Rigid and Soft Tetany
Updated 2026-08-01
INTRODUCTION
English translation pending.
CORE DEFINITION
Tetany, or jing bing, presents with opisthotonus and convulsions. In the Shanghan Lun it is split by sweating and pulse: fever without sweat and a tight pulse is gang jing, rigid tetany, marked by cold binding the exterior as an excess pattern; fever with sweat and a deep thin pulse is rou jing, soft tetany, marked by depleted fluids as a deficiency pattern. The qualifier is that the same convulsion demands opposite treatments, so pattern differentiation must precede any antispasmodic measure.
SCAFFOLDING EFFECT
Reduce cognitive load
- First checkpoint: check for sweating before touching any convulsion, since it splits the two patterns - Prescription fork: no sweat points to releasing the exterior, sweat points to nourishing fluids - Error guard: prevent the classic mistake of promoting sweat in a depleted patient
Anchor fast decisions
Exterior cold binds the pores, so fluids cannot disperse and the sinews are seized, producing rigid spasm that resolves when the exterior is released. In soft tetany the fluids are already exhausted, so the sinews are starved and contract; sweating would remove more fluid and worsen the condition. Same symptom, opposite causes, so the direction of fluid movement decides the treatment.
MINIMUM ACTION
In progress 0/2Practice this model in one real situation:
account_treeGenealogyexpand_more
menu_bookReferencesexpand_more
Source support: Explicit
- bohe.cnhttps://www.bohe.cn/article/view/0bswps0vkrav0bc.htmlverified
PRIVATE NOTES · Only visible to you
SAVED Q&A
ENTRY Q&A · Private saving available
Ask with a clear boundary
thinkingmodels answers from published entry context only.
Your question is sent to thinkingmodels. The answer uses public entry context only.
RELATED MODELS