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Injury, with trembling of the body, pulsation that is erratic and uncontrollable. If the Zang organs are full of excess pathogenic factors, it is invaded by Yang toxicity, manifesting as hot flesh, open mouth, broken tongue, blocked throat, and hoarse voice; thus it is called Chi Mai KT disease (Formula see in *Shanghan Lun*, Volume Middle).

Bian Que said: Moxibustion on Shenshu (BL23), Ganshu (BL18), and Xinshu (BL15) acupoints treats Dan Du disease (alternatively Bi Du). One should treat according to the root cause, address both exterior and interior to harmonize Yin and Yang, and harmonize the Zang-Fu organs, so that diseases will not arise.

(Four pulse texts, eleven formulas, one moxibustion method)

Heart Excess-Heat Syndrome

At the Cun Kou position on the left hand, prior to the Ren Ying (ST9) point, if the Yin pulse presents as Excess, this is a disease of the Hand-Shaoyin Meridian. The patient suffers from constipation, abdominal fullness, heaviness of the four limbs, and fever. This is named Heart Excess-Heat.

Formula for treating Heart Heat-Excess, or when there is an urge to vomit but nothing comes out, accompanied by vexation and oppression, rapid breathing, and headache.
Shigao (Gypsum Fibrosum, 石膏) (one jin)
Danzhuye (Lophatheri Herba, 淡竹叶)
Xiangchi (Fermented Soybean, 香豉) (each one sheng)
Xiaomai (Tritici Fructus, 小麦) (three sheng)
Digupi (Phellodendri Cortex, 地骨皮) (five liang)
Fuling (Poria, 茯苓) (three liang)
Zhiziren (Gardeniae Semen, 栀子仁) (thirty seeds)

The above seven ingredients are cut into small pieces. First, boil Xiaomai and Danzhuye in ten dou five sheng of water until reduced to eight sheng, then clarify. Add the remaining herbs and boil until three sheng remains. Remove the dregs and divide into three doses. (Known as Xiexin Tang in *Waitai Miyao*)

Formula for treating elderly and children with dysentery where food and water are not digested, borborygmus in the intestines, epigastric stuffiness and fullness, dry heaving, and restlessness.
Renshen (Panacis Ginseng Radix, 人参)
Huangqin (Scutellariae Radix, 黄芩)
Gancao (Glycyrrhizae Radix et Rhizoma, 甘草) (each one liang)
Ganjiang (Zingiberis Rhizoma, 干姜) (one and a half liang)
Huanglian (Coptidis Rhizoma, 黄连) (two liang)
Banxia (Pinelliae Rhizoma, 半夏) (three liang)
Dazao (Jujubae Fructus, 大枣) (twelve fruits)

The above seven ingredients are cut into small pieces. Boil in eight sheng of water until two and a half sheng remains. Divide into three doses. It also treats Huoluan. If there is cold, add Fuzi (Aconiti Lateralis Radix Praeparata, 附子) one piece; if thirsty, add Gualougen (Trichosanthis Radix, 栝楼根) two liang; if vomiting, add Jupi (Citri Reticulatae Pericarpium, 橘皮) one liang; if painful, add Danggui (Angelicae Sinensis Radix, 当归) one liang. For external heat, replace Ganjiang with Shengjiang (Zingiberis Rhizoma Recens, 生姜).

Formula for treating Heart Qi deficiency, hematemesis, and epistaxis.
Dahuang (Rhei Radix et Rhizoma, 大黄) (two liang)
Huanglian (Coptidis Rhizoma, 黄连)
Huangqin (Scutellariae Radix, 黄芩) (each one liang)

The above three ingredients are cut into small pieces. Boil in three sheng of water until one sheng remains. Take in one dose. It also treats Huoluan.

Heart and Small Intestine Both Excess

At the Cun Kou position on the left hand, prior to the Ren Ying (ST9) point, if both Yin and Yang pulses present as Excess, this indicates that both the Hand-Shaoyin and Ju-Yang (Taiyang) meridians are in an Excess state. The patient suffers from headache, fever, difficult defecation, and vexation and fullness in the heart and abdomen preventing sleep. This is because Stomach Qi fails to transform and transport, leading to accumulation of food and water. This is named Heart and Small Intestine Both Excess.