答曰。世言气中者。虽不见于方书。然暴喜伤阳。暴怒伤阴。亦气中之源也。况忧愁不意。
气多厥逆。往往多得此疾。便觉涎潮昏塞。牙关紧急。若概作中风候用药。非止不相当。多
致杀人。经云。无故而喑。脉不至。不治自已。谓气暴逆也。气复则已。故猝然而死。少间
复苏者。正谓此也。
苏合香丸。疗传尸骨蒸。 肺痿疰忤。鬼猝心痛。霍乱吐利时气。鬼魅瘴疟。赤白暴利。
瘀血月闭。 癖下肿。惊痫鬼忤中人。小儿吐利乳。大人狐狸等病。
苏合香油(一两入安息香膏内) 白术(二两) 丁香(二两) 朱砂(二两水飞研) 安息香(二
两另为末用无灰好酒一升熬膏) 木香(二两) 白檀香(二两) 薰陆香(另研一两) 沉香(二
两) 乌犀屑(二两) 荜茇(二两) 香附子(二两炒) 诃梨勒(煨去复选皮二两) 麝香(另研
二两) 龙脑(研一两)
上为细末研药和。用安息膏并炼白蜜和剂。每服旋丸如梧桐子大。
早朝取井华水。温冷任意。化服四丸。
答曰。风者。阳之气也。寒者。阴之邪也。阴气上升入阳中则发寒。阳气下陷入阴中则发热
。阴阳偏胜。寒热互作。经曰。夏伤于暑。秋必病疟者。是也。妇人之病。证见寒热邪非暑
气者。皆繇营卫之兆作也。且卫者气也。气为阳。阳微则恶寒。营者血也。血为阴。阴弱则
发热。故妇人寒热。多因气血之所使也。或劳伤而体弱。或经闭而寒热。若此之类。久而不
已。则成虚损之疾也。
必应散。治久寒热。如疟状。
熟地 槟榔 陈皮 草果(去皮) 当归 砂仁 甘草(炙) 柴胡(以上各等分)
上为粗末。每服三钱。水二盏。姜五片。煎八分。去滓无时温服。合药时。忌鸡犬妇人见。
赤芍 白术(各二两) 赤茯 当归 肉桂 鳖甲 川芎 枳壳 柴胡 黄 秦艽 桔梗
橘红 甘草(各一两) 木香
上为 咀。每服三钱。水二盏。姜五片。枣一枚。煎至八分。去滓温服。不拘时。
Answer: What the world calls "Qi Zhong" (sudden collapse due to emotional Qi stagnation), although not explicitly recorded in medical formularies, stems from the fact that excessive joy damages Yang Qi and excessive anger damages Yin Qi. Furthermore, individuals suffering from unexpected sorrow often experience severe Qi reversal, frequently contracting this disease. Patients may feel a surge of phlegm-fluids, mental confusion, and obstruction, along with lockjaw. If treated generally as stroke symptoms, it is not only inappropriate but often fatal. The Classics state: "Sudden aphonia with absent pulse will resolve spontaneously." This refers to sudden Qi rebellion; once Qi returns to normal, the condition resolves. Thus, the phenomenon of sudden apparent death followed by recovery after a short while precisely describes this condition.
Suhe Xiang Wan (Styrax Pill) treats transmissive consumption with bone-steaming fever, lung wasting with parasitic invasion, sudden heart pain caused by malevolent spirits, cholera with vomiting and diarrhea, seasonal epidemic pathogens, miasmic malaria, severe dysentery with red and white discharge, blood stasis causing amenorrhea, abdominal masses with swelling, fright epilepsy caused by malevolent invasion, pediatric vomiting and diarrhea related to breastfeeding, and adult conditions such as Huoxuan disease (fox-spirit disease).
Ingredients: Suhe Xiang You (Styrax Oil, 1 liang, added to Anxi Xiang Gao); Baizhu (Atractylodis Rhizoma, 2 liang); Dingxiang (Caryophylli Flos, 2 liang); Zhusha (Cinnabar, 2 liang, washed with water and ground); Anxi Xiang (Styrax Resin, 2 liang, ground separately into powder, decocted with 1 sheng of pure wine without ash into a paste); Muxiang (Aucklandiae Radix, 2 liang); Baitan Xiang (Santalum Album Lignum, 2 liang); Xunlu Xiang (Olibanum, 1 liang, ground separately); Chenxiang (Aquilariae Lignum Resinatum, 2 liang); Wuxi Xie (Rhinocerotis Cornu, 2 liang); Bibo (Piperis Longi Fructus, 2 liang); Xiangfuzi (Cyperi Rhizoma, 2 liang, stir-fried); Helile (Terminalia Chebula Retz., 2 liang, baked and peeled); Shexiang (Moschus, 2 liang, ground separately); Longnao (Borneolum Syntheticum, 1 liang, ground).
Grind all ingredients into fine powder and mix thoroughly. Combine with Styrax paste and refined white honey to form pills. Roll into pills the size of Sophora japonica seeds.
In the morning, take Jinghua Water (first-drawn well water at dawn), at any temperature suitable, and dissolve four pills for administration.
Answer: Wind is Yang Qi; Cold is Yin pathogen. When Yin Qi rises into the Yang aspect, chills occur; when Yang Qi sinks into the Yin aspect, fever occurs. Yin-Yang imbalance leads to alternating chills and fever. The Classics state: "Summer injury by heat causes autumn malaria," which illustrates this principle. In women, symptoms of alternating chills and fever not caused by summer heat are due to disharmony of Ying (Nutritive) and Wei (Defensive) mechanisms. Wei corresponds to Qi, which is Yang; weak Yang results in aversion to cold. Ying corresponds to Blood, which is Yin; deficient Yin results in fever. Therefore, women's alternating chills and fever are mostly caused by Qi and Blood disorders. Whether due to labor-induced weakness or amenorrhea leading to chills and fever, if prolonged, these conditions develop into deficiency consumptive diseases.
Biying San (Must-Respond Powder) treats chronic alternating chills and fever resembling malaria.
Ingredients: Shudi (Rehmanniae Radix Preparata), Binglang (Arecae Semen), Chenpi (Citri Reticulatae Pericarpium), Caoguo (Tsaoko Fructus, peeled), Danggui (Angelicae Sinensis Radix), Sharen (Amomi Fructus Rotundus), Gancao (Glycyrrhizae Radix et Rhizoma, honey-fried), Chaihu (Bupleuri Radix) — all in equal proportions.
Grind into coarse powder. Take 3 qian per dose, add 2 zhan of water and 5 slices of ginger, decoct until reduced to 8 fen. Strain and take warm at any time. During preparation, avoid exposure to chickens, dogs, and women.
Another formula: Chishao (Paeoniae Radix Rubra), Baizhu (Atractylodis Rhizoma, each 2 liang), Chifu (Poria Cocos), Danggui (Angelicae Sinensis Radix), Rougui (Cinnamomi Cortex), Biejia (Testudinis Carapax et Plastrum), Chuanxiong (Ligustici Chuanxiong Rhizoma), Zhiqiao (Aurantii Fructus Immaturus), Chaihu (Bupleuri Radix), Huangqin (Scutellariae Radix), Qinjiao (Gentianae Macrophyllae Radix), Jiegeng (Platycodonis Radix), Juhong (Citri Reticulatae Pericarpium Rubrum), Gancao (Glycyrrhizae Radix et Rhizoma, each 1 liang), Muxiang (Aucklandiae Radix).
Cut into pieces. Take 3 qian per dose, add 2 zhan of water, 5 slices of ginger, and 1 jujube, decoct until reduced to 8 fen. Strain and take warm, without restriction on timing.