王 口鼻触入异气。胃伤呕吐。土衰则木克。肝风内横。三虫扰动为痛。从蛔厥论治。（蛔厥呕吐）
川椒 干姜 桂枝木 川楝子 人参 川连 乌梅 生白芍
黄（二十） 据述十一年前夏秋间。多用井水盐梅。因此昏厥。以后三五日一发。病愈虽醒。日瘦日减。
间有语言不自接续。想其至理。水盐梅酸。大泄肝肾脏阴。厥者。阳气逆乱。冒神愦愦。势成沉
痼。非痫厥门治痰治火清窍者。是脏阴受病。脏主乎藏蓄。医偏搜逐劫烁。凡阴涸欲绝。譬诸
油尽。灯焰忽明忽昏。扑然息矣。先圣先贤从无成法。未敢凑药欺人。（阴涸欲绝）常用人乳一杯。
某 脉左动如数。右小濡弱。病起嗔怒。即寒热汗出心悸。继而神魂自觉散越。夫肝脏藏魂。因
怒则诸阳皆动。所见病源。无非阳动变化内风而为厥。故凡属厥症。多隶厥阴肝病。考内经
治肝。不外辛以理用。酸以治体。甘以缓急。今精彩散失。镇固收摄。犹虑弗及。而方书泄肝平
肝抑肝方法尽多。至于补法。多以子母相生为治。此病全以肝肾下焦主法为正。所服医药。
并无师古之方。未识何见。
阿胶（一钱半） 鸡子黄（一枚） 人参（一钱） 生地（三钱） 金箔（五片）
某 冷自足上贯于心。初起周身麻木。今则口鼻皆有冷气。病起惊恐。内伤肝肾为厥。冲脉隶
于肝肾。二脏失藏。冲气沸乱。其脉由至阴而上。故多冷耳。（肝肾虚冲气逆）
淡苁蓉 熟地炭 五味子 紫石英 茯苓 牛膝
汪 胃阳伤残。浊气上攻。将为痛厥。当治阳明之阳。（痛厥）
吴茱萸 姜汁 半夏 茯苓 粳米
又 照前方去吴萸加广皮。
某 热甚而厥。其热邪必在阴分。古称热深厥深。病中遗泄。阴伤邪陷。发表攻里。断难施用。和
正托邪。是为正法。（疟厥）
草果 知母 人参 半夏 姜汁 乌梅
厥者。从下逆上之病也。痉者。明其风强之状也。所以二字每每并言。原与伤寒门所载者
有间。想是症总。由气血日偏。阴阳一并而成。譬如风雷之猛烈。郁极而发也。若发而渐复
者。犹可转危为安。若发而转逆者。必至直拔根 乃已。斯存亡之机。在乎命脏之盈亏耳。
考方书之名目不一。致病之因由亦繁。大抵可吐者。如痰食填塞于胸中。用瓜蒂散之类。
及烧盐探引方法。可清可折者。如厥阳壮火升逆而莫制。用玉女煎。及宣明龙荟丸法。可
开可降者如气厥。薄厥。而形气暴绝。有五磨饮子。及蒲黄酒法。秽浊蒙神。而昏乱无知。有
牛黄至宝。及苏合香丸之两法。飞尸卒厥。先宜酒醴以引导。并可按穴而施针法及灸法。
若从虚而论者。如内夺而厥。则为喑痱。有地黄饮子之通摄下焦法。烦劳阳张。令人煎厥
有人参固本。加入金箔方诸水。为壮水制火法。血厥而阳腾络沸。参乎从阴从阳法。色厥
而精脱于下。急与大剂挽元法。肾厥宗许学士之椒附以通阳。蛔厥有仲景之安蛔法。阳
极用救阴峻剂。阴极有扶阳方法。种种规模已为全备。及参案中。先生于是症独重在肝。
盖肝者。将军之官。善干他脏者也。要知肝气一逆。则诸气皆逆。气逆则痰生。遂火沸风旋
神迷魂荡。无所不至矣。若犯于上者。不免凌金烁液。有门冬汤。及琼玉膏之补金柔制法。
若犯于中。而为呕为胀者。用六君去术。加木瓜姜芍之类。及附子粳米汤加人参。为补胃
凝肝法。若震及心脾。而为悸为消者。用甘麦大枣汤。合龙蛎之属。为缓急重镇法。若挟少
阳之威而乘巅摇络者。用羚羊钩藤元参连翘之剂。为熄风清络法。若本脏自病。而体用
失和者。以椒梅桂芍之类。为益体宣用法。若因母脏之虚。而扰及子脏之位者。用三才配
合龟甲磁朱。及复脉减辛味。复入鸡黄之属。为安摄其子母法。至于痿厥之治。尤觉神奇。
取血肉介类。改汤为膏。谓其力味重实。填隙止厥最速。此岂非补前人之未备。开后学之
法门者乎。参是案者。幸毋忽诸。（邵新甫）
徐评 案中所载甚杂。或有痫症。或有痉症。或有怔忡症。或有火郁症。或有惊恐症。或有痰迷
症。皆谓之厥。此编书者之过也。至于当用人参。则厥症十不得一者。乃居其三四。恐留邪之害。
必有受之者矣。
王姓患者：口鼻吸入异气，导致胃受伤而呕吐。脾胃虚弱则肝木乘克，肝风内动横逆，三虫扰动引起疼痛。按照蛔厥进行论治。（蛔厥伴呕吐）
川椒、干姜、桂枝木、川楝子、人参、川连（黄连）、乌梅、生白芍、黄柏（二十）。
另一患者：据叙述十一年前夏秋之间，多用井水浸泡的盐渍酸梅，因此出现昏厥。此后每三五天发作一次，病愈后虽然清醒，但身体日渐消瘦衰弱。
偶尔有语言不能接续的情况。推究其道理，井水和盐渍酸梅之酸味，极大地耗泄了肝肾之阴。所谓厥证，是阳气逆乱，神志昏愦不明，病情已发展成沉疴痼疾。这不是痫厥门中治疗痰火清窍的方法所能解决的。这是脏阴受病，脏的功能主于藏蓄精气，医生却偏执于搜逐邪气、劫烁阴液。凡是阴液枯竭欲绝的情况，就像油尽灯枯，灯火忽明忽暗，突然熄灭一样。先圣先贤从未有成法可循，我不敢随意凑药欺骗病人。（阴涸欲绝）常用人乳一杯。
某患者：脉象左手跳动如数脉，右手细小濡弱。病起于嗔怒，随即出现寒热、汗出、心悸。继而神魂自觉散失飘越。肝脏藏魂，因愤怒则诸阳皆动。所见病源，无非是阳动变化产生的内风而导致厥证。所以凡是属于厥症，多归属于厥阴肝病。考察《内经》治疗肝脏，不外乎辛味以调理肝用，酸味以滋养肝体，甘味以缓解急迫。如今精神光彩散失，镇固收摄还担心不及，而方书中治疗肝的方法如泄肝、平肝、抑肝等应有尽有。至于补法，多以母子相生为治疗原则。此病完全以肝肾下焦为主法为正治。所服用的医药，并没有遵循古法的方剂，不知是何见解？
阿胶（一钱半）、鸡子黄（一枚）、人参（一钱）、生地（三钱）、金箔（五片）。
某患者：冷感从足部向上贯穿至心脏。初起时周身麻木，现在口鼻都有冷气。病起于惊恐，内伤肝肾导致厥证。冲脉隶属于肝肾，两脏失去藏蓄功能，冲气沸腾逆乱，脉气由至阴经上行，所以感到寒冷。（肝肾虚损，冲气上逆）
淡苁蓉、熟地炭、五味子、紫石英、茯苓、牛膝。
汪姓患者：胃阳伤残，浊气上攻，将要发生痛厥。应当治疗阳明之阳。（痛厥）
吴茱萸、姜汁、半夏、茯苓、粳米。
又诊：照前方去掉吴茱萸，加入广陈皮。
某患者：热势严重而出现厥逆，其热邪必定在阴分。古人称为“热深厥深”。病中遗精泄泻，阴液受伤，邪气内陷。此时发表或攻里都难以施用。调和正气托举邪气外出，才是正法。（疟厥）
草果、知母、人参、半夏、姜汁、乌梅。
厥证，是从下部逆向上的疾病。痉证，是指风邪强盛的状态。所以这两个字每每并言，原本与伤寒门中所记载的有所不同。推测这种病症，总归是由气血日渐偏颇，阴阳一并失调而成。譬如风雷猛烈，郁积至极而爆发。如果发作后逐渐恢复，还可以转危为安；如果发作后反而逆乱加重，必然会导致根基拔除而死。这存亡的关键，在于命门的盈亏。
考察方书中的名目不一，致病的因素也繁多。大体上可以吐的，如痰食填塞胸中，用瓜蒂散之类，以及烧盐探引的方法。可以清可折的，如厥阳壮火升逆无法控制，用玉女煎，以及宣明龙荟丸的方法。可以开可降的，如气厥、薄厥，形体气息暴绝，有五磨饮子，以及蒲黄酒的方法。秽浊蒙蔽神志，昏乱无知，有牛黄至宝丹，以及苏合香丸两种方法。飞尸卒厥，先用酒醴引导，并可按穴位施针法和灸法。如果从虚证来论述，如内夺而厥，则为喑痱，有地黄饮子的通摄下焦法。烦劳导致阳气张狂，令人发生煎厥，有人参固本汤加入金箔方诸水，这是壮水制火的方法。血厥而阳气腾跃络脉沸腾，参考从阴从阳的方法。色厥而精气脱失于下，急需大剂量挽回元气的方法。肾厥宗法许学士的椒附汤以通阳。蛔厥有张仲景的安蛔法。阳极时用救阴峻剂，阴极时用扶阳方法。种种规模已经完备。及至参看医案，先生对此症独独重在肝脏。因为肝是将军之官，善于干预其他脏腑。要知道肝气一旦逆乱，则诸气皆逆。气逆则生痰，于是火沸风旋，神迷魂荡，无所不至。如果犯于上部，不免凌金烁液，有用麦冬汤，以及琼玉膏的补金柔制法。如果犯于中部，而为呕吐胀满的，用六君子汤去术，加木瓜、姜、芍之类，以及附子粳米汤加人参，这是补胃凝肝法。如果震及心脾，而为心悸消渴的，用甘麦大枣汤，合龙骨、牡蛎之属，这是缓急重镇法。如果挟少阳之威而侵犯巅顶摇动经络的，用羚羊角、钩藤、元参、连翘的药剂，这是熄风清络法。如果是本脏自病，而体用失和的，以花椒、乌梅、桂枝、白芍之类，这是益体宣用法。如果是因母脏虚损，而扰及子脏位置的，用三才配合龟甲、磁朱，以及复脉汤减去辛味，重新加入鸡子黄之属，这是安摄其子母法。至于痿厥的治疗，尤其觉得神奇。取血肉介类药材，改汤剂为膏剂，说是其力味厚重坚实，填补缝隙止住厥逆最快。这难道不是补充前人的未备，开启后学的法门吗？参看这些医案的，希望不要忽视。（邵新甫评）
徐评：案中记载的内容很杂乱，或有痫症，或有痉症，或有怔忡症，或有火郁症，或有惊恐症，或有痰迷症，都称之为厥，这是编书者的过错。至于应当用人参的情况，厥症中十例得不到一例，反而占了三四成。恐怕会有受到留邪危害的人。
Patient Wang: Heterogeneous qi entered through the mouth and nose, injuring the Stomach and causing vomiting. When Earth (Spleen/Stomach) is deficient, Wood (Liver) overacts upon it. Liver Wind moves internally and horizontally; the three parasites are disturbed, causing pain. Treatment should follow the pattern of Huì Jué (Roundworm Cold Syndrome). (Huì Jué with vomiting)
Sichuan Pepper, Dried Ginger, Cinnamon Twig Wood, Sichuan Loranthus Fruit, Ginseng, Coptis Rhizome, Mume Fruit, Raw White Peony Root, Phellodendron Bark (20 units).
Another patient: It is stated that during the summer and autumn eleven years ago, well water and salted sour plums were frequently consumed, leading to syncope. Since then, it has recurred every three to five days. Although consciousness returns after the illness subsides, the body becomes progressively thinner and weaker.
Occasionally, speech cannot be connected. Investigating the underlying principle, the acidity of well water and salted plums severely drains the Yin of the Liver and Kidney. The term "Jue" refers to the counterflow of Yang Qi, resulting in confused spirit and mental clouding. The condition has become a chronic, entrenched disease. This is not treated by methods for clearing orifices from phlegm and fire as seen in Epileptic Jue syndromes. This is a disease of Zang Yin. The Zang organs govern storage and conservation; physicians erroneously focus on expelling pathogens and consuming Yin. Whenever Yin fluid is exhausted and near depletion, it is like oil running out in a lamp: the flame flickers and suddenly extinguishes. The sages have never established fixed formulas for this, so I dare not arbitrarily combine herbs to deceive patients. (Yin exhaustion nearing depletion) Often use one cup of human milk.
Certain patient: The pulse on the left beats rapidly like a Shu (Rapid) pulse; the right pulse is small, soggy, and weak. The illness began with anger, followed immediately by alternating chills and fever, sweating, and palpitations. Subsequently, the spirit and soul felt scattered and dissipated. The Liver stores the Hun (Ethereal Soul); due to anger, all Yang mechanisms move. The observed pathology stems from Yang movement transforming into internal Wind, leading to Jue syndrome. Therefore, most Jue syndromes belong to the Jueyin Liver channel. Examining the *Neijing*’s treatment of the Liver, it does not exceed using Pungent flavors to regulate function, Sour flavors to nourish substance, and Sweet flavors to relieve urgency. Now, with spiritual essence lost, sedation and consolidation are still feared to be insufficient, yet formularies contain many methods for draining, calming, or suppressing the Liver. As for tonification, it mostly treats via the mother-son generation cycle. This illness is primarily governed by the Lower Jiao of the Liver and Kidneys. The medicines taken do not follow ancient canonical formulas; what is the rationale?
Donkey-hide Gelatin (1.5 qian), Chicken Egg Yolk (one piece), Ginseng (1 qian), Rehmannia Root (3 qian), Gold Leaf (five pieces).
Certain patient: Cold sensation penetrates from the feet up to the Heart. Initially, the whole body was numb; now, cold air is felt in the mouth and nose. The illness began with fright, damaging the Liver and Kidney internally, leading to Jue. The Chong Mai (Penetrating Vessel) belongs to the Liver and Kidney. When these two Zang organs lose their storing function, the Chong Qi boils and rebels. The pulse ascends from the Yin extremities, hence the sensation of cold. (Liver-Kidney deficiency with rebellious Chong Qi)
Cistanche Stem, Prepared Rehmannia Root Charcoal, Schisandra Berry, Purple Quartz, Poria, Achyranthes Root.
Patient Wang: Stomach Yang is damaged; turbid Qi attacks upward, likely leading to painful Jue. Treatment should focus on the Yang of the Yangming channel. (Painful Jue)
Evodia Fruit, Ginger Juice, Pinellia Tuber, Poria, Coix Seed (Note: Text says Jing Mi/Rice, usually Glutinous Rice in Wu Zhu Yu Tang context, but text says 粳米 - Japonica Rice).
Second visit: Remove Evodia from the previous formula, add Tangerine Peel.
Certain patient: Severe heat accompanied by Jue indicates the pathogenic heat must be in the Yin division. Ancients called this "Deep heat leads to deep Jue." During the illness, seminal emission occurred, injuring Yin and allowing pathogen to sink. Releasing the exterior or purging the interior is strictly contraindicated. Harmonizing Zheng Qi to support the expulsion of pathogen is the correct method. (Malaria Jue)
Areca Seed, Anemarrhena Rhizome, Ginseng, Pinellia Tuber, Ginger Juice, Mume Fruit.
Jue is a disease where rebellion rises from below. Jing (Spasm/Convulsion) clarifies the state of strong Wind. Hence, the two terms are often used together, originally differing from those recorded in the Shaoyang/Taiyang chapters of Shanghan Lun. It is presumed this syndrome generally arises from daily deviation of Qi and Blood, and simultaneous disorder of Yin and Yang. Like fierce wind and thunder, it erupts when depression reaches its limit. If recovery occurs gradually after onset, danger can turn to safety. If the condition worsens reversely after onset, the root will be pulled out, leading to death. The mechanism of life and death lies in the fullness or emptiness of the Mingmen (Gate of Life).
Examining various names in formularies, the causes of disease are also numerous. Generally, those suitable for emesis, such as phlegm and food obstructing the chest, use formulas like Gualisan or methods like probing with roasted salt. Those suitable for clearing and subduing, such as rebellious Jue Yang and vigorous Fire rising uncontrollably, use Yuping Decoction or Xuanming Longhui Wan methods. Those suitable for opening and descending, such as Qi Jue and Bo Jue, where form and Qi suddenly cease, use Wumo Yinzi or Pu Huang Wine methods. For turbid filth obscuring the spirit causing confusion and unconsciousness, there are Niuhuang Zhibao Dan and Suhexiang Wan. For Feishi sudden Jue, wine should first be used to guide, and acupuncture and moxibustion can be applied at specific acupoints. If discussed from a deficiency perspective, such as internal loss leading to Jue resulting in aphasia and flaccidity (Yinfei), Dihuang Yinzi is used to connect and secure the Lower Jiao. Excessive fatigue causing Yang expansion leading to Jian Jue uses Renshen Guben Tang added with Gold Leaf and Zhusha Water, which is a method of strengthening Water to control Fire. Blood Jue with soaring Yang and boiling collaterals refers to methods following Yin or Yang. Color Jue with essence depletion below urgently requires large doses to salvage Yuan Qi. Kidney Jue follows Scholar Xu’s Jiaofu Tang to unblock Yang. Roundworm Jue follows Zhang Zhongjing’s Anwei (Calming Roundworm) method. Extreme Yang uses severe Yin-nourishing agents; extreme Yin uses Yang-supporting methods. Various patterns are fully prepared. In reviewing the cases, Mr. Ye focuses uniquely on the Liver for this syndrome. The Liver is the General Officer, prone to interfering with other Zang organs. Know that if Liver Qi rebels, all Qi rebels. Qi rebellion generates Phlegm; thus Fire boils, Wind whirls, Spirit is confused, Hun is scattered, reaching extremes. If it offends the Upper, it may damage Metal and melt fluids; Maidong Tang and Qiongyu Gao are used to tonify Metal and soften/restrain. If it offends the Middle, causing vomiting and distension, Liujunzi Decoction without Atractylodes, plus Quince, Ginger, and Peony, or Fuzi Jingmi Tang with Ginseng, is used to tonify Stomach and consolidate Liver. If it shocks Heart and Spleen, causing palpitations and wasting-thirst, Ganmai Dazao Tang combined with Dragon Bone and Oyster Shell is used for easing urgency and heavy sedation. If it carries the power of Shaoyang to attack the vertex and shake collaterals, Antelope Horn, Uncaria, Scrophularia, and Forsythia are used for extinguishing Wind and clearing collaterals. If the organ itself is diseased with disharmony of substance and function, Spikenard, Mume, Cinnamon, and Peony are used to benefit substance and promote function. If due to Mother Zang deficiency disturbing the Son Zang position, Santian Formula combined with Turtle Shell, Magnetite, and Fumai Decoction minus pungent flavors, re-added with Chicken Egg Yolk, is used to calm and secure the mother-son relationship. Regarding the treatment of Wei Jue (Flaccidity-Jue), it is particularly miraculous. Using flesh-blood and shell-class animals, changing decoctions to pastes, because their strength and flavor are heavy and substantial, filling gaps and stopping Jue is fastest. Is this not supplementing the deficiencies of predecessors and opening doors for future students? Those reviewing these cases, do not neglect them. (Commentary by Shao Xinpu)
Xu’s Commentary: The cases recorded are very mixed. There are epileptic syndromes, spastic syndromes, palpitation syndromes, fire-stagnation syndromes, fright syndromes, and phlegm-obscuration syndromes, all called Jue. This is the fault of the book compiler. As for the use of Ginseng, in Jue syndromes, it applies to less than one in ten, yet constitutes three or four tenths here. There will inevitably be those harmed by retaining pathogenic factors.