Jue Yin stage
(Terminal Yin stage)


Search the Whole Web to quickly find what you're looking for:

Alternatively, if you just want to search THIS SITE, use the Site Search box below: just type the word you're interested in, click 'Search' and away you go! Our trained acupuncture needles will go to work. They're all sharp, smooth, well-toned, keen and quite painless.

Search THIS Site - Type in the word you want ...
site search by freefind

At this Jue Yin stage, (also called your Terminal Yin stage) your defences have reached their next-to-last level of resistance against the inward march of an invading disease: cold. There's not much left.

The Six Stages of Disease was first written down in AD220 by Zhang Zhong Jing, who based his ideas not just on his own experience and observations but on the thousand or more years of experience in Chinese medicine of his ancestors.

Modern medicine is wonderful at keeping us alive, and in the absence of good Chinese medicine, you may need it if you reach this stage. Otherwise, in the past, you may not have survived.

The Six Stages theory was developed in very different times, when people did not have nice warm central-heated homes. Cold could be a killer and the Six Stages described what happened as it took hold.

Of course, the observations were mainly about cold 'invasion', but many of the syndromes of the Six Stages were symptom pictures that could be reached by other means than just 'cold' invasion.

This, the Jue Yin stage, the penultimate level, denoted nearly a last-ditch resistance by what Western medicine call the immune system, but which the Chinese called your zheng Qi.

This Terminal Yin Jue yin stage showed what a practitioner might do to help the patient recover, and the prescriptions from 1800 years ago are still used today because our inherited genes have not altered that much over the years.

Symptoms of Terminal Yin Jue Yin Stage

At this Terminal Yin Jue Yin stage none of the systems in your body really work together.

  • Thirst, but inability to drink. If you do drink, you may vomit it.
  • Hunger but either can't or won't eat. If you do eat, you vomit it up again.
  • If given purgatives, inapporpriately, to help evacuate the bowels, will probably get continous, very draining, diarrhoea.
  • Diarrhoea, strong odour, urgent, burning rectal pain
  • Abdominal cramps
  • Sense of 'air' or energy pushing up into the chest and heart, making breathing difficult, often with burning pain there
  • Coldness in arms and legs
  • Frequent urination, even a lack of control over urination
  • Tongue: red papillae with little dots, any coating is white and slippery
  • Pulse: wiry, deep, hidden

Note, the Heat and coldness may alternate: 

  • When hot, extreme fever, irritability, thirst, yellow urine, fast pulse but limbs may still feel cold. Tongue coating is yellow. Pulse is 'rolling'.
  • When cold, lack of fever, dislikes cold, limbs feel cold, pale tongue, thin, feeble pulse.

What is happening here?

This Terminal Yin Jue Yin stage shows a picture of Yang beginning to lose connection with Yin, so unable to regulate it. 

You see symptoms of heat - ie Yang rising - above,

  • for instance, the sensation of Qi rising into the chest, 
  • with pain and stuffiness there
  • and the thirst (and sometimes hunger) but inability to hold things down, to digest and absorb them
  • The irritability, feverish sensation (despite having cold limbs), thirst, slippery pulse and yellow tongue indicate heat accumulating. However, although it is accumulating, it isn't being moved to where it's needed, so the body still feels cold. This coldness of the limbs is considered to be due to extreme Yang not circulating.

with cold - Yin - below or inside

  • cold limbs
  • vomiting of any food or drinks taken.
  • This arises from extreme Yang deficiency with Yin excess. Sometimes this is called 'coldness due to extreme Yin excess'.

In the middle normal activities stop functioning properly, for instance your digestion. This means there is no re-supply of nutrition.

This is not a good situation. Your Liver energy cannot keep the natural flow of Qi going, nor your Pericardium protect the Heart.

However, it need not be deadly. Zhang Zhong Jing did have prescriptions for it.

What to do?

For this Jue Yin stage, the aim is to clear the Heat above, to warm the cold below - ie dispel the cold -  and to get all parts, upper, middle and lower, to harmonise and Qi moving again.

Acupuncturists might use points like LI4 and Liv3 to send energy down, and P6 and Sp4 to regulate the Blood to bring it into balance with the Yang: perhaps also Ren5, Ren 12 and Ren17, where appropriate with moxa.

Classic Chinese herbal recipes for this are 

  • Wu Mei Wan and 
  • Chai hu gui zhi gan jiang tang.

What can YOU do?

If this situation was reached by the invasion of Cold, you are probably in no condition to do much for yourself.

When Yang separates from Yin it leaves no life behind. You may be in what amounts to a condition of Shock. Seek treatment. 

Traditionally, doctors also sometimes observed these symptoms in patient who had roundworms, especially if the parasite invaded other organs. 


What are The Six Stages as Cold penetrates?

Note that this is not the order mostly used since antiquity, but makes more sense to me. For nerds, I'm with Giovanni Maciocia on this one.


Find an Acupuncturist!

If you live in the Edinburgh area of Scotland, where the author of this site (and of the books described below) works, click on Edinburgh Acupuncturist.

If you live elsewhere, click on BAcC.


Jonathan Clogstoun-Willmott Books

Please note! The Kindle editions are less easy to read! Although the paper editions cost more, they are much easier to read and to refer back and forth to the contents and index. But ... there is no paper edition of Yang Deficiency as yet.

Here are some of the books Jonathan has written:

Qi Stagnation - Signs of Stress

Yin Deficiency - Burnout and Exhaustion

Yang Deficiency - Get Your Fire Burning Again!

Western Astrology and Chinese Medicine



3000 years of Chinese being stressed, and at last, here's a book showing how all that experience can help you!

By the author of this website, it explains in simple English how to use stress to improve and enhance your life.

For the Latest Reviews of 'Qi Stagnation', click here!

NB You can also order 'Qi Stagnation - Signs of Stress' from your bookseller.



Didn't find what you were looking for? Use this search feature:


Click Here for Acupuncture Points on Facebook!