The disease presents with a floating and large pulse. When asking the patient, they mention only having hard stools. If purgatives are used, it would be a major mistake. Hard stools indicate excess, and sweating will resolve the condition. Why is this? A floating pulse should be resolved through sweating.

bubble_chart Note

• A floating and large pulse indicates that the exterior has not been resolved. Even though there is hard stool and interior excess, purgatives should not be used. Why is this? Because the pulse is floating.
• The exterior should be resolved first. Once the exterior is resolved and the heat is eliminated, the interior and exterior will harmonize, and the stool will naturally pass.
• If purgatives are used, it would be a major mistake.

bubble_chart Collected Annotations

• Cheng Wu-ji said: "Even though thoracic accumulation is urgent, if the pulse is floating and large, purgatives should not be used, as purgation could lead to death, especially in cases of hard stools. As stated in the treatise: 'If one should induce sweating but instead uses purgation, this is a mistake. If sweating is induced first, the treatment is not a mistake.' This is what is meant."