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1. The "pseudo-stroke" (Lei Zhong Feng) syndromes resemble true stroke, but conditions such as Corpse-Jue (Shi Jue), deficiency of middle-jiao (Zhong Xu), qi obstruction (Zhong Qi), food stagnation (Zhong Shi), cold invasion (Zhong Han), fire invasion (Zhong Huo), dampness invasion (Zhong Shi), summerheat invasion (Zhong Shu), and evil qi invasion (Zhong E), although all presenting with sudden fainting or coma, are distinguished by the absence of facial deviation (Kou Yan Wai Xie) and hemiplegia (Pian Fei).

[Annotation] Pseudo-stroke syndromes are all named "Corpse-Jue," meaning the body is cold and stiff (Jue) but the vital qi has not perished. Thus, breath may seem absent at the mouth and nose, resembling a dead corpse, yet the pulse continues to beat. Conditions such as deficiency of middle-jiao, qi obstruction, food stagnation, cold invasion, fire invasion, dampness invasion, summerheat invasion, and evil qi invasion, although causing sudden collapse and loss of consciousness, resembling true stroke, can be naturally distinguished if there is no facial deviation, hemiplegia, numbness, or paralysis.
Du Shen Tang (Ginseng Monograph Decoction) Shen Fu Tang (Ginseng and Aconite Decoction) Xing Xiang Tang (Arisaema and Costus Decoction) San Wu Bei Ji Dan (Three-Ingredient Emergency Preparative Pill) Duo Ming San (Life-Restoring Powder)

2. In Corpse-Jue, breath is weak while the pulse beats, or the pulse is fine and minute, appearing and disappearing. This is due to exhaustion of qi and blood after illness; for phlegm obstructing qi closure with abdominal fullness and constipation of urine and stool, use Ren Shen, Shen Fu Tang, or Xing Xiang Tang; for acute abdominal pain, use San Wu Bei Ji Dan. If bowel sounds return and vomiting/defecation occur after administration, it is effective. For phlegm knotting in the throat, use Duo Ming San first.

[Annotation] Corpse-Jue syndrome has deficiency and excess types. For deficiency, use Du Shen Tang. For deficiency combined with cold, use Shen Fu Tang. For deficiency combined with phlegm, use Xing Xiang Yin added with Ren Shen Tang. For excess, characterized by qi closure resembling death, strong pulse beating, abdominal distension, constipation of urine and stool, or acute abdominal pain with blockage of anterior and posterior orifices, use San Wu Bei Ji Dan. For excess combined with phlegm, use Duo Ming San.
Bu Zhong Yi Qi Tang (Tonify the Middle and Boost Qi Decoction) Sheng Mai Bu Jing Tang (Generate Pulse and Nourish Essence Decoction)

3. Bu Zhong Yi Qi Tang treats "Xu Zhong" (internal injury with qi deficiency), where excessive fatigue causes clear qi to fail to ascend, leading to faint dizziness. If phlegm is present, add Fu Ling (Poria) and Ban Xia (Pinellia); for fainting due to sexual exhaustion, use Sheng Mai Di Gui Rong Tang (composed of Sheng Mai Yin combined with Shu Di Huang, Dang Gui, and Lu Rong).

[Annotation] Bu Zhong Yi Qi Tang (Huang Qi, Ren Shen, Gan Cao, Dang Gui Shen, Chen Pi, Sheng Ma, Chai Hu, Bai Zhu) treats Xu Zhong syndrome, i.e., as described by Li Gao: in persons with internal injury and qi deficiency, excessive fatigue causes clear qi to fail to ascend, resulting in sudden fainting. "Yu Mao" refers to fainting caused by excessive sexual exertion. Sheng Mai Yin consists of Ren Shen, Mai Dong, and Wu Wei Zi; combined with Shu Di Huang, Dang Gui, and Lu Rong, it is named Sheng Mai Bu Jing Tang.
Mu Xiang Tiao Qi Yin (Costus Regulating Qi Decoction)

4. Mu Xiang Tiao Qi Tang treats "Shi Qi Zhong" (excess qi obstruction), caused by sudden anger leading to rebellious qi, jaw clenching, fainting, and phlegm. In wind-stroke, the pulse is floating and extremities are warm; in qi-obstruction, the pulse is deep and extremities are cold, allowing differentiation. This formula contains Mu Xiang, Huo Xiang, Sha Ren, Bai Kou, Gan Cao, Ding Xiang, and Tan Xiang.

[Annotation] "Shi Qi Zhong" refers to qi obstruction in persons with robust constitution and qi. It is caused by sudden anger and rebellious qi, leading to sudden fainting and jaw stiffness. "Floating pulse and warm limbs vs. deep pulse and cold limbs" means that in wind-stroke patients, the pulse is floating and hands/feet are warm; in qi-obstruction patients, the pulse is deep and hands/feet are cold, which allows distinction. This formula contains Mu Xiang, Huo Xiang, Sha Ren, Bai Kou, Gan Cao, Ding Xiang, and Tan Xiang.
Ba Wei Shun Qi San (Eight-Ingredient Regulating Qi Powder)

5. Ba Wei Shun Qi San treats "Xu Qi Zhong" (qi deficiency obstruction), treating both root and branch to harmonize pathogenic factors and healthy qi. Ren Shen, Fu Ling, Bai Zhu, and Gan Cao support primordial qi; Wu Yao, Bai Zhi, Qing Pi, and Chen Pi regulate qi and resolve phlegm.

[Annotation] "Xu Qi Zhong" refers to qi obstruction in persons with deficient constitution and qi. This formula, which treats both root and branch to harmonize pathogenic factors and healthy qi, is appropriate.
Gua Di San (Coptis Seed Powder) Jiang Yan Tang (Ginger and Salt Decoction)

6. "Shi Zhong" (food stagnation obstruction) occurs due to overeating followed by exposure to cold wind, or chest blockage due to anger and irritation, leading to sudden fainting and inability to move limbs. Use Gua Di San or Jiang Yan Tang to induce vomiting for relief.

[Annotation] Gua Di San is used when phlegm is involved. Jiang Tang (Ginger Decoction) is used when cold is involved. Yan Tang (Salt Decoction) is used for overeating. "Inducing vomiting" means boiling several cups of this decoction, having the patient drink one cup, then using a finger to stimulate the throat to vomit. If vomiting does not occur, drink again and stimulate again, until vomiting brings relief. Recovery can be immediate.
Fu Zi Li Zhong Tang (Aconite Regulate Middle Decoction)

7. Fu Zi Li Zhong Tang treats "Han Zhong" (cold invasion into the middle), characterized by abdominal pain, cramping, and jaw clenching. If sweating, cold body, or vomiting/diarrhea are present, use Fu Zi, Ren Shen, Bai Zhu, Gan Cao, and Gan Jiang. If no sweating and cold body, add Ma Huang and Xi Xin. For Yin Du (Yin Toxin) syndrome, use raw Chuan Wu. For vomiting, add Ding Xiang and Wu Yu Zhu. If the pulse is faint and near extinction, double the dose of Ren Shen.

[Annotation] Han Zhong syndrome refers to various abdominal pain conditions, treated with Fu Zi Li Zhong Tang. Add Ma Huang and Xi Xin if no sweating; add raw Chuan Wu for Yin Du; add Ding Xiang and Wu Yu Zhu for vomiting; double Ren Shen if the pulse is faint and near extinction. Yin Du is extreme cold syndrome, detailed in 'Shang Han Xin Fa'.
Liang Ge San (Cool the Diaphragm Powder)

8. Liang Ge San treats "Huo Zhong" (fire invasion) causing mental confusion and fainting. The formula contains Zhi Zi, Lian Qiao, Huang Qin, Bo He, Gan Cao, Xiao Shi, and Da Huang. It also treats all heat accumulation in the chest and diaphragm, dry stools, delirium, macules, and mania.

[Annotation] Huo Zhong syndrome is as described by Liu Wansu: extreme emotions cause the fire of the five zangs to flare internally, leading to sudden fainting, loss of consciousness, and immobility of sinews and bones.
Xiang Ru Yin (Mosla Decoction) Huo Xiang Zheng Qi San (Agastache Regulate Qi Powder) Chen Sha Yi Yuan San (Cinnabar Benefit Origin Powder) Yun Qi Fa (Umbilical Fomentation Method) Cang Zhu Bai Hu Tang (Atractylodes White Tiger Decoction) Ren Shen Bai Hu Tang (Ginseng White Tiger Decoction)

9. Summerheat invasion must be differentiated into Yin Summerheat and Yang Summerheat. Yin Summerheat presents without sweat, resembling cold damage, with high fever, irritability, or vomiting/diarrhea; treat with Xiang Ru Bian Po Er Xiang Tang. If accompanied by mental confusion, profuse sweating, greasy face, panting, and thirst, it is Yang Summerheat, contracted from walking under the scorching sun, causing internal and external heat. For initial confusion and unconsciousness, urgently apply hot fomentation to the umbilicus and灌 garlic juice water to restore consciousness, then use Chen Sha Yi Yuan San. For excess qi, use Cang Zhu Bai Hu Tang; for deficiency qi, use Ren Shen Bai Hu Tang, choosing appropriately.

[Annotation] "Yin pathogen without sweat resembles cold damage" refers to Yin Summerheat, resembling cold damage with headache, body ache, aversion to cold, and no sweat, but additionally featuring high fever, irritability, vomiting, or diarrhea. Contracted from cooling off after summerheat exposure, with cold outside and summerheat inside, use Xiang Ru Yin. Er Xiang Tang refers to Xiang Ru Yin combined with Huo Xiang Zheng Qi Yin, detailed in the Huo Luan section. If symptoms include mental confusion, profuse sweating, greasy face, panting, and thirst, it is Yang Summerheat, contracted from long journeys under the scorching sun, with internal and external heat. For initial confusion and unconsciousness, urgently apply hot fomentation to the umbilicus and灌 garlic juice water to restore consciousness, then use Chen Sha Yi Yuan San. For excess qi, use Cang Zhu Bai Hu Tang; for deficiency qi, use Ren Shen Bai Hu Tang, choosing appropriately.
Shen Shi Tang (Drain Dampness Decoction)

10. Shen Shi Tang treats "Shi Zhong" (internal dampness obstruction) causing internal confusion. Zhu Zhenheng stated that damp-heat generates phlegm leading to confusion, contracted from damaging the spleen/stomach with rich flavors, alcohol, and cold raw foods. Shen Shi Tang is Wei Ling Tang added with Xiang Fu, Fu Xiong, Sha Ren, and Huang Lian.

[Annotation] "Shi Zhong Nei" refers to disease arising from internal dampness, as Zhu Zhenheng stated: damp-heat generating phlegm causing confusion, contracted from improper consumption of rich flavors, alcohol, and cold raw foods. Shen Shi Tang is Wei Ling Tang added with Xiang Fu, Fu Xiong, Sha Ren, and Huang Lian.
Chu Shi Tang (Remove Dampness Decoction)

11. Chu Shi Tang treats external dampness from rainy weather, humid evaporation, morning fog, lying on wet ground, wading through water, or mountain miasma. Symptoms include heavy head and body pain, loose stools, and edema. Decoct Qiang Huo, Ben Cao, Sheng Ma, Chai Hu, Fang Feng, and Cang Zhu.

[Annotation] Chu Shi Tang, consisting of Qiang Huo, Ben Cao, Sheng Ma, Chai Hu, Fang Feng, and Cang Zhu, treats dampness invading from outside. Contracted from continuous rain, humid evaporation after clearing skies, morning dew/fog, prolonged lying on wet ground, long-distance wading, or mountain miasma. Symptoms include heavy head and body pain, severe confusion, loose stools, and skin edema.
Tiao Qi Ping Wei San (Regulate Qi and Calm Stomach Powder)

12. Tiao Qi Ping Wei San treats "E Zhong" (evil qi invasion), such as sudden fainting from disturbing spirits in temples/graves, dark complexion, and memory loss. The primary treatment is Su He Xiang Wan, followed by regulation with Mu Xiang Ping Wei Yun (Mu Xiang Tiao Qi San combined with Ping Wei San).

[Annotation] "Su He Zhu" refers to treating E Zhong (evil qi invasion) primarily with Su He Xiang Wan. "Mu Xiang Ping Wei Yun" refers to regulating with the Mu Xiang Tiao Qi San formula combined with Ping Wei San herbs.