李 先因呕吐腹痛。随即昏迷。此气火痰上蒙清神为厥。先用乌梅擦牙。令牙关得开。然后用
药。（痰火上闭）至宝丹三分。
某 阳气暴张。精绝。令人煎厥。（煎厥）
细生地（一两） 阿胶（三钱） 出山铅（打薄五钱） 调珍珠末（一钱）
细生地 元参 龟胶 阿胶 淡菜 蚌水
又 液涸消渴。都是脏阴为病。前议填阴。药汁浓腻不能多进。但胃口不醒。生气何以再振。阳
明阳土。非甘凉不复。况肝病治胃。自来有诸。
人参 麦冬 川斛 新会皮 白粳米 干佩兰叶
王（四一） 经云。烦劳则张。精绝。辟积于夏。令人煎厥。夫劳动阳气弛张。则阴精不司留恋
其阳。虽有若无。故曰绝。积之既久。逢夏季阳正开泄。五志火动风生。若煎熬者然。斯为晕厥耳。治法以
清心益肾。使肝胆相火。内风不为暴起。然必薄味静养为稳。
连翘心 元参心 竹叶心 知母 细生地 生白芍
某（二九） 肾厥。由背脊而升。发时手足逆冷。口吐涎沫。喉如刀刺。盖足少阴经脉。上循喉咙。挟舌本。
阴浊自下上犯。必循经而至。仿许学士椒附意。通阳以泄浊阴耳。（肾厥）
炮附子 淡干姜 川椒 胡芦巴 半夏 茯苓 姜汁泛丸。
某 肾厥。气逆至头。玉贞丸二十粒
盛（四九） 脐上心下热炽。咽喉间陈腐气。遂神昏仆厥。经时汗出而醒。病来口涌血沫。乃膻中热拥
以致心窍受蒙。若非芳香清透。不能宣通络中瘀痹。（膻中热郁心窍蒙）
生乌犀角（一两） 天竺黄（一两） 丹参（一两） 郁金（一两） 云茯神（一两） 石菖蒲（五钱）
麝香（一钱） 冰片（五分）
各生研。野赤豆皮煎汤泛丸。竹叶汤送下二钱。食后服。
谢（女） 热郁于内。则机窍不灵。春令升泄。木火化风旋扰。螈 搐搦。有癫痫之虑。不可进通经。再
劫其阴液。
细生地 郁金 犀角 丹参 石菖蒲 生白芍 竹沥
又 火淫于内。治以苦寒。佐以咸寒。
黄连 黄芩 黄柏 黑山栀 牡蛎 生地 冲入方诸水
又 脉左坚。经阻半载。戌亥阴时。厥逆肢掣。超时方苏。即欲渴饮。龙荟宣窍。咸苦清火未效。且
大便两旬不解。定是热结在血。仿古人厥应下之义。用张子和玉烛散。玉烛散。
罗 温邪内陷。津液被劫。厥阳挟内风上逆。遂致痉厥。（温邪劫液风阳上逆）
生牡蛎 阿胶 熟地炭 生白芍 炒远志 石菖蒲
又 厥阴误进刚药。五液劫尽。阳气与内风鸱张。遂变为痉。平昔内损。继以暴邪。本属难调。此
阴气竭绝。戌亥当防。
熟地炭 磁石 生白芍 木瓜 远志 茯神
毛 瘦人而病温热。神呆舌赤。诊脉时。两手牵掣震动。此津液受劫。肝风内鼓。是发痉之原。
议以养胃汁。熄肝风。务在存阴耳。用仲景复脉汤法。去参姜桂。
余 脉细促。神迷。舌缩言謇。耳聋。四肢牵引。牙关不紧。病已月余。乃温邪劫液。阳浮独行。内风
大震。变幻痉厥危 。议以育阴熄风法。必得痉止神清。方有转机。
阿胶（二钱） 鸡子黄（一枚） 人参（秋石拌烘一钱） 天冬（一钱） 细生地（二钱） 白芍（一钱半）
又 神气稍苏。脉来敛静。五液交涸。风阳尚动。滋液救其焚燎。清补和阳去热。用药全以甘寒。
津液来复。可望向安。
阿胶 人参 淡菜 鲜生地 天冬 川斛
毛 少阴不藏。温邪深入。喘促汗出。渴不多饮。舌辛似缩。症非轻小。拟用复脉汤。为邪少虚多
之治。去姜。
又 舌绛汗泄。齿燥痰腻。热劫津液。最防痉厥。复脉汤去姜桂。
唐 积劳伏暑。欲寐时。心中轰然上升。自觉神魂缥缈。此皆阳气上冒。内风鼓动。所以陡然
昏厥。（暑邪内陷胞络闭结）
石膏 知母 甘草 粳米 生地 麦冬 竹叶心
方 热闭神狂。因乎食复。畏人与肢筋牵动。仍属暑病变痉。通三焦以清神明。冀有转机。紫
雪丹二钱。
又 舌欲痿。肤燥筋掣。热劫脂液殆尽为痉。用河间甘露饮。再服紫雪丹一钱。
杨 暑由上受。先入肺络。日期渐多。气分热邪逆传入营。遂逼心胞络中。神昏欲躁。舌音缩。手
足牵引。乃暑热深陷。谓之发痉。热闭在里。肢体反不发热。热邪内闭则外脱。岂非至急。考古
人方法。清络热必兼芳香。开里窍以清神识。若重药攻邪。直走肠胃。与胞络结闭无干涉也。
犀角 元参 鲜生地 连翘 鲜菖蒲 银花 化至宝丹四丸
金 暑热结聚于里。三焦交阻。上则神呆不语。牙关不开。下则少腹冲气。小溲不利。邪结皆无
形之热闭塞。渐有痉厥之状。昨大便既下。而现此象。岂是垢滞。议芳香宣窍。通解在里蕴热。
紫雪丹一钱五分 开水化匀三服。
鲍 舌白。渴欲冷冻饮料。气促。呛咳而呃。胸闷昏谵。此暑风湿热秽浊痹塞。宿垢尚在小肠。旬日间
渐变痉厥。是为险机。议逐秽结。以冀稍清。
大杏仁 连翘心 竹叶心 川贝母 菖蒲根汁 辰砂益元散
煎药化牛黄丸一服。
蔡 暑湿热。都着气分。乃消食苦降滋血乱治。热炽津涸。舌板成痉。究竟邪闭阻窍。势属不稳。
人参 生甘草 石膏 知母 粳米
潘（二八） 肝阳化风。上冒为厥。风阳内烁。脂液涸而作痛。此非实症。刚燥忌用。（肝风）
生地 阿胶 牡蛎 天冬 茯神 生白芍
夏（五二） 中年以后。阳气日衰。是下焦偏冷。阳不及护卫周身。气分更虚。右肢如痿。当春地气上升。
身中肝风大震。心嘈嗔怒。痰涌音哑。乃厥象也。皆本气自病。最难见效。
熟地 熟淡附子 牛膝炭 炒麦冬 远志炭 茯苓
马 面青 白。入夜颧颊渐赤。耳聋。舌心干板而缩。并不渴饮。间有寒战后热。此厥阴肝脏液
涸风旋。势成痉厥危症。勉从经旨之训。肝苦急。当食甘以缓之。
甘麦大枣汤加阿胶。
陆 面青。头痛动摇。手足搐搦牵掣。惊吓恼怒。病从肝起。如饥求食。昼夜无寐。都是肝风盘旋
鼓舞。渐为痫厥。此乃五志之病。
阿胶 牡蛎 生地 天冬 小麦 生白芍
某 冲气巅胀厥。龙荟丸一钱二分。
顾 此痿厥也。盖厥阴风旋。阳冒神迷则为厥。阳明络空。四末不用。而为痿厥。午后黄昏。乃厥
阴阳明旺时。病机发现矣。凡此皆属络病。金匮篇中有之。仲景云。诸厥宜下。下之利不止者
死。明不下降之药。皆可止厥。但不可硝黄再伤阴阳耳。但积年沉 。非旦夕速效可知矣。
活鳖甲 真阿胶 方诸水 鲜生地 元参 青黛
又 照前方去元参加天冬。
厥从肝起。其病在下。木必得水而生。阴水亏。斯阳风烁筋。而络中热沸即厥。拙拟血属介
类。味咸入阴。青色入肝。潜阳为法。
又 阴络空隙。厥阳内风掀然鼓动而为厥。余用咸味入阴和阳。介类有情之潜伏。颇见小效。
但病根在下深远。汤剂轻浮。焉能填隙。改汤为膏。取药力味重以填实之。亦止厥一法。
鲜鳖甲 败龟版 猪脊髓 羊骨髓 生地 天冬 阿胶 淡菜 黄柏
熬膏。早服七钱。午服四钱。
林 据说六七年前。惊骇起病。气从左胁有声。攻及胸膈。心中胀极。气降胀减。必汗出溲溺。
此属肝厥。凡烦劳动怒。即刻举发。肝木风火内寄。其来必骤。且有声音。久恙非汤药可投。缓
调须用丸药。更发作自必轻减。
人参 干姜 附子 桂枝 川椒 小川连 川楝子 当归 白芍 乌梅肉丸
顾 平昔肠红。阴络久伤。左胁下宿瘕。肝家风气易结。形瘦面青。阴虚。阳气易冒。血络不得凝
静。诸阳一并遂为厥。冲气自下犯胃为呃。症似蓄血为狂。奈脉细劲。咽喉皆痛。真阴枯槁之
象水液无有。风木大震。此刚剂强镇。不能熄其厥冒耳。
生鸡子黄（一枚） 真阿胶（二钱） 淡菜（泡洗五钱） 龟版（五钱） 冲入热童便一杯。
戴 酒客中虚多湿。阳明素虚。厥阴来乘。当谷雨土旺用事。风木与阳俱升逆。郁冒而厥。此平
昔积劳内因。与外邪无涉。阅医多用风药。是再伤肌表护卫之阳。乃召风以致中耳。
川桂枝 羚羊角 炒半夏 橘红 明天麻 茯苓 当归 钩藤
吴（三十） 肝风痫厥。迅发莫制。都因肾真内怯。平素多遗。诊脉芤弱。议用固本丸。固本加五味萸
肉龙骨金箔蜜丸。
谢（五八） 有年下虚。春木自地而升。阳浮上蒙清窍。经云。下虚上实。为厥癫疾。肝风内震。倘加恼怒。
必致厥仆痱中。大忌攻痰祛风药。
熟地 天冬 萸肉 五味 牛膝 龟甲 磁石 茯神 远志 菖蒲
夏（十九） 少腹气攻有形。呕吐头胀。阴脉不至头。而厥阴脉上至巅顶。四肢逆冷。即厥象也。不是疟
母宿冷。肝脉环绕阴器为遗泄。（厥阴寒厥）
炒黑川椒 川楝子 炒橘核 青木香 小茴香 茯苓
王 右脉已伏。左小紧。四肢冰冷。干呕烦渴。厥阴浊泛。胃阳欲绝。此属痛厥。姑以辛热泄浊通阳。
泡淡吴萸 制附子 川楝子 延胡索 淡干姜 茯苓
又 脉微为无阳。下利冷汗。呕逆不食。肢厥不肯回阳。一团浊阴阻蔽。却有闭脘之危。议四逆
之属。护阳驱浊。
人参 淡附子 枳实 茯苓 生淡干姜
又 肢厥恶心吞酸胸满。大便不通有六日。
川连 淡干姜 人参 枳实 陈皮 半夏 茯苓
史 温热已入厥阴。阴伤。致风阳上巅。遂为痉厥。厥发丑寅。阳明少阳之阳震动。昨进咸苦。清
其阴分之热已效。今复入镇阳以止厥。（厥阴热邪）
生地 天冬 阿胶 鸡子黄 生龙骨 小麦
蒋 眩晕。心痛胀。呕吐涎沫。周身麻木。此厥阴肝脏中阳。过胃贯膈。逆冲不已。有痉厥之意。
川连（吴萸煮） 干姜 川楝子 乌梅 牡蛎 白芍
又 开泄和阳入阴已效。当停煎药。龙荟丸。
程 厥邪热深。生姜性辛温。大泄肝阴。阳遂上冒。心热晕厥。但阴虚热炽。苦寒不可多进。以滋
阴却热为稳。
生鳖甲 鲜生地 生白芍 知母 山栀 橘红
张 未病先有惊恐。先寒战。后发热。心中极热。干呕烦躁。渴饮冷。仍不解渴。诊脉小弦。舌白无
胎。曾肢冷如冰。此热邪已入厥阴肝经。所谓热深厥深也。病全入里。极为棘手。议用紫雪丹。
开深伏之热结。取其芳香宣窍。冀得躁扰势缓。方有转机。紫雪丹二钱。
王 心中疼热。耳聋自利。热邪已入厥阴。三日不厥。方有好音。
郁金 川连 秦皮 黄芩 连翘心 石菖蒲汁
某 先发水痘。已感冬温。小愈不忌荤腥。余邪复炽。热不可遏。入夜昏烦。辄云头痛。邪深走厥
阴。所以发厥。诊脉两手俱细。是阳极似阴。鼻煤舌干。目 黄。多属邪闭坏败。谅难挽回。用凉
膈散。
伍（女） 室女经来。冲脉自动。动则阳升。内风绕旋不息。为薄厥煎厥。阳明虚。胃失降。厥阴热。肝愈
横。风阳上冒。清空神迷。诸窍似阻。皆入夏大地发泄之征。本虚表实。先理其实。议用局方龙
荟丸。纯苦直降。非汤饮留连肠胃之比。每服三钱。不拘二三次分服。接用复脉法。去参姜桂。（肝风烁阴）
施（氏） 诸厥属肝。肝病犯胃。为呕逆腹痛。乃定例也。诊脉虚小。望色 白。据述怀妊。病竟不发。思
中流砥柱。斯肝木凝然。则知培植胃土。乃治病法程矣。（肝逆胃虚） 六君子去术皮加芍药木瓜
煨姜南枣。
某（氏） 厥属肝病。几番病发。都因经水适来。夫血海贮聚既下。斯冲脉空乏。而风阳交动。厥之暴
至之因由也。咸寒濡润。亦和阳泄内风之义。治之未应。下焦独冷。喉呛胸痹。思冲脉乃阳明
所属。阳明虚则失阖。厥气上犯莫遏。内经治肝不应。当取阳明。制其侮也。暂用通补入腑。取
乎腑以通为补。小半夏汤加白糯米。
龚（三一） 诸厥皆隶厥阴。疝瘕。心热胁胀。中消便难。乃肝阳内风。妄动消烁。犯及阳明矣。经言治肝
不应。当取阳明。肝胃一脏一腑相对。不耐温补者。是肝用太过。肝体不及也。
九孔石决明 淮小麦 清阿胶 细生地 天冬 茯神
陈 嗔怒微厥。肝阳升举。宜益胃阴以制伏。（怒）
人参（冷冲） 麦冬 茯神 鲜莲子 竹叶心 生甘草 微温服
叶（氏） 脉右大。热升风动。郁冒为厥。宗陈无择羚羊角散方。（奇脉虚风阳动）
羚羊角 小生地 元参 丹参 连翘 黑豆皮
又 厥后惊惕汗泄。阳风无制。都缘阴枯不主恋阳。议用六味益阴和阳。炒六味去山药加人
参秋石。
又 渴不欲饮。阴不上乘。况寐醒神识不静。易惊汗出。法当敛补。
人参 萸肉炭 熟地 五味 茯神 远志
又 半月经水两至。痛自下焦冲突而厥。病由阴维冲任。盖八脉所司也。此养营仅到中宫。所
以无效。
苁蓉 鹿角霜 当归 柏子霜 桂枝木 茯苓
又 前法已中病情。须从奇经治义。照前方去桂枝木加鹿角胶。
又 病去八九。仅以温补下元为法。不必穷治。
淡苁蓉 炒杞子 当归 柏子仁 茯苓 小茴香
陶（氏） 脉数。厥止。热在营中。（心营热）
犀角 元参 丹皮 连翘心 胆星 橘红
Patient Li. Previously experienced vomiting and abdominal pain, followed immediately by coma. This is Jue syndrome (syncope/collapse) caused by Qi fire and phlegm turbidity ascending to cloud the clear orifices and spirit. First, use a plum (Wumei) to rub the teeth to allow the jaw to open. Then administer medicine. (Phlegm-fire closing the orifices) Zhibao Dan (Treasure Pill), 3 fen.
Certain patient. Yang qi suddenly flares up, essence and blood are exhausted, leading to Jian Jue (Frying Syncope).
Xi Sheng Di (Fine Rehmanniae Radix, 1 liang) Ejiao (Donkey-hide Gelatin, 3 qian) Chu Shan Qian (Lead from Mountains, pounded thin, 5 qian) Zhen Zhu Mo (Pearl Powder, mixed in, 1 qian)
Xi Sheng Di Yuan Shen Gui Jiao Ejiao Dan Cai Bang Shui
Re-examination. Fluid depletion causing Xiao Ke (wasting-thirst) is due to disease of the Zang Yin (visceral yin). The previous proposal was to fill the yin, but the thick and cloying medicinal decoction could not be taken in large amounts because the stomach appetite has not awakened; how can the vital Qi be revitalized? Yangming Yang Earth cannot recover without sweet-cool substances. Moreover, treating liver disease involves treating the stomach, which has been the practice since ancient times.
Ren Shen Mai Dong Chuan Hu Xin Hui Pi Bai Jing Mi Gan Pei Lan Ye
Patient Wang (41 years old). The Classics state: "Vexatious labor causes Yang to expand, essence is exhausted, accumulating into summer, causing Jian Jue." Labor causes Yang qi to relax and expand, so Yin essence cannot linger and attach to Yang. Although present, it seems absent, hence called "extinction." Accumulated over time, encountering summer when Yang is opening and leaking, the Five Emotions' fire moves and wind generates, as if being fried. This is fainting syncope. The treatment method focuses on clearing the heart and benefiting the kidney, preventing Gallbladder-Liver ministerial fire and internal wind from rising violently. However, light diet and quiet rest are essential for stability.
Lian Qiao Xin Yuan Shen Xin Zhu Ye Xin Zhi Mu Xi Sheng Di Sheng Bai Shao
Certain patient (29 years old). Kidney Jue rises from the spine. During attacks, hands and feet are cold, mouth foams, throat feels like pierced by a knife. This is because the Foot Shaoyin meridian ascends along the throat and clamps the tongue root. Yin turbidity attacks from below upwards, following the meridian. Imitating Xu Xueshi's Jiao Fu idea, unblock Yang to drain Yin turbidity. (Kidney Jue)
Pao Fu Zi Dan Gan Jiang Chuan Jiao Hu Lu Ba Ban Xia Fu Ling Jiang Zhi Fan Wan.
Certain patient. Kidney Jue, Qi reverses to the head. Yuzhen Wan, 20 pills.
Patient Sheng (49 years old). Heat blazes above the navel and below the heart. A stale odor in the throat leads to sudden coma and collapse. After a long time, sweating occurs and he wakes. At onset, blood foam gushed from the mouth. This is heat congestion in the Danzhong (Pericardium) clouding the Heart orifice. Without aromatic and clearing-penetrating herbs, the stasis and obstruction in the collaterals cannot be unblocked. (Danzhong heat depression clouding Heart orifice)
Sheng Wu Xi Jiao Tian Zhu Huang Dan Shen Yu Yun Jin Yun Fu Shen Shi Chang Pu She Xiang Bing Pian
Grind each raw into powder. Form pills with decoction of wild red bean skin. Take 2 qian after meals, delivered with Zhu Ye Tang.
Female Patient Xie. Heat depressed internally makes the orifices dull. In spring, ascending and leaking, Wood-Fire transforms into wind, swirling and disturbing, causing convulsions and spasms. There is concern of epilepsy. Do not use blood-invigorating/meridian-unblocking drugs to further deplete Yin fluids.
Xi Sheng Di Yu Jin Xi Jiao Dan Shen Shi Chang Pu Sheng Bai Shao Zhu Li
Re-examination. Fire rampant internally, treat with bitter-cold. Assist with salty-cold.
Huang Lian Huang Qin Huang Bo Hei Shan Zhi Mu Li Sheng Di Chong Ru Fang Zhu Shui
Re-examination. Left pulse is firm. Menstruation obstructed for half a year. During Xu-Hai hours (Yin time), Jue reversal and limb jerking occur. Only recovers after exceeding the time, immediately desiring to drink. Longhui Wan opens orifices. Salty-bitter fire-clearing failed. Bowel movement obstructed for twenty days. Definitely heat結 in Blood. Imitate ancients' principle that "Jue should be purged." Use Zhang Hezi's Yuzhu San. Yuzhu San.
Patient Luo. Warm pathogen sinks inward, fluids are depleted. Jue Yang carries internal wind upward, leading to Spasm-Syncope. (Warm pathogen depletes fluids, Wind-Yang rebels upward)
Sheng Mu Li Ejiao Shu Di Tan Sheng Bai Shao Chao Yuan Zhi Shi Chang Pu
Re-examination. Jueyin disease mistakenly treated with harsh-dry drugs, five fluids depleted. Yang Qi and internal wind rage, transforming into Spasm. Chronic internal damage followed by violent pathogen attack, inherently difficult to regulate. Now Yin Qi is exhausted, beware during Xu-Hai hours.
Shu Di Ci Shi Sheng Bai Shao Mu Gua Yuan Zhi Fu Shen
Patient Mao. Thin person suffering from warm-heat. Spirit is dull, tongue is red. During pulse diagnosis, both hands twitch and shake. This is fluid depletion, Liver wind stirring internally, the origin of Spasm.
Propose nourishing stomach fluids, extinguishing Liver wind, emphasizing preservation of Yin. Use Zhang Zhongjing's Fumai Tang method. Remove Ren Shen, Sheng Jiang, Gui Zhi.
Patient Yu. Pulse is fine and rapid. Spirit confused. Tongue retracted, speech slurred. Deafness. Limbs pulling. Jaw not tight. Disease has lasted over a month. This is warm pathogen depleting fluids, Yang floating alone, internal wind shaking greatly, transforming into critical Spasm-Syncope. Propose nourishing Yin and extinguishing wind. Must achieve cessation of spasm and clarity of spirit before there is hope of turning point.
Ejiao (2 qian) Ji Zi Huang (1 egg yolk) Ren Shen (mixed with Qiu Shi and baked, 1 qian) Tian Dong (1 qian) Xi Sheng Di (2 qian) Bai Shao (1.5 qian)
Re-examination. Spirit slightly recovered. Pulse gathers and calms. Five fluids mutually dry. Wind-Yang still moving. Nourish fluids to save from burning. Clear-tonify and harmonize Yang to remove heat. Medicines are entirely sweet-cool.
Fluids recovering, hope for gradual peace.
Ejiao Ren Shen Dan Cai Xian Sheng Di Tian Dong Chuan Hu
Patient Mao. Shaoyin fails to store. Warm pathogen penetrates deeply. Panting, sweating, thirst but little desire to drink. Tongue feels spicy/retracted. Condition is not mild. Propose Fumai Tang. Treatment for pathogen minor, deficiency major. Remove Sheng Jiang.
Re-examination. Crimson tongue, sweating, dry teeth, greasy phlegm. Heat depletes fluids, most fear Spasm-Syncope. Fumai Tang remove Sheng Jiang, Gui Zhi.
Patient Tang. Accumulated fatigue and latent summer-heat. When drowsy, heart feels booming upward, soul seems ethereal. All this is Yang Qi rising, internal wind stirring, causing sudden coma. (Summer-heat pathogen sinks inward, Pericardium collaterals closed)
Shi Gao Zhi Mu Gan Cao Jing Mi Sheng Di Mai Dong Zhu Ye Xin
Patient Fang. Heat closes spirit, madness, due to food relapse. Afraid of people, limb tendons pull. Still belongs to Summer-heat transforming into Spasm. Unblock San Jiao to clear spirit-mind, hoping for improvement. Zixue Dan, 2 qian.
Re-examination. Tongue about to atrophy, skin dry, tendons twitching. Heat depletes fat/fluids completely causing Spasm. Use Hejian Ganlu Yin. Take Zixue Dan again, 1 qian.
Patient Yang. Summer-heat enters from above, first entering Lung collaterals. Days pass, Qi-level heat pathogen counter-transfers to Ying level, forcing into Pericardium collaterals. Coma, irritability, tongue retracted, voice lost, limbs pulling. This is deep summer-heat, called Fa Jing (Spasm onset). Heat closed inside, limbs反而 not hot. Heat closed inside leads to external collapse. Is this not extremely urgent? Studying ancients' methods, clearing collateral heat must combine aromatics. Open interior orifices to clear consciousness. If heavy drugs attack pathogen, going straight to intestines/stomach, it does not affect Pericardium closure.
Xi Jiao Yuan Shen Xian Sheng Di Lian Qiao Xian Chang Pu Yin Hua Zhibao Dan 4 pills.
Patient Jin. Summer-heat heat aggregates inside, San Jiao blocked. Above: spirit dull, silent, jaw locked. Below: Shaofu rushing Qi, urination difficult. Pathogen aggregation is formless heat blocking. Gradually showing signs of Spasm-Syncope. Yesterday stool passed, yet these symptoms appear. Could it be filth/stagnation? Propose aromatic orifice-opening, unblock interior accumulated heat.
Zixue Dan 1.5 qian. Dissolve evenly in boiling water, take in three doses.
Patient Bao. White tongue coating, craving frozen drinks. Shortness of breath, choking cough, hiccups. Chest fullness, coma/delirium. This is summer-damp-warm-turbid miasma blocking. Old filth remains in Small Intestine. Within ten days, gradually changing to Spasm-Syncope. This is a dangerous stage. Propose expelling turbid aggregation, hoping for slight clearing.
Da Xing Ren Lian Qiao Xin Zhu Ye Xin Chuan Bei Mu Chang Pu Gen Zhi Chen Sha Yi Yuan San
Decoct medicine, dissolve one dose of Niuhuang Wan.
Patient Cai. Summer-heat dampness all adhere to Qi level. Yet treated wrongly with digestion-promoting bitter-descending and blood-nourishing. Heat blazes, fluids dry. Tongue stiff, becoming Spasm. Ultimately pathogen closed blocking orifices, situation unstable.
Ren Shen Sheng Gan Cao Shi Gao Zhi Mu Jing Mi
Patient Pan (28 years old). Liver Yang transforms into wind, rising to cause Jue. Wind-Yang scorches internally, fat/fluids dry causing pain. This is not excess syndrome. Harsh-dry drugs contraindicated. (Liver Wind)
Sheng Di Ejiao Mu Li Tian Dong Fu Shen Sheng Bai Shao
Patient Xia (52 years old). After middle age, Yang Qi declines daily. Lower Jiao is偏 cold. Yang insufficient to protect body. Qi level more deficient. Right limb like paralysis. When spring earth Qi rises, internal Liver wind shakes greatly. Heart palpitations, anger, phlegm surging, voice hoarse. This is Jue image. All due to constitutional self-disease. Hardest to see effect.
Shu Di Shu Dan Fu Zi Niu Xi Tan Chao Mai Dong Yuan Zhi Tan Fu Ling
Patient Ma. Face green-white. Nighttime cheekbones gradually red. Deaf. Tongue center dry, stiff, retracted. No thirst. Occasional chills then fever. This is Jueyin Liver fluid exhaustion, wind spinning. Situation becomes critical Spasm-Syncope. Reluctantly follow Classic instruction: Liver suffers urgency, should eat sweet to relieve tension.
Gan Mai Da Zao Tang add Ejiao.
Patient Lu. Face green. Headache, trembling. Hands/feet twitching/pulling. Fear, anger. Disease starts from Liver. Hungry seeking food, no sleep day/night. All Liver wind swirling and stirring, gradually becoming Epileptic-Jue. This is disease of Five Emotions.
Ejiao Mu Li Sheng Di Tian Dong Xiao Mai Sheng Bai Shao
Certain patient. Chong Qi head distension Jue. Longhui Wan 1.2 qian.
Patient Gu. This is Wei Jue (Paralysis-Syncope). Jueyin wind spins, Yang rises clouding spirit is Jue. Yangming collaterals empty, four extremities useless is Wei Jue. Afternoon/dusk is Jueyin/Yangming prosperous time, disease mechanism appears. All these belong to collateral disease. Jin Gui chapter mentions it. Zhongjing says: All Jues should be purged. If purging causes diarrhea non-stop, death. Clearly states non-purgative drugs can stop Jue. But do not use Xiao Huang to injure Yin/Yang again. Chronic illness, not overnight quick effect known.
Huo Bie Jia Zhen Ejiao Fang Zhu Shui Xian Sheng Di Yuan Shen Qing Dai
Re-examination. Follow previous formula, remove Yuan Shen, add Tian Dong.
Jue starts from Liver, disease is lower. Wood must grow from Water. Yin water deficient, thus Yang wind scorches tendons, heat boils in collaterals then Jue. My proposal: Blood belongs to shellfish class, salty taste enters Yin, green color enters Liver, subduing Yang is method.
Re-examination. Yin collaterals empty, Jue Yang internal wind rises stirring causing Jue. I use salty taste entering Yin harmonizing Yang, shellfish sentient substances lurking, seeing small effect.
But disease root is deep lower. Decoction is light-floating, how can fill gaps? Change decoction to paste. Take heavy drug power/taste to fill solid. Also a method to stop Jue.
Xian Bie Jia Bai Gui Ban Zhu Ji Sui Yang Ji Sui Sheng Di Tian Dong Ejiao Dan Cai Huang Bai
Boil paste. Morning take 7 qian. Noon take 4 qian.
Patient Lin. Said 6-7 years ago, started from fright. Qi has sound from left hypochondrium, attacking chest/diaphragm. Heart extremely distended. Qi descends distension reduces, must sweat and urinate.
This belongs to Liver Jue. Whenever vexatious labor/anger, immediately triggers. Liver Wood wind-fire resides internally, comes suddenly, has sound. Chronic illness not suitable for decoction. Slow regulation requires pills. Further attacks will surely lessen.
Ren Shen Gan Jiang Fu Zi Gui Zhi Chuan Jiao Xiao Chuan Lian Chuan Lian Zi Dang Gui Bai Shao Wumei Rou Wan
Patient Gu. Normally intestinal bleeding, Yin collaterals long injured. Left hypochondrium chronic mass, Liver wind Qi easily knots. Thin face green. Yin deficient, Yang easily rises. Blood collaterals cannot condense/still. All Yang together then Jue. Chong Qi from below invades Stomach causing hiccup. Symptoms like blood accumulation mania. But pulse fine/firm, throat painful. True Yin withered image, fluids none. Wind Wood shakes greatly. This harsh agent strong sedation cannot extinguish Jue/rising.
Sheng Ji Zi Huang (1 egg yolk) Zhen Ejiao (2 qian) Dan Cai (soak/wash 5 qian) Gui Ban (5 qian) Chong Ru Re Tong Bian 1 cup.
Patient Dai. Wine drinker middle deficiency much dampness. Yangming originally deficient. Jueyin attacks. When Guyu earth prosperous, Wind Wood and Yang both rise counter. Depression/clouding then Jue. This is chronic accumulated fatigue internal cause, unrelated to external pathogen. Reading doctors mostly use wind drugs, this again injures muscle/surface protecting Yang. Thus summoning wind to cause middle strike.
Chuan Gui Zhi Ling Yang Jiao Chao Ban Xia Ju Hong Ming Tian Ma Fu Ling Dang Gui Gou Teng
Patient Wu (30 years old). Liver wind epileptic Jue, sudden uncontrollable. All due to Kidney true internal timidity. Normally frequent emission. Pulse knifelike weak. Propose Guben Wan. Guben add Wu Mei Yu Rou Long Gu Jin Bo Honey Pill.
Patient Xie (58 years old). Elderly lower deficiency. Spring Wood rises from ground. Yang floats up clouding clear orifices. Classic says: Lower deficiency upper excess, is Jue Epilepsy. Liver wind internal shake. If add anger, must cause Jue fall apoplexy. Greatly contraindicated phlegm-expelling wind-dispelling drugs.
Shu Di Tian Dong Yu Rou Wu Wei Niu Xi Gui Jia Ci Shi Fu Shen Yuan Zhi Chang Pu
Patient Xia (19 years old). Shaofu Qi attacks tangible. Vomiting head distension. Yin pulse not reaching head. Jueyin pulse ascends to vertex. Four limbs cold reverse. This is Jue image. Not Malaria mother chronic cold. Liver meridian surrounds genitalia for emission. (Jueyin Cold Jue)
Chao Hei Chuan Jiao Chuan Lian Zi Chao Ju He Qing Mu Xiang Xiao Hui Xiang Fu Ling
Patient Wang. Right pulse already hidden. Left small tight. Four limbs ice cold. Dry retching vexatious thirst. Jueyin turbid flooding. Stomach Yang about to perish. This belongs to Pain Jue. Temporarily use pungent-hot to drain turbid unblock Yang.
Pao Dan Wu Yu Zhi Fu Zi Chuan Lian Zi Yan Hu Suo Dan Gan Jiang Fu Ling
Re-examination. Pulse minute is no Yang. Diarrhea cold sweat. Retching not eating. Limb Jue refuses to return Yang. A mass of Yin turbid blocking. Has closed stomach danger. Propose Sizhi category. Protect Yang drive turbid.
Ren Shen Dan Fu Zi Zhi Shi Fu Ling Sheng Dan Gan Jiang
Re-examination. Limb Jue nausea acid regurgitation chest full. Bowel movement obstructed six days.
Chuan Lian Dan Gan Jiang Ren Shen Zhi Shi Chen Pi Ban Xia Fu Ling
Patient Shi. Warm-heat entered Jueyin. Yin injured, causing Wind-Yang to top. Then Spasm-Syncope. Jue occurs Chou-Yin hours. Yangming Shaoyang Yang shakes. Yesterday advanced salty-bitter, cleared Yin branch heat effective. Today again enter sedate Yang to stop Jue. (Jueyin Heat Pathogen)
Sheng Di Tian Dong Ejiao Ji Zi Huang Sheng Long Gu Xiao Mai
Patient Jiang. Vertigo. Heart pain distension. Vomit phlegm foam. Whole body numb. This Jueyin Liver middle Yang, passes Stompenetrates Diaphragm, counter rushes endlessly. Has Spasm-Jue intent.
Chuan Lian (Wu Yu cooked) Gan Jiang Chuan Lian Zi Wu Mei Mu Li Bai Shao
Re-examination. Opening/draining harmonize Yang enter Yin effective. Stop decoction. Longhui Wan.
Patient Cheng. Jue pathogen heat deep. Sheng Jiang nature pungent-warm, greatly drains Liver Yin. Yang then rises. Heart heat fainting Jue. But Yin deficient heat blazing, bitter-cold cannot advance much. Nourish Yin repel heat is stable.
Sheng Bie Jia Xian Sheng Di Sheng Bai Shao Zhi Mu Shan Zhi Ju Hong
Patient Zhang. Before disease, prior fear. First chills. Then fever. Heart extremely hot. Dry retching irritability. Thirsty for cold drinks, still not quenched. Pulse small stringy. Tongue white no coating. Once limbs cold like ice. This heat pathogen entered Jueyin Liver meridian. So-called heat deep Jue deep. Disease fully enters interior, extremely tricky. Propose Zixue Dan.
Open deep latent heat knot. Take its aromatic orifice-opening. Hope agitation eases, then turning point. Zixue Dan 2 qian.
Patient Wang. Heart hurts hot. Deaf spontaneous diarrhea. Heat pathogen entered Jueyin. Three days no Jue, then good news.
Yu Jin Chuan Lian Qin Pi Huang Qin Lian Qiao Xin Shi Chang Pu Zhi
Certain patient. First erupted chickenpox. Already caught winter-warm. Slight recovery did not avoid meat/fish. Residual pathogen reignites. Heat unstoppable. Night coma/vexation, always says headache. Pathogen deep goes to Jueyin. Hence Jue. Pulse both hands fine. Yang extreme resembles Yin. Nose coal tongue dry. Eyes yellow. Mostly pathogen closed bad failure. Hard to rescue. Use Liang Ge San.
Female Patient Wu. Maiden menstruation arrives. Chong Mai automatically moves. Moves then Yang rises. Internal wind swirls endlessly. For Bo Jue Jian Jue. Yangming deficient. Stomach loses descending. Jueyin heat. Liver more horizontal. Wind-Yang rises. Clear void spirit confused. Orifices seem blocked. All enter summer earth releasing sign. Root deficient surface excess. First manage excess. Propose Ju Fang Longhui Wan. Pure bitter direct descent. Not decoction lingering intestines/comparison. Each dose 3 qian. Regardless two-three times divided dose. Connect use Fumai method. Remove Ren Shen Jiang Gui. (Liver wind scorches Yin)
Female Patient Shi. All Jues belong to Liver. Liver disease invades Stomach, causing vomiting/abdominal pain. Fixed rule. Pulse deficient small. Look color pale. According to pregnancy. Disease actually not erupt. Think central pillar. Then Liver Wood still. Then know cultivate Stomach Earth. Is treating disease procedure. (Liver counter Stomach deficient) Liu Jun Zi remove Zhu Pi add Shao Yao Mu Gua Wei Jiang Nan Zao.
Certain female patient. Jue belongs to Liver disease. Several times disease erupts. All due to menstrual water just arrived. Blood sea stored gathered then down. Then Chong Mai empty. Wind-Yang inter-moves. Jue sudden arrival reason. Salty-cold moistening. Also harmonize Yang drain internal wind meaning. Treat not responding. Lower Jiao alone cold. Throat choke chest bi. Think Chong Mai belongs Yangming. Yangming deficient loses closing. Jue Qi upward invade cannot restrain. Neijing treat Liver not responding. Should take Yangming. Control its insult. Temporarily use tonify-enter腑. Take腑 uses tong as tonify. Xiao Ban Xia Tang add Bai Nuomi.
Patient Gong (31 years old). All Jues belong Jueyin. Hernia masses. Heart heat hypochondriac distension. Middle wasting difficulty stool. Is Liver Yang internal wind. Wild move consume. Invade Yangming. Classic says treat Liver not responding. Should take Yangming. Liver Stomach one Zang one Fu relative. Cannot endure warm-tonify. Is Liver function excessive. Liver body insufficient.
Jiu Kong Shi Jue Ming Huai Xiao Mai Qing Ejiao Xi Sheng Di Tian Dong Fu Shen
Patient Chen. Anger slight Jue. Liver Yang rises. Should benefit Stomach Yin to suppress. (Anger)
Ren Shen (cold mix) Mai Dong Fu Shen Xian Lian Zi Zhu Ye Xin Sheng Gan Cao Mild warm take
Female Patient Ye. Pulse right big. Heat rises wind moves. Depression/clouding is Jue. Follow Chen Wuyi Ling Yang Jiao San formula. (Extraordinary vessel deficiency wind Yang moves)
Ling Yang Jiao Xiao Sheng Di Yuan Shen Dan Shen Lian Qiao Hei Dou Pi
Re-examination. Post-Jue startled sweat leak. Yang wind uncontrolled. All due to Yin withered not main love Yang. Propose Liu Wei benefit Yin harmonize Yang. Fried Liu Wei remove Shan Yao add Ren Shen Qiu Shi.
Re-examination. Thirst not desire drink. Yin not ascend. Besides sleep wake spirit not calm. Easy startle sweat out. Method should gather tonify.
Ren Shen Yu Rou Tan Shu Di Wu Wei Fu Shen Yuan Zhi
Re-examination. Half month menstrual water twice. Pain from lower Jiao conflict then Jue. Disease by Yin Wei Chong Ren. Eight vessels govern. This nourish Ying only reaches Middle Palace. Hence ineffective.
Rong Rong Lu Jiao Shuang Dang Gui Bai Zi Shuang Gui Zhi Mu Fu Ling
Re-examination. Previous method hit condition. Must from extraordinary vessel treat meaning. Follow previous formula remove Gui Zhi Mu add Lu Jiao Jiao.
Re-examination. Disease gone eight-nine. Only warm-tonify lower origin as method. Not need exhaust treat.
Dan Rong Rong Chao Qi Zi Dang Gui Bai Zi Ren Fu Ling Xiao Hui Xiang
Female Patient Tao. Pulse rapid. Jue stops. Heat in Ying. (Heart Ying Heat)
Xi Jiao Yuan Shen Dan Pi Lian Qiao Xin Dan Xing Ju Hong