论曰内经曰、有病怒狂者，生于阳也；阳气者，因暴折而难决，故善怒也。病名曰阳厥
，夫阴阳不可偏胜，偏胜则气逆，阳厥者、阳胜而气逆之谓也，盖阳气暴折。则郁而不散，
故多怒而狂，怒则气上，故颈脉动而大疾者，为阳厥之证也，其治，夺食即已。盖食入于阴
。长气于阳，阳盛故厥逆怒狂。夺食者，所以平其气也。
治阳厥善怒，除烦下气，铁落饮方
铁落（染皂铁浆是）
上一味，每服用重汤内温一盏饮之。食后。
治阳气厥，多怒而狂，颈脉复动，赤茯苓汤方
赤茯苓（去黑皮一两） 人参 羚羊角（镑各三两） 远志（去心） 大黄（锉炒各半
两） 甘草（炙锉一
上六味，粗捣筛，每服五钱匕，水一盏，煎至八分，去滓温服，不计时候。
治阳厥多怒。狂躁不安，上攻头颈，竹沥石膏汤方
竹沥（旋入） 石膏（一两半） 赤茯苓（去黑皮） 栀子仁 升麻 玄参 生地黄 知
母（焙各三分
上八味，除竹沥外，锉如麻豆，每服五钱匕，水一盏半，入生姜五片，同煎至一盏，去
滓入竹沥半合，再煎三沸温服。食后临卧日三服。
治阳厥气逆，胸膈烦闷，忿忿饶怒，如发狂状，竹叶茯苓汤方
淡竹叶（一升） 赤茯苓（去黑皮二两） 生地黄（一升） 丹参 玄丹（各三两） 干
蓝车前草（各一
上八味 咀如麻豆大，每服六钱匕，水二盏，入生姜五片，煎至一盏半，去滓更入蜜半
合，煎三沸、温服，不拘时，日二服。
治阳气偏胜，气厥多怒。心胸烦满，状如狂邪，颈脉皆动者，犀角丸方
犀角屑 防风（去叉各一两） 升麻 萎蕤（各三分） 枳实（麸炒） 石膏（碎各半
两） 甘草（炙锉一
上七味，捣罗为末，炼蜜和成，杵数百下，丸如梧桐子大，每服二十丸，温熟水下，不
计时候，日三服，渐加至三十丸。
治阳厥多怒，气逆发狂，胸膈闷。茯苓大黄汤方
赤茯苓（去黑皮） 大黄（锉微炒） 羚羊角（镑） 黄芩（去黑心） 甘草（微炙锉）
枳壳（去瓤麸炒各一
上七味。粗捣筛，每服五钱匕，水一盏半，入淡竹叶十片，同煎至八分，去滓温服。食
后临卧。
治阳厥怒狂。防风茯苓汤方
防风（去叉） 赤茯苓（去黑皮） 萎蕤 白术 陈橘皮（汤浸去白焙） 丹参（各一
两三分） 细辛（去苗叶二两） 甘草（炙一两） 升麻 黄芩（去黑心各一两半） 射干
（一两）
上一十二味。粗捣筛，每服五钱匕，以水二盏，大枣二枚劈破，煎至一盏，去滓温服、
日三。
治气逆怒狂，阳气暴厥，竹沥汤方
竹沥（一升） 麻黄（去根节三分） 石膏（二两） 生姜 芍药（各一两） 大青 栀
子仁 升麻 赤
上一十二味，除竹沥外， 咀如麻豆大，每服六钱匕，水二盏，煎至一盏，去滓下竹沥
半合，再煎三沸，温服日二。
治阳厥怒狂气逆，泄热汤方
半夏（汤洗七遍切焙） 麻黄（去根节煎掠去沫焙） 芍药 杜蘅 枳实（去瓤麸炒） 细
辛（去苗叶）
上九味，锉如麻豆，每服五钱匕，水一盏半，入生姜半分切，竹叶十片，煎取八分。去
滓温服。
治阳厥狂怒。定神丸方
白茯苓（去黑皮） 远志（去心） 防风（去叉） 人参 柏子仁（炒各一两一分） 龙
骨（一两半） 牡蛎
上九味，捣罗为细末，炼蜜和丸，梧桐子大，初服二十丸。加至三十丸。温熟水下。日
再服。
治阳厥气逆，善怒狂妄不常，羚羊角汤方
羚羊角（镑） 五味子 葳蕤 茯神（去木） 远志（去心） 沙参（去芦头） 酸枣
仁（微炒各三分） 龙
上八味，粗捣筛，每服五钱匕，水一盏半，煎取八分，去滓温服，不拘时候。
Commentary states: The *Neijing* (Inner Canon) mentions that there is a disease characterized by anger and mania, which arises from Yang pathogenic factors; the Yang Qi (vital energy associated with Yang), due to sudden frustration or obstruction, becomes difficult to resolve, thus leading to frequent anger. This disease is named Yang Jue (Yang Rebellious Qi). Yin and Yang cannot prevail excessively; if one prevails excessively, Qi mechanism becomes rebellious. "Yang Jue" refers to the condition where Yang Qi is excessive and causes Qi rebellion. Generally, when Yang Qi is suddenly frustrated, it stagnates and fails to disperse, resulting in irritability and mania. Anger causes Qi to move upward; therefore, if the pulses in the neck are beating large and rapidly, it is a sign of Yang Jue. The treatment involves withholding food intake until recovery. Since food enters the body to transform into Yin essence and nourishes Yang, if excessive Yang leads to Jue (reversal cold/shock), anger, and mania, withholding food serves to calm the Qi mechanism.
Formula for Iron Slag Drink (Tieluo Yin) to treat Yang Jue with irritability, eliminating vexation and directing Qi downward:
Iron Slag (Tieluo) [i.e., iron slag from dyeing soap].
Take the above single herb. For each dose, warm one cup using a double-boiler method and drink it. Take after meals.
Formula for Red Poria Decoction (Chifuling Tang) to treat Yang Qi Jue with frequent anger and mania, and rebounding neck pulses:
Red Poria (Chifuling) [remove black skin, 1 liang], Ginseng Root (Renshen), Antelope Horn (Lingyangjiao) [sliced, 3 liang each], Polygala Root (Yuanzhi) [remove heart], Rhubarb (Dahuang) [cut and stir-fried, 0.5 liang each], Licorice Root (Gancao) [honey-fried and cut, [text missing, likely 1 liang]].
The above six herbs are coarsely crushed and sifted. For each dose, take 5 qianbi (approx. 15-20g depending on era/measure), add 1 cup of water, decoct until 0.8 cup remains, remove dregs, and take warm. Time of administration is not restricted.
Formula for Bamboo Sap and Gypsum Decoction (Zhuli Shigao Tang) to treat Yang Jue with frequent anger, restlessness, and Qi attacking the head and neck:
Bamboo Sap (Zhuli) [add freshly squeezed], Gypsum (Shigao) [1.5 liang], Red Poria (Chifuling) [remove black skin], Gardenia Seed (Zhizi Ren), Cimicifuga Rhizome (Shengma), Scrophularia Root (Xuanshen), Rehmannia Root (Shengdihuang), Anemarrhena Rhizome (Zhimu) [roasted, 0.3 fen each].
The above eight herbs, except Bamboo Sap, are cut like hemp seeds. For each dose, take 5 qianbi, add 1.5 cups of water, include 5 slices of fresh ginger, decoct together until 1 cup remains. Remove dregs, add 0.5 he of Bamboo Sap, boil three more times, and take warm. Take after meals and before sleep, three times daily.
Formula for Bamboo Leaf and Poria Decoction (Zhuye Fuling Tang) to treat Yang Jue with Qi rebellion, chest and diaphragm vexation, resentment and irritability resembling mania:
Light Bamboo Leaves (Dan Zhuye) [1 sheng], Red Poria (Chifuling) [remove black skin, 2 liang], Rehmannia Root (Shengdihuang) [1 sheng], Salvia Root (Danshen), Scrophularia Root (Xuanshen) [3 liang each], Isatis Root (Qianlan), Plantago Seed/Herb (Cheqiancao) [each [text missing, likely 1 liang]].
The above eight herbs are cut like hemp seeds. For each dose, take 6 qianbi, add 2 cups of water, include 5 slices of fresh ginger, decoct until 1.5 cups remain. Remove dregs, add 0.5 he of honey, boil three times, and take warm. Time of administration is not restricted, twice daily.
Formula for Rhino Horn Pills (Xijiao Wan) to treat excessive Yang Qi, Qi Jue with frequent anger, chest and heart vexation and fullness, resembling madness, and bilateral neck pulse movement:
Rhino Horn Shavings (Xijiao Xie), Saposhnikovia Root (Fangfeng) [remove forked root, 1 liang each], Cimicifuga Rhizome (Shengma), Polygonatum Rhizome (Weirui) [0.3 fen each], Immature Bitter Orange (Zhishi) [bran-fried], Gypsum (Shigao) [crushed, 0.5 liang each], Licorice Root (Gancao) [honey-fried and cut, [text missing, likely 1 liang]].
The above seven herbs are pounded and sifted into fine powder. Mix with refined honey and pound hundreds of times to form pills the size of paulownia seeds. Take 20 pills per dose with warm cooked water. Time of administration is not restricted, three times daily. Gradually increase to 30 pills.
Formula for Poria and Rhubarb Decoction (Fuling Dahuang Tang) to treat Yang Jue with frequent anger, Qi rebellion and mania, and chest/diaphragm stuffiness:
Red Poria (Chifuling) [remove black skin], Rhubarb (Dahuang) [cut and slightly fried], Antelope Horn (Lingyangjiao) [sliced], Scutellaria Root (Huangqin) [remove black heart], Licorice Root (Gancao) [slightly fried and cut], Aurantium Fruit (Zhike) [remove pith and bran-fried, each [text missing, likely 1 liang]].
The above seven herbs are coarsely crushed and sifted. For each dose, take 5 qianbi, add 1.5 cups of water, include 10 pieces of light bamboo leaf, decoct together until 0.8 cup remains. Remove dregs and take warm. Take after meals and before sleep.
Formula for Saposhnikovia and Poria Decoction (Fangfeng Fuling Tang) to treat Yang Jue with anger and mania:
Saposhnikovia Root (Fangfeng) [remove forked root], Red Poria (Chifuling) [remove black skin], Polygonatum Rhizome (Weirui), Atractylodes Rhizome (Baizhu), Tangerine Peel (Chenju pi) [soaked in water, white part removed, roasted], Salvia Root (Danshen) [1.3 liang each], Asarum Root (Xixin) [remove seedlings and leaves, 2 liang], Licorice Root (Gancao) [honey-fried, 1 liang], Cimicifuga Rhizome (Shengma), Scutellaria Root (Huangqin) [remove black heart, 1.5 liang each], Belamcanda Rhizome (Shegan) [1 liang].
The above twelve herbs are coarsely crushed and sifted. For each dose, take 5 qianbi, add 2 cups of water, include 2 jujubes split open, decoct until 1 cup remains. Remove dregs and take warm. Three times daily.
Formula for Bamboo Sap Decoction (Zhuli Tang) to treat Qi rebellion, anger and mania, and sudden Yang Jue:
Bamboo Sap (Zhuli) [1 sheng], Ephedra Stem (Mahuang) [remove roots and joints, 0.3 fen], Gypsum (Shigao) [2 liang], Fresh Ginger (Shengjiang), Peony Root (Shaoyao) [1 liang each], Indigo Naturalis/Large Qing (Daqing), Gardenia Seed (Zhizi Ren), Cimicifuga Rhizome (Shengma), Red [Poria/Root?] [text incomplete].
The above twelve herbs, except Bamboo Sap, are cut like hemp seeds. For each dose, take 6 qianbi, add 2 cups of water, decoct until 1 cup remains. Remove dregs, add 0.5 he of Bamboo Sap, boil three times, and take warm. Twice daily.
Formula for Heat-Draining Decoction (Xi Re Tang) to treat Yang Jue with anger, mania, and Qi rebellion:
Pinellia Tuber (Banxia) [washed seven times in hot water, sliced and roasted], Ephedra Stem (Mahuang) [remove roots and joints, skim foam during boiling, roast], Peony Root (Shaoyao), Duchenghua Herb (Du heng), Immature Bitter Orange (Zhishi) [remove pith and bran-fried], Asarum Root (Xixin) [remove seedlings and leaves].
The above nine herbs are cut like hemp seeds. For each dose, take 5 qianbi, add 1.5 cups of water, include 0.5 fen of sliced fresh ginger and 10 bamboo leaves, decoct until 0.8 cup remains. Remove dregs and take warm.
Formula for Spirit-Calming Pills (Dingshen Wan) to treat Yang Jue with mania and anger:
White Poria (Baifuling) [remove black skin], Polygala Root (Yuanzhi) [remove heart], Saposhnikovia Root (Fangfeng) [remove forked root], Ginseng Root (Renshen), Biota Seed (Baiziren) [fried, 1.1 liang each], Dragon Bone (Longgu) [1.5 liang], Oyster Shell (Muli) [text incomplete, likely 1 liang].
The above nine herbs are pounded and sifted into fine powder. Mix with refined honey and form pills the size of paulownia seeds. Start with 20 pills per dose, increase to 30 pills. Take with warm cooked water. Twice daily.
Formula for Antelope Horn Decoction (Lingyangjiao Tang) to treat Yang Jue with Qi rebellion, frequent anger, madness, and irregular behavior:
Antelope Horn (Lingyangjiao) [sliced], Schisandra Berry (Wuweizi), Polygonatum Rhizome (Weirui), Poria with Wood (Fushen) [remove wood], Polygala Root (Yuanzhi) [remove heart], Codonopsis Root (Shashen) [remove rhizome head], Ziziphus Seed (Suanzaoren) [lightly fried, 0.3 fen each], Dragon [Bone/Shell?] [text incomplete].
The above eight herbs are coarsely crushed and sifted. For each dose, take 5 qianbi, add 1.5 cups of water, decoct until 0.8 cup remains. Remove dregs and take warm. Time of administration is not restricted.