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When Yin and Yang Qi mutually invade, cold-heat Jue (cold limbs with internal heat or vice versa) arises; the pulse and symptoms may appear similar but are fundamentally different. In Cold Jue, initially, the four limbs are cold, the pulse is deep, faint, and not rapid, accompanied by aversion to cold, a desire to cover oneself with clothing, diarrhea with undigested food, and the external manifestation is mostly lucid. In Heat Jue, initially, there must be fever and headache; although the pulse is deep and hidden, palpation reveals it to be rapid. The patient may fear heat and prefer cold, wave hands and kick feet, feel restless and unable to sleep, have dry and dark urine and stool, and the external manifestation is mostly stuporous. This also applies to Shanghan (Cold Damage). Each has its specific treatment formula.

To treat Cold Jue. Some present with exterior heat and interior cold, diarrhea with undigested food, and vomiting immediately after eating; or dry heaving; or after excessive sweating, vomiting, or purging, the four limbs are ice-cold, the internal organs feel cramped and tense, the whole body hurts, there is no thirst, and the pulse is deep and hidden.
Da Fuzi (Aconiti Lateralis Radix Praeparata, peeled and de-navelled, raw, half liang) Ganjiang (Dried Ginger Rhizome, half liang) Gancao (Licorice Root, honey-fried, one fen)
Crush these into a powder. Take four qian per dose, add two zhan of water, decoct until reduced to seven-tenths, remove the dregs, and take warm before meals for prompt effect.

To treat Heat Jue. Abdominal fullness, heaviness of the body, difficulty in turning over, greasy facial appearance, delirium, urinary incontinence, coldness of hands and feet, spontaneous sweating, and a deep-slippery pulse indicate heat within the interior.
Shigao (Gypsum Fibrosum, crushed, four liang) Zhimu (Anemarrhenae Rhizoma, one-and-a-half liang) Gancao (Licorice Root, honey-fried, half liang)
Crush these into a powder. Take four large qian per dose, add two zhan of water and a pinch of Jingmi (Rice Grain), boil until the rice is cooked, remove the dregs, take seven-tenths of the clear liquid, and can be taken together.

This also treats Heat Jue; see the Shanghan section for the formula, using this as an example. One should observe the depth of the disease and measure the quantity to administer. (See Volume 4)

To treat sudden Jue leading to apparent death, as well as conditions caused by host-guest conflict, ghost strike, or flying corpse, where breath suddenly ceases and the jaw becomes locked without awareness.
Mahuang (Ephedrae Herba, nodes removed, three liang) Xingren (Prunus Armeniaca Seed, skin and tips removed, 280 seeds) Gancao (Licorice Root, honey-fried, one qian)
Crush these into a powder. Take four qian per dose, add one-and-a-half zhan of water, decoct until reduced to seven-tenths, remove the dregs, and instill. This generally treats various shock-like conditions or locked jaws that cannot be opened. Remove teeth if necessary to instill the decoction; if the medicine enters, life is saved. If it does not go down, part the patient's hair, grasp the shoulders from left and right, pull gently, and once the medicine enters, gradually let the patient consume it all for effect. Qianjin Fang includes Guixin (Cinnamomi Cortex, two liang). Jin Gui Yao Lue states: "The cun position of the pulse is deep, large, and slippery. Deep indicates excess, slippery indicates qi stagnation. When excess and qi stagnate and clash, if blood and qi enter the Zang organs, death ensues; if they enter the Fu organs, recovery occurs." In sudden Jue, if lips and mouth are blue and the body is cold, it indicates entry into the Zang organs, which is fatal; if the body is warm and there is sweating, recovery occurs.