The Six Excesses

The Six Excesses (pinyin: liù yín,sometimes also translated as "Pathogenic Factors",or "Six Pernicious Influences";with the alternative term of "Six Evils" or "Six Devils") are allegorical terms used to describe disharmony patterns displaying certain typical symptoms.These symptoms resemble the effects of six climatic factors.In the allegory, these symptoms can occur because one or more of those climatic factors (called "the six qi") were able to invade the body surface and to proceed to the interior. This is sometimes used to draw causal relationships (i.e., prior exposure to wind/cold/etc. is identified as the cause of a disease), while other authors explicitly deny a direct cause-effect relationship between weather conditions and disease,pointing out that the Six Excesses are primarily descriptions of a certain combination of symptoms translated into a pattern of disharmony. It is undisputed, though, that the Six Excesses can manifest inside the body without an external cause. In this case, they might be denoted "internal", e.g., "internal wind" or "internal fire (or heat)".

The Six Excesses and their characteristic clinical signs are:

Wind: rapid onset of symptoms, wandering location of symptoms, itching, nasal congestion, "floating" pulse; tremor, paralysis, convulsion.

Cold: cold sensations, aversion to cold, relief of symptoms by warmth, watery/clear excreta, severe pain, abdominal pain, contracture/hypertonicity of muscles, (slimy) white tongue fur, "deep"/"hidden" or "string-like" pulse,or slow pulse.

Fire/Heat: aversion to heat, high fever, thirst, concentrated urine, red face, red tongue, yellow tongue fur, rapid pulse.[18] (Fire and heat are basically seen to be the same)

Dampness: sensation of heaviness, sensation of fullness, symptoms of Spleen dysfunction, greasy tongue fur, "slippery" pulse.

Dryness: dry cough, dry mouth, dry throat, dry lips, nosebleeds, dry skin, dry stools.

Summerheat: either heat or mixed damp-heat symptoms.

Six-Excesses-patterns can consist of only one or a combination of Excesses (e.g., wind-cold, wind-damp-heat). They can also transform from one into another.