WHO InternatIOnal Standard termInOlOgIeS On tradItIOnal medIcIne

WHO INTERNATIONAL STANDARD TERMINOLOGIES ON TRADITIONAL MEDICINE IN THE WESTERN PACIFIC REGION 113Code Term Chinese Definition/Description2.5.48pattern/syndromeof dual exterior andinterior heat表 裏 俱 熱 證a heat pattern/syndrome involving both the exterior andthe interior, caused either by heat pathogen enteringthe interior before the exterior pattern/syndrome isresolved or by superimposition of an exterior pattern/syndrome of newly contracted warm disease on a preexistinginterior pattern/syndrome, usually manifestedby fever, aversion to wind, headache, flushed face,thirst, vexation or even delirium, constipation, darkcoloredurine, reddened tongue with dry yellowcoating and rapid forceful floating pulse, also calledthe exterior-interior heat pattern/syndrome2.5.49pattern/syndromeof dual exterior andinterior excess表 裏 俱 實 證an excess pattern/syndrome involving both the exteriorand interior, usually manifested by fever withoutsweating, headache with stiff painful nape, irritability,abdominal distension and constipation2.5.50pattern/syndromeof dual exterior andinterior deficiency表 裏 俱 虛 證a deficiency pattern/syndrome involving both theexterior and the interior, usually manifested by sweatingwith aversion to wind, shortage of qi and reluctanceto speak, decreased food intake, loose bowels, paletongue and weak pulse2.5.51pattern/syndromeof exterior cold andinterior heat表 寒 裏 熱 證 ;外 寒 裏 熱 證(1) a pattern/syndrome in which cold pathogenfetters the exterior and depressed heat stays in theinterior, mainly manifested by fever without sweatand with aversion to cold, headache and generalizedpain, vexation, shortness of breath, fullness of thechest, thirst, reddened tongue with mixed yellow andwhite coating, and floating tight pulse; (2) a pattern/syndrome marked by true heat in the interior withexternal pseudo-cold manifestations2.5.52pattern/syndromeof exterior heat andinterior cold表 熱 裏 寒 證a pattern/syndrome with pre-existing insufficientyang qi complicated by contraction of wind-heat,manifested by fever, slight aversion to cold, headacheand generalized pain, cough, loose bowels, paleand flabby tongue with thin yellow coating and rapidfloating pulse2.5.53pattern/syndrome ofexterior deficiencyand interior excess表 虛 裏 實 證a pattern/syndrome in which insufficiency of defenseis complicated by pathogens bound in the interior,manifested by symptoms of exterior deficiency such asaversion to wind and spontaneous sweating, togetherwith symptoms of interior excess such as abdominalpain, constipation and yellow thick tongue coating