陈 遗尿。目瞑口开。面亮汗油。阳飞欲脱。无药力挽。拟参附汤法。加入童便。图元真接续耳。（阳脱）
又 子丑为阴阳交界之时。更逢霜降。正不相续。后现脱象。进两摄阴阳方。参附汤加五味子。
又 阳回。汗止神苏。无如阴液欲涸。心热渴饮。姑救胃汁。
人参 麦冬 五味 茯神 建莲
又 肾真未全收纳。便溺自遗。无如咽燥喉痛。阳虽初回。阴气欲尽。难进温热之补。大意收摄真阴为治。
人参 麦冬 五味 熟地炭 茯神 远志炭 菖蒲根
又 胃虚。客气上逆为呃噫。痰带血腥。咽中微痛。用镇摄法。
人参 熟地 北味 茯神 青铅
周 脉革无根。左尺如无。大汗后。寒痉。头巅痛。躁渴不寐。此属亡阳。平昔饮酒少谷。回阳辛甘。未得必达。
有干呕格拒之状。真危如朝露矣。勉议仲景救逆汤。收摄溃散之阳。冀有小安。再议治病。救逆汤加参附。
徐 恰交第七日。鼾声呵欠。目瞑烦躁。诊脉微细而促。此皆二气不相接续。衰脱之征最速。是
清神熄风方法。难以进商。急固根蒂。仿河间地黄饮。（阴阳并虚）
熟地 附子 苁蓉 萸肉 杞子 远志 菖蒲 川斛
黄 肾脉不得上萦。肝风突起掀旋。呵欠鼾声。口噤汗出。阴阳不续。危期至速。地黄饮子极是。
熟地炭 萸肉炭 川斛 天冬 淡苁蓉 牛膝炭 五味 远志 茯神 饮子煎法。
凌 脉大不敛。神迷呓语。阴阳不相交合。为欲脱之象。救阴无速功。急急镇固阴阳。冀其苏息。
人参 茯神 阿胶 淮小麦 龙骨 牡蛎
又 阴液枯槁。阳气独升。心热惊惕。倏热汗泄。议用复脉汤。甘以缓热。充养五液。复脉去姜桂加牡蛎。
又 胃弱微呕。暂与养阳明胃津方。
人参 炒麦冬 炒白粳米 茯神 鲜莲子肉 川斛
又 人参（秋石水拌烘） 熟地炭 天冬 麦冬 茯神 鲜生地
又 秋燥上薄。嗽甚微呕。宜调本。兼以清燥。
人参（秋石水拌烘） 麦冬 玉竹 生甘草 南枣 白粳米
又 安胃丸（二钱） 秋石拌人参汤送。
某（氏）脉如雀啄。色枯气促。身重如山。不思纳谷。乃气血大虚。虑其暴脱。
人参 生地 阿胶 麦冬 炙草 左牡蛎
又 补摄足三阴。
人参 熟地炭 枣仁 茯神 五味 鲜莲子肉
朱（氏）久损不复。真气失藏。交大寒节。初之气。厥阴风木主候。肝风乘虚上扰。气升则呕吐。气降
则大便。寒则脊内更甚。热则神烦不宁。是中下之真气杳然。恐交春前后。有厥脱变幻。拟进镇逆法。
人参 生牡蛎 龙骨 附子 桂枝木 生白芍 炙草
艾 自半月前。寒热两日。色脉愈弱。食减寝少。神不自持。皆虚脱之象。议固之涩之。不及理病。
人参 生龙骨 牡蛎 桂枝 炙草 南枣肉
又 脉神稍安。议足三阴补方。
人参 砂仁末炒熟地 炒黑杞子 茯神 五味 牛膝炭
脱即死也。诸病之死。皆谓之脱。盖人病则阴阳偏胜。偏胜至极即死矣。人之生也。负阴抱
阳。又曰。阴在内。阳之守也。阳在外。阴之使也。是故阴中有阳。阳中有阴。其阴阳枢纽。自有
生以至老死。顷刻不离。离则死矣。故古圣先贤。创着医籍。百病千方。无非为补偏救弊。和
协阴阳。使人得尽其天年而已。夫脱有阴脱阳脱之殊。内经论之最详。难经又言脱阳者
见鬼。脱阴者目盲。此不过言其脱时之情状也。明理者须预为挽救则可。若至见鬼目盲
而治之。已无及矣。今观先生之治法。回阳之中必佐阴药。摄阴之内必兼顾阳气。务使阳
潜阴固。庶不致有偏胜之患。至于所脱之症不一。如中风眩晕呕吐喘衄。汗多亡阳之类。
是阳脱也。泻痢崩漏胎产。下多亡阴之类。是阴脱也。痧胀干霍乱。痞胀痉厥。脏腑窒塞之
类。是内闭外脱也。阳脱于上。阴脱于下。即人死而魂升魄降之谓也。总之阴阳枢纽不脱。
病虽重不死。然则阴阳枢纽何在。其在于命门欤。（华岫云）
陈姓患者出现遗尿。眼睛闭合，嘴巴张开。面色光亮且出汗如油。阳气飞越，即将脱失。药物力量难以挽回。拟定参附汤的方法。加入童便。试图让元真之气接续。（阳脱）
又：子时和丑时是阴阳交替的时刻。又恰逢霜降节气。正气正不相连接。随后出现脱证的征象。进服两剂摄纳阴阳的方剂。参附汤中加入五味子。
又：阳气回复。汗止住，神志清醒。无奈阴液将要枯竭。心中发热，口渴想喝水。暂且救治胃中津液。
人参 麦冬 五味子 茯神 建莲
又：肾中真气未能完全收纳。大小便自行遗出。无奈咽喉干燥疼痛。阳气虽然刚刚回复，但阴气将要耗尽。难以进用温热的补药。大意以收摄真阴为治疗原则。
人参 麦冬 五味子 熟地黄炭 茯神 远志炭 石菖蒲根
又：胃气虚弱。客气上逆导致呃逆嗳气。痰中带血腥味。咽喉中轻微疼痛。使用镇摄法。
人参 熟地黄 北五味子 茯神 青铅
周某：脉象革而无根。左尺脉仿佛没有。大汗之后。寒战抽搐。头顶疼痛。烦躁口渴无法入睡。这属于亡阳证。平素饮酒多而谷物摄入少。回阳的辛甘药物，未能必定到达病所。
有干呕格拒的症状。真气危重如同早晨的露水一样短暂。勉强建议采用张仲景的救逆汤。收摄溃散的阳气。希望得到片刻安宁。再议治病之法。救逆汤中加入人参、附子。
徐某：恰好交至第七天。打鼾声，呵欠。眼睛闭合，烦躁不安。诊脉微细而急促。这些都是阴阳二气不相连接。衰败脱失的征象最快显现。这是
清神熄风的方法，难以进行商讨。急固根本。仿照刘河间的地黄饮子。（阴阳并虚）
熟地黄 附子 肉苁蓉 山茱萸 枸杞子 远志 石菖蒲 川石斛
黄某：肾脉不能上行萦绕。肝风突起旋转。呵欠鼾声。口噤汗出。阴阳不连接。危险时期到来极快。地黄饮子非常合适。
熟地黄炭 山茱萸炭 川石斛 天冬 淡肉苁蓉 牛膝炭 五味子 远志 茯神 饮子煎法。
凌某：脉大而不收敛。神志昏迷说胡话。阴阳不相交合。是欲脱的征象。救阴没有快速的功效。急急镇固阴阳。希望其苏醒休息。
人参 茯神 阿胶 淮小麦 龙骨 牡蛎
又：阴液枯槁。阳气独自上升。心中发热惊惕。突然发热出汗。建议用复脉汤。甘味以缓解热势。充养五液。复脉汤去掉生姜、肉桂，加入牡蛎。
又：胃弱轻微呕吐。暂时给予滋养阳明胃津的方剂。
人参 炒麦冬 炒白粳米 茯神 鲜莲子肉 川石斛
又：秋燥上迫。咳嗽严重轻微呕吐。适宜调理根本。兼以清燥。
人参（秋石水拌烘） 麦冬 玉竹 生甘草 南枣 白粳米
某氏：脉象如雀啄。面色枯槁气息急促。身体沉重如山。不想进食。这是气血大虚。担心其暴脱。
人参 生地黄 阿胶 麦冬 炙甘草 左牡蛎
又：补摄足三阴经。
人参 熟地黄炭 酸枣仁 茯神 五味子 鲜莲子肉
朱氏：久病亏损不能恢复。真气失于藏守。交大寒节气。初之气。厥阴风木主令。肝风乘虚上扰。气升则呕吐。气降则大便。寒冷则脊内更甚。热则神烦不宁。是中下焦的真气杳然无存。恐怕交春前后，有厥脱变幻。拟进镇逆法。
人参 生牡蛎 龙骨 附子 桂枝木 生白芍 炙甘草
艾某：自半月前开始。寒热两天。神色脉象愈发虚弱。食减睡少。神志不能自主。都是虚脱的征象。建议固涩它。来不及处理疾病本身。
人参 生龙骨 牡蛎 桂枝 炙甘草 南枣肉
又：脉神稍微安定。建议足三阴补方。
人参 砂仁末炒熟地 炒黑枸杞子 茯神 五味子 牛膝炭
脱证就是死证。各种疾病的死亡，都称为脱。大概人患病则阴阳偏胜。偏胜到极点就死了。人的生存，背负阴怀抱阳。又说。阴在内，是阳的守持者。阳在外，是阴的役使者。因此阴中有阳，阳中有阴。其阴阳枢纽，自有生以至老死，片刻不离。离开就死了。所以古代圣贤，创制医籍，百病千方，无非是为了补偏救弊。和谐协调整体阴阳。使人得以享尽天然寿命罢了。至于脱证有阴脱阳脱的不同。《内经》论述得最详细。《难经》又说脱阳者见鬼，脱阴者目盲。这不过是描述其脱证时的情状。明理的人必须预先挽救才可以。如果等到见鬼目盲再去治疗，已经来不及了。现在观察先生的治法。回阳之中必须佐以阴药。摄阴之内必须兼顾阳气。务必使阳潜阴固。这样才不至于有偏胜的祸患。至于所脱的症候不一。如中风眩晕呕吐喘衄。汗多亡阳之类。这是阳脱。泻痢崩漏胎产。下多亡阴之类。这是阴脱。痧胀干霍乱。痞胀痉厥。脏腑窒塞之类。这是内闭外脱。阳脱于上，阴脱于下。即人死亡而魂升魄降的说法。总之阴阳枢纽不脱。病虽重不死。然而阴阳枢纽在哪里？大概在于命门吧。（华岫云评注）
Chen: Enuresis. Eyes closed, mouth open. Face shiny with oily sweat. Yang flying away, impending collapse. Medicinal strength cannot arrest it. Prescribe the method of Shenfu Tang (Ginseng and Aconite Decoction). Add child's urine. To attempt to reconnect the Yuan Zhen Qi (Primordial True Qi). (Yang Collapse)
Again: Zi and Chou hours are the time when Yin and Yang intersect. Furthermore, it coincides with the Frost Descent solar term. The righteous Qi is not continuous. Subsequently, signs of collapse appear. Administer two doses of formulas to grasp Yin and Yang. Shenfu Tang (Ginseng and Aconite Decoction) added with Wuweizi (Schisandra Berry).
Again: Yang has returned. Sweating stopped, spirit revived. Alas, Yin fluids are about to dry up. Heart heat, thirst with desire to drink. Temporarily rescue stomach fluids.
Renshen (Ginseng Radix et Rhizoma), Maidong (Ophiopogonis Radix), Wuwei (Schisandrae Fructus), Fushen (Poria with Hostwood), Jianlian (Nelumbinis Semen).
Again: Kidney true Qi has not fully been grasped. Urine and stool involuntarily discharged. Alas, throat dry and painful. Although Yang has initially returned, Yin Qi is about to exhaust. Difficult to administer warm-tonifying medicines. The general idea is to treat by grasping the True Yin.
Renshen (Ginseng Radix et Rhizoma), Maidong (Ophiopogonis Radix), Wuwei (Schisandrae Fructus), Shudihuang Tan (Charred Rehmanniae Radix), Fushen (Poria with Hostwood), Yuanzhi Tan (Charred Polygalae Radix), Changpu Gen (Acori Tatarinowii Rhizoma).
Again: Stomach deficiency. Guest Qi counterflows upward causing hiccup and belching. Phlegm mixed with bloody scent. Slight pain in the throat. Use the method of sedation and grasping.
Renshen (Ginseng Radix et Rhizoma), Shudi (Prepared Rehmanniae Radix), Beiwei (Schisandrae Fructus), Fushen (Poria with Hostwood), Qingqian (Cassiteris Oxidum).
Zhou: Pulse is革 (Leather-like) and rootless. Left Chi pulse seems absent. After profuse sweating. Cold and spasms. Pain at the vertex. Restlessness, thirst, insomnia. This belongs to Wang Yang (Loss of Yang). Usually drinks alcohol, eats little grain. Acrid-sweet Yang-returning medicines did not necessarily reach the target.
There are signs of dry heaving and rejection. True Qi is as precarious as morning dew. Reluctantly propose Zhang Zhongjing's Jiuniu Tang (Rescue for Reversal Decoction). To grasp scattered Yang. Hope for slight peace. Then discuss treating the disease. Jiuniu Tang (Rescue for Reversal Decoction) added with Renshen (Ginseng Radix et Rhizoma) and Fuzi (Prepared Aconiti Lateralis Radix).
Xu: Just entering the seventh day. Snoring, yawning. Eyes closed, restlessness. Pulse is faint, fine, and rapid. These are all signs that the two Qi (Yin and Yang) are not continuous. Signs of decline and collapse appear most rapidly. This is
The method of clearing spirit and extinguishing wind is difficult to discuss. Urgently solidify the root. Imitate Hejian's Dihuang Yinzi (Rehmannia Decoction). (Yin and Yang both deficient)
Shudi (Prepared Rehmanniae Radix), Fuzi (Prepared Aconiti Lateralis Radix), Rongrong (Cistanches Herba), Yurou (Corni Fructus), Qizi (Lycii Fructus), Yuanzhi (Polygalae Radix), Changpu (Acori Tatarinowii Rhizoma), Chuanhu (Dendrobii Caulis).
Huang: Kidney pulse cannot ascend and surround. Liver wind rises suddenly, spinning. Yawning, snoring. Jaw locked, sweating. Yin and Yang not continuous. Critical period arrives very quickly. Dihuang Yinzi (Rehmannia Decoction) is extremely appropriate.
Shudihuang Tan (Charred Prepared Rehmanniae Radix), Yurou Tan (Charred Corni Fructus), Chuanhu (Dendrobii Caulis), Tiandong (Asparagi Radix), Danrongrong (Light Cistanches Herba), Niuxi Tan (Charred Achyranthis Bidentatae Radix), Wuwei (Schisandrae Fructus), Yuanzhi (Polygalae Radix), Fushen (Poria with Hostwood). Decoction method for Yinzi.
Ling: Pulse is large but does not converge. Spirit confused, talking in sleep. Yin and Yang do not interact. It is a sign of impending collapse. Rescuing Yin has no quick effect. Urgently sedate and solidify Yin and Yang. Hope for revival and rest.
Renshen (Ginseng Radix et Rhizoma), Fushen (Poria with Hostwood), Ejiao (Donkey-hide Gelatin), Huaixiaomai (Triticum aestivum), Longgu (Fossilia Ossis Mastodi et Scapulae), Muli (Concha Ostreae).
Again: Yin fluids withered. Yang alone ascends. Heart heat, fright. Sudden heat and sweating. Propose using Maigui Jiajian Tang (Guizhi Jia Huanglong Tang modified? Note: Context implies Guizhi Gancao Jia Longgu Muli Tang or similar, but text says "Fumai Tang" which usually refers to Guizhi Gancao Longgu Muli Tang or similar variations in Ye Tianshi's context, often interpreted as Guizhi Tang variants or specific Ye's formulations. However, standard "Fumai Tang" is often associated with Zhang Xichun later, but here likely refers to a formula restoring pulse, possibly related to Guizhi family or specific Ye formulation. Given WHO terms, we translate literally as Pulse-Restoring Decoction). Sweet flavor to缓 (slow/relieve) heat. Nourish the Five Fluids. Remove Jiang (Ginger) and Gui (Cinnamon) from Fumai Tang (Pulse-Restoring Decoction), add Muli (Concha Ostreae).
Again: Weak stomach, slight vomiting. Temporarily give a formula to nourish Yangming Stomach fluids.
Renshen (Ginseng Radix et Rhizoma), Chao Maidong (Stir-fried Ophiopogonis Radix), Chao Baijingmi (Stir-fried White Rice Grain), Fushen (Poria with Hostwood), Xian Lianzirou (Fresh Lotus Seed Cotyledon), Chuanhu (Dendrobii Caulis).
Again: Renshen (Ginseng Radix et Rhizoma stir-fried with Qiushi water), Shudihuang Tan (Charred Prepared Rehmanniae Radix), Tiandong (Asparagi Radix), Maidong (Ophiopogonis Radix), Fushen (Poria with Hostwood), Xian Shengdi (Fresh Prepared Rehmanniae Radix).
Again: Autumn dryness attacks upwards. Severe cough, slight vomiting. Suitable to regulate the root. Concurrently clear dryness.
Renshen (Ginseng Radix et Rhizoma stir-fried with Qiushi water), Maidong (Ophiopogonis Radix), Yuzhu (Polygonati Odorati Rhizoma), Sheng Gancao (Raw Glycyrrhizae Radix et Rhizoma), Nanzao (Jujubae Fructus), Baijingmi (White Rice Grain).
Again: Anwei Wan (Stomach-Calming Pill, 2 qian). Take with Ginseng decoction stirred with Qiushi (Nitre).
Certain Lady: Pulse like a sparrow pecking. Complexion withered, breath short. Body heavy as mountain. No desire to eat. This is severe deficiency of Qi and Blood. Fear sudden collapse.
Renshen (Ginseng Radix et Rhizoma), Shengdi (Prepared Rehmanniae Radix - *Note: Text says Shengdi, usually Fresh Rehmanniae Radix is Shengdihuang, Prepared is Shudi. Here likely Fresh*), Ejiao (Donkey-hide Gelatin), Maidong (Ophiopogonis Radix), Zhi Cao (Honey-fried Glycyrrhizae Radix et Rhizoma), Zuo Muli (Left-side Concha Ostreae).
Again: Tonify and grasp the Three Yin Meridities of the Foot.
Renshen (Ginseng Radix et Rhizoma), Shudihuang Tan (Charred Prepared Rehmanniae Radix), Zaoren (Ziziphi Spinosae Semen), Fushen (Poria with Hostwood), Wuwei (Schisandrae Fructus), Xian Lianzirou (Fresh Lotus Seed Cotyledon).
Zhu: Long-term damage not recovered. True Qi lost its storage. Crossing the Great Cold solar term. First Qi phase. Jueyin Wind-Wood governs. Liver wind takes advantage of deficiency to disturb upwards. Qi ascending causes vomiting. Qi descending causes defecation. Cold makes interior spine worse. Heat makes spirit vexed and restless. Middle and Lower Jiao True Qi is gone. Fear around the change of Spring, there will be Jue (Cold Extremity) and Tuo (Collapse) transformations. Propose advancing the method of suppressing rebellion.
Renshen (Ginseng Radix et Rhizoma), Sheng Muli (Raw Concha Ostreae), Longgu (Fossilia Ossis Mastodi et Scapulae), Fuzi (Prepared Aconiti Lateralis Radix), Guizhi Mu (Cinnamomi Ramulus), Sheng Baishao (Raw Paeoniae Radix Alba), Zhi Cao (Honey-fried Glycyrrhizae Radix et Rhizoma).
Ai: Since half a month ago. Alternating cold and fever for two days. Complexion and pulse increasingly weak. Reduced food intake, less sleep. Spirit cannot control itself. All are signs of deficiency collapse. Propose to solidify and astringe. No time to treat the disease itself.
Renshen (Ginseng Radix et Rhizoma), Sheng Longgu (Raw Fossilia Ossis Mastodi et Scapulae), Muli (Concha Ostreae), Guizhi (Cinnamomi Ramulus), Zhi Cao (Honey-fried Glycyrrhizae Radix et Rhizoma), Nanzao Rou (Jujubae Fructus Flesh).
Again: Pulse spirit slightly calm. Propose Foot Three Yin tonifying formula.
Renshen (Ginseng Radix et Rhizoma), Shuren Mo Chao Shudi (Stir-fried Prepared Rehmanniae Radix with Amomi Fructus powder), Chao Hei Qizi (Stir-fried Black Lycii Fructus), Fushen (Poria with Hostwood), Wuwei (Schisandrae Fructus), Niuxi Tan (Charred Achyranthis Bidentatae Radix).
Collapse means death. Death from various diseases is all called Collapse. Generally, when people are sick, Yin and Yang are biased towards excess. When bias reaches extreme, death occurs. Human life carries Yin and embraces Yang. Also said: Yin inside is the guardian of Yang. Yang outside is the servant of Yin. Therefore, Yin contains Yang, Yang contains Yin. Its Yin-Yang pivot never leaves for an instant from birth to old age. Leaving means death. Thus ancient sages created medical texts, hundreds of diseases with thousands of prescriptions, none other than to correct bias and save defects. Harmonize and coordinate Yin and Yang. So that people can fulfill their natural lifespan. As for collapse, there are differences between Yin collapse and Yang collapse. Neijing discusses this most detailedly. Nanjing also says those with Yang collapse see ghosts, those with Yin collapse go blind. This merely describes the condition during collapse. Those who understand principles must rescue in advance. If one treats only after seeing ghosts or blindness, it is already too late. Now observing the Master's treatment methods. In returning Yang, one must assist with Yin medicines. In grasping Yin, one must consider Yang Qi. Ensure Yang submerges and Yin solidifies. Thus avoiding the disaster of bias. As for symptoms of collapse vary. Such as stroke, vertigo, vomiting, wheezing, epistaxis. Profuse sweating leading to Yang loss. These are Yang collapse. Diarrhea, dysentery, metrorrhagia, postpartum conditions. Excessive downward loss leading to Yin loss. These are Yin collapse. Sha distension, Dry Huoluan. Fullness, spasms, convulsions. Viscera obstruction. These are Internal Closure and External Collapse. Yang collapses above, Yin collapses below. This is what is meant by soul rising and corporeal spirit descending upon death. In short, if the Yin-Yang pivot does not collapse, even if the disease is severe, one does not die. Then where is the Yin-Yang pivot? Probably in the Mingmen (Gate of Life). (Commentary by Hua Xiuyun)