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The *Yellow Emperor's Inner Canon* states: "Excessive fatigue leads to the expansion of Yang." If Yin essence is depleted over time during summer, it causes "Jian Jue" (Frying Syncope). This is because physical labor causes Yang Qi to relax and expand outward, so Yin essence cannot remain and be retained. At this point, although Yang exists, it seems as if it does not; hence it is called "Jue" (Extinction/Cut off). When this state accumulates for a long time, encountering the summer season when Yang is fully open and dissipating, the Five Emotions' fire moves internally, generating wind. The body feels as if being fried, leading to syncope. The treatment method should focus on clearing Heart Fire and benefiting Kidney Essence, preventing the Ministerial Fire and Internal Wind of the Liver and Gallbladder from arising violently. However, one must maintain a bland diet and rest quietly to ensure stability.
Lianqiao Xin (Heart of Forsythia Fruit), Yuanshen Xin (Heart of Scrophulariae Radix), Zhuyexin (Heart of Bambusa Leaves), Zhimu (Anemarrhenae Rhizoma), Xi Shengdi (Rehmanniae Radix Preparata), Sheng Baishao (Paeoniae Radix Alba)

Shen Jue (Kidney Syncope): Symptoms ascend from the spine. During attacks, the hands and feet are cold, saliva is vomited, and the throat feels like it is being pierced by a knife. This is because the Foot-Shaoyin Kidney Meridian ascends along the throat and flanks the root of the tongue. Yin turbidity rises from below and invades along the meridian. Following the intent of Xu Xueshi (Xu Shimwei) using Jiaofu (Pepper and Aconite), we unblock Yang to drain Yin turbidity.
Pao Fuzi (Prepared Aconiti Lateralis Radix), Dan Ganjiang (Dried Zingiberis Rhizoma), Chuanjiao (Zanthoxyli Pericarpium), Huluba (Trigonellae Semen), Banxia (Pinelliae Tuber), Fuling (Poria), formed into pills with Ginger Juice

Heat blazes above the navel and in the epigastrium, with a stale odor in the throat, followed by unconsciousness and syncope. After sweating for some time, the patient awakens. At onset, blood-tinged foam gushes from the mouth. This is due to Heat obstructing the Danzhong (Sea of Qi), causing the Heart orifices to be obscured. Without aromatic and clearing-penetrating herbs, the stasis and obstruction in the collaterals cannot be unblocked.
Tianzhuhuang (Calculus Bovis), Danshen (Salviae Miltiorrhizae Radix et Rhizoma), Yujin (Curcumae Longae Radix), Yun Fushen (Poria with Hostwood), Shichangpu (Acori Tatarinowii Rhizoma), Sheng Wu Xijiao (Rhinocerotis Cornu - note: modern substitutes used), Shexiang (Moschus), Bingpian (Borneolum Syntheticum), formed into pills with decoction of Ye Chidoupi (Vigna Unguiculata Seed Coat), taken after meals with Zhu Ye Tang (Bamboo Leaf Decoction)

Jue belongs to Liver disease. Several episodes occurred coinciding with the onset of menstruation. Since the Blood Sea has discharged its contents, the Chong Mai (Penetrating Vessel) becomes empty and deficient, causing Wind and Yang to interact and move chaotically, which is the cause of sudden Jue. Using salty-cold and moistening herbs also aligns with the principle of harmonizing Yang and draining Internal Wind. Treatment was ineffective initially; only the Lower Jiao was cold, with throat choking and chest bi-syndrome. Considering that the Chong Mai belongs to the Yangming Stomach, deficiency of Yangming leads to failure of closure, allowing Jue Qi to invade upward uncontrollably. The *Inner Canon* states: "If treating the Liver is ineffective, treat the Yangming," to restrain its usurping influence. Temporarily use methods to tonify and unblock the Fu organs, based on the principle that "Fu organs are tonified through unblocking."
Xiao Banxia Tang (Minor Pinellia Decoction) plus Bai Nuomi (White Glutinous Rice)

All types of Jue belong to the Jueyin Liver channel. Hernias and masses, heart heat, hypochondriac distension, middle Xiao (middle jiao wasting-thirst) with difficult defecation—these indicate Liver Yang transforming into Internal Wind, moving recklessly and consuming fluids, invading the Yangming. The classics say: "If treating the Liver is ineffective, treat the Yangming." Liver and Stomach are a Zang-Fu pair. Intolerance to warm tonification indicates excessive function of the Liver and insufficient substance of the Liver.
Jiu Kong Shi Jueming (Nine-Hole Abalone Shell), Huai Xiaomai (Tritici aestivi Fructus), Qing Ejiao (Donkey-hide Gelatin), Xi Shengdi (Rehmanniae Radix Preparata), Tiandong (Asparagi Radix), Fuling (Poria)

The pulse on the left beats rapidly like a Shu (rapid) pulse; the right pulse is small, weak, and soggy. The illness began with anger, followed by alternating chills and fever, sweating, palpitations, and subsequently a sensation of the soul scattering. The Liver stores the Hun (Ethereal Soul). Anger causes all Yang to move. The observed pathology stems from Yang movement generating Internal Wind leading to Jue. Therefore, most Jue syndromes belong to Jueyin Liver disease. Examining the *Inner Canon*'s treatment of the Liver, it involves pungent flavors to regulate, sour flavors to treat, and sweet flavors to relieve urgency. Now, with essence and spirit scattered, sedative and consolidating methods are needed, yet even then, one may fear insufficiency. While formularies offer many methods to drain, calm, or suppress the Liver, tonification methods usually follow the mother-son generation principle. This case should primarily be treated from the perspective of the Liver, Kidney, and Lower Jiao. The medicines taken previously did not follow ancient formulas; it is unclear what the previous practitioner's insight was.
Ejiao (Donkey-hide Gelatin), Jizihuang (Galli Ovi Albumen), Renshen (Ginseng Radix et Rhizoma), Shengdi (Rehmanniae Radix), Jinbo (Gold Foil)

Cold sensation ascends from the feet to the heart. Initially, the whole body was numb; now, the mouth and nose emit cold air. The illness began with fright, damaging the Liver and Kidney internally, leading to Jue. The Chong Mai belongs to the Liver and Kidney. Loss of storage function in these two viscera causes the Chong Qi to boil and become chaotic. Its pulse qi ascends from the Zhiyin (Supreme Yin) region, hence the predominance of cold.
Dan Congrong (Cynomorii Herba), Shudi Tan (Carbonized Rehmanniae Radix Preparata), Wuweizi (Schisandrae Chinensis Fructus), Zi Shiyun (Fluoritum), Fuling (Poria), Niuxi (Achyranthis Bidentatae Radix)