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Greater yáng (tài yáng) bowel disease

太阳腑病 〔太陽腑病〕tài yáng fǔ bìng

In six-channel pattern identification, disease of the bladder. Greater yáng (tài yáng) bowel patterns arise when evil passes into the bladder, which is the bowel of the greater yáng (tài yáng). Distinction is traditionally made between water amassment and blood amassment patterns. Blood amassment is characterized by smaller abdominal pain and distension, and manic states. It is distinguished from the water amassment by uninhibited urination. However, according to Medical Insights (医学心悟 yī xué xīn wù), the Poria Five Powder (五苓散 wǔ líng sǎn) pattern of water amassment is the only greater yáng (tài yáng) bowel pattern, whereas blood amassment is a lower burner pattern because the pathology is not located in the bladder.

Medicinal therapy: Water amassment is treated by freeing yáng and disinhibiting water with Poria Five Powder (五苓散 wǔ líng sǎn), whereas blood amassment is treated by moving blood and dispelling stasis with Peach Kernel Qì-Coordinating Decoction (桃核承气汤 táo hé chéng qì tāng).

See cold damage water amassment pattern and cold damage blood amassment pattern.

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