Cold-damage disease, its pulse is faint and rough, originally it was cholera, now it is cold-damage disease, but after four or five days it reaches the yin meridian, turning into yin will cause diarrhea, original vomiting and diarrhea cannot be treated. If it seems like defecation but instead there is flatulence, and still no diarrhea, this belongs to the yangming, the stool will definitely be hard, and it will heal in thirteen days, the reason being the end of meridian transmission.

bubble_chart Note

• This continues the previous discussion to differentiate fever, headache, body pain, aversion to cold, vomiting, and diarrhea, which are symptoms similar to cold-damage disease.
• If there are the aforementioned symptoms and the pulse is floating and tight, it is cold-damage disease.
• Now the pulse is faint and rough, originally it was cholera.
• However, cholera at the onset of illness immediately has vomiting and diarrhea, while cold-damage disease has vomiting and diarrhea only after four or five days when the pathogen has transmitted to the yin meridians, then vomiting and diarrhea begin.
• This originally was cholera's immediate vomiting and immediate diarrhea, so it cannot be treated as cold-damage disease, wait for it to stop on its own.
• If after stopping it seems like wanting to defecate, but there is only flatulence, and still no defecation, this belongs to the yangming.
• However, belonging to the yangming, the stool will definitely be hard, although the stool is hard, it is the hardness due to damage to fluids, not suitable for purgation, should wait until the thirteenth day for the end of meridian transmission, stomach harmony and fluid return, then defecation will naturally heal.
• If after thirteen days there is no defecation, it is due to transmission from one meridian to another not resolving, purgation is possible.

bubble_chart Collected Annotations

• Wei Li-tong said: "This explains the cholera disease, which seems like cold-damage disease, should be differentiated to clarify which is the vomiting and diarrhea of cold-damage disease, and which is the vomiting and diarrhea of cholera, to determine the correct treatment. The vomiting and diarrhea in cold-damage disease have the six meridian symptoms; while the vomiting and diarrhea in cholera have the exterior and interior yin-yang, all should be differentiated one by one, then there will be a definite understanding, and no confusion."