重镇，以致阴液消亡，热势愈张，正不敌邪，肝风陡动，渐见肢牵目窜，痉闭发厥，必多倾
败。若能于病未猖獗之时，先以辛凉开肺，继以甘寒化热，佐以润燥降痰，两候自能平复。
此盖温邪陷入，阴液内耗而动肝风，实非惊恐致病也。若误以惊药治之，鲜有不危殆者矣。
《内经》云∶临病问所便。盖病患之爱恶苦药，即病情虚实寒热之征，医者之切脉望气
，不
若问病患，使自言以推求其理为确。如身大热而反欲饮热，则假热而真寒；身寒战而反欲饮
冷，则假寒而真热，如此之类是也。所以病患之喜好，不妨从病患之便，即可以治其病。
病者之性情不同，医者之意见各异，人有能受温热不能受寒凉者，有受补有不受补
者，必须
顺其性，察其情。现症有与平素相反者，有与平素不相远者，不可执己见误治其标本也。
近时医家，每用囫囵古方，硬引经语，以自矜渊博。殊不知古贤立方，与人以规矩不
能使人
巧。盖规矩做方做圆之呆法，而作器长短大小，时时变通，所以病情古今无印板式样，即方
无一定呆药，必须加减，寓变通于成法之中，斯神乎技矣！
使用重镇类药物，导致阴液耗竭，热势更加猖獗，正气无法抵御邪气，肝风骤然内动，逐渐出现肢体抽搐、眼球上翻、痉挛、神志闭塞及昏厥等症状，必然导致病情恶化甚至死亡。如果在病势尚未猖獗之时，先用辛凉之品宣开肺气，继用甘寒之品化解热邪，辅以润燥降痰之法，两个阶段后自然能够平复痊愈。这大概是温邪陷入体内，阴液在内消耗而动摇了肝风，实际上并非由惊恐致病所致。如果错误地使用治疗惊悸的药物来救治，很少有不至于陷入危殆境地的。
《黄帝内经》说：“面对疾病要询问患者感到舒适的方式。”大概患者对药物的喜爱或厌恶、痛苦或舒适，就是病情虚实、寒热的征象。医生切脉、望诊，不如询问患者，让患者自己陈述以推求其道理更为确切。例如身体大热却反而想喝热水，这是假热真寒；身体寒冷战栗却反而想喝冷水，这是假寒真热，像这类情况就是如此。所以患者的喜好，不妨顺从患者的意愿，这样就可以治疗疾病。
病人的性情不同，医生的见解各异，有的人能耐受温热而不能耐受寒凉，有的人能接受补益而有的不能接受补益，必须顺应其本性，观察其情状。现在的症状与平时相反的人，有与平时不相远的人，不可固执己见而误治其标和本。
近时的医家，常常套用现成的古方，生硬地引用经典语句，以此来炫耀自己的渊博。却不知道古代贤人制定方剂，是给人提供规矩法度，但不能使人变得灵巧。规矩只是制作方形和圆形的呆板方法，而制作器物时长短大小，需要时时变通。所以病情古今没有固定的模式样式，即方剂也没有一定死板的药物，必须加减变化，在成法中寓含变通的道理，这才是神妙的医术啊！
The use of heavy sedatives (Zhongzhen) leads to the depletion of Yin fluids, causing the heat pathogen to flare up further. When the healthy Qi is unable to resist the pathogenic factor, Liver Wind (Ganfeng, stirring of internal wind due to liver dysfunction) suddenly stirs internally. Gradually, symptoms such as limb convulsions, upward deviation of the eyes, spasms, closure of consciousness, and syncope appear, inevitably leading to deterioration or collapse. If, while the disease has not yet become rampant, one first uses acrid-cool herbs to open the Lung Qi, followed by sweet-cold herbs to resolve heat, assisted by methods to moisten dryness and descend phlegm, the condition will naturally stabilize after these two stages. This situation arises because warm pathogens have penetrated inward, consuming Yin fluids and disturbing the Liver Wind; it is actually not caused by fright or alarm. If mistakenly treated with herbs for calming fright, few cases would avoid critical danger.
As stated in the *Huangdi Neijing* (Yellow Emperor's Inner Canon): "When facing illness, inquire about what brings comfort to the patient." The patient's preference or aversion to certain tastes or sensations serves as a sign of the deficiency or excess, cold or heat nature of the condition. Pulse taking and observation are less reliable than asking the patient directly, allowing them to describe their experience so that the underlying principles can be deduced accurately. For instance, if the body is extremely hot but the patient desires to drink hot liquids, this indicates false heat with true cold; if the body is cold and shivering but the patient desires cold drinks, this indicates false cold with true heat. Such examples illustrate this principle. Therefore, one should accommodate the patient's preferences, which can facilitate treatment.
Patients vary in temperament, and physicians differ in opinion. Some individuals can tolerate warm-natured treatments but not cool ones; some respond well to tonification, while others do not. It is essential to follow their natural tendencies and observe their specific conditions. Current symptoms may contradict the patient's usual state, or they may remain similar. One must not adhere rigidly to personal preconceptions and mistreat either the root cause or the manifest symptoms.
Contemporary physicians often apply ancient formulas indiscriminately and cite classic texts mechanically to boast of their erudition. They fail to realize that although ancient sages provided rules and standards for prescribing, they could not make practitioners clever automatically. Rules and compasses are rigid tools for making squares and circles, but when crafting objects, dimensions like length and size require constant adaptation. Thus, clinical presentations have no fixed template across time, nor do formulas consist of static, unchangeable ingredients. Modifications are necessary; embedding flexibility within established methods constitutes truly divine medical skill.