Double Strike / Liang Gan
Version 1.0.0 · Updated 2026-07-30
CORE DEFINITION
Simultaneous affliction of both exterior and interior meridians. For example, the Taiyang (Bladder Meridian) and Shaoyin (Kidney Meridian) are both affected by cold. Manifestations include both "fever and aversion to cold" and "listlessness, faint and thin pulse."
SCAFFOLDING EFFECT
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Collapse of defense lines. This indicates that the pathogen is too strong or you are too weak, striking two birds with one stone, directly penetrating the outer wall (Taiyang) and the inner chamber (Shaoyin). Mortality is extremely high, and both exterior and interior must be rescued simultaneously (e.g., Mahuang Fuzi Xixin Decoction).
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In traditional Chinese medicine, "Double Strike" refers to the simultaneous affliction of both exterior and interior meridians by pathogenic factors (e.g., Taiyang Bladder Meridian and Shaoyin Kidney Meridian affected together), with both exterior symptoms (fever and aversion to cold) and interior deficiency symptoms (listlessness, faint and thin pulse) appearing. The mechanism is: the external pathogen is too strong or the righteous qi is too deficient, allowing a single strike to penetrate the "outer wall" (Taiyang exterior) and the "inner chamber" (Shaoyin interior), causing a complete collapse of defense lines and a critical condition.
MINIMUM ACTION
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