Cold-damage disease eight or nine days, mutual contention of wind and dampness, body aches and irritability, inability to turn over, no vomiting or thirst, pulse floating, weak, and rough, Cinnamon Twig and Aconite Decoction is the main treatment. If the person has hard stools and normal urination, remove Cinnamon Twig and add White Atractylodes Rhizome Decoction as the main treatment.

bubble_chart Note

• This follows the previous section, detailing the pulse and symptoms to clarify the treatment.
• cold-damage disease eight or nine days, no vomiting or thirst, indicates no internal cold-damage disease symptoms; pulse floating, weak, and rough, indicates no external cold-damage disease pulse.
• Pulse floating and weak indicates external deficiency wind; rough indicates cold-dampness in the meridians. Body aches and irritability belong to wind, inability to turn over belongs to dampness, hence the mutual contention of wind and dampness symptoms, not cold-damage disease, treat with Cinnamon Twig and Aconite Decoction to warm and disperse wind-dampness, resolving it from the exterior. If the pulse is floating and strong, then Ephedra plus Atractylodes Decoction should be used to greatly disperse wind-dampness.
• If the person has these symptoms, even with hard stools and normal urination, do not consider purging, as it is not pathogenic heat entering the interior causing hardness, but wind-dryness and dampness leaving, hence still use Cinnamon Twig and Aconite Decoction, removing Cinnamon Twig to avoid sweating and further depleting body fluids; add White Atractylodes Rhizome, as the body is heavy and dampness is in the flesh, to assist Aconite Lateral Root in expelling dampness from the muscles.

bubble_chart Collected Annotations

• Cheng Wu-ji said: "Irritability is due to wind. Body aches and inability to turn over are due to dampness. The Classic says: 'Wind causes floating and weak pulse.'
• Maijing says: A rough pulse indicates cold-dampness disease."

bubble_chart Formula

Cinnamon Twig Aconite Lateral Root, remove Cinnamon Twig and add White Atractylodes Rhizome formula for decoction
Aconite Lateral Root three pieces (processed, peeled, broken), White Atractylodes Rhizome four liang, Fresh Ginger Rhizome three liang (sliced), Chinese Date twelve pieces (crushed), Liquorice Root two liang (roasted)
The above five ingredients, boil in six sheng of water, reduce to two sheng, strain, and take warm in three doses. After the first dose, the person may feel numb, after half a day, take the second dose, after the third dose, the person may feel dizzy, do not be alarmed. This is because Aconite Lateral Root and Atractylodes are expelling water and dampness, which has not yet been completely removed, hence the reaction. The method should add four liang of Cinnamon Twig. This is originally one formula with two methods, removing Cinnamon Twig for hard stools and normal urination. For non-hard stools and abnormal urination, add Cinnamon Twig. Three pieces of Aconite Lateral Root may be too much. For the weak and postpartum women, reduce the dosage.