing interior and exterior deficiency and dizziness, sweating resolves the dizziness as the exterior harmonizes; if the interior is not yet harmonized, purgation may follow (Interior and Exterior Deficiency).

After diaphoresis, aversion to cold indicates deficiency; lack of aversion to cold but presence of aversion to heat indicates excess. Harmonize the Stomach Qi (Tiaowei Chengqi Tang pattern).

In Taiyang Wind-stroke, if fire therapy is used, dual Yang scorches the body causing jaundice. Excess Yang leads to epistaxis, deficiency Yin leads to difficult urination, dual deficiency leads to dryness, only head sweating up to the neck, abdominal fullness, slight wheezing, dry mouth and throat, or constipation, eventually delirium, or worse, hiccups, restlessness, picking at clothes, and touching beds; if urination is free, it is treatable (Dual Yin and Yang Deficiency).

On the second day of Taiyang disease, sudden irritability and back moxibustion causing heavy sweating allow fire heat to enter the Stomach, depleting fluids, causing irritability and delirium. After ten days, chills and spontaneous diarrhea indicate resolution. Sweat below the waist is absent, urination is difficult, vomiting occurs, fear of incontinence, and foot aversion to cold with hard stool indicate grain Qi flowing downward (Fire Heat Entering Stomach).

In Taiyang disease, fire fumigation without sweating causes irritability; if unresolved by the end of the cycle, rectal bleeding occurs, named Fire Pathogen (Fire Pathogen Rectal Bleeding).

A floating pulse requires diaphoresis; using fire moxibustion traps the pathogen, causing heaviness and numbness below the waist, named Fire Reverse (Fire Reverse Assisting Pathogen).

A floating pulse with intense heat, if moxibusted, treats excess as deficiency, causing throat dryness and hematemesis (Fire Reverse Hematemesis).

A faint and rapid pulse prohibits moxibustion; fire becomes a pathogen causing vexation and counterflow, chasing deficiency and pursuing excess, scattering blood and damaging bones and tendons (Fire Pathogen Internal Attack).

After Taiyang disease diaphoresis with heavy sweating, stomach dryness causes vexation and insomnia; small sips of water harmonize the Stomach (Impending Baihu Pattern).

If the pulse is floating, urination is difficult, heat is mild, and thirst occurs, Wuling San is the primary prescription (Wuling San pattern entering Taiyin).

After diaphoresis, if the pulse is floating and rapid with vexation and thirst (Wuling San pattern).

In Cold Damage with a floating pulse, spontaneous sweating, frequent urination, irritability, slight aversion to cold, and leg cramps, giving Guizhi Tang causes cold limbs, dry throat, vexation, and vomiting; prepare Gancao Ganjiang Tang (Licorice and Dried Ginger Decoction); if limbs warm, prepare Shaoyao Gancao Tang (Peony and Licorice Decoction); if Stomach disharmony causes delirium, give small amounts of Tiaowei Chengqi Tang; if heavy sweating and fire needles were used, Sini Tang (Counterflow Cold Decoction) is primary (Gancao Ganjiang Tang pattern).

Syndrome resembling Yang Dan, treated correctly but worsening with cold limbs, dry throat, leg cramps, and delirium: The master says hands and feet will warm and legs extend at midnight. Why? Cun and Guan pulses are floating and large; floating indicates wind generating mild heat, large indicates deficiency causing leg cramps. The syndrome resembles Guizhi Tang, so Fuzi (Aconite) is added, and Gui (Cinnamon) increased to induce sweating. Fuzi warms the channels; Yang was lost. With cold limbs, dry throat, vexation, Yangming internal binding, and delirium, give Gancao Ganjiang Tang again. At midnight, Yang returns, legs warm; if cramps persist, give Shaoyao Gancao Tang again, then legs extend. Use Chengqi lightly to stop delirium, knowing the disease will heal (Gancao Ganjiang Tang pattern).

After diaphoresis, inability to keep food or water down is reverse; further diaphoresis causes continuous vomiting and diarrhea (Vomiting and Diarrhea after Sweating).

A patient with a rapid pulse has heat and should digest food, but vomits because sweating made the pulse rapid, indicating guest heat unable to digest food due to Stomach deficiency and cold (Vomiting after Sweating).

Taiyang disease should have aversion to cold; lack thereof and dislike for clothing indicates internal vexation from vomiting (Vexation after Vomiting).

Taiyang disease should have aversion to cold and fever; now with spontaneous sweating, no aversion to cold/fever, and fine, rapid pulse at the Guan position, it is due to excessive vomiting. Vomiting on days 1-2 causes hunger without appetite; days 3-4 causes dislike for porridge, desire for cold food, and evening vomiting of morning food, a minor reverse (Vomiting after Vomiting).

In Cold Damage purgation, if diarrhea with undigested food persists and body pain exists, urgently tonify the interior; later, if stool normalizes and body pain persists, urgently release the exterior. Tonify interior with Sini Tang, release exterior with Guizhi Tang (Body Pain and Diarrhea).

After diaphoresis, body pain with a sinking and slow pulse (Xinji Tang / New Supplement Decoction pattern).

In Taiyang Guizhi Tang pattern, if purgation is wrongly used causing persistent diarrhea with a hurried pulse, the exterior is unresolved; wheezing with sweating is treated with Gegen Qinlian Tang (Kudzu and Coptis Decoction) (Gegen Qinlian Tang pattern).

In Taiyang disease, after purgation, if the pulse is hurried and there is chest fullness, Guizhi Qu Shaoyao Tang (Cinnamon Twig Decoction Without Peony) is primary; if slightly aversive to cold, add Fuzi (Guizhi Qu Shaoyao Tang pattern).

In Taiyang disease, after purgation, slight wheezing indicates the exterior is unresolved (Guizhi Houpo Zizi Tang / Cinnamon Twig, Magnolia Bark, and Apricot Kernel Decoction pattern).

Chronic wheezers should take Guizhi Tang plus Houpo (Magnolia Bark) and Xingren (Apricot Kernel) (Guizhi Houpo Zizi Tang pattern).

After taking Guizhi Tang or purgation, if headache, neck stiffness, fever, anhidrosis, epigastric fullness, slight pain, and difficulty urinating persist (Guizhi Qu Gui Ji Fuling Baizhu Tang / Cinnamon Twig Decoction Without Cinnamon Twig plus Poria and Atractylodes Macrocephala Decoction pattern).

Abdominal fullness after diaphoresis (Houpo Jiangxia Renshen Gancao Tang / Magnolia Bark, Ginger, Pinellia, Ginseng, and Licorice Decoction pattern).

After Cold Damage purgation, irritability and abdominal fullness with restlessness (Zhizi Houpo Tang / Gardenia and Magnolia Bark Decoction pattern).

After severe purgation with pills in Cold Damage, persistent low-grade heat and slight irritability (Zhizi Ganjiang Tang / Gardenia and Dried Ginger Decoction pattern).

After diaphoresis or purgation, irritability and chest oppression (Zhizi Chidao Tang / Gardenia and Fermented Soybean Decoction pattern).

After diaphoresis, emesis, or purgation, empty vexation preventing sleep, severe restlessness is treated with Zhizi Chidao Tang; with shortness of breath, Zhizi Gancao Chidao Tang; with vomiting, Zhizi Shengjiang Chidao Tang (Zhizi Chidao Tang pattern).

Zhizi Tang is contraindicated in patients with chronic loose stools (Contraindicated Zhizi).

In Taiyang disease, heavy diaphoresis causing continuous leakage, aversion to wind, difficulty urinating, and slight limb stiffness (Entering Shaoyin Guizhi Fuzi Tang pattern).

Diaphoresis failing to resolve the disease with increased aversion to cold indicates deficiency (Shaoyao Gancao Fuzi Tang / Peony, Licorice, and Aconite Decoction pattern).

After purgation and diaphoresis, chills and faint, thin pulses indicate interior and exterior deficiency (Interior and Exterior Deficiency).

After Cold Damage emesis/purgation, epigastric fullness with qi rushing to the chest, dizziness upon standing, and a sinking, tight pulse; diaphoresis damages the channels causing trembling (Linggui Zhugan Tang / Poria, Cinnamon Twig, Atractylodes, and Licorice Decoction pattern).

In Taiyang disease, diaphoresis failing to resolve fever, with palpitations, dizziness, body tremors, and feeling like falling (Zhenwu Tang / True Warrior Decoction pattern).

Heavy diaphoresis causing hand placement over the heart, palpitations seeking pressure (Guizhi Gancao Tang / Cinnamon Twig and Licorice Decoction pattern).

Before taking the pulse, if the patient covers their heart, and coughing tests reveal deafness, it is due to heavy diaphoresis causing Yang deficiency (Yang Deficiency Deafness).

A floating and rapid pulse requires diaphoresis; if purgation causes heaviness and palpitations, diaphoresis is prohibited; spontaneous sweating resolves it if the chi pulse is faint, indicating interior deficiency requiring restoration of fluids and harmony (Heaviness and Palpitations).

After diaphoresis, palpitations below the navel indicate impending Ben Tun (Rushing Pig) (Guiling Gan Zao Tang / Poria, Cinnamon Twig, and Jujube Decoction pattern).

Fire needle diaphoresis causing cold at the needle site with red nodules triggers Ben Tun, with qi rushing from the lower abdomen to the heart; moxa each nodule once, then Guizhi Jia Gui Tang (Cinnamon Twig Decoction plus Cinnamon Twig) (Guizhi Jia Gui Tang pattern).

After Taiyang purgation, qi rushing upward (Guizhi Jia Gui Tang pattern).

In Cold Damage with a floating pulse, if fire coercion causes Yang loss with panic, mania, and restlessness (Guizhi Qu Shaoyao Jia Shuji Longgu Muli Tang / Cinnamon Twig Decoction Without Peony plus Coix Seed, Dragon Bone, and Oyster Shell Decoction pattern).

Taiyang Cold Damage with warm needles causes panic (Warm Needle Yang Loss).

Fire reverse with purgation and fire needle causing irritability (Guizhi Gancao Longgu Muli Tang / Cinnamon Twig, Licorice, Dragon Bone, and Oyster Shell Decoction pattern).

Diaphoresis or purgation failing to resolve irritability (Fuling Sini Tang / Poria and Counterflow Cold Decoction pattern).

Purgation and diaphoresis causing daytime irritability and nighttime calmness, no vomiting/thirst/exterior signs, faint/sinking pulse, and no significant heat (Ganjiang Fuzi Tang / Dried Ginger and Aconite Decoction pattern).

Heavy diaphoresis in a person prone to sweating causes mental confusion and post-urination genital pain; Yu Yuliang Wan (Halloysite Pill) is given (Yu Yuliang pattern).

Cold disease with recurrent diaphoresis causing Stomach cold and vomiting of roundworms (Entering Jueyin Stomach Cold Worm Vomiting).

Disease starting in Yang wrongly purged leads to heat entering and forming Chest Binding; disease starting in Yin wrongly purged leads to Pi (Glomus).

In Taiyang disease with a floating, moving, and rapid pulse, headache, fever, slight night sweat, and aversion to cold, the exterior is unresolved. Purging changes the pulse to slow, causing diaphragmatic pain, empty Stomach, and guest qi disturbing the diaphragm, shortness of breath, and vexation. Yang Qi sinks internally, causing epigastric hardness, forming Chest Binding, treated with Daxiexiong Tang (Major Trap Chest Decoction). If no Chest Binding but only head sweating up to the neck and difficulty urinating, jaundice ensues (Daxiexiong Tang pattern).

Cold Damage after six or seven days with Chest Binding heat-excess, sinking and tight pulse, epigastric pain, and stone-hard palpation (Daxiexiong Tang pattern).

In Taiyang disease, heavy diaphoresis and purgation leading to five or six days of constipation, dry thirsty tongue, late afternoon tidal fever, and hardness/pain from epigastrium to lower abdomen unapproachable to touch (Daxiexiong Tang pattern).

Chest Binding with neck stiffness resembling Rou Jing (Soft Spasm), resolved by purgation (Daxiexiong Wan / Major Trap Chest Pill pattern).

Minor Chest Binding located in the epigastrium, painful on pressure, with a floating and slippery pulse (Xiao Xiantong Tang / Minor Trap Decoction pattern).

After Taiyang purgation, a hurried pulse without Chest Binding indicates resolution; floating pulse indicates Chest Binding; tight pulse indicates sore throat; wiry pulse indicates hypochondriac tension; fine-rapid pulse indicates persistent headache; sinking-tight pulse indicates urge to vomit; sinking-slippery pulse indicates協热利 (Heat-Collateral Diarrhea); floating-slippery pulse indicates hematochezia (Chest Binding Pulse Methods).

Taiyang disease for two or three days with inability to lie down, desire to rise, epigastric binding, and faint pulse indicates pre-existing cold-fluid. Purging stops diarrhea but causes Chest Binding; if diarrhea continues and purging repeats on the fourth day, it becomes Heat-Collateral Diarrhea (Chest Binding Variations).

Taiyang exterior unresolved with multiple purgations leads to Heat-Collateral Diarrhea, persistent diarrhea, epigastric hardness, and unresolved interior/exterior (Pi Syndrome Ren Shen Guizhi Tang pattern).

Severe purgation and diaphoresis in Cold Damage causing epigastric Pi and aversion to cold indicates unresolved exterior; release exterior first with Guizhi Tang, then attack Pi with Dahuang Huanglian Xiexin Tang (Rhubarb, Coptis, and Heart-Draining Decoction) (Dahuang Huanglian Xiexin Tang pattern).

Floating-tight pulse after purgation enters the interior causing Pi, soft on pressure, merely Qi Pi; if the Guan pulse is floating, Dahuang Huanglian Xiexin Tang is primary. If Pi is accompanied by aversion to cold and sweating, Fuzi Xiexin Tang (Aconite Heart-Draining Decoction) is primary (Fuzi Xiexin Tang pattern).

Taiyang Wind-stroke with diarrhea and vomiting; if the exterior is resolved, attack the interior. Periodic sweating, headache, epigastric hardness/fullness radiating to hypochondrium, dry heaving, shortness of breath, sweating without aversion to cold indicates resolved exterior and unharmonized interior (Shizao Tang / Ten Date Powder pattern).

After Cold Damage resolution, Stomach disharmony causing epigastric hardness, belching with food odor, fluid retention in hypochondrium, borborygmus, and diarrhea (Shengjiang Xiexin Tang / Fresh Ginger Heart-Draining Decoction pattern).

Cold Damage/Wind-stroke wrongly purged causing frequent diarrhea, borborygmus, epigastric hardness/fullness, dry heaving, and irritability. The physician assumes incomplete Pi and purges again, worsening Pi. This is not heat-binding but Stomach deficiency with guest qi counterflow (Gancao Xiexin Tang / Licorice Heart-Draining Decoction pattern).

After Cold Damage herbal medicine, persistent diarrhea and epigastric hardness; after Xiexin Tang and further purgation, diarrhea persists. Lizhong Tang regulates the middle jiao, but this diarrhea is in the lower jiao; Chishizhi Yuyuliang Tang (Red Halloysite and Halloysite Decoction) is primary. If diarrhea persists, promote urination (Chishizhi Yuyuliang Tang pattern).

Epigastric Pi due to prior purgation, unresponsive to Xiexin Tang, with thirst, irritability, and difficulty urination (Wuling San pattern).

After Cold Damage diaphoresis/emesis/purgation, epigastric hardness and persistent belching (Xuanfuhua Daizheshi Tang / Inula Flower and Hematite Decoction pattern).

Symptoms resembling Guizhi Tang but without headache/neck stiffness, faint floating Cun pulse, epigastric hardness, qi rushing to throat causing breathing difficulty, indicating cold in the chest; induce emesis with Gouti San (Melon Tip Powder). Contraindicated in blood-loss patients (Gouti San pattern).

After Cold Damage emesis/purgation/diaphoresis, empty vexation, very faint pulse, epigastric hardness, hypochondriac pain, qi rushing to throat, dizziness, and meridian trembling for eight or nine days, leading to atrophy over time (Meridian Trembling).

Taiyang disease diaphoresis causing fever/aversion to cold, followed by purgation causing epigastric Pi, interior/exterior deficiency, exhaustion of Yin/Yang Qi, and Yang deficiency leaving Yin alone. Adding fire needles causes chest vexation, bluish complexion, and skin twitching (difficult to treat); if complexion turns slightly yellow and hands/feet warm, easy to treat (Interior/Exterior Deficiency).

Taiyang disease resolves between Si (9-11 AM) and Wei (1-3 PM).

Untreatable Conditions: Chest Binding with a floating and large pulse, purgation leads to death (Chest Binding Contraindicated Purgation).

Chest Binding with all symptoms present and irritability leads to death (Chest Binding Irritability).

Resembling Chest Binding but with normal diet and intermittent diarrhea, floating Cun pulse, fine/sinking/tight Guan pulse, named Zang Jie (Zang Knot), with white slippery tongue coating, difficult to treat (Zang Jie Pattern).

Pre-existing hypochondriac mass connected to the umbilicus, pain radiating to the lower abdomen and genitals, named Zang Jie, leads to death (Zang Jie Pattern).

Zang Jie without Yang signs, no alternating chills/fever, patient is calm, with slippery tongue coating, cannot be attacked (Zang Jie Pattern).

Prescriptions: Guizhi Tang