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Whenever the pulse is floating, wiry, and weak, it indicates Wind; floating, slippery, and indistinct indicates Phlegm; floating, rapid, and forceful indicates Fire; deep, wiry, and forceful indicates Qi stagnation; deep, solid, and forceful indicates constipation; deep, choppy, and rapid indicates blood stasis. Whenever the lower origin (Kidney and Mingmen) lacks root, the pulses at both Chi positions (Kidney pulse sites) may be imperceptible, or appear deep, slippery, slightly fine; if the Chi position is floating and weak, Kidney Qi is insufficient; if the Chi position is surging, wiry, and rapid, Kidney Yin is severely deficient. If phlegm obstructs and Qi is full, reversing upwards with only ascending and no descending, the pulse will be empty, wiry, beating rapidly, resembling a boiling cauldron; or if Essence and Original Qi suddenly cut off at once, the pulse will be empty, scattered, and nearly absent. A pulse that comes slowly and smoothly, or floating and smooth, or slippery and rapid, possessing Shen spirit (vitality), is easy to treat; however, if it is wiry and smooth, or floating and rapid, or surging and large, it is difficult to treat. If both radial pulses are completely absent, the lower origin has perished; if the Cun (inch) and Guan (bar) positions are empty and hollowly large, True Qi has dispersed; or if superficial pressure reveals a large, beating pulse but deep pressure finds none, this is solitary Yang without foundation, indicating death.

An open mouth, relaxed hands (dropped limbs), and urinary incontinence belong to Qi deficiency, representing sudden violent collapse of Yang; immediate rescue with a large dose of Renshen Fuzi Tang (Ginseng and Aconite Decoction) is required. If movement causes pain due to lack of blood failing to nourish the sinews, this is dried-up sinews, which is untreatable. In various stroke conditions, whether not yet recovered consciousness or already recovered, whether newly ill or chronically ill, sudden vomiting of purple-red blood indicates death.

In stroke, an open mouth indicates Heart Qi exhaustion; relaxed hands indicate Spleen Qi exhaustion; closed eyes indicate Liver Qi exhaustion; urinary incontinence indicates Kidney Qi exhaustion; panting, black complexion, and snoring indicate Lung Qi exhaustion. Also, spitting foam, fixed gaze, throat sounds like sleeping, emaciated flesh, painful sinews, face red as if painted, hair standing erect, shaking head with upward jerking, or blue-black head and face, sweat dripping like beads, combined with a pulse that is large, rapid, and boundless, all indicate death.

Renshen (Ginseng Radix et Rhizoma) (1 liang), Fuzi (Aconiti Lateralis Radix Praeparata) (half, used raw). Decoct in water and take warm.

Treats stroke with locked jaw (Kou Jin), single tonsillar swelling (Dan E), and double tonsillar swelling (Shuang E).
Jiangziren (Crotonis Fructus / Semen Crotonis) (6 grains, each split into two slices), Yazao (Gleditsiae Sinensis Fructus cum Spina) (3 qian, sliced), Mingfan (Alumen). First dissolve the alum, then add the other two ingredients and stir evenly. Wait until the alum dries and becomes powder. Use 3 fen per application blown into the nose; all diseases will heal. For patients with excessive phlegm-saliva, administer 5 fen with Dengxin Tang (Juncus Decoction); if phlegm is in the throat, it will induce vomiting; if in the diaphragm, it will cause downward discharge.