直视谵语喘满者死。
身汗如油，喘而不休，肺绝也，死。
因药下之，泻止而喘者，气已脱也，死。
喘而噫者死。
喘而四逆者死。
喘而鱼口者死。
喘而口闭面里者死。
吐，物出也，胃中虚冷。吐血有热毒，宜犀角地黄汤；有虚寒，宜理中汤。
呕，有声也。干呕有寒，宜姜附；有热，宜五苓；有水气，宜小青龙也。
有热呕者，呕而发热，少阳证具及呕不止，心下急，郁郁微烦，宜大柴胡。
有寒呕者，膈上有寒饮干呕者，不可吐，宜温之，呕涎沫头痛，茱萸汤主之。
有停饮呕者，先呕后渴，此为欲解；先渴后呕，为水停心下，此属饮家。
有胃脘有脓而呕者，不须治，脓尽自安。
表邪传里必致呕也，阴不受邪而不呕也。呕家用半夏以去其水，用生姜以散其逆气。
呕多，虽有阳明证，不可攻之，谓邪气未收敛也。
悸，心忪也，惕然动而不安矣。
有停饮者，饮水多必心下悸，心火恶水，心不安也。凡治悸者，必先治饮，
以水停心下，散而无所不至。浸于肺则喘咳，浸于胃则哕噎，溢于皮肤则肿，渍
于肠间则利下，可以茯苓甘草汤治之。
有气虚者，由阳明内弱，心下空虚，正气内动，心悸脉代，气血内虚也，宜
炙甘草汤补之。
又伤寒二三日，心悸而烦，小建中主之。
少阴病四逆或悸，四逆加桂五分主之。
有汗下之后，正气内虚，邪气交击，又甚于气虚者也。
太阳病发汗过多，其人叉手自冒，必心下悸。
又太阳病，若下之身重心下悸者，不可发汗。
少阳病不可吐下，吐下则悸而惊。又少阳不可汗，汗则谵语，此属胃，胃和则愈，胃不和则
烦而悸，治法宜镇固之或化散之，皆须定其气浮也。
Staring fixedly, delirious speech, and panting with chest fullness indicate a fatal condition.
Sweat like oil on the body, with ceaseless panting, indicates exhaustion of Lung Qi (Lung Qi Deficiency), which is fatal.
If purgatives are misused, and diarrhea stops but panting ensues, it indicates collapse of Qi (Qi Collapse), which is fatal.
Panting accompanied by belching indicates a fatal condition.
Panting accompanied by cold extremities indicates a fatal condition.
Panting with mouth open like a fish indicates a fatal condition.
Panting with closed mouth and sunken cheeks indicates a fatal condition.
Vomiting refers to the expulsion of contents from the stomach, often due to deficiency-cold in the Stomach (Stomach Deficiency-Cold). Hematemesis caused by heat-toxin should be treated with Xijiao Dihuang Tang (Rhinoceros Horn and Rehmannia Decoction); hematemesis caused by deficiency-cold should be treated with Lizhong Tang (Regulate the Middle Decoction).
Dry heaving refers to retching without expulsion of matter. Dry heaving due to cold should be treated with Aconite and Dried Ginger; dry heaving due to heat should be treated with Wuling San (Five-Ingredient Powder with Poria); dry heaving due to water-retention should be treated with Xiao Qinglong Tang (Minor Blue Dragon Decoction).
For vomiting caused by heat, characterized by vomiting with fever, presenting with Shaoyang Syndrome (Shaoyang Pattern) symptoms, incessant vomiting, urgency in the epigastrium, and mild irritability, Da Chaihu Tang (Major Bupleurum Decoction) is indicated.
For vomiting caused by cold, if there is cold-fluid retention above the diaphragm causing dry heaving, emetics are contraindicated; warming methods should be used. If vomiting of saliva and foam occurs with headache, Zhuyu Tang (Evodia Decoction) is the primary treatment.
For vomiting caused by retained fluid, vomiting followed by thirst indicates the disease is resolving; thirst followed by vomiting indicates fluid retention in the epigastrium, characteristic of patients with fluid retention (Phlegm-Fluid Disease).
If vomiting is caused by pus in the epigastrium, no specific treatment is needed; peace will return naturally once the pus is exhausted.
When exterior pathogens transmit to the interior, vomiting inevitably occurs; the Yin meridians do not receive pathogens and thus do not vomit. In treating vomiting, Banxia (Pinellia Rhizome) is used to remove water, and Shengjiang (Fresh Ginger) is used to disperse rebellious Qi (Rebellious Stomach Qi).
In cases of frequent vomiting, even if Yangming Syndrome (Yangming Pattern) is present, purgation is contraindicated because the pathogenic factor has not yet consolidated.
Vomiting with a weak pulse, slight urination, mild fever, and cold extremities indicates a fatal condition, representing severe deficiency-cold.
Palpitations refer to a sensation of heart flutters, with a startled, restless movement.
In cases of retained fluid, excessive drinking leads to palpitations below the heart; this is because Heart Fire dislikes Water, causing mental unrest. When treating palpitations, one must first treat the fluid retention, as fluid stagnating below the heart spreads everywhere. If it invades the Lungs, it causes panting and coughing; if it invades the Stomach, it causes hiccups and dysphagia; if it overflows into the skin, it causes edema; if it seeps into the intestines, it causes diarrhea. Fuling Gancao Tang (Poria and Licorice Decoction) can be used to treat this.
In cases of Qi deficiency, due to weakness in the Yangming channel and emptiness below the heart, righteous Qi moves internally, causing palpitations and an intermittent pulse (Intermittent Pulse), indicating internal deficiency of Qi and Blood. Zhi Gancao Tang (Honey-Fried Licorice Decoction) is indicated for tonification.
Additionally, in Cold Damage (Shanghan) occurring two to three days after onset, if palpitations and irritability occur, Xiao Jianzhong Tang (Minor Construct the Middle Decoction) is the primary treatment.
In Shaoyin Syndrome (Shaoyin Pattern), if cold extremities or palpitations occur, Sini Tang (Frigid Extremities Decoction) with five fen of Guizhi (Cinnamon Twig) is the primary treatment.
After sweating or purging, if internal righteous Qi becomes deficient and pathogenic factors attack mutually, the condition is more severe than simple Qi deficiency.
In Taiyang Syndrome (Taiyang Pattern), if sweating is excessive, the patient may cross their hands over the heart area and experience palpitations below the heart.
Furthermore, in Taiyang Syndrome, if downward purgation is mistakenly used, leading to heaviness of the body and palpitations below the heart, sweating therapy is contraindicated.
Shaoyang Syndrome (Shaoyang Pattern) should not be treated with emesis or purgation; doing so leads to palpitations and fright. Additionally, Shaoyang Syndrome should not be treated with sweating; sweating leads to delirious speech, which belongs to the Stomach. If Stomach Qi harmonizes, recovery occurs; if Stomach Qi does not harmonize, irritability and palpitations result. The treatment method should involve stabilizing and consolidating or transforming and dispersing, always requiring the anchoring of floating Qi (Floating Qi).