阴阳相乘，而生寒热厥者，脉证似同而大异。寒厥者，初得之，四肢冷，脉沉微而不数
，多恶寒，引衣自覆，下利清谷，外证多惺惺；热厥者，初得之，必发热头疼，脉虽沉伏，
按之必数，其人或畏热喜冷，扬手掉足，烦躁不眠，大小便秘赤，外证多昏冒，伤寒亦然。
治之各有方。
治寒厥。或表热里寒，下利清谷，食入则吐；或干呕；或大汗大吐大下之后，
四肢冰冰，五内拘急，举体疼痛，不渴，脉沉伏。
大附子(去皮脐生用，半两） 干姜（半两） 甘草(炙，一分)
上锉散。每服四钱，水二盏，煎七分，去滓，食前温服，并进取效。
治热厥。腹满身重，难以转侧，面垢谵语遗溺，手足厥冷，自汗，脉沉滑，里有热也。
石膏（四两，椎碎) 知母（一两半） 甘草(炙，半两)
上为锉散。每服四大钱，水二盏，粳米一撮，煮米熟，去滓，取七分，清汁服，可并进服。
亦治热厥，方见伤寒门，举此为例，当观病浅深，量多寡以饮之。(方见第四卷)
治卒厥暴死，及主客忤、鬼击、飞尸，奄忽气绝，不觉口噤。
麻黄(去节，三两） 杏仁(去皮尖，二百八十个) 甘草(炙，一钱)
上为锉散。每服四钱，水一盏半，煎七分，去滓，灌之。通治诸感忤，或口噤，拗
口不开，去齿下汤，汤入口活；不下，分病患发，左右捉，搦肩引之，药下，渐令服尽取效
。《千金》有桂心二两。《金匮》云，寸脉沉大而滑，沉则为实，滑则为气，实气相搏，血
气入脏则死，入腑则愈。若卒厥，唇口青，身冷，为入脏，即死；身和汗出则愈。
阴阳二气相互侵扰，从而产生寒热厥证，其脉象与症状看似相同实则大相径庭。寒厥证，初起时四肢冰冷，脉象沉微且不快，多伴有恶寒，喜欢拉衣被覆盖身体，大便泻下未消化的食物，外在表现大多神志清醒；热厥证，初起时必定发热头痛，脉象虽然沉伏，但重按必然数急，患者可能畏热喜冷，扬手踢脚，烦躁不眠，大小便干结色赤，外在表现大多昏沉冒昧，伤寒病也是如此。治疗各有相应的方剂。
治疗寒厥证。有的表现为表热里寒，大便泻下未消化的食物，进食后即呕吐；或者干呕；或者在大汗、大吐、大下之后，四肢冰凉，内脏拘挛紧急，全身疼痛，口不渴，脉象沉伏。
大附子（去皮脐，生用，半两） 干姜（半两） 甘草（炙，一分）
以上药物切碎成散剂。每次服用四钱，加水两盏，煎至七分，去渣，饭前温服，通常能迅速见效。
治疗热厥证。腹部胀满，身体沉重，难以翻身侧卧，面色垢秽，胡言乱语，遗尿，手足厥冷，自汗出，脉象沉滑，这是里有热邪。
石膏（四两，捣碎） 知母（一两半） 甘草（炙，半两）
以上药物切碎成散剂。每次服用四大钱，加水两盏，粳米一撮，煮至米熟，去渣，取七分清汁服用，可以同时服用。
也治疗热厥证，方剂见伤寒门，列举此例作为代表，应当观察病情的深浅，衡量药量的多少来饮用。（方剂见第四卷）
治疗突然发生的厥证暴死，以及主客忤、鬼击、飞尸等症，气息突然断绝，不知牙关紧闭。
麻黄（去节，三两） 杏仁（去皮尖，二百八十个） 甘草（炙，一钱）
以上药物切碎成散剂。每次服用四钱，加水一盏半，煎至七分，去渣，灌服。通用治疗各种感忤之症，或者牙关紧闭，掰不开嘴的，去掉牙齿灌入药汤，药汤入口人就能活；如果灌不下去，分开患者的头发，左右抓住肩膀牵引，药液进入后，逐渐让患者服尽以见效。《千金方》中有桂心二两。《金匮要略》说，寸脉沉大而滑，沉则代表实邪，滑则代表气滞，实邪与气滞相互搏结，血气侵入脏则死，侵入腑则愈。如果是突然厥逆，嘴唇口角发青，身体冰冷，这是邪气入脏，即死；如果身体温和且有汗出，则痊愈。
When Yin and Yang Qi mutually invade, cold-heat Jue (cold limbs with internal heat or vice versa) arises; the pulse and symptoms may appear similar but are fundamentally different. In Cold Jue, initially, the four limbs are cold, the pulse is deep, faint, and not rapid, accompanied by aversion to cold, a desire to cover oneself with clothing, diarrhea with undigested food, and the external manifestation is mostly lucid. In Heat Jue, initially, there must be fever and headache; although the pulse is deep and hidden, palpation reveals it to be rapid. The patient may fear heat and prefer cold, wave hands and kick feet, feel restless and unable to sleep, have dry and dark urine and stool, and the external manifestation is mostly stuporous. This also applies to Shanghan (Cold Damage). Each has its specific treatment formula.
To treat Cold Jue. Some present with exterior heat and interior cold, diarrhea with undigested food, and vomiting immediately after eating; or dry heaving; or after excessive sweating, vomiting, or purging, the four limbs are ice-cold, the internal organs feel cramped and tense, the whole body hurts, there is no thirst, and the pulse is deep and hidden.
Da Fuzi (Aconiti Lateralis Radix Praeparata, peeled and de-navelled, raw, half liang) Ganjiang (Dried Ginger Rhizome, half liang) Gancao (Licorice Root, honey-fried, one fen)
Crush these into a powder. Take four qian per dose, add two zhan of water, decoct until reduced to seven-tenths, remove the dregs, and take warm before meals for prompt effect.
To treat Heat Jue. Abdominal fullness, heaviness of the body, difficulty in turning over, greasy facial appearance, delirium, urinary incontinence, coldness of hands and feet, spontaneous sweating, and a deep-slippery pulse indicate heat within the interior.
Shigao (Gypsum Fibrosum, crushed, four liang) Zhimu (Anemarrhenae Rhizoma, one-and-a-half liang) Gancao (Licorice Root, honey-fried, half liang)
Crush these into a powder. Take four large qian per dose, add two zhan of water and a pinch of Jingmi (Rice Grain), boil until the rice is cooked, remove the dregs, take seven-tenths of the clear liquid, and can be taken together.
This also treats Heat Jue; see the Shanghan section for the formula, using this as an example. One should observe the depth of the disease and measure the quantity to administer. (See Volume 4)
To treat sudden Jue leading to apparent death, as well as conditions caused by host-guest conflict, ghost strike, or flying corpse, where breath suddenly ceases and the jaw becomes locked without awareness.
Mahuang (Ephedrae Herba, nodes removed, three liang) Xingren (Prunus Armeniaca Seed, skin and tips removed, 280 seeds) Gancao (Licorice Root, honey-fried, one qian)
Crush these into a powder. Take four qian per dose, add one-and-a-half zhan of water, decoct until reduced to seven-tenths, remove the dregs, and instill. This generally treats various shock-like conditions or locked jaws that cannot be opened. Remove teeth if necessary to instill the decoction; if the medicine enters, life is saved. If it does not go down, part the patient's hair, grasp the shoulders from left and right, pull gently, and once the medicine enters, gradually let the patient consume it all for effect. Qianjin Fang includes Guixin (Cinnamomi Cortex, two liang). Jin Gui Yao Lue states: "The cun position of the pulse is deep, large, and slippery. Deep indicates excess, slippery indicates qi stagnation. When excess and qi stagnate and clash, if blood and qi enter the Zang organs, death ensues; if they enter the Fu organs, recovery occurs." In sudden Jue, if lips and mouth are blue and the body is cold, it indicates entry into the Zang organs, which is fatal; if the body is warm and there is sweating, recovery occurs.