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The ability of yáng to change into or give way to yīn, and vice versa. When an exuberant heat evil creates a severe yīn-yáng imbalance by damaging the blood fluids of the body, it burns itself out, having nothing left to thrive on. As a result, the original pattern of repletion heat converts into vacuity cold. Conversely, when yáng qì becomes so insufficient that it can no longer transform the fluids of the body, the fluids become a secondary evil that causes further disturbance in the body by accumulating in the abdomen in the form of drum distension (ascites). The original vacuity pattern turns into a repletion pattern. This form of conversion is due to failure of the mutual counterbalancing relationship of yīn and yáng.

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