中寒
中寒之证，不拘冬夏，或外中天地之寒，或内伤饮食之冷。元阳既虚，肤腠空豁，寒邪直入三阴之经，
其病骤发，非若伤寒之邪循经渐入之缓也。（王安道）
肾中真阳，得水以济之，留恋不脱，得土以堤之，蛰藏不露，除施泄之外，屹然不动。手足之阳，为之
役使，流走周身，固护腠理而捍卫于外；脾中之阳，法天之健，消化饮食，传布津液而营运于内；胸中之阳，
法日之驭，离照当空，消除阴噎而宣布于上。此三者丰亨有象，肾中真阳，安享太和。惟在外在上在中之阳，
衰微不振，阴气乃始有权。或肤冷不温，渐至肌硬不柔，卫外之阳不用矣；或饮食不化，渐至呕泄痞胀，脾中
之阳不用矣；或当膺阻碍，渐至窒塞不开，胸中之阳不用矣。乃取水土所封之阳，出而任事，头面得阳而戴赤，
肌肤得阳而 燥，脾胃得阳而
除中，即不中寒，其能久乎？○每见病者阴邪横发，上乾清道，必显畏寒腹痛、下利上呕、自汗淋漓、肉 筋
惕等证，即忙把住关门，行真武坐镇之法，不使龙雷升腾霄汉，其人获安。倘失此不治，顷之，浊阴从胸而上
入者，咽喉肿痹，舌胀晴突；浊阴从背而上入者，颈筋粗大，头项若冰，转盼浑身青紫而死，谓非地气加天之
劫厄乎？惟是陡进附子、干姜纯阳之药，亟驱阴邪下从阴窍而出，非与迅扫浊阴之气返还地界同义乎？然必尽
驱阳隙之阴，不使少留，乃得收功再造，非与一洗天界余氛，俾返冲和同义乎？○寒中少阴，行其严令，埋没
微阳，肌肤冻栗，无汗而丧神守，急用附子、干姜加葱白以散寒，加猪胆汁引入阴分。然恐药力不胜，熨葱、
灼艾，外内协攻，乃足破其坚凝。少缓须臾，必无及矣。此一难也。○若其人真阳素扰，腠理素疏，阴盛于内，
必逼其阳亡于外，魄汗淋漓，脊项强硬，用附子、干姜、猪胆汁，即不可加葱艾熨灼，恐助其散，令气随汗脱，
而阳无由内返也。宜扑止其汗，陡进前药，随加固护腠理。不尔，恐其阳复越。此二难也。○用附子干姜，胜阴
复阳，取飞骑突入重围，搴旗树帜，使既散之阳，望帜争趋，顷之复合耳。不知此义者，加增药味，和合成汤，
反牵制其雄入之势，必至迂缓无功。此三难也。○其次，前药中须首加当归、肉桂兼理其营，以寒邪中入，先
伤营血故也。不尔，药偏于卫，弗及于营，与病即不相当，必非胜算。此四难也。○其次，前药中即须加人参、
甘草，调元转饷，收功帷幄。不尔，姜附之猛，直将犯上无等矣。此五难也。○用前药二三剂后，觉其阳明在躬，
运动颇轻，神情颇悦，更加黄 、白术、五味、白芍，大队阴阳平补。盖重阴见 ，浪子初归，斯时摇摇靡
定，怠缓不为善后，必堕前功。此六难也。○用群队之药，以培阴护阳，其人即素有热痰，阳出早已从阴而变
寒，至此，无形之阴寒虽散，而有形之寒痰阻塞窍隧者，无由遽转为热，姜、附固可勿施，其牛黄、竹沥一
切寒凉，断不可用。若因其素有热痰，妄投
寒剂，则阴复用事，阳即躁扰，必堕前功。此七难也。○前用平补后，已示销兵放马，偃武崇文之意，兹后纵
有顽痰留积经络，但宜甘寒助气开通，不宜辛辣助热壅塞。盖辛辣始先不得已而用其毒，阳既安堵，即宜休养
其阴，何得喜功生事，转生他患？此八难也。○凡治阴寒暴病，恣用清凉药者，百无一活。医杀之也。○凡治
暴寒病，胸无真见，虽用辛热，或以渐投，或行监制，时不待人，倏然而逝。医之罪也。○凡医起一阴病，即
可免一劫厄。其不能起人卒病，而求幸免劫厄，自不可得。世有蔼蔼吉人，其择术当何如耶？（《医门法律》）
薛氏治寒淫于内，神脱脉绝，药不能下，炒盐艾附子熨脐，以散寒回阳。又以口接气，附子作饼，热
贴脐间，所谓蒸脐法。（《己任编》）
中暑
暑风者，夏月卒倒，不省人事者是也。有因火者，有因痰者。火，君相二火也；暑，天地二火也；痰
者，人身之痰饮也。因暑气鼓激其痰，塞碍心之窍隧，以致手足不知动掉而卒倒也。（张子和）
中暑卒倒如中风者，乃暑气鼓激其痰，壅塞心包，肾水素亏，不胜时火燔灼也。其证喘喝而无痰声。若
中风，则必手足搐引，痰涌喉中，甚则声如曳锯。以此辨之，庶无差误。（张路玉）
面垢闷倒，昏不知人，冷汗自出，手足微冷，或吐或泻，或喘或渴，先以苏合丸或来复丹研末，白汤灌
下，或研蒜水灌之，皆取其通窍也。俟其稍苏，更以香薷、扁豆、浓朴之属煎服。
夏令受热，神迷若惊，此为暑厥，热邪闭塞窍隧所致。其邪入络与中络同法，牛黄丸、至宝丹，芳香利
窍可效。醒后，清凉血分，如连翘、竹叶、元参、生地、二冬之属。此证大忌风药。初病暑热伤气，竹叶石膏
汤，或清肺轻剂。大凡热深厥深，四肢厥冷，但看面垢齿燥，二便不通，或泻不爽，勿误认为伤寒而用温药。
（《临证指南》）
中湿
风、寒、暑、湿，皆能中人，惟湿气积久，留滞关节，非如风、寒、暑之暴也。其证关节重痛，浮肿喘
满，腹胀烦闷，昏不知人，其脉沉缓，或沉微细。治宜除湿。（《证治准绳》）
凡治中湿之候，即当固护其阳。若以风药胜湿，是为操刃；即以温药理脾，亦为待毙。医之罪也。（《医门法律》）
中恶
中恶之证，因冒犯不正之气，忽然手足逆冷，肌肤粟起，头面青黑，精神不守，或错言妄语，牙紧口噤，
或头旋晕倒，昏不知人。此是卒厥。客忤、飞尸、鬼击、吊死问丧、入庙登冢，多有此病。先以苏合香丸灌之，
苏后再以调气散和平胃散与服。（《证治准绳》）
中气
中气之证，气逆为病也。盖七情皆能为中，因怒而中者尤多。大略与中风相似，风与气亦自难辨。但风
中身温，气中身冷；风中多痰涎，气中无痰涎；风中脉浮应人迎，气中脉沉应气口。先以苏合香丸灌之，候醒
继进八味顺气散、木香调气散；余痰未平，宜四七汤、星香散。若其人体实痰气上逆，关格不通，或大便结秘
者，宜三和丸。（《证治准绳》）
中食
中食之证，忽然厥逆昏迷，口不能言，肢不能举，状似中风。此因饮食过伤、醉饱之后，或感风寒，或
着气恼，以致填塞胸中，胃气不行，阴阳痞隔，升降不通。人多不识，误作中风、中气，投以祛风行气之药，
重伤胃气，死可立待。先煎姜盐汤探吐其食，视其风寒尚在者，以藿香正气散解之；气滞不行者，以顺气散调
之。吐后别无他证，只用平胃散加苓、夏、曲、 调理。如遇此病，须审问明白，如是饮食所伤，但觉胸膈痞
闷，吞酸嗳腐，气口脉紧盛者，作食滞治。（《证治准绳》）
中七情
因喜所伤而卒倒无知者，名曰中喜。○因暴怒而卒中者，名曰中怒。《经》曰∶阳气者，大怒则形气绝
而血菀于上，使人薄厥。○因忧思过度而神冒卒倒者，名曰中忧。《经》云∶忧思不乐，遂成厥逆。○因思想
过度而神昧卒倒者，名曰中思。○因悲哀而卒中者，名曰中悲。○骤因恐惧而志暴脱，神无所根据而昏冒卒倒者，
名曰中恐。○因惊骇而卒倒者，名曰中惊。（罗赤诚）
选案
一人忽昏晕仆地，手足冰冷，面色青惨，牙关紧闭。此中恶也。先令以热尿浇其面，尿毕又换一人，频
浇四、五回，抹净面孔，抉开齿缝，以甘草一段，令其咬住，用姜汤化苏合丸灌之。醒后，再用六君子汤，加
姜汁以回正气；加虎威骨、鹿角霜以驱邪祟；麝香以开窍辟邪。寻愈。○在湄兄令姐，忽昏晕仆地，口眼微 ，
左手抬不上头，口角交涎。医作中风治，不效。诊气口脉盛坚。问初起曾吃冷物否？答云；某日吃面冷了，便
觉腹中不舒，次早即晕倒。问此日腹仍痛否？答曰∶仍痛。余曰∶此非中风，乃食厥也。方用麦芽、枳、朴、
陈皮、半夏、香砂、炮姜。在兄问伤食何以口眼 斜，手不能提，与中风无二？余曰∶食填太阴，必生痰涎，
随气而升，壅塞心包，心乃一身之主，包络受伤，则周身脉络俱闭而不流行，故五官、四肢俱着而为病也。服
药嗳气，胸膈顿宽，不复昏晕，口眼俱正，手亦便利如常。（吴天士）
Zhong Han (Cold Stroke)
The syndrome of Zhong Han (Cold Stroke) occurs regardless of winter or summer. It may result from external invasion by the cold of heaven and earth, or internal injury caused by cold food and drink. Once the Yuan Yang (Primordial Yang, referring to the true fire in the kidney) is deficient, the skin and couli (pores and interstices) become open and vacant, allowing cold pathogenic factors to directly enter the Three Yin meridians (Taiyin, Shaoyin, Jueyin). The disease manifests suddenly, unlike Shanghan (Cold Damage), where pathogens enter gradually along the meridians. (Wang Andao)
The True Yang within the kidney is sustained by water, lingering without departing; it is embanked by earth, hibernating and concealed without revealing itself. Except during excretion, it stands firm and unmoving. The Yang of the hands and feet serves as its servant, flowing throughout the body, securing the couli and defending externally; the Yang of the spleen mimics the vigor of heaven, digesting food and drink, transmitting and distributing fluids, and operating internally; the Yang of the chest mimics the movement of the sun, shining like the sun in the sky, eliminating yin obstruction and announcing upwards. When these three types of Yang are abundant and prosperous, the True Yang of the kidney enjoys great harmony. However, when the Yang located outside, above, and inside becomes weak and unvigorous, Yin Qi gains power. One may experience cold skin that does not warm up, gradually progressing to stiff and non-pliable muscles, indicating that the Wei Yang (Defensive Yang) has failed; one may experience undigested food, gradually progressing to vomiting, diarrhea, fullness, and distension, indicating that the Spleen Yang has failed; one may experience obstruction in the chest, gradually progressing to blockage and inability to open, indicating that the Chest Yang has failed. Consequently, the Yang sealed within water and earth is summoned out to perform duties. The head and face receive Yang and turn red; the skin and muscles receive Yang and become dry; the stomach and spleen receive Yang and develop "Chu Zhong" (a critical condition where a patient with a chronic illness suddenly regains appetite, indicating impending gastric qi exhaustion). Even without contracting cold, how long can one survive? ○It is often observed that when Yin pathogens erupt horizontally and invade the clear orifices, symptoms such as aversion to cold, abdominal pain, diarrhea, vomiting, profuse spontaneous sweating, muscle twitching, and tendon tremors appear. At this moment, one must close the gates firmly and employ the method of Zhenwu Tang (True Warrior Decoction) to stabilize the situation, preventing the Dragon and Thunder fires from soaring into the heavens, thereby ensuring the patient's safety. If this opportunity for treatment is missed, soon after, turbid Yin rising from the chest into the throat will cause swelling and bi-syndrome (obstruction/pain) of the throat, tongue swelling, and protruding eyes; if turbid Yin rises from the back, neck tendons will enlarge, the head and neck will feel icy cold, and the whole body will turn cyanotic before death. Is this not a disaster where earthly Qi attacks heavenly Qi? In such cases, only by abruptly administering pure Yang medicines such as Fuzi (Aconite Lateralis Radix Praeparata) and Ganjiang (Zingiberis Rhizoma) can one urgently drive the Yin pathogens out through the Yin orifices. Does this not share the same meaning as swiftly sweeping away turbid Yin Qi and returning it to the earth? However, one must completely expel the Yin from the Yang gaps, leaving no trace behind, to achieve recovery and regeneration. Does this not share the same meaning as washing away all residual gloom from the celestial realm to restore harmony? ○When Cold invades the Shaoyin meridian, it imposes strict orders, burying the微弱 Yang. The skin freezes and shivers, there is no sweat, and the spirit loses its guard. Urgently use Fuzi (Aconite Lateralis Radix Praeparata) and Ganjiang (Zingiberis Rhizoma) plus Congbai (Allii Fistulosae Bulbus) to dispel cold, and add Zhuyedan (Porcini Bile) to guide the medicine into the Yin aspect. However, fearing the medicinal strength may be insufficient, apply Weng Cong (Hot Scallion Compress) and Zhuo Ai (Moxibustion) to attack internally and externally together, which is sufficient to break the rigidity. Any delay, even for a moment, will be too late. This is the first difficulty. ○If the person's True Yang has always been restless, and the couli have always been loose, with Yin excess internally, it will inevitably force Yang to escape externally. Profuse cold sweat (Po Han) flows, the spine and neck are stiff. When using Fuzi (Aconite Lateralis Radix Praeparata), Ganjiang (Zingiberis Rhizoma), and Zhuyedan (Porcini Bile), one must not add Congbai (Allii Fistulosae Bulbus) or Aiye (Artemisiae Argyi Folium) for compresses or moxibustion, lest it aid dispersion and cause Qi to escape with the sweat, making it impossible for Yang to return from within. One should stop the sweating abruptly, administer the aforementioned medicines rapidly, and immediately reinforce the protection of the couli. Otherwise, there is fear that Yang will escape again. This is the second difficulty. ○Using Fuzi (Aconite Lateralis Radix Praeparata) and Ganjiang (Zingiberis Rhizoma) to overcome Yin and restore Yang is like cavalry charging into heavy encirclement, raising flags to signal troops. It allows scattered Yang to gather around the flag and reunite shortly. Those who do not understand this principle add more herbs, mixing them into decoctions, which instead restricts the vigorous forward momentum, leading to sluggishness and ineffectiveness. This is the third difficulty. ○Secondly, in the previous prescription, one must first add Danggui (Angelicae Sinensis Radix) and Rougui (Cinnamomi Cortex) to regulate Ying Blood (Nutritive Blood), because Cold pathogens invading first damage Ying Blood. Otherwise, the medicine favors Wei Qi (Defensive Qi) and fails to reach Ying, mismatching the disease, and certainly not constituting a winning strategy. This is the fourth difficulty. ○Secondly, in the previous prescription, one must add Renshen (Ginseng Radix) and Gancao (Glycyrrhizae Radix et Rhizoma) to regulate Yuan Qi (Primordial Qi) and transport supplies, managing victory from the command tent. Otherwise, the ferocity of Jiang (Ginger) and Fu (Aconite) will act recklessly without restraint. This is the fifth difficulty. ○After two or three doses of the previous medicine, if one feels the Yangming Qi is active in the body, movement is light, and spirits are cheerful, add Huangqi (Astragali Radix), Baizhu (Atractylodis Macrocephalae Rhizoma), Wuweizi (Schisandrae Fructus), and Baishao (Paeoniae Radix Alba) to form a large group of medicines for balanced tonification of Yin and Yang. Because severe Yin appearing is like a prodigal son returning home; at this time, the mind is unsettled. Neglecting proper follow-up care will ruin previous efforts. This is the sixth difficulty. ○Using groups of medicines to nourish Yin and protect Yang: if the person previously had Phlegm-Heat, the Yang emerging has already transformed from Yin-Cold to Cold. By now, although无形 (formless) Yin-Cold has dispersed,有形 (formidable) Cold-Phlegm blocking the orifices and tunnels cannot suddenly transform into Heat. Therefore, Jiang (Ginger) and Fu (Aconite) can indeed be omitted, but cold medicines like Niuhuang (Bovis Calculus) and Zhuli (Bambusa Textilis Caulis in Succus) must absolutely not be used. If one mistakenly administers cold agents due to pre-existing Phlegm-Heat, Yin will regain control, Yang will become agitated, and previous efforts will be ruined. This is the seventh difficulty. ○After using balanced tonification previously, it indicates an intention to lay down arms and promote civil culture. Thereafter, even if stubborn Phlegm remains accumulated in the collaterals, one should only use Sweet-Cold herbs to assist Qi and open obstructions, avoiding Pungent-Warm herbs that aid Heat and cause congestion. Because Pungent-Warm herbs were used initially only out of necessity despite their toxicity; once Yang is secure, one should rest and nourish Yin. How can one seek merit and stir up trouble, causing other ailments? This is the eighth difficulty. ○In treating sudden Yin-Cold diseases, those who recklessly use cooling medicines rarely survive. They are killed by the physician. ○In treating sudden Cold diseases, those without true insight, even if using Pungent-Warm medicines, either administer them gradually or subject them to restrictions. Time waits for no one, and death comes suddenly. This is the physician's sin. ○Whenever a physician treats a Yin disease successfully, they avoid a disaster. Those who cannot rescue people from sudden illnesses yet seek to avoid disasters themselves will certainly fail. Among the kind and auspicious people in the world, how should they choose their medical arts? (Yi Men Fa Lü / Laws of Medical Gate)
Mr. Xue treated cases where Cold Pathogen flooded internally, Spirit was lost, and pulse was imperceptible, making oral medication impossible. He used fried salt, mugwort, and prepared Aconite to compress the navel to disperse cold and restore Yang. He also practiced mouth-to-mouth resuscitation ("接气") and applied hot cakes of Aconite to the navel, known as the "Steaming Navel Method." (Ji Ren Bian)
Zhong Shu (Summerheat Stroke)
Shu Feng (Summerwind Syndrome) refers to sudden collapse and unconsciousness occurring in summer. It may be caused by Fire Pathogen or Phlegm Pathogen. Fire refers to Ministerial Fire and Sovereign Fire; Summerheat refers to the Fire of Heaven and Earth; Phlegm refers to Phlegm-fluid retention in the human body. Due to Summerheat Qi stirring and agitating Phlegm, blocking the orifices and tunnels of the Heart, the limbs lose mobility and sudden collapse occurs. (Zhang Zihe)
Sudden collapse from Summerheat resembling Stroke is caused by Summerheat Qi stirring Phlegm, obstructing the Pericardium. Since Kidney Water is chronically deficient, it cannot withstand the blazing heat of seasonal Fire. The symptom is panting and drinking sounds without phlegm rattle. In contrast, Stroke involves twitching and pulling of limbs, phlegm surging in the throat, and sometimes sounds like sawing wood. Distinguishing by these signs prevents errors. (Zhang Luyu)
For greasy face, fainting, unconsciousness, spontaneous cold sweat, slightly cold hands and feet, vomiting or diarrhea, panting or thirst: First, administer Suhe Wan (Styrax Pill) or Laifu Dan (Reviving Return Pellet) ground into powder,灌 (irrigate/give) with plain boiled water, or give garlic water. Both aim to open the orifices. Wait until the patient revives slightly, then decoct and administer herbs such as Xiangru (Elsholtziae Herba), Bian Dou (Dolichos Lablab Semen), and Houpo (Magnoliae Officinalis Cortex).
Exposure to heat in summer leading to mental confusion resembling fright is called Shu Jue (Summerheat Syncope), caused by Heat Pathogen blocking the orifices and tunnels. Its treatment for pathogen entering collaterals is the same as Zhong Luo (Stroke affecting collaterals). Niuhuang Wan (Calculus Bovis Pill) and Zhibao Dan (Treasure of Life Pellet), which are aromatic and open orifices, can be effective. After waking, cool the Blood level using herbs like Lianqiao (Forsythiae Fructus), Zhuye (Phyllostachys Viridis Folium), Xuanshen (Scrophulariae Radix), Shengdi (Rehmanniae Radix), and Er Dong (Tasmanniae Fructus and Ophiopogonis Radix). This syndrome strictly forbids Wind-dispelling drugs. Early stage Summerheat damaging Qi calls for Zhuye Shigao Tang (Phyllostachys and Gypsum Decoction) or mild Lung-clearing formulas. Generally, deep heat leads to deep cold (Jue); if limbs are cold, look for greasy face and dry teeth, blocked urination and defecation, or unsatisfactory diarrhea. Do not mistake this for Shanghan (Cold Damage) and use Warm medicines. (Lin Zheng Zhi Nan / Guide to Clinical Practice)
Zhong Shi (Dampness Strike)
Wind, Cold, Summerheat, and Dampness can all strike humans. Only Dampness accumulates over time and stagnates in joints, unlike the sudden nature of Wind, Cold, and Summerheat. Symptoms include heavy and painful joints, edema, panting and fullness, abdominal distension, irritability, and unconsciousness. The pulse is deep and slow, or deep, minute, and fine. Treatment should focus on removing Dampness. (Zheng Zhi Zhun Sheng / Standardized Diagnosis and Treatment)
In treating Zhong Shi (Dampness Strike), one must immediately protect Yang Qi. Using Wind-dispelling drugs to overcome Dampness is like wielding a blade against oneself; using Warm medicines to regulate the Spleen is waiting for death. This is the physician's fault. (Yi Men Fa Lü / Laws of Medical Gate)
Zhong E (Evil Strike)
The syndrome of Zhong E (Evil Strike) results from exposure to abnormal Qi. Suddenly, hands and feet become reversed-cold, skin raises gooseflesh, face turns blue-black, spirit is unsettled, speech is confused or delirious, jaw is tight and mouth locked, or dizziness causes collapse and unconsciousness. This is Cu Jue (Sudden Syncope). Conditions like Ke Wu (Guest Hostility), Fei Shi (Flying Corpse), Gui Ji (Ghost Blow), mourning visits, temple entry, and tomb climbing often involve this disease. First, irrigate with Suhe Xiang Wan (Styrax Pill). After revival, administer Tiao Qi San (Regulate Qi Powder) and Ping Wei San (Peace the Stomach Powder). (Zheng Zhi Zhun Sheng / Standardized Diagnosis and Treatment)
Zhong Qi (Qi Strike)
The syndrome of Zhong Qi (Qi Strike) is caused by rebellious Qi. The Seven Emotions can all cause Zhong Qi, with anger being particularly common. It is roughly similar to Zhong Feng (Wind Stroke), making Wind and Qi difficult to distinguish. However, in Wind Strike, the body is warm; in Qi Strike, the body is cold. Wind Strike involves much phlegm-saliva; Qi Strike has none. Wind Strike pulse is floating corresponding to the Yingxiang point; Qi Strike pulse is deep corresponding to the Qikou point. First, irrigate with Suhe Xiang Wan (Styrax Pill). After waking, continue with Bawei Shun Qi San (Eight-Ingredient Qi-Regulating Powder) or Muxiang Tiao Qi San (Costus Regulating Qi Powder). For residual phlegm, use Siqi Tang (Four-Seven Decoction) or Xingxiang San (Star-Aromatic Powder). If the person is robust with rebellious Phlegm-Qi, Guan Ge obstruction, or constipation, use Sanhe Wan (Three-Harmony Pill). (Zheng Zhi Zhun Sheng / Standardized Diagnosis and Treatment)
Zhong Shi (Food Strike)
The syndrome of Zhong Shi (Food Strike) presents with sudden syncope and coma, inability to speak, inability to move limbs, resembling Wind Stroke. This is caused by excessive dietary injury, or after drunkenness/full meals, followed by exposure to Wind-Cold or emotional distress. This fills the chest, stops Stomach Qi, causes Yin-Yang blockage, and halts ascending-descending movement. Most people do not recognize this, mistaking it for Wind Stroke or Qi Strike, and administer Wind-dispelling or Qi-regulating drugs, severely injuring Stomach Qi, leading to imminent death. First, decoct Ginger-Salt Soup to induce vomiting and expel food. If Wind-Cold remains, use Huoxiang Zhengqi San (Agastache Harmonizing the Normal Qi Powder) to resolve it; if Qi stagnation persists, use Shunqi San (Smooth Qi Powder) to regulate it. After vomiting, if no other symptoms exist, use Pingwei San (Peace the Stomach Powder) added with Fuling (Poria), Banxia (Pinelliae Rhizoma), Shenqu (Massa Medicata Fermentata), and Sharen (Amomi Fructus Rotundus). When encountering this disease, inquire carefully. If injured by food, feeling chest/diaphragm fullness, acid regurgitation, belching of rotten smells, and a tight/abundant Qikou pulse, treat as Food Stagnation. (Zheng Zhi Zhun Sheng / Standardized Diagnosis and Treatment)
Zhong Qi Qing (Seven Emotions Strike)
Injury from Joy causing sudden collapse and ignorance is named Zhong Xi (Strike of Joy). ○Sudden strike from violent anger is named Zhong Nu (Strike of Anger). The Classic says: "The Yang Qi, in great anger, causes form and Qi to sever, and blood pools above, causing Bo Jue (Thin Syncope)." ○Sudden collapse due to excessive worry/thought is named Zhong You (Strike of Worry). The Classic says: "Worry and thought without joy lead to Jue Ni (Syncope)." ○Sudden collapse due to excessive rumination is named Zhong Si (Strike of Thought). ○Sudden strike from sorrow is named Zhong Bei (Strike of Sorrow). ○Sudden strike from fear causing abrupt loss of Will and lack of spiritual foundation leading to昏冒 (dizziness/collapse) is named Zhong Kong (Strike of Fear). ○Sudden collapse from shock is named Zhong Jing (Strike of Shock). (Luo Chicheng)
Selected Cases
One person suddenly fainted and fell to the ground, hands and feet ice-cold, face pale-blue, jaw tightly closed. This is Zhong E (Evil Strike). First, have someone pour hot urine on his face. After finishing, switch to another person, pouring frequently four or five times. Wipe the face clean, pry open the teeth, insert a piece of Gancao (Licorice Root) for him to bite, dissolve Suhe Wan (Styrax Pill) in Ginger Soup, and irrigate. After waking, use Liujunzi Tang (Six-Gentlemen Decoction) added with Ginger Juice to restore Righteous Qi; add Huiwei Gu (Tiger Bone - *historical term*) and Lu Jiaoshuang (Deer Antler Glue Powder) to drive out evil influences; and She Xiang (Musk) to open orifices and repel evil. Recovered soon. ○The elder sister of Brother Zai Mei suddenly fainted and fell, with slight deviation of mouth and eyes, left hand unable to raise to head, saliva at mouth corners. Doctors treated as Wind Stroke with no effect. Pulse at Qikou was full and hard. Asked if she ate cold things at onset. Answered: Ate cold noodles on a certain day, felt abdominal discomfort, fainted early next morning. Asked if abdomen still hurt. Answered: Still hurts. I said: This is not Wind Stroke, but Shi Jue (Food Syncope). Formula used: Maiya (Hordei Fructus Germinatus), Zhike (Aurantii Fructus), Houpo (Magnoliae Officinalis Cortex), Chenpi (Citri Reticulatae Pericarpium), Banxia (Pinelliae Rhizoma), Xiangfu (Cyperi Rhizoma), Sharen (Amomi Fructus), Paojiang (Prepared Ginger). Brother Zai asked: Why does Food Injury cause facial deviation and arm paralysis, identical to Wind Stroke? I said: Food filling the Taiyin Spleen generates Phlegm-Saliva, which rises with Qi, obstructing the Pericardium. The Heart is the master of the body; injury to the Pericardium closes all collateral channels, preventing circulation, thus affecting the five senses and four limbs. After taking medicine, belched, chest/diaphragm instantly widened, no longer dizzy, mouth and eyes straightened, hand function normal. (Wu Tianshi)