Shaoyin disease for six or seven days, with high breathing, is fatal.

bubble_chart Note

• Shaoyin disease is characterized by a desire to sleep, with normal breathing indicating harmonious qi flow.
• Now, high breathing and rapid gasping indicate rebellion.
• Generally, patients lying down with high breathing and rapid gasping often die.

bubble_chart Collected Annotations

• Yu Chang said: "The phrase 'six or seven days' is crucial for diagnosis. When Shaoyin is transmitted and breathing is high, it is entirely different from the exterior syndrome of Taiyang causing panting within two or three days."
• Cheng Zhi said: "The kidneys are the source of generative qi. High breathing means the qi disperses into the chest and cannot return to the sea of qi, hence it is fatal."
• Cheng Yingbiao said: "The lungs govern qi, and the kidneys are the source of generative qi, as they control the respiratory passage, which is crucial for life and death. High breathing indicates that generative qi is already cut off below and cannot be absorbed, hence the breath only exhales above without inhaling. Death may occur after six or seven days, but the signs appear before that. Since Shaoyin is affected, why not protect and prevent in advance, to avoid the dissipation of true yang and make it irrecoverable? All the prohibitions against sweating and the urgent need for warming in the text are based on this understanding!"
• Wei Li-tong said: "After seven days, high breathing with counterflow qi is the same as frequent self-dizziness, both indicating upper collapse. One is dizziness with yang rising and not returning, the other is high breathing with the root of qi already severed. They are the same principle manifesting in different symptoms, hence Zhongjing predicts death for both."