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Any heat pattern arising when external evils enter the interior and transform into heat, or when internal depression engenders heat, usually taking the form of gastrointestinal or lung-stomach repletion heat or depressed liver-gallbladder heat. Interior heat is characterized by heat effusion, aversion to heat rather than cold, thirst with intake of fluid, vexation and agitation or vexation with bitter taste in the mouth, short voiding of reddish urine, red tongue with yellow fur, and a rapid surging or forceful rapid stringlike pulse.

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