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Taiyang Cold Water (Taiyang Cold Water, the physiological association of Taiyang with cold and water properties) internally corresponds to the Bladder (Bladder), thus the pulse comes as floating and tight (Floating-Tight Pulse). The external manifestations include headache (Headache), fever (Fever), and stiffness of the waist and spine (Stiffness of Waist and Spine). One need only administer Pingwei San (Pingwei Powder) [1]. By the sixth or seventh day, recovery occurs through sweating. This is because if Stomach Qi (Stomach Qi) is not deficient, the pathogen transmits through the meridians and heals itself. Zhang Zhongjing considered this a Yang Syndrome (Yang Syndrome), and administered cooling medicines to resolve it along the meridian; however, this counter-attacked and induced other diseases. In severe cases, it transformed into a Yin Syndrome (Yin Syndrome), characterized by six pulses being deep and fine (Deep-Fine Pulse), leading to death from cold limbs (Cold Limbs). Urgent moxibustion at Guanyuan (CV-4) can restore life. If the disease in its own meridian presents with shivering on the sixth or seventh day, it indicates an attempt at resolution but insufficient Yang Qi (Yang Qi); administering Jiangfu Tang (Ginger and Aconite Decoction) leads to recovery through sweating. (Zhang Zhongjing's flexible and adaptive methods are extensively discussed in his treatises regarding the correction of errors; how could they ever mislead people? Those who mislead are those who later misuse Zhang Zhongjing's methods, not Zhang Zhongjing himself.)

Yangming Dry Metal (Yangming Dry Metal, the physiological association of Yangming with dryness and metal properties) internally corresponds to the Stomach (Stomach). The six pulses are floating, tight, and long (Long Pulse). External manifestations include eye pain (Eye Pain), fever (Fever), warmth of the hands and feet (Warmth of Hands and Feet), and incessant groaning (Groaning). Administer Danggui Chaihu Tang (Angelica and Bupleurum Decoction) and Pingwei San (Pingwei Powder). Zhang Zhongjing stated that "the deeper the heat, the deeper the cold limbs," which is an error here. If one truly experiences coma and fainting (Coma and Fainting) with sunken eyes that cannot lift, urgent moxibustion at Zhongwan (CV-12) for fifty moxa cones should be performed. Gradual return of consciousness and warmth of the hands and feet indicate survival; otherwise, death ensues. (In the Jueyin Syndrome (Jueyin Syndrome) chapter, Zhang Zhongjing discusses the ratio of cold limbs to fever merely to verify the advance and retreat of pathogens versus healthy qi, and to observe the waxing and waning of Yin and Yang (Yin and Yang), demonstrating flexible treatment methods without bias. Where is the error?)

Taiyin Damp Earth (Taiyin Damp Earth, the physiological association of Taiyin with dampness and earth properties) internally corresponds to the Spleen (Spleen). Its pulse is string-tight (String-Tight Pulse). External manifestations include no groaning, no limb pain, body not significantly hot, spontaneous sweating (Spontaneous Sweating), spontaneous diarrhea (Spontaneous Diarrhea), cold hands and feet with excessive phlegm and saliva (Excessive Phlegm and Saliva). Administer Baoyuan Dan (Baoyuan Pill) and Jiangfu Tang (Ginger and Aconite Decoction). Recovery occurs through sweating after ten days. (If this syndrome is treated with warming methods early, recovery is very rapid; slight lack of careful examination can easily harm people.) Another syndrome involves yellowing of the skin (Jaundice) with purple spots, dry throat, belching (Belching). This is named Yin Dryness (Yin Dryness) and Yin Jaundice (Yin Jaundice). Administer Zhongru Fen (Zeolite Powder). Recovery occurs through sweating after ten days. Quack doctors sometimes mistake this for a Yang Syndrome (Yang Syndrome) and administer cooling medicines, causing immediate death.

Shaoyin Ministerial Fire (Shaoyin Ministerial Fire, the physiological association of Shaoyin with ministerial fire) internally corresponds to the Kidney (Kidney). Its pulse is string-large (String-Large Pulse). External manifestations include no joint pain, no groaning, but preference for sleep (Somnolence), cold toes, deafness (Deafness), dry mouth (Dry Mouth), excessive phlegm and saliva (Excessive Phlegm and Saliva), red-black sores on the body (Red-Black Sores), frequent belching (Belching), body heaviness like a mountain (Body Heaviness), and incessant irritability (Irritability). Urgent moxibustion at Guanyuan (CV-4) for three hundred moxa cones, combined with internal administration of Baoyuan Dan (Baoyuan Pill) and Jiangfu Tang (Ginger and Aconite Decoction), leads to recovery through sweating after ten days. If mistaken for a Yang Syndrome (Yang Syndrome) and cooling medicines are mistakenly taken, resulting in delirious speech (Delirium), picking at bedclothes (Picking at Bedclothes), vomiting blood (Hematemesis), and fine pulse (Fine Pulse), this indicates deficiency of True Qi (True Qi) and impending exhaustion of Kidney Water (Kidney Water). Zhang Zhongjing stated: "Urgently purge to save Kidney Water," which is an error. Since True Qi (True Qi) is already deficient, using cooling medicines to attack the interior accelerates death. Urgent moxibustion at Guanyuan (CV-4) for three hundred moxa cones ensures safety. (Shaoyin has Heat as its root and Cold as its surface, while simultaneously interacting with Taiyang. Root Heat syndromes are inherently difficult to treat; moreover, Surface Cold syndromes present with myriad complexities and variations, overwhelming the practitioner. However, if accurately assessed at the onset, using moxibustion and warming methods is not difficult. The tragedy lies in making an initial error, leading to fatal consequences throughout. If there is no Root Heat and no interaction with Taiyang, presenting purely as Yin Cold, death is certain. Or, if Guanyuan is moxibusted quickly and heavy doses of Baoyuan Dan and Aconite are given, survival depends on early detection. Treating Shaoyin incorrectly leading to various failure syndromes is indeed challenging. Mr. Dou's theory focuses on Form Zang Organs (Form Zang Organs), hence advocating warming and tonification; Zhang Zhongjing's theory focuses on Qi Transformation (Qi Transformation), hence emphasizing controlling mechanisms. However, in his treatise, warming methods are used frequently, while purging methods appear only in a few clauses. Furthermore, Root/Surface and Qi Transformation concepts are hard to clarify across ancient and modern times, requiring mastery of Zhang Zhongjing's methods. Mistaking a Purge-indication for Warming kills instantly; mistaking a Warm-indication for Purging sinks one into the abyss. Alas! The medical profession is truly difficult.)