人有日间忽然发热，一时厥去，手足冰凉，语言惶惑，痰迷心窍，头晕眼昏，
此阳厥也。乃阴血不归于阳气之中，而内热如焚，外反现假寒之象，故手足冷也。
此等之症，伤寒中最多。但伤寒之厥乃传经之病，必热至五、六日而发厥，非一日
身热而即发厥者也，故不可用伤寒之法以治此等之厥。然而虽不同于伤寒，而内热
之深，正未尝少异。夫厥乃逆也，逆肝气而发为厥；厥乃火也，逆火气而发为热。
热深而厥亦深，热轻而厥亦轻，故不必治厥也，治热而已矣。惟是厥发于日，阳离
乎阴也。无阴则阳无所制，离阴则阳无所根据，阳在里而阴在表，自然热居中而寒现
外矣。治法泻其在内之火，则内热自除而外寒自散。然而，火之有余仍是水之不足，
泻火之中而佐之补水之味，则阳得阴而有和合之欢，断不至阴离阳而有厥逆之戾也。
方用安厥汤∶
人参（三钱） 玄参（一两） 茯苓（三钱） 白薇（一钱） 麦冬（五钱） 生地（五钱）
天花粉（三钱） 炒栀子（三钱） 白芍（一两） 柴胡（五分） 甘草（一钱） 水煎服。一剂而厥定，
再剂而身凉矣。凡日间发厥之症，俱可治之，无不神效。
此方和合阴阳，实有调剂之妙。助阳气而不助其火，生阴气而不生其寒，祛邪
而不损其正，解郁而自化其痰，所以定厥甚神，返逆最速也。
此症用黄连定厥汤亦效。
黄连（二钱） 当归（五钱） 麦冬（五钱） 玄参（一两） 贝母（三钱） 菖蒲（五分） 水煎服。
一剂即回，二剂愈。
人有夜间发热，一时厥逆昏晕如死人状，惟手足温和，喉中痰响，不能出声，
此阴厥也。乃阳气虚而不能入于阴血之中，以致鬼神凭之，往往厥逆也。直中阴寒
之症，多有一时发厥者，但彼乃阴寒而猝中，此乃阴热而暴亡，各有不同。阴寒之
厥，手足筋脉多青，灌之水必吐；阴热之厥，手足筋脉多红，饮之水必不吐。阴寒
之厥，身必不热，阴热之厥，身必不凉。以此辨之，不差毫发。故阴寒之厥，舍参、
附无夺命之丹；阴热之厥，饮参、附即丧身之鸩。治阴热之厥，法宜补阴以助阳，
使真阴足而邪阴自散，阳气旺而虚火自消。庶痰涎化，昏晕除，厥逆定矣。方用补
阴助阳汤∶
玄参（一两） 麦冬（一两） 熟地（一两） 人参（二钱） 白芥子（五钱） 柴胡（一钱）
白芍（一两） 当归（一两） 白术（一两） 茯苓（五钱） 菖蒲（一钱） 水煎服。一剂而昏迷苏，
再剂而痰涎化，三剂而厥逆回，则可生也，否则不可救矣。
此方补阴之药多于补阳。阴水足而阴火可散，阴火散而阳气可回，阴阳合而昏
迷宜苏矣。倘服之而不效，是阴阳早已相脱，不能再续也，非前药之故耳。或曰阳
气虚而离阴，是宜单补阳以入阴，今补阴以合阳，恐非治法。不知阳气虚而不能入
于阴血之中者，以阴血之大燥，火盛而虚阳不敢入于阴耳，非阴血过多之谓也。苟
补阳过胜，则阳旺而阴益消亡，此所以必须补阴以合阳，而万不可补阳以胜阴也。
况方中未尝无补阳之药，补阴居其七，补阳居其三，阴阳始无偏胜，而厥逆可援也。
此症用解晕神丹亦效。
人参 半夏（各二钱） 茯苓（五钱） 南星（一钱） 天麻 乌药 陈皮 菖蒲（各五分）
当归（三钱） 柴胡（一钱） 水煎服。
人有日间发厥，而夜间又厥，夜间既厥，而日间又复再厥，身热如火，痰涎作
声，此乃阴阳相并之厥也。热多则厥亦多，用泻火之药，则热除而厥亦除矣。然而
厥既有昼夜之殊，而热亦有阴阳之异，正未可徒泻夫火也。宜于泻阳之中，而用补
阴之药；于抑阴之内，而用补阳之剂。庶几阳火得阴而消，阴火得阳而化。提阳出
于阴，而日间无昏晕之虞；升阴入于阳，而夜间无迷眩之害也。方用旋转阴阳汤∶
人参（一钱） 白术（三钱） 白茯神（三钱） 白芍（五钱） 当归（三钱） 生地（五钱）
麦冬（三钱） 附子（一分） 炒栀子（二钱） 天花粉（三钱） 柴胡（一钱） 水煎服。
一剂而厥逆安矣，不必再剂也。
此方阴阳双补，痰火两泻，补泻兼施，不治厥而厥自定也。倘或补阴而不补阳，
或泻阳而不抑阴，则阴阳必有偏胜，而痰火必致相争，变出非常，有不可救药者矣。
此症用息争汤亦甚效。
柴胡 神曲（各二钱） 甘草（一钱） 炒栀子 天花粉（各三钱） 茯苓（五钱） 生地（一两）
水煎服。一剂即安，二剂愈。
人有大怒之后，又加拂抑，事不如意，忽大叫而厥，吐痰如涌，目不识人，此
肝气之逆，得痰而厥也。夫肝性最急，急则易于动怒，怒则气不易泄，而肝之性更
急，肝血必燥，必求救于脾胃以纷取资。然而血不能以骤生，脾胃出水谷之液以予
肝，未遑变血，势必迅变为痰以养肝。肝又喜血而不喜痰，痰欲入于肝而肝不受，
必至痰阻于肝外，以封闭夫肝之窍矣。肝不能得痰之益，反得痰之损，则肝之燥结
可知。既无津液之灌注，必多炎氛之沸腾，痰闭上而火起下，安得不冲击而成厥哉？
治法宜去其痰而厥乃定也。然而去痰必须平肝，而平肝在于解怒。方用平解汤∶
香附（五钱） 当归（五钱） 天花粉（三钱） 半夏（二钱） 茯苓（三钱） 神曲（二钱）
麦芽（二钱） 炒栀子（二钱） 黄连（五分） 甘草（一钱） 水煎服。一剂厥轻，再剂厥定，
三剂全愈。
此方解肝气之拂逆，实有神功。在清热而不燥，导痰而不峻也。
此症用三白散亦效。
白芍 川芎（各五钱） 栀子 茯神 天花粉（各三钱） 当归（五钱） 白豆蔻（二枚）
南星 菖蒲 枳壳（各一钱） 水煎服。二剂全愈。
人有怒，辄饮酒以为常，不醉不休，一日发厥，不知人事，稍苏犹呼酒号叫，
数次复昏晕，人以为饮酒太醉故也，谁知是胆经之火动乎。夫肝与胆为表里，肝气
逆则胆气亦逆，肝火动则胆火亦动。酒入脏腑必先入胆，酒渗入胆，则酒化为水矣。
然而酒性大热，饮酒过多，酒虽化水，而酒之热性不及分消，必留于胆中。况怒气
伤肝，则肝火无所发泄，必分流而入于胆。胆得酒之热，又得肝之火，则热更加热
矣。夫肝胆为心之母，母热必呼其子以解氛，自然胆热必移热以于心，而心不可受
热，乃变而为厥矣。治法亟解心中之热，而心热非起于心也，仍须泻胆之热；而胆
之热非本于胆也，仍须泻肝之热，以解酒之热而已。方用逍遥散加味治之。
柴胡（一钱） 白芍（一两） 茯苓（五钱） 白术（五钱） 甘草（二分） 陈皮（五分）
当归（二钱） 葛花（二钱） 炒栀子（三钱） 白芥子（三钱） 水煎服。一剂厥轻，二剂厥定，三
剂全愈。
逍遥散治郁实奇。佐之栀子以泻火，益之葛花以解酒，加之白芥子以消痰。酒
病未有不湿者，湿则易于生痰，去其湿而痰无党，去其痰而火无势。湿既无党，火
又无势，虽欲再厥，其可得乎。方中所以多用茯苓、白术以辅助柴胡、白芍者，正
此意也。
此症用醒 汤亦效。
干葛 柞木枝（各一钱） 人参（二钱） 茯神（三钱） 白芍（五钱） 黄连 半夏（各五分）
吴茱萸（二分） 水煎服。一剂即效，四剂愈。
人有一过午时，吐酸水一、二碗，至未时心前作痛，至申痛甚厥去，不省人事，
至戌始苏，日日如是，人以为阴分之热也，谁知是太阳膀胱之经，有瘀血结住而不
散乎。但小便不闭，是膀胱之气未尝不化也。气乃无形之物，无形能化，若有瘀血
结住而不散者，以血有形，不比气之无形而可散也。未申之时，正气行膀胱之时也。
气行于血之中，而血不能行于气之内，所以作痛而发厥。欲活其血之瘀，非仅气药
之能散也，必须以有形之物制血，则气可破血，而无阻滞之忧矣。方用逐血丹∶
当归尾（一两） 大黄（三钱） 红花（三钱） 桃仁（二十粒） 天花粉（三钱） 枳壳（五分）
浓朴（二钱） 丹皮（三钱） 水蛭（火 烧黑，一钱） 水煎服。一剂而瘀血通，二剂而
瘀血尽散。
此方用水蛭同入于大黄、浓朴之中，以逐有形之血块，则病去如扫，而痛与厥
尽去也。倘不用水蛭，虽亦能止厥定痛，而有形之血块终不能尽逐，必加入水蛭而
建功始神，不可以此物为可畏而轻弃之，遗人终身之病也。
此症用破瘀丹亦神。
水蛭（炒干黑，二钱） 当归 白芍（各一两） 茯苓（三钱） 肉桂（三分） 桃仁（十四个）
生地（五钱） 枳壳（五分） 猪苓（一钱） 水煎服。二剂全愈。
人有忽然之间，如人将冷水浇背，陡然一惊，手足厥冷，遂不知人，已而发热，
则渐渐苏省，一日三、四次如此，人以为祟乘之也，谁知乃气虚之极乎。夫气所以
卫身者也，气盛则体壮，气衰则体怯。外寒之侵，乃内气之微也。内气既微，原不
必外邪之袭，无病之时，常觉阴寒逼身，如冷水浇背，正显内气之微，何祟之来凭
乎。然而内热之极，亦反生寒颤，所谓厥深热亦深，与气虚之极亦生寒颤者，似是
而非，苟不辨之至明，往往杀人于顷刻，可不慎欤！辨之之法，大约内热而外寒者，
脉必数而有力，而舌必干燥也；气虚而外寒者，脉必微而无力，而舌必滑润也。故
见气虚之症，必须大补其气，而断不可益之大寒之品。方用苏气汤∶
人参（一两） 陈皮（一钱） 枳壳（三分） 菖蒲（五分） 水煎服。一剂轻，二剂更轻，
连服数剂全愈。
此方重用人参以补气，益之陈皮、枳壳宽中消痰，则人参苏气更为有神；益之
菖蒲者，引三味直入心中，则气不能散于心外也。
此症用助气回阳汤亦效。
人参 黄 （各五钱） 南星（二钱） 甘草（一钱） 茯苓（三钱） 枳壳（五分） 砂仁（三粒）
水煎服。二剂效，四剂全愈。
[Original] A person suddenly develops fever during the day, followed by Jue (cold limbs), with icy cold hands and feet, confused speech, phlegm confusing the heart orifices, dizziness, and blurred vision. This is Yang Jue. It occurs because Yin blood fails to return to the Qi of Yang, resulting in internal heat like burning fire, while the exterior presents a false cold image, hence the cold hands and feet. Such cases are most common in Shanghan (Cold Damage). However, Jue in Shanghan is a disease transmitted through meridians; it must develop after five or six days of fever, not immediately on the first day of fever. Therefore, one cannot use Shanghan methods to treat this type of Jue. Yet, although different from Shanghan, the depth of internal heat is no less. "Jue" means reversal; reversal of Liver Qi causes Jue. "Jue" also refers to Fire; reversal of Fire Qi causes heat. The deeper the heat, the deeper the Jue; the lighter the heat, the lighter the Jue. Thus, there is no need to treat Jue directly, only the heat needs treatment. Since Jue occurs during the day, it indicates Yang separating from Yin. Without Yin, Yang has nothing to restrain it; separated from Yin, Yang has no foundation. With Yang inside and Yin outside, naturally heat stays in the center while cold appears on the exterior. The treatment method is to drain the fire within; then internal heat will be removed and external cold will dissipate. However, excess fire still implies insufficient water (Yin). While draining fire, assisting with fluids that nourish Yin allows Yang to harmonize with Yin, preventing Yin-Yang separation and violent Jue. Use An Jue Tang: Ren Shen (3 qian), Xuan Shen (1 liang), Fu Ling (3 qian), Bai Wei (1 qian), Mai Dong (5 qian), Sheng Di (5 qian), Tian Hua Fen (3 qian), Chao Zhi Zi (3 qian), Bai Shao (1 liang), Chai Hu (5 fen), Gan Cao (1 qian). Decoct in water and take orally. One dose stabilizes Jue; two doses cool the body. All daytime Jue cases can be treated with this, yielding miraculous results.
[Translation] Some people suddenly develop fever during the day, followed by an episode of Jue syndrome (a condition characterized by cold extremities, potentially extending beyond elbows and knees), with icy cold hands and feet, panicked speech, phlegm misting the heart orifices, dizziness, and blurred vision. This is classified as Yang Jue (cold limbs caused by internal depression of Yang heat). This occurs because Yin blood fails to anchor within Yang Qi, leading to intense internal heat resembling burning fire, while the body surface paradoxically exhibits signs of cold, resulting in cold extremities. Such presentations are frequently encountered in the context of Cold Damage diseases. However, Jue associated with Cold Damage involves pathogenic transmission through the meridians and typically manifests only after five to six days of persistent fever, rather than occurring immediately upon the onset of fever on the first day. Consequently, therapeutic protocols for Cold Damage should not be applied to these specific cases of Jue. Nevertheless, despite these differences from Cold Damage, the severity of the internal heat accumulation remains comparable. The term "Jue" denotes reversal or counterflow; specifically, the counterflow of Liver Qi precipitates Jue. Furthermore, Jue is associated with Fire; the counterflow of Fire Qi generates heat. The greater the depth of internal heat, the more severe the Jue; conversely, milder heat results in milder Jue. Therefore, direct treatment of the Jue itself is unnecessary; instead, therapy should focus solely on clearing the heat. Since this form of Jue manifests during the day, it signifies Yang detaching from Yin. In the absence of Yin, Yang lacks regulatory control; detached from Yin, Yang loses its structural basis. With Yang residing internally and Yin externally, heat naturally accumulates centrally while cold symptoms manifest peripherally. The therapeutic strategy involves purging the internal fire, which will consequently resolve the internal heat and dissipate the peripheral cold. However, excessive fire inherently reflects a deficiency of Water (Yin fluids). When purging fire, it is essential to supplement with agents that nourish Yin. This allows Yang to integrate harmoniously with Yin, thereby preventing the dangerous separation of Yin and Yang that leads to violent Jue. Prescribe An Jue Tang: Ren Shen (3 qian), Xuan Shen (1 liang), Fu Ling (3 qian), Bai Wei (1 qian), Mai Dong (5 qian), Sheng Di Huang (5 qian), Tian Hua Fen (3 qian), Chao Zhi Zi (3 qian), Bai Shao (1 liang), Chai Hu (5 fen), Gan Cao (1 qian). Decoct in water and administer orally. One dose will stabilize the Jue; two doses will reduce the body temperature. This formula is effective for all cases of daytime Jue, producing miraculous outcomes.
[Original] This formula harmonizes Yin and Yang, possessing subtle regulatory effects. It assists Yang Qi without aiding Fire, generates Yin Qi without generating Cold, expels pathogens without damaging Zheng Qi, resolves stagnation and naturally transforms phlegm. Hence, it stabilizes Jue miraculously and reverses counterflow rapidly. For this condition, Huang Lian Ding Jue Tang is also effective. Huang Lian (2 qian), Dang Gui (5 qian), Mai Dong (5 qian), Xuan Shen (1 liang), Bei Mu (3 qian), Chang Pu (5 fen). Decoct in water and take orally. One dose brings recovery; two doses cure.
[Translation] This formula harmonizes Yin and Yang, exhibiting profound regulatory subtleties. It tonifies Yang Qi without exacerbating Fire, nourishes Yin Qi without inducing Cold, eliminates pathogenic factors without impairing Healthy Qi, resolves stagnation, and naturally transforms phlegm. Consequently, it stabilizes Jue with remarkable efficacy and rapidly restores normal Qi flow. For this condition, Huang Lian Ding Jue Tang is also effective. Huang Lian (2 qian), Dang Gui (5 qian), Mai Dong (5 qian), Xuan Shen (1 liang), Bei Mu (3 qian), Chang Pu (5 fen). Decoct in water and administer orally. One dose alleviates the condition; two doses result in a cure.
[Original] A person develops fever at night, followed by sudden Jue, coma, and fainting resembling death, yet hands and feet remain warm, with rattling phlegm in the throat and inability to speak. This is Yin Jue. It occurs because Yang Qi is deficient and cannot enter Yin blood, leading to spiritual possession-like states and frequent Jue. Direct invasion by Yin-Cold often causes sudden Jue, but that is due to sudden Yin-Cold attack, whereas this is due to Yin-Heat causing sudden collapse; they differ. Yin-Cold Jue features blue veins on extremities and vomiting when water is forced down; Yin-Heat Jue features red veins and no vomiting when drinking water. Yin-Cold Jue involves no body heat; Yin-Heat Jue involves no body coldness. Distinguishing by these signs is precise. Thus, for Yin-Cold Jue, only Ren Shen and Fu Zi can save life; for Yin-Heat Jue, Ren Shen and Fu Zi act like poison. Treating Yin-Heat Jue requires tonifying Yin to assist Yang, ensuring True Yin is sufficient so Evil Yin disperses, and Yang is robust so Deficient Fire vanishes. Then phlegm dissolves, coma clears, and Jue stops. Use Bu Yin Zhu Yang Tang: Xuan Shen (1 liang), Mai Dong (1 liang), Shu Di (1 liang), Ren Shen (2 qian), Bai Jie Zi (5 qian), Chai Hu (1 qian), Bai Shao (1 liang), Dang Gui (1 liang), Bai Zhu (1 liang), Fu Ling (5 qian), Chang Pu (1 qian). Decoct in water and take orally. One dose awakens coma; two doses dissolve phlegm; three doses reverse Jue, allowing survival; otherwise, incurable.
[Translation] Some individuals develop fever at night, followed by sudden Jue syndrome accompanied by coma and fainting resembling death, although their hands and feet remain warm. They exhibit rattling phlegm in the throat and an inability to speak. This is classified as Yin Jue. This condition arises because Yang Qi is deficient and unable to penetrate into Yin blood, leading to states resembling spirit possession and frequent episodes of Jue. Conditions involving direct invasion by Yin-Cold often present with sudden Jue; however, such cases result from a sudden assault of Yin-Cold, whereas the present case stems from Yin-Heat causing sudden collapse. These etiologies are distinct. In Yin-Cold Jue, the tendons and vessels of the extremities often appear cyanotic, and forced administration of water induces vomiting. In contrast, in Yin-Heat Jue, the tendons and vessels of the extremities often appear erythematous, and drinking water does not induce vomiting. Yin-Cold Jue is characterized by the absence of body heat, whereas Yin-Heat Jue is characterized by the absence of body coldness. Differentiation based on these signs is highly accurate. Therefore, for Yin-Cold Jue, only Ren Shen and Fu Zi possess life-saving properties; conversely, administering Ren Shen and Fu Zi in Yin-Heat Jue acts as lethal poison. The treatment for Yin-Heat Jue should prioritize tonifying Yin to support Yang. By ensuring the sufficiency of True Yin, pathogenic Yin will naturally dissipate, and by strengthening Yang, deficient Fire will spontaneously subside. Consequently, phlegm and saliva will transform, coma will resolve, and Jue will cease. Prescribe Bu Yin Zhu Yang Tang: Xuan Shen (1 liang), Mai Dong (1 liang), Shu Di Huang (1 liang), Ren Shen (2 qian), Bai Jie Zi (5 qian), Chai Hu (1 qian), Bai Shao (1 liang), Dang Gui (1 liang), Bai Zhu (1 liang), Fu Ling (5 qian), Chang Pu (1 qian). Decoct in water and administer orally. One dose will awaken the patient from coma; two doses will resolve phlegm and saliva; three doses will reverse Jue, permitting survival. Failure to respond indicates incurability.
[Original] This formula contains more Yin-tonifying herbs than Yang-tonifying ones. Sufficient Yin water disperses Yin fire; dispersed Yin fire allows Yang Qi to return; harmonized Yin and Yang should awaken coma. If ineffective, Yin and Yang have already separated irreversibly, not due to the formula. Some argue: Yang deficiency separating from Yin suggests tonifying Yang alone to enter Yin; tonifying Yin to join Yang seems incorrect. However, Yang deficiency failing to enter Yin blood is due to extreme dryness of Yin blood and flourishing fire making deficient Yang afraid to enter Yin, not an excess of Yin blood. If Yang is over-tonified, Yang becomes robust and Yin further diminishes. Thus, one must tonify Yin to harmonize with Yang, never tonifying Yang to overcome Yin. Moreover, the formula contains Yang-tonifying herbs; seven parts Yin-tonifying, three parts Yang-tonifying, preventing imbalance and rescuing Jue. Jie Yun Shen Dan is also effective. Ren Shen, Ban Xia (2 qian each), Fu Ling (5 qian), Nan Xing (1 qian), Tian Ma, Wu Yao, Chen Pi, Chang Pu (5 fen each), Dang Gui (3 qian), Chai Hu (1 qian). Decoct in water and take orally.
[Translation] This prescription contains a higher proportion of Yin-nourishing herbs compared to Yang-tonifying ones. Adequate Yin fluids disperse Yin fire; once Yin fire is dispersed, Yang Qi can return. Harmonization of Yin and Yang facilitates the awakening from coma. If the formula proves ineffective, it indicates that Yin and Yang have already undergone irreversible separation, rather than a failure of the prescription itself. Some might argue: Since Yang deficiency leads to detachment from Yin, one should tonify Yang exclusively to facilitate its entry into Yin; tonifying Yin to unite with Yang appears contrary to proper treatment principles. However, the reason Yang deficiency prevents entry into Yin blood is due to extreme dryness of the Yin blood and vigorous fire, which makes deficient Yang reluctant to enter Yin; this is not indicative of an excess of Yin blood. If Yang is excessively tonified, Yang becomes robust while Yin further deteriorates. Therefore, it is imperative to tonify Yin to harmonize with Yang, and absolutely avoid tonifying Yang to dominate Yin. Furthermore, the formula does contain Yang-tonifying herbs; the ratio is seven parts Yin-tonifying to three parts Yang-tonifying, ensuring balance and enabling the rescue of Jue. Jie Yun Shen Dan is also effective for this condition. Ren Shen, Ban Xia (2 qian each), Fu Ling (5 qian), Nan Xing (1 qian), Tian Ma, Wu Yao, Chen Pi, Chang Pu (5 fen each), Dang Gui (3 qian), Chai Hu (1 qian). Decoct in water and administer orally.
[Original] A person has Jue during the day and again at night; after nighttime Jue, daytime Jue recurs. Body heat is like fire, phlegm makes noise. This is Yin-Yang combined Jue. More heat means more Jue; using fire-draining drugs removes heat and Jue. However, since Jue differs by day/night and heat differs by Yin/Yang, one cannot merely drain fire. One should use Yin-tonifying drugs while draining Yang; use Yang-tonifying agents while suppressing Yin. Thus, Yang fire消 (disappears) with Yin, Yin fire transforms with Yang. Lift Yang out of Yin to prevent daytime coma; raise Yin into Yang to prevent nighttime dizziness. Use Xuan Zhuan Yin Yang Tang: Ren Shen (1 qian), Bai Zhu (3 qian), Bai Fu Shen (3 qian), Bai Shao (5 qian), Dang Gui (3 qian), Sheng Di (5 qian), Mai Dong (3 qian), Fu Zi (1 fen), Chao Zhi Zi (2 qian), Tian Hua Fen (3 qian), Chai Hu (1 qian). Decoct in water and take orally. One dose stabilizes Jue; no further dose needed.
[Translation] Some patients experience Jue syndrome during the day and recur at night; following nighttime Jue, daytime Jue reoccurs. The body temperature is high like fire, and phlegm produces audible sounds. This is classified as Yin-Yang Combined Jue. Greater heat intensity correlates with increased frequency of Jue; employing fire-draining medications removes heat and consequently Jue. However, given that Jue varies between day and night, and heat differs between Yin and Yang aspects, one cannot rely solely on draining fire. The approach should involve incorporating Yin-tonifying herbs while draining Yang heat, and utilizing Yang-tonifying agents while suppressing Yin. This way, Yang fire will subside with the aid of Yin, and Yin fire will transform with the assistance of Yang. Elevating Yang out of Yin prevents daytime coma; raising Yin into Yang prevents nighttime vertigo. Prescribe Xuan Zhuan Yin Yang Tang: Ren Shen (1 qian), Bai Zhu (3 qian), Bai Fu Shen (3 qian), Bai Shao (5 qian), Dang Gui (3 qian), Sheng Di Huang (5 qian), Mai Dong (3 qian), Fu Zi (1 fen), Chao Zhi Zi (2 qian), Tian Hua Fen (3 qian), Chai Hu (1 qian). Decoct in water and administer orally. One dose stabilizes Jue; additional doses are unnecessary.
[Original] This formula tonifies both Yin and Yang, drains both phlegm and fire, combining tonification and purgation. It treats Jue without directly targeting it, yet Jue stabilizes. If one tonifies Yin without Yang, or drains Yang without suppressing Yin, Yin-Yang imbalance ensues, phlegm-fire conflict arises, leading to unpredictable changes and incurable conditions. Xi Zheng Tang is also effective. Chai Hu, Shen Qu (2 qian each), Gan Cao (1 qian), Chao Zhi Zi, Tian Hua Fen (3 qian each), Fu Ling (5 qian), Sheng Di (1 liang). Decoct in water and take orally. One dose brings peace; two doses cure.
[Translation] This prescription tonifies both Yin and Yang simultaneously, drains both phlegm and fire, integrating tonification and purgative methods. It stabilizes Jue indirectly without directly targeting the symptom. If one tonifies Yin without supporting Yang, or drains Yang heat without suppressing Yin cold, Yin-Yang imbalance will occur, leading to conflict between phlegm and fire, resulting in unpredictable complications and potentially incurable conditions. Xi Zheng Tang is also effective for this condition. Chai Hu, Shen Qu (2 qian each), Gan Cao (1 qian), Chao Zhi Zi, Tian Hua Fen (3 qian each), Fu Ling (5 qian), Sheng Di Huang (1 liang). Decoct in water and administer orally. One dose alleviates the condition; two doses result in a cure.
[Original] After great anger and suppression, things go wrong, sudden loud shouting and Jue, vomiting phlegm like a surge, blindness to recognition. This is Liver Qi counterflow, Jue caused by phlegm. Liver nature is urgent; urgency leads to anger; anger impedes Qi release; Liver nature becomes more urgent; Liver blood dries; seeks help from Spleen/Stomach for resources. Blood cannot generate instantly; Spleen/Stomach send grain-fluids to Liver; before transforming to blood, quickly turns to phlegm to nourish Liver. Liver likes blood, dislikes phlegm; phlegm tries to enter Liver but is rejected; phlegm blocks Liver exterior, closing Liver orifices. Liver gains harm from phlegm, knowing Liver dryness/stagnation. No fluid infusion leads to boiling inflammation; phlegm closes above, fire rises below; how can impact not cause Jue? Treatment: remove phlegm to stop Jue. But removing phlegm requires calming Liver; calming Liver requires resolving anger. Use Ping Jie Tang: Xiang Fu (5 qian), Dang Gui (5 qian), Tian Hua Fen (3 qian), Ban Xia (2 qian), Fu Ling (3 qian), Shen Qu (2 qian), Mai Ya (2 qian), Chao Zhi Zi (2 qian), Huang Lian (5 fen), Gan Cao (1 qian). Decoct in water and take orally. One dose lightens Jue; two doses stabilize; three doses cure.
[Translation] Following intense anger compounded by frustration and unfulfilled desires, a person may suddenly shout loudly and develop Jue syndrome, vomiting copious amounts of phlegm, and losing recognition of others. This is caused by counterflow of Liver Qi, where Jue is precipitated by phlegm obstruction. The Liver's nature is rapid and urgent; urgency predisposes to anger; anger obstructs the free flow of Qi; this exacerbates the Liver's urgency, causing Liver blood to dry. The dried state necessitates seeking resources from the Spleen and Stomach. However, blood cannot be generated instantaneously; the Spleen and Stomach transport fluids from food and drink to the Liver. Before these fluids can fully transform into blood, they rapidly convert into phlegm to temporarily nourish the Liver. The Liver prefers blood and dislikes phlegm; when phlegm attempts to enter the Liver, it is rejected. Consequently, phlegm obstructs the exterior of the Liver, sealing its orifices. Instead of benefiting from phlegm, the Liver suffers harm, revealing severe Liver dryness and stagnation. The lack of fluid infusion leads to rampant inflammatory heat; with phlegm blocking the upper jiao and fire rising from below, the resulting upward impact inevitably causes Jue. The treatment principle is to eliminate phlegm to stabilize Jue. However, eliminating phlegm requires pacifying the Liver, and pacifying the Liver depends on resolving anger. Prescribe Ping Jie Tang: Xiang Fu (5 qian), Dang Gui (5 qian), Tian Hua Fen (3 qian), Ban Xia (2 qian), Fu Ling (3 qian), Shen Qu (2 qian), Mai Ya (2 qian), Chao Zhi Zi (2 qian), Huang Lian (5 fen), Gan Cao (1 qian). Decoct in water and administer orally. One dose reduces Jue severity; two doses stabilize Jue; three doses achieve a complete cure.
[Original] This formula resolves Liver Qi counterflow with miraculous effect. It clears heat without drying, guides phlegm without being harsh. San Bai San is also effective. Bai Shao, Chuan Xiong (5 qian each), Zhi Zi, Fu Shen, Tian Hua Fen (3 qian each), Dang Gui (5 qian), Bai Dou Kou (2 pieces), Nan Xing, Chang Pu, Zhi Ke (1 qian each). Decoct in water and take orally. Two doses cure.
[Translation] This prescription resolves Liver Qi counterflow with remarkable efficacy. It clears heat without causing dryness and guides phlegm without being overly harsh. San Bai San is also effective for this condition. Bai Shao, Chuan Xiong (5 qian each), Zhi Zi, Fu Shen, Tian Hua Fen (3 qian each), Dang Gui (5 qian), Bai Dou Kou (2 pieces), Nan Xing, Chang Pu, Zhi Ke (1 qian each). Decoct in water and administer orally. Two doses result in a cure.
[Original] Someone who gets angry and drinks wine regularly, not stopping until drunk, develops Jue one day, losing consciousness, slightly recovering still calling for wine, fainting repeatedly. People think it's drunkenness, but it's actually Gallbladder Fire moving. Liver and Gallbladder are interior-exterior; Liver Qi counterflow causes Gallbladder Qi counterflow; Liver Fire moves causes Gallbladder Fire to move. Wine enters organs, first entering Gallbladder; wine permeates Gallbladder, turning to water. But wine is very hot; excessive drinking, though wine turns to water, its heat doesn't dissipate, staying in Gallbladder. Anger injures Liver, Liver Fire has no outlet, flows into Gallbladder. Gallbladder gets wine heat plus Liver fire, heat increases. Liver/Gallbladder are Mother of Heart; Mother heat calls Son to relieve atmosphere; Gallbladder heat transfers to Heart. Heart cannot accept heat, transforms into Jue. Treatment: urgently clear Heart heat, but Heart heat doesn't originate in Heart, must drain Gallbladder heat; Gallbladder heat doesn't originate in Gallbladder, must drain Liver heat, to resolve wine heat. Use Xiao Yao San modified. Chai Hu (1 qian), Bai Shao (1 liang), Fu Ling (5 qian), Bai Zhu (5 qian), Gan Cao (2 fen), Chen Pi (5 fen), Dang Gui (2 qian), Ge Hua (2 qian), Chao Zhi Zi (3 qian), Bai Jie Zi (3 qian). Decoct in water and take orally. One dose lightens Jue; two doses stabilize; three doses cure.
[Translation] Individuals who habitually consume alcohol upon becoming angry, refusing to stop until intoxicated, may develop Jue syndrome one day, losing consciousness. Upon slight recovery, they may still call for wine and scream, experiencing repeated fainting spells. Laypeople attribute this to excessive drunkenness, but it is actually caused by the activation of Gallbladder Fire. The Liver and Gallbladder share an interior-exterior relationship; counterflow of Liver Qi induces counterflow of Gallbladder Qi, and movement of Liver Fire triggers movement of Gallbladder Fire. When wine enters the viscera, it first enters the Gallbladder. As wine permeates the Gallbladder, it transforms into fluid. However, wine possesses intense heat properties; excessive consumption means that although the wine transforms into fluid, its heat characteristic does not dissipate completely and remains stored in the Gallbladder. Furthermore, anger injures the Liver, leaving Liver Fire with no outlet, causing it to divert into the Gallbladder. The Gallbladder, receiving both the heat from wine and the fire from the Liver, experiences intensified heat. In Five Element theory, Liver and Gallbladder (Wood) are the mother of the Heart (Fire); maternal heat prompts the son organ to assist in dissipating the heat. Naturally, Gallbladder heat transfers to the Heart. The Heart cannot tolerate excessive heat, which transforms into Jue syndrome. The treatment requires urgently clearing Heart heat; however, since Heart heat does not originate in the Heart itself, one must drain Gallbladder heat. Since Gallbladder heat does not originate in the Gallbladder itself, one must drain Liver heat, thereby resolving the heat derived from wine. Prescribe Modified Xiao Yao San: Chai Hu (1 qian), Bai Shao (1 liang), Fu Ling (5 qian), Bai Zhu (5 qian), Gan Cao (2 fen), Chen Pi (5 fen), Dang Gui (2 qian), Ge Hua (2 qian), Chao Zhi Zi (3 qian), Bai Jie Zi (3 qian). Decoct in water and administer orally. One dose reduces Jue severity; two doses stabilize Jue; three doses achieve a complete cure.
[Original] Xiao Yao San treats stagnation excellently. Assisted by Zhi Zi to drain fire, aided by Ge Hua to resolve wine, added Bai Jie Zi to消 phlegm. Wine diseases always involve dampness; dampness easily generates phlegm. Remove dampness, phlegm loses support; remove phlegm, fire loses momentum. With no dampness support and no fire momentum, recurrence of Jue is impossible. Formula uses much Fu Ling, Bai Zhu to assist Chai Hu, Bai Shao for this reason. Xing Jiu Tang is also effective. Gan Ge, Zuo Mu Zhi (1 qian each), Ren Shen (2 qian), Fu Shen (3 qian), Bai Shao (5 qian), Huang Lian, Ban Xia (5 fen each), Wu Zhu Yu (2 fen). Decoct in water and take orally. One dose effective; four doses cure.
[Translation] Xiao Yao San is exceptionally effective in treating stagnation patterns. It is assisted by Zhi Zi to drain fire, augmented by Ge Hua to resolve alcohol toxicity, and supplemented with Bai Jie Zi to eliminate phlegm. Alcohol-related diseases invariably involve dampness; dampness readily generates phlegm. Removing dampness deprives phlegm of its foundation; eliminating phlegm deprives fire of its momentum. With neither dampness nor fire having support or momentum, recurrence of Jue becomes impossible. The rationale for using substantial amounts of Fu Ling and Bai Zhu to assist Chai Hu and Bai Shao in the formula is precisely this principle. Xing Jiu Tang is also effective for this condition. Gan Ge, Zuo Mu Zhi (1 qian each), Ren Shen (2 qian), Fu Shen (3 qian), Bai Shao (5 qian), Huang Lian, Ban Xia (5 fen each), Wu Zhu Yu (2 fen). Decoct in water and administer orally. One dose yields effectiveness; four doses result in a cure.
[Original] Person vomits 1-2 bowls of sour water after noon, chest pain at Wei hour, severe pain and Jue at Shen hour, unconscious until Xu hour, daily like this. People think it's Yin division heat, but it's actually Blood stasis in Taiyang Bladder meridian. Urine not blocked means Bladder Qi transforms. Qi is formless, can transform/disperse. Blood stasis is formed, cannot disperse like Qi. Wei/Shen hours are when Healthy Qi travels Bladder. Qi moves in blood, blood cannot move in Qi, causing pain and Jue. To activate blood stasis, Qi drugs alone cannot disperse; must use formed substances to control blood, so Qi can break blood without obstruction. Use Zhu Xue Dan: Dang Gui Wei (1 liang), Da Huang (3 qian), Hong Hua (3 qian), Tao Ren (20 grains), Tian Hua Fen (3 qian), Zhi Ke (5 fen), Hou Po (2 qian), Dan Pi (3 qian), Shui Zhi (burnt black, 1 qian). Decoct in water and take orally. One dose unblocks stasis; two doses disperse stasis completely.
[Translation] A patient vomits one to two bowls of sour fluid after noon, experiences precordial pain during the Wei hour (1–3 PM), suffers severe pain and develops Jue syndrome during the Shen hour (3–5 PM), remains unconscious until the Xu hour (7–9 PM), repeating this pattern daily. While lay observers attribute this to heat in the Yin division, it is actually caused by blood stasis lodged in the Taiyang Bladder meridian. The fact that urination is not obstructed indicates that Bladder Qi transformation function remains intact. Qi is formless and capable of transformation and dispersion. In contrast, blood stasis is formed matter and cannot disperse as easily as formless Qi. The Wei and Shen hours correspond to the time when Healthy Qi circulates through the Bladder meridian. When Qi moves within the blood, but the blood cannot move freely within the Qi framework, pain and Jue ensue. To revitalize stagnant blood, Qi-moving herbs alone are insufficient for dispersion; one must employ substances with tangible properties to address the blood, allowing Qi to break up the blood stasis without obstruction. Prescribe Zhu Xue Dan: Dang Gui Wei (1 liang), Da Huang (3 qian), Hong Hua (3 qian), Tao Ren (20 grains), Tian Hua Fen (3 qian), Zhi Ke (5 fen), Hou Po (2 qian), Dan Pi (3 qian), Shui Zhi (fire-burnt to black, 1 qian). Decoct in water and administer orally. One dose unblocks the stasis; two doses completely disperse the blood stasis.
[Original] Using Shui Zhi with Da Huang, Hou Po to chase formed blood clumps, disease goes away like sweeping, pain and Jue gone. Without Shui Zhi, can stop Jue/pain, but formed clumps not fully chased; must add Shui Zhi for miracle. Do not fear this herb and discard it, leaving lifelong illness. Po Yu Dan is also miraculous. Shui Zhi (fried dry black, 2 qian), Dang Gui, Bai Shao (1 liang each), Fu Ling (3 qian), Rou Gui (3 fen), Tao Ren (14 grains), Sheng Di (5 qian), Zhi Ke (5 fen), Zhu Ling (1 qian). Decoct in water and take orally. Two doses cure.
[Translation] Incorporating Shui Zhi with Da Huang and Hou Po enables the expulsion of formed blood clots, causing the disease to vanish as if swept away, with pain and Jue completely eliminated. Without Shui Zhi, although Jue and pain may be controlled, formed blood clots cannot be fully expelled; adding Shui Zhi is necessary to achieve miraculous results. One should not fear this herb and discard it lightly, thereby condemning the patient to lifelong illness. Po Yu Dan is also miraculous for this condition. Shui Zhi (fried until dry and black, 2 qian), Dang Gui, Bai Shao (1 liang each), Fu Ling (3 qian), Rou Gui (3 fen), Tao Ren (14 grains), Sheng Di Huang (5 qian), Zhi Ke (5 fen), Zhu Ling (1 qian). Decoct in water and administer orally. Two doses result in a cure.
[Original] Suddenly feels like cold water poured on back, startled, cold limbs, unconscious, then fever, gradually wakes, 3-4 times/day. People think it's evil spirits, but it's extreme Qi deficiency. Qi guards body; Qi strong means body strong, Qi weak means body frail. External cold invasion is due to internal Qi weakness. Internal Qi weak doesn't need external evil attack; even when healthy, feels Yin cold pressing body like cold water on back, showing internal Qi weakness, why would spirits come? However, extreme internal heat also causes shivering, called "deep Jue means deep heat," similar to extreme Qi deficiency causing shivering. Looks similar but different. If not distinguished clearly, kills instantly. Method: Internal heat/exterior cold has rapid, forceful pulse and dry tongue; Qi deficiency/exterior cold has faint, weak pulse and slippery/wet tongue. So for Qi deficiency, must greatly tonify Qi, never add Great Cold herbs. Use Su Qi Tang: Ren Shen (1 liang), Chen Pi (1 qian), Zhi Ke (3 fen), Chang Pu (5 fen). Decoct in water and take orally. One dose lighter; two doses lighter; several doses cure.
[Translation] A patient suddenly experiences a sensation as if cold water were poured on their back, startsles violently, develops cold extremities, and loses consciousness. Subsequently, fever develops, and the patient gradually regains consciousness. This cycle repeats three to four times daily. Lay observers may attribute this to malevolent spirits, but it is actually caused by extreme Qi deficiency. Qi serves to protect the body; robust Qi ensures physical strength, while deficient Qi leads to physical frailty. Invasion by external cold is a manifestation of internal Qi weakness. When internal Qi is deficient, external pathogenic invasion is not strictly necessary; even in a healthy state, the individual may frequently feel Yin-cold pressing against the body, akin to cold water poured on the back, which clearly demonstrates internal Qi weakness. Why would spirits invade? However, extreme internal heat can also manifest as chills, described as "the deeper the Jue, the deeper the heat." This resembles the chills caused by extreme Qi deficiency. Although superficially similar, they are fundamentally different. If not distinguished with utmost clarity, misdiagnosis can lead to instantaneous death. The differentiation method is as follows: Internal heat with exterior cold presents with a rapid and forceful pulse and a dry tongue; Qi deficiency with exterior cold presents with a faint and weak pulse and a slippery, moist tongue. Therefore, for Qi deficiency syndromes, one must vigorously tonify Qi and absolutely avoid adding Great Cold herbs. Prescribe Su Qi Tang: Ren Shen (1 liang), Chen Pi (1 qian), Zhi Ke (3 fen), Chang Pu (5 fen). Decoct in water and administer orally. One dose reduces symptoms; two doses further alleviate them; continuous administration of several doses achieves a cure.
[Original] This formula heavily uses Ren Shen to tonify Qi, adds Chen Pi, Zhi Ke to broaden middle and消 phlegm, making Ren Shen Su Qi more miraculous; adds Chang Pu to guide three flavors straight to Heart, so Qi cannot scatter outside Heart. Zhu Qi Hui Yang Tang is also effective. Ren Shen, Huang Qi (5 qian each), Nan Xing (2 qian), Gan Cao (1 qian), Fu Ling (3 qian), Zhi Ke (5 fen), Sha Ren (3 grains). Decoct in water and take orally. Two doses effective; four doses cure.
[Translation] This prescription heavily utilizes Ren Shen to tonify Qi. The addition of Chen Pi and Zhi Ke broadens the Middle Jiao and eliminates phlegm, enhancing the miraculous efficacy of Ren Shen in revitalizing Qi. The inclusion of Chang Pu guides the three primary ingredients directly into the Heart, preventing Qi from scattering outside the Heart. Zhu Qi Hui Yang Tang is also effective for this condition. Ren Shen, Huang Qi (5 qian each), Nan Xing (2 qian), Gan Cao (1 qian), Fu Ling (3 qian), Zhi Ke (5 fen), Sha Ren (3 grains). Decoct in water and administer orally. Two doses yield effectiveness; four doses result in a complete cure.