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A pattern arising either when patients ordinarily suffering from heart, spleen, or kidney vacuity contract external evil, or when external contractions manifesting as exterior cold are wrongly treated by offensive attack. Signs include heat effusion and aversion to cold without sweating with lassitude of spirit, shortness of breath, torpid intake, fatigued limbs, heart palpitation, lumbar pain, a white tongue fur, and a floating pulse.

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