Shaoyang disease:the Lesser Yang syndromes,an introduction.
Shaoyang disease (lesser yang disease, shaoyang sybndrome).
✵Shaoyang disease (lesser yang disease, shaoyang sybndrome): Disease or syndrome in which the pathogenic heat exists between the exterior and interior of the body, marked by alternate fever and chills, fullness and choking feeling in the chest and hypochondriac region, dry throat, and taut pulse.
✵Herbalist Zhang Zhongjing defined the Shaoyang disease (lesser yang disease, shaoyang sybndrome) in about 31 entries. These syndromes are all defined in details by his famous works.
Shaoyang disease (lesser yang disease, shaoyang sybndrome).
[entry-01]. The disease of Shaoyang disease, bitterness in the mouth, dry throat, dazzled.
[entry-02]. Shaoyang Zhòng Fēng (Shaoyang wind-affection syndrome), hear nothing with ears (deaf), hot eyes (red eyes), fullness sensation in chest and vexed, emetic and purgative method cannot be used, if emetic and purgative method is applied, will palpitate and frightened (heartthrob with terror, scared or frightened).
[entry-03]. Shāng Hán (Tai Yang cold-affection syndrome), the pulse is wiry and thready, cephalea (headache), fever, belong to Shaoyang. Shaoyang, perspiration cannot be induced, if perspiration is induced then delirious speech (wild talks), this belongs to the stomach, when the stomach is normalized then it will relieve, if the stomach is in disorder, then vexed and palpitate.
[entry-04]. Originally it is Taiyang disease, not relieved, transmit to Shaoyang, rigidity and fullness below the costal region, retching and cannot take food, alternation of fever and chill (alternative fever and chill), emetic method or purgative method has not been applied yet, the pulse is sunken and tense, ...
[additional case]. Shāng Hán (Tai Yang cold-affection syndrome), five to six days, Zhòng Fēng (Tai Yang wind-affection syndrome), alternation of fever and chill (alternative fever and chill), thoracic and hypochondrium fullness, silent and does not want to take diet or drink, perturbed (vexed) and likes to vomit, or irritable sensation in chest and not vomit, or thirst, or abdominal pain, or hypochondrium fullness and rigidity (fullness and hardness below the costal region), or palpitate, urination is inhibited (difficult urination), or not thirst, slightly fever of the body, or cough, ...
[entry-05]. Deficiency of Qi-blood (blood insufficiency and exhaustion of Qi), Còu Lǐ Kāi (opening of the space between skin and muscles), pathogenic Qi thus enters, combat with healthy Qi, accumulation of pathogens below the costal region, struggle between healthy Qi and pathogen, alternation of fever and chill (alternative fever and chill), attack or stop at intervals, silent and does not want to take food or drink. Zang-viscera and Fu-viscera connect, the pain surely flows downward, pathogen is high and pain is lower, thus lead to vomit, ...
[entry-06]. After taking Chaihu Tang, thirst, belongs to Yangming, treat with method.
[entry-07]. Catch the disease, six to seven days, the pulse is slow, floating and weak, aversion to wind and cold, warm in hands and feet, purgation is induced by herbalist twice or triple times, cannot take food and hypochondrium fullness, yellowing of eyes, face and body, stiffness of neck, urination is inhibited (difficult urination), ..., later surely heaviness of the lower. Originally thirst and wants to vomit after drinking water, ...the patient who takes grains will vomit.
[entry-08]. Shāng Hán (Tai Yang cold-affection syndrome), four to five days, fever and aversion to wind, stiffness of neck, hypochondrium fullness (fullness below the costal region), warm in hands and feet and thirst, ...
[entry-09]. Shāng Hán (Tai Yang cold-affection syndrome), the Yang pulse is choppy, the Yin pulse is wiry, should feel acute pain in abdomen, ...if not relieved, ...
[entry-10]. Shāng Hán Zhòng Fēng (Tai Yang cold-affection syndrome, or Tai Yang wind-affection syndrome), there are symptoms of Chaihu, as long as one symptom is observed, it is the syndrome of Chaihu, not necessarily observe all symptoms.
[entry-11]. In the case that syndrome of Chaihu Tang and purgation is applied, if syndrome of Chaihu is not stopped, give Chaihu Tang again, surely shaking, but fever and perspire then will relieve.
[entry-12]. Woman catch Zhòng Fēng (Tai Yang wind-affection syndrome), seven to eight days, then catch alternation of cold and fever, breaking out at interval time, menses just stop at the time, this is invasion of blood chamber by heat, the blood surely accumulating (binding), thus lead to symptoms similar to malaria, breaking out at interval time, ...
[entry-13]. Woman catch Shāng Hán (Tai Yang cold-affection syndrome), fever, menses just come at the time, still clear in daytime, delirious speech (wild talks) at evening, similar to seeing an apparition, this is invasion of blood chamber by heat (heat into the blood chamber), not violate stomach Qi and the two upper energizers, surely will relieve.
[entry-14]. Shāng Hán (Tai Yang cold-affection syndrome), five to six days, sweating on head, slightly aversion to cold, cold limbs (cold in hands and feet), fullness below the heart (fullness of the upper abdomen), mouth does not want to take food, the excrement is hard, the pulse is thready, this is slight Yang constipation, surely has the exterior, and has the interior repeatedly, the pulse is sunken, is also in the interior, sweating is the weakness of Yang Qi, suppose if pure Yin constipation, no exterior symptoms again, all enter the interior, this is the half interior and half exterior syndrome, although the pulse is sunken and tense, cannot be Shaoyin disease, for the reason, Yin cannot have sweating, now there is sweating on head, thus know it is not Shaoyin,... If it can not relieve, after defecation it will get relieved.
[entry-15]. Yangming disease, hot flash (hectic fever), loose stool, urination is normal, fullness in chest and hypochondrium and cannot be relieved, ...
[entry-16]. Yangming disease, hypochondrium fullness and hardness (fullness and hardness below the costal region), constipated and vomit, white tongue coating, ... The upper energizer gets opening, body fluid gets flowing downward, thus the stomach Qi turns normal, body sweating, and it will get relieved.
[entry-17]. Yangming Zhòng Fēng (Yangming wind-affection syndrome), the pulse is wiry, floating, large and short of breath, abdominal distention (fullness in the abdomen), hypochondriac pain and cardiodynia (heartache), press down for a long time, Qi is obstructed, nasal cavity dryness and could not sweat, addict to sleeping, the body and face eyes all turn yellowing, dysuria (difficult urination), has hot flash (hectic fever), often vomit, swelling in front and behind ears, apply acupuncture and slightly relieve, the exterior is not relieved. Over ten days passed since the onset of disease, the pulse is continously floating, ...; the pulse is only floating, there are no other symptoms, ...; if anuria (urination is stopped), abdominal distension and vomit (fullness in the abdomen, vomit), incurable.
[entry-18]. Vomit and fever, ...
[seeing later case]. If emetic method, purgative method, perspiration method are applied yet, warm needles applied, delirious speech (wild talks), the syndrome of Chaihu Tang is over, this is deteriorated case, knowing what mistaken therapy was applied, treat with method.
[entry-19]. Three-yang combined syndrome, the pulse is floating and large, up to Guān Shàng, only wants to sleep, when eyelids close temporarily then perspiring.
[entry-20]. Shāng Hán (Tai Yang cold-affection syndrome), six to seven days, no severe heat, impatient and vexed, this is because pathogenic factor leaves Yang and then enters Yin.
[entry-21]. Shāng Hán (Tai Yang cold-affection syndrome), three days, passing through three Yang to the end, then pathogenic factor should invade three Yin, the patient can take food and not vomit, this is the conditions that three Yin not affected by pathogenic factor.
[entry-22]. Shāng Hán (Tai Yang cold-affection syndrome), three days, the pulse of Shaoyang is small, will stop.
[entry-23]. Shaoyang disease, will be relieved, from Yín (the third of the twelve Earthly Branches, 3-5 a.m.) to Chén (the fifth of the twelve Earthly Branches,7-9 a.m.).
[additional case]. Taiyang disease, pass channel over ten days, contrary (to expectations), purgation was induced twice or triple times, four to five days after (the purgation), the syndrome of Chaihu is still observed, ... Vomiting is unstoppable, epigastric oppression (emergency under the heart, feeling of fullness and dull pain in the upper abdomen), depressed and slightly vexed, is not relieved, ...and will get relieved.
[entry-24]. Shāng Hán (Tai Yang cold-affection syndrome), over ten days, heat accumulation in the interior, and alternation of fever and chill (alternative fever and chill), ... Only thoracic accumulation (accumulation of pathogens in chest), no severe heat, this is the syndrome that water accumulation in the chest and hypochondrium. Slight perspiring (slight sweating) only on head, ...
[entry-25]. Shāng Hán (Tai Yang cold-affection syndrome), fever, sweating yet and not get relieved, fullness and hardness under the heart (epigastric fullness and rigidity), vomit and diarrhea, ...
[entry-26]. Shāng Hán (Tai Yang cold-affection syndrome), thirteen days and not get relieved yet, fullness in chest and hypochondrium (painful chest and hypochondrium) and vomit, hot flash (hectic fever) at Rì Bū (ancient time term, shēn time, about 3-5 p.m.), after (purgation is induced) and slightly diarrhea, this is originally syndrome of Chaihu, purgative method is applied but did not lead to diarrhea, contrary (to expectations) now gets diarrhea, knows that herbalist induced purgation with pill, not its treatment. The hot flash (hectic fever), is a syndrome of excess, ...
[entry-27]. Shāng Hán (Tai Yang cold-affection syndrome), eight to nine days, purgative method is applied, fullness sensation in chest, vexed and gets frightened, dysuria (difficult urination), delirious speech (wild talks), somatic heaviness (heaviness of the whole body), unable to move around, ...
[entry-28]. Shāng Hán (Tai Yang cold-affection syndrome), six to seven days, fever, slightly aversion to cold, restless pain of extremities (restless arthralgia of limbs), slightly vomit, accumulating under the heart (accumulation of pathogenic factors in the epigastrium), the syndrome of exterior is not relieved, ...
[entry-29]. Shāng Hán (Tai Yang cold-affection syndrome), five to six days, perspiration is induced, and purgation is applied again, fullness in chest and hypochondrium (painful chest and hypochondrium) and slight accumulation, dysuria (difficult urination), thirst and not vomit, only sweating on head, alternation of fever and chill (alternative fever and chill), perturbed (vexed), this is not relieved yet, ...
[entry-30]. Shāng Hán (Tai Yang cold-affection syndrome), five to six days, vomit and fever, has syndrome of Chaihu, contrary (to expectations), other herbs were used for purgation, the symptoms of Chaihu are still observed, give Chaihu Tang again, this is the case that although purgation was induced yet, is not treatment in the same direction, surely shaking, and will has fever and sweating then get relieved. If there is fullness and hardness pain under the heart (fullness and hardness of the upper abdomen), this is the thoracic accumulation (accumulation of pathogens in the chest), ... If only fullness but not pains, this is Pǐ (ancient syndrome, mass or stuffy lump in the abdomen), should not use Chaihu, ...
[entry-31]. Taiyang-shaoyang combined syndrome, spontaneous diarrhea, ... If vomit, ...
Shaoyang disease (lesser yang disease, shaoyang sybndrome):brief introduction.
✵Bitter taste, dry pharynx, dizziness, is an outline of Shao Yang disease from Zhongjing.
References:
1.Shaoyang disease:the Lesser Yang syndromes,an introduction.
2.Shang Han Za Bing Lun:the Treatise on Cold-induced and Miscellaneous Diseases.By Zhāng Zhòngjǐng.
3.Shang Han Lun:the Treatise on Cold-induced Diseases.By Wáng Shūhé.
4.Zhong Jing Quan Shu:the Complete Book of Zhongjing.By Zhào Kāiměi.
✵Shaoyang disease (lesser yang disease, shaoyang sybndrome): Disease or syndrome in which the pathogenic heat exists between the exterior and interior of the body, marked by alternate fever and chills, fullness and choking feeling in the chest and hypochondriac region, dry throat, and taut pulse.
