阳厥脉滑而沉实。阴厥脉细而沉伏。
气虚则发厥。血虚则发热。厥者。手足冷也。气属阳。阳虚则阴凑之。故发厥也。血属
阴。
阴虚则阳凑之。故发热也。气虚发厥者。当用温药。血虚发热者。不宜用凉药。当用温养气
血之药以补之。宜养阴。黄 建中汤之类是也。
又有一种病实热
者。极而手足厥冷。所谓热深厥亦深。此当用凉药。须以脉别之。此最难辨。
一论阳厥者。是热深则厥深。盖阳极则发厥也。急以六一顺气汤治之。
一论阴厥者。始得之。身冷脉沉。四肢厥逆。足蜷卧。唇口青。或自利不渴。小便色白
宜四逆理中汤之类。仍速灸关元百壮鼻尖有汗为度。
一论痰厥者。卒然不省人事喉中有水鸡声者是也。用牙皂、白矾等分研末。吹鼻。即以
香油一盏。入姜汁少许灌之。立醒。或烧竹沥、姜汁。灌之亦可。
一论蛔厥者。乃胃寒所致。经曰。蛔者。长虫也。胃中冷。即吐蛔。宜理中汤加炒川椒
五粒。槟榔五分。吞乌梅丸。
一论气厥者。与中风相似。但风中身温。气中身冷。以藿香正气散。加南星、木香、乌
药。如有痰。以四七导痰汤主之。
一论暴怒暴死者。名曰气厥。盖怒则气上。气上则上焦气实而不行。下焦气
逆而不吸。故令暴死。气上。宜降之。
五磨饮子
木香 沉香 槟榔 枳实 台乌药
上五味等分。白酒磨服。立效。
建中汤(见汗症) 六一顺气汤(见伤寒) 四逆汤(见中寒) 理中汤(见中寒)
\x藿香正
阳厥的脉象滑利而沉实。阴厥的脉象细弱而沉伏。
气虚会导致发厥。血虚会导致发热。所谓厥,是指手足冰冷。气属于阳,阳气虚弱则阴气凑集,所以发生厥证。血属于阴,阴血虚弱则阳气凑集,所以发生发热。因气虚导致发厥的,应当使用温性药物。因血虚导致发热的,不适宜使用寒凉药物,应当使用温养气血的药物来补益,宜于滋养阴分,如黄耆建中汤之类的方剂。
又有一种病属实热证的,热势极盛反而出现手足厥冷,这就是所谓的“热深厥亦深”(热邪越深重,四肢厥冷越严重),这种情况应当使用寒凉药物,必须通过脉象来辨别,这是最难分辨的。
一种论述关于阳厥的,是热邪深重则厥逆深重,因为阳极则发厥,急需用六一顺气汤治疗。
一种论述关于阴厥的,初起时身体寒冷、脉象沉伏、四肢厥逆、足部蜷缩卧倒、嘴唇口唇青紫,或者自发性腹泻且不口渴、小便颜色清白,适宜用四逆汤、理中汤之类的方剂,并应迅速艾灸关元穴一百壮,以鼻尖出汗为度。
一种论述关于痰厥的,突然昏倒不省人事,喉间有像水鸡叫声一样的痰鸣音,这是痰厥。用牙皂、白矾各等分研成粉末,吹入鼻中,随即用香油一盏,加入少许姜汁灌服,患者立即苏醒。或者烧制竹沥、姜汁灌服也可以。
一种论述关于蛔厥的,是由胃寒引起的。经书说:蛔虫是长虫,胃中寒冷就会吐出蛔虫,适宜用理中汤加炒川椒五粒、槟榔五分,吞服乌梅丸。
一种论述关于气厥的,与中风相似,但中风患者身体温暖,气厥患者身体寒冷,可用藿香正气散,加入南星、木香、乌药。如果有痰,以四七导痰汤为主治方。
一种论述关于暴怒致死的,名叫气厥。因为愤怒则气机上逆,气机上逆则上焦气机壅实而不能下行,下焦气机逆乱而不能吸纳,所以导致突然死亡。对于气机上逆的情况,应当予以降逆。五磨饮子由木香、沉香、槟榔、枳实、台乌药组成,以上五味药等分,用白酒磨服,立即见效。
建中汤(见汗症章节) 六一顺气汤(见伤寒章节) 四逆汤(见中寒章节) 理中汤(见中寒章节)
The pulse of Yang Jue (Yang Reversal) is slippery and deep-solid. The pulse of Yin Jue (Yin Reversal) is fine and deep-hidden.
Qi deficiency leads to the onset of Jue. Blood deficiency leads to fever. "Jue" refers to coldness in the hands and feet. Qi belongs to Yang; when Yang Qi is deficient, Yin pathogens gather, thus causing Jue. Blood belongs to Yin; when Yin Blood is deficient, Yang pathogens gather, thus causing fever. For Jue caused by Qi deficiency, warm-natured medicines should be used. For fever caused by Blood deficiency, cool-cold medicines are not suitable; instead, medicines that warm and nourish Qi and Blood should be used for tonification, with an emphasis on nourishing Yin, such as Huangqi Jianzhong Tang (Astragalus Decoction to Build the Middle).
There is also a condition characterized by excess heat, where extreme heat results in coldness of the hands and feet. This is referred to as "the deeper the heat, the deeper the Jue." In this case, cool-cold medicines should be used, and differentiation must be made based on the pulse. This is the most difficult to distinguish.
One discussion on Yang Jue states that it occurs when heat is profound, leading to profound Jue, because extreme Yang leads to Jue. It should be treated urgently with Liuyi Shunqi Tang (Six-One Regulating Qi Decoction).
One discussion on Yin Jue states that initially, the body is cold, the pulse is deep, the four limbs are reversed (cold), the legs are curled up in bed, the lips and mouth are bluish, or there is spontaneous diarrhea without thirst, and the urine is clear white. Formulas such as Sini Tang (Frigid Extremities Decoction) or Lizhong Tang (Regulate the Middle Decoction) are appropriate. Additionally, moxibustion should be applied rapidly to the Guanyuan (CV-4) acupoint for one hundred burns, stopping when sweat appears on the tip of the nose.
One discussion on Tan Jue (Phlegm Reversal) describes sudden loss of consciousness accompanied by phlegm rattle in the throat resembling the sound of a water fowl. Use equal parts of Ya Zao (Gleditsia Sinensis Fruit) and Bai Fan (Alum), grind into powder, and insufflate into the nose. Immediately administer one cup of Sesame Oil mixed with a little Ginger Juice orally, and the patient will awaken immediately. Alternatively, administering Bamboo Sap (Zhu Li) and Ginger Juice prepared by heating is also effective.
One discussion on Hui Jue (Roundworm Reversal) attributes it to Cold in the Stomach. The classics state: "Roundworms are long worms." When the Stomach is cold, roundworms are vomited. Lizhong Tang (Regulate the Middle Decoction) should be used with five fried Sichuan Peppercorns (Chuan Chuanjiao) and two grams of Areca Seed (Binglang) added, taken together with Wumei Wan (Mume Pill).
One discussion on Qi Jue (Qi Reversal) notes that it resembles Zhong Feng (Wind Stroke), but patients with Wind Stroke have warm bodies, whereas those with Qi Jue have cold bodies. Huoxiang Zhengqi San (Agastache Powder to Rectify the Qi) can be used, augmented with Nan Xing (Arisaema Cum Bile), Mu Xiang (Costus Root), and Wu Yao (Lindera Root). If phlegm is present, Sixian Daotan Tang (Six-Man Phlegm-Resolving Decoction) is the primary formula.
One discussion on death due to sudden rage names it Qi Jue. Anger causes Qi to ascend; when Qi ascends, Upper Jiao Qi becomes excessive and fails to descend, while Lower Jiao Qi rebels and fails to inhale, leading to sudden death. For ascending Qi, descending methods should be employed. Wumo Yinzi (Five-Monk Drink) consists of Mu Xiang (Costus Root), Chen Xiang (Aquilaria Wood), Binglang (Areca Seed), Zhishi (Immature Bitter Orange), and Tai Wuyao (Lindera Root). These five herbs in equal proportions are ground with White Wine and administered orally, yielding immediate effects.
Jianzhong Tang (see Sweat Syndrome chapter); Liuyi Shunqi Tang (see Cold Damage chapter); Sini Tang (see Interior Cold chapter); Lizhong Tang (see Interior Cold chapter).