Heat bind with circumfluence

Hard stool in the intestines, allowing looser stool to pass around it, manifesting in constipation followed by foul-smelling diarrhea. It is associated with abdominal fullness and distension with pain that refuses pressure, a red tongue with thick dry yellow, possibly gray fur with prickles, a sunken replete rapid pulse. In some cases, there may be vexation and agitation, clouded spirit, and delirious raving. On Warm Epidemics (Wú Yǒu-Xìng 吴有性 [Yòu-Kě 又可], 温疫论 wēn yì lùn) states: Heat bind with circumfluence, is due to stomach domain repletion with internal heat congestion. There is first constipation, and then diarrhea that is pure fetid water completely without feces, three or four, or up to ten times a day. The appropriate treatment is Major Qì-Coordinating Decoction (大承气汤 dà chéng qì tāng). When bound stool appears, the diarrhea will stop. If taking the decoction fails to produce bound stool, and there is diarrhea with fetid water and the ingested decoction, this is because the evil in the large intestine is exuberant, causing it to fail to perform the office of conveyance. Thus, one knows that the evil is still present, and the illness will not be alleviated. [In such cases,] it is appropriate to precipitate again. See yáng brightness (yáng míng) bowel patterns.