Basic Yang Ming Disease Patterns (Part XV)

Purging Pattern Identification

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“When in yang ming disease the pulse is slow, even though there is sweating and aversion to cold is absent, there will be generalized heaviness, SOB, abdominal fullness, panting, and tidal fever, which means the exterior is about to resolve and one can attack the interior.  Sweat streaming from the extremities indicates the stool is already hard and therefore, Da Cheng Qi Tang governs.  If there is copious sweating, mild fever, and aversion to cold, the exterior has not yet resolved, and given that this fever is not tidal, one cannot give Cheng Qi tang.  If there is great abdominal fullness and the stool is blocked, one can give Xiao Cheng Qi Tang to harmonize the ST Qi mildly, but must not cause great discharge and purging.”

Key wards: Basic Yang Ming Disease Patterns, Purging Pattern Identification