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(Attached note on numbness of hands and feet. "Ma" (tingling) is caused by Qi deficiency, while "Mu" (wood-like sensation) is caused by damp-phlegm and dead blood in the Stomach.)

Jue syndrome refers to the reversal of Qi mechanism, where the hands and feet become cold due to the failure of Qi and Blood to connect with each other. This condition is mostly caused by Qi deficiency or Blood deficiency. There are Yang Jue and Yin Jue. When Yang Qi declines in the lower jiao, it presents with cold signs; when Yin Qi declines in the lower jiao, it presents with heat signs. The symptoms of Yin Jue include: cool body, no thirst, a slow, fine, and faint pulse, and cold hands and feet extending beyond the elbows. The symptoms of Yang Jue include: irritability, thirst, delirium, fever, and a rapid pulse; although the hands and feet are cold, the coldness does not extend beyond the elbows.

If the patient vomits and has trismus (lockjaw), use rhinotactic medicine first.
Formula: Geng Ti (Caulis Momordicae, fried) and Chi Xiao Dou (Adzuki Bean, Vigna angularis), equal parts.
Grind the above medicines into powder. Use Xiang Chi (Fermented Soybean, Perillae Fructus Fermentatus) one he, and two lamps of water, boil into a thin porridge, remove the dregs, take one-third of the liquid, mix with one qian of the medicine powder, and take it all at once. If vomiting does not occur, slightly increase the dose until vomiting occurs. If vomiting continues, take a small amount of She Xiang (Musk, Moschus) mixed with water to resolve it. For Qi Jue causing a cool body, use Su He Xiang Wan (Styrax Pill) or Ba Wei Shun Qi San (Eight-Ingredient Powder to Regulate Qi). Currently, Zi Jin Dan (Purple Gold Pill) is often used, ground with Ginger Juice and taken, which is very effective. For Qi deficiency Jue with a fine pulse, use Si Jun Zi Tang (Four Gentlemen Decoction). For Phlegm Jue with a string-taut pulse, use Yu Shu Dan (Jade Pivot Pill), or Niu Huang Wan (Calculus Bovis Pill), or Bai Zhu (Atractylodis Rhizoma) with Zhu Li (Bamboo Sap).
Another formula: Use Da Ban Xia (Pinelliae Tuber, large size) thirty pieces and Ba Dou (Crotonis Fructus, Semen Crotonis) twenty pieces, grind into powder, make pills the size of Adzuki beans, coat with Zhu Sha (Cinnabar, Cinabrum), take one pill per dose, send down with Ginger Soup.

Treat Han Jue (Cold Jue) causing coma and stuffiness, with cold limbs.
Formula: Gan Jiang (Zingiberis Rhizoma, 1 liang) and Fu Zi (Aconiti Lateralis Radix Praeparata, one piece, raw, peeled, and umbilical part removed). If accompanied by Qi stagnation, add Mu Xiang (Aucklandiae Radix, 5 fen); if accompanied by Wind causing insensibility, add Fang Feng (Saposhnikoviae Radix); if accompanied by Dampness, add [specific herb missing in original text].
Cut the medicines finely. Take three qian of the main medicine per dose. Additions should be added in one-third proportion separately.

Treat Xue Xu Jue (Blood Deficiency Jue) with a pulse large like a scallion tube.
Formula: Dang Gui (Angelicae Sinensis Radix), Chuan Xiong (Chuanxiong Rhizoma), Bai Shao (Paeoniae Radix Alba), Shu Di Huang (Rehmanniae Radix Praeparata).

Treat Han Jue with a deep and faint pulse.
Formula: Ren Shen (Ginseng Radix et Rhizoma), Bai Zhu (Atractylodis Macrocephalae Rhizoma), Gan Jiang (Zingiberis Rhizoma), Gan Cao (Glycyrrhizae Radix et Rhizoma). In severe cases, add Shu Fu Zi (Prepared Aconite Lateral Root).

Treat Re Jue (Heat Jue) with a rapid and large pulse.
Formula: Da Huang (Rhei Radix et Rhizoma), Zhi Shi (Aurantii Fructus Immaturus), Hou Po (Magnoliae Officinalis Cortex), Mang Xiao (Natrii Sulfas).

Treat Shu Jue (Summerheat Jue) with abdominal fullness, heavy body, spontaneous sweating, and a deep-slippery pulse.
Formula: Shi Gao (Gypsum Fibrosum), Zhi Mu (Anemarrhenae Rhizoma), Gan Cao (Glycyrrhizae Radix et Rhizoma), Nuomi (Oryza Sativa Glutinosa, Glutinous Rice).