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Shang Han Lun · Treatise on Cold Damage
9. Shaoyang Illness · Pulses, Signs and Treatment
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263. Shaoyang illness is characterized by bitter mouth, dry throat and dizziness.
264. In Shaoyang wind-strike, inability to hear with either ear, red eyes, chest fullness and agitation forbid vomiting and purging. Either treatment produces palpitations and fright.
265. In cold damage, a wiry, fine pulse with headache and fever belongs to Shaoyang. Sweating must not be induced in Shaoyang: it produces delirious speech, which belongs to the Stomach. Harmonizing the Stomach brings recovery; if it remains disharmonious, agitation and palpitations occur.
266. If unresolved Taiyang illness turns into Shaoyang, with hardness and fullness below the flanks, dry retching, inability to eat, alternating chills and fever, no previous vomiting or purging, and a deep, tight pulse, give Xiao Chaihu Tang.
267. If vomiting, purging, sweating or warm-needling has already been applied, delirious speech appears and the Chaihu Tang presentation ceases, this is a ruined illness. Identify which contrary treatment was committed and treat by the appropriate method.
268. Combined illness of the three yang divisions has a floating, large pulse extending above the guan, a wish only to sleep, and sweating whenever the eyes close.
269. On the sixth or seventh day of cold damage, restlessness and agitation without great heat mean that the illness has left yang and entered yin.
270. By the third day of cold damage, the three yang divisions have completed their course and the three yin should receive harmful influence. If the person instead can eat and does not vomit, the three yin have not received it.
271. On the third day of cold damage, a small Shaoyang pulse means the illness is about to end.
272. The time when Shaoyang illness tends to resolve runs from the yin period through the beginning of chen.
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