Yang Ming disease:the Splendid Yang syndromes,an introduction.

TCM Knowledge:Febrile Disease and Cold-induced Disease according to ShangHanLun. ✵To help clients and TCM fans know better with the common knowledge of ancient TCM and syndrome differentiation, there comes the online knowledge database in classified categories.

 ✵The main content including: the introduction of the most famous and talented Ancient Herbalists and Distinguished Physicians, the most influential and Well-Known Ancient Works, common Diagnostic Methods, the introduction of Common Disease and Syndromes, etc.

Yang Ming (Splendid Yang) disease.
Shang Han Lun,Treatise on Cold-induced Diseases 
 ✵Yang Ming (Splendid Yang) disease(Yangming Syndromes):Syndrome marked by exuberant yang and dryness-heat in the stomach and intestines occuring in the course of cold-induced febrile disease.

 ✵Herbalist Zhang Zhongjing defined the Yang Ming (Splendid Yang) disease in about syndromes. These syndromes are all defined in details by his famous works:

Yang Ming (Splendid Yang) disease(Yangming Syndromes)
Shang Han Lun,Treatise on Cold-induced Diseases 
 ✵Asked: there are Tai Yang Yangming, ZhengYang YangMing, ShaoYang Yang Ming, what are these types?
 ✧Answer:Tai Yang Yangming, is the straitened spleen(splenoasthenic constipation); ZhengYang YangMing, is the stomach excess(excess of stomach and intestine); ShaoYang Yang Ming, is the case induced perspiration, disinhibit urine yet, dryness in stomach, vexation, excess, difficult defecation.

 ✵The Yang Ming syndrome, is the case of stomach excess(excess of stomach and intestine).

 ✧Asked:What is the pathogenic reason of Yang Ming syndrome? Master: the cases of TaiYang syndrome, induced perspiration, used the purgative method, disinhibit urine, this is the loss of liquid and humor(body fluid), dryness in the stomach, pathological changes and transmitted to Yang Ming. Not change clothes, interior excess, difficult defecation, this is known as the case of Yang Ming.

 ✦Asked:what are the exterior symptoms of the Yang Ming syndrome? Master: fever, spontaneous sweating, not aversion to the cold, aversion to heat on the contrary.

 ✧Asked:Cases 1 day, not fever but aversion to cold, what is the condition?Master: although 1 day, aversion to cold will relieved automatically, then will sweat spontaneously and aversion to heat.

 ✦Asked:for what reason the aversion to cold will relieved automatically? Master: Yang Ming located in the center, main for earth(soil element), is where all things return to, could not transmit to other channels, although aversion to cold in the early stage, will relieve in 2 days, this is the case of Yang Ming syndrome.

 ✧ Cases TaiYang syndrome, induced perspiration(sweating) in the initial stage, perspired and not relieved, for the reason transmitted to YangMing.

 ✦Cold-induced disease, cases fever, no sweating(no perspiration), vomit and no appetite(throw up,no food intake), on the contrary perspiration(sweating), for the reason transmitted to YangMing.

 ✧ Cold-induced disease, cases three days, Yangming meridian large pulse, this is the case no transmission.

 ✦ Cold-induced disease, cases pulse floating and moderate, warmth in the extremities(warmth in hands and feet), for the reason attack in the TaiYin. The cases of TaiYin, the body will turn yellow(yellowing of the body), for cases uninhibited urination, the body will not turn yellow. Cases 7 to 8 days stool hard, is the YangMing syndrome.

 ✧Cases cold-induced disease transmitted to YangMing syndrome, the patient will slightly sweating(slight perspiration).

 ✦ YangMing wind-stroke syndrome, bitterness in the mouth and dry in the throat, abdominal fullness and slight panting, fever and aversion to wind, pulse floating and moderate. If use the purgative method, then abdominal fullness, difficult urination.

 ✧ YangMing syndrome, cases could take food, is the case of wind-stroke; cases no appetite(no or poor food intake), is the case of cold stroke(syncope due to pathogenic cold).

 ✦ YangMing syndrome, cases cold-stroke, could not take food(no appetite or poor appetite), difficult urination(difficulty in micturition), sweating in hands and feet, this is the case solid mass(Gu Jia), surely will hard stool in the initial stage and sloppy stool in the late stage. For the reasons, cold in the stomach, could not differentiate between water and food.

 ✧YangMing syndrome, cases desire of food in the initial stage, difficult urination(difficulty in micturition), regulated stool, pain in the joints, looks like fever, crazy, will be relieved after induced perspiration, this is the case water not competitive with grain Qi(essence derived from food), come out together with sweat, cases pulse small will recover.

 ✦ YangMing syndrome, will be relieved, from Shen(the ninth of the twelve Earthly Branches) to Xu(the eleventh of the twelve Earthly Branches).

 ✧YangMing syndrome, no appetite(no food intake,or low food intake), attack its heat will surely retch(vomit,throw up).For the reasons, the patient is weakness and asthenia, cold in the stomach.

 ✦ YangMing syndrome, slow pulse, difficult food intake and hard to be full, slight vexation if full, dizziness, surely will difficulty in urination, this is the case of Gu Dan(pyretic abundance of grain).Although used purgative method, the abdomen is still full.For the reasons, the pulse is slow.

 ✧YangMing syndrome, induced perspiration much, but not perspire or sweating, the body feels like worms travel in the skins, for the reasons the patient weak and deficient for long period.

 ✦YangMing syndrome, no sweating, but uninhibited urination, vomit and cough in 2 to 3 days, reversal of the extremities, will surely suffer from headache. Cases not cough, not vomit, no reversal of the extremities, no headache.

 ✧YangMing syndrome, cases dizziness, no aversion to cold, so could eat some food. Cases cough, surely pain in throat; cases not cough, not pain in the throat.

 ✦YangMing syndrome, cases no sweating, inhibited urination, annoyance, surely yellowing of the body.

 ✧YangMing syndrome, cases fever, slight sweating on the forehead, inhibited urination, surely yellowing of the body.

 ✦YangMing syndrome, cases pulse floating and large, surely hectic fever(hot flash), attack regularly. But cases pulse floating, surely sweating spontaneously.

 ✧YangMing syndrome, cases dryness in the mouth, desire to wash mouth with water, not desire to drink water, surely will nose bleeding(or epistaxis, bleeding from five sense organs or subcutaneous tissue), etc.

 ✦YangMing syndrome, cases sweating spontaneously, herbalist induced perspiration again, already relieved, still slightly vexed and not relieved, for the reason stool hard. For the loss of liquid and humor(body fluid), dryness in the stomach, thus lead to the hard stool. Should ask the patient how many times of urine daily, in the cases urine triple or four times daily, induce it again today, then know stool will surely be defecated in not long time. For the reasons, urination less frequency, liquid and humor(body fluid) return to the stomach, thus know surely defecate in not a long time.

 ✧ Cold-induced disease, cases vomit much, although observed YangMing syndrome, should not use attack method.

 ✦ YangMing syndrome, hard and fullness below the heart, should not use attack method. If used attack method, cases diarrhea unstoppable will die, cases diarrhea relieved will recover.

 ✧YangMing syndrome, eye color turn red, should not use attack method. If use attack method will surely fever, yellow complexion, for the reason difficult urination.

 ✦YangMing syndrome, cases not vomit, not diarrhea, vexed(upset), better use...

 ✧YangMing syndrome, pulse excess, although sweating, but not aversion to heat, body will surely heavy, short of breath, fullness in abdomen and panting, hectic fever(hot flush), this is the case will relieve at exterior, could use attack interior method. Cases sweating in hands and feet, for the reason stool turn hard, better use...; In the cases much sweating, slight fever and aversion to cold, exterior syndrome not relieved.Cases heat not flushing, should not use...; Cases fullness and big in the abdomen, could use..., slightly harmonize the stomach Qi, not let great diarrhea.

 ✦YangMing syndrome, hot flush(hectic fever), stool slightly hard, could use ...,cases stool not hard, should not use...In cases not defecate in six to seven days, might have a dry stool, want to know the method, give a small dose of Xiao Cheng Qi Tang. The decoction enter into stomach and abdomen, turn flatus, for the reason dry stool inside, could use attack method; Cases not turn flatus, this is hard stool in the initial stage, surely loose stool later stage, should not use attack method, if use attack method surely abdominal full, could not take food. Cases desire to drink water, give water and will vomit; Cases fever in the later stage, surely stool hard again and less amount, harmonize with Xiao Cheng Qi Tang. Cases did not turn flatus, cautiously not use attack method.

 ✧YangMing syndrome, cases excess will wild talk, cases deficiency will fading murmuring. Cases fading murmuring, repeat speech. Cases look straight, wild talk, fading murmuring, die; cases diarrhea, die too.

 ✦YangMing syndrome, cases induced much sweating, if induce perspiration again, yang-exhaustion(yang depletion), wild talk.Cases pulse short, die; cases pulse harmonize spontaneously, not die.

 ✧Cold-induced disease, cases vomit, use purgative method and not relieve, not defecate for five to six days, up to over ten days, hectic fever(hot flush) late afternoon, not aversion to cold, soliloquy(monologue) like see a ghost. Cases severe, unable to recognize people, touch clothes, alert and uneasy, slight panting, look straight; Cases pulse stringlike will live, cases pulse stingy will die; Cases slight, only fever, wild talk, better take...

 ✦YangMing syndrome, cases much sweat, for the reason liquid and humor(body fluid) go out, dryness in the stomach, surely stool will turn hard, stool hard and will wild talk, better take...

 ✧YangMing syndrome, cases wild talk, hectic fever(hot flush), pulse slippery and racing(swift pulse), better take...

 ✦YangMing syndrome, taken Cheng Qi Tang Decoction yet, not turn flatus, not defecate in the next day, on the contrary pulse slight slippery, for the reason interior deficient, hard to treat, should not use Cheng Qi Tang Decoction again.

 ✧YangMing syndrome, cases wild talk, hectic fever(hot flush), on the contrary no appetite(no food intake), surely there are dry stool 5 to 6 pieces; Cases some appetite(could take food), but stool hard, better use purgative method and Da Cheng Qi Tang Decoction.

 ✦YangMing syndrome, cases descent of blood, wild talk, this is the case heat entering the blood chamber. Cases sweating only on the forehead, acupuncture at Qimen (Liv14), see excess syndrome and use the purgative method, will relieve once sweating.

 ✧YangMing syndrome, cases sweating, wild talk, for the reason there is dry stool in the stomach, this is the case of excess. Should use purgative method once it transmitted over channels. In the case use purgative method too early, the patient will surely wild talk, for the reason exterior deficiency and interior excess. Better use the purgative method and...

 ✦Cold-induced disease, four to five days, pulse collapsing and dyspneal fullness(panting and fullness), the pulse collapsing means the disease is interior, but herbalist induced perspiration, body fluid go out, defecate will be hard, exterior deficiency and interior excess, in chronic conditions the patient will wild talk.

 ✧Three-Yang combined syndrome, fullness in the abdomen, body heavy, difficulty turn aside, numbness of lips and mouth, dirty on the face.If induced perspiration, then the patient will wild talk, enuresis(bed-wetting), used the purgative method, counterflow cold of the extremities(counterflow cold of the hands and feet), sweating on the forehead. Cases sweating spontaneously, better use...; Cases diarrhea spontaneously(chronic diarrhea), better use...

 ✦Two-Yang overlapping, cases the TaiYang syndrome relieved, but only hot flash(hectic fever), sweating on hands and feet, defecate is hard and wild talk, use purgative method then will relieved, better use.

 ✧YangMing syndrome,pulse floating and large, dryness in throat and bitterness in the mouth, abdominal fullness and panting,fever and sweating, not aversion to cold, on the contrary aversion to heat, body heaviness; If induced perspiration, vexed, on the contrary, wild talk;If acupuncture with warmed needle, surely cautious and fear, vexation and insomnia(upset,could not sleep);If used purgative method, emptiness in the stomach, visiting Qi pathogen attack the diaphragm, regret and sorry in the heart.Cases tongue coating, use...

 ✦YangMing syndrome, cases thirst and desire to drink water, dryness in the mouth and tongue, use...

 ✧YangMing syndrome, cases pulse floating, fever, thirst and desire to drink water, inhibited urination(difficulty in urination),use...

 ✦YangMing syndrome, cases sweating much and thirst, should not use Zhu Ling Tang. For the reason much perspiration and dryness in the stomach, and if use Zhu Ling Tang it will prompt diuresis again.

 ✧YangMing syndrome, cases pulse floating and slow, heat on exterior and cold in interior, watery diarrhea with undigested food in the stool, better use...

 ✦YangMing syndrome, cases deficiency cold in the stomach, no appetite(no food intake),should not give water to drink, or will vomit(retch,throw up) if give water to drink.

 ✧YangMing syndrome, cases pulse floating, fever, dry in mouth, dry nasal cavity, have some appetite(could take some food), will nose bleeding(or bleeding from five sense organs or subcutaneous tissue).

 ✦YangMing syndrome, cases used purgative method, heat on exterior, warm in extremities(warm in hands and feet), not bind in chest, annoyance in the heart, hunger but no appetite(could not take food),but sweating on the forehead, better use...

 ✧YangMing syndrome, cases hectic fever(hot flush),loose stool,urination smooth, fullness in chest and hypochondrium, better use.

 ✦YangMing syndrome, cases hard and fullness below the costal region, constipated and vomit, white tongue coating, better use...The Upper Energizer is accessible, the liquid and humor(body fluid) will flow downside, stomach Qi will harmonized, sweating on the body and will relieved.

 ✧YangMing wind-stroke syndrome, pulse stringy floating and large, shortness of breath, fullness abdomen, pain below the costal region and heart, Qi not accessible if pressed in long time, nasal cavity dryness and no nasal mucus, prefer to sleep, yellowing of whole body and eyes, difficulty in urination, hectic fever(hot flush), vomit regularly, swelling at the region in front of and behind the ear.Acupuncture and relieved a little, exterior syndrome not relieved.Cases over 10 days, pulse is still floating, better use...;Cases pulse floating, no other symptoms observed, better use...;Cases No urination, fullness in abdomen and vomiting, could not be treated.

 ✦Cases cephalea(headache), shortness of breath, observed hectic fever(hot flush), is the cases of YangMing syndrome, better use...

 ✧YangMing syndrome, sweating spontaneously.Cases induced perspiration, urination spontaneously, is the cases of liquid and humor(body fluid) exhaustion internally, stool is hard but should Not use attack method, should wait till want to defecate, use...and relaxing the bowels.For those herbs snakegourd root and pig bile, all could be used to free movement of the bowels.

 ✦YangMing syndrome, cases pulse slow, copious sweat(sweating heavily,sweating a lot),slightly aversion to cold, exterior syndrome not relieved yet, could induce perspiration, better use...

 ✧YangMing syndrome, cases pulse floating, No perspiration(no sweating) and panting, will be relieved if induce perspiration, better use...

 ✦YangMing syndrome, cases fever and sweating, is the case of pyretic seepage(Re Yue, or interior heat flowing outward),could not yellowing.Cases only sweating on the forehead, no sweating on body, difficulty in urination, thirst and desire to drink water and soup, this is the case stagnated heat located in the interior, surely yellowing of the body, better use...

 ✧YangMing syndrome, cases amnesia(forgetfulness,short memory), surely have blood-retention(blood stasis).For the reasons, chronic blood stasis, thus lead to amnesia. Cases hard stool, but defecate easily, its color surely black, better use...

 ✦YangMing syndrome, cases used purgative method, annoyance and vexation(regret in the heart,upset and uneasy),dry stools in the stomach, could use attack method;Cases slight fullness in abdomen, stool is hard in the early stage and sloppy or loose later, could not use attack method. Cases with dry stools,better use...

 ✧Cases not defecate for five to six days, pain around the belly button, vexation(upset,fidgety,agitated,irritable), attacks regularly, this is for the reason there are dry stools inside, thus lead to constipation.

 ✦Cases dysphoria with smothery sensation(dysphoria,vexation heat,fever with irritability and fidget), will be relieved once induced perspiration.And, cases symptoms similar as malaria, fever at later afternoon, belong to YangMing syndrome.Cases pulse excess, better use purgative method; Cases pulse floating and large, better induce perspiration. To use purgative method better use...,to induce perspiration better use...

 ✧Cases greatly diarrhea, no defecation in six to seven days, vexation not relieved, fullness and pain in the abdomen, this is the cases there are dry stools.For the reasons, there were abiding food, better use...

 ✦Cases inhibited urination, defecation hard or easy irregularly, slight heat regularly, panting and could not laying down, there are dry stools, better use...

 ✧Cases eat grain food and desire to vomit, belong to the YangMing syndrome, better use...Cases turn severe once used WuZhuYu Tang, is the case belong to Upper Energizer, better use...

 ✦TaiYang syndrome, cases the Cun pulse moderate, the Guan pulse floating, the Chi pulse weak, fever and sweating, aversion to cold later, not vomit, but epigastric oppression(glomus below the heart), better use purgative method with guide of herbalist. Cases not used purgative method, not aversion to cold and thirst, this is the cases transmitted to YangMing. Cases frequent urination, surely hard stool, not change cloth in ten days, no sufferings.Cases thirst and desire to drink water, give water small amount, save with method accordingly;Cases thirst and drink much, difficulty in urination, better use...

 ✧Cases Yang-pulse weak and slightly sweating, is the cases of self-harmonizing(of Yin and Yang);Cases greatly sweating, is the cases of hyperactivity(excess); Case Yang-pulse solid, for the cause induced perspiration and sweating greatly, is also the hyperactivity(excess). Cases hyperactivity(excess), is the case Yang exhausted interior, exhausted the liquid and humor(body fluid), so the stool turn hard.

 ✦Case pulse floating and kou(large and weak), pulse floating belong to Yang, pulse large and weak belong to Yin, floating and kou(large and weak) fight, stomach Qi generate heat, Yang will exhausted.

 ✧Yang pulse floating and uneven, pulse floating and stomach Qi is strong, pulse uneven and frequent urination. Pulse floating and uneven fight, stool will turn hard, result straitened spleen(splenoasthenic constipation), better use...

 ✦TaiYang syndrome, cases two days, induced perspiration and not relieved, fever and heat, belong to YangMing, better use...

 ✧Cold-induced disease, cases after emetic method, distension and fullness in abdomen, better use...

 ✦TaiYang syndrome, cases used emetic method, or used purgative method, or induced perspiration, slight vexation, frequent urination, stool turn hard, use...to harmonize it and will be relieved.

 ✧Cases two to three days, pulse weak, no TaiYang Chaihu syndrome, vexation, hard below the heart. till the fourth to fifth day, although have some appetite(could intake some food), use...small amount, slightly harmonize it, let easy slightly.Till the sixth day, give...1 sheng. Case not defecated six to seven days, less urination, although not defecate, but hard stool in early stage, surely loose stool later, not surely hard stool, attack and surely loose stool; should wait till uninhibited urination, stool surely hard, then could use attack method, better use...

 ✦Cold-Induced disease, cases six to seven days, eyeball not harmonized, no exterior or interior syndromes, constipated, slight fever on body, this is the case of excess, should use purgative method urgently, better use...

 ✧YangMing syndrome, cases fever with much sweating, should use purgative method urgently, better use...

 ✦Cases induced perspiration and not relieved, fullness and pain in abdomen, should use purgative method urgently, better use...

 ✧Cases fullness in abdomen and not reduced, or reduced but slightly, should use purgative method urgently, better use...

 ✦YangMing-ShaoYang combined syndrome(simultaneous occurrence of Yangming syndrome[fever and thirst] and ShaoYang syndrome[bitterness in the mouth, dry throat, and fullness in the chest]), surely diarrhea. Cases pulse not negative, is a favourable case(a serious case which improves steadily); Cases pulse negative, is a lost case. The pulse conflict, are known as negative. Case pulse slippery and rapid, for the reason there are abiding food inside, should use purgative method, better use...

 ✧Case no exterior syndrome or interior syndrome, fever for seven to eight days, though pulse floating rapid, could use purgative method. Suggest in the case purgative method already used, rapid pulse not relieved, combined with fever or heat will lead to polypepsia(swift digestion) and easily hungry. Cases constipated and not defecate till sixth to seventh days, there are blood stasis, better use...;Cases rapid pulse not relieved, and diarrhea unstoppable, surely complex dysentery with thick blood.

 ✦Cold-induced disease, cases induced perspiration yet, yellowing of body and eyes, for the reasons, cold and dampness at the interior, so not relieved. Should not inducing perspiration, should seek treatment in coldness and dampness pathogens.

 ✧Cold-induced disease, seven to eight days, yellowing of body similar as orange color, inhibited urination, slightly full in abdomen, better use...

 ✦

 ✧Cold-induced disease, cases yellowing of body, fever, better use...

 ✦Cold-induced disease, stasis heat interior, surely yellowing of body, use...

 ✧YangMing syndrome, cases fever, no appetite(could not eat), dizziness once take some food, uneasy of mind, yellowing of body in long period, this is the case of Gu Dan(pyretic abundance of grains), better use...

 ✦YangMing syndrome, cases yellowing of body, dryness of liquid and humor, dark complexion and not bright, this is the case heat attacking blood phase, better use...

 ✧Jaundice, cases fullness in abdomen, inhibited urination and reddish urine, sweating spontaneously, this is the case of exterior harmonized and interior excess, should use purgative method, better use...

 ✦Yellow diseases(Jaundice and other disease of yellowing body), cases abdominal pain and vomit, better use...

 ✧Yellow disease, cases urine color not change, uninhibited urination, fullness in abdomen and panting, could not discharge heat, or if discharge heat will surely vomit. Cases vomit, better use...

 ✦Yellow diseases(Jaundice and other disease of yellowing body), simply prompt diuresis, better use...Suggest pulse floating, should induce perspiration to relieve, better use...

 ✧Yellow diseases(Jaundice and other disease of yellowing body), cases uninhibited urination, should use method for consumption, better use...

 ✦YangMing syndrome, cases abdominal fullness, inhibited urination, limp tongue yellowing and vexed, insomnia(could not sleep), this is the case of Yellowing disease.

 ✧Jaundice, its phase of disease should be counted as 18 days, treated over ten days, on the contrary turn severe, is the case which is difficult to treat.

 ✦Cases pulse collapsing or deep, thirst and want to drink water, inhibited urination, surely will yellowing in later stage.

 ✧

 ✦Case Yang-pulse weak and stringlike, should observed abdominal fullness, suggest cases not fullness in abdomen, surely constipated, pain in bilateral hypochondria, this is the case of deficiency-cold, should warm it, better use...

 ✧Case abdominal pain around the belly button, this is the case of YangMing wind-cold, grain-Qi not circulate(essence derived from food, nutritive Qi). Suggest used purgative method, its nutritive Qi surely will attack. Cases Qi not attack, epigastric oppression(glomus below the heart). Warm it often, better use...

 ✦YangMing syndrome, fever over ten days, pulse floating and rapid, abdominal fullness, appetite and drink similar as past, use...

 ✧YangMing syndrome, cutting pain in abdomen, thunder, counterflow fullness, vomit, is the case of deficiency-cold, better use...

 ✦YangMing syndrome, cold pain in abdomen, vomit and no appetite(could not take food), something suddenly uprising, like seeing head and feet, pain and could not approach, better use...

 ✧YangMing syndrome, abdominal fullness, hypochondriac pain, fever, pulse stringlike and tight, should use warm remedy and purgative method, better use...

 ✦Asked:YangMing, abiding food, how to differentiate?

 ✧Master:cases Cunkou pulse floating and large, uneven if pressed on the contrary, Chizhong(upper part of Cunkou pulse)pulse weak and uneven, so know there are abiding food inside, better use...

 ✦Cases Cunkou pulse rapid and slippery, this is the case of abiding food.

 ✧Cases diarrhea and no appetite(not intake food), this is the case of abiding food.

 ✦Cases pulse tight as turning rope, this is the case of abiding food.

 ✧Cases pulse tense, abdominal pain, aversion to wind and cold, this is the case of abiding food.

 ✦Cases abiding food in the upper gastral cavity, should use emetic method, better use...

References:
  • 1.Yang Ming disease:the Splendid 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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