天津骆××，年四十九岁，得脑充血兼痰厥证。
病因 平素常患头晕，间有疼时，久则精神渐似短少，言语渐形
謇涩，一日外出会友，饮食过度，归家因事有拂意，怒动肝火，陡然昏厥。
证候 闭目昏昏，呼之不应，喉间痰涎杜塞，气息微通。诊其脉左右皆弦硬而长，重
按有力，知其证不但痰厥实素有脑充血病也。
诊断 其平素头晕作疼，即脑充血之现证也。其司知觉之神经为脑充血所伤，是以精神短少。其
司运动之神经为脑充血所伤，是以言语謇涩。又凡脑充血之人，其脏腑之气多上逆，胃气逆则
饮食停积不能下行，肝气逆则痰火相并易于上干，此所以因饱食动怒而陡成痰厥也。此其危险即
在目前，取药无及当先以手术治之。
手术 治痰厥之手术，当以手指点其天突穴处（详见“治痰点天突穴法”），近八分钟许，即
咳嗽呕吐。约吐出痰涎饮食三碗许，豁然顿醒，自言心中发热，头目胀疼，此当继治其脑部充血以求全
愈。拟用建瓴汤方治之，因病脉之所宜而略为加减。
处方 生赭石（一两轧细） 怀牛膝（一两） 生怀地黄（一两） 天花粉（六钱）
生杭芍（六钱） 生龙骨（五钱捣碎） 生牡蛎（五钱捣碎） 生麦芽（三钱）
茵陈（钱半） 甘草（钱半）
磨取生铁锈浓水，以之煎药，煎汤一盅，温服下。
复诊 将药服三剂，心中已不发热，头疼目胀皆愈，惟步履之时觉头重足轻，脚底如踏棉絮。
其脉象较前和缓似有上盛下虚之象，爰即原方略为加减，再添滋补之品。
处方 生赭石（一两轧细） 怀牛膝（一两） 生怀地黄（一两） 大甘枸杞（八钱）
生杭芍（六钱） 净萸肉（六钱） 生龙骨（五钱捣碎） 生牡蛎（五钱捣碎）
柏子仁（五钱炒捣） 茵陈（钱半） 甘草（钱半）
磨取生铁锈浓水以之煎药，煎汤一大盅，温服。
效果 将药连服五剂，病遂脱然全愈。将赭石、牛膝、地黄皆改用八钱，俾多服数剂以善其后。
病因 他平时经常头晕，偶尔疼痛，时间久了精神逐渐显得不足，说话渐渐变得不流利。有一天外出会见朋友，饮食过量，回家后因事情不顺心，愤怒引动肝火，突然昏厥。
证候 闭着眼睛昏昏沉沉，叫他不答应，喉咙里痰涎堵塞，气息微弱相通。诊察他的脉搏，左右手都弦硬而长，重按时有力，知道这个病证不仅是痰厥，实际上素来就有脑充血病。
诊断 他平时头晕作痛，就是脑充血的现证。主管知觉的神经受到脑充血的损伤，所以精神不足。主管运动的神经受到脑充血的损伤，所以说话不流利。另外，凡是脑充血的人，脏腑之气多会上逆，胃气上逆则饮食停积不能下行，肝气上逆则痰火相并易于上干，这就是因为饱食和动怒而突然形成痰厥的原因。这其中的危险就在眼前，取药来不及，应当先用手术方法治疗。
手术 治疗痰厥的手术方法，应当用手指点按天突穴处（详见“治痰点天突穴法”），大约八分钟左右，就会咳嗽呕吐。大约吐出三碗左右的痰涎和食物，豁然清醒过来，自己说心里发热，头目胀痛，这应当继续治疗脑部充血以求痊愈。打算用建瓴汤方剂治疗它，根据病情脉象的适宜之处稍微加减。
处方 生赭石（一两轧细） 怀牛膝（一两） 生怀地黄（一两） 天花粉（六钱）
生杭芍（六钱） 生龙骨（五钱捣碎） 生牡蛎（五钱捣碎） 生麦芽（三钱）
茵陈（一钱半） 甘草（一钱半）
磨取生铁锈浓水，用它煎药，煎成一盅汤，温服。
复诊 将药服用三剂后，心中已经不发热，头疼目胀都好了，只是在走路时觉得头重脚轻，脚底像踩在棉絮上。脉象比之前和缓，似乎有上盛下虚的现象，于是就在原方基础上稍微加减，再添补滋补的药物。
处方 生赭石（一两轧细） 怀牛膝（一两） 生怀地黄（一两） 大甘枸杞（八钱）
生杭芍（六钱） 净萸肉（六钱） 生龙骨（五钱捣碎） 生牡蛎（五钱捣碎）
柏子仁（五钱炒捣） 茵陈（一钱半） 甘草（一钱半）
磨取生铁锈浓水用它煎药，煎成一大盅汤，温服。
效果 将药连续服用五剂，病就彻底痊愈了。将赭石、牛膝、地黄都改用八钱，以便多服几剂以善后巩固疗效。
Tianjin resident Luo XX, aged forty-nine, suffered from cerebral congestion complicated by phlegm syncope.
Etiology He had been suffering from dizziness for a long time, with occasional pain. Over time, his spirit gradually became deficient, and his speech became increasingly slurred. One day, after visiting friends and overeating, he returned home where an unpleasant incident provoked anger and stirred up liver fire, causing him to suddenly faint.
Symptoms His eyes were closed in a stuporous state, and he did not respond when called. Phlegm and saliva obstructed his throat, and his breathing was faint but patent. Palpation of his pulse revealed that both left and right pulses were wiry, hard, and long, with strength upon heavy pressure. This indicated that the condition was not merely phlegm syncope, but rather that he had a pre-existing history of cerebral congestion.
Diagnosis His chronic dizziness and pain are manifestations of cerebral congestion. The nerves responsible for perception have been damaged by cerebral congestion, leading to mental deficiency. The nerves responsible for motor function have also been damaged, resulting in slurred speech. Furthermore, in cases of cerebral congestion, the qi of the zang-fu organs tends to rebel upward. When stomach qi rebels, food and drink stagnate and fail to descend; when liver qi rebels, phlegm and fire combine and easily ascend to disturb the head. This explains why sudden phlegm syncope occurred following overeating and anger. The danger is imminent, and obtaining herbs would take too long; therefore, surgical intervention should be employed first.
Surgical Intervention To treat phlegm syncope, one should use fingers to press the Tiantu (CV22) acupoint (see "Method for Treating Phlegm by Pressing Tiantu Acupoint") for approximately eight minutes, which induces coughing and vomiting. Approximately three bowls of phlegm, saliva, and food were vomited out, and he suddenly regained consciousness. He reported feeling heat in the chest and distending pain in the head and eyes. Subsequent treatment should target cerebral congestion to achieve a complete cure. It is proposed to use Jianling Decoction (Jianling Tang), slightly modified according to the indications of the disease and pulse.
Prescription Raw Hematitum (Shi Zhé Shí, 1 liang, finely crushed)
Raw Huai Dioscorea Rhizome / Radix Achyranthis Bidentata (Huái Niú Xī, 1 liang) [Note: Context implies Achyranthes]
Raw Raw Rehmannia Root (Shēng Huái Dì Huáng, 1 liang)
Trichosanthes Root (Tiān Huā Fěn, 6 qian)
Raw Hang Peony Root (Shēng Háng Sháo, 6 qian)
Raw Dragon Bone (Shēng Lóng Gǔ, 5 qian, crushed)
Raw Oyster Shell (Shēng Mǔ Lì, 5 qian, crushed)
Raw Barley Sprout (Shēng Mài Yá, 3 qian)
Artemisia Capillaris (Yīn Chén, 1.5 qian)
Licorice Root (Gān Cǎo, 1.5 qian)
Decoct the herbs using concentrated water from rust scraped from raw iron. Boil until one cup remains, and administer warm.
Follow-up Visit After taking three doses, the heat in the chest subsided, and the headache and eye distension resolved. However, while walking, he felt heaviness in the head and lightness in the feet, as if stepping on cotton. The pulse was more moderate than before, suggesting an excess in the upper jiao and deficiency in the lower jiao. Therefore, the original formula was slightly modified, and tonifying herbs were added.
Prescription Raw Hematitum (Shi Zhé Shí, 1 liang, finely crushed)
Raw Huai Dioscorea Rhizome / Radix Achyranthis Bidentata (Huái Niú Xī, 1 liang)
Raw Raw Rehmannia Root (Shēng Huái Dì Huáng, 1 liang)
Large Sweet Goji Berry (Dà Gān Gǒu Qǐ, 8 qian)
Raw Hang Peony Root (Shēng Háng Sháo, 6 qian)
Clean Cornus Fruit (Jìng Yú Ròu, 6 qian)
Raw Dragon Bone (Shēng Lóng Gǔ, 5 qian, crushed)
Raw Oyster Shell (Shēng Mǔ Lì, 5 qian, crushed)
Biota Seed (Bǎi Zǐ Rén, 5 qian, stir-fried and crushed)
Artemisia Capillaris (Yīn Chén, 1.5 qian)
Licorice Root (Gān Cǎo, 1.5 qian)
Decoct the herbs using concentrated water from rust scraped from raw iron. Boil until one large cup remains, and administer warm.
Outcome After continuously taking five doses, the illness was completely cured. The dosages of Hematitum, Achyranthes, and Rehmannia were reduced to 8 qian each, allowing for several additional doses to consolidate the recovery.