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(Liver, the Zang organ of Wind and Wood, is prone to transformation into Heat in pathology, while transformation into Cold is less common. This is because Fire is inherent within Wood.)

What constitutes Jueyin disease? The *Shanghan Lun* (Treatise on Cold Damage) states: The manifestations of Jueyin disease include Xiao Ke (excessive thirst due to hyperactive fire), Qi rising to strike the heart (Qi rebellion implies Fire rebellion), and pain with heat sensation in the chest/epigastrium. If vomiting and diarrhea occur, the condition immediately shifts to Jueyin, indicating a critical state. When Jueyin disease wanes and the pathogen shifts to Shaoyang, it indicates impending recovery.

Wumei Wan (Mume Pill) is the general formula for treating Jueyin syndrome, particularly effective for cases involving vomiting of roundworms and chronic dysentery. In another scenario, where the disease begins with cold extremities and a faint pulse nearly imperceptible, Danggui Sini Tang (Angelica Sinensis Decoction for Extremity Cold) should be used. Subsequently... [Text appears fragmented here].

Jie pulse (a slow pulse with intermittent pauses; *Huoren Shu* states that excess Yin causes Jie pulse) and Dai pulse (indicating failure of a Zang organ's Qi, where the pulse stops mid-beat and cannot resume spontaneously, signifying deficiency). According to previous discussions on exterior syndromes presenting with cold extremities, this passage refers to interior syndromes presenting with Jie or Dai pulses. Although this belongs to the cold-transformation type of Jueyin, large hot herbs like Ganjiang (Dried Ginger) and Fuzi (Prepared Aconite Root) are ultimately not used. Because... [Logical jump in source text, implying one should not attack formless pathogens with harsh purgatives]. If Chengqi Tang formulas are used to purge, diarrhea will persist.

For hot dysentery accompanied by tenesmus (heaviness in the lower rectum), Baitouweng Tang (Pulsatilla Decoction) is the primary treatment. ○ For dysentery accompanied by desire to drink water, it indicates Heat, and Baitouweng Tang is also indicated. These above are methods for treating heat-transformation syndromes.

Any Jue syndrome must be accompanied by fever; the degree of fever corresponds to the degree of cold extremities. The deeper the heat, the deeper the cold extremities; the slighter the heat, the slighter the cold extremities. These four patterns constitute the fixed framework of Jueyin cold damage. First heat... [Text fragmented] ...few and... [Text fragmented].

Two conditions involving "overacting on Spleen" and "overacting on Lung" require differentiation. One is cold damage with abdominal fullness (The Classic states: all types of abdominal distension belong to Heat; this case arises from Liver Fire), accompanied by delirious speech (The Classic...). The other is cold damage with fever and aversion to cold (Lung governs skin and hair; since there is no headache or stiffness of the neck, it is known not to be a Taiyang disease but rather Lung deficiency). Desire for thirst... [Text fragmented] ...this... its...

Another case: In cold damage, if the Yang pulse is choppy (Se) and the Yin pulse is wiry (Xian), the law dictates abdominal acute pain (this is also Liver overacting on Spleen). Initially administer Xiaojianzhong Tang (Minor Construct the Middle Decoction) to soothe the Liver and tonify the Spleen.

Another case: In cold damage, if there is Jue (cold extremities) accompanied by palpitations in the epigastrium, one should first treat the Water retention by administering Fuling Gancao Jiangtang (Poria, Licorice, and Ginger Decoction), and only then treat the Jue. Otherwise, water entering the stomach will inevitably cause diarrhea. Water in... dispersing [Sentence incomplete in source, implying water requires dispersal methods].