translated by Dr. Lim Siow Jin@all rights reserved.
113. The illness look like chill exo-illness, however, the pulse is not tense but weak, other symptoms like thirst is appearing. This is warm exo-illness and not chill exo-illness. If wrongly treated with fire technique, the pathogenic heat is forcing into the body, will resulted in complication like delirium. Warm illness when started, the pulse may be weak. Normally the pulse is float and body feverish. Treat with cold spicy sweat induction method. After sweating the pathogenic factor or toxin is discharged, the illness can be treated.
Note: Exo-illness can be classified into yin and yang illness. Yin illness there is no fever, yang illness always accompany by fever. Exo yang illness is further classified as Chill exo-yang and Warm exo-yang. Both are having fever, only that chill exo-yang is caused by exposing to cold environment, the fever is accompany with chill and aversion to cold, normally no thirst, the pulse is float but tense. However, warm or hot exo-yang disease is normally caused by the exposure to hot environment, the pulse is not tense, initially it can be weak, but after a few days when the fever become severe, the pulse will be beating hard. In this case the fever is high and the chill is much less or no chill at all, the patient will feel thirty and love cold water. Many doctors are confused with the fever and think that all fever cases are hot or warm illness, wrong treatment with cold herbs in chill exo-yang can lead to severe complication. Similarly, wrong treatment with warm exo-yang with warm herbs can be fatal. So a student should learn in the early day how to differentiate chill fever and hot fever, the treatment methods are just opposite to each other.