Tai Yang disease: the Greater Yang syndromes, an introduction.

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Tai Yang disease: the Greater Yang disease.
Shang Han Lun,Treatise on Cold-induced Diseases 
 ✵Tai Yang (Greater Yang) disease(Taiyang Syndrome): Disease (or syndrome) characterized by the attack of pathogenic wind-cold to the body surface and struggle between the normal and pathogenic factors at the exterior portion of the body.

 ✵Herbalist Zhang Zhongjing defined the Cold-induced disease in about 26 syndromes in the 1st part, about 95 syndromes in the 2nd part, about 50 syndromes in the 3rd part. These syndromes are all defined in details by his famous works, and divided into 3 parts:

1st section.
Shang Han Lun,Treatise on Cold-induced Diseases 
 ✵The diseases of Tai Yang(Greater Yang), pulse floating, stiffness and pain of the neck and head(a headache and painful stiff nape), aversion to cold(intolerance of cold).

 ✵ Tai Yang(Greater Yang) disease, fever, sweating, aversion to wind(intolerance of wind), pulse moderate, this is the case of wind stroke(wind syndrome of TaiYang).

 ✧ Tai Yang(Greater Yang) disease, either already feverish, or not yet feverish, definitely aversion to cold, body pain, retching counterflow, Yin and Yang pulse are both tight, this is the case of exogenous febrile disease(affection by cold).

 ✧Exogenous febrile disease(affection by cold) one day, the Tai Yang(Greater Yang) is affected. In the case the pulse tranquil, Non-transmission or progress; In the case desire to vomit, if fidget and irritation, pulse rapid and urgent, there is the progress of pathogenesis transmission and change.

 ✧ Exogenous febrile disease(affection by cold) two or three days, not observed syndromes of Yang Ming (Splendid Yang) and Shao Yang (Lesser Yang), this is case Non-transmission or progress.

 ✧Tai Yang(Greater Yang) disease, feverish and thirsty, not aversion to cold(not intolerance of cold), this is the case of warm disease(febrile diseases); in the case sweating yet, scorching hot body, this is the case of wind-warm syndrome(wind febrile disease). Wind-warm syndrome(wind febrile disease), Yin and Yang pulse are both floating, spontaneous perspiration(spontaneous sweating), the heaviness of the body, more sleep, snoring surely, difficulty in speech. If treated with purgative method, difficulty in micturition, dribble after voiding; If treated with fire method, facial complexion slightly yellow, similar as frightened epilepsy in severe conditions, spasmus carpopedalis(spasm of hands and feet) frequently; If warm by a fire, inverse once will lead to days, inverse again then about to die.

 ✦ There are cases of disease fever and aversion to cold, arising from Yang; cases of disease no fever and aversion to cold, arising from Yin. The cases arising from Yang will recover in 7 days, the cases arising from Yin will recover in 6 days. For the cause that Yang number 7, Yin number 6.

 ✦Tai Yang(Greater Yang) disease, case of headache and self-cure or clear after 7 days, for the cause ceasing to transmit(disease of one channel without transmission); In the case disease involving other channel(pass to another channel), acupuncture foot Yang Ming, cease the transmit, then will recover.

 ✦ Tai Yang(Greater Yang) disease, tending to be cured, from Si to Wei(from the 6th branch Si to the 8th branch Wei of the twelve Earthly Branches).

 ✦Wind-warm syndrome(wind febrile disease), exterior syndrome relieved and not recovered yet, will recover in 12 days.

 ✧ In the cases of body extreme fever, a desire to cloth, the heat pathogen is in the skin, and the cold pathogen is in the bone and marrow.

 ✧ In the cases of body extreme cold, not desire to cloth, the cold pathogen is in the skin, and heat pathogen is in the bone and marrow.

 ✦Tai Yang(Greater Yang) affection by wind disease, Yang floating and Yin weak. In the cases of Yang floating, febrile or fever spontaneously; in the cases of Yin weakness, sweating perspiration spontaneously. In the cases chilling and aversion to the cold, aversion to wind, fever, noisy nose and dry retching, should be treated with Gui Zhi Tang.

 ✦ Tai Yang(Greater Yang) disease, headache, fever, sweating, aversion to cold, should be treated with Gui Zhi Tang.

 ✦ Tai Yang(Greater Yang) disease, rigid neck and back(stiff nape and back), aversion to cold till sweating, should be treated with Gui Zhi Jia Ge Gen Tang.

 ✦ Tai Yang(Greater Yang) disease, cases treated with the purgative method, the Qi counterflow upward, should be treated with Gui Zhi Tang, the recipe as previous one; cases the Qi not counterflow upward, should not be treated with it.

 ✦Tai Yang(Greater Yang) disease, 3 days yet, already induced perspiration, in the cases treated with emetic method, or with purgative method, or acupuncture with warmed needle, still not recovered yet, this is the severe condition, should not be treated with Gui Zhi Tang. Observe its pulse and syndromes, to know which disturbance is exactly, treat according to syndromes.

 ✧ The Gui Zhi Tang was formulated for the purpose of expelling pathogenic factors from muscles and skins, in the cases of pulse floating and tight, febrile or fever, no perspiration(absence of sweating), should not be used. Should always know this, and should Not misdiagnose. In the cases of alcoholic drinkers, also should Not use Gui Zhi Tang, or will surely vomiting or throw up, for the cause alcoholic drinkers do not like the sweet taste.

 ✧ In the cases of panting, better use Gui Zhi Tang Jia Hou Pu, Xing Zi, the good result will be achieved.

 ✧ In the cases of take Gui Zhi Tang and vomiting, surely will vomiting of pus and blood later.

 ✦ Tai Yang(Greater Yang) disease, sweat yet, perspiration unstoppable, aversion to wind, difficult urination, slight spasm of limbs, difficult to bend and stretch, should be treated with Gui Zhi Jia Fu Zi Tang.

 ✧ Tai Yang(Greater Yang) disease, cases treated with the purgative method, pulse skipping, thoracic fullness(fullness in the chest), should be treated with...

 ✧ Tai Yang(Greater Yang) disease, cases treated with the purgative method, aversion to cold, should be treated with...

 ✦Tai Yang(Greater Yang) disease, 8 to 9 days, symptoms similar as malaria, fever and aversion to cold, fever more and cold less, not vomiting(not throw up), clear stool and affect twice or triple times in one day. In the case pulse slow and moderate, will recover; in the case pulse weak and aversion to cold, this is the case deficiency of Yin and Yang, should not induce perspiration again, should not treat with emetic method or purgative method; in the case complexion looks hot, will not recover, for the cause it is not small perspiration(not small sweating), surely will pruritis(generalized itching), should be treated with...

 ✦Tai Yang(Greater Yang) disease, cases take Gui Zhi Tang first, result vexation(upset,fidgety,irritation) and failure to defecate(constipation), acupuncture Fengfu (GV 16,Windy Mansion), Fengchi (G20,Wind Pond), and with Gui Zhi Tang.

 ✦ Tai Yang(Greater Yang) disease, cases taken Gui Zhi Tang, profuse sweating(excessive perspiration), pulse large and full, should be treated with Bai Hu Tang; in the cases similar as malaria, attack twice in a day, should be treated with...

 ✦Tai Yang(Greater Yang) disease, cases taken Gui Zhi Tang, profuse sweating(excessive perspiration), great polydipsia(great vexation thirst), pulse large and full, should be treated with...

 ✦Tai Yang(Greater Yang) disease, cases fever and aversion to cold, heat more and cold less. In the cases pulse slightly weak, this is the case absence of Yang, should Not induce perspiration; In the case, pulse floating and large, should be treated with...

 ✦Tai Yang(Greater Yang) disease, cases taken Gui Zhi Tang, or with purgative method, symptoms observed stiffness and pain of the neck and head(a headache and painful stiff nape), fever, no perspiration, fullness below the heart(fullness of the upper abdomen), slightly pain, difficulty in micturition, should be treated with...

 ✦Exogenous febrile disease(affection by cold), cases pulse floating, spontaneous perspiration(spontaneous sweating), frequent urination, vexation(upset,fidgety,irritation), slightly aversion to cold, hypertonicity of the foot, use Gui Zhi Tang to relieve its exterior syndrome, this is not correct. In the cases faint(lose consciousness), dry in the throat, vexation(upset, fidgety, irritation), vomiting, should be treated with..., to recover its Yang; In the cases faint recovered, warm in foot, should be given..., it food will stretch; In the cases of disorder of stomach-Qi(dysfunction of the stomach), delirious speech(delirium, wild talk), give small amount of...; In the cases of inducing perspiration again, and warm needle acupuncture, use Si Ni Tang for treatment.

 ✧Ask: Tai Yang(Greater Yang) disease, all symptoms are diagnosed, treat according to the Gui Zhi Tang method but the case turn severe, reverse flow or cold limbs, dry in the throat, vexation(upset, fidgety), vomiting, delirious speech, what are the causes or reasons?

 ✧Master said: this is the Yang Dan Syndrome, should not use attack method. Cunkou pulse floating, floating is wind, also deficiency, wind generate heat, deficiency lead to spams, attack the exterior syndromes mistakenly, result in sweat perspiration and Yang-exhaustion(yang depletion), much perspiration(much sweating) lead to exhaustion of body fluid, exhaustion of body fluid lead to spams, interior retention of Yang Ming, will cause vexation and delirious speech. Should use Gan Cao Gan Jiang to recover the Yang, and use Gan Cao Shao Yao to save the body fluid, use Tiao Wei Cheng Qi to stop its delirious speech, the treatment of this severe disease, should treat with its syndromes and pulse manifestations.

 ✦ Yang Dan disease(Yang Dan Syndrome), cases fever and not flushing, sweating(perspiration), dry throat, lethargy(sleepy) with uneasy, calm down at midnight, should be treated with...;In the cases thirsty, vexation(upset, fidgety), reddish urine, delirious speech(delirium, wild talk), should be treated with....

References:
  • 1.Tai Yang disease: the Greater Yang syndromes, an introduction.
  • 2.Shang Han Za Bing Lun:the Treatise on Cold-induced and Miscellaneous Diseases.By Zhāng Zhòngjǐng.
  • 3.Shang Han Lun:the Treatise on Cold-induced Diseases.By Wáng Shūhé.

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