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Jaw lock (trismus), eyes open, phlegm-saliva obstruction; qi stagnation with clenched hands making medication difficult. For Bi syndrome (Obstruction Syndrome), opening the orifices is appropriate, primarily using Bai Fan San (White Alum Powder); Xi Xian San (Thin Phlegm Powder) is also essential (Method 1: Opening Orifices). If one observes eyes closed and mouth open, accompanied by urinary incontinence and spontaneous sweating indicating Tuo syndrome (Collapse Syndrome), regardless of the presence or absence of pathogenic factors, Tuo syndrome requires consolidation. Shen Fu Tang (Ginseng and Aconite Decoction) should be chewed and swallowed (Method 2: Consolidating Collapse). The six meridians' morphological syndromes should follow the principle of diaphoresis (sweating to release the exterior); the method of Jia Jian Xu Ming Tang (Modified Continuation of Life Decoction) is also concise. If there is internal obstruction due to constipation or urinary retention, San Hua Tang (Three Transformations Decoction) for purgation is not overly harsh; this principle emphasizes draining major pathogens, with both internal and external aggressive attacks being correct (Method 3: Draining Major Pathogens). If the Great Qi fails to circulate, Shun Qi San (Smooth Qi Powder) and Yun Qi San (Uniform Qi Powder) can be used to support it (Method 4: Rotating Great Qi). Stroke inevitably presents with paroxysmal phlegm rattle; Qing Xin San (Clear Heart Powder) and Di Tan Tang (Phlegm-Scouring Decoction) may be administered (Method 5: Scouring Phlegm-Saliva). Moreover, wind often transforms into heat; wind and fire fan each other leaving no embers. Only the ancient Bamboo Juice Decoction (Zhu Li Tang) remains, where the subtlety of extinguishing wind lies in its softness and moistening nature (Method 6: Eliminating Wind-Heat). Wind and phlegm-qi struggle against each other; unconsciousness and upward deviation of the eyes occur in an instant. One must unblock the orifices and channels; Su He Xiang Wan (Styrax Pill) and Zhi Bao Dan (Precious Treasure Pellet) exert vigorous effects (Method 7: Unblocking Channels and Collaterals). Fearing that decoctions and pills act too slowly, urgent moxibustion on Shu points (Back-Shu points) is required with greater intensity. When Yin and Yang Qi fail to sustain each other, this moxibustion can harmonize Yin and Yang instantly (Method 8: Moxibustion on Shu Points).

Note: You Zaijing independently formulated eight methods. Although I retained his theory, I could not fully elaborate on its meaning; presumably, if You Zaijing were aware, he would permit me as a straightforward friend. Method 1 is called Opening Orifices. You used nasal insufflation and induced vomiting for opening, whereas I use Hua Tuo Yu Feng San (Hua Tuo's Wind-Dispelling Powder) followed by Si Ma Tang (Four Horses Decoction) for opening, and Qu Feng Zhi Bao Dan (Wind-Dispersing Precious Treasure Pill) to thoroughly treat the interior and exterior for opening. Method 2 is called Consolidating Collapse. You used Shen Fu Tang plus Zhu Li (Bamboo Juice) for consolidation, whereas I use Hou Shi Hei San (Doctor Hou's Black Powder) following the *Neijing* to fill orifices and extinguish wind for consolidation. Method 3 is called Draining Major Pathogens. You followed Liu Hejian's method using Xu Ming Tang to drain external pathogens and San Hua Tang to drain internal pathogens. I use Fang Feng Tong Sheng San (Saposhnikovia Releasing the Surroundings Powder) to drain both simultaneously. Method 4 is called Rotating Great Qi. You used Ba Wei Shun Qi Tang (Eight-Ingredient Smooth Qi Decoction) and Yun Qi San to cleanse and regulate, which may not necessarily rotate the Qi. I use Sheng Huang Qi (Astragali Radix) 1–2 liang, Chen Pi (Citri Reticulatae Pericarpium), Ren Shen (Ginseng Radix), and Fang Feng (Saposhnikoviae Radix) each 3 qian to assist the Great Qi, adding Tian Dong (Asparagi Radix) 5 qian and Fu Zi (Aconiti Lateralis Radix Praeparata) 3 qian, so that Water and Fire Qi circulate endlessly to achieve rotation. Method 5 is called Expelling Phlegm-Saliva. You used Di Tan Tang to open blockages and calm the reverse flow of fluid retention. I use San Yin Bai San (Three Causes White Powder) to treat rampant flow, acting as a stronghold at the northern gate. Method 6 is called Eliminating Wind-Heat. You used Zhu Li Tang to nourish fluids and eliminate heat. I use Bai Hu Tang (White Tiger Decoction), Zhu Ye Shi Gao Tang (Bamboo Leaf and Gypsum Decoction), and Huang Lian E Jiao Tang (Coptis and Donkey-Hide Gelatin Decoction) to directly probe the root sources of Yangming and Shaoyin to eliminate major heat. Method 7 is called Unblocking Channels and Collaterals. You used Su He Xiang Wan and Zhi Bao Dan, gathering the qi of various aromatics to unblock the spirit. I use Feng Yin Tang (Wind-Guiding Decoction) refining five-colored stones to supplement Heaven. Method 8 is called Moxibustion on Shu Points. In sudden stroke collapse, pathogenic winds strike violently, true Qi sinks inversely, and interior-exterior Qi do not communicate, causing Yin-Yang Qi to lose connection. Moxibustion acts faster than decoctions; however, You selected too many points, whereas I select fewer points.