Block and repulsion

1. Urinary stoppage (block) and continuous vomiting (repulsion) caused by insufficiency of the spleen and kidney with depressed lodged damp turbidity transforming into heat and thrusting upward.

Medicinal therapy: Treatment involves the use of Golden Cabinet Kidney Qì Pill (金匮肾气丸 jīn guì shèn qì wán) to provide warming supplementation and boost kidney qì and to warm yáng and transform water, and Left-Running Metal Pill (左金丸 zuǒ jīn wán) to harmonize the stomach and downbear turbidity. Where enduring depression has given way to heat transformation, abdominal distension and diarrhea, vexation and agitation, dry lips, a taste of urine in the mouth, and a thick turbid tongue fur are observed, and the treatment is to free yáng and downbear turbidity with Rhubarb and Aconite Decoction (大黄附子汤 dà huáng fù zǐ tāng) combined with Coptis Gallbladder-Warming Decoction (黄连温胆汤 huáng lián wēn dǎn tāng). If there is a pronounced yáng brightness (yáng míng) bowel pattern, formulas such as Major Qì-Coordinating Decoction (大承气汤 dà chéng qì tāng) and Yellow Dragon Decoction (黄龙汤 huáng lóng tāng) may be used.

2. Vomiting with the gradual appearance of fecal and urinary stoppage, accompanied by a sense of blockage in the throat. This is a severe form of dysphagia-occulsion (噎膈 yē gé).

3. Exuberance of both yīn and yáng. When yīn qì is overexuberant and yáng qì is not nourished, this is called block. When yáng qì is overexuberant and yīn qì is not nourished, this is called repulsion. When yīn and yáng are both overexuberant and fail to nourish each other, this is called block and repulsion.

4. Extremely exuberant wrist and man’s prognosis pulses, which are a sign of impending severance of yīn and yáng.

Etymology

Chin 观 guān, shut, close; a narrow pass; 格 gé, fight, resist.