Volume II · Yáng Míng & Shào Yáng
Clause index
Clauses 179–272, grouped by formula family. 94 are written; the tracker below shows which are at full editorial depth and which are still in revision. Read the front matter first — method, scheduling notice and citation rules.
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Yáng Míng & Shào Yáng, clauses 179–272
12% complete
11 complete · 82 in revision · 1 still to write, out of 94 clauses.
- Complete
- In revision
- Stub
- What Yáng Míng is 陽明病提綱 · 179–2002/22
- When not to purge 陽明病禁下 · 201–2070/7
- The chéng qì family 承氣湯類 · 208–2201/13
- Heat without form: bái hǔ and zhū líng 白虎與豬苓 · 221–2353/15
- Jaundice and static blood 發黃與蓄血 · 236–2471/12
- Urgent purgation and the closing clauses 急下與辨黃 · 248–2621/15
- Shào Yáng — the half-exterior 辨少陽病脈證并治 · 263–2723/10
What Yáng Míng is
陽明病提綱179–200
The three doorways into Yáng Míng, the one-line definition (胃家實), and the external signs — heat, spontaneous sweating, and the switch from hating cold to hating heat.
179The three doorways into Yáng Míng — and why the route in tells you how hard you are allowed to treat.180Six characters that define the whole division: heat and substance bound in the interior, with nowhere to go.
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181Yáng Míng is often something we cause: three ways of draining fluid, and the dry bowel that follows.182The three external signs that tell you the illness has moved inside: body heat, spontaneous sweat, and hating heat rather than cold.183A brief chill at the start of a Yáng Míng illness does not make it a Tài Yáng one — watch which way it is heading.184Why Yáng Míng is the terminus: earth in the centre, where illness settles rather than passing through.185Two ways to catch the handover: an incomplete sweat, and the sudden appearance of a steady seeping sweat.186The pulse signature of the division: large, because there is real heat and real substance behind it.187The fork between damp-yellow and dry-hard: whether urine is flowing decides which way the illness goes.188One sign, repeated because it matters: the steady faint sweat that marks the handover.189Abdominal fullness is not enough on its own — with a floating pulse and aversion to cold still present, purging makes it worse.190Appetite as a thermometer for the stomach: eating means heat, not eating means cold.191Hard first, loose after — the stool pattern that tells you the bowel is cold, not repleted, and must not be attacked.192A dramatic spontaneous resolution: the body finds its own exit through the sweat, and the alarming behaviour resolves with it.193The resolution window for the division — and the mirror image of the tidal fever's timing.194Hiccup as the price of cooling a stomach that was cold underneath the heat signs.195A slow pulse under a full abdomen: purging will not touch it, and jaundice is on the way.196A crawling sensation instead of sweat — the surface cannot open because there is nothing left to push out.197Rebellious qì rising: cough, retching, cold hands and a headache travel together.198Heat rising along the channel: cough and sore throat as a pair, with appetite intact.199The jaundice formula in three signs: no sweat out, no urine out, and heat trapped in the chest.200Heat treatment on a heat pattern: the fastest way to produce jaundice.When not to purge
陽明病禁下201–207
Zhòng-Jǐng spends as much ink on holding back as on attacking. Vomiting, epigastric hardness and a red face all veto the purge, and 調胃承氣湯 enters as the gentlest of the group.
201Two pulses, two fevers: tight brings tidal heat, plain floating brings night sweating.202Wanting to rinse but not drink — the tell that heat has entered the blood rather than burnt off the fluids.203Counting urinations to predict the bowel — the treatise's most practical piece of fluid arithmetic.204The first of three vetoes: retching means qì is going up, so do not pull down.205Hardness high in the epigastrium is not bowel repletion — and the clause names death as the outcome of getting it wrong.206A wholly red face means heat is still surfacing — attacking it drives the heat inward and yellows the skin.207The gentlest of the three chéng qì formulas, for heat that is vexing the patient before any hard bind has formed.Tiáo Wèi Chéng Qì Tāng
The chéng qì family
承氣湯類208–220
Tidal fever, delirious speech and dry stool. The three chéng qì decoctions graded by force, and the test dose that tells you whether the stool has actually hardened.
208The master clause of the division: the exact criteria that license a purge, and the two formulas graded to what you find.Dà Chéng Qì Tāng
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209The flatus test — a diagnostic dose that tells you whether there is really anything in there to remove.210Two kinds of disordered speech, and the combinations that told Zhòng-Jǐng the patient would not survive.211Delirium from lost yáng, not from heat — and the pulse is what tells the two apart.212The full severe picture of interior heat delirium, with the two signs that separate the recoverable from the dying.213Delirium from a dry bowel with no tidal fever — the milder formula, stopped the moment the speech clears.Xiǎo Chéng Qì Tāng214Dosing by response, with a hard stop: a faint rough pulse the next morning ends the treatment, whatever the bowel is doing.215Appetite grades the severity of the bind: still eating means hard, unable to eat means impacted.216Delirium with bleeding is a blood-level problem — and the treatment here is a needle, not a decoction.217Timing, not just indication: purge before the exterior stage is finished and the delirium gets worse.218A deep pulse forbids sweating; sweat it anyway and you manufacture the delirium yourself.219Heat filling all three yáng at once: neither sweating nor purging will do — clear it instead.Bái Hǔ Tāng220Once the Tài Yáng signs are gone, the same triad returns and the purge is finally licensed.Heat without form: bái hǔ and zhū líng
白虎與豬苓221–235
Blazing heat with thirst and no bind to attack, the qì-level fever of the three-yáng combination, and the water-heat pattern where purging would be exactly wrong.
221Three wrong turns from one presentation, and the formula that cleans up after the third.Zhī Zǐ Chǐ Tāng222The same mistreated patient, one step further along — heat has now burned through the fluids.Bái Hǔ Jiā Rén Shēn Tāng223Thirst plus scanty urine is a water problem, not a dryness problem — and purging it would be a serious error.Zhū Líng Tāng224The prohibition that keeps the previous clause honest: do not drain a patient who is already losing fluid through the skin.225A hot-looking surface over a cold, failing interior. Treat the interior, and treat it now.Sì Nì Tāng226A one-line bedside test: give water to a patient who cannot eat and watch what happens.227Heat that keeps rising and cannot get out through the bowel finds the nose instead.228Hungry but unable to eat, sweating only above the neck: residual heat in the chest after a purge.229Tidal fever without a hard stool is not a bowel to be attacked; the flank fullness tells you where the illness actually is.230Constipation resolved by opening the chest rather than attacking the bowel — and the mechanism spelled out.231The most crowded clause in the division — three divisions at once, and a sequence of treatment rather than a single prescription.232The continuation of clause 231 — and one of the treatise's rare admissions of defeat.233A hard stool that is dry, not blocked — treat it locally and leave the purgatives alone.Mì Jiān Dǎo234Any aversion to cold at all means the exterior is still open — treat it first.235The sealed-surface counterpart to clause 234 — no sweat, so open the surface fully.Má Huáng Tāng
Jaundice and static blood
發黃與蓄血236–247
Damp-heat with nowhere to vent turns the skin yellow; 茵陳蒿湯 is the answer. Alongside it, the forgetful patient with black stool — heat bound into blood, not into stool.
236The mechanism of jaundice stated outright — heat with no exit through skin or urine.Yīn Chén Hāo Tāng237Forgetfulness plus black, easily passed stool: heat bound into blood rather than into the bowel.Dǐ Dàng Tāng238The single most useful bedside question in the division: is the whole stool hard, or only the first part?Dà Chéng Qì Tāng239Pain around the navel that comes in waves at set times is the bowel telling you it is loaded.240Same fever, two opposite treatments — the pulse decides.241A purge that did not finish the job, because there was old food behind the block.242Alternating constipation and looseness with breathlessness on lying flat — a loaded bowel pushing upward.243A cold-stomach vomiting pattern inside the hot division — with a built-in test if you get it wrong.Wú Zhū Yú Tāng244How a Tài Yáng pattern becomes a Yáng Míng one — and why ten days without a stool can be harmless.Wǔ Líng Sǎn245How much sweat is the right amount — and what over-sweating actually costs.246A hollow pulse under a floating one — strong on the surface, empty in the middle.247Spleen restraint: the mild, chronic constipation of the division, and its pill.Má Zǐ Rén Wán
Urgent purgation and the closing clauses
急下與辨黃248–262
The three 急下 emergencies where fluid loss outruns the illness, the mild-formula corrections, and the final jaundice trio that closes the division.
248Steaming heat from within after a failed sweat — the mildest of the three chéng qì formulas.Tiáo Wèi Chéng Qì Tāng249Distension that appears after vomiting: heat left behind, not repletion built up.250The middle chéng qì, and the verb that defines it: harmonise rather than attack.Xiǎo Chéng Qì Tāng251A day-by-day protocol, and a rule for timing: urine tells you when the stool is ready.252The first of the three 急下 emergencies. The eyes are the alarm, and the mild fever is the trap.253The second emergency, in twelve characters: fluid pouring out of a hot interior.254The third emergency: a failed sweat followed by an abdomen that has become painful.255A test of substance: repletion does not come and go, deficiency does.256Diarrhoea that needs purging, and a five-phase reading of the pulse as prognosis.257When purging clears the stool but not the fever, look at the blood.258Continuation of the previous clause, and a prediction of dysentery.259Not all jaundice is damp-heat. This one is cold, and purging it would be a serious mistake.260The colour test: bright tangerine yellow means damp-heat.Yīn Chén Hāo Tāng261Jaundice with fever but no bowel signs — clear the heat and leave the bowel alone.Zhī Zǐ Bǎi Pí Tāng262The division closes with jaundice that still has an exterior — so open the surface as well as drain the damp.Má Huáng Lián Yáo Chì Xiǎo Dòu Tāng
Shào Yáng — the half-exterior
辨少陽病脈證并治263–272
Ten clauses, and the shortest division in the book. A bitter mouth, a dry throat, dizzy vision — and the standing prohibition against sweating, purging or vomiting a patient whose illness sits between the surface and the interior.
263Three signs, no fever, no pulse quality — the division is defined by what the patient tastes and sees, not by what you can measure.264Heat rising along the channel closes the ears and reddens the eyes — and the wrong treatment converts it into a heart-level disturbance.265The wiry thin pulse is the tell, and the standing prohibition: do not sweat Shào Yáng.266The classic handover: the surface illness that never quite cleared and settled under the ribs instead.267The most honest line in the division: once you have mistreated it, stop reaching for the formula and work out what you did.268All three yáng divisions engaged at once — heat everywhere, and a patient too depleted to stay awake.269The fever settles and the patient gets worse — a handover into the yīn divisions, not a recovery.270Appetite is the test. A patient who can eat has not lost the middle, whatever the calendar says.271A wiry pulse that has gone quiet is the illness leaving, not the patient failing.272The division closes with its resolution window — roughly 3am to 9am, when yáng qì is rising.
Also available: Volume I — Tài Yáng, clauses 1–178.