伤寒温病皆有谵语神昏之证，论者责之阳明胃实。然又当详辨其脉象之虚实，热度之高下，时日之浅深，
非可概以阳明胃实论也。
其脉象果洪而有力，按之甚实者，可按阳明胃实治之。盖胃腑之热上蒸，则脑中之元神，心中之识神
皆受其累，是以神昏谵语，不省人事，或更大便燥结，不但胃实，且又肠实，阻塞肾气不能上交于心，
则亢阳无制，心神恍惚，亦多谵妄，或精神不支，昏愦似睡。若斯者，可投以大剂白虎汤，遵《伤寒论》一煎
三服之法，煎汤三盅，分三次温饮下。其大便燥结之甚者，可酌用大、小承气汤（若大便燥结不甚者但投以大剂
白虎汤大便即可通下），其神昏谵语自愈也。
有脉象确有实热，其人神昏谵语，似可用白虎汤矣，而其脉或兼弦、兼数，或重按仍不甚实者，宜治以白
虎加人参汤。曾治一农家童子，劳力过度，因得温病。脉象弦而有力，数近六至。谵语不休，所言皆劳力之
事。本拟治以白虎加人参汤，因时当仲夏，且又童年少阳之体，遂先与以白虎汤。服后脉搏力减，而谵
语益甚。幸其大便犹未通下，急改用白虎加人参汤，将方中人参
加倍，煎汤三茶杯，分三次温饮下，尽剂而愈。盖脉象弦数，真
阴必然亏损，白虎加人参汤能于邪热炽盛之中滋其真阴，即以退其邪热。盖当邪热正炽时，但用玄参、沙参、
生地诸药不能滋阴，因其不能胜邪热，阴分即无由滋长也。惟治以白虎加人参汤，则滋阴退热一举两得，且
能起下焦真阴与上焦亢甚之阳相济，是以投之有捷效也。
其证若在汗吐下后，脉虽洪实，用白虎汤时亦宜加人参。曾治一人，温病之热传入阳明，脉象洪实有力，
谵语昏瞀。投以大剂白虎汤，热退强半，脉力亦减，而其至数转数，一息六至，谵语更甚。细询其病之经过，言
数日前因有梅毒服降药两次。遂急改用白虎加人参汤，亦倍用人参（此两案中用白虎加人参汤皆将人参倍加者，
因从前误用白虎汤也，若开首即用白虎加人参汤，则人参无事加倍矣），煎汤三杯，分三次温饮下，亦尽剂而愈。
有伏气为病，因肾虚窜入少阴，遏抑肾气不能上升与心相济，致心脉跳动无力，燥热郁中不能外透，闭目
昏昏似睡，间作谵语。此在冬为少阴伤寒之热证，在春为少阴温病。宜治以大剂白虎加人参汤，用鲜白茅根煮
水以之煎药，取汤三盅，分数次饮下自愈。
有患寒温者，周身壮热，脉象洪实，神昏不语。迨用凉药清之，热退脉近和平，而仍然神昏或谵语者，
必兼有脑髓神经病，当继用治脑髓神经之药。曾治一学校学生，温病热入阳明，脉象甚实，神昏不语，卧床
并不知转侧。用白虎汤清之，服两剂后热退十之七八，脉象之洪实亦减去强半，自知转侧，而精神仍不明
了。当系温病之热上蒸，致其脑膜生炎而累及神经也。遂改用小剂白虎加人参汤，又加羚羊角二钱（另煎兑服），
一剂而愈。又治一幼童，得温病三日，热不甚剧，脉似有力，亦非洪实，而精神竟昏
昏似睡，不能言语。此亦温病兼脑膜炎也。因其温病甚轻，俾但用羚羊角钱半煎汤服之，其病霍然顿愈。
有寒温之病，传经已遍，将欲作汗，其下焦阴分虚损，不能
与上焦之阳分相济以化汗，而神昏谵语者。曾治一壮年，仲夏长
途劳役，因受温病已过旬日，精神昏愦，谵语不省人事，且两手乱动不休，其脉弦而浮，一息近六至，不任
循按，两尺尤甚。投以大滋真阴之品，若玄参、生地黄、生山药、甘枸杞、天门冬之
类，共为一大剂煎服，一日连进二剂，当日得汗而愈。
有寒温之病服开破降下之药太过，伤其胸中大气，迨其大热已退，而仍然神昏或谵语者。曾治一壮年得
温病，延医服药二十余日，外感之热尽退，精神转益昏沉。及愚视之，周身皆凉，奄奄一息，呼之不应，舌干
如磋，毫无舌苔，其脉象微弱而迟，不足四至，五六呼吸之顷必长出气一次。此必因服开降之药太过，
伤其胸中大气也。盖胸中大气因受伤下陷，不能达于脑中，则神昏；不能上潮于舌本，则舌干；其周身皆凉者，
大气因受伤不能宣布于营卫也；其五六呼吸之顷必长出气一次者，因大气伤后不能畅舒，故太息以舒其气也。
遂用野台参一两，柴胡一钱，煎汤灌之。连服两剂全愈。又治一少年，于初春得伤寒，先经他医治愈，后因饮
食过度，病又反复，投以白虎汤治愈。隔三日，陡然反复甚剧，精神恍惚，肢体颤动，口中喃喃皆不成语。诊
其脉，右部寸关皆无力而关脉尤不任循按。愚曰此非病又反复，必因前次之过食病复，而此次又戒饮食过
度也。饱食即可愈矣。其家人果谓有鉴前失，数日所与饮食甚少，然其精神昏愦若斯，恐其不能饮食。愚曰
果系因饿而成之病，与之食必然能食。然仍须撙节与之，多食几次可也。其家人果根据愚言，十小时中连与饮
食三次，病若失。盖人胸中大气原借水谷之气以为培养，病后气虚，又乏水谷之气以培养之，是以胸中大气
虚损而现种种病状也。然前案因服开降之药伤其大气，故以补气兼升气之药治之。后案因
水谷之气缺乏虚其大气，故以饮食治之。斯在临证者精心体验，息息与病机相符耳。
有温而兼疹，其毒热内攻瞀乱其神明者。曾治一少年，温病
热入阳明，连次用凉药清之，大热已退强半，而心神骚扰不安，合目恒作谵语。其脉有余热，似兼紧象。因
其脉象热而兼紧，疑其伏有疹毒未出。遂投以小剂白虎汤，送服羚羊角细末一钱，西药阿斯匹林二分。表出
痧粒满身而愈。又治一幼女患温疹，其疹出次日即靥，精神昏昏似睡，时有惊悸，脉象数而有力。投以白虎
汤加羚羊角钱半（另煎兑服），用鲜芦根三两煮水以之煎药，取汤两茶
盅，分三次温饮下，其疹得出，病亦遂愈。
有其人素多痰饮，其寒温之热炽盛与痰饮互相胶漆以乱其神明者。栝蒌解下附有治验之案可参观。
有温疫传染之邪由口鼻传入，自肺传心，其人恒无故自笑，精神恍惚，言语错乱，妄言妄见者。曾治一
媪患此证，脉象有力，关前摇摇而动。投以拙拟护心至宝丹，一剂而愈。以上所谓
寒温诸证，其精神昏愦谵语之原因及治法大略已备。至于变通化裁，相机制宜，又在临证者之精心研究也。
伤寒和温病都有出现胡言乱语、神志昏迷的症状，论述者通常归咎于阳明胃腑的实热证。然而，应当详细辨别脉象的虚实、体温的高低以及病程时间的长短，不能一概而论地都当作阳明胃实来治疗。
如果脉象确实洪大且有力，重按时感觉非常坚实，可以按照阳明胃实的方法来治疗。因为胃腑的热气向上蒸腾，会导致脑中的元神和心中的识神都受到牵连，从而出现神志昏迷、胡言乱语、不省人事，或者伴有严重的大便燥结。这不仅是胃实，而且肠道也实，阻塞了肾气不能上交于心，导致亢盛的阳气失去制约，心神恍惚，也常出现胡言乱语；或者精神不支，昏沉困倦似睡非睡。对于这种情况，可以投用大剂量的白虎汤（石膏知母甘草粳米汤），遵循《伤寒论》中“一煎三服”的方法，煎取药汤三盅，分三次温服。如果大便燥结特别严重的，可以酌情使用大承气汤或小承气汤（若大便燥结不严重，只需投用大剂量白虎汤，大便即可通下），这样神志昏迷和胡言乱语的症状自然痊愈。
有的患者脉象确有实热，出现神志昏迷、胡言乱语，似乎可以用白虎汤，但其脉象或兼见弦象、数象，或者重按时仍不十分坚实，适宜用白虎加人参汤治疗。曾治疗一个农家少年，因过度劳累而患上温病。脉象弦而有力，频率接近六至（每分钟呼吸六次对应的脉搏跳动）。胡言乱语不停，所说的都是关于劳动的事情。本打算用白虎加人参汤治疗，因为当时正值仲夏，且患者是童年少阳之体，于是先给予白虎汤。服药后脉搏力量减弱，但胡言乱语反而加重。幸好其大便尚未通下，急忙改用白虎加人参汤，并将方中的人参加倍，煎取药汤三茶杯，分三次温服，服完一剂后痊愈。因为脉象弦数，说明真阴必然亏损，白虎加人参汤能在邪热炽盛之中滋养真阴，同时以此退去邪热。因为在邪热正炽盛时，单用玄参、沙参、生地等药物不能起到滋阴作用，因为它们无法战胜邪热，阴分也就无从滋长。只有用白虎加人参汤治疗，才能一举两得，既滋阴又退热，并且能引动下焦的真阴与上焦亢盛的阳气相互济助，所以投药后有迅速疗效。
如果病症发生在发汗、催吐或泻下之后，脉象虽然洪大坚实，在使用白虎汤时也宜加入人参。曾治疗一个人，温病的热气传入阳明经，脉象洪大坚实有力，出现胡言乱语、神志昏蒙。投以大剂量白虎汤后，热度退去大半，脉力也减弱，但脉搏频率反而变快，一息六至，胡言乱语更加严重。仔细询问病情经过，得知数日前因患有梅毒服用过两次泻药。于是急忙改用白虎加人参汤，同样将人参加倍（这两个案例中使用白虎加人参汤都将人参加倍，是因为之前误用了白虎汤；如果一开始就用白虎加人参汤，就不需要加倍用人参了），煎取药汤三杯，分三次温服，服完一剂后痊愈。
有伏气温病，因肾虚窜入少阴经，遏制肾气不能上升与心气相济，导致心脉跳动无力，燥热郁结在中间不能向外透发，闭目昏沉似睡，偶尔出现胡言乱语。这在冬季属于少阴伤寒的热证，在春季属于少阴温病。适宜用大剂量白虎加人参汤治疗，用鲜白茅根煮水来煎药，取药汤三盅，分多次饮服，即可自愈。
有的患寒温病的人，周身高热，脉象洪大坚实，神志昏迷不说话。等到用凉药清热后，热度退去，脉象接近平和，但仍然神志昏迷或胡言乱语的，必定兼有脑髓神经方面的疾病，应当继续服用治疗脑髓神经的药物。曾治疗一个学校学生，温病热气进入阳明经，脉象非常坚实，神志昏迷不说话，卧床不知翻身转动。用白虎汤清热，服用两剂后热度退去十之七八，脉象的洪大坚实也减去大半，知道翻身转动了，但精神仍然不清楚。这应该是温病的热气上蒸，导致脑膜发炎而累及神经。于是改用小剂量白虎加人参汤，又加入羚羊角二钱（另煎汁兑入药汤中），服用一剂后痊愈。又治疗一个幼童，得温病三天，热度不是很剧烈，脉象似乎有力，也不是洪大坚实，但精神竟然昏沉似睡，不能说话。这也是温病兼有脑膜炎。因为他的温病很轻，只让他服用羚羊角半钱煎成的汤剂，病立刻痊愈。
有的寒温病，传经已经遍满，将要出汗，但因下焦阴分虚损，不能与上焦的阳分相济以化生汗液，而出现神志昏迷、胡言乱语的。曾治疗一个壮年人，仲夏时节长途劳役，因感染温病已过十天，精神昏沉，胡言乱语不省人事，且两手乱动不止，脉象弦而浮，一息近六至，不耐按寻，两尺脉尤其明显。投以大滋真阴的药物，如玄参、生地黄、生山药、甘枸杞、天门冬之类，共组成一大剂煎服，一天连进两剂，当天得汗而愈。
有的寒温病，服用开破降下的药物太过，损伤了胸中的大气，等到大热已退，但仍然神志昏迷或胡言乱语的。曾治疗一个壮年人得温病，请医生服药二十多天，外感的热气完全退去，精神却越发昏沉。等我诊视时，周身皆凉，气息奄奄，呼叫不应，舌干如磋，毫无舌苔，脉象微弱而迟，不足四至，每五六次呼吸之间必须长出气一次。这一定是因为服用开降药物太过，损伤了胸中的大气。因为胸中大气受伤下陷，不能到达脑中，所以神志昏迷；不能上潮于舌本，所以舌干；周身皆凉，是因为大气受伤不能宣发布散于营卫；每五六次呼吸必长出气一次，是因为大气受伤后不能舒畅舒展，所以要叹息来舒顺气机。于是用野台参一两，柴胡一钱，煎汤灌服。连服两剂完全痊愈。又治疗一个少年，初春得伤寒，先前经其他医生治愈，后因饮食过度，病情反复，投以白虎汤治愈。隔三天，突然病情反复很剧烈，精神恍惚，肢体颤动，口中喃喃自语不成语句。诊察其脉，右部寸关皆无力，而关脉尤其不耐按寻。我说这不是病情反复，一定是因为前次因过食导致病复，而这次又节制饮食过度所致。吃饱就可以痊愈。他的家人果然说，鉴于之前的失误，几天来给的食物很少，但看他精神昏沉如此，恐怕他不能吃。我说如果是因饥饿导致的病，给他食物他必然能吃。但仍须节制给他，多吃几次也可以。他的家人果然遵照我的话，十小时内连续给饮食三次，病像消失一样好了。因为人的胸中大气原本借水谷之气来培养，病后气虚，又缺乏水谷之气来培养，所以胸中大气虚损而出现种种病状。然而前案因服用开降药物损伤大气，所以用补气兼升气的药物治疗；后案因水谷之气缺乏导致大气虚损，所以用饮食治疗。这需要临证医生精心体验，使治疗时刻与病机相符。
有的温病兼带疹子，毒热内攻扰乱神明。曾治疗一个少年，温病热气进入阳明经，连续用凉药清热，大热已退去大半，但心神骚扰不安，闭眼时常作胡言乱语。其脉象有余热，似乎兼紧象。因为脉象热而兼紧，怀疑有伏藏的疹毒未出。于是投以小剂量白虎汤，送服羚羊角细末一钱，西药阿斯匹林二分。表出满身痧粒而痊愈。又治疗一个幼女患温疹，疹子出的第二天就消退，精神昏沉似睡，时有惊悸，脉象数而有力。投以白虎汤加羚羊角半钱（另煎汁兑入药汤中），用鲜芦根三两煮水来煎药，取药汤两茶盅，分三次温服，疹子透出，病也随之痊愈。
有的人平素多痰饮，其寒温的热气炽盛与痰饮互相胶结以扰乱神明。可以参考栝蒌解下方附有的治疗验案。
有的温疫传染之邪由口鼻传入，自肺传心，其人常常无故自笑，精神恍惚，言语错乱，胡言乱语、妄见妄闻。曾治疗一位老妇人患此证，脉象有力，关前脉摇摇而动。投以拙拟护心至宝丹，服用一剂后痊愈。以上所说的寒温诸证，其精神昏沉、胡言乱语的原因及治疗方法大致完备。至于变化通融、裁度适宜，相机行事，又在临证医生的精心研究。
Both Shanghan (Cold Damage) and Wenyi (Warm Epidemic) present with symptoms of delirium (speaking incoherently due to mental confusion) and coma (loss of consciousness). Commentators often attribute these to Yangming Stomach Excess Syndrome (a pattern characterized by excess heat in the stomach and intestines). However, one must carefully distinguish the deficiency or excess of the pulse, the degree of fever, and the duration of the illness; it is inappropriate to generalize all cases as Yangming Stomach Excess.
If the pulse is indeed surging (Hong) and forceful, feeling very solid upon deep pressure, treatment should follow the principles for Yangming Stomach Excess. The heat steaming upward from the stomach affects the Yuan Shen (Original Spirit residing in the brain) and Shi Shen (Conscious Spirit residing in the heart), leading to coma, delirium, and loss of awareness. It may also be accompanied by severe dry fecal impaction. This indicates not only stomach excess but also intestinal excess, which obstructs Kidney Qi from ascending to communicate with the Heart. Consequently, hyperactive Yang becomes uncontrolled, causing mental agitation and delirium, or lack of spirit, lethargy, and a sleep-like state. For such cases, a large dose of Baihu Tang (White Tiger Decoction) can be administered, following the method in *Shanghan Lun* of "one decoction taken in three doses": decoct until three bowls remain, divided into three warm intakes. If fecal impaction is severe, Dachengqi Tang (Major Order the Qi Decoction) or Xiaochengqi Tang (Minor Order the Qi Decoction) may be酌情 (discretionarily) used. (If impaction is mild, a large dose of Baihu Tang alone will facilitate bowel movement, and delirium/coma will resolve spontaneously.)
In some cases, the pulse shows definite excess heat, and the patient presents with coma and delirium, suggesting Baihu Tang might be suitable. However, if the pulse is additionally wiry (Xian) or rapid (Shu), or feels insufficiently solid upon deep pressure, Baizhu Jia Renshen Tang (White Tiger Decoction plus Ginseng) is appropriate. I once treated a farm boy who contracted Wenyi after excessive labor. His pulse was wiry and forceful, rapid at nearly six beats per breath cycle. He suffered from incessant delirium, speaking only of labor matters. Although Baizhu Jia Renshen Tang was initially planned, given the mid-summer season and his youthful Shaoyang constitution, I first prescribed Baihu Tang. After ingestion, the pulse strength decreased, but delirium worsened. Fortunately, his bowels had not yet moved. I urgently switched to Baizhu Jia Renshen Tang, doubling the dosage of Renshen (Ginseng). Decocted to three teacups and taken in three warm doses, he recovered after one full course. A wiry and rapid pulse indicates inevitable depletion of True Yin. Baizhu Jia Renshen Tang nourishes True Yin amidst blazing pathogenic heat, thereby reducing the heat. When pathogenic heat is intense, herbs like Xuanshen (Scrophulariae Radix), Shashen (Glehniae Radix), and Shengdihuang (Rehmanniae Radix Recens) cannot effectively nourish Yin because they cannot overcome the heat, leaving no way for Yin to grow. Only Baizhu Jia Renshen Tang achieves both nourishing Yin and clearing heat simultaneously, and facilitates the interaction between Lower Jiao True Yin and Upper Jiao hyperactive Yang, yielding swift results.
If the condition occurs after sweating, vomiting, or purging, even if the pulse is surging and solid, Renshen should be added when using Baihu Tang. I once treated a patient whose Wenyi heat transmitted to the Yangming channel, presenting with a surging, solid, and forceful pulse, delirium, and mental clouding. A large dose of Baihu Tang reduced the fever by half and weakened the pulse, but the rate increased to six beats per breath, and delirium worsened. Upon inquiry, I learned he had taken purgatives twice days earlier for syphilis. I immediately switched to Baizhu Jia Renshen Tang, again doubling Renshen (in previous cases, Renshen was doubled due to prior misuse of Baihu Tang; if Baizhu Jia Renshen Tang had been used initially, doubling would not have been necessary). Decocted to three cups and taken in three warm doses, he recovered after one course.
In cases of latent Qi disease where Kidney deficiency allows pathogens to invade the Shaoyin channel, suppressing Kidney Qi so it cannot ascend to harmonize with the Heart, the Heart pulse becomes weak. Dry heat stagnates internally without exteriorizing, causing closed-eye lethargy and occasional delirium. In winter, this is a Heat pattern of Shaoyin Shanghan; in spring, it is Shaoyin Wenyi. Treatment requires a large dose of Baizhu Jia Renshen Tang, decocted with fresh Baimaogen (Imperatae Rhizoma). Take three bowls, divided into multiple doses, for spontaneous recovery.
Some patients with Cold-Warm diseases present with high fever throughout the body, a surging and solid pulse, and coma with mutism. After cooling therapy reduces the fever and normalizes the pulse, if coma or delirium persists, there is likely concurrent encephalopathy (brain marrow/nerve pathology). Continue treatment targeting the brain marrow and nerves. I treated a student with Wenyi heat entering Yangming, showing a very solid pulse, coma, mutism, and inability to turn over in bed. Two doses of Baihu Tang reduced fever by 70-80% and pulse solidity by half, allowing him to move, but mental clarity remained poor. This suggested meningeal inflammation affecting nerves due to heat steaming upward. I switched to a small dose of Baizhu Jia Renshen Tang, adding Lingyangjiao (Saigae Tataricae Cornu) 2 qian (decocted separately and mixed in). One dose resulted in recovery. Another case involved a young child with three-day Wenyi, mild fever, seemingly forceful but not surging/solid pulse, yet profound lethargy and mutism. This was also Wenyi with meningitis. Given the mildness, Lingyangjiao 0.5 qian decocted in water cured him instantly.
In some Cold-Warm diseases, after transmission through all channels and impending sweating, if Lower Jiao Yin deficiency prevents harmony with Upper Jiao Yang to generate sweat, coma and delirium may occur. I treated a strong man who worked long distances in mid-summer, contracting Wenyi for ten days. He exhibited lethargy, delirium, unconsciousness, and restless hand movements. His pulse was wiry, floating, rapid (nearly six beats per breath), unreceptive to pressure, especially at the Chi positions. I prescribed a large dose of Yin-nourishing herbs: Xuanshen, Shengdihuang, Shanyao, Gouqi, and Tiandong. Taken as two doses in one day, he sweated and recovered that day.
If Cold-Warm disease treatments involve excessive use of dispersing, breaking, descending, or purging herbs, damaging the Da Qi (Great Qi) in the chest, coma or delirium may persist after the high fever subsides. I treated a man with Wenyi who took medicine for over twenty days. External heat cleared, but mental state deteriorated. Upon examination, his body was cold, breathing faint, unresponsive to calls, tongue dry like whetstone with no coating, pulse weak, slow (<4 beats per breath), requiring sighing every 5-6 breaths. This indicated damage to Da Qi by excessive descending drugs. Damaged Da Qi sank, failing to reach the brain (causing coma) or moisten the tongue root (causing dryness); failure to disseminate to Ying and Wei caused cold limbs; sighing compensated for constrained Qi. I prescribed Yetaishen (Wild Ginseng) 1 liang and Chaihu 1 qian, decocted and administered. Two doses led to full recovery. Another case: a youth contracted Shanghan in early spring, cured by another doctor, then relapsed due to overeating, cured by Baihu Tang. Three days later, severe relapse occurred with mental agitation, tremors, and incoherent speech. Pulse: Right Cun and Guan were weak, Guan particularly unreceptive. I diagnosed this not as disease recurrence, but as Qi deficiency from dietary restriction post-relapse. Feeding him resolved the issue. Family confirmed restricted diet due to fear of recurrence. I advised frequent, moderate feeding. Within ten hours, three meals cured him. Da Qi relies on Gu Qi (Food Qi) for cultivation; post-illness Qi deficiency lacks this support. The first case required tonifying and ascending Qi due to drug-induced damage; the second required dietary intervention due to lack of Gu Qi. Clinicians must carefully align treatment with pathogenesis.
In Warm diseases with rashes, toxic heat attacking internally confuses the Spirit. I treated a youth with Wenyi heat in Yangming. After repeated cooling, major fever subsided, but mental restlessness and eye-closed delirium persisted. Pulse showed residual heat with a tight quality, suggesting hidden rash toxin. I gave a small dose of Baihu Tang with Lingyangjiao powder 1 qian and Aspirin 2 fen. Rash erupted over the body, curing the disease. Another case: a young girl with Warm Rash. Rash faded next day, followed by lethargy and palpitations. Pulse: rapid and forceful. I prescribed Baihu Tang plus Lingyangjiao 1.5 qian (decocted separately), decocted with fresh Lugen (Phragmitis Rhizoma). Two tea cups, taken in three warm doses. Rash re-emerged, and she recovered.
Individuals with chronic Phlegm-Fluid retention may experience chaotic Spirit due to intense Cold-Warm heat interacting with Phlegm. Refer to the case studies attached to the Gua Lou Jie section.
In infectious Warm Epidemics, pathogens enter via nose/mouth, transmit from Lung to Heart, causing spontaneous laughter, mental agitation, disordered speech, hallucinations, and delusions. I treated an elderly woman with this presentation. Pulse: forceful, shaking at the Guan front. I prescribed Hu Xin Zhi Bao Dan (My Proprietary Heart-Protecting Precious Pill). One dose cured her.
The above covers the causes and treatments for coma and delirium in various Cold-Warm diseases. Adaptation and flexible application depend on the clinician's careful study.