Tai Yang

Question 1

Line 1

Answer 1

The typical manifestation of Tai Yang disease are a floating pulse, headache, ache and stiffness on the nape and aversion to cold

Question 2

Line 2

Answer 2

In Tai Yang disease, where there is fever, sweating, aversion to wind and a moderate pulse, it is called zhong feng syndrome

Question 3

Line 3

Answer 3

In Tai Yang Disease, whether fever presents or not, aversion to cold must occur. There is pain over the body, vomiting and a tight pulse at the yin and yang positions. This is called shang han syndrome.

Question 4

Line 4

Answer 4

On the first day of suffering from cold damage, tai yang would be invaded. If the pulse is unchanged, it indicates that the disease has not changed. If a patient feels slight nausea or seems to have agitation and vexation, and the pulse becomes rapid and urgent, these symptoms indicate that the disease has changed.

Question 5

Line 5

Answer 5

Neither yang ming syndrome nor shao yang syndrome is observed, though cold damage has been going on for two or three days. This indicates that there is no progress for tai yang disease

Question 6

Line 6

Answer 6

In Tai Yang disease, if there is fever, thirst and absence of aversion to cold, it is called warm pathogen disease. If there is scorching hot on the body after promotion of sweating, this is called wind-warmth. The manifestations of wind-warmth are a floating pulse on the distal position and proximal position, spontaneous sweating, general heaviness, somnolence, stertorous breathing and difficulty speaking. If purging were used, there would be abnormal urination, staring eyes and fecal incontinence. If a fire method were used, the skin would turn to yellow in a mild scenario; in a severe scenario, there would be convulsion and periodic spasmodic jerking like epilepsy. If the fuming method was used, this would be another mistreatment. One mistreatment could still leave a few days for patients. Two mistreatments would speed up the death process for patients

Question 7

Line 7

Answer 7

When a disease presents with fever and aversion to cold, it indicates that the disease occurs in yang; when a disease presents with aversion to cold but the absence of fever, it indicates that the disease takes place in yin. The disease that occurs in yang can resolve in seven days, while the disease that takes place in yin can resolve in six days, because seven isa yang number while six is a yin number.

Question 8

Line 8

Answer 8

In tai yang disease, a headache has lasted for more than seven days and then the patient automatically recovers. This is because tai yang disease has gone through its first regular course. if it is about to go on for the second course, foot yang ming should be needled to stop this continuation, and then there will be recovery.

Question 9

Line 9

Answer 9

The time when tai yang disease is about to resolve is from 9am to 3pm

Question 10

Line 10

Answer 10

The patient who had zhong feng syndrome for a long time but does not feel refreshed, though the exterior condition has resolved, will completely recover in 12 days.

Question 11

Line 11

Answer 11

If the patient has a high fever but a desire to put more clothes on, this indicates heat in the skin and cold in the bone marrow. If the patient feels very cold but has no desire for clothes, this indicates that there is cold in the skin and heat in the bone marrow.

Question 12

Line 12

Answer 12

The pathology of zhong feng syndrome in tai yang disease is floating yang and weakness of yin. Floating yang produces a fever, weakness of yin makes spontaneous sweating. The patient has aversion to cold that makes them huddle up, aversion to wind as if their body is splashed with cold water, gentle fever as if their body is covered with feathers, sneezing or hoarse breathing in the nose, and dry retching. Cinnamon Twig Decoction should be prescribed.

During taking the formula, raw and cold food, sticky and greasy food, meat and food made of wheat, pungent vegetables, alcohol, dairy products and food with pungent odor should be avoided

Question 13

Line 13

Answer 13

In tai yang disease, when there is headache, fever, sweating and aversion to wind, Gui Zhii tang should be be prescibed.

Question 14

Line 14

Answer 14

Tai Yang disease presents with stiff nape and back, and there is sweating and aversion to wind instead of cold. Gui Zhi Tang should be prescribed.

Question 15

Line 15

Answer 15

In Tai Yang disease, after being purged, the patient feels qi surging; one may use Gui Zhi Tang according to the methods mentioned previously. If qi surging is absent, gui ahi tang cannot be prescribed.

Question 16

Line 16 (A&B)

Answer 16

Tai Yang disease has lasted for three days, during which sweating has already been promoted. If the disease is still not resolved after promotion of vomiting, purging or using a warm needle, this is a deteriorated disease and it cannot be treated by Gui Zhi tang. One should examine the pulses, symptoms and signs and what mistake has been made and give treatment accordingly.

Gui Zhi tang is designed for resolving the flesh. If the patient has floating and tightness pulses, fever and the absence of sweating, it can not be prescribed. One should always remember this contradiction for not making a mistake.

Question 17

Line 17

Answer 17

Gui Zhi tang can not be given to an alcohol drinker who is sick, since it will induce vomiting. This is because the drinker is not suited to eating sweet things.

Question 18

Line 18

Answer 18

In a patient who ordinarily has asthma, panting is induced by invasion of wind-cold. A better result can be achieved by adding hou po and xing ren when prescribing gui zhi tang

Question 19

Line 19

Answer 19

If there is vomiting after taking gui zhi tang, there would be vomiting with blood and pus.

Question 20

Line 20

Answer 20

In tai yang disease, a small amount of incessant sweating occurs after sweating is promoted. The patient has aversion to wind, abnormal urination, and a slightly tight spasm in the limbs that affect his or her bending and stretching, gui zhi plus fu zi should be prescribed.

Question 21

Line 21

Answer 21

After being purged in tai yang disease, there is a hasty pulse and fullness in the chest, gui zhi tang should be prescribed.

Question 22

Line 22

Answer 22

If there is slight intolerance to cold, gui zhi tang minus bai shao plus fu zi should be prescribed.

Question 23

Line 23

Answer 23

Tai Yang disease has lasted for eight or nine days. A patient presents with malaria like symptoms and signs such as fever and aversion to cold, which occur two to three times a day. The fever lasts longer and is more intense than aversion to cold. The patient does not have vomiting and has normal bowel movements and or urination. If a slightly moderate pulse is felt, this means that the patient is about to recover; if a feeble pulse is felt and the patient has intolerance to cold, this indicates that there is deficiency in yin and yang. One should not further promote sweating, vomiting and purging. If a red face is observed instead, this denotes that there is no propensity for the disease to resolve automatically and because the patient has not got light sweat and there would be general itching half gui zhi tang half ma huang tang is appropriate.