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Pericardiac pattern

心包证 〔心包證〕xīn bào zhèng

Any warm disease condition arising when warm evils invade the pericardium and manifesting in signs such as clouded spirit, delirious speech and manic agitation, and, in severe cases, by coma. Portending signs are agitation, hypersomnia, and trembling of the tip of the tongue. Warm evils usually, though not invariably, pass to the provisioning aspect before gradually falling inward to the pericardium. In some cases, such as that of what Western medicine calls infectious encephalitis B, the evil falls inward directly from the defense aspect without passing through the provisioning aspect. This is known as abnormal passage to the pericardium. Two main forms are identified. One is known as heat entering the pericardium, which is characterized by heat signs such as red to crimson tongue, and in most cases a burnt-yellow tongue. The other is a phlegm-damp pattern referred to as phlegm turbidity clouding the pericardium, which is marked by a grimy sticky slimy fur that covers what may or may not be a red or crimson tongue. These are the only pericardiac patterns discussed in modern literature.

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