The six meridians are used as the general outline, and the Sun, Yangming, Shaoyang, Taiyin, Shaoyin, and Conjunctive Yin are used as the platform for differentiating the symptoms of exogenous diseases in terms of the prevalence and decay of evil, the location of the disease, and the progress and urgency of the disease, and are used to guide clinical treatment. The treatise on typhoid fever, written by Zhang Zhongjing in the Han dynasty, synthesizes the various groups of symptoms in the evolution of exogenous diseases, summarizes their sites of lesions, the tendency of heat and cold, and the prevalence and decline of evil, and distinguishes them into the six meridians of sun, yangming, shaoyang, taiyin, syncope and shaoyin. For thousands of years, it has effectively guided the identification and treatment of Chinese medicine. The clinical manifestations of Sun disease are described in the Treatise on Typhoid Fever: “The Sun is a disease with a floating pulse, a strong headache and vicious cold.” “Sun disease, fever and sweating, evil wind, slow pulse, is called stroke.” “Sun disease, or has fever, or not fever, must be evil cold, body pain and vomiting, the pulse of both yin and Yang tight, is called typhoid.” Summary: Where there is fever, vicious chill, headache, strong collar, floating pulse and other pulse evidence, it is called solar disease. Sun disease is divided into two categories: meridian evidence and internal evidence. The meridian evidence is the lesion of the evil in the muscular surface; the internal evidence is the lesion caused by the internal transmission of the solar meridian evil in the bladder. Pathological mechanism 1, the sun meridian evidence: divided into three types (1) the person’s Ying and Wei is not harmonious, Wei lost the right to open and close the outside, the muscle surface drainage for stroke (i.e., wind, not cerebral hemorrhage). (2) If the person’s Wei-Yang is suppressed, the Ying-Yang is stagnant and the muscle surface is dense, the person is suffering from typhoid. (3) The person who suffers from external warmth and internal heat from fluid injury is suffering from warmth. Stroke: fever, sweating, evil wind, and slow pulse (table deficiency evidence). Typhoid fever: fever, no sweating, malignant cold, tight pulse, body pain (superficial solid evidence). Warm disease: fever, thirst, no cold (superficial heat evidence). Stroke, typhoid fever and warm disease are all epiphenomena, so they all have “fever, headache and floating pulse”, but their differentiation points are: Stroke: floating and slow pulse, sweating, thin white tongue coating. Typhoid fever: floating and tight pulse, no sweating and panting, thin white tongue coating. Warm disease: floating pulse, fever, slight thirst, slight cold, red-red tongue. 2, the Sun’s internal organs evidence: divided into two types (1) evil Qi into the bladder, affecting the bladder Qi-transformation dysfunction, so that the Qi knot water stop, urine is not conducive to water storage evidence. (2) Heat knots in the lower jiao, stasis of blood does not work, resulting in whip fullness like madness, urination is self-induced as the evidence of blood storage. Water storage evidence: fever and vicious wind, unfavorable urination, thirst, vomiting when water is present, and floating pulse. Blood storage evidence: the small abdomen urgent knot or whip full, such as crazy frenzy, urination, the body is yellow, the pulse sinking knot. Differentiation point: water accumulation is the evil man in the bladder qi, so only the urine is unfavorable and no mental symptoms. Blood accumulation is evil into the bladder and blood, so only the mental symptoms without adverse urination. (1) Stroke: for the deficiency of the sun, is a strong guard and weak Ying, Ying and Wei are not in harmony, treatment of stroke only need to reconcile Ying and Wei, sweat out the disease, available Gui Zhi Tang. (2) Typhoid fever: for Sun surface solid evidence, the couples are dense and not allowed to sweat out, non-opening the surface sweating is not enough to get rid of the evil out, use Ma Huang Tang. (3) warm disease: for internal heat and fluid injury, the “treatise on typhoid fever” is not out of the formula treatment, internal heat causes a lot, where the injury of fluid, mostly Yang Sheng fire and consume Yin, coupled with the lack of Yin and blood coolness, and mostly from the liver and stomach, solid not outside the hair, hair is near seeking far, when the tonic to fill the essence to fill its consumption, cool blood and diarrhea of heat for the urgent treatment, the table is pacified, the internal consumption is full, then people do not lose the righteousness; and looking for the six meridians of evil, with the attack and attack The effect of internalization can be achieved. And the way to the evil, when the cold to open the turbid door to drain the dysentery, get to drain is light cold in the middle Jiao, and the remaining Yang through the warp back to the cause, then the middle Jiao heat can be solved, another grass boat borrowing arrows, tricky to make the world peaceful. 2, the sun’s internal organs evidence treatment (1) water storage: the bladder gas does not work and cause water storage, Wu Ling San (Fu Ling, pig ling, Gui Zhi, Ze Xie, Bai Zhu) has the function of gas and water, so the main formula for water storage evidence. (2) Blood stagnation: stasis of blood does not work, heat knots in the lower jiao, should attack blood stasis and expel blood, can be used according to the seriousness and priority of the peach kernel Cheng Qi Tang. 3. Treatment of Sun disease with concurrent evidence (1) Sun stroke with Qi rebellion and asthma, treated with Gui Zhi Tang plus Hou Pu and Almond. (2) Sun disease and back strong several (i.e. constricted and uncomfortable), with sweating belongs to the table deficiency, without sweating belongs to the table reality, deficiency with Gui Zhi Tang plus Ge Gen Tang, practical Ge Gen Tang. (3) Sun disease with internal heat (internal heat, irritability, thirst), with sweating of superficial deficiency, without sweating of superficial reality, deficiency with Gui Zhi Er Yue Maida a Tang, practical Da Qing Long Tang. (4) Sun disease within the water drink (dry vomiting, soft phlegm), such as table real without sweating, water gas under the heart, evidence of fever and chills without sweating, wheezing and coughing, dry vomiting, treatment with Xiao Qing Long Tang. If the Sun is affected by wind and water qi is secretive and accumulates in the chest and dorsum, the evidence is seen in fever, malignant chills, sweating and headache, subcardiac and dorsal plagiocephaly, fullness and pain, dry vomiting and shortage of breath, and the superficial evidence has been resolved, attack with Ten Jujube Soup (Coriander, Gansui, Daji, Dazao). (5) Sun disease with internal deficiency, such as yin and yang deficiency with palpitation and annoyance in the heart, the treatment should be Xiao Jian Zhong Tang. If there is a deficiency of qi and blood, the heart does not continue, the pulse is knotted and the heart moves and palpitates, the treatment is to roast licorice soup. Yangming disease evidence treatment a. Clinical manifestations The Treatise on Typhoid says: “Yangming is a disease, the stomach family is also real.” “Three days of typhoid fever, Yangming pulse is large.” “What is the external evidence of Yang Ming disease? Answer: “body heat and sweat from the body, not evil cold, but also evil heat.” “typhoid fever if vomiting if down after not relieved, not stool for five or six days, up to more than ten days, day Asr by the onset of hot flashes, not vicious cold, solitary language such as seeing a ghost-like, if the dramatic, hair is not recognize people, follow the clothes and touch the clothes, tense and restless, slight panting straight vision, the pulse string is alive, the clear is dead, the slight but fever delirium, large Cheng Qi Tang is the main, if a service profit, then stop after the service.” “Yangming disease, sweating more and asthma, not with pigling soup, to sweat more dry in the stomach, pigling soup again to benefit its urine also.” Summary: Where there is body heat, sweating spontaneously, not evil cold but evil heat and large pulse and other evidence, it is called Yangming disease. Yangming disease is divided into two categories: the Yangming meridian evidence is the lesion of evil in the stomach; Yangming internal evidence is the lesion of evil in the large intestine. Pathological mechanism 1. Yangming meridian evidence: external evil enters the stomach and turns into heat, heat and dryness are combined in the stomach, resulting in heat, sweating, thirst and drinking, and large pulse. 2. Yangming internal organs evidence: the external evil enters the internal organs and turns into heat, which is combined with dryness and heat in the large intestine, resulting in depletion of fluids, dryness and solidity, and stagnation in the middle, resulting in tidal fever, delirium, constipation, abdominal fullness and pain, and sunken and solid pulse. When the high heat is diffuse, it is treated with cold medicine to clear the heat, so the Yang Ming meridian evidence is mainly used to clear the method, you can choose the pungent cold and bitter cold to clear the heat; if the heat and the real knot in the large intestine is treated with cold medicine, urgent down to store yin, to buy time, not to make the decoction of fluids, so the internal organs evidence is mainly used under the method, you can choose the bitter cold laxative prescription. 1.Yangming meridian evidence treatment: Yangming meridian evidence is caused by heat transpiration, both inside and outside the table, so the treatment should be gypsum soup. 2, Yangming internal organs evidence treatment: Yangming internal organs evidence is the evil heat and large intestine dregs wrestling into a real heat evidence. The purpose of treatment is to exclude dryness and purge internal heat. As the lesion is different in severity and urgency, so the treatment of Yangming internal organs has three prescriptions: regulating stomach Cheng Qi Tang is a slow diarrhea, is the treatment of internal organs, knotted but not real, or fluid damage to dry heat-based symptoms, Xiao Cheng Qi Tang is the treatment of internal organs with fullness and fullness; Da Cheng Qi Tang is the treatment of internal organs with fullness and dryness. “Actual is Yangming, deficiency is Taiyin”, this is a Chinese medical proverb with practical experience. Yangming disease can be transformed into Taiyin disease, that is, the resistance to disease from strong to weak performance, the prognosis is poor; Taiyin disease can also be transformed into Yangming disease, it means that the resistance to disease from weak to strong, the prognosis is good. Shaoyang disease evidence and treatment a. Clinical manifestations The treatise on typhoid says: “Shaoyang as a disease, bitter mouth, dry throat and dizziness.” “Typhoid fever for five or six days, stroke, cold and fever, bitter fullness in the chest and hypochondrium, silent desire not to eat and drink, distress in the heart and happy to vomit, or vomiting with distress in the chest, or thirst, or pain in the abdomen, or whip under the hypochondrium, or palpitation under the heart, urine is not conducive, or not thirsty, the body has a slight heat or cough.” “Those who do not resolve this sun disease and turn into Shao Yang, with fullness of whip under the dewlap, dry vomiting and inability to eat, cold and heat, not yet vomiting down, and a sunken and tight pulse.” Summary: Where there is bitterness in the mouth, dryness in the throat, dizziness, cold and heat, bitter fullness in the chest and hypochondrium, silent inability to eat and drink, distress in the heart and vomiting, and tight pulse and other pulse evidence, it is called Shaoyang disease. Shaoyang disease is a lesion of evil in the liver and gallbladder. Second, the pathological mechanism External evil invades the liver and gallbladder, and the qi fire of the liver and gallbladder reverses and becomes hyperactive, resulting in bitterness of the mouth, dryness of the throat, and dizziness of the eyes. The evil is in the gallbladder and is rebellious (affecting) the stomach, so there are abnormalities in digestive function such as vomiting and not wanting to eat. Bitterness and fullness in the chest and upper back occurs when the Qi is not clear. If the evil and the positive contend with each other, and the positive qi is weak and cannot resist the evil to go out, there will be cold and heat. Third, the treatment of prescription 1, Shaoyang is the treatment of Shaoyang disease without the sun’s surface evidence, the evil is not in the table, so do not sweat (if sweat is depleted fluids, but make the disease evil internal transmission); without Yang Ming of the actual evidence, the evil is not in the, so do not use the method (if under the Yin deficiency fire easy to become frightened); chest no evil, the evil is not in the chest and diaphragm, so can not vomit (if vomiting is injured Yang into palpitations). Therefore, Shaoyang has three prohibitions (prohibit sweating, prohibit down, prohibit vomiting). Shaoyang disease treatment principle, should be reconciled mainly (i.e., no sweating method of heat relief), however, Shaoyang disease is mostly with both surface and inside, on the basis of reconciliation, with the Sun sweat method, or with Yang Ming down method, with the evidence of treatment. Because Shaoyang disease is the evil living in the half of the table and half, there is reconciliation of the table and the role of Xiao Chai Hu Tang for Shaoyang disease is the correct treatment formula. 2, Shaoyang concurrent treatment (1) fever, slight chills, pain in the extremities, subcardiac gangrene, slight vomiting, is Shaoyang and Sun disease, available Chai Hu Gui Zhi Tang. (2) Shaoyang disease with abdominal fullness and pain, depression and slight irritability, urgency below the heart, inability to pass stool, dry and yellow tongue coating, etc. is Shaoyang and Yangming disease with internal solid evidence. (3) Shaoyang disease with abdominal restraint and pain, with a floating pulse of sunken string, is Shaoyang disease with deficiency of internal qi, first use Xiao Jian Zhong Tang to tonify the deficiency, after taking the medicine the internal deficiency is restored, but the evidence of Shaoyang disease does not diminish, then use Xiao Chai Hu Tang to relieve it. (4) Chest fullness with slight knotting, unfavorable urination, thirst without vomiting, but head sweating, cold and fever, heart agitation, etc., is evil heat trapped in Shao Yang, water-drink does not dissolve, so it is advisable to use Chai Hu, Gui Zhi and Gan Jiang Tang to relieve and promote drink. (5) Chest fullness, irritability, urination, delirium, body pain, inability to turn the side, is evil into the Shao Yang and is deficient in the spirit of floating, can be used Chai Hu plus Dragon Bone Oyster Soup. (6) Heat (gastric heat) reverses upward and vomits, and cold offends the stomach and causes abdominal pain, which is heat from above and cold from below. Taiyin disease evidence and treatment a. Clinical manifestations The treatise on typhoid says: “Taiyin as a disease, abdominal fullness and vomiting, not eating, self-interest very, when the abdomen from pain, if the next, will be under the chest knot whip.” In summary: clinically, any evidence of abdominal fullness with vomiting, inability to eat, self-interest, spontaneous abdominal pain, and a slow and weak pulse is called Taiyin disease. It is a deficiency of spleen and dampness, and the disease is in the spleen meridian lesion. The pathological mechanism of the disease is that cold and dampness are internal obstruction, damaging the spleen and Yang, or the cold evil directly offends the spleen meridian, damaging the spleen and stomach will affect the digestion and excretion of water and grain, and the cold and damp evil obstructs the transportation and transformation, so the abdomen hurts from time to time. Cold and dampness offend the stomach, so vomiting. Stagnation of stomach qi leads to inability to eat. Cold and dampness do not transform, the spleen does not rise, so see self-interest. The treatment is based on the principle of warmth and tonicity, with emphasis on warming the middle and dispersing the cold. If the superficial evidence is heavy, first relieve the superficial; if the internal evidence is urgent, first treat the internal. There is no definite formula in “The Book of Taiyin in the Treatise on Typhoid Fever”, but we consider that according to the evidence of cold deficiency in the inner part of the body, the main focus should be on warming the inner part of the body, so we have made up Rizhong Tang as the main formula for Taiyin disease. 2, Taiyin disease and change of evidence treatment (1) both down diarrhea abdominal distension and fullness (Taiyin deficiency evidence), but also body pain (Sun surface evidence), is the deficiency in the host table, should first use Li Zhong Tang to warm the inside, and then use Gui Zhi Tang to treat the surface. (2) If the symptoms are not resolved and the abdomen is full of pain, use Gui Zhi Tang plus Shao Yao Tang (Gui Zhi Tang increases the dosage of Shao Yao); if the symptoms are not resolved and the abdomen is full of pain, use Gui Zhi Tang plus Huang Tang. The clinical manifestations of syncopal yin disease says: “syncopal yin as a disease, thirst, gas on the collision of the heart, heart pain and heat, hunger and do not want to eat, food is vomiting roundworm, under the profit more than.” “Typhoid fever pulse micro and syncope, to seven or eight days of skin cold, his manic without temporary peace, this is hidden syncope.” “typhoid fever four days, syncope against three days, fever four days, syncope less heat, the disease should be healed, four to seven days of heat does not remove the person, will be pus and blood.” “Typhoid fever syncope four days, fever rebound three days, re-syncope five days, the disease is into, cold more heat less, Yang Qi retreat so for into.” Summary: Convulsive Yin disease can be clinically summarized into four categories: (1) upper heat and lower cold evidence: thirst, qi rushing up to the heart, pain and heat in the heart for the upper heat evidence; hunger and do not want to eat, food is vomiting roundworm, under the profit more than for the lower cold evidence. (2) Syncopal fever wins the evidence of repetition: for syncope of the extremities and fever interspersed. (3) syncope evidence: is the extremities syncope cold, the lighter but the wrist and ankle, the heavier can cross the elbow and knee. (4) Downward diarrhea and vomiting evidence: hot diarrhea and downward weight for damp-heat diarrhea; downward delirium for real heat diarrhea; downward clear valley for deficiency cold diarrhea. Dry vomiting, spitting saliva, headache for cold vomiting; vomiting and fever for fever vomiting; retching and abdominal fullness for internal real retching. Second, the pathological mechanism of the disease to the syncope, then the liver wood is out of order, the heart package is also offended by evil, the phase of fire up for heat, heart fire can not reach down for cold, so there is heat on the cold; in the fight between positive and evil, yang wins yin failure is more heat and less cold; yin wins yang failure is more cold and less heat, so there is syncope. The disease is trapped, the qi and blood are disturbed, and yin and yang cannot be connected smoothly, so there are various syncopal rebellions. If the liver and stomach are rebellious, or if dampness and heat are injected, or if the spleen and stomach are cold and deficient, there is vomiting. The treatment is a mixture of cold and heat, the treatment of which is to use both cold and heat for those with upper heat and lower cold. Syncope less heat more self-healing. (1) thirst, gas hitting the heart, pain and heat in the heart, hunger and not wanting to eat, eating then vomiting roundworm, down the profit is not only, is the cold and heat mixed evidence, treatment should also be cold and warm, Wu Mei Wan is the main formula of the cold and heat mixed evidence of syncope, and good at treating roundworm evidence and syncope long-term profit. (2) Spontaneous vomiting, vomiting immediately after eating, sour odor and turbidity. This evidence is also hot on top and cold on the bottom, the evidence is more complex, so also cold and heat together. The upper heat should be cleared, the lower cold should be warmed, and the proper deficiency should be tonic, using dry ginger, scutellaria, and yellow ginseng soup (medicine as the name of the formula) to treat it. (3) The diarrhea does not stop, the hands and feet are rebellious, the throat is unfavorable, spitting pus and blood. The evil heat should be cleared, cold evil should be warmed, deficiency should be tonic, yang should be declared, cold and heat are mixed, so the medicine should also be warm and cool, tonic and dispersal, with ephedra Shengma Tang. (4) Profiting from sticky pus and blood, abdominal pain, shortness of breath, burning in the anus, thirst, and strong pulse, is a hot diarrhea, so it is treated with Bai Tou Weng Tang, which is very bitter and cold, with high efficacy. (5) Blood deficiency affected by cold, positive qi being depressed, syncope of the hands and feet, thin pulse wanting to extinguish, Angelica Sinensis Sikyong Tang is most applicable. (6) Dry vomiting, vomiting saliva, headache, for cold vomiting, use Wu Zhu Yu Tang. (2) The treatment of the syncretic yin pathology (1) vomiting and fever is a good sign that the disease is changing from yin to yang; the method should be to take advantage of the situation and use Xiao Chai Hu Tang to solve the problem. (2) Delirium with diarrhea is downward diarrhea of actual heat. The evil heat of the syncope goes out and joins with the heat of the intestines and stomach, because the dryness has not yet been whip, so it is only appropriate to attack slowly with Xiao Cheng Qi Tang. (1) Downward diarrhea and syncope, great sweating, slight heat and cold, small conveniences, weak pulse, yin and yang are weak, yang energy has the appearance of external release, for the cold syncope, urgent to support yang and suppress yin, with four reverse soup. (2) Dry mouth, dry tongue, irritable thirst and drinking, yellow urine and red urine are symptoms of heat syncope, using Shiyang Tang. (3) Cold skin, sometimes quiet and sometimes irritable, vomiting with food, often vomiting roundworms, is a roundworm syndrome, and Wu Mei Wan has the ability to lower rebellion and stop vomiting, warm the stomach and calm roundworms, so it is the main formula for roundworm syndrome. Shaoyin disease evidence and treatment I. Clinical manifestations The treatise on typhoid says: “Shaoyin is a disease, the pulse is weak, but the desire to sleep.” “Shao Yin disease, evil cold body curling and profit, hands and feet rebellious cold, do not treat.” Summary: Shao-Yin disease is the last level and most critical stage of the six meridians, mostly presenting with extreme mental exhaustion, desire to sleep, and a comatose state where sleep seems to be non-sleepy. Shao-Yin disease is a lesion of evil in the heart and kidney, divided into two types of cold and heat. Pathological mechanism: Insufficient yin qi, therefore the pulse is weak. Insufficient yin blood, hence thin pulse. Weakness and atrophy, hence sleepiness. The heart and kidney water and fire do not help, the disease evil from the water into cold, Yin and cold inside, so there is a school of cold symptoms. If the disease evil from fire to heat injures yin and yin deficiency and yang hyperactivity, then there is a school of heat symptoms. The principle of treatment for Shao-Yin disease is to support Yang and nurture Yin. If the cold is transformed into yang, it is appropriate to warm the yin; if the heat is transformed into yin, it is appropriate to clear the heat. For Shao-Yin with superficiality, use the method of warming the meridians and generating sweat; for internal knots of real heat, use the method of urgently lowering and nurturing Yin. The symptoms are: no heat and cold, weak pulse, but desire to sleep, cold extremities, diarrhea, vomiting and inability to eat, treatment should be to return Yang to save the rebellion as a matter of urgency. 2, heat transformation evidence of yin deficiency, hyperactivity and yin deficiency, fire and heat are the main two: ① heart distress, can not sleep, dry mouth and throat, red tongue, fine pulse, belong to yin deficiency, hyperactivity of yang, it is appropriate to clear heat and nourish yin Huang Lian Agaricus Tang. ②Downward diarrhea, unhealthy urination, cough, vomiting, thirst, disturbed heart and sleeplessness, using Pig Scutellaria Tang to nourish Yin and clear heat and distribute water and qi. 3, Shao-Yin and Sun table evidence of actual fever, vicious chills, no sweating, cold feet, sinking pulse, with Ephedra with seeds and spices or Ephedra with seeds and licorice soup (medicine as the name of the formula). 4. Shao-Yin and Yang-Ming internal reality, dry mouth and throat, abdominal distension, fullness and pain, no stool or clear water, it is appropriate to use Da Cheng Qi Tang to sharply lower Cunyin. One of the methods of identification in Chinese medicine. It is one of the methods to differentiate the depth of disease and the strength and weakness of evil by Sun, Yangming, Shaoyang, Taiyin, Shaoyin and Conjunctive Yin. It was developed by Zhang Zhongjing in the Han Dynasty on the basis of Suwen’s Treatise on Heat and other articles, and combined with the transmission characteristics of typhoid evidence. It is applicable to the identification of externally induced diseases. The six meridians are Sun, Yangming, Shaoyang, Taiyin, Shaoyin and Conjunctive Yin. The six meridians, namely sun, yangming, shaoyang, taiyin, shaoyin and syncope, are the pathological changes in the internal organs and meridians of the six meridians reflected in the clinical symptoms. The six meridians are used as a platform for identification and treatment, summarizing the physiological functions and pathological changes of the viscera, meridians and qi and blood, to illustrate the location and nature of the disease, the strength and weakness of the positive and negative, the tendency of the disease, and the relationship between the six meridians. The six meridians are mainly superficial, Yangming, Shaoyang, and Sanyin. The three yang illnesses are based on the lesions of the six internal organs, and the three yin illnesses are based on the lesions of the five organs. Therefore, the six meridians actually summarize the lesions of the internal organs and the twelve meridians. However, because the focus of the six meridians is to analyze the series of pathological changes caused by external wind and cold and its transmission pattern, it cannot be equal to the internal injury miscellaneous diseases of the internal organs. From the nature of the lesion and the relationship between evil and positive, three yang disease more heat, three yin disease more cold; three yang disease more real, three yin disease more deficiency. It can be seen that the six meridians identification also implies the idea of the eight syllabuses identification. The six meridians are a reflection of the pathological changes in the internal organs, and the internal organs are interconnected as a whole, so the pathology of a particular meridian is likely to affect another meridian. Therefore, the six meridians have mutual transmission of the evidence. The law of transmission are transmitted through, combined disease, and disease, straight and medium. The disease invades from the outside, gradually spreads to the inside, and changes from the symptoms of this meridian to the symptoms of another meridian, which is called transmission of the meridian. The transmission of the meridian depends mainly on the severity of the evil, the strength of the disease body and the proper treatment or not. The general rules of transmission are: ① Transmission through the meridians. That is, according to the sequence of the six meridians, such as the sun → Yangming → Shaoyang → Taiyin → Shaoyin → Conjugate Yin, or the sun → Shaoyang → Yangming → Taiyin → Shaoyin → Conjugate Yin. (2) Crossing the meridians. Not according to the above sequence of meridians, but across a meridian or across two meridians, such as the Sun does not heal, not Shaoyang but Yangming or Taiyin. (3) Transmission from the surface to the inside. It is a mutual transmission of two meridians, such as the Sun transmitting Shao Yin. Two or three meridian disease occurs at the same time for the combined disease, such as the sun disease typhoid evidence or stroke evidence and Yang Ming disease at the same time, for “sun Yang Ming combined disease”. Where the treatment of one meridian is not complete, or where the evidence of one meridian is not finished, and other meridian symptoms are seen, it is called concurrent disease. For example, if a sun disease is not thoroughly treated by sweating, and thus it is transferred to Yangming, it is called Sun-Yangming co-morbidity. Where the disease does not start from the Yang meridian, but through the Yin meridian, manifesting the three Yin meridian symptoms is straight in. There are still evil out of the table, from yin to yang mode of transmission, for the righteousness of the gradual recovery, the disease has to heal the signs. The use of the six meridians of evidence, can correctly grasp the law of the development of external diseases, in the treatment of its important guidance role. The principle of treatment of the six meridians is to eliminate the evil in the case of the three yang diseases and to support the positive in the case of the three yin diseases. Combined diseases and concurrent diseases. Clinical changes are very complex. The above-mentioned six symptoms can appear either alone or in combination with two or three others. For example, the symptoms of Sun disease such as strong pain in the head and collar, fever, and slight pain in the joints of the extremities can appear simultaneously with the symptoms of Yang Ming disease such as body heat, thirst, yellow feces, and burning in the anus, or the symptoms of Shao Yang disease such as vomiting and bitterness in the chest on the basis of the Sun disease. For combined Sun and Yang-Ming disease, Ge Gen Tang can be used to relieve the surface sweating, produce fluid and stop diuresis, while for combined Sun and Shao-Yang disease, Chai Hu and Gui Zhi Tang can be used to double resolve Sun and Shao-Yang.
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