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The patient presents with fever in the body and coldness in the feet, stiffness and tension in the neck and nape, aversion to cold, occasional heat in the head, redness of the face and eyes, isolated shaking of the head, sudden lockjaw (trismus), and opisthotonos (backward arching of the back). This is Jing disease (Spasm disorder). If diaphoresis (sweating therapy) is applied, cold and dampness contend with each other, the exterior becomes more deficient, resulting in severe aversion to cold. After diaphoresis, the pulse resembles the movement of a snake.

[Commentary] The sentences following "this is Jing disease" do not align semantically with the preceding text. They connect semantically with the subsequent passage containing phrases like "indicating resolution, the pulse remains as before," and should be relocated there.

In Taiyang disease (Disease of the Taiyang channel), characterized by fever, absence of sweating, and paradoxical aversion to cold, it is named Gang-Jing (Yang Spasm).

[Commentary] The character "paradoxically" (fan) in "paradoxical aversion to cold" is an interpolation (redundant character). Examination of the sections on Jing disease reveals that aversion to cold is expected; this character should be deleted. (If diaphoresis is applied, cold and dampness contend, the exterior becomes more deficient, leading to severe aversion to cold; after diaphoresis, the pulse resembles a snake.) Sudden abdominal distension indicates impending resolution; if the pulse remains unchanged but becomes deep and wiry, it indicates Jing disease.

[Commentary] The five characters "Sudden abdominal distension" are interpolations and should be deleted.

The Master said: The pulse of Nue (Malaria) is naturally wiry. A wiry and rapid pulse indicates predominant heat; a wiry and slow pulse indicates predominant cold. A wiry, small, and tight pulse can be treated with purgation for recovery; a wiry and slow pulse can be treated with warming methods; a wiry and floating-tight pulse can be treated with diaphoresis and acupuncture; a wiry, floating, slippery, and large pulse can be treated with emesis; a wiry and rapid pulse indicates wind-heat onset, which can be managed by dietary regulation.

[Commentary] In "wiry, small, and tight," the character "small" (xiao) should likely be "deep" (chen), providing rationale for purgation. "Wiry and tight" should likely be "wiry, floating, and tight," providing rationale for diaphoresis. "Floating and large" should likely be "slippery and large," providing rationale for emesis. These corrections preserve the original intent that "the pulse of malaria is naturally wiry" and should be amended accordingly.

The Master said: When Yin qi is isolated and severed, and Yang qi erupts alone, symptoms include fever, shortness of breath, mental oppression and distress, heat in the hands and feet, and nausea. This is called Dan-Nue (Cancerous Malaria/Hot Malaria); if there is only heat without cold, the pathogenic factor resides internally within the Heart and externally lodges between the muscle layers, causing emaciation of the muscles.

[Commentary] Regarding Dan-Nue, the text contains lacunae and bamboo slip errors; these are detailed in the Nei Jing (Inner Canon), so no further explanation is provided.

For Wen-Nue (Warm Malaria), the pulse appears normal. There is no chills, only heat, pain and vexation in the bone joints, and occasional vomiting. Baihu Jia Guizhi Tang (White Tiger plus Cinnamon Twig Decoction) is the primary formula.

[Commentary] Regarding Wen-Nue, the text contains lacunae and bamboo slip errors; these are detailed in the Nei Jing, so no further explanation is provided.

When Nue is characterized predominantly by chills, it is called Pin-Nue (Yin Malaria/Cold Malaria). Shuqi San (Shuqi Powder) is the primary formula.

[Commentary] Regarding Pin-Nue, the text contains lacunae and bamboo slip errors; these are detailed in the Nei Jing, so no further explanation is provided.