实，火旺金囚，木无所畏，反侮所不胜。是以筋脉失养，风火内旋， 惊痫，在所不免，即俗云发痉是也。故以息风
清热为主治。
雄按∶可加元参、栀子、丝瓜络。
风温证∶热渴烦闷，昏愦不知人，不语如尸厥，脉数者，此热邪内蕴，走窜心包络。当用犀角、连翘、焦远志、鲜
石菖蒲、麦冬、川贝、牛黄、至宝之属，泄热通络。
热邪极盛，与三焦相火相煽，最易内窜心包，逼乱神明，闭塞络脉，以致昏迷不语，其状如尸，俗谓发厥是也。闭
者宜开，故以香开辛散为务。热邪极盛，三焦相火相煽，最易内窜心包，逼乱神明，闭塞络脉，虽是喻氏之言，而法以
香开辛散。然热极似水，一派烟雾尘天，蒙住心胸，不知不识，如人行烟尘中，口鼻皆燥，非两解不能散其势。再入温
热之处，则人当燥闷死矣。且温热多燥，辛香之品尽是燥，燥与热斗，立见其败。且心神为热邪蒸围，非闭塞也。有形
无形，治法大异。遇此每在败时，故前人不能探其情。今补薛生白先生一法于后∶汪按∶此乃驳香开辛散之法。而别立
一法，与本书异趣，盖此条当是他人附赘之评语，非本书也。极明雄黄一两，研极细，入铜勺内。又研提净牙硝六钱，
微火熔化，拨匀如水时，杨云∶雄黄多而牙硝少，何能匀拨如水？两字、钱字，必有一误。急滤清者于碗，粗渣不用，
凝定，此丹灶家秘制也。凡遇前证，先用陈雨水十碗，内取出一碗，煎木通一钱，通草三钱，倾入九碗冷水内。又取犀
角磨入三钱，或旋磨旋与亦可，每碗约二三分。再将制雄挑二三厘入碗，冷与服。时时进之，能于三日内进之尽，必有
清痰吐出数碗而愈，杨云∶据此用法，当是黄一分，硝六分也。十救七八。盖此证死期最缓，而医人无他法，每每付之
天命，牛黄清心而已，可胜长叹！
雄按∶炼雄黄法， 于游宦纪闻，见《知不足斋丛书》。
Excess patterns involve vigorous fire that imprisons Metal, leaving Wood without fear, leading to Wood counter-attacking what it cannot overcome (a disruption of the Five Elements). Consequently, tendons and vessels lose nourishment, wind and fire swirl internally, making convulsions and epilepsy inevitable; this is commonly known as "Fa Jing" (spasm). Therefore, the primary treatment focuses on extinguishing wind and clearing heat.
Wang Shihiong's Note: Yuan Shen (Scrophulariae Radix), Zhi Zi (Gardeniae Fructus), and Si Gua Luo (Luffae Fructus Retinervia) can be added.
Wind-Warmth Syndrome: Characterized by fever, thirst, restlessness, and oppression, unconsciousness, muteness resembling corpse rigidity (Shi Jue), and a rapid pulse. This indicates heat pathogens accumulating internally and invading the Pericardium Collateral. One should employ substances such as Xi Jiao (Rhinocerotis Cornu), Lian Qiao (Forsythiae Fructus), Jiao Yuan Zhi (Polygalae Radix processed with bran), Xian Shi Chang Pu (Acori Tatarinowii Rhizoma fresh), Mai Dong (Ophiopogonis Radix), Chuan Bei Mu (Fritillariae Cirrhosae Bulbus), Niu Huang (Bovis Calculus), and Zhi Bao Dan (Treasure of the Heart Pill) to drain heat and unblock collaterals.
When heat pathogens are extremely vigorous and stir up the Ministerial Fire of the San Jiao (Triple Burner), they easily invade the Pericardium internally, disturbing the Spirit (Shen Ming) and blocking collaterals, resulting in coma and muteness, resembling a corpse, commonly called "Fa Jue" (syncope/collapse). For closure patterns, opening is required; thus, aromatic opening and acrid dispersal were traditionally emphasized. However, although this view originates from Yu Jia Yan (Yu Shi), his method relies on aromatic opening and acrid dispersal. In reality, extreme heat mimics water; a state resembling smoke and dust obscures the heart and chest, causing unawareness, similar to walking in smog, with dry mouth and nose. Only dual-resolution methods can dissipate this momentum. If one enters a warm environment under these conditions, death from dryness and oppression would ensue. Moreover, Warmth diseases often involve dryness, while acrid-aromatic herbs are inherently drying. Dryness contending with heat leads to immediate defeat. Furthermore, the Heart Spirit is steamed and surrounded by heat pathogens, not truly blocked. The treatment for tangible versus intangible pathogens differs greatly. Encountering this condition usually occurs during critical failure, which is why predecessors could not fully probe its nature. Here, I supplement a method from Mr. Xue Shengbai:
Wang An's Note: This refutes the method of aromatic opening and acrid dispersal, establishing an alternative approach divergent from the book's main theme. This section is likely an appended commentary by another author, not part of the original text.
Take 1 liang of highly refined Realgar (Xiong Huang), ground into an ultra-fine powder, and place it in a copper spoon. Add 6 qian of purified Mirabilite (Ya Xiao), melt it over low fire, and stir until uniform like water. (Yang Yun: With more Realgar and less Mirabilite, how can it be stirred uniformly like water? Either the character "liang" or "qian" is erroneous.) Quickly filter the clear liquid into a bowl, discarding coarse dregs. Allow it to solidify; this is a secret preparation of alchemists. Whenever encountering the aforementioned syndrome, first use ten bowls of stored rainwater. Take one bowl, decoct Mu Tong (Akebiae Caulis) 1 qian and Tong Cao (Tetrapanacis Medulla) 3 qian, then pour this decoction into the remaining nine bowls of cold water. Grind 3 qian of Xi Jiao (Rhinocerotis Cornu) into the mixture, or grind fresh as needed, adding approximately 2-3 fen per bowl. Then add 2-3 li of prepared Xiong Huang powder to each bowl and administer cold. Administer frequently. If the total dose is consumed within three days, the patient will likely vomit several bowls of clear phlegm and recover. (Yang Yun: Based on this usage, it should be 1 fen of Realgar and 6 fen of Mirabilite.) This method saves seven or eight out of ten patients. Since the death process in this syndrome is slowest, and physicians lack other methods, they often resign themselves to fate, using only Niu Huang Qing Xin Wan (Calculus Bovis Clearing Heart Pill), which is lamentable!
Wang Shihiong's Note: The method for refining Realgar was recorded in *You Huan Ji Wen* and the *Zhi Bu Zu Zhai Cong Shu*.