Greater Yang Attack of Wind

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At a glance

Key attributes

Chinese name: 太阳 中风      Pinyin name: Tài Yáng Zhòng Fēng

Pattern nature: Full

Diagnosis

Common symptoms: Sneezing Stiff neck Slight fever Slight sweating Aversion to wind and two other symptoms

Pulse type(s): Slow (Chi), Floating (Fu)

Treatment

Treatment principle: Release the Exterior, expel Wind and Cold, restore the diffusing of Lung-Qi, harmonize Nutritive and Defensive Qi.

Common formulas: Gui Zhi Tang

Pathology

This is one of the four patterns of the Greater Yang stage, the first stage of the Six Stages theory.

As opposed to Attack of Cold, another pattern of the Greater Yang stage, there is an emphasis on Wind rather than Cold.

As far as symptoms are concerned, the aversion to cold is due to the obstruction of the space between the skin and muscles by Wind: this impairs the circulation of Defensive Qi which cannot fulfill its function of warming the muscles.

The same obstruction in the space between skin and muscles leads to the symptom of mild sweating as the deficient Nutritive Qi fails to hold sweat in place.

The slight fever is not necessarily an actual fever but more the hot feeling of the patient’s skin on palpation, what the Chinese call "heat emission" of the skin. 

Lastly the occipital headache and stiff neck are caused by the obstruction of Qi in the Greater Yang channels of Small Intestine and Gallbladder. These channels pass through the neck and head, hence the symptoms.

Diagnosing Greater Yang Attack of Wind

Pulse type(s): Slow (Chi) or floating (Fu)

Main symptoms: Sneezing Stiff neck Slight fever Slight sweating Aversion to wind Occipital headaches Slight aversion to cold

Treating Greater Yang Attack of Wind

Treatment principle

Release the Exterior, expel Wind and Cold, restore the diffusing of Lung-Qi, harmonize Nutritive and Defensive Qi.

Herbal formulas used to treat Greater Yang Attack of Wind

Gui Zhi Tang

Source date: 220 AD

Number of ingredients: 5 herbs

Key actions: Releases pathogens from the muscle layer. Regulates the Nutritive and Protective Qi.

Formula summary

Gui Zhi Tang is a 5-ingredient Chinese Medicine formula. Invented in 220 AD, it belongs to the category of formulas that clear Wind-Cold.

Besides Greater Yang Attack of Wind, Gui Zhi Tang is also used to treat Exterior-Cold or Exterior-Empty.

Read more about Gui Zhi Tang