人有日间忽然发热，一时厥去，手足冰凉，语言惶惑，痰迷心窍，头晕眼昏，
此阳厥也。乃阴血不归于阳气之中，而内热如焚，外反现假寒之象，故手足冷也。
此等之症，伤寒中最多。但伤寒之厥乃传经之病，必热至五、六日而发厥，非一日
身热而即发厥者也，故不可用伤寒之法以治此等之厥。然而虽不同于伤寒，而内热
之深，正未尝少异。夫厥乃逆也，逆肝气而发为厥；厥乃火也，逆火气而发为热。
热深而厥亦深，热轻而厥亦轻，故不必治厥也，治热而已矣。惟是厥发于日，阳离
乎阴也。无阴则阳无所制，离阴则阳无所根据，阳在里而阴在表，自然热居中而寒现
外矣。治法泻其在内之火，则内热自除而外寒自散。然而，火之有余仍是水之不足，
泻火之中而佐之补水之味，则阳得阴而有和合之欢，断不至阴离阳而有厥逆之戾也。
方用安厥汤∶
人参（三钱） 玄参（一两） 茯苓（三钱） 白薇（一钱） 麦冬（五钱） 生地（五钱）
天花粉（三钱） 炒栀子（三钱） 白芍（一两） 柴胡（五分） 甘草（一钱） 水煎服。一剂而厥定，
再剂而身凉矣。凡日间发厥之症，俱可治之，无不神效。
此方和合阴阳，实有调剂之妙。助阳气而不助其火，生阴气而不生其寒，祛邪
而不损其正，解郁而自化其痰，所以定厥甚神，返逆最速也。
此症用黄连定厥汤亦效。
黄连（二钱） 当归（五钱） 麦冬（五钱） 玄参（一两） 贝母（三钱） 菖蒲（五分） 水煎服。
一剂即回，二剂愈。
人有夜间发热，一时厥逆昏晕如死人状，惟手足温和，喉中痰响，不能出声，
此阴厥也。乃阳气虚而不能入于阴血之中，以致鬼神凭之，往往厥逆也。直中阴寒
之症，多有一时发厥者，但彼乃阴寒而猝中，此乃阴热而暴亡，各有不同。阴寒之
厥，手足筋脉多青，灌之水必吐；阴热之厥，手足筋脉多红，饮之水必不吐。阴寒
之厥，身必不热，阴热之厥，身必不凉。以此辨之，不差毫发。故阴寒之厥，舍参、
附无夺命之丹；阴热之厥，饮参、附即丧身之鸩。治阴热之厥，法宜补阴以助阳，
使真阴足而邪阴自散，阳气旺而虚火自消。庶痰涎化，昏晕除，厥逆定矣。方用补
阴助阳汤∶
玄参（一两） 麦冬（一两） 熟地（一两） 人参（二钱） 白芥子（五钱） 柴胡（一钱）
白芍（一两） 当归（一两） 白术（一两） 茯苓（五钱） 菖蒲（一钱） 水煎服。一剂而昏迷苏，
再剂而痰涎化，三剂而厥逆回，则可生也，否则不可救矣。
此方补阴之药多于补阳。阴水足而阴火可散，阴火散而阳气可回，阴阳合而昏
迷宜苏矣。倘服之而不效，是阴阳早已相脱，不能再续也，非前药之故耳。或曰阳
气虚而离阴，是宜单补阳以入阴，今补阴以合阳，恐非治法。不知阳气虚而不能入
于阴血之中者，以阴血之大燥，火盛而虚阳不敢入于阴耳，非阴血过多之谓也。苟
补阳过胜，则阳旺而阴益消亡，此所以必须补阴以合阳，而万不可补阳以胜阴也。
况方中未尝无补阳之药，补阴居其七，补阳居其三，阴阳始无偏胜，而厥逆可援也。
此症用解晕神丹亦效。
人参 半夏（各二钱） 茯苓（五钱） 南星（一钱） 天麻 乌药 陈皮 菖蒲（各五分）
当归（三钱） 柴胡（一钱） 水煎服。
人有日间发厥，而夜间又厥，夜间既厥，而日间又复再厥，身热如火，痰涎作
声，此乃阴阳相并之厥也。热多则厥亦多，用泻火之药，则热除而厥亦除矣。然而
厥既有昼夜之殊，而热亦有阴阳之异，正未可徒泻夫火也。宜于泻阳之中，而用补
阴之药；于抑阴之内，而用补阳之剂。庶几阳火得阴而消，阴火得阳而化。提阳出
于阴，而日间无昏晕之虞；升阴入于阳，而夜间无迷眩之害也。方用旋转阴阳汤∶
人参（一钱） 白术（三钱） 白茯神（三钱） 白芍（五钱） 当归（三钱） 生地（五钱）
麦冬（三钱） 附子（一分） 炒栀子（二钱） 天花粉（三钱） 柴胡（一钱） 水煎服。
一剂而厥逆安矣，不必再剂也。
此方阴阳双补，痰火两泻，补泻兼施，不治厥而厥自定也。倘或补阴而不补阳，
或泻阳而不抑阴，则阴阳必有偏胜，而痰火必致相争，变出非常，有不可救药者矣。
此症用息争汤亦甚效。
柴胡 神曲（各二钱） 甘草（一钱） 炒栀子 天花粉（各三钱） 茯苓（五钱） 生地（一两）
水煎服。一剂即安，二剂愈。
人有大怒之后，又加拂抑，事不如意，忽大叫而厥，吐痰如涌，目不识人，此
肝气之逆，得痰而厥也。夫肝性最急，急则易于动怒，怒则气不易泄，而肝之性更
急，肝血必燥，必求救于脾胃以纷取资。然而血不能以骤生，脾胃出水谷之液以予
肝，未遑变血，势必迅变为痰以养肝。肝又喜血而不喜痰，痰欲入于肝而肝不受，
必至痰阻于肝外，以封闭夫肝之窍矣。肝不能得痰之益，反得痰之损，则肝之燥结
可知。既无津液之灌注，必多炎氛之沸腾，痰闭上而火起下，安得不冲击而成厥哉？
治法宜去其痰而厥乃定也。然而去痰必须平肝，而平肝在于解怒。方用平解汤∶
香附（五钱） 当归（五钱） 天花粉（三钱） 半夏（二钱） 茯苓（三钱） 神曲（二钱）
麦芽（二钱） 炒栀子（二钱） 黄连（五分） 甘草（一钱） 水煎服。一剂厥轻，再剂厥定，
三剂全愈。
此方解肝气之拂逆，实有神功。在清热而不燥，导痰而不峻也。
此症用三白散亦效。
白芍 川芎（各五钱） 栀子 茯神 天花粉（各三钱） 当归（五钱） 白豆蔻（二枚）
南星 菖蒲 枳壳（各一钱） 水煎服。二剂全愈。
人有怒，辄饮酒以为常，不醉不休，一日发厥，不知人事，稍苏犹呼酒号叫，
数次复昏晕，人以为饮酒太醉故也，谁知是胆经之火动乎。夫肝与胆为表里，肝气
逆则胆气亦逆，肝火动则胆火亦动。酒入脏腑必先入胆，酒渗入胆，则酒化为水矣。
然而酒性大热，饮酒过多，酒虽化水，而酒之热性不及分消，必留于胆中。况怒气
伤肝，则肝火无所发泄，必分流而入于胆。胆得酒之热，又得肝之火，则热更加热
矣。夫肝胆为心之母，母热必呼其子以解氛，自然胆热必移热以于心，而心不可受
热，乃变而为厥矣。治法亟解心中之热，而心热非起于心也，仍须泻胆之热；而胆
之热非本于胆也，仍须泻肝之热，以解酒之热而已。方用逍遥散加味治之。
柴胡（一钱） 白芍（一两） 茯苓（五钱） 白术（五钱） 甘草（二分） 陈皮（五分）
当归（二钱） 葛花（二钱） 炒栀子（三钱） 白芥子（三钱） 水煎服。一剂厥轻，二剂厥定，三
剂全愈。
逍遥散治郁实奇。佐之栀子以泻火，益之葛花以解酒，加之白芥子以消痰。酒
病未有不湿者，湿则易于生痰，去其湿而痰无党，去其痰而火无势。湿既无党，火
又无势，虽欲再厥，其可得乎。方中所以多用茯苓、白术以辅助柴胡、白芍者，正
此意也。
此症用醒 汤亦效。
干葛 柞木枝（各一钱） 人参（二钱） 茯神（三钱） 白芍（五钱） 黄连 半夏（各五分）
吴茱萸（二分） 水煎服。一剂即效，四剂愈。
人有一过午时，吐酸水一、二碗，至未时心前作痛，至申痛甚厥去，不省人事，
至戌始苏，日日如是，人以为阴分之热也，谁知是太阳膀胱之经，有瘀血结住而不
散乎。但小便不闭，是膀胱之气未尝不化也。气乃无形之物，无形能化，若有瘀血
结住而不散者，以血有形，不比气之无形而可散也。未申之时，正气行膀胱之时也。
气行于血之中，而血不能行于气之内，所以作痛而发厥。欲活其血之瘀，非仅气药
之能散也，必须以有形之物制血，则气可破血，而无阻滞之忧矣。方用逐血丹∶
当归尾（一两） 大黄（三钱） 红花（三钱） 桃仁（二十粒） 天花粉（三钱） 枳壳（五分）
浓朴（二钱） 丹皮（三钱） 水蛭（火 烧黑，一钱） 水煎服。一剂而瘀血通，二剂而
瘀血尽散。
此方用水蛭同入于大黄、浓朴之中，以逐有形之血块，则病去如扫，而痛与厥
尽去也。倘不用水蛭，虽亦能止厥定痛，而有形之血块终不能尽逐，必加入水蛭而
建功始神，不可以此物为可畏而轻弃之，遗人终身之病也。
此症用破瘀丹亦神。
水蛭（炒干黑，二钱） 当归 白芍（各一两） 茯苓（三钱） 肉桂（三分） 桃仁（十四个）
生地（五钱） 枳壳（五分） 猪苓（一钱） 水煎服。二剂全愈。
人有忽然之间，如人将冷水浇背，陡然一惊，手足厥冷，遂不知人，已而发热，
则渐渐苏省，一日三、四次如此，人以为祟乘之也，谁知乃气虚之极乎。夫气所以
卫身者也，气盛则体壮，气衰则体怯。外寒之侵，乃内气之微也。内气既微，原不
必外邪之袭，无病之时，常觉阴寒逼身，如冷水浇背，正显内气之微，何祟之来凭
乎。然而内热之极，亦反生寒颤，所谓厥深热亦深，与气虚之极亦生寒颤者，似是
而非，苟不辨之至明，往往杀人于顷刻，可不慎欤！辨之之法，大约内热而外寒者，
脉必数而有力，而舌必干燥也；气虚而外寒者，脉必微而无力，而舌必滑润也。故
见气虚之症，必须大补其气，而断不可益之大寒之品。方用苏气汤∶
人参（一两） 陈皮（一钱） 枳壳（三分） 菖蒲（五分） 水煎服。一剂轻，二剂更轻，
连服数剂全愈。
此方重用人参以补气，益之陈皮、枳壳宽中消痰，则人参苏气更为有神；益之
菖蒲者，引三味直入心中，则气不能散于心外也。
此症用助气回阳汤亦效。
人参 黄 （各五钱） 南星（二钱） 甘草（一钱） 茯苓（三钱） 枳壳（五分） 砂仁（三粒）
水煎服。二剂效，四剂全愈。
【原文】人有日间忽然发热，一时厥去，手足冰凉，语言惶惑，痰迷心窍，头晕眼昏，此阳厥也。乃阴血不归于阳气之中，而内热如焚，外反现假寒之象，故手足冷也。此等之症，伤寒中最多。但伤寒之厥乃传经之病，必热至五、六日而发厥，非一日身热而即发厥者也，故不可用伤寒之法以治此等之厥。然而虽不同于伤寒，而内热之深，正未尝少异。夫厥乃逆也，逆肝气而发为厥；厥乃火也，逆火气而发为热。热深而厥亦深，热轻而厥亦轻，故不必治厥也，治热而已矣。惟是厥发于日，阳离乎阴也。无阴则阳无所制，离阴则阳无所根据，阳在里而阴在表，自然热居中而寒现外矣。治法泻其在内之火，则内热自除而外寒自散。然而，火之有余仍是水之不足，泻火之中而佐之补水之味，则阳得阴而有和合之欢，断不至阴离阳而有厥逆之戾也。方用安厥汤∶人参（三钱） 玄参（一两） 茯苓（三钱） 白薇（一钱） 麦冬（五钱） 生地（五钱）天花粉（三钱） 炒栀子（三钱） 白芍（一两） 柴胡（五分） 甘草（一钱） 水煎服。一剂而厥定，再剂而身凉矣。凡日间发厥之症，俱可治之，无不神效。
【译文】有的人白天突然发热，随即出现四肢厥逆（指手足冰冷甚至冷过肘膝的病证），手脚冰凉，说话惊慌失措，痰浊蒙蔽心窍，头晕眼花，这是阳厥（因阳热内郁不能外达所致的手足厥冷）。这是因为阴血不能归附于阳气之中，导致体内热势如火焚烧，体表反而呈现出假寒的现象，所以手脚发冷。这类病症在伤寒病中最为常见。但是，伤寒病的厥逆属于邪气传入经络的病变，必定要等到发热持续五到六天才发作厥逆，而不是身体刚发热一天就立即发作厥逆的，因此不能用治疗伤寒的方法来治疗这种厥逆。然而虽然不同于伤寒，其内部热邪深重的程度，却并没有丝毫差异。所谓“厥”就是逆乱的意思，肝气逆乱就会引发厥逆；“厥”也是火邪的表现，火气逆乱就会引发高热。体内的热邪越深重，厥逆的症状也就越严重；热邪轻微，厥逆也就轻微，所以不需要专门去治疗厥逆，只要治疗热邪就可以了。只是这种厥逆发生在白天，是因为阳气脱离了阴液的制约。没有阴液，阳气就无法被制约；阳气脱离阴液，就没有了依附的基础。阳气在内而在里，阴液在外而在表，自然就会出现热邪居中、寒象表现于外的情况。治疗方法是清泻体内的火邪，那么内热自然消除，体表的寒象自然消散。然而，火邪有余本质上还是肾水（阴液）不足，在清泻火邪的同时辅助补充滋阴的药物，那么阳气得到阴液的配合就能和谐共处，绝不会发生阴液与阳气分离而导致厥逆暴烈的情况。方剂使用安厥汤：人参（三钱）、玄参（一两）、茯苓（三钱）、白薇（一钱）、麦冬（五钱）、生地黄（五钱）、天花粉（三钱）、炒栀子（三钱）、白芍（一两）、柴胡（五分）、甘草（一钱），用水煎服。服用一剂后厥逆平息，服用两剂后身体转凉。凡是白天发作厥逆的病症，都可以用此方治疗，没有不神奇的疗效。
【原文】此方和合阴阳，实有调剂之妙。助阳气而不助其火，生阴气而不生其寒，祛邪而不损其正，解郁而自化其痰，所以定厥甚神，返逆最速也。此症用黄连定厥汤亦效。黄连（二钱） 当归（五钱） 麦冬（五钱） 玄参（一两） 贝母（三钱） 菖蒲（五分） 水煎服。一剂即回，二剂愈。
【译文】这个方子调和阴阳，确实有调节平衡的奥妙。它扶助阳气却不助长火热，滋生阴气却不产生寒凉，祛除邪气却不损伤正气，疏解郁结而自然化解痰浊，所以平定厥逆非常神奇，使逆乱之气恢复最快。这种病症使用黄连定厥汤也有效。黄连（二钱）、当归（五钱）、麦冬（五钱）、玄参（一两）、川贝母（三钱）、石菖蒲（五分），用水煎服。服用一剂即可缓解，服用两剂痊愈。
【原文】人有夜间发热，一时厥逆昏晕如死人状，惟手足温和，喉中痰响，不能出声，此阴厥也。乃阳气虚而不能入于阴血之中，以致鬼神凭之，往往厥逆也。直中阴寒之症，多有一时发厥者，但彼乃阴寒而猝中，此乃阴热而暴亡，各有不同。阴寒之厥，手足筋脉多青，灌之水必吐；阴热之厥，手足筋脉多红，饮之水必不吐。阴寒之厥，身必不热，阴热之厥，身必不凉。以此辨之，不差毫发。故阴寒之厥，舍参、附无夺命之丹；阴热之厥，饮参、附即丧身之鸩。治阴热之厥，法宜补阴以助阳，使真阴足而邪阴自散，阳气旺而虚火自消。庶痰涎化，昏晕除，厥逆定矣。方用补阴助阳汤∶玄参（一两） 麦冬（一两） 熟地（一两） 人参（二钱） 白芥子（五钱） 柴胡（一钱）白芍（一两） 当归（一两） 白术（一两） 茯苓（五钱） 菖蒲（一钱） 水煎服。一剂而昏迷苏，再剂而痰涎化，三剂而厥逆回，则可生也，否则不可救矣。
【译文】有的人夜间发热，突然发生厥逆，昏迷眩晕像死人一样，只有手脚是温热的，喉咙里有痰鸣声，不能说话，这是阴厥（因阴寒内盛或阴虚阳浮所致的手足厥冷）。这是因为阳气虚弱不能进入阴血之中，导致阴阳离决，往往会出现厥逆。直中阴寒（寒邪直接侵犯脏腑经络）的病症，大多会有一时发作厥逆的情况，但那是阴寒之邪突然侵袭，这里是阴分热盛导致的突然衰竭，两者各不相同。阴寒性质的厥逆，手脚的筋脉多呈青色，喂水喝一定会呕吐出来；阴热性质的厥逆，手脚的筋脉多呈红色，喝水喝一定不会呕吐。阴寒性质的厥逆，身体一定不发热；阴热性质的厥逆，身体一定不寒冷。用这些特征来辨别，分毫不差。所以对于阴寒性质的厥逆，除了人参、附子之外没有能挽救生命的丹药；对于阴热性质的厥逆，如果误服人参、附子就像喝下毒酒一样会丧失性命。治疗阴热性质的厥逆，方法应当滋补阴液以协助阳气，使得真阴充足而邪阴自然消散，阳气旺盛而虚火自然熄灭。这样痰涎才能化解，昏迷眩晕才能去除，厥逆才能平定。方剂使用补阴助阳汤：玄参（一两）、麦冬（一两）、熟地黄（一两）、人参（二钱）、白芥子（五钱）、柴胡（一钱）、白芍（一两）、当归（一两）、白术（一两）、茯苓（五钱）、石菖蒲（一钱），用水煎服。服用一剂后昏迷苏醒，服用两剂后痰涎化解，服用三剂后厥逆回复，这样就可以存活，否则就无法救治了。
【原文】此方补阴之药多于补阳。阴水足而阴火可散，阴火散而阳气可回，阴阳合而昏迷宜苏矣。倘服之而不效，是阴阳早已相脱，不能再续也，非前药之故耳。或曰阳气虚而离阴，是宜单补阳以入阴，今补阴以合阳，恐非治法。不知阳气虚而不能入于阴血之中者，以阴血之大燥，火盛而虚阳不敢入于阴耳，非阴血过多之谓也。苟补阳过胜，则阳旺而阴益消亡，此所以必须补阴以合阳，而万不可补阳以胜阴也。况方中未尝无补阳之药，补阴居其七，补阳居其三，阴阳始无偏胜，而厥逆可援也。此症用解晕神丹亦效。人参 半夏（各二钱） 茯苓（五钱） 南星（一钱） 天麻 乌药 陈皮 菖蒲（各五分）当归（三钱） 柴胡（一钱） 水煎服。
【译文】这个方子中补阴的药物多于补阳的药物。阴液充足则阴火可以消散，阴火消散则阳气可以回归，阴阳调和则昏迷应当苏醒。如果服用后没有效果，那是阴阳已经彻底离决，无法再连接了，并不是前面药物的过错。有人会说：阳气虚弱而脱离阴液，应该单纯补阳以使阳气进入阴中，现在补阴来配合阳气，恐怕不是正确的治疗方法。却不知道阳气虚弱而不能进入阴血之中的原因，是因为阴血过于干燥，火势旺盛而虚阳不敢进入阴分罢了，并不是说阴血过多。如果补阳过度强盛，那么阳气旺盛而阴液会更加消亡，这就是为什么必须补阴来配合阳气，而万万不可补阳来压制阴液的原因。况且方中并非没有补阳的药物，补阴占七成，补阳占三成，阴阳才开始没有偏颇胜复，厥逆才可以挽回。这种病症使用解晕神丹也有效。人参、半夏（各二钱）、茯苓（五钱）、天南星（一钱）、天麻、乌药、陈皮、石菖蒲（各五分）、当归（三钱）、柴胡（一钱），用水煎服。
【原文】人有日间发厥，而夜间又厥，夜间既厥，而日间又复再厥，身热如火，痰涎作声，此乃阴阳相并之厥也。热多则厥亦多，用泻火之药，则热除而厥亦除矣。然而厥既有昼夜之殊，而热亦有阴阳之异，正未可徒泻夫火也。宜于泻阳之中，而用补阴之药；于抑阴之内，而用补阳之剂。庶几阳火得阴而消，阴火得阳而化。提阳出于阴，而日间无昏晕之虞；升阴入于阳，而夜间无迷眩之害也。方用旋转阴阳汤∶人参（一钱） 白术（三钱） 白茯神（三钱） 白芍（五钱） 当归（三钱） 生地（五钱）麦冬（三钱） 附子（一分） 炒栀子（二钱） 天花粉（三钱） 柴胡（一钱） 水煎服。一剂而厥逆安矣，不必再剂也。
【译文】有的人白天发作厥逆，到了晚上又发作厥逆，晚上发作过后，白天又重新发作厥逆，身体发热像火一样，喉咙里有痰鸣声，这是阴阳相互搏结导致的厥逆。热邪多则厥逆也多，使用泻火的药物，那么热邪去除而厥逆也会随之去除。然而厥逆既然有白天和晚上的区别，热邪也有阴分和阳分的不同，正不可以单纯地泻火。应当在清泻阳热的同时，使用补阴的药物；在抑制阴寒的同时，使用补阳的药剂。这样或许能让阳火得到阴液而消退，阴火得到阳气而转化。提升阳气出于阴分，那么白天就不会有昏晕的担忧；升举阴液进入阳分，那么晚上就不会有迷眩的危害。方剂使用旋转阴阳汤：人参（一钱）、白术（三钱）、白茯神（三钱）、白芍（五钱）、当归（三钱）、生地黄（五钱）、麦冬（三钱）、附子（一分）、炒栀子（二钱）、天花粉（三钱）、柴胡（一钱），用水煎服。服用一剂后厥逆就安定下来，不需要再服用第二剂了。
【原文】此方阴阳双补，痰火两泻，补泻兼施，不治厥而厥自定也。倘或补阴而不补阳，或泻阳而不抑阴，则阴阳必有偏胜，而痰火必致相争，变出非常，有不可救药者矣。此症用息争汤亦甚效。柴胡 神曲（各二钱） 甘草（一钱） 炒栀子 天花粉（各三钱） 茯苓（五钱） 生地（一两）水煎服。一剂即安，二剂愈。
【译文】这个方子阴阳双补，痰火两泻，补法和泻法同时施用，不专门治疗厥逆而厥逆自然平定。如果只补阴而不补阳，或者只清泻阳热而不抑制阴寒，那么阴阳必然会有偏颇胜复，而痰火必然会相互争斗，生出意想不到的变故，就有不可救治的情况了。这种病症使用息争汤也非常有效。柴胡、神曲（各二钱）、甘草（一钱）、炒栀子、天花粉（各三钱）、茯苓（五钱）、生地黄（一两），用水煎服。服用一剂即平安，服用两剂痊愈。
【原文】人有大怒之后，又加拂抑，事不如意，忽大叫而厥，吐痰如涌，目不识人，此肝气之逆，得痰而厥也。夫肝性最急，急则易于动怒，怒则气不易泄，而肝之性更急，肝血必燥，必求救于脾胃以纷取资。然而血不能以骤生，脾胃出水谷之液以予肝，未遑变血，势必迅变为痰以养肝。肝又喜血而不喜痰，痰欲入于肝而肝不受，必至痰阻于肝外，以封闭夫肝之窍矣。肝不能得痰之益，反得痰之损，则肝之燥结可知。既无津液之灌注，必多炎氛之沸腾，痰闭上而火起下，安得不冲击而成厥哉？治法宜去其痰而厥乃定也。然而去痰必须平肝，而平肝在于解怒。方用平解汤∶香附（五钱） 当归（五钱） 天花粉（三钱） 半夏（二钱） 茯苓（三钱） 神曲（二钱）麦芽（二钱） 炒栀子（二钱） 黄连（五分） 甘草（一钱） 水煎服。一剂厥轻，再剂厥定，三剂全愈。
【译文】有的人在大怒之后，又加上压抑不顺，事情不如心意，突然大声呼叫而发作厥逆，呕吐痰液如潮水般涌出，眼睛看不清人，这是肝气逆乱，遇到痰浊阻滞而导致的厥逆。肝的特性是最急躁的，急躁就容易动怒，动怒则气机不容易疏泄，而肝的特性更加急躁，肝血必然干燥，必然向脾胃求助以纷纷获取滋养。然而血液不能骤然生成，脾胃输送水谷的精微液体给予肝脏，还没来得及转化为血液，势必迅速转化为痰浊来供养肝脏。肝脏又喜欢血液而不喜欢痰浊，痰浊想要进入肝脏而肝脏不接受，必然导致痰浊阻滞在肝脏外部，从而封闭了肝脏的窍道。肝脏不能得到痰浊的好处，反而受到痰浊的损害，那么肝脏的干燥结滞就可以知道了。既然没有津液的灌注，必然会有很多热气蒸腾，痰浊闭塞在上而火邪兴起在下，怎么能不向上冲击而导致厥逆呢？治疗方法应当去除痰浊而厥逆才能平定。然而去除痰浊必须平抑肝气，而平抑肝气在于解除怒气。方剂使用平解汤：香附（五钱）、当归（五钱）、天花粉（三钱）、半夏（二钱）、茯苓（三钱）、神曲（二钱）、麦芽（二钱）、炒栀子（二钱）、黄连（五分）、甘草（一钱），用水煎服。服用一剂后厥逆减轻，服用两剂后厥逆平定，服用三剂完全痊愈。
【原文】此方解肝气之拂逆，实有神功。在清热而不燥，导痰而不峻也。此症用三白散亦效。白芍 川芎（各五钱） 栀子 茯神 天花粉（各三钱） 当归（五钱） 白豆蔻（二枚）南星 菖蒲 枳壳（各一钱） 水煎服。二剂全愈。
【译文】这个方子解除肝气的拂逆，实在有神奇的功效。在于清泻热邪而不燥烈，引导痰浊而不猛烈。这种病症使用三白散也有效。白芍、川芎（各五钱）、栀子、茯神、天花粉（各三钱）、当归（五钱）、白豆蔻（两枚）、天南星、石菖蒲、枳壳（各一钱），用水煎服。服用两剂完全痊愈。
【原文】人有怒，辄饮酒以为常，不醉不休，一日发厥，不知人事，稍苏犹呼酒号叫，数次复昏晕，人以为饮酒太醉故也，谁知是胆经之火动乎。夫肝与胆为表里，肝气逆则胆气亦逆，肝火动则胆火亦动。酒入脏腑必先入胆，酒渗入胆，则酒化为水矣。然而酒性大热，饮酒过多，酒虽化水，而酒之热性不及分消，必留于胆中。况怒气伤肝，则肝火无所发泄，必分流而入于胆。胆得酒之热，又得肝之火，则热更加热矣。夫肝胆为心之母，母热必呼其子以解氛，自然胆热必移热以于心，而心不可受热，乃变而为厥矣。治法亟解心中之热，而心热非起于心也，仍须泻胆之热；而胆之热非本于胆也，仍须泻肝之热，以解酒之热而已。方用逍遥散加味治之。柴胡（一钱） 白芍（一两） 茯苓（五钱） 白术（五钱） 甘草（二分） 陈皮（五分）当归（二钱） 葛花（二钱） 炒栀子（三钱） 白芥子（三钱） 水煎服。一剂厥轻，二剂厥定，三剂全愈。
【译文】有的人一发怒，就习惯性地喝酒，不喝醉不停止，有一天发作厥逆，不知道人事，稍微清醒一点还喊着要酒大声呼叫，几次后又昏迷眩晕，人们认为是喝酒太醉的缘故，谁知道这是胆经的火邪发动呢。肝与胆互为表里，肝气逆乱则胆气也逆乱，肝火发动则胆火也发动。酒进入脏腑必定先进入胆，酒渗入胆中，那么酒就化为水了。然而酒的性质是大热的，饮酒过多，酒虽然化为水，但酒的热性来不及分散消除，必定留在胆中。何况怒气伤害肝脏，那么肝火没有地方发泄，必定分流进入胆中。胆得到了酒的热性，又得到了肝的火邪，那么热就更热了。肝胆是心的母亲（五行中木生火，肝胆属木，心属火），母亲热必定呼唤儿子来分担气氛，自然胆热必定将热邪转移给心，而心脏不能承受热邪，于是变化为厥逆。治疗方法急需解除心中的热邪，而心热并非起源于心脏本身，仍然需要清泻胆的热邪；而胆的热邪并非根本在于胆，仍然需要清泻肝的热邪，以此来解除酒的热邪罢了。方剂使用逍遥散加味治疗。柴胡（一钱）、白芍（一两）、茯苓（五钱）、白术（五钱）、甘草（二分）、陈皮（五分）、当归（二钱）、葛花（二钱）、炒栀子（三钱）、白芥子（三钱），用水煎服。服用一剂后厥逆减轻，服用两剂后厥逆平定，服用三剂完全痊愈。
【原文】逍遥散治郁实奇。佐之栀子以泻火，益之葛花以解酒，加之白芥子以消痰。酒病未有不湿者，湿则易于生痰，去其湿而痰无党，去其痰而火无势。湿既无党，火又无势，虽欲再厥，其可得乎。方中所以多用茯苓、白术以辅助柴胡、白芍者，正此意也。此症用醒 汤亦效。干葛 柞木枝（各一钱） 人参（二钱） 茯神（三钱） 白芍（五钱） 黄连 半夏（各五分）吴茱萸（二分） 水煎服。一剂即效，四剂愈。
【译文】逍遥散治疗郁结实证非常奇妙。辅以栀子来清泻火邪，增加葛花来解酒毒，加入白芥子来消除痰浊。酒病没有不伴有湿气的，湿气容易生痰，去除了湿气痰就没有了同党，去除了痰浊火就没有了势力。湿气既然没有了同党，火邪又没有了势力，即使想要再次发作厥逆，怎么可能呢？方中之所以多用茯苓、白术来辅助柴胡、白芍，正是这个意思。这种病症使用醒酒汤也有效。干葛根、柞树枝（各一钱）、人参（二钱）、茯神（三钱）、白芍（五钱）、黄连、半夏（各五分）、吴茱萸（二分），用水煎服。服用一剂即见效，服用四剂痊愈。
【原文】人有一过午时，吐酸水一、二碗，至未时心前作痛，至申痛甚厥去，不省人事，至戌始苏，日日如是，人以为阴分之热也，谁知是太阳膀胱之经，有瘀血结住而不散乎。但小便不闭，是膀胱之气未尝不化也。气乃无形之物，无形能化，若有瘀血结住而不散者，以血有形，不比气之无形而可散也。未申之时，正气行膀胱之时也。气行于血之中，而血不能行于气之内，所以作痛而发厥。欲活其血之瘀，非仅气药之能散也，必须以有形之物制血，则气可破血，而无阻滞之忧矣。方用逐血丹∶当归尾（一两） 大黄（三钱） 红花（三钱） 桃仁（二十粒） 天花粉（三钱） 枳壳（五分）浓朴（二钱） 丹皮（三钱） 水蛭（火烧黑，一钱） 水煎服。一剂而瘀血通，二剂而瘀血尽散。
【译文】有的人每天过了中午时分，呕吐酸水一到两碗，到了未时（下午1-3点）心前区疼痛，到了申时（下午3-5点）疼痛剧烈而发作厥逆，不省人事，到了戌时（晚上7-9点）才苏醒，天天如此，人们以为是阴分的热邪，谁知道是太阳膀胱经中有瘀血凝结不散呢。只要小便通畅，说明膀胱的气化功能未曾停止。气是无形的物质，无形的东西能够运行消散，如果有瘀血凝结不散，是因为血是有形的，不像气那样无形而易于消散。未时和申时，是正气运行于膀胱经的时候。气运行在血之中，而血不能运行在气之内，所以产生疼痛并发作厥逆。想要活化血脉中的瘀血，不仅仅靠行气药就能消散，必须用有形的药物来攻逐瘀血，这样气机才能破除血瘀，而没有阻滞的忧虑了。方剂使用逐血丹：当归尾（一两）、大黄（三钱）、红花（三钱）、桃仁（二十粒）、天花粉（三钱）、枳壳（五分）、厚朴（二钱）、牡丹皮（三钱）、水蛭（火烧黑，一钱），用水煎服。服用一剂后瘀血通畅，服用两剂后瘀血全部消散。
【原文】此方用水蛭同入于大黄、浓朴之中，以逐有形之血块，则病去如扫，而痛与厥尽去也。倘不用水蛭，虽亦能止厥定痛，而有形之血块终不能尽逐，必加入水蛭而建功始神，不可以此物为可畏而轻弃之，遗人终身之病也。此症用破瘀丹亦神。水蛭（炒干黑，二钱） 当归 白芍（各一两） 茯苓（三钱） 肉桂（三分） 桃仁（十四个）生地（五钱） 枳壳（五分） 猪苓（一钱） 水煎服。二剂全愈。
【译文】这个方子将水蛭同大黄、厚朴一起放入，用来攻逐有形的血块，那么疾病去除就像扫除一样干净，疼痛和厥逆全部去除。如果不使用水蛭，虽然也能止住厥逆和平定疼痛，但有形的血块终究不能完全攻逐，必须加入水蛭才能建立神奇的功劳，不可以因为畏惧这种药物而轻易抛弃它，从而留下病人终身的疾病。这种病症使用破瘀丹也很神奇。水蛭（炒干黑，二钱）、当归、白芍（各一两）、茯苓（三钱）、肉桂（三分）、桃仁（十四个）、生地黄（五钱）、枳壳（五分）、猪苓（一钱），用水煎服。服用两剂完全痊愈。
【原文】人有忽然之间，如人将冷水浇背，陡然一惊，手足厥冷，遂不知人，已而发热，则渐渐苏省，一日三、四次如此，人以为祟乘之也，谁知乃气虚之极乎。夫气所以卫身者也，气盛则体壮，气衰则体怯。外寒之侵，乃内气之微也。内气既微，原不必外邪之袭，无病之时，常觉阴寒逼身，如冷水浇背，正显内气之微，何祟之来凭乎。然而内热之极，亦反生寒颤，所谓厥深热亦深，与气虚之极亦生寒颤者，似是而非，苟不辨之至明，往往杀人于顷刻，可不慎欤！辨之之法，大约内热而外寒者，脉必数而有力，而舌必干燥也；气虚而外寒者，脉必微而无力，而舌必滑润也。故见气虚之症，必须大补其气，而断不可益之大寒之品。方用苏气汤∶人参（一两） 陈皮（一钱） 枳壳（三分） 菖蒲（五分） 水煎服。一剂轻，二剂更轻，连服数剂全愈。
【译文】有的人突然间，感觉像有人把冷水浇在背上，猛然一惊，手脚冰凉，随即失去知觉，过了一会儿发热，然后逐渐苏醒，一天三四次这样，人们以为是鬼怪作祟，谁知道这是气虚到了极点呢。气是用来护卫身体的，气旺盛则身体强壮，气衰弱则身体虚弱。外寒的侵袭，是因为内部气的微弱。内部气既然微弱，原本就不需要外邪的袭击，在没有生病的时候，常常觉得阴寒逼近身体，像冷水浇背，这正是显示内部气的微弱，哪里有什么鬼怪来凭依呢。然而内部热邪到了极点，也会反过来产生寒战，所谓的“厥逆越深重，内部热邪也越深重”，与气虚到了极点也会产生寒战的情况，看起来相似其实不同，如果不分辨得非常清楚，往往会在顷刻间致人死亡，能不谨慎吗！辨别的方法，大致上内部热邪而外部寒冷的，脉搏一定快速而有力，舌头一定干燥；气虚而外部寒冷的，脉搏一定微弱而无力，舌头一定滑润。所以见到气虚的病症，必须大力补气，而绝对不可以添加大寒的药物。方剂使用苏气汤：人参（一两）、陈皮（一钱）、枳壳（三分）、石菖蒲（五分），用水煎服。服用一剂后症状减轻，服用两剂后更减轻，连续服用几剂完全痊愈。
【原文】此方重用人参以补气，益之陈皮、枳壳宽中消痰，则人参苏气更为有神；益之菖蒲者，引三味直入心中，则气不能散于心外也。此症用助气回阳汤亦效。人参 黄 （各五钱） 南星（二钱） 甘草（一钱） 茯苓（三钱） 枳壳（五分） 砂仁（三粒）水煎服。二剂效，四剂全愈。
【译文】这个方子重用的人参来补气，增加陈皮、枳壳来宽胸理气消除痰浊，那么人参复苏元气的作用更加神奇；增加石菖蒲的作用，是引导这三味药直接进入心脏，那么气就不能散逸到心脏外面了。这种病症使用助气回阳汤也有效。人参、黄芪（各五钱）、天南星（二钱）、甘草（一钱）、茯苓（三钱）、枳壳（五分）、砂仁（三粒），用水煎服。服用两剂见效，服用四剂完全痊愈。
[Original] A person suddenly develops fever during the day, followed by Jue (cold limbs), with icy cold hands and feet, confused speech, phlegm confusing the heart orifices, dizziness, and blurred vision. This is Yang Jue. It occurs because Yin blood fails to return to the Qi of Yang, resulting in internal heat like burning fire, while the exterior presents a false cold image, hence the cold hands and feet. Such cases are most common in Shanghan (Cold Damage). However, Jue in Shanghan is a disease transmitted through meridians; it must develop after five or six days of fever, not immediately on the first day of fever. Therefore, one cannot use Shanghan methods to treat this type of Jue. Yet, although different from Shanghan, the depth of internal heat is no less. "Jue" means reversal; reversal of Liver Qi causes Jue. "Jue" also refers to Fire; reversal of Fire Qi causes heat. The deeper the heat, the deeper the Jue; the lighter the heat, the lighter the Jue. Thus, there is no need to treat Jue directly, only the heat needs treatment. Since Jue occurs during the day, it indicates Yang separating from Yin. Without Yin, Yang has nothing to restrain it; separated from Yin, Yang has no foundation. With Yang inside and Yin outside, naturally heat stays in the center while cold appears on the exterior. The treatment method is to drain the fire within; then internal heat will be removed and external cold will dissipate. However, excess fire still implies insufficient water (Yin). While draining fire, assisting with fluids that nourish Yin allows Yang to harmonize with Yin, preventing Yin-Yang separation and violent Jue. Use An Jue Tang: Ren Shen (3 qian), Xuan Shen (1 liang), Fu Ling (3 qian), Bai Wei (1 qian), Mai Dong (5 qian), Sheng Di (5 qian), Tian Hua Fen (3 qian), Chao Zhi Zi (3 qian), Bai Shao (1 liang), Chai Hu (5 fen), Gan Cao (1 qian). Decoct in water and take orally. One dose stabilizes Jue; two doses cool the body. All daytime Jue cases can be treated with this, yielding miraculous results.
[Translation] Some people suddenly develop fever during the day, followed by an episode of Jue syndrome (a condition characterized by cold extremities, potentially extending beyond elbows and knees), with icy cold hands and feet, panicked speech, phlegm misting the heart orifices, dizziness, and blurred vision. This is classified as Yang Jue (cold limbs caused by internal depression of Yang heat). This occurs because Yin blood fails to anchor within Yang Qi, leading to intense internal heat resembling burning fire, while the body surface paradoxically exhibits signs of cold, resulting in cold extremities. Such presentations are frequently encountered in the context of Cold Damage diseases. However, Jue associated with Cold Damage involves pathogenic transmission through the meridians and typically manifests only after five to six days of persistent fever, rather than occurring immediately upon the onset of fever on the first day. Consequently, therapeutic protocols for Cold Damage should not be applied to these specific cases of Jue. Nevertheless, despite these differences from Cold Damage, the severity of the internal heat accumulation remains comparable. The term "Jue" denotes reversal or counterflow; specifically, the counterflow of Liver Qi precipitates Jue. Furthermore, Jue is associated with Fire; the counterflow of Fire Qi generates heat. The greater the depth of internal heat, the more severe the Jue; conversely, milder heat results in milder Jue. Therefore, direct treatment of the Jue itself is unnecessary; instead, therapy should focus solely on clearing the heat. Since this form of Jue manifests during the day, it signifies Yang detaching from Yin. In the absence of Yin, Yang lacks regulatory control; detached from Yin, Yang loses its structural basis. With Yang residing internally and Yin externally, heat naturally accumulates centrally while cold symptoms manifest peripherally. The therapeutic strategy involves purging the internal fire, which will consequently resolve the internal heat and dissipate the peripheral cold. However, excessive fire inherently reflects a deficiency of Water (Yin fluids). When purging fire, it is essential to supplement with agents that nourish Yin. This allows Yang to integrate harmoniously with Yin, thereby preventing the dangerous separation of Yin and Yang that leads to violent Jue. Prescribe An Jue Tang: Ren Shen (3 qian), Xuan Shen (1 liang), Fu Ling (3 qian), Bai Wei (1 qian), Mai Dong (5 qian), Sheng Di Huang (5 qian), Tian Hua Fen (3 qian), Chao Zhi Zi (3 qian), Bai Shao (1 liang), Chai Hu (5 fen), Gan Cao (1 qian). Decoct in water and administer orally. One dose will stabilize the Jue; two doses will reduce the body temperature. This formula is effective for all cases of daytime Jue, producing miraculous outcomes.
[Original] This formula harmonizes Yin and Yang, possessing subtle regulatory effects. It assists Yang Qi without aiding Fire, generates Yin Qi without generating Cold, expels pathogens without damaging Zheng Qi, resolves stagnation and naturally transforms phlegm. Hence, it stabilizes Jue miraculously and reverses counterflow rapidly. For this condition, Huang Lian Ding Jue Tang is also effective. Huang Lian (2 qian), Dang Gui (5 qian), Mai Dong (5 qian), Xuan Shen (1 liang), Bei Mu (3 qian), Chang Pu (5 fen). Decoct in water and take orally. One dose brings recovery; two doses cure.
[Translation] This formula harmonizes Yin and Yang, exhibiting profound regulatory subtleties. It tonifies Yang Qi without exacerbating Fire, nourishes Yin Qi without inducing Cold, eliminates pathogenic factors without impairing Healthy Qi, resolves stagnation, and naturally transforms phlegm. Consequently, it stabilizes Jue with remarkable efficacy and rapidly restores normal Qi flow. For this condition, Huang Lian Ding Jue Tang is also effective. Huang Lian (2 qian), Dang Gui (5 qian), Mai Dong (5 qian), Xuan Shen (1 liang), Bei Mu (3 qian), Chang Pu (5 fen). Decoct in water and administer orally. One dose alleviates the condition; two doses result in a cure.
[Original] A person develops fever at night, followed by sudden Jue, coma, and fainting resembling death, yet hands and feet remain warm, with rattling phlegm in the throat and inability to speak. This is Yin Jue. It occurs because Yang Qi is deficient and cannot enter Yin blood, leading to spiritual possession-like states and frequent Jue. Direct invasion by Yin-Cold often causes sudden Jue, but that is due to sudden Yin-Cold attack, whereas this is due to Yin-Heat causing sudden collapse; they differ. Yin-Cold Jue features blue veins on extremities and vomiting when water is forced down; Yin-Heat Jue features red veins and no vomiting when drinking water. Yin-Cold Jue involves no body heat; Yin-Heat Jue involves no body coldness. Distinguishing by these signs is precise. Thus, for Yin-Cold Jue, only Ren Shen and Fu Zi can save life; for Yin-Heat Jue, Ren Shen and Fu Zi act like poison. Treating Yin-Heat Jue requires tonifying Yin to assist Yang, ensuring True Yin is sufficient so Evil Yin disperses, and Yang is robust so Deficient Fire vanishes. Then phlegm dissolves, coma clears, and Jue stops. Use Bu Yin Zhu Yang Tang: Xuan Shen (1 liang), Mai Dong (1 liang), Shu Di (1 liang), Ren Shen (2 qian), Bai Jie Zi (5 qian), Chai Hu (1 qian), Bai Shao (1 liang), Dang Gui (1 liang), Bai Zhu (1 liang), Fu Ling (5 qian), Chang Pu (1 qian). Decoct in water and take orally. One dose awakens coma; two doses dissolve phlegm; three doses reverse Jue, allowing survival; otherwise, incurable.
[Translation] Some individuals develop fever at night, followed by sudden Jue syndrome accompanied by coma and fainting resembling death, although their hands and feet remain warm. They exhibit rattling phlegm in the throat and an inability to speak. This is classified as Yin Jue. This condition arises because Yang Qi is deficient and unable to penetrate into Yin blood, leading to states resembling spirit possession and frequent episodes of Jue. Conditions involving direct invasion by Yin-Cold often present with sudden Jue; however, such cases result from a sudden assault of Yin-Cold, whereas the present case stems from Yin-Heat causing sudden collapse. These etiologies are distinct. In Yin-Cold Jue, the tendons and vessels of the extremities often appear cyanotic, and forced administration of water induces vomiting. In contrast, in Yin-Heat Jue, the tendons and vessels of the extremities often appear erythematous, and drinking water does not induce vomiting. Yin-Cold Jue is characterized by the absence of body heat, whereas Yin-Heat Jue is characterized by the absence of body coldness. Differentiation based on these signs is highly accurate. Therefore, for Yin-Cold Jue, only Ren Shen and Fu Zi possess life-saving properties; conversely, administering Ren Shen and Fu Zi in Yin-Heat Jue acts as lethal poison. The treatment for Yin-Heat Jue should prioritize tonifying Yin to support Yang. By ensuring the sufficiency of True Yin, pathogenic Yin will naturally dissipate, and by strengthening Yang, deficient Fire will spontaneously subside. Consequently, phlegm and saliva will transform, coma will resolve, and Jue will cease. Prescribe Bu Yin Zhu Yang Tang: Xuan Shen (1 liang), Mai Dong (1 liang), Shu Di Huang (1 liang), Ren Shen (2 qian), Bai Jie Zi (5 qian), Chai Hu (1 qian), Bai Shao (1 liang), Dang Gui (1 liang), Bai Zhu (1 liang), Fu Ling (5 qian), Chang Pu (1 qian). Decoct in water and administer orally. One dose will awaken the patient from coma; two doses will resolve phlegm and saliva; three doses will reverse Jue, permitting survival. Failure to respond indicates incurability.
[Original] This formula contains more Yin-tonifying herbs than Yang-tonifying ones. Sufficient Yin water disperses Yin fire; dispersed Yin fire allows Yang Qi to return; harmonized Yin and Yang should awaken coma. If ineffective, Yin and Yang have already separated irreversibly, not due to the formula. Some argue: Yang deficiency separating from Yin suggests tonifying Yang alone to enter Yin; tonifying Yin to join Yang seems incorrect. However, Yang deficiency failing to enter Yin blood is due to extreme dryness of Yin blood and flourishing fire making deficient Yang afraid to enter Yin, not an excess of Yin blood. If Yang is over-tonified, Yang becomes robust and Yin further diminishes. Thus, one must tonify Yin to harmonize with Yang, never tonifying Yang to overcome Yin. Moreover, the formula contains Yang-tonifying herbs; seven parts Yin-tonifying, three parts Yang-tonifying, preventing imbalance and rescuing Jue. Jie Yun Shen Dan is also effective. Ren Shen, Ban Xia (2 qian each), Fu Ling (5 qian), Nan Xing (1 qian), Tian Ma, Wu Yao, Chen Pi, Chang Pu (5 fen each), Dang Gui (3 qian), Chai Hu (1 qian). Decoct in water and take orally.
[Translation] This prescription contains a higher proportion of Yin-nourishing herbs compared to Yang-tonifying ones. Adequate Yin fluids disperse Yin fire; once Yin fire is dispersed, Yang Qi can return. Harmonization of Yin and Yang facilitates the awakening from coma. If the formula proves ineffective, it indicates that Yin and Yang have already undergone irreversible separation, rather than a failure of the prescription itself. Some might argue: Since Yang deficiency leads to detachment from Yin, one should tonify Yang exclusively to facilitate its entry into Yin; tonifying Yin to unite with Yang appears contrary to proper treatment principles. However, the reason Yang deficiency prevents entry into Yin blood is due to extreme dryness of the Yin blood and vigorous fire, which makes deficient Yang reluctant to enter Yin; this is not indicative of an excess of Yin blood. If Yang is excessively tonified, Yang becomes robust while Yin further deteriorates. Therefore, it is imperative to tonify Yin to harmonize with Yang, and absolutely avoid tonifying Yang to dominate Yin. Furthermore, the formula does contain Yang-tonifying herbs; the ratio is seven parts Yin-tonifying to three parts Yang-tonifying, ensuring balance and enabling the rescue of Jue. Jie Yun Shen Dan is also effective for this condition. Ren Shen, Ban Xia (2 qian each), Fu Ling (5 qian), Nan Xing (1 qian), Tian Ma, Wu Yao, Chen Pi, Chang Pu (5 fen each), Dang Gui (3 qian), Chai Hu (1 qian). Decoct in water and administer orally.
[Original] A person has Jue during the day and again at night; after nighttime Jue, daytime Jue recurs. Body heat is like fire, phlegm makes noise. This is Yin-Yang combined Jue. More heat means more Jue; using fire-draining drugs removes heat and Jue. However, since Jue differs by day/night and heat differs by Yin/Yang, one cannot merely drain fire. One should use Yin-tonifying drugs while draining Yang; use Yang-tonifying agents while suppressing Yin. Thus, Yang fire消 (disappears) with Yin, Yin fire transforms with Yang. Lift Yang out of Yin to prevent daytime coma; raise Yin into Yang to prevent nighttime dizziness. Use Xuan Zhuan Yin Yang Tang: Ren Shen (1 qian), Bai Zhu (3 qian), Bai Fu Shen (3 qian), Bai Shao (5 qian), Dang Gui (3 qian), Sheng Di (5 qian), Mai Dong (3 qian), Fu Zi (1 fen), Chao Zhi Zi (2 qian), Tian Hua Fen (3 qian), Chai Hu (1 qian). Decoct in water and take orally. One dose stabilizes Jue; no further dose needed.
[Translation] Some patients experience Jue syndrome during the day and recur at night; following nighttime Jue, daytime Jue reoccurs. The body temperature is high like fire, and phlegm produces audible sounds. This is classified as Yin-Yang Combined Jue. Greater heat intensity correlates with increased frequency of Jue; employing fire-draining medications removes heat and consequently Jue. However, given that Jue varies between day and night, and heat differs between Yin and Yang aspects, one cannot rely solely on draining fire. The approach should involve incorporating Yin-tonifying herbs while draining Yang heat, and utilizing Yang-tonifying agents while suppressing Yin. This way, Yang fire will subside with the aid of Yin, and Yin fire will transform with the assistance of Yang. Elevating Yang out of Yin prevents daytime coma; raising Yin into Yang prevents nighttime vertigo. Prescribe Xuan Zhuan Yin Yang Tang: Ren Shen (1 qian), Bai Zhu (3 qian), Bai Fu Shen (3 qian), Bai Shao (5 qian), Dang Gui (3 qian), Sheng Di Huang (5 qian), Mai Dong (3 qian), Fu Zi (1 fen), Chao Zhi Zi (2 qian), Tian Hua Fen (3 qian), Chai Hu (1 qian). Decoct in water and administer orally. One dose stabilizes Jue; additional doses are unnecessary.
[Original] This formula tonifies both Yin and Yang, drains both phlegm and fire, combining tonification and purgation. It treats Jue without directly targeting it, yet Jue stabilizes. If one tonifies Yin without Yang, or drains Yang without suppressing Yin, Yin-Yang imbalance ensues, phlegm-fire conflict arises, leading to unpredictable changes and incurable conditions. Xi Zheng Tang is also effective. Chai Hu, Shen Qu (2 qian each), Gan Cao (1 qian), Chao Zhi Zi, Tian Hua Fen (3 qian each), Fu Ling (5 qian), Sheng Di (1 liang). Decoct in water and take orally. One dose brings peace; two doses cure.
[Translation] This prescription tonifies both Yin and Yang simultaneously, drains both phlegm and fire, integrating tonification and purgative methods. It stabilizes Jue indirectly without directly targeting the symptom. If one tonifies Yin without supporting Yang, or drains Yang heat without suppressing Yin cold, Yin-Yang imbalance will occur, leading to conflict between phlegm and fire, resulting in unpredictable complications and potentially incurable conditions. Xi Zheng Tang is also effective for this condition. Chai Hu, Shen Qu (2 qian each), Gan Cao (1 qian), Chao Zhi Zi, Tian Hua Fen (3 qian each), Fu Ling (5 qian), Sheng Di Huang (1 liang). Decoct in water and administer orally. One dose alleviates the condition; two doses result in a cure.
[Original] After great anger and suppression, things go wrong, sudden loud shouting and Jue, vomiting phlegm like a surge, blindness to recognition. This is Liver Qi counterflow, Jue caused by phlegm. Liver nature is urgent; urgency leads to anger; anger impedes Qi release; Liver nature becomes more urgent; Liver blood dries; seeks help from Spleen/Stomach for resources. Blood cannot generate instantly; Spleen/Stomach send grain-fluids to Liver; before transforming to blood, quickly turns to phlegm to nourish Liver. Liver likes blood, dislikes phlegm; phlegm tries to enter Liver but is rejected; phlegm blocks Liver exterior, closing Liver orifices. Liver gains harm from phlegm, knowing Liver dryness/stagnation. No fluid infusion leads to boiling inflammation; phlegm closes above, fire rises below; how can impact not cause Jue? Treatment: remove phlegm to stop Jue. But removing phlegm requires calming Liver; calming Liver requires resolving anger. Use Ping Jie Tang: Xiang Fu (5 qian), Dang Gui (5 qian), Tian Hua Fen (3 qian), Ban Xia (2 qian), Fu Ling (3 qian), Shen Qu (2 qian), Mai Ya (2 qian), Chao Zhi Zi (2 qian), Huang Lian (5 fen), Gan Cao (1 qian). Decoct in water and take orally. One dose lightens Jue; two doses stabilize; three doses cure.
[Translation] Following intense anger compounded by frustration and unfulfilled desires, a person may suddenly shout loudly and develop Jue syndrome, vomiting copious amounts of phlegm, and losing recognition of others. This is caused by counterflow of Liver Qi, where Jue is precipitated by phlegm obstruction. The Liver's nature is rapid and urgent; urgency predisposes to anger; anger obstructs the free flow of Qi; this exacerbates the Liver's urgency, causing Liver blood to dry. The dried state necessitates seeking resources from the Spleen and Stomach. However, blood cannot be generated instantaneously; the Spleen and Stomach transport fluids from food and drink to the Liver. Before these fluids can fully transform into blood, they rapidly convert into phlegm to temporarily nourish the Liver. The Liver prefers blood and dislikes phlegm; when phlegm attempts to enter the Liver, it is rejected. Consequently, phlegm obstructs the exterior of the Liver, sealing its orifices. Instead of benefiting from phlegm, the Liver suffers harm, revealing severe Liver dryness and stagnation. The lack of fluid infusion leads to rampant inflammatory heat; with phlegm blocking the upper jiao and fire rising from below, the resulting upward impact inevitably causes Jue. The treatment principle is to eliminate phlegm to stabilize Jue. However, eliminating phlegm requires pacifying the Liver, and pacifying the Liver depends on resolving anger. Prescribe Ping Jie Tang: Xiang Fu (5 qian), Dang Gui (5 qian), Tian Hua Fen (3 qian), Ban Xia (2 qian), Fu Ling (3 qian), Shen Qu (2 qian), Mai Ya (2 qian), Chao Zhi Zi (2 qian), Huang Lian (5 fen), Gan Cao (1 qian). Decoct in water and administer orally. One dose reduces Jue severity; two doses stabilize Jue; three doses achieve a complete cure.
[Original] This formula resolves Liver Qi counterflow with miraculous effect. It clears heat without drying, guides phlegm without being harsh. San Bai San is also effective. Bai Shao, Chuan Xiong (5 qian each), Zhi Zi, Fu Shen, Tian Hua Fen (3 qian each), Dang Gui (5 qian), Bai Dou Kou (2 pieces), Nan Xing, Chang Pu, Zhi Ke (1 qian each). Decoct in water and take orally. Two doses cure.
[Translation] This prescription resolves Liver Qi counterflow with remarkable efficacy. It clears heat without causing dryness and guides phlegm without being overly harsh. San Bai San is also effective for this condition. Bai Shao, Chuan Xiong (5 qian each), Zhi Zi, Fu Shen, Tian Hua Fen (3 qian each), Dang Gui (5 qian), Bai Dou Kou (2 pieces), Nan Xing, Chang Pu, Zhi Ke (1 qian each). Decoct in water and administer orally. Two doses result in a cure.
[Original] Someone who gets angry and drinks wine regularly, not stopping until drunk, develops Jue one day, losing consciousness, slightly recovering still calling for wine, fainting repeatedly. People think it's drunkenness, but it's actually Gallbladder Fire moving. Liver and Gallbladder are interior-exterior; Liver Qi counterflow causes Gallbladder Qi counterflow; Liver Fire moves causes Gallbladder Fire to move. Wine enters organs, first entering Gallbladder; wine permeates Gallbladder, turning to water. But wine is very hot; excessive drinking, though wine turns to water, its heat doesn't dissipate, staying in Gallbladder. Anger injures Liver, Liver Fire has no outlet, flows into Gallbladder. Gallbladder gets wine heat plus Liver fire, heat increases. Liver/Gallbladder are Mother of Heart; Mother heat calls Son to relieve atmosphere; Gallbladder heat transfers to Heart. Heart cannot accept heat, transforms into Jue. Treatment: urgently clear Heart heat, but Heart heat doesn't originate in Heart, must drain Gallbladder heat; Gallbladder heat doesn't originate in Gallbladder, must drain Liver heat, to resolve wine heat. Use Xiao Yao San modified. Chai Hu (1 qian), Bai Shao (1 liang), Fu Ling (5 qian), Bai Zhu (5 qian), Gan Cao (2 fen), Chen Pi (5 fen), Dang Gui (2 qian), Ge Hua (2 qian), Chao Zhi Zi (3 qian), Bai Jie Zi (3 qian). Decoct in water and take orally. One dose lightens Jue; two doses stabilize; three doses cure.
[Translation] Individuals who habitually consume alcohol upon becoming angry, refusing to stop until intoxicated, may develop Jue syndrome one day, losing consciousness. Upon slight recovery, they may still call for wine and scream, experiencing repeated fainting spells. Laypeople attribute this to excessive drunkenness, but it is actually caused by the activation of Gallbladder Fire. The Liver and Gallbladder share an interior-exterior relationship; counterflow of Liver Qi induces counterflow of Gallbladder Qi, and movement of Liver Fire triggers movement of Gallbladder Fire. When wine enters the viscera, it first enters the Gallbladder. As wine permeates the Gallbladder, it transforms into fluid. However, wine possesses intense heat properties; excessive consumption means that although the wine transforms into fluid, its heat characteristic does not dissipate completely and remains stored in the Gallbladder. Furthermore, anger injures the Liver, leaving Liver Fire with no outlet, causing it to divert into the Gallbladder. The Gallbladder, receiving both the heat from wine and the fire from the Liver, experiences intensified heat. In Five Element theory, Liver and Gallbladder (Wood) are the mother of the Heart (Fire); maternal heat prompts the son organ to assist in dissipating the heat. Naturally, Gallbladder heat transfers to the Heart. The Heart cannot tolerate excessive heat, which transforms into Jue syndrome. The treatment requires urgently clearing Heart heat; however, since Heart heat does not originate in the Heart itself, one must drain Gallbladder heat. Since Gallbladder heat does not originate in the Gallbladder itself, one must drain Liver heat, thereby resolving the heat derived from wine. Prescribe Modified Xiao Yao San: Chai Hu (1 qian), Bai Shao (1 liang), Fu Ling (5 qian), Bai Zhu (5 qian), Gan Cao (2 fen), Chen Pi (5 fen), Dang Gui (2 qian), Ge Hua (2 qian), Chao Zhi Zi (3 qian), Bai Jie Zi (3 qian). Decoct in water and administer orally. One dose reduces Jue severity; two doses stabilize Jue; three doses achieve a complete cure.
[Original] Xiao Yao San treats stagnation excellently. Assisted by Zhi Zi to drain fire, aided by Ge Hua to resolve wine, added Bai Jie Zi to消 phlegm. Wine diseases always involve dampness; dampness easily generates phlegm. Remove dampness, phlegm loses support; remove phlegm, fire loses momentum. With no dampness support and no fire momentum, recurrence of Jue is impossible. Formula uses much Fu Ling, Bai Zhu to assist Chai Hu, Bai Shao for this reason. Xing Jiu Tang is also effective. Gan Ge, Zuo Mu Zhi (1 qian each), Ren Shen (2 qian), Fu Shen (3 qian), Bai Shao (5 qian), Huang Lian, Ban Xia (5 fen each), Wu Zhu Yu (2 fen). Decoct in water and take orally. One dose effective; four doses cure.
[Translation] Xiao Yao San is exceptionally effective in treating stagnation patterns. It is assisted by Zhi Zi to drain fire, augmented by Ge Hua to resolve alcohol toxicity, and supplemented with Bai Jie Zi to eliminate phlegm. Alcohol-related diseases invariably involve dampness; dampness readily generates phlegm. Removing dampness deprives phlegm of its foundation; eliminating phlegm deprives fire of its momentum. With neither dampness nor fire having support or momentum, recurrence of Jue becomes impossible. The rationale for using substantial amounts of Fu Ling and Bai Zhu to assist Chai Hu and Bai Shao in the formula is precisely this principle. Xing Jiu Tang is also effective for this condition. Gan Ge, Zuo Mu Zhi (1 qian each), Ren Shen (2 qian), Fu Shen (3 qian), Bai Shao (5 qian), Huang Lian, Ban Xia (5 fen each), Wu Zhu Yu (2 fen). Decoct in water and administer orally. One dose yields effectiveness; four doses result in a cure.
[Original] Person vomits 1-2 bowls of sour water after noon, chest pain at Wei hour, severe pain and Jue at Shen hour, unconscious until Xu hour, daily like this. People think it's Yin division heat, but it's actually Blood stasis in Taiyang Bladder meridian. Urine not blocked means Bladder Qi transforms. Qi is formless, can transform/disperse. Blood stasis is formed, cannot disperse like Qi. Wei/Shen hours are when Healthy Qi travels Bladder. Qi moves in blood, blood cannot move in Qi, causing pain and Jue. To activate blood stasis, Qi drugs alone cannot disperse; must use formed substances to control blood, so Qi can break blood without obstruction. Use Zhu Xue Dan: Dang Gui Wei (1 liang), Da Huang (3 qian), Hong Hua (3 qian), Tao Ren (20 grains), Tian Hua Fen (3 qian), Zhi Ke (5 fen), Hou Po (2 qian), Dan Pi (3 qian), Shui Zhi (burnt black, 1 qian). Decoct in water and take orally. One dose unblocks stasis; two doses disperse stasis completely.
[Translation] A patient vomits one to two bowls of sour fluid after noon, experiences precordial pain during the Wei hour (1–3 PM), suffers severe pain and develops Jue syndrome during the Shen hour (3–5 PM), remains unconscious until the Xu hour (7–9 PM), repeating this pattern daily. While lay observers attribute this to heat in the Yin division, it is actually caused by blood stasis lodged in the Taiyang Bladder meridian. The fact that urination is not obstructed indicates that Bladder Qi transformation function remains intact. Qi is formless and capable of transformation and dispersion. In contrast, blood stasis is formed matter and cannot disperse as easily as formless Qi. The Wei and Shen hours correspond to the time when Healthy Qi circulates through the Bladder meridian. When Qi moves within the blood, but the blood cannot move freely within the Qi framework, pain and Jue ensue. To revitalize stagnant blood, Qi-moving herbs alone are insufficient for dispersion; one must employ substances with tangible properties to address the blood, allowing Qi to break up the blood stasis without obstruction. Prescribe Zhu Xue Dan: Dang Gui Wei (1 liang), Da Huang (3 qian), Hong Hua (3 qian), Tao Ren (20 grains), Tian Hua Fen (3 qian), Zhi Ke (5 fen), Hou Po (2 qian), Dan Pi (3 qian), Shui Zhi (fire-burnt to black, 1 qian). Decoct in water and administer orally. One dose unblocks the stasis; two doses completely disperse the blood stasis.
[Original] Using Shui Zhi with Da Huang, Hou Po to chase formed blood clumps, disease goes away like sweeping, pain and Jue gone. Without Shui Zhi, can stop Jue/pain, but formed clumps not fully chased; must add Shui Zhi for miracle. Do not fear this herb and discard it, leaving lifelong illness. Po Yu Dan is also miraculous. Shui Zhi (fried dry black, 2 qian), Dang Gui, Bai Shao (1 liang each), Fu Ling (3 qian), Rou Gui (3 fen), Tao Ren (14 grains), Sheng Di (5 qian), Zhi Ke (5 fen), Zhu Ling (1 qian). Decoct in water and take orally. Two doses cure.
[Translation] Incorporating Shui Zhi with Da Huang and Hou Po enables the expulsion of formed blood clots, causing the disease to vanish as if swept away, with pain and Jue completely eliminated. Without Shui Zhi, although Jue and pain may be controlled, formed blood clots cannot be fully expelled; adding Shui Zhi is necessary to achieve miraculous results. One should not fear this herb and discard it lightly, thereby condemning the patient to lifelong illness. Po Yu Dan is also miraculous for this condition. Shui Zhi (fried until dry and black, 2 qian), Dang Gui, Bai Shao (1 liang each), Fu Ling (3 qian), Rou Gui (3 fen), Tao Ren (14 grains), Sheng Di Huang (5 qian), Zhi Ke (5 fen), Zhu Ling (1 qian). Decoct in water and administer orally. Two doses result in a cure.
[Original] Suddenly feels like cold water poured on back, startled, cold limbs, unconscious, then fever, gradually wakes, 3-4 times/day. People think it's evil spirits, but it's extreme Qi deficiency. Qi guards body; Qi strong means body strong, Qi weak means body frail. External cold invasion is due to internal Qi weakness. Internal Qi weak doesn't need external evil attack; even when healthy, feels Yin cold pressing body like cold water on back, showing internal Qi weakness, why would spirits come? However, extreme internal heat also causes shivering, called "deep Jue means deep heat," similar to extreme Qi deficiency causing shivering. Looks similar but different. If not distinguished clearly, kills instantly. Method: Internal heat/exterior cold has rapid, forceful pulse and dry tongue; Qi deficiency/exterior cold has faint, weak pulse and slippery/wet tongue. So for Qi deficiency, must greatly tonify Qi, never add Great Cold herbs. Use Su Qi Tang: Ren Shen (1 liang), Chen Pi (1 qian), Zhi Ke (3 fen), Chang Pu (5 fen). Decoct in water and take orally. One dose lighter; two doses lighter; several doses cure.
[Translation] A patient suddenly experiences a sensation as if cold water were poured on their back, startsles violently, develops cold extremities, and loses consciousness. Subsequently, fever develops, and the patient gradually regains consciousness. This cycle repeats three to four times daily. Lay observers may attribute this to malevolent spirits, but it is actually caused by extreme Qi deficiency. Qi serves to protect the body; robust Qi ensures physical strength, while deficient Qi leads to physical frailty. Invasion by external cold is a manifestation of internal Qi weakness. When internal Qi is deficient, external pathogenic invasion is not strictly necessary; even in a healthy state, the individual may frequently feel Yin-cold pressing against the body, akin to cold water poured on the back, which clearly demonstrates internal Qi weakness. Why would spirits invade? However, extreme internal heat can also manifest as chills, described as "the deeper the Jue, the deeper the heat." This resembles the chills caused by extreme Qi deficiency. Although superficially similar, they are fundamentally different. If not distinguished with utmost clarity, misdiagnosis can lead to instantaneous death. The differentiation method is as follows: Internal heat with exterior cold presents with a rapid and forceful pulse and a dry tongue; Qi deficiency with exterior cold presents with a faint and weak pulse and a slippery, moist tongue. Therefore, for Qi deficiency syndromes, one must vigorously tonify Qi and absolutely avoid adding Great Cold herbs. Prescribe Su Qi Tang: Ren Shen (1 liang), Chen Pi (1 qian), Zhi Ke (3 fen), Chang Pu (5 fen). Decoct in water and administer orally. One dose reduces symptoms; two doses further alleviate them; continuous administration of several doses achieves a cure.
[Original] This formula heavily uses Ren Shen to tonify Qi, adds Chen Pi, Zhi Ke to broaden middle and消 phlegm, making Ren Shen Su Qi more miraculous; adds Chang Pu to guide three flavors straight to Heart, so Qi cannot scatter outside Heart. Zhu Qi Hui Yang Tang is also effective. Ren Shen, Huang Qi (5 qian each), Nan Xing (2 qian), Gan Cao (1 qian), Fu Ling (3 qian), Zhi Ke (5 fen), Sha Ren (3 grains). Decoct in water and take orally. Two doses effective; four doses cure.
[Translation] This prescription heavily utilizes Ren Shen to tonify Qi. The addition of Chen Pi and Zhi Ke broadens the Middle Jiao and eliminates phlegm, enhancing the miraculous efficacy of Ren Shen in revitalizing Qi. The inclusion of Chang Pu guides the three primary ingredients directly into the Heart, preventing Qi from scattering outside the Heart. Zhu Qi Hui Yang Tang is also effective for this condition. Ren Shen, Huang Qi (5 qian each), Nan Xing (2 qian), Gan Cao (1 qian), Fu Ling (3 qian), Zhi Ke (5 fen), Sha Ren (3 grains). Decoct in water and administer orally. Two doses yield effectiveness; four doses result in a complete cure.