2f. Six Jing diagnosis –Jueyin
patient has both cold hands and feet, his/her condition will
belong to the Jueyin stage. The Jue condition means that the
Qi is much depleted through the course against the disease, so that
there is no enough Yang
Qi moving from the Yin
side of the body into the
Yang side of the body (the end of the hands and feet).
Normally the Yin
meridian and the Yang
meridian connects at the end of the hand and feet – the fingers
and the toes, so the hands and the feet feel cold.
Along with the progress of the disease, the cold feeling in
the hands and feet moves up to the elbow or to the knee
direction. This is what we call it here “Jue condition”. Due to
the disconnection of the
Yang Qi from the Yin side of the body and the
Yang side of the body, the
Yang Qi could float on
the face or head, forming the “Floating
Yang” condition. If the disconnection condition further develops,
the Yin Qi and the
Yang Qi would
separate, to cause death.
Thirsty syndrome: The patient feels very thirsty, feels a gas
rushing up to pouch the heart, feels pain and hot in the chest,
and feels hungry but no desire to eat. If eat, there would vomit
out roundworm. Use Fuling Gancao Tang for the treatment. In such
condition, the patient should be allowed to drink the water more
times but less volume each time. If drink too much water, there
would be palpitation in the upper stomach and it causes cold
hands and feet. The accumulated water should be treated first,
not the Jue condition (as by the use of warm herbs). Otherwise,
water drink would cause diarrhea. Colon-cleansing therapy should
not be used either. It will cause continuous diarrhea.
Jue syndrome: The pulse is tiny. The patient feels cold in hands
and feet. After several days, the skin is cold. The person
behaves continuous jumping of arms and legs (irritated feeling).
This is a condition called Organ Jue Condition. Use Wumei Pill
for the treatment.
Meridian Jue syndrome: The patient feels cold in hands and feet;
the pulse is very tiny and weak. Use Danggui Sini Tang for the
treatment. If the patient has also a long term cold condition
inside the body (easy to have diarrhea when eat cold food), use
Danggui Sini plus Wu Sheng Tang.
Cold-entangled in urine bladder: The patient feels cold hands
and feet, feels bloating in lower stomach, feels pain in the
lower stomach when touch. This condition is called
cold-entangled in the urinary bladder. Use moxibustion on the
Guanyuan point (in the middle of the lower stomach).
Cold-entangled in the chest: The patient feels cold in hands and
feet, feels bloating in the upper stomach, irritated, hungry but
cannot eat. The pulse is tight from time to time. The problem is
in the chest. Use Guadi San for the treatment (to stimulate
vomit for the treatment).
the pulse feels as urgent and hurry and the hands and feet feel
cold (the Jue condition) in Shanghan disease, moxibustion can be
used for the treatment.
Yang syndrome: The
patient feels cold hands and feet. The pulse is deep and slow.
The face is slightly in red and the body feels slightly hot. The
patient has diarrhea with non-digested food in stool. Use Tong
Mai Si Ni Tang.
Diarrhea with non-digested food in the stool, sweat and the cold
hands and feet. For such inside cold but outside hot syndrome,
use Tong Mai Si Ni Tang for the treatment.
patient has heavy sweat, continuous fever, spasm in stomach,
pain in the arms and legs, diarrhea, chilly, and cold hands and
feet. This is the co-exist of Yangming and Jueyin. Use Si Ni
Tang for the treatment.
patient has heavy sweat and heavy diarrhea, feels cold hands and
feet. Use Si Ni Tang for the treatment. This is also the
co-exist of Yangming and Jueyin stages.
the Jueyin stage, if the patient feels nausea and vomit saliva
and headache, use Wuzhuyu Tang for the treatment.
are Cold Jue and Hot Jue conditions. The Jue condition in the
Jueyin stage here is the Cold Jue condition.
Shanghan disease, if in the first and second day, the patient
has fever, but upon the fourth day or fifty day, the patient has
the Jue condition, it is Hot Jue condition. If the Jue is severe
(e.g. severer cold in hands and feet), it means the Fire inside
the body is also severer. If the Jue is mild, it means the Fire
condition inside the body is also not severer. For the treatment
of the Hot Jue condition, colon-cleansing therapy should be
used. If sweat therapy is mis-used, the patient would have ulcer
Jue condition, the Jue Condition occurs on the first or the
second day of the Shanghan disease. It can last to the fourth
and fifty day of the disease without disappear. For the Hot Jue
condition, the palm is warm and the pulse is slippery pulse. For
the Cold Jue Condition, the palm is also cold and the pulse is
deep, thin, and tiny.
condition is commonly seen in the Wind-attack Yangming stage of
the Shanghan disease. It is almost as in the peak stage of an
infectious disease. For the treatment of the Hot Jue condition,
use Baihu Tang; for Cold Jue condition, use Danggui Si Ni Tang.
are the meridian Cold Jue condition and the organ Cold Jue
meridian Cold Jue condition, the patient has the cold hands and
feet but no any other problem inside the body. For this use
Danggui Sini Tang for the treatment. For the organ Cold Jue
condition, the patient has bloating in upper stomach area, has
desire to vomit after eat, or has nausea, spits saliva, has
headache, beside the cold hands and feet. In this case, use
Quzhuyu Tang for the treatment. If the Cold Jue condition is
with no-end restless in arms and legs, use Wumei Wan. If the Jue
condition is with heavy thirsty, use Fuling Gancao Tang. If
there are both the meridian and the organ Cold Jue, use Danggui
Sini Tang plus Wuzhuyu and Shengjinag.
several conditions that need to be distinguished with the Jue
condition: the Si Ni San condition, the Fuzi Xiexin Tang
condition, and the Huanglian Ajiao Tang conditions, etc.
Ni San syndrome: The patient feel also cold hands and feet,
bloating in the upper side of the stomach. The patient can also
have slight hot, or cough, or palpitation, or difficult in
urination, or stomach pain, or diarrhea. The cold hands and feet
are due to the stagnation of
Yang Qi inside of the
body. The Yang Qi is
sufficient but is blocked to reach the hands and feet. It is not
the same reason as the cold hands and feet in the Jue condition
of the Jueyin stage, where the
Yang Qi is insufficient in the body. For the Si Ni San syndrome, the
pulse is not deep-thin-tiny, but the Jueyin stage, the pulse
should be deep, or thin or tiny.
Fuzi Xie Xin Tang syndrome: The patient feels hot and sweat in
the upper part of the
body, but cold feeling in the lower part of the body,
with bloating feeling in the upper stomach. It can also be used
with chilly and sweat, bloating in upper stomach area.
Huanglian Ajiao Tang syndrome: The patient feels sweat in the
upper part of the body, dry mouth and throat, irritated, and
condition means that both hands and feet are cold, though it has
to be distinguished with Sini San syndrome. The clinic
conditions that are cold mostly in feet but not in hands,
similar to the Fuzi Xiexin Tang and Huanglina Ajiao Tang here,
are many. For example, in the Suzi Jiang Qi Tang and Taohe
Chengqi Tang conditions, the patient feels mostly cold in feet
but may not so cold in hands.
Cold-entangle in urinary bladder condition should be
distinguished with Water-, Blood-, and Fire-entangle in urinary
bladder conditions. All the entangle conditions show bloating
feeling in lower stomach area, which feels pain when press. If
no pain when press, it might be the Shen Qi Wang condition.
the Cold-entangle condition, the patient has cold feet and
hands, and the urine is frequent and pure as water.
the Blood-entangle condition, the urination is easy, no problem.
This condition has been introduced in Taiyang stage.
the Water-entangle condition, the urination is difficult.
the Fire-entangle condition, the urine is red in color, and the
urination is also in sluggish. This condition has also been
introduced in the Taiyang stage.
5. The Jue
condition in the Jueyin stage should be distinguished with the
Jue condition due to roundworm
stage or the roundworm both could have roundworm vomit. The cold
hands and feet in the Jueyin stage is continuous condition, and
have no paroxysmal stomach pain. While the cold hands and feet
in roundworm disease is paroxysmal when the stomach is very
painful. After the episode of the stomach pain, the person
behaviors as normal.
the main formula for the Jueyin stage
large conflicting ideas about which herbal formula is the main
formula for the Jueyin stage. Someone believes that the herbal
formula Wumei Tang should be the main formula. Some others
insist that the Danggui Si Ni Tang should be the one, or the
Wuzhuyu Tang should be.
understand that, for the Jueyin stage, the location of the
disease is in the Jueyin meridian or the Jueyin phase of the
energy circle. In this stage or this phase, the
Yin Qi is very strong and the
Yang Qi is weak. The
Yang Qi fails to connect or fail to go into the next circle
(through the hands and feet), so there is the cold hands and
feet. The strong Yin Qi presses the Yang Qi
away, so there is the Yang
Qi floating phenomenon. Therefore, any herbal formula that
can work for either of these conditions can be regarded as the
main formula of the Jueyin stage. In fact, each stage may have
several formula as the main formula. For instance, in the
Shaoyin stage, the Huanglian A Jiao Tang, which works for the
syndrome caused by Heart Fire burning, and the Zhen Wu Tang,
which works for the syndrome caused by Kidney Water flooding,
can both be regarded as the main formula, beside the basic
formula Si Ni Tang. You may remember that, in the Taiyang stage,
we have both Mahuang Tang and the Guizhi Tang as the main
diarrhear needs to be distinguished with Baitouwen Tang
original text in the book is: That diarrhea is with thirsty
feeling is because there is hotness inside the body. Use
Baitouwen Tang for the treatment. If the hot diarrhea is with
retention feeling in side the anus, also use the Baitouwen Tang
for the treatment.
that, Master Zhang Zhongjing listed the Baitouwen Tang here is
for distinguish. For the diarrhea in the Jueyin stage, the
strong Yin Qi could
press or push the Yang Qi.
Yang Qi may escape from the anus (it can also escape from mouth,
from nose, form eyes, or ears) to cause burning sensation that
feels similar to the Baitouwen Tang condition. But in the
Baitouwen Tang condition, there is no cold hands and feet. If
indeed it has, the Jue condition should belong to Hot Jue
condition, similar to the Bai Hu Tang condition (see above).
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