Cheng Wuji: There are two types of abdominal rumbling, both belonging to complicated diseases (Bing). One is caused by the erroneous use of purgatives in Taiyang disease (treated with Gancao Xiexin Tang), due to the damage of Yin Qi caused by the mistaken purgation. The other arises after sweating and resolution of the exterior syndrome in Taiyang disease (treated with Shengjiang Xiexin Tang), due to the damage of Yang Qi caused by mistaken sweating. Generally, these two formulas are used to restore the balance of Yin and Yang Qi.

In Taiyang or Zhongfeng diseases, if the physician erroneously uses purgatives, the patient suffers from diarrhea dozens of times a day, undigested food, abdominal rumbling, epigastric fullness and hardness, dry heaving, irritability, and restlessness. If the physician sees the epigastric fullness and purges again, the fullness becomes worse. This is not due to excess heat accumulation, but because of deficiency of Stomach Qi and rebellious pathogenic Qi ascending, leading to loose stools. Gancao Xiexin Tang should be administered. (See detailed discussion under "Diarrhea")

After Taiyang disease resolves following sweating, if there is disharmony in the Stomach, presenting as epigastric fullness and hardness, frequent belching with a smell of fermented food, fluid retention in the hypochondrium, abdominal rumbling, and diarrhea, Shengjiang Xiexin Tang should be administered. (See detailed discussion under "Fullness")

Cheng Wuji: Quansuo refers to the symptom of the body being curled up and unable to extend. This is always due to extreme Yin-Cold. Even if this symptom appears in Yang meridians, if there are exterior signs, warming meridian agents such as Guizhi Fuzi Tang are appropriate. How much more so for Shaoyin disease with interior cold, diarrhea, and cold extremities? Formulas like Sini Tang cannot be omitted. Cases with Yin without Yang are considered incurable.

In Shaoyin disease with diarrhea, if the diarrhea stops spontaneously, the patient feels aversion to cold and curls up, but the hands and feet are warm, it is treatable (some suggest Sini Tang or Zhenwu Tang). In Shaoyin disease, with aversion to cold, curling up, occasional spontaneous irritability, and a desire to remove clothing and blankets, it is treatable (The Huoren Book suggests Xiaochaihu Tang). In Shaoyin disease, with aversion to cold, curling up, and diarrhea, if the hands and feet are cold, it is incurable. In Shaoyin disease presenting with Sini (cold extremities), aversion to cold, curling up, absence of pulse, no irritability but only restlessness, it is a death case.

Jiuji refers to spasmodic stiffness making flexion and extension difficult. Regardless of which meridian the disease affects, any occurrence of this symptom is caused by Yin-Cold, as Cold has the nature of contraction. Zhang Zhongjing’s methods state that even in Taiyang disease or when Wind-Dampness combats causing spasms, formulas like Guizhi Jia Fuzi Tang or Gancao Fuzi Tang are prescribed. How much more so for interior diseases of the Yin meridians or Huoluan syndromes, where Sini Tang-type formulas are essential?

In Taiyang disease, excessive sweating leading to continuous leakage of sweat, aversion to wind, difficulty urinating, slight stiffness of the four limbs making flexion and extension difficult, requires Guizhi Jia Fuzi Tang. (Formula see "Spontaneous Sweating"). When Wind-Dampness combats, causing severe joint pain, inability to flex/extend, sweating, shortness of breath, difficulty urinating, aversion to wind, or slight edema, Gancao Fuzi Tang is indicated. (Formula see "Body Pain"). In Taiyang disease, with floating pulse, spontaneous sweating, frequent urination, irritability, slight aversion to cold, and cramping of the foot, Guizhi Jia Fuzi Tang should originally be used. Using Guizhi Tang to attack the exterior was an error. Instead, Gancao Ganjiang Tang should be made to restore Yang Qi. If improved and feet become warm, then Shaoyao Gancao Tang should be made to relax the foot muscles. If heavy sweating occurs, heat persists, internal stiffness, limb pain, accompanied by diarrhea, cold extremities, and aversion to cold, Sini Tang is indicated.

In Yi Chang disease (post-illness sexual transmission syndrome), with heavy body, shortness of breath, urgency in the lower abdomen, and stiffness in the knees and shins, Shao Kun San (Burned Underwear Powder) is indicated.

Wu Shi: Whenever Taiyang disease involves heavy sweating followed by exposure to wind, sweat flow becomes obstructed, and Wind pathogen invades the meridians due to deficiency. This causes twitching and spasms of hands and feet, inability to flex/extend, and stiff meridians. Niubang Gen San is suitable for administration.

Niubang Gen San Formula:
Niubang Gen (10 segments), Mahuang (roots and nodes removed), Chuan Niuxi, Tian Nanxing (each 6 qian). Finely chop the herbs, place in a stone mortar, add 1 sheng of good wine, and grind finely. Separately, burn a pit in yellow earth with half a cheng of charcoal until red hot. Remove fire, clean the pit, put the medicine inside, and burn with charcoal until black. Take out and grind into fine powder. Take 1 qian per dose, mixed with warm good wine, three times a day. Effective. Applying Baicao Gao externally is also beneficial.