2e. Six Jing diagnosis –Shaoyin
patient’s pulse is tiny-thin and he/she desires to lie down, has
diarrhea and thirsty, we will say that his/her condition belongs
to Shaoyin stage of the Shanghan disease. The whole body, from
physical, emotional to spiritual part, shows as the person is in
deep winter: cold and quiet.
words to diagnose Shaoyin stage is the thin-tiny pulse and
desire to lie down. The patient has or has no diarrhea. If there
is diarrhea, there will also have thirsty. Under such condition,
the patient can have other symptoms, such as fever; or chilly;
or pain in the body, in the joints, or have cold hands and feet;
or has deep pulse; or has diarrhea; or has nausea but no vomit;
or vomit whenever eat; or pain in stomach, difficulty in
urination, pain and heavy feeling in the arms and legs,
diarrhea; or vomit, irritated feeling to die; or diarrhea for
six to seven days, cough and nausea and thirsty, irritated and
hard to fall into sleep; or sour throat, or dry mouth and
throat, stomach bloating and no bowel movement…
Zhongjing Zhang gave us those examples. He also introduced the
herbal formulae for the treatment of those accompanying
conditions. In clinic, the accompanying syndromes of the Shaoyin
stage are not only these examples. Therefore, we must always
remember if the patient is in Shaoyin stage, whenever we see a
patient, who looks silent, quiet, feels worse more at night but
better during the day time. If the pulse feels tiny and thin,
the diagnosis can be set and confirmed. In addition, whenever we
diagnose Taiyang, Yangming, Shaoyao, Taiyin and Jueyin stage of
the Shanghan disease, the Taiyin stage must be always
distinguished. In the introduction of Taiyin stage in the book
Shanghan Lun, there are many conditions that may lead to a
death, e.g. the Shaoyin stage is a very dangerous stage in the
Shanghan disease. If there is a improper treatment in the
Taiyang, Yangming and Shaoyang stage, the outcome may not lead
to a death, but if the treatment is improper or wrong in the
Shaoyin stage, the patient might die. For example, the main
principle in the treatment of Shaoyin stage is the use of
warming herbs or herbal formulae, if a cooling herb or herbal
formula is applied, the body condition could turn worse very
soon and the patient might die.
Patient in the Shaoyin stage for two to three days, and
there is no any other symptoms inside the body, e.g. the patient
only feels desire to lie down silently and has thin and weak
pulse, use Mahuang Fuzi Gancao Tang for the treatment (to create
the patient is in the Shaoyin stage and the pulse is deep, use
Si Ni Tang for the treatment urgently.
the patient is in the Shaoyin stage not for a long time and has
fever (typically there should have no fever in Shaoyin stage)
and the pulse is deep, use Mahuang Fuzi Xixin Tang for the
patient is in Shaoyin stage for one or two days, no special
taste in mouth, but feels chilly on back, moxibustion therapy,
or Fuzi Tang, should be used for the treatment.
patient is in the Shaoyin stage, feels pain in the body and
joints, feels cold in hands and feet, and has deep pulse, use
Fuzi Tang for the treatment.
patient in Shaoyin stage has diarrhea, use Bai Tong Tang for the
treatment. If the diarrhea continues, and the hands and feet
feel reversely cold, the pulse is hardly to feel, the patient
has nausea (no vomit) and feels annoyed, use the Bai Tong Tang
plus pig gall bladder juice for the treatment.
Shaoyin stage, the patient has desire to vomit but do no vomit,
feels annoyed and has desire to lie down. After five or six
days, the patient has diarrhea and thirsty. It indicates that
the condition is in the Shaoyin stage. If the urine is pure as
water, it further more confirms the diagnosis.
Shaoyin stage, the patient has vomits whenever he/she eats. When
does not eat, the patient still has tend to vomit, but nothing
can be vomited out. The situation in which the Shaoyin stage
lasts no long time yet, the patient feels cold in hands and
feet, and the pulse feels string and slow, suggests that the
patient has overwhelming (no weak) condition in the chest.
Colon-cleansing therapy should not be used, but vomiting therapy
(Gua Di San) should. If the condition belongs to cold-water in
above the diaphragm, the vomiting therapy should not be used,
but the Si Ni Tang should.
Shaoyin stage lasts for two to three days without getting
better. Upon the fourth or fifty day, the patient feels pain in
belly, difficulty in urination, pain and heaviness in arms and
legs, and has diarrhea. This condition suggests that there is
Water-Qi in the body. The person may have cough, or hard in urination, or
diarrhea, or nausea. In either case, use Zhen Wu Tang for the
Shaoyin stage, the patient has vomit and diarrhea, feels
reversely cold in hands and feet, and feels extremely annoyed as
to die, use Wuzhuyu Tang for the treatment.
Shaoyin stage, the patient has diarrhea with non-digestive food
in the stool, has cold inside the body but hotness outside, has
reversely cold feeling in the hands and feet, has very weak
pulse as it is hardly to feel. The patient however has no
cold-dislike feeling, has red color on face. The patient may
have pain in belly, or nausea, or pain in throat, or there is
pulse after stop of the diarrhea. In this case, use Tong Mai Si
Ni Tang for the treatment.
Shaoyin stage, the patient has diarrhea for six to seven days,
has cough, nausea and thirsty, has annoyed feeling and feels
hard to fall into sleep. In this case, use Zhuling Tang for the
Shaoyin stage lasts for two to three days more. The patient
feels annoyed in heart, and has difficult to sleep. In this
case, use Huanglian Ajiao Tang for the treatment.
Shaoyin stage lasts for two to three days. Upon the fourth or
fifty day, the patient has pain in belly and has difficulty in
urination. Upon the eighth or ninth day, the patient feels hot
in whole body including hands and feet. This is a hotness in
urine bladder syndrome. The patient will have bleeding in stool.
If the diarrhea continues and there is pus and blood in stool,
use Taohua Tang for the treatment (Taohua here means peach
patient in the Shaoyin stage has diarrhea, pain in throat,
fullness in chest and annoyed in heart, use Zhufu Tang for the
the Shaoyin stage lasted for two to three days, and the patient
has pain in throat, try Gancao Tang for the treatment. If it
does not work, try Jigen Tang,or Banxia San or Banxia Tang. (San
here means powder form of herbs).
the patient is in the Shaoyin stage, has hurt and ulcer in
throat, has difficult to speech and has no voice, use Kujiu Tang
for the treatment.
Shaoyin stage lasts for two to three days, and the patient feels
dry in mouth and throat, it is a urgent condition. Use Da Chenqi
Tang to save the life (to save the Kidney Water by reducing
the Shaoyin stage, the patient has water-like bowel movement.
The patient will also have pain in upper stomach area and have
dry in mouth. This is also an urgent condition. Use Da Chenqi
Tang for the treatment.
Shaoyin stage lasts for six to seven days, the patient has
fullness and bloating in belly, and has no any bowel movement.
This is urgent condition. Use Da Chenqi Tang for the treatment.
Shaoyin stage expresses as overall low level of metabolism. The
patient feels less ambition to action, no strong interest in
life, feels drowsiness, tired. The pulse so feels thin and tiny.
patient has no vomit, no diarrhea, no constipation, no dry mouth
or throat, and no sour throat, the herbal formula Mahuang Fuzi
Gancao Tang alone, or Mahuang Fuzi Xixin Tang will work well. If
there is chilly and pain in the body, use Fuzi Tang. If there is
diarrhea, use Bai Tong Tang. If there is vomit and annoyed
feeling, use Wuzhuyu Tang. If there is water retention syndrome,
use Zheng Wu Tang. If the diarrhea is with poor sleep, use Zhu
Ling Tang. If there is no diarrhea, but still hard to fall into
sleep, use Huanglian Ajiao Tang. If there is inside cold (as
diarrhea), but outside hot (as red face), and also cold hands
and feet, use Tong Mai Si Ni Tang. If there is sour throat, use
either Gancao Tang , or Jiegen Tang. For severe sour throat, use
Ku Jiu Tang. If there is dryness in the mouth and throat, or
bloating belly without bowel movement, use Da Cheng Qi Tang.
annoyed feeling needs to be distinguish with Shaoyang stage. In
the Shaoyang stage, the patient’s pulse is not thin, not tiny.
The person does not look tired or tend to have nap. Here the
thin-tiny pulse should be distinguished with deep-tight pulse.
For the deep-tight pulse, the wrist where we feel the pulse
feels also tight. For the thin-tiny pulse, that place usually
does not feel tight. The deep-tight pulse can be seen usually in
those of persons who have long term of stress and anxiety. It in
most case belongs to Shaoyang stage (Shaoyang disease). For
patient in Shaoyin stage tends to have restless arms or legs (Huanglian
Ajiao Tang condition), or shacking of arms or hands or legs (Zheng
Wu Tang condition). Patient in the Shaoyang stage tends to have
spasm (TMJ syndrome or tight on neck).
Diarrhea. Diarrhea in Taiyin stage is without thirsty in mouth
and the hands and feet are warm. Diarrhea in Shaoyin stage is
with thirsty and the pulse is thin and tiny. Diarrhea in
Cold-attack Yangming stage is with difficulty in urination. The
symptoms could become worse with eating.
throat or dryness in throat. There is dry throat in both
Shaoyang and Shaoyin stages. In the Shaoyang stage with dry
throat, the throat feels more as tightness or as a foreign mass
in the throat. In Wind-attack Yangming stage, there could be
dryness and sour in throat, which are worse with cough. If there
is no cough, there would have no sour in the throat. The sour
throat in Shaoyin stage is continuous, regardless of cough or
not. In Wen disease, there would also be dry and sour in throat,
but the pulse is floating-frequent too. The person with the Wen
disease dislikes hot, but likes cold.
Tong Mai Si Ni Tang introduced here should belong to Jueyin
stage (see later chapter), since the characteristics of the
Jueyin stage is the cold hands and feet, and the mixture of the
Cold and Fire syndrome (inside cold and outside hot). The Tong
Mai Si Ni Tang is used for the treatment of such condition.
Millwoods Acupuncture Center is
located in Edmonton, Alberta, Canada and serves Edmonton
surrounding area, including: St. Albert, Big
Lake, Spruce Grove, Stony Plain, Devon, Beaumont, Sherwood Park,
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