Discussion of Shanghan Lun:Syndrome of Sini Powder with Qi Depression and Urgent Diarrhea of Shaoyin Belongs to Warm Disease—Syndrome Differentiation and Treatment of Shaoyin Disease with Heat Transformation Syndrome

1Sini of Sini Powder is because of unfavourable Shaoyin Qi activity,less pivotal,cannot play its pivotal function of Yin and Yang,which lead to dispersion of Yin and Yang are abnormal,Yang Qi cannot reach to the limbs. Because the disfluency of the Qi activity,so the water channels is abnormal,cough due to lung Qi,palpitate due to dispersion of heart Qi,difficult urination of disfluency of the water channels,stomachache due to stagnation of the circulation of vital energy,so it is urgent diarrhea. 2Article 321 Shaoyin disease,urination is clear,under the heart is pain,mouth is dry,can purgating,suitable for Dachengqi decoction. This syndrome is not heat fecaloma with watery discharge,not Yangming fuviscera excess is interacts exterior and interior with Shaoyin heart and Hand-Taiyangsmall intestine,heart-fire hyperactivity,move down to small intestine,small intestine can not separating the useful from the waste,lead to the gall move down with follow,so the urination is clear. Because dereliction of duty of separating the useful from the waste,water can not metaplasia body fluid,more urination and dry mouth. Heat injured stagnation of the circulation of vital energy,Qi activity block lead to pain. The general pathogenesis is heat evil excess,hot move to small intestine,duty of separating the useful from the waste,Qi activity is block. 3Shaoyin with diarrhea,which is an excess heat syndrome with evil thermalization at Shaoyin,fire behavior is prosperous,the result of injuring fluid and lose Qi is more and more serious,so should be removed evil heat by Dachengqi decoction. The pathogenesis is more heat,thermoae and that injured fluid. Quikly purgating,which means purgating heat as soon and possibly. It' s relate to the nature,not relate to the dry excrement,so not can be used Dachengqi decoction,forced related to Yangming. Quikly purgating is the theoretical foundation of later generations' expert of warm disease:liking purgation early of warm disease. Shaoyin purgating syndrome is distinct with stroke and cold damage.