Zong Jin Jian>>
Jing disease, Shi disease, and Ye disease,
their pulse, conditions and treatment
<< Nei Jing >> Said, every Jing syndrome and tight
on the neck belongs to the disorder of Shiqi. It also
said, every strong spasm syndrome belongs to the Wind. <<
Shanghan Lun >> said, in the Taiyang stage, over-sweat therapy
causes Jing syndrome. However, it should be pointed out that all
the six kinds of Xieqi can cause the Jing syndrome, and every
six disease stage can have such Jing syndrome.
This is because the fact that, the back of
the body belongs to Taiyang meridian. Every tight and spasm on
the head and neck belongs the Jing syndrome in the Taiyang
meridian/stage. Front of the body belongs to Yangming, so
shaking head, tight jaw, spasm in the upper novel of the chest
and groin, and spasm on the feet, all belong to the Yangming
meridian/stage. The side of the body belongs to the Jing
syndrome in the Shaoyang meridian, so contract and pulling aside
of eye and mouth, tight and stiffness in the arm and leg, spasm
feeling in the side of upper abdomen and paralysis, all belong
to the Jing sundrome in the Shaoyang meridian/stage.
Spasm in the abdomen, and arm and leg spasm
after vomiting or diarrhea, also can be regarded as Jing
syndrome in the Taiyin meridian/stage. Chilly and willing to lie
down, bend of the body with head down to the chest and the knee
to the abdomen is regarded as Jing syndrome in the Shaoyin
meridian/stage. Shrink of the testis into the abdomen,
continuous erection of penis, spasm in the lower stomach, vagina
spasm, spasm of knee and calf are the Jing syndrome of the
Jueyin meridian/stage. Generally, the Jing syndrome is termed
for the clinic manifestions and it is due to the spasm of
muscle-tendons. Therefore, the disorder of the tendons in any
meridian can be called Jing syndrome.
If the Jing syndrome is due to the Wind and
Cold, the person will have fever, chilly but no sweat. His pulse
is floating and tight, his body is tight, as well as the teeth
(jaw). This is what is said in the << Nei Jing >>: every
tightness and spasm is due to the Wind. Since it comes urgent
and fast, it is called as a Gangjing.
 If it is
due to Fengshi Xieqi, the person has fever, sweat, no chilly.
His pulse is floating and slow. He feels the neck and shoulder
mild tight, but the body is not tight. This is what means in the
<< Nei Jing >>: every neck tightness is due to Shi. Since it
develops slow, it is called as Roujing.
If the Jing syndrome is due to overwhelming
sweat to deplete the Yangqi in the body, the tendons are
depleted of wetness to nourish, so to cause a spasm. This is the
book here means: in Taiyang stage, too much sweat can cause the
Jing syndrome. In this case, it is not due to Wind or Wetness,
but to the Dryness. Generally speaking, Jing syndrome is not a
single disease. It happens usually during the cause of other
clinic conditions. For example it can be seen in women during a
heavy bleeding, or in accident due to skin broken (tetanus) and
so on. It is therefore not proper to associate all Jing
syndromes to Wind invasion. Readers need to verify the reasons
to the Jing syndrome in each person, the Wind, the Cold, the
Wetness, the Dryness, and the location of the Jing syndrome:
inside of the body, or on the surface of the body. Don’t relate
all Jing syndrome to the Wind invasion.
The Cold Xieqi can invade the body to cause
Shanghan disease. When it is in the Taiyang stage, it should be
distinguished with Jing syndrome, Shi disease and Ye
disease, their clinic manifestations are
It is called a Jing syndrome, if the person
feels hot in the body, but cold in feet, strong tightness on the
neck, chilly, and from time to time he feels hot on the head and
red in the face, with red blood vesicles in the eyes, shaking on
the head (only on the head), sudden tight jaw so that it is hard
to open the mouth, the back reverse bend.
If a person has above conditions and he
feels fever, pulse is deep and thin, it can be diagnosed as Jing
If person has similar condition as Shanghan
Taiyang stage, if he has fever, chilly but not sweat, it is
Gangjing. If the
person has fever and sweat, but no chilly, it is called Roujing.
If person has similar condition as Shanghan
Taiyang stage, if he feels tightness and slight spasm on the
neck and back, feels dislike wind and has no sweat, use Gegeng
If person has similar condition as Shanghan
Taiyang stage, if he feels tightness on the neck and back,
dislikes wind but has sweat, use Guizhi jia Gegeng Tang.
Guizhi jia Gegeng Tang
Add Gegeng 45 gram into standard Guizhi
Tang. Cook and drink the tea as for Guizhi Tang.
During Taiyang stage, if the person has too
much sweat with sweat therapy, he will have the Jing syndrome.
It is termed Shi syndrome if one feels pain
in whole of the body, has fever and dark-yellow color in whole
body. (For the
jaundice, there are different kinds of jaundice. If the jaundice
belongs to Yang condition,
 and if the Xieqi is in the inside
of the body, use Yinchenghao Tang; if the Xieqi is in the
surface of the body, use Mahuang Lianqiao Chixiao Dou Tang. If
the jaundice belongs to Yin jaundice, and if the Xieqi is in the
inside of the body, use Baishu Fuzi Tang; if the Xieqi is in the
surface of the body, use Mahuang Baishu Tang. The conditions
here indicate the Yin jaundice, body surface condition).
For person with the Shi syndrome, he feels
pain in whole body, fever, yellow color face, headache, nose
stiff/plug that makes them annoyed. His pulse is big and
stronger. If he has no problem in eating (still has appetite),
no any apparent disorder in the abdomen or bowel movement, it
will indicate that the illness is Cold and Wetness in the head.
In this case, apply herbs within the nose to solve the problems.
(For Shi syndrome, if the
person feels fever and body pain, yellow face and asthma, the
Shi Xie is in both body surface and inside, use Qianghuo Shenshi
Tang for the body surface, and use Yinchen Wuling San for the
inside Shixie. For the asthma, use Da Xianxiong Wan. If the
person feels more headache, stiff nose and annoyed, has big
pulse, similar to a Shanhan disease, but it is not a Shanhan
since the person has no problem for appetite. In this case, be
careful not use sweat therapy, but use Guidi San to deplete
yellow liquid from the nose to solve the Shi syndrome in the
If person has similar condition as Shanghan
Taiyang stage, but he feels joint pain and
annoyed, and if his pulse is deep and thin, his condition
belongs to Shi syndrome. Person with Shi syndrome has difficulty
in urine but pretty frequent bowel movement. For the treatment of such Shi
syndrome, use urine therapy.
For Shi people, if he
has sweat on head,
stiffness in back, likes to be covered and likes to face fire,
to early application of bowel-cleansing therapy will cause
burping and fullness in chest and difficulty in urine. If his
tongue covering is thick and white in color, it furthermore
indicates Fire in his lower stomach area but Cold in the chest. This
makes him feel very thirsty but cannot actually drink water, again
this makes him very dry in mouth and annoyed.
If such Shi people has sweat on front head,
has slight asthma, and has too frequent urination, they
tend to die, so as they have too much and heavy diarrhea.
If the person has pain all of the body, has
fever that is sever especially on the evening, it indicates
Fengshi disease. The
reason for this illness is either because he catch wind when he
had sweat before, or when
he touched cold repeatedly before.
Asked: with the Fengshi in the body, the
person should feel pain all of the body. The principle for the
treatment of such condition is to use sweat therapy but it
does not work in a cloudy and raining weather. From medical
book, it is said that indeed sweat therapy should be used, but
it doesn’t work. Why? Master: With the Shi body condition (the
Fengshi condition), sweat therapy will remove its Wind but left
the Shi behind in the body. This counts the failure for the
treatment. You should control the extent of the sweat during the
sweat therapy, not let the sweat heavily, but keep it mildly.
For eight to nine days of a disease similar
to Shanghan, the
person has Fengshi in the body and he feels pain in whole of the
annoyed, hard to turn the body, no nausea or thirsty. If his
pulse is floating, weak and harsh, use
Guizhi Fuzi Tang. (If the pulse is floating and strong, use
Mahuang jia Baishu Tang). If he has hard stool but frequent
urine, use Guizhi Fuzi que Guizhi jia Baishu Tang.
Baishu Fuzi Tang
Fuzi (processed) 3 badges, Baishu 60 gram,
Fresh ginger 45 gram, Chinese date 12 badges, Gancao (processed)
Add the herbs and 1500 ml water into a
herbal pot. Bring to boil and keep in mild boiling until the
liquid in the pot is about 500 ml. Collect the herbal tea. Drink
one third of the tea. The person will feel pain all over the
body, seeming that the disease is worse. Drink the second and
the last one third tea after four hours each. After finish the
dose, if the person feels as cloudy in mind, or little bit
dizziness, nothing is wrong. This is because the Fuzi and Baishu
works in the skin and muscle, remove Shuiqi but the Shiqi has
not been fully removed yet. In this case, can add Guizhi 60 gram
to the formula but it is not added since the stool is hard and
urine is frequent. If the stool is not hard, and the urine is
difficult, the Guizhi should be added. Three badges of Fuzi
might be little bit too much for weak person or for pregnancy
women, so add less Fuzi in these persons.
Person with Fengshi disease has pain in the
small joints and annoyed. The pain is severe so it is hard to
bend or stretch. The pain can be worse when touch or press the
joints. When the pain is severe, he may feel sweat and short of
breath, has hard urine, dislike wind and no willing to take off
the clothes. He may also has mild swelling in the fingers or
toes. In this case, use Gancao Fuzi Tang.
Gancao Fuzi Tang
Gancao (processed) 30 gram, Fuzi
(processed) 2 badges, Guizhi 60 gram, Baishu 30 gram.
Add the herbs and 1500 ml water into a
herbal pot. Bring to boil and keep in mild boiling until half of
the liquid volume remains. Drink the herbal tea, one third each
time, three times a day. After the first drinking with a sweat
comes, the symptoms will be improved. For
person has good appetite, and feels annoyed after the stop of
the sweat, drink about 125 ml each time again. If the one third
of the amount is felt too much, give the person about 150 ml to
200 ml each time.
If the body is invaded by Hot Xieqi in
summer, it is called Ye disease. People with the Ye disease has
fever, chilly, sweat and thirsty. (the herb
Renshen Baihu Tang should be used.).
With the Ye disease, the person feels fever
and chilly, feels pain and heavy in the body. Pulse feels
string, thin, and slow. After urination, he could feel as the
hair on the body straight and has cold feeling in the hands and
feet. Little bit labor work could makes him more hot feeling.
With mouth open, the front teeth feel very dry. In this
condition, sweat therapy could make him more chilly; hot needle
acupuncture makes him more hot; and repeated bowel-cleansing
therapy makes him feel pain and hot in the urine.
Once the body is affected by the Ye
disease, he feels fever and pain and heavy in the body. Pulse
feels weak. The reason for the Ye disease is the contact to cold
water (when the body is very hot) so that water moves under the
skin (that prevent the evaporation of body temperature to cause
fever, heavy body and pain).
 Jing syndrome: any kind of muscle
 Shiqi means Wet, humidity,
 Gang here means strong. It means
the spasm of the whole body appears as the one seen in
 Rou here means soft, not strong.
Such Jing syndrome is much more popularly seen in
 Shi disease: disease caused by
invasion of Wetness.
 Ye disease: disease happens during
hot summer season.
 In typical Shanghan Taiyang stage,
the pulse is floating. If it is deep and thin, it is
Shaoyin stage. If the person has hot, chilly, tightness
on the neck, it suggests Taiyang stage, however, it his
pulse is deep and thin, and there is hot on the dead,
red on the face, and shaking of head from time to time,
it should be considered as the Jing Syndrome.
 Gangjing: gang means strong and
 Roujing: rou here means soft, not
 In previous paragraph, the
reasons for the Jing syndrome are introduced due to the
invasion of Cold, Wind, or Wetness. Here, it further
more points the over-sweat as an additional possibility
for the Jing syndrome.
Take this as example, any loss of blood, body
liquid can cause the Jing syndrome.
 Basically jaundice is kind of the
Shi syndrome in TCM.
 Yang jaundice: the skin yellow
color is bright. The course of the disease is also
usually short/acute. Yin jaundice: the skin yellow color
is dark, not bright, the disease course is long:
 This paragraph told what will
happen to the patients if the Cold and Wet are isolated
and remained only in the head. It also told the
principle for the treatment: use herbs in nose.
 Joint pain here means big joints,
not means the small joints in the fingers or toes.
 The Shi means kind of water, or
humidity. It is overwhelming in the body so spill into
the colon as a diarrhea.
 For person with the Shi syndrome,
if the pulse is floating and thin, the Shixie is in the
surface, sweat therapy should be used. If the pulse is
deep and thin, the Shixie is inside, urine therapy
should be used.
 People who is easy to suffer from
the Shi syndrome is called Wet people or Shi people.
They are usually those who are over-weighted with white
color in skin and easy to sweat. In Shanghan Lun, other
kind of body constitution mentioned are: Wine people,
e.g. those who addictive to wane and liquor drinking;
and Lipido-depleting people, e.g. those who have too
much sexual life or sexual stimulation so to lose lot of
liquid from the sex system of the body. Surely such kind
of people tends to have more specific body disorders,
compared with ordinary people. It is very important to
realize the difference among people so to choose the
proper treatment principle for each kind of body
In TCM, people are separated into
different subgroups by other means for their body
constitution: Wet people, Water people, Fire people,
Wood people, Soil people and so on. It is also separated
based on the kinds of herbs that are suitable to them,
such as Chaihu people, Guizhi people, Dahuang people,
Shigao people, Ganjiang people, etc. The words Chaihu,
Guizhi, Dahuang, Shigao, Ganjiang here is the names of
various herbs. However, body constitution is a reference
in the establish of the clinic diagnosis, not the
 For Shanghan, the person has no
sweat. Shi person has sweat but cannot have sweat all
over the body but only on the head.
 Overwhelming Shi condition will
cause Cold inside of the body.
 For Fire condition, the person
feels thirsty and drinks lots of water/cold water. For
Shi-Fire condition, the person can also feel thirsty,
but cannot drink actually.
 Shi people tend to have abnormal
or difficulty in urination, if they have no any problem
in the urination, or even have too often urination, or
have often diarrhea, they may die. This is a prediction
told by the Master. It is indicated before that the
principle for the treatment of such Shi condition is
urine therapy to deplete Shixie from the urine. Here,
the frequent and large amount of urination is due to
bowel-cleansing therapy. It is a wrong treatment. The
frequent urine now is a sign of Yinqi depletion!
 Feng means Wind. Shi means
 Such as when one has sport, so
has lots of sweat in wind weather or in strong air
 Such as one had been using cold
ice patch on the body (when he has sport damage on the
body), or use ice bath to reduce body temperature (such
as seen in hospital to reduce high fever condition).
Just as an example. Readers should be reminded that some
paragraphs are talking about Shi body, some about Fire
and Cold in the Shi body, some about the Fengshi
condition. Exposure to cold usually causes Coldshi where
as exposure to wind causes Fengshi condition.
 Use Mahuang jia Shu Tang.
 For the treatment of Fengshi
syndrome, use the mild sweat therapy on a clear sunshine
day is the best way.
 On the day of eight to nine, the
person has no nausea (Shaoyang stage) or thirsty
(Yangming stage), suggesting that he has no Shanghan
 Pain in whole body suggests Wind
 Harsh pulse means Coldshi and the
Xieqi is in the meridian.
 Clearly, it is asked to drink the
herbal tea according to the improvement of the symptoms.
If there is mild sweat and the person starts to have
good appetite, stop to drink the remaining tea.
 Fever, chilly, sweat can also
been seen in Taiyang stage of the Shanghan disease,
however, the person is not so thirsty in the Taiyang
stage. In a Wen disease, the person feels hot, thirsty
but no chilly. Thirsty is a very strong feeling in the
 Sweat, warm needle acupuncture,
bowel cleansing therapy, all are commonly used therapies
in Shanghan disease. Here the Master warms us to be
careful in the distinguishment between the Shanghan
disease and the Ye disease. They need different
 In summer, we should always keep
in mind if a common cold is Shanghan or a Ye disease.
Sudden fever with thirsty suggests more the Ye disease,
whereas hot (not to the fever level) and headache and
muscle pain suggests Shanghan. When Shanghan comes to
the Yangming phase, patient feels fever, heavy sweat and
thirsty too, but he usually has no severe headache or