〔海〕治妇人血风症，因大脱血崩漏，或前后失血，因而枯燥，其热不除，循衣撮空摸床，
闭目不省，掷手扬视，摇动不宁，错语失神，脉弦浮而虚，内燥热之极也。气粗鼻干不润，上下
通燥，此为难治，宜生地黄黄连汤主之。
川芎 生地黄 当归（各七钱） 赤芍药 栀子 黄芩 黄连（各三钱） 防风（一两）
上为粗末，每服三钱，水二盏，煎至七分去渣取清，饮无时，徐徐与之。若脉实者，加
大黄下之。
大承气汤，气药也，自外而之内者用之。生地黄黄连汤，血药也，自内而之外者用之。气血合
病，循衣撮空，证同自气而之血，血而复之气，大承气汤下之。自血而之气，气而复之血，地
黄黄连汤主之。二者俱不大便。
〔华〕病患循衣缝谵语者，不可治。病患阴阳俱绝，掣衣撮空，妄言者死。
喜笑皆属心火。经云∶心藏神，神有余则笑不休。又云∶在藏为心，在声为笑，在志为喜。
又云∶精气并于心则喜。又云∶火太过为赫曦，赫曦之纪，其病笑狂妄。又云∶少阴所至，为喜
笑者是也。
〔河〕笑，蕃茂鲜淑，舒荣彰显，火之化也，故喜为心火之志也。喜极而笑者，犹燔烁太甚，
而鸣笑之象也，故病笑者，心火之盛也。
〔子和〕路经古宅，逢一妇病喜笑不止，已半年矣。众人皆无术，求治于戴人，戴人曰∶此易
治也。以沧盐成块者二两余，用火烧令通赤，放冷研细，以河水一大碗，同煎至三五沸放温，分三次
啜之，以钗探于喉中，吐出热痰五升。次服降火剂，火主苦，解毒是也，不数日，而笑定矣。《内
经》曰∶神有余者，笑不休也。所谓
神者，心火是也。火得风而焰，故笑之象也。五行之中，惟火有笑。常治一老男子，笑不休，口
流涎，黄连解毒汤加半夏、竹叶、竹沥、姜汁，而笑止矣。
刺灸喜笑，独取心主一经。经云∶心主手厥阴之脉，是动则病面赤目黄，喜笑不休，详盛
虚热寒陷下取之。
【海藏】治疗妇人血风证，因大量失血、崩漏，或前后部位出血，导致身体干枯燥热，热势不退，出现手摸衣被、撮弄空物、摸索床铺，闭眼神志不清，挥手扬目，躁动不安，胡言乱语、神志错乱，脉象弦浮而虚，这是体内燥热至极的表现。呼吸粗重，鼻干无津，上下皆燥，这属于难治之症，宜用生地黄黄连汤主治。
川芎、生地黄、当归（各七钱），赤芍药、栀子、黄芩、黄连（各三钱），防风（一两）。
以上药物研为粗末，每次服用三钱，加水两盏，煎煮至七分，去渣取清汁，不拘时候饮用，慢慢喂服。如果脉象实有力者，加入大黄攻下。
大承气汤是调理气分的方剂，适用于病邪由外入内的情况。生地黄黄连汤是调理血分的方剂，适用于病邪由内出外的情况。气血同病，出现循衣撮空症状，证候特点是从气分传入血分，若血分病变又影响气分，应用大承气汤攻下；若是从血分传入气分，气分病变又影响血分，则用生地黄黄连汤主治。这两种情况都伴有不大便。
【华佗】病人抚摸衣缝并说胡话的，不可治愈。病人阴阳之气俱绝，拉扯衣服、撮弄空物、妄言乱语的，预后不良，多致死。
喜笑都属于心火。经文说：心藏神，神有余则笑个不停。又说：在脏腑对应心，在声音对应笑，在情志对应喜。又说：精气汇聚于心则喜。又说：火气太过称为赫曦，赫曦之年纪，其病症表现为笑、狂、妄。又说：少阴经气所至，表现为喜笑，说的就是这个道理。
【李东垣】笑，是蕃茂鲜淑、舒展荣显的状态，这是火的化象，所以喜是心火的情志。喜极而笑，就像燃烧太甚，发出笑声的景象，所以生病时发笑的，是心火旺盛。
【张子和】路过古宅，遇到一个妇人患喜笑不止的病，已经半年了。众人都没有办法，求治于戴人（张子和号戴人）。戴人说：“这容易治。”用块状沧盐二两多，用火烧至通红，放冷后研细，用一大碗河水，同煎至沸腾三五次，放温后分三次喝下，用钗子探入喉中催吐，吐出热痰五升。接着服用降火药剂，火主苦味，解毒即是此理，没过几天，笑就停止了。《内经》说：神有余者，笑不休也。所谓神，就是心火。火得风而燃烧，所以笑是火的象征。五行之中，只有火有笑的特性。曾治疗一老男子，笑个不停，口流涎水，用黄连解毒汤加半夏、竹叶、竹沥、姜汁，笑就止住了。
针刺艾灸治疗喜笑，独取心包经这一条经脉。经文说：心主手厥阴心包络之脉，发生变动则病见面红目黄，喜笑不休，详细辨别盛、虚、热、寒、陷下等证候来选取穴位治疗。
[Hai Zang] Treating women with Blood Wind Syndrome (Blood Wind Disorder), caused by massive blood loss, metrorrhagia and metrostaxis, or bleeding from the anterior or posterior orifices, leading to dryness and depletion. The internal heat persists, manifesting as picking at clothes, grasping at empty air, and groping for the bed; eyes closed with unconsciousness; waving hands and looking up; restlessness and agitation; incoherent speech and loss of spirit. The pulse is wiry, floating, and deficient, indicating extreme internal dryness and heat. Breathing is coarse, the nose is dry without moisture, and dryness pervades both upper and lower parts; this is difficult to treat. Shengdi Huang Huanglian Tang (Rehmannia Root and Coptis Decoction) should be administered.
Chuanxiong Rhizoma (Chuanxiong), Shengdi Huang Radix Rehmanniae Preparata (Shengdihuang), Danggui Radix Angelicae Sinensis (Danggui) (each 7 qian); Chishao Radix Paeoniae Rubra (Chishao), Zhizi Fructus Gardeniae (Zhizi), Huangqin Cortex Scutellariae (Huangqin), Huanglian Rhizoma Coptidis (Huanglian) (each 3 qian); Fangfeng Radix Saposhnikoviae (Fangfeng) (1 liang).
Grind the above into a coarse powder. For each dose, take 3 qian, add two zhan of water, decoct until reduced to seven-tenths, strain and retain the clear liquid. Drink at any time, administering slowly. If the pulse is excess/full, add Dahuang Radix et Rhizoma Rhei (Dahuang) to purge.
Da Chengqi Tang (Major Order the Qi Decoction) is a formula regulating Qi, used when pathogenic factors move from exterior to interior. Shengdi Huang Huanglian Tang is a formula regulating Blood, used when pathogenic factors move from interior to exterior. When Qi and Blood are simultaneously affected, presenting with picking at clothes and grasping at empty air, if the syndrome originates from Qi affecting Blood, and then Blood affects Qi, Da Chengqi Tang should be used to purge. If it originates from Blood affecting Qi, and then Qi affects Blood, Shengdi Huang Huanglian Tang should be used. Both conditions involve constipation.
[Hua Tuo] Patients who pick at their seams while speaking deliriously cannot be cured. Patients whose Yin and Yang qi are exhausted, pulling at clothes, grasping at empty air, and speaking deliriously will die.
Joyful laughter belongs to Heart Fire (Heart-Fire). The Classic states: The Heart stores the Spirit (Shen); an excess of Shen leads to incessant laughter. It also states: In the viscera, it corresponds to the Heart; in sounds, it corresponds to laughter; in emotions, it corresponds to joy. Furthermore: When Essence and Qi converge in the Heart, there is joy. Also: Excessive Fire is called "He Xi" (Blazing Heat); in years of He Xi, diseases manifest as laughter, mania, and delusion. Additionally: The arrival of Shaoyin (Lesser Yin) energy manifests as joyful laughter.
[Li Dongyuan] Laughter represents flourishing, freshness, comfort, glory, and manifestation; this is the transformation of Fire. Therefore, joy is the emotion of Heart-Fire. Extreme joy turning into laughter is like excessive burning, producing the image of laughing. Thus, pathological laughter indicates an abundance of Heart-Fire.
[Zhang Zihe] Passing by an old residence, I encountered a woman suffering from incessant laughter for half a year. Everyone else had no method to treat her, so she sought treatment from Dai Ren (Zhang Zihe's pseudonym). Dai Ren said, "This is easy to treat." He took over two liang of block-shaped Cangyan (Halite/Rock Salt), heated it in fire until red hot, allowed it to cool, ground it fine, and decocted it in one large bowl of river water until it boiled three to five times. After cooling to warm temperature, it was divided into three doses to drink. A hairpin was used to stimulate the throat to induce vomiting, expelling five sheng of hot phlegm. Subsequently, a fire-purging agent was administered. Since Fire governs the bitter taste, detoxification is the principle. Within a few days, the laughter ceased. The *Neijing* states: "When Shen is in excess, laughter does not cease." What is referred to as Shen is Heart-Fire. Fire catches flame with wind, hence laughter is the image of Fire. Among the Five Elements, only Fire has the characteristic of laughter. I once treated an elderly man with incessant laughter and drooling. Using Huanglian Jiedu Tang (Coptis Decoction for Detoxification) added with Banxia Rhizoma Pinelliae Preparatum (Banxia), Zhuye Folium Bambusae (Zhuye), Zhuli Succus Bambusae (Zhuli), and Jiangzhi Succus Zingiberis Recens (Jiangzhi), the laughter stopped.
For acupuncture and moxibustion treatment of joyful laughter, exclusively select the Pericardium Meridian of Hand-Jueyin (Pericardium Channel). The Classic states: The Pericardium Meridian of Hand-Jueyin, when disturbed, causes red face, yellow eyes, and incessant laughter. One must carefully assess excess, deficiency, heat, cold, and sinking conditions to select acupoints accordingly.