How to treat external hyperactivity of false yang

The term "excessive outflow of false yang" is also a special term in traditional Chinese medicine. It mainly refers to the excessive fire in the human body that causes the yang energy to surge outwards. However, the excess of false yang is not a disease. It mainly refers to many symptoms produced in the human body. For example, ulcers in the mouth and tongue and bloodshot eyes are all caused by the excess of false yang. So when a person has the phenomenon of false yang flowing out of the body, how should it be treated?

The outward escape of false yang is a false sign of disease. There are different levels of severity clinically. In mild cases, the false yang rises and the virtual fire rushes upward, with symptoms tending to the head, face, and five senses, with sores in the mouth and tongue, toothache, laryngeal congestion and sore throat, headache, dizziness, thirst, and dry throat; in severe cases, the false yang escapes outward, with symptoms tending to the whole body, with fever, rashes, red face, lumps, sweating, etc. Although clinically, it often manifests as a mixture of cold and heat, it is still easy to distinguish with careful identification, such as fever or self-conscious fever, but wanting to cover oneself with clothes and quilts, and no burning sensation in the chest and abdomen when touched; complexion is flushed like makeup, but not completely flushed; mental agitation and restlessness, fatigue and weakness; thirst but no desire to drink, or preference for hot drinks; sore throat but no redness or swelling; floating or rapid pulse, which is weak when pressed; constipation but the stool is not dry, or there is diarrhea and clearing the stomach, etc.

1. Use the method of prescription

The pathogenesis and symptoms of external overflow of false yang are the same as those of "Dai Yang" and "Ge Yang". The reason is that kidney yang is weak and yin and cold are prevalent inside. Yin is prevalent below (inside), causing weak yang to float above (outside). This is a symptom of yang floating and unable to hide.

Article 283 of Treatise on Febrile Diseases states, "If the patient's pulses are both tight in yin and yang, but he sweats, it means he has lost his yang. This belongs to Shaoyin, and he should have sore throat, vomiting and diarrhea." Article 317 states, "In Shaoyin disease, if he has diarrhea and clear stools, cold inside and heat outside, cold hands and feet, weak pulse, but does not feel cold, and his face is red, or he has abdominal pain, or dry retching, or sore throat, or diarrhea has stopped and his pulse is gone, Tongmai Sini Decoction is the main treatment." Article 377 states, "If he vomits and has a weak pulse, and urinates frequently, and has a slight fever and coldness, he is difficult to treat and Sini Decoction is the main treatment." Article 389 states, "If he vomits and has diarrhea, and urinates frequently, and sweats profusely, he has diarrhea and clear stools, cold inside and heat outside, and a weak pulse, Sini Decoction is the main treatment." These articles discuss the external excess of false yang in great detail. It can be said that at this stage of the disease, the danger has already appeared and one must be careful. However, the symptoms of false yang escaping outward are not as dangerous as mentioned in the theory. In terms of severity, it is serious but not necessarily critical, that is, the symptom of floating false yang is a serious symptom but not necessarily a critical symptom. Such patients are not uncommon in clinical practice. Moreover, with the widespread misuse of cold medicines, the improvement of quality of life, and the continuous intake of cold foods such as cold drinks and fruits, the incidence of such diseases has tended to increase significantly.

In actual clinical practice, the symptoms caused by Yin-cold, such as toothache, throat congestion, mouth ulcers, insomnia, dizziness, hot face, body heat, hot hands and feet, hot urine, hot anus, redness and swelling of the lips and mouth, etc., all fall into the category of external overflow of false Yang. However, if the syndrome differentiation of this type of disease is not careful, it is very easy to diagnose it as yin deficiency with heat, so it is necessary to pay special attention to this point.

The following are some points that are easy to confuse in the differentiation.

① Both Yin deficiency and Yang deficiency can cause hot palms and soles, hot flashes in the body, and a fine pulse.

②Both Yin deficiency and Yang deficiency can cause symptoms in the waist and head.

③Both Yin deficiency and Yang deficiency can cause dry stool and hot urine.

④Both Yin deficiency and Yang deficiency can cause dry mouth, insomnia, etc.

However, the key to dialectics lies in the word "God". That is, patients with yang deficiency will definitely be "spiritual", and patients with yin deficiency will definitely be "spiritual". The key points for identifying this syndrome are listed below.

①The symptoms of yang deficiency and yin excess mentioned in "Treatise on Febrile Diseases".

② Lack of energy or no energy; the pulse is deep or weak or floating, large and empty.

③ Likes to lie down and is reluctant to speak, limbs are tired and weak, curled up, feels cold, and has cold feet.

④ Intolerant of fatigue and sweating after slight exertion.

⑤ The vaginal discharge of women is clear, thin and cold, not smelly or sticky, or the vaginal discharge is continuous.

⑥ Eat less and do not eat cold food at all.

⑦ The voice is low and weak; the face is pale, the tongue is pale, and the tongue coating is yellow and moist.

⑧The lips are light or dark in color.

⑨ The mouth is full of saliva, and the patient does not want to drink water. Or the patient feels thirsty occasionally, but does not drink much and prefers hot drinks.

⑩The urine is clear and long, and the stool is loose or dry.