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A method of treatment used to address dysentery due to externally contracted evil complicated by dampness, which, in addition to the main signs of dysentery (tenesmus and the passing of blood and stool), is marked by exterior signs such as aversion to cold, heat effusion, headache, generalized pain, and absence of sweating. The method of hauling the boat upstream is so named because it treats conditions of inward fall from the exterior by bringing the evil back out of the interior like hauling a boat upstream.

Medicinal therapy: Use Ginseng Toxin-Vanquishing Powder (人参败毒散 rén shēn bài dú sǎn). This formula courses the exterior and eliminates dampness. It combines a dispersing action with a freeing action so that it resolves the exterior and eliminates the interior stagnation. This formula is very dry and acrid, and should only be used when the classic signs present.

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