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1. Externally contracted cold evil, characterized by signs such as aversion to cold, heat effusion, absence of sweating, headache, generalized pain, and a tight floating pulse, which develop when cold evil assails the exterior and prevents the normal diffusion and outthrust of yáng qì.

2. Insufficiency of yáng qì at the body ' s surface, marked by physical cold and fear of cold. Plain Questions (素问 sù wèn, tiáo jīng lùn) states, When yáng is vacuous, there is external cold.

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