Vexation and agitation

A subjective feeling of heat and disquietude in the chest (vexation) and objective fidgetiness of the limbs (agitation). Both signs may occur in vacuity, repletion, cold, and heat patterns. For example, when evils enter the interior, causing yáng brightness (yáng míng) repletion heat, signs include high fever, thirst, vexation and oppression in the chest, fidgetiness of the extremities (yáng brightness (yáng míng) governs the four limbs). Heart vexation is often observed without agitation. Where heat sensations are pronounced, it is called heat vexation. Where vexation appears with thirst as a result of damage to liquid by exuberant heat, the term vexation and thirst is used. When vexation appears in the latter stages of febrile disease or after sweating (diaphoresis), ejection, or precipitation in the course of febrile disease when residual heat is still present, heat vexation in the chest with unquiet sleep is a sign of vacuity fire harassing the inner body, and in such cases is often referred to as vacuity vexation. Vexation accompanied by a cold body and unconscious movement of the limbs, bodily fatigue and lassitude of spirit, dry mouth with intake of fluid, and a weak fine pulse is called agitated vexation.