Library

Gan Ji: Although the exterior and interior are distinct, beyond sweating and purging methods, there is generally little difference. If cold limbs occur due to Yang deficiency and Yin excess, accompanied by a lack of fluids, Sini Decoction (Four Reversal Decoction) can restore Yang and eliminate the disease.

Gan Geng: Solid pathogenic factors are knotted in the chest, causing fullness and irritability. Despite cold limbs and hunger, food cannot be consumed. When the pulse suddenly becomes tight, it indicates the internal entrapment of pathogens; one must use Citrulli Fructus (Melon Seed) decoction to induce vomiting for relief.

Gan Xin: Cold limbs occur with palpitations, yet water retention remains. Once water enters the stomach, it leads to diarrhea. To treat cold limbs, one must first address the water retention; Lingcao Ganjiang Tang (Poria, Licorice, and Ginger Decoction) is particularly effective.

Gan Ren: The throat is obstructed, pus and blood are expectorated, the Cun position pulse is deep and slow, and hands and feet are cold. Mahuang Shengma Tang (Ephedra and Decumbent Corydalis Decoction) is the primary treatment. If there is interior deficiency with loose stools, treatment is especially difficult.

Gan Gui: Typhoid fever originally involving cold-type diarrhea, worsened by subsequent emesis or purging, increases the cold condition. During cold-gridlock (cold-heat rejection), eating induces vomiting; Scutellariae Radix (Huangqin), Coptidis Rhizoma (Huanglian), Zingiberis Rhizoma (Ganjiang), and Ginseng Radix et Rhizoma (Renshen) should be decocted in equal parts.

Kun Jia: Diarrhea with undigested food indicates interior cold. Fever persists externally, adding to irritability. Sweating combined with cold limbs indicates severe Yang deficiency; Tongmai Sini Tang (Pulse-Recovering Four Reversal Decoction) may be administered.

Kun Yi: Diarrhea depletes fluids, and heat damages Qi. Qi deficiency causes tenesmus and difficulty in defecation. It is difficult to dissipate heat by tonifying Kidney and thickening the intestines; bitter-cold herbs like Paeoniae Radix Rubra (Baitouweng) are indicated as the main treatment.

Kun Bing: Diarrhea with abdominal fullness and body pain. Interior cold pathogens exist while the exterior is not yet resolved. Sini Decoction (Four Reversal Decoction) can stop diarrhea; Guizhi Tang (Cinnamon Twig Decoction) should be added to address body aches.

Kun Ding: Diarrhea accompanied by thirst for drinking liquids indicates internal heat, which requires careful analysis. Baitouweng Tang (Paeonia Root Red Decoction) cures this by dispersing depression and cooling the middle jiao.

Kun Wu: Diarrhea is accompanied by delirium. One must clearly distinguish the presence of dry feces. This is a syndrome of Stomach excess and Intestine deficiency; Xiaochengqi Tang (Minor Order the Qi Decoction) should be selected among effective formulas.

Kun Ji: After diarrhea, irritability increases. Pressing the epigastrium reveals no hardness. This is fullness in the chest caused by heat invading due to deficiency; Zhizi Chidao Tang (Gardenia and Fermented Soybean Decoction) induces vomiting for relief.

Kun Geng: Vomiting with a weak pulse indicates pathogen transmission to the interior. If the interior is deficient, urination is frequent. Slight fever with cold limbs requires urgent administration of Sini Decoction (Four Reversal Decoction) to rescue sinking Yang.

Kun Xin: Dry retching with expulsion of saliva and phlegm, accompanied by headache radiating upward. Sanhan Wenli Zhuyu Tang (Dispel Cold and Warm Interior Evodia Decoction) dispels cold and warms the interior; if the prescription is correct, recovery is possible.