Heat Knot with Circumfluent Diarrhea
Updated 2026-08-01
INTRODUCTION
English translation pending.
CORE DEFINITION
A pattern of excess in the yangming bowel. Dry stool bound with heat lodges in the intestine, and thin foul fluid escapes around the obstruction, so the patient passes watery stool while the abdomen is hard, painful and tender to pressure. The presentation belongs to the category of a severe excess showing a misleadingly weak appearance. The correct treatment is to purge the bound heat, as with Da Chengqi Tang, rather than to stop the diarrhea, and it applies only where the signs of dry stool and the tongue and pulse agree.
SCAFFOLDING EFFECT
Reduce cognitive load
- Read the Signal Backwards: treat watery stool with foul smell and a hard tender abdomen as blockage, not deficiency - Clear the Obstruction: remove the plug instead of suppressing the overflow it causes - Distinguish Real from Apparent: check whether the visible sign contradicts the underlying condition
Anchor fast decisions
The obstructing mass prevents normal passage, so only thin fluid can escape around its edges. The body is not failing to absorb; it is blocked upstream. Adding astringents holds the fluid in while leaving the obstruction in place, so the overflow continues and the blockage worsens. Purging removes the mass, after which normal transit resumes and the leaking stops on its own. The apparent diarrhea is a consequence of the blockage rather than a separate disorder.
MINIMUM ACTION
In progress 0/1Practice this model in one real situation:
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Source support: Explicit
- dayi.org.cnhttps://www.dayi.org.cn/symptom/1126284verified
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