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Shang Han Lun · Treatise on Cold Damage
10. Taiyin Illness · Pulses, Signs and Treatment
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273. Taiyin illness has abdominal fullness and vomiting, inability to take food, worsening spontaneous diarrhea and intermittent spontaneous abdominal pain. Purging must produce binding and hardness below the chest.
274. In Taiyin wind-strike with distressing pain of the four limbs, a faint yang pulse and a rough, long yin pulse indicate approaching recovery.
275. The time when Taiyin illness tends to resolve runs from the hai period through the beginning of chou.
276. In Taiyin illness with a floating pulse, sweating may be induced. Guizhi Tang is appropriate.
277. Spontaneous diarrhea without thirst belongs to Taiyin, because cold is present in its viscus. Warming is required; formulas of the Sini class are appropriate.
278. In cold damage with a floating, relaxed pulse and naturally warm hands and feet, the illness is tied to Taiyin. Taiyin should produce yellowing of the body, but if urination is naturally free, yellowing cannot occur. By the seventh or eighth day, even sudden agitation and diarrhea more than ten times daily must stop spontaneously, because the Spleen domain is replete and decayed, foul matter should depart.
279. If the illness was originally Taiyang but the physician instead purged, causing abdominal fullness and periodic pain, it belongs to Taiyin. Guizhi Jia Shaoyao Tang governs. With great repletion and pain, Guizhi Jia Dahuang Tang governs.
Guizhi Jia Shaoyao Tang formula:
Guizhi, three liang, outer bark removed; Shaoyao, six liang; Gancao, two liang, roasted; Shengjiang, three liang, sliced; Dazao, twelve fruits, split.
Boil these five ingredients in seven sheng of water until three sheng remain. Remove the dregs, divide, and take warm in three doses. The original note says: this is Guizhi Tang, now with added Shaoyao.
Guizhi Jia Dahuang Tang formula:
Guizhi, three liang, outer bark removed; Dahuang, two liang; Shaoyao, six liang; Gancao, two liang, roasted; Shengjiang, three liang, sliced; Dazao, twelve fruits, split.
Boil these six ingredients in seven sheng of water until three sheng remain. Remove the dregs and take one sheng warm, three times daily.
280. In Taiyin illness with a weak pulse and continuing spontaneous loose evacuation, if Dahuang and Shaoyao are to be used, reduce them. The person's Stomach qi is weak and easily disturbed.
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