translated by Dr. Lim Siow Jin @2015 all rights reserved.
48. Simultaneous exo-yang and endo-yang illness, is due to the fact that in the beginning of exo-yang disorder, there is insufficient induction of sweat, leading to pathogenic factor is not completely removed but advance inward causing endo-yang disorder. The syndrome is wet skin without chill. If both exo and endo yang are sick, instead of induction of sweat, some doctor wrongly induce purging, this will lead to complication. This situation can be treated with minor induction of sweat. If the patient's face turn very reddish, this is due to pathogenic factor congested on the exo-section, should be treated with induction of sweat and steam sauna. If exo-yang illness the treatment of induction of sweat is not sufficient, the sweat is not induced smoothly, or it should sweat but sweating is not happened, then the pathogenic heat will be congested in the body and can not release out, the patient will show restlessness, short in breath, feel the whole body uncomfortable, difficult to describe his problem, and the pain is random, some time in the abdomen, some time in the four limbs feeling painful. The patient feel difficult to identify the painful area, this is due to insufficient sweating and the pathogenic factor is congested in the body. We should continue to induce sweating. One it sweats properly, the pathogenic factor will be push out and the illness can be cured. How do we know that the sweat induction is not sufficient? By observing the pulse, it is not beating smoothly, indicating the pathogenic factor congested on the exo-section, then we know it is due to insufficient sweating.