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A condition arising a) when patients with constitutional insufficiency of defense qì contract evil, and evil heat binds in the interior; b) when patients suffering from heat brewing in the stomach and intestines and abiding food contract wind evil; or c) when exterior patterns are not treated properly and interior repletion is treated by sweating. Such a condition is characterized by exterior vacuity signs such as aversion to wind and sweating, and by interior repletion signs such as abdominal pain, constipation, and thick yellow tongue fur.

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