孙兆、杜壬同诊仁宗最宠贵妃。一日食次，忽仆倒，遍身卒冷。急奏上。上乃急召孙、杜。既至，奏曰∶
不妨，此乃气厥尔，少顷吐即覆苏也。御坐良久，果吐而苏。上问因何以得知？二人并奏曰∶此贵妃方因忧怨
气上逆，与食相并，故如此。吐即气透，故复苏也。上问妃有何事如此？妃对曰∶陛下无嗣，臣外家不能为陛下
生皇嗣，所以自怨，气忽上逆，至惊动圣驾。上曰∶朕亦自责，乃劳汝致病耶。因嘉奖孙、杜之能，良久曰∶
二卿今之非良医也耶？（《医学纲目》。）
于敖青衣为崔侍御所得，忽暴死。梁革曰∶此非死，乃尸厥也。刺心及脐下数处，衣以单衣，卧床上，缚
其手足，置微火于床下，稍苏，以葱粥灌之，青衣遂活。（徐应秋云∶凡病尸厥，呼之不应，脉伏者死，脉反大者死。）
窦材治一人，因大恼悲伤得病，昼则安静，夜则烦闷，不进饮食，左手无脉，右手沉细。世医以死症论之，
窦曰∶此肾厥病也，因寒气客肝肾二经。灸中脘五十壮，关元五百壮，每日服金液丹、四神丹。至七日，左手
脉生，少顷，大便下青白脓数升许，全安。此由真气大衰，非药能治，惟艾火灸之。（原注∶此症非灸法不愈，
非丹药不效。二者，人多不能行，医人仅用泛常药以治，其何能生？）
一妇人，产后发昏，两目涩，面上发麻，牙关紧急，两手拘挛，窦曰∶此胃气闭也。（亦由肝气上逆，胃气
结而成厥。）胃脉挟口环唇，出于齿缝，故见此症。令灸中脘五十壮，即日愈。（原注∶若产后血厥，仓公白微汤。）
一妇人，时时死去，已二日矣。凡医作风治之，不效。窦与灸中脘五十壮而愈。（此即尸厥。）
张子和治一人，痰厥不知人，牙关紧急。诸药不能下，候死而已。张见之，问侍病者曰∶口中曾有涎否？
曰∶有。遂先以防风、藜芦煎汤，调瓜蒂末灌之。口中不能下，乃取长蛤甲，磨去刃，以纸裹其尖，灌于右鼻
窍中， 然下咽有声，复灌其左窍亦然，曰∶可治矣。良久，涎不出，遂以砒石一钱，又投之鼻中，忽偃然仰
面，似觉有痛，斯须作哕，吐胶涎数升，颇腥。砒石寻常勿用，以其病大，非此莫能用动，然无瓜蒂，亦不可
便用，宜消息之。大凡中风痰塞，往往止断为风，专求风药，灵宝、至宝，误人多矣。故刘河间治风，舍风不
论，先论二火也。
常仲明之妻，每遇冬寒，两手热痛。张曰∶四肢者，诸阳之本也。当夏时，散越而不痛，及乎秋冬，收敛
则痛。以三花神 丸大下之，热遂去。（此热气厥也。）
张叟，年六十余，病热厥头痛，以其用涌药，时已一月间矣。加之以火，其人先利，年高身困，出门见日
而仆，不知人。家人惊惶，欲揉扑之。张曰∶大不可扰。续与西瓜、凉水、蜜雪，少顷而苏。盖病大年高，涌
泄则脉易乱；身体内有炎火，外有太阳，是以跌仆。若更扰之，便不救矣。惟安神定思，以凉水投之，待之以
静，静便属水，自然无事，临症者当谙练也。
常明仲之子，自四岁得风痰疾，至十五岁转甚，每月发一两次，发必头痛，痛则击数百拳，出黄绿涎一两
盏方已。比年发益频，目见黑花，发则昏不知人，（厥也。）三四日方苏。诸医皆用南星、半夏化痰之药，终无一
效。偶遇张于HT 水之南乡，以双解散发汗，次以苦剂吐痰，病去八九。续以分消剂平调，自春至秋，方获全愈。
庄一生治金坛庠友张逢甫内人，方食时触暴怒，忽仆地，气遂绝。一医用皂角灰吹鼻中不嚏，用汤药灌之
不受。延至午夜，谓必不治，医遂告去。急叩庄，过视之。六脉尚有，独气口沉伏，细寻之，滑甚，曰∶肝木
之气，逆冲入胃，胃中素有痰，致痰夹食，闭住胃口，气不得行而暴绝也。但历时久，汤药不入矣。急宜吐之
可活，所谓木郁则达之。亟令覆其身，垂首向床下，以鹅翎蘸桐油，启齿，探入喉中，展捎引吐，出痰与食才
一口，气便稍通。再探吐至两三口，便觉油臭，以手推拒，但不能言。庄曰∶无妨矣。知其体怯，不宜多吐，
急煎枳橘推荡之药灌之，尽剂而苏。后以平肝和胃药调理数剂复故。此因暴怒，怒则气上逆，痰因气壅，故现
斯症耳。所谓尸厥也。治厥往往有误，予故表其症以示后来云。（《广笔记》。）
季虬曰∶太学朱方仲内人，禀赋极弱，兼之作劳善怒，内热怔忡，胆虚气怯，已三四年矣。壬申夏，忽发
厥冒，痰气上升，则两目上窜，手足发搐，不省人事。初时一日一发，三四日后则连发不止，日夜几百次。牛
黄竹沥，遍尝不效。予计已穷，意欲用参、附峻补，因其时常口渴，大便不通，不敢轻投。适一友至，极赞其
决，谓非附不可。强用附子二钱，人参六钱，作一剂投下。午后进药，黄昏发大热，烦躁渴甚，不两日毙矣。
此固非用附子而然，第症候决不宜用，侥幸之想，毋漫试也。（同上。）
张意田乙酉岁治一人，忽患泄泻数次，僵仆不省，神昏目瞪，肉 口噤，状若中风。脉之，沉弦而缓，手
足不冷，身强无汗，鼻色青，两颐红，此肝郁之复也。用童便慈葱热服，稍醒。继以羌活、防风、柴胡、钩藤、
香附、栀子之属，次用天麻白术汤加归、芍、丹、栀而愈。或问肝郁之复，其故云何？曰∶运气不和，则体虚
人得之。本年阳明燥金司天，金运临酉为不及，草木晚荣。因去冬晴阳无雪，冬不潜藏，初春乘其未藏，而草
木反得早荣矣。燥金主肃杀，木虽达而金胜之，故近日梅未标而吐华，密霰凄风、交乱其侧，木气郁极，则必
思复。经所谓偃木飞沙，筋骨掉眩，风热之气，陡然上逆，是为清厥。今其脉沉弦而缓，乃风木之热象。因审
量天时，用童便、慈葱，使之速降浊阴，透转清阳，则神气自清；用羌、防等，以舒风木；香附、栀子，解汗
而清郁火。再用天麻白术汤加归、芍、丹、栀，培土清火，畅肝木以成春。虽不能斡旋造化，亦庶几不背天时也已。
李东垣治中书某，脚膝尻腰皆冷，脉沉数有力，用黄柏滋肾丸，再服而愈。
汪石山治一人，卒厥暴死，不知人。先因微寒，数发热，面色萎黄，六脉沉弦而细，知为中气久郁所致，
与人参七气汤一服，药未热而暴绝。汪令一人紧抱，以口接其气，徐以热姜汤灌之，禁止喧闹移动，否则气绝
不返矣。有顷果苏，温养半月而安。不特此症为然，凡中风、中气、中寒、暴厥，俱不得妄动，以断其气。《内
经》明言气复返则生，若不谙而扰乱之，使其气不得复，以致夭枉者多矣。（俱不得妄动是要法。）
遇卒暴病者，病家医士皆宜知此。盖暴病多火，扰之则正气散而死也。予女年十八，忽暴厥，家人不知
此，群集喧哄，又扶挟而徙之他所，致苏而复绝，救无及矣。今录张、汪二案，五内犹摧伤也。
盛用敬治一妇卒厥，昏昏若醉梦，手足筋牵。盛诊之，六脉俱脱。忽有麻衣者在侧，问其人，则病者之婿
也。问其服，妻之服也。问其妻子，死仅半月，死以产后症。忽悟曰∶此病必忧郁所致。以木香流气饮投之，
一服而瘥。（《吴江县志》。）
陆怡，华亭人，善医。汴人段氏客比邻，一夕溘死。怡取马枥去底，置大釜上，界死者纳之，蒸以葱药。
及旦，皮腐而气复。（《江南通志》。）
孙文垣治丁耀川长姐，常患晕厥，（诸风掉眩，俱属于肝。）吐痰碗许乃苏，（痰因火动。）一月三五发。后又口
渴，五更倒饱，（二字新。）肠鸣，腹疼泄泻，小水短涩，咳嗽。（皆肝火为患。）脉之，两寸濡弱，两关
滑大。此中焦痰积所致也，（却是标病。）先与二陈汤加苍术、山楂、麦芽以健脾为臣，以白芍止痛为君，以滑石、
泽泻引湿热从小便出为佐，黄芩为裨佐（张致）十帖，二阴之痛俱止。（前未叙明。）改以六味、知、柏、牛膝而愈。
按∶此女之病，禀母气也。予常见父母有肝病者，其子女亦多有之。兹病厥亦肝病也。其母病，甚在二
阴。见郁症门。
白仰云令眷，每触怒即晕厥，必闭门合目静坐，不令人在旁，（可见此病不宜扰之。）手足皆冷，汗出
如雨，气息俱微，越一时许，苏如常。原以项瘰 ，多服女医、斑猫等毒药，致脾胃损，元气亏也。年三十八，
未尝生育。欲睡则腿必捶敲，即睡则心常惊跳。经将行，小腹先疼二日，色紫有块，（以上无非肝病。）惟肌肉
饮食如常人。（脾胃不病。）诊之，两寸短弱，左关大而有力，右关滑，左尺滑，右尺沉微。据脉，肺气虚，肝
木实，胃土实，胃中有痰之症也。（木热则流脂，断无肝火盛而无痰者，不必责诸胃也。）用六君子汤加丹参、
酒连、青皮，外与真珠母丸及独活汤调理而安。（二方出《医学纲目》。）
龚子才治刘司寇，患卒倒不省人事，口眼相引，手足战掉。一医作风治，一医以痰火治，俱罔效。诊之，
六脉沉数，气口紧。此非风非痰，乃气夹食也。其家人始悟曰∶适正食之际，被恼怒所触，遂致如此。用行气
香苏散加木香、青皮、山楂即愈。（《万病回春》。）
喻嘉言治吴添官生母，时多暴怒，致经行复止。入秋以来，渐觉气逆上厥，如畏舟船之状，动则晕去，久
久卧于床中，时若天翻地覆，不能强起，百治不效。因用人参三五分，略宁片刻。最后服至五钱一剂，日费数
金，至家财尽费，病转凶危，大热引饮，脑间如刀劈，食少泻多，已治木矣。喻诊之，谓可救。盖怒甚则血菀
于上，而气不返于下者，名曰厥巅疾。厥者逆也，巅者高也。气与血俱逆于高巅，故动辄眩晕也。又上盛下虚
者，过在足少阳。足少阳胆也，胆之穴，皆络于脑。郁怒之火，上攻于脑，得补而炽，其痛如劈，同为厥巅之
疾也。风火相煽，故振摇而蒸热；木土相凌，故艰食而多泻也。于是会《内经》铁落镇坠之意，以代赭石、龙
胆草、芦荟、黄连之属，降其上逆之气；以蜀漆、丹皮、赤芍之属，行其上菀之血；以牡蛎、龙骨、五味之属，
敛其浮游之神。最要在每剂中入生猪胆汁二枚。盖以少阳热炽，胆汁必干，亟以同类之物济之，资其持危扶颠
之用。病者药入口，便若神返其舍，忘其苦口。连进数十剂，热退身凉，食进泻止，能起行数步。然尚觉身轻
如叶，不能久支。因恐药味太苦，不宜多服，减去猪胆及芦荟等药，加入当归一钱，人参三分，姜、枣为引，
平调数日全愈。
李士材治晏给谏夫人，先患胸腹痛，次日卒然晕倒，手足厥逆。时有医者，以牛黄丸磨就将服矣。诊之，
六脉皆伏，惟气口稍动。此食满胸中，阴阳否隔，升降不通，故脉伏而气口独见也。取陈皮、砂仁各一两，姜
八钱，盐三钱，煎汤以指探吐，得宿食五六腕，六脉尽见矣。左关弦大，胸腹痛甚，知为大怒所伤也，以木香、
青皮、橘红、白术、香附煎服，两剂痛止。更以六君子加木香、乌药，调理十余日方瘥。
一人年五旬，荒于酒色，忽头痛发热。医以羌活汤散之，汗出不止，昏晕不省。李为灸关元十壮而醒。四
君子加姜、桂，日三剂，至三日少康。因劳怒复发厥，用好参一两，熟附三钱，煨姜十片，煎服稍醒。但一转
侧即厥，一日之间，计厥七次，服参三两。至明日，以羊肉羹、糯米粥与之，尚厥二三次。至五日而厥定，乃
泣而问曰∶可再生否？曰∶脉有根蒂，但元气虚极，非数载调摄不能康也。幸其恪信坚守，两月之间，服参四
斤。三年之内，煎剂六百帖，丸药七十斤，方得步履如初。亲友众多，议论杂出，（此最病家大忌。）若非病
人信任之端，倘久而见疑，服药必怠，未有获生者也。
张路玉治顾允祥之内，暴怒伤食，喘胀逆满。（怒则气上。）医者误认风邪而与表药，遂昏愦，目瞪不语，呼之
不省。（鼓动肝邪，痰盛而厥。）诊之，其脉六部涩伏，知为痰因气闭所致，本当因势利导，探吐以通其窍。
缘病家畏其吐剧，遂与导痰汤加菖蒲、远志，一啜便能言语。更与前药加槟榔、铁落，得下而安。
黄履素曰∶凡人精神极壮实者，偶患痰厥，可服牛黄丸立愈。余姐丈周公美，一日忽神呆目顿，顷之痰涌，
手扬足掷，有类中风。不服药，次日自愈。此等禀赋，百无一二。
杨太史夫人，忽然晕倒。医以中风之药治之，不效。李诊之，左关弦急，右关滑大而软。本因元气不足，
又因怒后食停。先以理气消食药进之，下黑矢数枚。急以六君子加姜汁，服四剂而后晕止。更以人参五钱， 、
术、半夏各三钱，茯苓、归身各二钱，加减调理，两月而愈。
薛立斋治一妇人，因怒发搐，呕吐痰涎，口噤昏愦，气口脉大于人迎。此气滞而食厥，用平胃散加茯苓、
半夏、木香治之而苏。更以六君子汤加木香渐愈。乃去木香，又二十余剂而痊。
陆养愚治许省南，忽得暴疾，如中风状，口不能言，目不识人，四肢不举，服苏合、牛黄丸不效。或与小
续命汤，反增喘急壮热，手足厥逆。或以六脉沉微，拟用附子理中汤。诊之，两寸似有似无，两关尺难以求索。
孙兆和杜壬一同诊治宋仁宗最宠爱的贵妃。一天在进食时，贵妃突然仆倒在地，全身瞬间发冷。急忙奏报皇上。皇上于是紧急召见孙兆和杜壬。两人到达后，奏道：“无妨，这是气厥病，过一会儿吐出来就会苏醒。”过了很久，贵妃果然呕吐后苏醒。皇上问他们是如何知道的？两人都奏道：“这位贵妃刚才因为忧愁怨恨导致气机上逆，与食物相搏结，所以出现这种情况。吐出来后气机通畅，所以苏醒了。”皇上问贵妃有什么事如此？贵妃回答说：“陛下没有子嗣，臣妾的娘家不能为陛下生下皇嗣，因此自我怨愤，气机突然上逆，惊动了圣驾。”皇上说：“朕也自责，竟劳累你致病吗。”于是嘉奖孙兆、杜壬的医术高明，过了很久又说：“二位卿家难道不是当今的好医生吗？”（出自《医学纲目》。）
于敖穿的青衣婢女被崔侍御得到，突然暴死。梁革说：“这不是死，是尸厥病。”针刺心部和脐下几处，给她穿上单衣，让她躺在床上，捆绑住她的手脚，在床下放置微火，稍微苏醒后，用葱粥灌服，青衣婢女便活了过来。（徐应秋说：凡是患尸厥病的，呼叫不应，脉搏伏匿的是死证，脉搏反而洪大也是死证。）
窦材治疗一个人，因为大怒悲伤而患病，白天安静，晚上烦闷，不进饮食，左手无脉，右手脉沉细。世间的医生认为是死症，窦材说：“这是肾厥病，因为寒气客居在肝肾二经。”灸中脘穴五十壮，关元穴五百壮，每天服用金液丹、四神丹。到了第七天，左手脉象恢复，过了一会儿，大便排出青白色的脓液几升，完全康复。这是因为真气极度衰弱，不是药物能治疗的，只有艾灸才能治愈。（原注：此症非艾灸不能痊愈，非丹药无效。这两者，人们大多不能施行，医生仅用普通的药来治疗，怎么能救活呢？）
一个妇人，产后昏厥，两眼干涩，面部发麻，牙关紧闭，两手拘挛抽搐，窦材说：“这是胃气闭塞所致。”（也是因为肝气上逆，胃气结聚而成厥。）胃脉环绕口唇，出于齿缝，所以出现这些症状。令其灸中脘穴五十壮，当天就痊愈了。（原注：若是产后血厥，可用仓公白微汤。）
一个妇人，时常昏死过去，已经两天了。众医按风病治疗，无效。窦材给她灸中脘穴五十壮而痊愈。（这就是尸厥。）
张子和治疗一个人，痰厥不知人事，牙关紧闭。各种药物无法喂下，只能等待死亡。张子和见到后，问陪护的人说：“口中曾有涎水吗？”回答说：“有。”于是先用防风、藜芦煎汤，调服瓜蒂末灌入。口中无法咽下，于是取长蛤甲，磨去刃口，用纸包裹尖端，灌入右鼻孔中，然后听到吞咽声，再灌左鼻孔也是如此，说：“可以治了。”过了很久，涎水未出，于是将一钱砒石再次投入鼻中，忽然仰卧仰面，似乎感到疼痛，片刻后作呕，吐出胶状涎水几升，气味很腥。砒石平时不要使用，因为病情严重，不用这个药不能触动病邪，然而如果没有瓜蒂，也不宜直接使用，应当斟酌情况。大凡中风痰塞，往往只断定为风邪，专门寻求风药，灵宝丸、至宝丹，误人很多。所以刘河间治疗风病，抛开风邪不论，先论述二火。
常仲明的妻子，每逢冬天寒冷，双手热痛。张子和说：“四肢是诸阳之本。在夏天时，阳气发散而不痛，等到秋冬季节，阳气收敛则疼痛。”用三花神丸大力泻下，热痛随即去除。（这是热气厥。）
张叟，六十多岁，患热厥头痛，因为他已经使用涌吐药一个月了。又加上火疗，此人先前腹泻，年高体困，出门见到太阳就仆倒，不知人事。家人惊慌，想要揉搓拍打他。张子和说：“绝对不可以扰乱。”随后给予西瓜、凉水、蜜雪，过了一会儿就苏醒了。因为病重且年高，涌吐泄下会导致脉象容易紊乱；身体内有炎火，外有太阳暴晒，所以跌仆。如果再扰乱他，就无法救治了。只有安神定思，用凉水投喂，以静待之，静属水，自然无事，临症者应当熟悉掌握。
常明仲的儿子，从四岁得风痰疾，到十五岁加重，每月发作一两次，发作必定头痛，痛时击打数百拳，吐出黄绿涎水一两盏才停止。近年发作日益频繁，眼前见黑花，发作时昏不知人（这是厥证），三四天才苏醒。众医都用南星、半夏化痰的药，始终无效。偶然在HT水南乡遇到张子和，用双解散发汗，接着用苦剂催吐痰，病去八九成。随后用分消剂平调，从春到秋，才获得全愈。
庄一生治疗金坛庠友张逢甫的妻子，正在吃饭时遭遇暴怒，突然仆倒在地，气息断绝。一个医生用皂角灰吹入鼻中不打喷嚏，用汤药灌服不接受。拖延到午夜，认为必死无疑，医生便告辞离去。急忙叩请庄一生，前往诊视。六脉还有，唯独气口脉沉伏，仔细寻察，滑象明显，说：“肝木之气，逆冲入胃，胃中素有痰，导致痰夹食积，闭阻胃口，气不得运行而暴绝。”但历时已久，汤药已无法进入。急宜催吐可活，所谓“木郁则达之”。急忙令其俯卧，头垂向床下，用鹅翎蘸桐油，撬开牙齿，探入喉中，反复引吐，吐出痰与食仅一口，气息便稍通。再探吐两三口，便觉得有油臭味，用手推拒，但不能说话。庄一生说：“无妨了。”知道她体质虚弱，不宜多吐，急忙煎煮枳橘推荡之药灌服，服完即苏醒。后来用平肝和胃药调理数剂恢复健康。这是因为暴怒，怒则气上逆，痰因气壅滞，所以出现这种症状。这就是尸厥。治疗厥证往往有误，所以我记录此案以警示后人。（出自《广笔记》。）
季虬说：太学朱方仲的妻子，禀赋极弱，加之劳作善怒，内热怔忡，胆虚气怯，已经三四年了。壬申年夏天，突然发作厥冒，痰气上升，则两目上窜，手足抽搐，不省人事。起初一天发作一次，三四天后则连续发作不止，日夜几百次。牛黄竹沥，遍尝无效。我已计穷，打算用人参、附子峻补，因为她时常口渴，大便不通，不敢轻易投药。恰好一位朋友到来，极力称赞决断，说非附子不可。强行使用附子二钱，人参六钱，作一剂投下。午后进药，黄昏时发大热，烦躁渴甚，不到两天就死了。这固然不是因为用了附子，而是症候确实不宜用，侥幸的想法，不要随意尝试。（同上。）
张意田乙酉年治疗一个人，突然患泄泻数次，僵仆不省人事，神昏目瞪，肌肉跳动，口噤，状若中风。诊脉，沉弦而缓，手足不冷，身强无汗，鼻色青，两颧红，这是肝郁的复气。用童便慈葱热服，稍醒。继以羌活、防风、柴胡、钩藤、香附、栀子等药，次用天麻白术汤加当归、芍药、丹皮、栀子而愈。有人问肝郁的复气，原因是什么？说：运气不和，则体虚之人得之。本年阳明燥金司天，金运临酉为不及，草木晚荣。因为去冬晴阳无雪，冬不潜藏，初春乘其未藏，而草木反得早荣矣。燥金主肃杀，木虽达而金胜之，所以近日梅树未标枝而吐花，密霰凄风，交乱其侧，木气郁极，则必思复。经书所说偃木飞沙，筋骨掉眩，风热之气，陡然上逆，是为清厥。现在其脉沉弦而缓，乃风木的热象。因为审量天时，用童便、慈葱，使之速降浊阴，透转清阳，则神气自清；用羌活、防风等，以舒风木；香附、栀子，解郁而清郁火。再用天麻白术汤加当归、芍药、丹皮、栀子，培土清火，畅肝木以成春。虽然不能斡旋造化，也差不多不违背天时了。
李东垣治疗中书某，脚膝尻腰皆冷，脉沉数有力，用黄柏滋肾丸，再服而愈。
汪石山治疗一个人，卒厥暴死，不知人事。先前因微寒，多次发热，面色萎黄，六脉沉弦而细，知道是中气久郁所致，给人参七气汤一服，药未热而暴绝。汪石山令一人紧紧抱住，以口接其气，慢慢用热姜汤灌服，禁止喧闹移动，否则气绝不返。过了一会儿果然苏醒，温养半月而安。不只是此症如此，凡中风、中气、中寒、暴厥，都不得妄动，以断其气。《内经》明言气复返则生，如果不熟悉而扰乱它，使其气不得复，以致夭折者很多了。（都不得妄动是要法。）
遇到卒暴病者，病家医士都应当知道这一点。大概暴病多火，扰乱它则正气散而死也。我的女儿十八岁，突然暴厥，家人不知道这点，群集喧哄，又扶挟而徙之他所，致苏醒后又断绝，救无可救。现在记录张、汪两案，内心犹摧伤也。
盛用敬治疗一妇人卒厥，昏昏若醉梦，手足筋牵。盛用敬诊之，六脉俱脱。忽有穿麻衣者在侧，问其人，则是病者的女婿。问其服丧，是妻之服。问其妻子，死仅半月，死于产后症。忽然醒悟说：“此病必忧郁所致。”用木香流气饮投之，一服而瘥。（《吴江县志》。）
陆怡，华亭人，善于医术。汴人段氏客居比邻，一夕突然死去。陆怡取马枥去掉底部，放在大釜上，把死者置于其中，蒸以葱药。到了早晨，皮肤腐烂而气复。（《江南通志》。）
孙文垣治疗丁耀川的长姐，常患晕厥（诸风掉眩，俱属于肝），吐痰碗许乃苏（痰因火动），一月三五发。后又口渴，五更倒饱（二字新），肠鸣，腹疼泄泻，小水短涩，咳嗽（皆肝火为患）。诊脉，两寸濡弱，两关滑大。这是中焦痰积所致（却是标病）。先与二陈汤加苍术、山楂、麦芽以健脾为臣，以白芍止痛为君，以滑石、泽泻引湿热从小便出为佐，黄芩为裨佐（张致）十帖，二阴之痛俱止（前未叙明）。改以六味地黄丸、知母、黄柏、牛膝而愈。
按：此女之病，禀母气也。予常见父母有肝病者，其子女亦多有之。兹病厥亦肝病也。其母病，甚在二阴。见郁症门。
白仰云的夫人，每触怒即晕厥，必闭门合目静坐，不令人在旁（可见此病不宜扰之），手足皆冷，汗出如雨，气息俱微，越一时许，苏如常。原以项瘰疬，多服女医、斑猫等毒药，致脾胃损，元气亏也。年三十八，未尝生育。欲睡则腿必捶敲，即睡则心常惊跳。经将行，小腹先疼二日，色紫有块（以上无非肝病），惟肌肉饮食如常人（脾胃不病）。诊之，两寸短弱，左关大而有力，右关滑，左尺滑，右尺沉微。据脉，肺气虚，肝木实，胃土实，胃中有痰之症也（木热则流脂，断无肝火盛而无痰者，不必责诸胃也）。用六君子汤加丹参、酒连、青皮，外与真珠母丸及独活汤调理而安（二方出《医学纲目》）。
龚子才治疗刘司寇，患卒倒不省人事，口眼相引，手足战掉。一医作风治，一医以痰火治，俱罔效。诊之，六脉沉数，气口紧。此非风非痰，乃气夹食也。其家人始悟曰：适正食之际，被恼怒所触，遂致如此。用行气香苏散加木香、青皮、山楂即愈。（《万病回春》。）
喻嘉言治疗吴添官生母，时多暴怒，致经行复止。入秋以来，渐觉气逆上厥，如畏舟船之状，动则晕去，久久卧于床中，时若天翻地覆，不能强起，百治不效。因用人参三五分，略宁片刻。最后服至五钱一剂，日费数金，至家财尽费，病转凶危，大热引饮，脑间如刀劈，食少泻多，已治木矣。喻诊之，谓可救。盖怒甚则血菀于上，而气不返于下者，名曰厥巅疾。厥者逆也，巅者高也。气与血俱逆于高巅，故动辄眩晕也。又上盛下虚者，过在足少阳。足少阳胆也，胆之穴，皆络于脑。郁怒之火，上攻于脑，得补而炽，其痛如劈，同为厥巅之疾也。风火相煽，故振摇而蒸热；木土相凌，故艰食而多泻也。于是会《内经》铁落镇坠之意，以代赭石、龙胆草、芦荟、黄连之属，降其上逆之气；以蜀漆、丹皮、赤芍之属，行其上菀之血；以牡蛎、龙骨、五味之属，敛其浮游之神。最要在每剂中入生猪胆汁二枚。盖以少阳热炽，胆汁必干，亟以同类之物济之，资其持危扶颠之用。病者药入口，便若神返其舍，忘其苦口。连进数十剂，热退身凉，食进泻止，能起行数步。然尚觉身轻如叶，不能久支。因恐药味太苦，不宜多服，减去猪胆及芦荟等药，加入当归一钱，人参三分，姜、枣为引，平调数日全愈。
李士材治疗晏给谏夫人，先患胸腹痛，次日卒然晕倒，手足厥逆。时有医者，以牛黄丸磨就将服矣。诊之，六脉皆伏，惟气口稍动。此食满胸中，阴阳否隔，升降不通，故脉伏而气口独见也。取陈皮、砂仁各一两，姜八钱，盐三钱，煎汤以指探吐，得宿食五六腕，六脉尽见矣。左关弦大，胸腹痛甚，知为大怒所伤也，以木香、青皮、橘红、白术、香附煎服，两剂痛止。更以六君子加木香、乌药，调理十余日方瘥。
一人年五旬，荒于酒色，忽头痛发热。医以羌活汤散之，汗出不止，昏晕不省。李士材为灸关元十壮而醒。四君子加姜、桂，日三剂，至三日少康。因劳怒复发厥，用好参一两，熟附三钱，煨姜十片，煎服稍醒。但一转侧即厥，一日之间，计厥七次，服参三两。至明日，以羊肉羹、糯米粥与之，尚厥二三次。至五日而厥定，乃泣而问曰：可再生否？曰：脉有根蒂，但元气虚极，非数载调摄不能康也。幸其恪信坚守，两月之间，服参四斤。三年之内，煎剂六百帖，丸药七十斤，方得步履如初。亲友众多，议论杂出（此最病家大忌），若非病人信任之端，倘久而见疑，服药必怠，未有获生者也。
张路玉治疗顾允祥的内人，暴怒伤食，喘胀逆满（怒则气上）。医者误认风邪而与表药，遂昏愦，目瞪不语，呼之不省（鼓动肝邪，痰盛而厥）。诊之，其脉六部涩伏，知为痰因气闭所致，本当因势利导，探吐以通其窍。缘病家畏其吐剧，遂与导痰汤加菖蒲、远志，一啜便能言语。更与前药加槟榔、铁落，得下而安。
黄履素说：凡人精神极壮实者，偶患痰厥，可服牛黄丸立愈。余姐丈周公美，一日忽神呆目顿，顷之痰涌，手扬足掷，有类中风。不服药，次日自愈。此等禀赋，百无一二。
杨太史夫人，忽然晕倒。医以中风之药治之，不效。李士材诊之，左关弦急，右关滑大而软。本因元气不足，又因怒后食停。先以理气消食药进之，下黑矢数枚。急以六君子加姜汁，服四剂而后晕止。更以人参五钱、白术、半夏各三钱，茯苓、归身各二钱，加减调理，两月而愈。
薛立斋治疗一妇人，因怒发搐，呕吐痰涎，口噤昏愦，气口脉大于人迎。此气滞而食厥，用平胃散加茯苓、半夏、木香治之而苏。更以六君子汤加木香渐愈。乃去木香，又二十余剂而痊。
陆养愚治疗许省南，忽得暴疾，如中风状，口不能言，目不识人，四肢不举，服苏合、牛黄丸不效。或与小续命汤，反增喘急壮热，手足厥逆。或以六脉沉微，拟用附子理中汤。诊之，两寸似有似无，两关尺难以求索。
Sun Zhao and Du Ren jointly treated the favorite consort of Emperor Renzong of Song. One day, while eating, the consort suddenly collapsed, and her entire body became cold instantly. The matter was urgently reported to the Emperor. The Emperor then hastily summoned Sun Zhao and Du Ren. Upon arrival, they reported: "There is no danger; this is Qi Jue (Qi Syncope), a condition caused by the stagnation of vital energy. She will recover shortly after vomiting." After some time, the consort indeed vomited and regained consciousness. The Emperor asked how they knew this. Both replied: "This consort recently suffered from sorrow and resentment, causing Qi to rebel upwards. This rebellious Qi combined with food, leading to this condition. Once vomited, the Qi flows freely, hence she recovers." The Emperor asked what caused such distress for the consort. She answered: "Your Majesty has no heir, and my family cannot produce a royal successor for Your Majesty. Therefore, I resent myself. My Qi suddenly rebelled, disturbing Your Majesty's presence." The Emperor said: "I also blame myself; did I not cause you illness through worry?" He praised the medical skills of Sun and Du, and after a long pause, added: "Are you not excellent physicians of our time?" (From *Medical Outline*.)
Yu Ao's maid, acquired by Cui Shiyu, suddenly died. Liang Ge said: "This is not death, but Shi Jue (Corpse-like Syncope)." He punctured points around the heart and below the navel, dressed her in single-layer clothing, laid her on a bed, bound her limbs, placed mild heat under the bed, and upon slight recovery, fed her scallion porridge, reviving the maid. (Xu Yingqiu noted: In cases of Shi Jue, if there is no response to calling and the pulse is hidden, it is fatal; if the pulse becomes surprisingly large, it is also fatal.)
Dou Cai treated a patient who fell ill due to extreme anger and sadness. The patient was calm during the day but restless at night, refused food, had no pulse on the left wrist, and a deep, fine pulse on the right. Other physicians deemed it a terminal case. Dou Cai said: "This is Shen Jue (Kidney Syncope), caused by cold pathogenic factors lodging in the Liver and Kidney meridians." He moxaized the Zhongwan (CV12) point 50 cones and the Guanyuan (CV4) point 500 cones, administering Jin Ye Dan and Si Shen Dan daily. By the seventh day, the left pulse returned. Shortly after, several liters of greenish-white purulent stool were passed, and the patient fully recovered. This was due to extreme deficiency of True Qi, which medication alone could not treat; only moxibustion could cure it. (Original note: This condition cannot be cured without moxibustion, nor can it be effective without elixirs. Most people cannot perform these treatments; doctors using only ordinary medicines cannot save them.)
A woman suffered postpartum syncope, dry eyes, facial numbness, locked jaw, and spasms of both hands. Dou Cai said: "This is due to the closure of Stomach Qi." (Also caused by rebellious Liver Qi and knotted Stomach Qi forming Jue). The Stomach meridian circles the lips and emerges from between the teeth, explaining these symptoms. He ordered moxibustion on Zhongwan (CV12) for 50 cones, resulting in immediate recovery. (Original note: For postpartum Blood Jue, Cang Gong Bai Wei Tang may be used.)
Another woman fainted repeatedly for two days. Physicians treating her as a Wind disease failed. Dou Cai moxaized Zhongwan (CV12) for 50 cones, curing her. (This is Shi Jue.)
Zhang Zihe treated a patient with Tan Jue (Phlegm Syncope) who was unconscious with a locked jaw. Medications could not be administered, and death seemed imminent. Zhang asked the caregiver: "Was there saliva in the mouth?" The answer was yes. He first prepared a decoction of Fang Feng and Li Lu, mixed with Geng Ti powder, and attempted to administer it orally. When oral administration failed, he took a long clam shell, ground off the sharp edges, wrapped the tip in paper, and inserted it into the right nostril. Swallowing sounds were heard. He repeated this in the left nostril, stating: "It can be treated." After a long wait with no phlegm expulsion, he administered one qian of Pi Shi (Arsenic) into the nose. The patient suddenly lay supine, appeared to feel pain, and soon retched, expelling several liters of sticky, foul-smelling saliva. Pi Shi should generally not be used, but due to the severity of the illness, it was necessary to move the pathogen. However, without Geng Ti, it should not be used directly; discretion is required. Generally, stroke with phlegm obstruction is often misdiagnosed merely as Wind, leading to excessive use of Wind-dispelling herbs. Ling Bao Wan and Zhi Bao Wan have misled many. Thus, Liu Hejian, when treating Wind, disregarded Wind itself and focused on the Two Fires.
The wife of Chang Zhongming experienced hot and painful hands every winter. Zhang Zihe said: "The four limbs are the root of all Yang meridians. In summer, Yang disperses and there is no pain; in autumn and winter, Yang converges, causing pain." He administered San Hua Shen Wan to induce strong purgation, removing the heat and pain. (This is Re Jue/Heat Syncope.)
Old Man Zhang, over sixty, suffered from headache due to Re Jue. He had been using emetic drugs for a month. Combined with fire therapy, he previously had diarrhea. Being elderly and weak, he collapsed upon seeing the sun outdoors and lost consciousness. Family members panicked and wanted to rub or beat him. Zhang Zihe said: "Absolutely do not disturb him." He provided watermelon, cool water, and honey snow. The patient recovered shortly. Because the illness was severe and the patient old, emesis and purgation could disrupt the pulse. Internal inflammatory fire combined with external solar exposure caused the collapse. Further disturbance would be fatal. Only by calming the spirit, providing cool water, and maintaining stillness (which belongs to Water) could safety be ensured. Clinicians must master this principle.
The son of Chang Mingzhong suffered from Wind-Phlegm disease from age four, worsening by fifteen. He had headaches twice a month, punching hundreds of times until he vomited one or two cups of yellow-green saliva. Attacks became more frequent, with visual black spots, unconsciousness (Jue), and recovery taking three to four days. Physicians used Nan Xing and Ban Xia to resolve phlegm without effect. Meeting Zhang Zihe south of HT Water, he was treated with Shuang Jie San to induce sweating, followed by bitter emetics to expel phlegm, resolving most symptoms. Subsequently, Fen Xiao Ji regulated his health, achieving full recovery from spring to autumn.
Zhuang Yisheng treated the wife of Zhang Fengfu, a scholar from Jintan. While eating, she encountered sudden rage, collapsed, and lost breath. A physician blew Rhizoma Smilacis Glabrae ash into her nose to induce sneezing, but she did not sneeze. Decoctions were refused. By midnight, the physician declared her untreatable and left. Zhuang Yisheng was urgently consulted. Six pulses were present, but the Qi Kou pulse was deep and hidden; careful palpation revealed significant slipperiness. He stated: "Liver Wood Qi rebels into the Stomach. Phlegm exists in the Stomach, causing phlegm and food to block the Stomach opening, preventing Qi flow and causing sudden cessation. Since time has passed, decoctions cannot enter. Emesis is urgently needed to save her, following the principle 'When Wood is constrained, unblock it.'" He positioned her prone with her head hanging down, used a goose feather dipped in tung oil to open her teeth and probe the throat, inducing vomiting. After one mouthful of phlegm and food, Qi flowed slightly. After two or three more probes, she smelled oil and pushed away with her hand but could not speak. Zhuang said: "No harm." Knowing her frail constitution, he avoided excessive vomiting, instead brewing a decoction of Zhi Ju to push out stagnation. She recovered after finishing the dose. Later, Liver-calming and Stomach-harmonizing herbs restored her health. This was caused by sudden rage, where Qi rebels upward, trapping phlegm, presenting as Shi Jue. Errors in treating Jue are common; I record this to warn future practitioners. (From *Guang Biji*.)
Ji Qiu stated: The wife of Zhu Fangzhong from the Imperial Academy had a very weak constitution, worked hard, was prone to anger, suffered internal heat and palpitations, and had deficient Gallbladder Qi and timidity for three to four years. In the summer of Ren Shen year, she suddenly developed Jue Mao (syncope with dizziness), rising phlegm-Qi, eyes rolling up, limb convulsions, and unconsciousness. Initially once a day, it progressed to continuous attacks, hundreds per day. Niu Huang Zhu Li was tried without effect. I exhausted my strategies and considered strong tonification with Ren Shen and Fu Zi, but due to her thirst and constipation, I hesitated. A friend arrived, strongly advocating decisive action, insisting on Fu Zi. We forcibly administered two qian of Fu Zi and six qian of Ren Shen in one dose. After noon dosing, she developed high fever, restlessness, and extreme thirst, dying within two days. This was not solely due to Fu Zi, but because the syndrome absolutely contraindicated its use. Do not rely on luck or experiment casually. (Same source.)
In the Yi You year, Zhang Yitian treated a patient who suddenly had diarrhea several times, collapsed, lost consciousness, had dull eyes, muscle twitching, and locked jaw, resembling stroke. The pulse was deep, wiry, and slow; limbs were not cold, body stiff, no sweat, nose blue, cheeks red. This was a recurrence of Liver constraint. He administered hot Tong Bian (Child's Urine) and Ci Cong (Scallion), restoring slight consciousness. Then used Qiang Huo, Fang Feng, Chai Hu, Gou Teng, Xiang Fu, and Zhi Zi. Subsequently, Tian Ma Bai Zhu Tang plus Dang Gui, Bai Shao, Dan Pi, and Zhi Zi cured him. Asked about the recurrence of Liver constraint, he explained: When Luck (Yun Qi) is discordant, deficient individuals contract it. That year, Yangming Dry Metal governed the sky, Metal Luck at You branch was insufficient, causing late flourishing of grass and trees. Last winter was sunny without snow, failing to store Yin in winter. Early spring, before storage was complete, plants flourished early. Dry Metal governs肃杀 (killing/cold); although Wood expands, Metal overcomes it. Thus, plum blossomed prematurely amidst hail and wind. Extreme Wood constraint leads to "Re" (counterattack). As the Classics say: bending trees and flying sand, trembling limbs and vertigo, sudden upward rebellion of Wind-Heat is called Qing Jue. The current deep, wiry, slow pulse indicates Heat of Wind Wood. Considering the heavenly timing, Tong Bian and Ci Cong were used to rapidly descend turbid Yin and transform clear Yang, clearing the spirit. Qiang Huo and Fang Feng soothed Wind Wood; Xiang Fu and Zhi Zi resolved constraint and cleared stagnant Fire. Tian Ma Bai Zhu Tang with tonics cultivated Earth, cleared Fire, and smoothed Liver Wood to achieve Spring energy. Though one cannot control creation, one should not violate heavenly timing.
Li Dongyuan treated a Secretary whose feet, knees, buttocks, and lower back were cold. The pulse was deep, rapid, and forceful. He prescribed Huang Bo Zi Shui Wan, curing him after two doses.
Wang Shishan treated a patient with sudden Jue and apparent death, unconscious. Previously suffering from slight chills and recurrent fever, with sallow complexion and deep, wiry, fine pulses, he identified chronic Middle Qi constraint. He administered Ren Shen Qi Qi Tang. Before the medicine warmed, the patient ceased breathing. Wang instructed someone to hold the patient tightly, breathe into their mouth, and slowly pour hot Ginger Decoction, prohibiting noise or movement, lest Qi fail to return. The patient revived and recovered after half a month of warm nourishment. Not only this case, but for Stroke, Qi Strike, Cold Strike, and Sudden Jue, one must not disturb the Qi to sever it. The *Neijing* clearly states: if Qi returns, life is preserved. Those who fail to understand this and disturb the patient, preventing Qi restoration, often die prematurely. (Not disturbing is a key method.)
Physicians and families encountering sudden acute illnesses must know this. Acute illnesses often involve Fire; disturbance scatters Zheng Qi leading to death. My eighteen-year-old daughter suddenly suffered Jue. Her family, unaware, gathered noisily, moved her elsewhere, causing her to relapse after brief recovery, beyond rescue. Recording the cases of Zhang and Wang breaks my heart.
Sheng Yongjing treated a woman with sudden Jue, drowsy as if drunk, with limb tendon pulling. His pulse diagnosis showed all six pulses vanished. A man in mourning clothes stood nearby; he was the patient's husband. His wife had died half a month prior from postpartum complications. Sheng realized: "This illness must be caused by depression/grief." He administered Mu Xiang Liu Qi Yin, curing her after one dose. (*Wujiang County Gazetteer*.)
Lu Yi, from Huating, was skilled in medicine. Duan Shi, a tenant neighbor, died suddenly one night. Lu Yi removed the bottom of a horse stable rack, placed it over a large cauldron, put the deceased on it, and steamed them with Scallion and herbal medicines. By morning, the skin rotted, but Qi returned. (*Jiangsu Province Gazetteer*.)
Sun Wen Yuan treated the eldest sister of Ding Yaochuan, who often suffered fainting spells (All wind tremors and vertigo belong to Liver). She vomited a bowl of phlegm before recovering (Phlegm moves due to Fire), occurring 3-5 times a month. Later, she developed thirst, early morning fullness (new terms), borborygmus, abdominal pain, diarrhea, scanty urine, and cough (all caused by Liver Fire). Pulses were soft and weak at Cun, slippery and large at Guan. This was caused by Phlegm accumulation in the Middle Jiao (manifestation rather than root). First, Er Chen Tang plus Cang Zhu, Shan Zha, and Mai Ya was used to strengthen Spleen (Minister), Bai Shao for pain (Chief), Hua Shi and Ze Xie to guide damp-heat via urine (Assistant), and Huang Qin as Deputy Assistant for ten doses, stopping pain in the two Yin areas. Then switched to Liu Wei Di Huang Wan, Zhi Mu, Huang Bo, and Niu Xi, achieving cure.
Note: This girl's illness inherited maternal Qi. I often see that children of parents with Liver disease also suffer from it. This Jue is also a Liver disease. Her mother's illness was severe in the two Yin. See Depression Syndrome section.
Madam Bai Yangyun fainted whenever angered, requiring closed doors and quiet sitting without others nearby (showing this illness should not be disturbed). Limbs were cold, sweating profusely, breath faint. She recovered after an hour. Originally, due to neck lumps, she frequently took female doctors' prescriptions and toxic substances like Ban Mao, damaging Spleen/Stomach and depleting Yuan Qi. At thirty-eight, she had never given birth. She kicked her legs when trying to sleep and startedle easily. Two days before menstruation, lower abdomen hurt, blood dark with clumps (all Liver diseases). Muscle and diet were normal (Spleen/Stomach healthy). Pulses: short and weak at Cun, large and forceless at Left Guan, slippery at Right Guan, slippery at Left Chi, deep and faint at Right Chi. According to pulses: Lung Qi deficient, Liver Wood excess, Stomach Earth excess, Phlegm in Stomach (Wood heat flows fat; impossible to have strong Liver Fire without Phlegm; do not blame Stomach). Used Liu Jun Zi Tang plus Dan Shen, Jiu Lian, and Qing Pi, externally managed with Zhen Zhu Mu Wan and Du Huo Tang, achieving peace. (Both formulas from *Medical Outline*.)
Gong Zicai treated Vice Minister Liu, who collapsed unconscious, with eye and mouth deviation, and limb tremors. One physician treated as Wind, another as Phlegm-Fire, both ineffective. Pulses were deep, rapid, and tight at Qi Kou. This was neither Wind nor Phlegm, but Qi combined with Food. The family realized: "We were eating when anger struck, causing this." Xing Qi Xiang Su San plus Mu Xiang, Qing Pi, and Shan Zha cured him. (*Ten Thousand Diseases Revived*.)
Yu Jiayan treated the mother of Official Wu Tian. Frequent rage stopped her menstruation. Since autumn, she felt Qi rebelling upward, fearing boats, fainting upon movement, lying in bed feeling like the world was turning upside down, unable to rise, unresponsive to hundred treatments. Small doses of Ren Shen (3-5 fen) brought brief relief. Finally, doses reached five qian per prescription, costing gold daily, exhausting family wealth, worsening condition with high fever, thirst, splitting headache, poor appetite, and diarrhea. Yu diagnosed: "Curable." Severe rage causes Blood to pool above and Qi to fail returning below, named Jue Dian Ji (Syncope of the Vertex). Jue means rebellion; Dian means high. Qi and Blood rebel to the high vertex, causing vertigo. Upper excess and lower deficiency relate to Foot Shaoyang. Shaoyang Gallbladder connects to the brain. Depressive anger fire attacks the brain; tonification fuels it, causing splitting pain, same as Jue Dian disease. Wind and Fire stir each other, causing shaking and steaming heat; Wood and Earth clash, causing difficult eating and diarrhea. Combining the *Neijing* concept of Tie Luo (Iron Filings) to suppress, he used Dai Zhe Shi, Long Dan Cao, Lu Hui, and Huang Lian to descend rebellious Qi; Shu Qi, Dan Pi, and Chi Shao to move pooled Blood; Mu Li, Long Gu, and Wu Wei Zi to gather floating Spirit. Crucially, two raw pig gallbladders were added to each dose. With Shaoyang heat blazing, bile must be dry; similar substance replenishes it, supporting critical situations. Upon ingestion, the patient felt spirit return, forgetting bitterness. After dozens of doses, fever subsided, body cooled, appetite improved, diarrhea stopped, able to walk steps. Still felt light as a leaf, unable to sustain. Fearing bitterness, Pig Gall and Lu Hui were reduced, adding Dang Gui and Ren Shen, guided by Ginger and Jujube. Regulated for several days, fully recovered.
Li Shicai treated Madam Yan. First chest/abdominal pain, next day sudden fainting, cold limbs. A physician prepared Niu Huang Wan. Pulse: all six hidden, Qi Kou slightly moving. Food filled chest, Yin/Yang blocked, ascending/descending obstructed, hence hidden pulse but visible Qi Kou. Treated with Chen Pi, Sha Ren (1 liang each), Ginger (8 qian), Salt (3 qian) decoction, induced vomiting with finger, expelling 5-6 bowls of old food, revealing all pulses. Left Guan wiry and large, severe pain, indicating damage from great anger. Treated with Mu Xiang, Qing Pi, Ju Hong, Bai Zhu, Xiang Fu decoction, pain stopped in two doses. Then Liu Jun Zi Tang plus Mu Xiang and Wu Yao, regulated for ten+ days, cured.
A fifty-year-old man, indulging in wine and sex, suddenly had headache and fever. Physician used Qiang Huo Tang to disperse, causing endless sweat, coma. Li moxaized Guanyuan (CV4) 10 cones, waking him. Si Jun Zi Tang plus Ginger and Gui, three doses daily, improved by third day. Relapsed Jue due to labor and anger; treated with 1 liang good Ren Shen, 3 qian Shu Fu Zi, 10 slices Wei Jiang decoction, slightly woke. Collapsed upon slightest movement, seven times in a day, consumed 3 liang Ren Shen. Next day, mutton soup and rice porridge given, collapsed 2-3 more times. By fifth day, Jue stabilized. Crying, asked: "Can I live again?" Answer: "Pulse has root, but Yuan Qi extremely deficient. Years of regulation needed to recover." Fortunately, he trusted firmly. In two months, consumed 4 jin Ren Shen. In three years, 600 decoctions, 70 jin pills, walked normally again. Many relatives discussed (biggest taboo for patients). If trust wavered, compliance would drop, survival unlikely.
Zhang Luyu treated the wife of Gu Yunxiang. Rage injured food, causing wheezing, distension, and fullness (Rage makes Qi rebel). Physician mistook Wind pathogen and gave exterior-releasing drugs, causing confusion, staring, mutism, unconsciousness (Stirring Liver Evil, heavy Phlegm causing Jue). Pulse: six regions choppy and hidden. Identified as Phlegm due to Qi closure. Should guide according to trend, induce vomiting to open orifices. But family feared violent vomiting, so Dao Tan Tang plus Shi Pu and Yuan Zhi was given. One sip allowed speech. Added Bing Lang and Tie Luo to previous formula, achieved evacuation and peace.
Huang Lvsu said: People with robust spirit occasionally suffering Tan Jue can take Niu Huang Wan for immediate cure. My brother-in-law Zhou Gongmei suddenly had dull spirit and staring, followed by surging phlegm, flailing limbs, resembling stroke. No medicine taken, self-healed next day. Such constitutions are rare (one in a hundred).
Madam Grand Historian Yang suddenly fainted. Physicians treated as Stroke, ineffective. Li diagnosed: Left Guan wiry and urgent, Right Guan slippery, large, and soft. Root cause: insufficient Yuan Qi, plus food retention after anger. First, Qi-regulating and food-resolving drugs expelled black stools. Urgently, Liu Jun Zi Tang plus Ginger Juice, four doses stopped fainting. Then Ren Shen 5 qian, Bai Zhu, Ban Xia 3 qian each, Fu Ling, Dang Gui 2 qian, adjusted and regulated, cured in two months.
Xue Lizhai treated a woman who convulsed due to anger, vomited phlegm-saliva, locked jaw, confused, Qi Kou pulse larger than Ren Ying. This was Qi stagnation and Food Jue. Treated with Ping Wei San plus Fu Ling, Ban Xia, Mu Xiang, revived. Then Liu Jun Zi Tang plus Mu Xiang gradually improved. Removed Mu Xiang, continued twenty+ doses, cured.
Lu Yangyu treated Xu Shennan, sudden acute illness resembling stroke, mute, unrecognized, limbs immobile. Su He and Niu Huang Wan ineffective. Xiao Xu Ming Tang increased wheezing, high fever, cold limbs. Due to deep, faint pulses, Fu Zi Li Zhong Tang was planned. Diagnosis: Cun pulses barely perceptible, Guan and Chi hard to find.