Library

The *Neijing* (Yellow Emperor's Inner Classic) states: When Yang qi (vital energy associated with heat and activity) becomes hyperactive due to excessive fatigue and labor, it leads to the exhaustion of Jing essence (essence stored in the kidneys). If this condition accumulates into summer, it causes Jian Jue (Frying Syncope), characterized by blindness preventing vision, deafness preventing hearing. The condition is critical, resembling a breached dam, unstoppable. Yang qi functions to protect the exterior and consolidate the interior. If daily routines are regular and emotions like joy and anger are regulated, Zhi qi (willpower/spiritual energy) remains harmonious, and Yang qi is not disturbed. However, if physical movements are excessive or there is mental fatigue, Qi expands excessively. When Yang qi expands excessively, True Qi (Zhen Qi) is consumed, leading to Jing exhaustion. Accumulating heat into summer makes Yang qi even more prosperous, causing the defensive Qi at the exterior to become restless and unstable. This explains why symptoms such as a sensation of frying pressure, cold extremities (Jue Ni), and blurred vision and hearing occur, leaving patients bewildered.

The *Neijing* also says: Those who suffer from shortness of breath and irritability have disordered Yang qi movement, preventing Yang qi from ascending properly. Liver Qi (energy of the liver responsible for free flow) should be diffused but fails to do so, resulting in irritability; this is named Jian Jue. It can also be understood as Yang qi being depressed internally, losing its balance, thus causing Qi to fry and press inward, leading to syncope and cold extremities.

Formula for treating Jian Jue with rebellious Qi, dizziness and confusion of the head and eyes, unclear vision and hearing, shortness of breath, and irritability: Renshen Tang (Ginseng Decoction).
Ingredients: Renshen (Radix Ginseng), Yuanzhi (Radix Polygalae, heart removed), Chi Fuling (Poria with Red Hosta Root, black skin removed), Fangfeng (Radix Saposhnikoviae, twigs removed, 2 liang each), Shaoyao (Radix Paeoniae Lactiflorae), Maimendong (Radix Ophiopogonis, heart removed), Chenjupi (Pericarpium Citri Reticulatae, soaked in water, white pith removed).
Process these eight herbs. Cut them into pieces the size of hemp seeds. Take 5 Qianbi per dose, add 1.5 Zhan of water, decoct until 0.8 Zhan remains, strain, and take warm. Administer twice daily.

Formula for treating Jian Jue caused by excessive labor leading to hyperactive Yang qi, failure of Liver Jing to remain secure, irritability, shortness of breath, and dizziness/confusion of the head and eyes: Shanyu Tang (Dioscorea Decoction).
Ingredients: Shanyu (Rhizoma Dioscoreae Hypoglaucae), Sheng Gan Dihuang (Radix Rehmanniae Preparata, dried and baked), Fangfeng (Radix Saposhnikoviae, twigs removed and cut), Fushen (Poria with Pine Root, wood removed), Shanzhuyu (Fructus Corni, stir-fried), Gui (Cortex Cinnamomi, rough bark removed), Tianxiong (Radix Aconiti Lateralis Preparata, cracked by firing, skin and navel removed), Yuanzhi (Radix Polygalae, heart removed), Xixin (Herba Asari, seedlings and leaves removed), Zhishi (Fructus Aurantii Immaturus, bran-fried, pulp removed), Gan Juhua (Flos Chrysanthemi Indici, 1 liang each), Gancao (Radix Glycyrrhizae Preparata, honey-fried and cut, 3 fen).
Process these twelve herbs. Finely cut them into pieces the size of hemp seeds. Take 3 Qianbi per dose, add 1 Zhan of water, put in 3 slices of fresh ginger, decoct until 0.7 Zhan remains, strain, and take warm. Take on an empty stomach before meals.

Formula for treating Jian Jue with shortness of breath, irritability, and insecure spirit: Fushen Tang (Poria Decoction).
Ingredients: Fushen (Poria with Pine Root, wood removed), Lingyangjiao (Cornu Saigae Tataricae, crushed), Wuweizi (Fructus Schisandrae), Weirui (Rhizoma Polygonati Odorati), Yuanzhi (Radix Polygalae, heart removed), Shashen (Radix Adenophorae seu Platycodi), Suanzaoren (Semen Ziziphi Spinosae, lightly stir-fried, 3 fen each), Longgu (Os Draconis, 0.5 liang).
Process these eight herbs. Coarsely crush and sieve. Take 3 Qianbi per dose, add 1 Zhan of water, decoct until 0.7 Zhan remains, strain, and take warm. Take at any time.

Formula for treating internal depression of Yang qi, disorder of Liver Qi, shortness of breath, irritability, blurred vision and hearing, frying pressure, and syncope: Longgu Wan (Dragon Bone Pill).
Ingredients: Longgu (Os Draconis), Bai Fuling (Poria, black skin removed), Yuanzhi (Radix Polygalae, heart removed), Fangfeng (Radix Saposhnikoviae, twigs removed), Renshen (Radix Ginseng), Baiziren (Semen Biotae, pounded separately), Xijiao (Cornu Rhinocerotis, shaved), Sheng Gan Dihuang (Radix Rehmanniae Preparata, dried and baked).
Process these nine herbs. Except for Baiziren, pound and sieve all ingredients into powder, mix evenly. Add 2 liang of boiled jujube flesh, blend with refined honey, and pound for hundreds of strokes to form pills the size of tung tree seeds. Take 30 pills per dose, swallow with gruel drink, on an empty stomach before meals.

Formula for treating Jian Jue with rebellious Qi, excessive anger, and disorder of Liver Qi: Baiziren Tang (Biota Seed Decoction).
Ingredients: Baiziren (Semen Biotae), Hutou Gu (Os Cranium Tigridis, coated with butter and roasted, 1 liang each), Renshen (Radix Ginseng), Fushen (Poria with Pine Root, wood removed), Xijiao Xie (Cornu Rhinocerotis, crushed), Taoren (Semen Persicae, soaked in water, skin and tips removed, non-double kernels, bran-fried until yellow), Yuanzhi (Radix Polygalae), Xiaocao (Herba Centellae, 3 fen each).
Process these eight herbs. Coarsely crush and sieve. Take 3 Qianbi per dose, add 1 Zhan of water, decoct until 0.7 Zhan remains, strain, and take warm. Take at any time.