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Question: Why does aversion to cold cease spontaneously? Answer: The Yangming channel resides in the center and governs Earth; it is where all things return, with no further transmission. Although there may be initial aversion to cold, it ceases spontaneously on the second day. This constitutes Yangming disease.

In a case originally presenting as Taiyang disease, if sweating therapy is applied at the onset but the sweat is not thorough, the pathogen may shift to the Yangming channel.

In cold damage presenting with fever, absence of sweat, vomiting, inability to eat, yet accompanied by continuous profuse sweating, this indicates a shift to Yangming disease.

In cold damage, if three days have passed and the pulse is large, this indicates that the disease has not transmitted (to other channels).

In cold damage, if the pulse is floating and moderate, and the hands and feet are naturally warm, this indicates involvement of the Taiyin channel. In Taiyin disease, jaundice typically occurs; however, if urination is spontaneous and free, jaundice will not develop. By the seventh or eighth day, if the stool becomes hard, it transforms into Yangming disease.

When cold damage shifts to Yangming, the patient exhibits continuous slight sweating.

Yangming wind-strike presents with bitter taste in the mouth, dry throat, abdominal fullness, slight asthma, fever, aversion to wind, and a floating, moderate pulse. If purgatives are used, abdominal fullness will worsen, and urination will become difficult.

In Yangming disease, if the patient can eat, it is termed "wind-strike"; if they cannot eat, it is termed "cold-strike."

In Yangming disease, if it is a cold-strike pattern, symptoms include inability to eat, difficulty in urination, and continuous sweating of the hands and feet. This suggests the impending formation of a "fixed accumulation" (Gu Jia), characterized by stools that are initially hard and later loose. This occurs because of cold in the stomach, leading to the failure to separate water and grain.

In Yangming disease, if the patient initially desires food, has difficulty urinating, normal bowel movements, joint pain, feels slightly hot, suddenly becomes delirious, and then sweats continuously to resolve the condition, this is due to water qi failing to overcome grain qi, which exits with the sweat. A small pulse indicates recovery.

The time for resolution of Yangming disease is from Shen hour to Xu hour (15:00–19:00).

In Yangming disease, if the patient cannot eat and heat is attacked, hiccups will inevitably occur. This is because the patient is fundamentally deficient and the stomach is cold.

In Yangming disease, if the pulse is slow, the patient finds it difficult to eat until full; upon eating too much, mild vexation and dizziness occur, and urination becomes difficult. This suggests the impending formation of Grain Jaundice. Even if purgatives are used, abdominal fullness remains unchanged. This is due to the slow pulse (indicating cold).

In Yangming disease, excessive sweating is the norm. If there is no sweating, and the body feels like insects crawling under the skin, this is due to long-standing deficiency.

In Yangming disease, if there is no sweating but urination is free, and after two or three days vomiting and coughing occur with cold extremities, severe headache must ensue. If there is no coughing, no vomiting, and extremities are not cold, the head will not hurt.

In Yangming disease, if there is only dizziness, no aversion to cold, and the patient can eat; if there is coughing, the throat will surely hurt; if there is no coughing, the throat will not hurt.

In Yangming disease, if there is no sweating and urination is obstructed, with mental restlessness (Ao Nong), jaundice will definitely develop.

If Yangming disease is treated with fire therapy, resulting in slight sweating on the forehead but obstructed urination, jaundice will definitely develop.

In Yangming disease, if the pulse is floating and large, tidal fever will occur at regular intervals. If the pulse is only floating, spontaneous sweating will occur.

In Yangming disease, if the mouth is dry and the patient only wants to rinse their mouth with water without swallowing, epistaxis (nosebleed) will likely occur.

In Yangming disease, if there was already spontaneous sweating, and the physician induced heavy sweating again, even if the illness has improved, mild vexation may persist. This is due to hardened stool caused by fluid depletion and dryness in the stomach. One should ask about the frequency of urination. If the patient previously urinated three or four times a day but now only twice, it indicates that the stool will soon pass. This is because reduced urination allows fluids to return to the stomach, predicting imminent defecation.

In cold damage, if vomiting is frequent, even if Yangming symptoms are present, purgative therapy is contraindicated.

In Yangming syndrome, if there is hardness and fullness below the heart, purgatives are contraindicated. If purged and diarrhea persists uncontrollably, death ensues; if diarrhea stops, recovery occurs.

In Yangming syndrome, if the eyes are closed and the face is red, purgatives are contraindicated. Purging will cause fever and yellowing of the complexion, indicating obstructed urination.

In Yangming disease, if there has been no vomiting or purging, yet vexation is present, Tiao Wei Cheng Qi Tang (Modified Cathartic Decoction) may be administered.

**Tiao Wei Cheng Qi Tang Formula**
Gan Cao (Prepared Licorice Root) 2 liang, Mang Xiao (Mirabilite) 0.5 jin, Da Huang (Rhubarb Root and Rhizome) 4 liang (washed with wine).
These three ingredients are boiled in 3 sheng of water until reduced to 1 sheng. Strain the dregs, add Mang Xiao, and boil briefly over low heat. Take warm in one dose.

In Yangming disease, if the pulse is solid, sweating occurs, but there is no aversion to heat, the body feels heavy, breath is short, abdomen is full and asthmatic, and tidal fever is present, the exterior is resolved and interior purging is indicated. Continuous sweating of the hands and feet indicates hardened stool; Da Cheng Qi Tang (Major Cathartic Decoction) is the primary treatment. If sweating is profuse with slight fever and aversion to cold, the exterior is unresolved; if there is no tidal fever, Cheng Qi Tang formulas are contraindicated. If abdominal distension and obstruction are severe, Xiao Cheng Qi Tang (Minor Cathartic Decoction) may be used to gently harmonize the stomach qi, avoiding drastic purgation.

**Da Cheng Qi Tang Formula**
Da Huang (Rhubarb Root and Rhizome) 4 liang (washed with wine), Hou Po (Magnolia Bark) 0.5 jin (roasted, peeled), Zhi Shi (Immature Bitter Orange) 5 pieces (roasted), Mang Xiao (Mirabilite) 3 he.
Boil these four ingredients in 1 dou of water. First boil Hou Po and Zhi Shi to obtain 5 sheng, strain, add Da Huang, boil to obtain 2 sheng, strain, add Mang Xiao, and boil briefly. Divide into two warm doses. Stop taking if bowels move.

**Xiao Cheng Qi Tang Formula**
Da Huang (Rhubarb Root and Rhizome) 4 liang (washed with wine), Hou Po (Magnolia Bark) 2 liang (roasted, peeled), Zhi Shi (Immature Bitter Orange) 3 pieces (roasted).
Boil these three ingredients in 4 sheng of water to obtain 1.2 sheng. Strain and divide into two warm doses. If bowel movement occurs after the first dose, stop the second dose; otherwise, consume the remainder.

In Yangming disease with tidal fever and slightly hardened stool, Da Cheng Qi Tang may be used. If the stool is not hard, it is contraindicated. If there has been no bowel movement for six or seven days and dry feces are suspected, administer a small amount of Xiao Cheng Qi Tang to test. If gas passes after ingestion, dry feces are present, and purging is permissible. If no gas passes, the stool is only hard at the beginning and loose later; do not purge, as this will cause abdominal fullness and anorexia. If the patient desires water and receives it, hiccups may occur. Subsequent fever indicates recurrent hardening of small amounts of stool; use Xiao Cheng Qi Tang to harmonize. If no gas passes, absolutely do not purge. (Formula see above)

In Yangming disease, excess patterns manifest as delirious speech (Chan Yu), while deficiency patterns manifest as repetitive speech (Zheng Sheng). Zheng Sheng refers to repeated utterances. If accompanied by staring straight ahead, unclear speech, asthma, and chest fullness, death ensues. If accompanied by diarrhea, death also ensues.

In Yangming disease, if excessive sweating or repeated sweating leads to loss of Yang qi, resulting in delirious speech and a short pulse, death ensues. If the pulse is harmonious, survival is possible.

In cold damage, if vomiting or purging fails to resolve the condition, and there is no bowel movement for five to six days, or up to ten days, with evening tidal fever, no aversion to cold, and solitary speech resembling seeing ghosts: in severe cases, the patient may lose recognition of others, grasp at clothing and bedrails, feel terrified and uneasy, breathe slightly with difficulty, and stare straight ahead. A string-like pulse indicates life; a choppy pulse indicates death. In milder cases, with only fever and delirious speech, Da Cheng Qi Tang is the primary treatment. (Formula see above)

In Yangming disease, if the patient sweats excessively, causing fluid exhaustion and stomach dryness, the stool becomes hard, leading to delirious speech. Xiao Cheng Qi Tang is the primary treatment. (Formula see above)

In Yangming disease, with delirious speech, tidal fever, and a slippery and rapid pulse, Xiao Cheng Qi Tang is the primary treatment. (Formula see above)

After administering Cheng Qi Tang in Yangming disease, if there is no passage of gas, no bowel movement the next day, and the pulse becomes faint and choppy, this indicates interior deficiency. It is difficult to treat, and Cheng Qi Tang should not be administered again.

In Yangming disease, with delirious speech and tidal fever, if the patient cannot eat, there are likely five or six pieces of dry feces in the stomach. If the patient can eat, the stool is merely hard; Da Cheng Qi Tang is suitable for purging. (Formula see above)

In Yangming disease, if there is bleeding from the anus and delirious speech, this is heat entering the Blood Chamber. If only the head sweats, puncture the Qimen acupoint to drain excess. Continuous sweating indicates recovery.

In Yangming disease, if there is sweating and delirious speech, it is due to dry feces in the stomach, constituting an excess pattern. Purging should wait until the disease has passed through a meridian cycle. Premature purging causes confused speech due to exterior deficiency and interior excess. Da Cheng Qi Tang is suitable for purging. (Formula see above)

In cold damage, four or five days in, if the pulse is deep with asthma and fullness, the deep pulse indicates interior pathology. If sweating is induced erroneously, fluids escape, making defecation difficult. Exterior deficiency and interior excess lead to delirious speech over time.

In combined disease of the Three Yang, with abdominal fullness, body heaviness, difficulty turning, impaired taste, and facial grease: if sweating is induced, delirium and urinary incontinence occur; if purging is induced, cold extremities and sweating on the forehead occur. If there is spontaneous sweating, Bai Hu Tang (White Tiger Decoction) is suitable. If there is spontaneous diarrhea, Ge Gen Huang Lian Huang Qin Gan Cao Tang (Kudzu, Coptis, Scutellaria, and Licorice Decoction) is suitable.

**Bai Hu Tang Formula**
Zhi Mu (Anemarrhena Rhizome) 6 liang, Shi Gao (Gypsum Fibrosum) 1 jin (crushed, wrapped in cotton), Gan Cao (Prepared Licorice Root) 2 liang, Geng Mi (Oryza Sativa Germ) 6 he.
Boil these four ingredients in 1 dou of water until the rice is cooked. Strain and take 1 sheng warm, three times daily.

**Ge Gen Huang Lian Huang Qin Gan Cao Tang Formula**
Ge Gen (Puerariae Lobatae Radix) 0.5 jin, Gan Cao (Prepared Licorice Root) 2 liang, Huang Lian (Coptidis Rhizoma) 3 liang, Huang Qin (Scutellariae Radix) 3 liang.
Boil these four ingredients in 8 sheng of water. First boil Ge Gen to reduce by 2 sheng, then add the remaining herbs. Boil to obtain 2 sheng, strain, and divide into two warm doses.

In combined disease of the Two Yang, if Taiyang symptoms have ceased, leaving only tidal fever, continuous sweating of the hands and feet, difficulty in defecation, and delirious speech, purging leads to recovery. Da Cheng Qi Tang is suitable. (Formula see above)

In Yangming disease, with a floating and large pulse, dry throat, bitter taste, abdominal fullness, asthma, fever, sweating, no aversion to cold but aversion to heat, and body heaviness: if sweating is induced, irritability, mental confusion, and delirious speech occur. If moxibustion is added, terror, restlessness, and insomnia result. If purging is induced, the stomach becomes empty, pathogenic qi disturbs the diaphragm, causing mental restlessness (Ao Nong) and tongue coating. Zhi Zi Chi Tang (Gardenia and Fermented Soybean Decoction) is the primary treatment.

**Zhi Zi Chi Tang Formula**
Zhi Zi (Gardeniae Fructus) 14 pieces (split), Chi Xiao Dou (Fermented Soybean) 4 he (wrapped in cotton).
Boil these two ingredients in 4 sheng of water. First boil Zhi Zi to obtain 2.5 sheng, strain, add Chi Xiao Dou, and boil to obtain 1.5 sheng. Strain and divide into two doses. Take one dose warm. If rapid vomiting occurs, stop the second dose.

In Yangming disease, if there is thirst desire for water and dry mouth/tongue, Bai Hu Jia Ren Shen Tang (White Tiger Decoction plus Ginseng) is the primary treatment.

**Bai Hu Jia Ren Shen Tang Formula**
Zhi Mu (Anemarrhena Rhizome) 6 liang, Shi Gao (Gypsum Fibrosum) 1 jin (crushed), Gan Cao (Prepared Licorice Root) 2 liang, Geng Mi (Oryza Sativa Germ) 6 he, Ren Shen (Ginseng Radix et Rhizoma) 3 liang.
Boil these five ingredients in 1 dou of water until the rice is cooked. Strain and take 1 sheng warm, three times daily.

In Yangming disease, with a floating pulse, fever, thirst desire for water, and obstructed urination, Zhu Ling Tang (Polyporus Decoction) is the primary treatment.

**Zhu Ling Tang Formula**
Zhu Ling (Polyporus) 1 liang (peeled), Fu Ling (Poria) 1 liang, Ze Xie (Alisma Rhizome) 1 liang, E Jiao (Donkey-Hide Gelatin) 1 liang, Hua Shi (Talcum) 1 liang (crushed).
Boil these five ingredients in 4 sheng of water. First boil the first four to obtain 2 sheng, strain, add melted E Jiao, and take 0.7 sheng warm, three times daily.

In Yangming disease, if sweating is profuse and there is thirst, Zhu Ling Tang is contraindicated because profuse sweating causes stomach dryness, and Zhu Ling Tang would further deplete fluids via diuresis.

In Yangming disease, with a floating and slow pulse, exterior heat and interior cold, and diarrhea of undigested food, Si Ni Tang (Decoction for Reversal of Cold) is the primary treatment.

**Si Ni Tang Formula**
Gan Cao (Prepared Licorice Root) 2 liang, Gan Jiang (Dried Ginger) 1.5 liang, Fu Zi (Aconiti Lateralis Radix Praeparata - Raw) 1 piece (raw, peeled, broken into eight pieces), Ren Shen (Ginseng Radix et Rhizoma) 2 liang.
Boil these four ingredients in 3 sheng of water to obtain 1.2 sheng. Strain and divide into two warm doses.

In Yangming disease, if the stomach is deficient and cold with an inability to eat, water should not be given, as it will induce hiccups.

In Yangming disease, with a floating pulse, fever, dry mouth, nasal dryness, and ability to eat, epistaxis (nosebleed) will occur.

In Yangming disease, after purging, if there is exterior heat, warm extremities, no chest binding, mental restlessness (Ao Nong), hunger but inability to eat, and only head sweating, Zhi Zi Chi Tang (Gardenia and Fermented Soybean Decoction) is the primary treatment. (Formula see above)

In Yangming disease, with tidal fever, loose stools, normal urination, and persistent chest/hypochondriac fullness, Xiao Chai Hu Tang (Minor Bupleurum Decoction) is administered.

**Xiao Chai Hu Tang Formula**
Chai Hu (Bupleuri Radix) 0.5 jin, Huang Qin (Scutellariae Radix) 3 liang, Ren Shen (Ginseng Radix et Rhizoma) 3 liang, Ban Xia (Pinelliae Rhizoma) 0.5 sheng, Gan Cao (Prepared Licorice Root) 2 liang, Sheng Jiang (Fresh Ginger) 3 liang (sliced), Da Zao (Jujubae Fructus) 12 pieces (split).
Boil these seven ingredients in 1.2 dou of water to obtain 6 sheng. Strain, decoct again to obtain 3 sheng. Take 1 sheng warm, three times daily.

In Yangming disease, with hardness and fullness under the hypochondrium, constipation, vomiting, and white tongue coating, Xiao Chai Hu Tang may be administered. Once the Upper Jiao is unblocked and fluids descend, Stomach qi harmonizes, and continuous sweating resolves the disease. (Formula see above)

In Yangming wind-strike, with a string-like, floating, and large pulse, shortness of breath, generalized abdominal fullness, hypochondriac and cardiac pain, obstruction upon pressure, dry nose without tears, lethargy, generalized and ocular jaundice, difficult urination, tidal fever, intermittent hiccups, and swelling around the ears: if acupuncture provides slight relief but the exterior remains unresolved, and the disease lasts over ten days with a continuing floating pulse, Xiao Chai Hu Tang is given. If the pulse is only floating without other symptoms, Ma Huang Tang (Ephedra Decoction) is given. If there is no urination, worsening abdominal fullness, and hiccups, the condition is untreatable. (Xiao Chai Hu Tang see above)

**Ma Huang Tang Formula**
Ma Huang (Ephedrae Herba) 3 liang (decaliced), Gui Zhi (Cinnamomi Ramulus) 2 liang (peeled), Gan Cao (Prepared Licorice Root) 1 liang, Xing Ren (Armeniacae Semen Amarum) 70 pieces (decaliced and depulped).
Boil these four ingredients in 9 sheng of water. First boil Ma Huang to reduce by 2 sheng, remove foam, add other herbs, and boil to obtain 2.5 sheng. Strain and take 0.8 sheng warm. Cover to induce slight sweating. No hot porridge is needed. Rest care follows Gui Zhi Tang methods.

With headache upon movement, shortness of breath, and tidal fever, the condition belongs to Yangming. Bai Mi Jian (White Honey Preparation) is the primary treatment.

**Bai Mi Jian Formula**
Ren Shen (Ginseng Radix et Rhizoma) 1 liang, Di Huang (Rehmanniae Radix) 6 liang, Ma Ren (Cannabis Seed) 1 sheng, Bai Mi (White Honey) 8 he.
Boil these four ingredients in 1 dou of water. First decoct the first three to obtain 5 sheng, strain, add honey, and boil briefly. Take 1 sheng per dose, three times daily and twice at night.

In Yangming disease, with spontaneous sweating or induced sweating, and free urination, this indicates internal exhaustion of fluids. Although the stool is hard, purging is contraindicated. One should wait for the natural urge to defecate and use Mi Jian Dao (Honey Suppository) to facilitate passage. Wang Gua Gen (Trichosanthes Radix) or large pig bile can also be used as suppositories.

**Mi Jian Dao Formula**
Shi Mi (Food Honey) 7 he.
Place this single ingredient in a copper vessel and simmer over low heat until it thickens like maltose. Stir to prevent burning. When moldable, shape into suppositories by hand, sharpening the tip, about the thickness of a finger and 2 cun long. Make them while hot, as they harden when cool. Insert into the rectum and hold tightly. Remove when the urge to defecate arises.

**Zhu Dan Zhi Formula**
One large pig gallbladder.
Extract the juice, mix with a little vinegar, and enema into the rectum. After approximately one meal's time, the stool containing old food will be expelled.

In Yangming disease, with a slow pulse, profuse sweating, and slight aversion to cold, the exterior is unresolved. Sweating is indicated, and Gui Zhi Tang (Cinnamon Twig Decoction) is suitable.

**Gui Zhi Tang Formula**
Gui Zhi (Cinnamomi Ramulus) 3 liang (peeled), Shao Yao (Paeoniae Radix Alba) 3 liang, Sheng Jiang (Fresh Ginger) 3 liang, Gan Cao (Prepared Licorice Root) 2 liang, Da Zao (Jujubae Fructus) 12 pieces (split).
Boil these five ingredients in 7 sheng of water to obtain 3 sheng. Strain and take 1 sheng warm. Shortly after, drink 1 sheng of hot porridge to assist the medicinal power. Cover to induce slight sweating.

In Yangming disease, with a floating pulse, absence of sweating, and asthma, sweating leads to recovery. Ma Huang Tang (Ephedra Decoction) is suitable. (Formula see above)

In Yangming disease, fever with sweating indicates heat dispersing outward, preventing jaundice. However, if only the head sweats, the body has no sweat (stopping at the neck), urination is obstructed, and there is thirst for liquids, this is stasis-heat in the interior, leading to jaundice. Yin Chen Hao Tang (Artemisiae Scopariae Decoction) is the primary treatment.

**Yin Chen Hao Tang Formula**
Yin Chen Hao (Artemisiae Scopariae Herba) 6 liang, Zhi Zi (Gardeniae Fructus) 14 pieces (split), Da Huang (Rhubarb Root and Rhizome) 2 liang (depulped).
Boil these three ingredients in 1.2 dou of water. First boil Yin Chen Hao to reduce by 6 sheng, add the other two, and boil to obtain 3 sheng. Strain and divide into three warm doses. Urination should increase, urine resembling soap pod juice, bright red. The illness decreases overnight, and yellow pigment leaves via urination.

In Yangming disease, if the patient suffers from forgetfulness, there is likely blood stasis. This is due to pre-existing chronic blood stasis causing forgetfulness. Although the stool is hard, defecation is easy, and the color is black. Di Dang Tang (Di Dang Decoction) is suitable for purging.

**Di Dang Tang Formula**
Shui Zhi (Hirudo) 30 pieces, Meng Chong (Blatta Orientalis - dried whole insect) 30 pieces (wings and feet removed), Da Huang (Rhubarb Root and Rhizome) 3 liang (washed with wine), Tao Ren (Persicae Semen) 20 pieces (decaliced and depulped).
Boil these four ingredients in 5 sheng of water to obtain 3 sheng. Strain and take 1 sheng warm. If ineffective, take another dose.

In Yangming disease, after purging, if there is mental restlessness (Ao Nong) and vexation with dry feces in the stomach, purging is permissible. If the abdomen is mildly full with stools that are hard initially and loose later, purging is contraindicated. If dry feces are confirmed, Da Cheng Qi Tang is suitable. (Formula see above)

If a patient has not had a bowel movement for five or six days, experiences periumbilical pain, restlessness, and periodic exacerbations, this indicates dry feces causing constipation.

If a patient has烦热 (vexing heat), resolving with sweating, but recurring like malaria with fever in the evening (You hour), this belongs to Yangming. A solid pulse indicates suitability for purging; a floating-large pulse indicates suitability for sweating. Use Da Cheng Qi Tang for purging; Gui Zhi Tang for sweating. (Formula see above)

After severe purging, if there is no bowel movement for six or seven days, unresolved vexation, and abdominal fullness/pain, this indicates dry feces due to retained food. Da Cheng Qi Tang is suitable. (Formula see above)

If a patient has irregular urination, alternating difficulty and ease of defecation, occasional mild fever, and wheezing preventing lying down, this indicates dry feces. Da Cheng Qi Tang is suitable. (Formula see above)

If eating induces vomiting, the condition belongs to Yangming. Wu Zhu Yu Tang (Evodia Decoction) is the primary treatment. If symptoms worsen after taking the decoction, the condition belongs to the Upper Jiao. Xiao Ban Xia Tang (Minor Pinellia Decoction) is the primary treatment.

**Wu Zhu Yu Tang Formula**
Wu Zhu Yu (Evodiae Fructus) 1 sheng, Ren Shen (Ginseng Radix et Rhizoma) 3 liang, Sheng Jiang (Fresh Ginger) 6 liang (sliced), Da Zao (Jujubae Fructus) 12 pieces (split).
Boil these four ingredients in 7 sheng of water to obtain 2 sheng. Strain and take 0.7 sheng warm, three times daily.

**Xiao Ban Xia Tang Formula**
Ban Xia (Pinelliae Rhizoma) 1 sheng, Sheng Jiang (Fresh Ginger) 0.5 jin.
Boil these two ingredients in 7 sheng of water to obtain 1.5 sheng. Strain and divide into two warm doses.

In Taiyang disease, with a slow Cun pulse, floating Guan pulse, and weak Chi pulse, if the patient has fever, sweating, and aversion to cold, no vomiting, but only epigastric stuffiness, this is due to erroneous purging by the physician. If purging had not occurred, and the patient has no aversion to cold but thirst, this indicates a shift to Yangming disease. Frequent urination leads to hard stools. Ten days without defecation causes no distress. If thirsty for water, give small amounts to rescue according to method. If thirsty, drinks much, but urination is obstructed, Wu Ling San (Five-Ingredient Powder with Poria) is suitable.

**Wu Ling San Formula**
Zhu Ling (Polyporus) 80 zhu, Bai Zhu (Atractylodis Macrocephalae Rhizoma) 80 zhu, Fu Ling (Poria) 80 zhu, Ze Xie (Alisma Rhizoma) 1 liang 6 zhu, Gui Zhi (Cinnamomi Ramulus) 0.5 liang (peeled).
Grind these five ingredients into powder. Mix with rice water and take one square-inch spoonful, three times daily. For jaundice, add Yin Chen Hao (Artemisiae Scopariae Herba) in a ratio of 1/10th.

If the Yang pulse is faint and sweating is slight, this is self-harmonization. Profuse sweating indicates excess. If the Yang pulse is solid and sweating is induced, profuse sweating is also excess. Excess leads to Yang exhaustion in the interior and fluid depletion, resulting in hard stools.

If the pulse is floating and Kou (cleft-like), floating represents Yang, and Kou represents Yin. The interaction of floating and Kou generates heat in the Stomach qi, leading to Yang exhaustion.

If the Fuyang pulse is floating and choppy, floating indicates strong Stomach qi, and choppy indicates frequent urination. The interaction leads to hard stools. The Spleen is constrained (Pi Yue). Ma Zi Ren Wan (Hemp Seed Pill) is the primary treatment.

**Ma Zi Ren Wan Formula**
Ma Zi Ren (Cannabis Seed) 2 sheng, Shao Yao (Paeoniae Radix Alba) 0.5 jin, Zhi Shi (Immature Bitter Orange) 0.5 jin (roasted), Da Huang (Rhubarb Root and Rhizome) 1 jin (depulped), Hou Po (Magnolia Bark) 1 zhi (roasted), Xing Ren (Armeniacae Semen Amarum) 1 sheng (decaliced and depulped).
Make pills with honey, size of Sophora seeds. Take 10 pills with water, three times daily. Gradually increase until effective.

In Taiyang disease, if two days of sweating fail to resolve the condition, and steaming fever occurs, it belongs to Yangming. Tiao Wei Cheng Qi Tang (Modified Cathartic Decoction) is the primary treatment. (Formula see above)

After cold damage vomiting, if abdominal fullness occurs, Tiao Wei Cheng Qi Tang (Modified Cathartic Decoction) is given. (Formula see above)

In Taiyang disease, if after vomiting, purging, or sweating, there is mild vexation, frequent urination, and consequent hard stools, Xiao Cheng Qi Tang (Minor Cathartic Decoction) harmonizes and cures. (Formula see above)