Identification of Reversal Patterns (Part I) [1]

Pathomechanism and Special Signs of Reversal Patterns

Line 337
“In all reversal patterns, yin and yang are not connecting smoothly, which means reversal.  Reversal means counter flow of cold of the extremities.”

Heat Reversal
Line 335
“When in cold damage that has lasted one or two days, up to four or five days, there is reversal, there will be fever.  First there will be heat, then later, reversal.  If the reversal is severe, the heat is severe.  If the reversal is mild, the heat is mild.  In reversal, one should purge, but if sweating is promoted instead, there will be mouth damage with putrefaction & redness.”

Line 339
“In cold damage there is scant heat and mild reversal, cold fingers, taciturnity with no desire for food, and vexation and agitation.  When after several days the urine is uninhibited and clear, it means that the heat has been eliminated, and a desire for food means that a patient with this disease will recover.  If there is reversal, and retching, as well as vexation and fullness in the chest and rib-side, after this, there will be bloody excretions.”

Line 350
“When in cold damage, the pulse is slippery and there is reversal, there is heat in the interior, and Bai Hu Tang governs.”

Key Words: Identification of Reversal Patterns, Pathomechanism and Special Signs of Reversal Patterns, Heat Reversal