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From Plain Questions (素问 sù wèn, zhì zhēn yào dà lùn). Heart vexation accompanied by heat effusion, or agitation with a subjective feeling of heat and oppression. In externally contracted febrile disease, heat vexation appearing in exterior patterns indicates that evil heat is not being discharged, whereas its appearance in interior patterns indicates exuberant repletion heat; in interior patterns with fecal stoppage and lesser abdominal pain, it is caused by dry stool binding internally. In internal damage miscellaneous disease, it is caused by effulgent liver fire or yīn vacuity with effulgent fire. Compare heat vexation in the chest.

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