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Sweating accompanied by pronounced shivering is a sign of the struggle between the evil and right in externally contracted febrile diseases. Shiver sweating is a favorable sign when the disease resolves after it. If the disease does not resolve, right qì, severely debilitated by the struggle, may desert outward leaving the patient in a critical state. Shivering without sweating is a sign of insufficiency of right qì, and heralds the inward fall of the evil.

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