蒲黄（一两，炒褐色） 清酒十爵沃之温服。
《内经》曰∶大怒则形气绝，而血苑于上，使人薄厥。宜此方主之。
肝藏血而主怒，怒则火起于肝，载血上行，故令血苑于上。苑，乱也。搏，雷风相搏之
搏。血气乱于胸中，相搏而厥逆也。蒲黄能消瘀安血，清酒能畅气和荣，故用之以主是证。
尸厥者，破阴绝阳，形静如死。医者不知针石，宜此二方主之。
尸厥者，五尸之气，暴疰于人，乱人阴阳气血，上有绝阳之络，下有破阴之纽，形气相
离，不相顺接，故令暴蹶如死。所谓一息不运则机缄穷，一毫不续则霄壤判也。昔虢太子病
此，扁鹊以针石熨烙治之而愈。今之医者，多不识针石，苟临是证，将视其死而不救欤？故
用二十四味流气饮和苏合香丸主之，使其气血流动，阳无绝络，阴无破纽，则亦五会之针、
五分之熨、八减之剂尔。流气饮见气门，苏合香丸见风门、五疰门。
叙曰∶痉，风胜之病也，而寒湿每兼之。然疏风之物不可独用，独用则筋益燥而痉益坚，
此
麻黄（去节） 人参 黄芩（酒炒） 芍药（酒炒） 川芎（酒洗） 防己 杏仁（去
皮尖，炒） 桂
病强 者，此方主之。
，痉字之误也。强痉者，坚强而劲直，颈项牵急而背反张也。此以风寒湿三者客于太
阳，伤其大筋，筋牵而急，故令痉也。然得之风湿者，令人有汗不恶寒名曰柔痉，昔人以桂
枝加葛根汤主之是也。得之寒者，令人无汗恶寒，名曰刚痉，昔人以葛根汤主之是也。是方
也，有麻黄、杏仁，则可以发表散寒。有桂枝、芍药，则可以解肌驱风。有防风、防己，则
可以驱邪胜湿。有人参、甘草，则可以益气柔筋。有川芎、黄芩，则可以和阴去热。乃附子
之热，可以温经，而亦可以去湿者也。正考见中风门。
Puhuang (Lygodii Spora, one liang, stir-fried until brownish), steeped in ten jues of clear wine, taken warm.
The *Neijing* states: "Great anger causes the form and qi to sever, and blood stagnates above, causing a person to suffer from Bo Jue (sudden fainting due to blood rushing upward)." This formula should be used as the primary treatment.
The Liver stores blood and governs anger. Anger causes fire to arise in the Liver, carrying blood upward, thus causing blood to stagnate above. "Yuan" (stagnation) implies disorder; "Bo" refers to the intense conflict like thunder and wind colliding. Qi and blood become chaotic in the chest, clashing violently leading to Jue Ni (rebellious qi and cold extremities). Puhuang can eliminate blood stasis and stabilize blood, while clear wine can unblock qi and harmonize Ying and Wei. Therefore, they are used to treat this syndrome.
Shi Jue (Corpse-like Coma) involves the destruction of Yin and the severance of Yang, with the body remaining still as if dead. If physicians do not know how to use acupuncture and moxibustion/stone therapy, these two formulas should be used as the primary treatment.
Shi Jue is caused by the sudden invasion of the "Five Corpse" pathogens into the human body, disrupting Yin-Yang and Qi-Blood. There are severed Yang meridians above and broken Yin hubs below. Form and Qi separate and fail to connect smoothly, resulting in sudden collapse resembling death. It is said that if breath does not circulate for one moment, the mechanism of life ends; if continuity is lost for even a hair's breadth, heaven and earth are separated. In the past, when the Crown Prince of Guo suffered from this illness, Bian Que cured him using acupuncture and heat therapy (iron warming). Modern physicians often lack knowledge of needle and stone therapies. If confronted with this syndrome, would they watch the patient die without rescue? Therefore, Ershisi Wei Liuqi Yin (Twenty-Four-Ingredient Flow-Qi Decoction) combined with Suhexiang Wan (Styrax Pill) should be used to promote the flow of Qi and Blood, ensuring Yang meridians are not severed and Yin hubs are not broken. This is equivalent to the ancient practices of Huizhi Acupuncture, Fen Zhi Heat Therapy, and Bajian Formula. Liuqi Yin is found in the Wind Gate section; Suhexiang Wan is found in the Wind Door and Wu Zhu sections.
Preface: Jing disease (Spasm) is a pathology where Wind is excessive, but Cold-Dampness often accompanies it. However, wind-dispersing herbs cannot be used alone; doing so will dry out the sinews further and make spasms more rigid. This is...
Mahuang (Ephedrae Herba, nodes removed) Renshen (Ginseng Radix et Rhizoma) Huangqin (Scutellariae Radix, wine-fried) Shaoyao (Paeoniae Radix, wine-fried) Chuanxiong (Ligustici Chuanxiong Rhizoma) Fangji (Stephaniae Tetrandrae Radix) Xingren (Armeniacae Semen Amarum, skin and tips removed, stir-fried) Guizhi (Cinnamomi Ramulus) ...
...for patients with strong [spasms], this formula is indicated.
...is a typo for "Jing" (Spasm). Qiang Jing (Strong Spasm) refers to stiffness and rigidity, with traction and tightness in the neck and back arching backward. This occurs because Wind-Cold-Dampness pathogenic factors invade the Taiyang channel, damaging the large sinews, causing them to pull and tighten, thus leading to spasm. When caused by Wind-Dampness, it results in sweating without aversion to cold, known as Rou Jing (Soft Spasm); historically, Guizhi Jia Gegen Tang (Cinnamon Twig plus Kudzu Root Decoction) was used for this. When caused by Cold, it results in no sweating and aversion to cold, known as Gang Jing (Hard Spasm); historically, Gegen Tang (Kudzu Root Decoction) was used for this. This formula contains Mahuang and Xingren, which can release the exterior and disperse cold; Guizhi and Shaoyao, which can resolve the muscle layer and drive out wind; Fangfeng and Fangji, which can expel pathogens and overcome dampness; Renshen and Gancao, which can tonify Qi and soften sinews; Chuanxiong and Huangqin, which can harmonize Yin and remove heat; and Fuzi (Aconiti Lateralis Radix Praeparata), whose heat can warm the channels and also dispel dampness. For detailed examination, see the Zhong Feng (Wind Stroke) section.