轩岐之所谓厥者，热厥则其内热而外证亦热，寒厥则其内寒而外证亦寒；仲景之所谓厥者，其外证则必
寒，而其内则有寒者、有热者，此其异也。至后世则概卒然昏运诸病名之为厥，抑又异矣。轩岐之厥，鲜能演
其义者；仲景之厥，前人所说既拈出《伤寒》中，今此所举者，多为后世之厥，而寒热二证固亦所及焉。
名义 厥，逆气从下厥起上行，入心胁也。（《释名》）
夫厥者逆也，谓阴阳二气卒有衰绝，逆于常度。（《病源论》）（按∶此说欠当。）
今人又以忽然昏运，不省人事为厥。（《准绳》）
总说 厥逆之证，危证也。盖厥者尽也，逆者乱也，即气血败乱之谓也（按∶此说非是）。故《内
经》特重而详言之，如云卒厥暴厥者，皆厥逆之总名也。如云寒厥热厥者，分厥逆之阴阳也。如云连经连脏
者，论厥逆之死生也。再若诸经脏腑之辨，亦既详矣。又近世犹有气厥、血厥、酒厥、脏厥、蛔厥等证，亦
无非本之经义。观《内经》诸论已极明显，奈何后人犹不能察，凡遇此证，则悉认之为中风，竟不知厥逆
为何病而通作风治，害孰甚焉。（《景岳》）
阳厥阴厥 骤风暴热，云物飞 ，晨晦暮晴，夜炎昼冷，
应寒不寒，当雨不雨，水竭土坏。时岁大旱，草木枯悴，江
河乏涸，此天地之阳厥也。暴壅塞，忽喘促，四肢不收，二腑不利，耳聋目盲，咽干口焦，舌生疮，鼻流
清涕，颊赤心烦，头昏脑重，只睛似火，一身如烧，素不能者乍能，素不欲者乍欲，登高歌笑，弃衣奔走，
狂言妄语，不辨亲疏，发躁无度，饮水不休，胸膈膨胀，腹与胁满闷，背疽肉烂，烦溃消中，食不入胃，水
不穿肠，骤肿暴满，叫呼昏冒，不省人事，疼痛不知去处，此人之阳厥也。阳厥之脉，举按有力者生，绝
者死。飞霜走雹，朝昏暮霭，云雨飘 ，风露寒冷，当热不热，未寒而寒，时气霖霪，泉生田野，山摧地裂，
土坏河溢，月晦日昏，此天地之阴厥也。暴哑卒寒，一身拘急，四肢拳挛，唇青面黑，目直口噤，心腹满痛，
头颔摇鼓，腰脚沉重，语言謇涩，上吐下泻，左右不仁，大小便活，吞吐酸渌，悲忧惨 ，喜怒无常者，此
人之阴厥也。阴厥之脉，举指弱，按指大者生。举按俱绝者死，一身悉冷，额汗自出者亦死。阴厥之病，过三
日勿治。（《中藏》）（按∶此所云别是一义，故自为条。）
寒热虚实 经论如此（按∶此上载《厥论》文），虽粗分六经，殊不出寒热二证所因，欲求备治，
当历明之。寒厥则因多欲而夺其精，故致阳衰阴盛。热厥则因醉饱入房，精虚则热入，故致阴虚阳盛。考
其厥因，多以不胜乘其所胜，气不得行，遂致于逆。如肾移寒于脾，则水乘于土，水既不行，乃成寒厥。如心
移热于肾，则火乘于水，火既不行，乃成热厥。六经皆然，可次第论也。所谓得其要者，一言而终矣。（按∶
此下论尸厥。录在后。）寒则热，热则寒，闭则通，如经所谓盛则泻，虚则补，不盛不虚，以经取之，其旨一
也。经中以数醉为热厥之因，学人不可拘此，盖伤寒温病皆
有热厥，仲景所谓热深厥深，圣意以酒能发百脉热，故举此
以为例耳，不可不知。（《三因》）
厥者逆也。谓阴气乘于阳，阴气居于下，阳气处于上，阳虚则阴实，实则阴盛，阴盛则上乘于阳，卫气为
之厥逆，失于常度，故寒从背起，手足冷逆，阴盛故也。（《病源论》）
厥证寒热，亦有阴阳虚实不同，如形气稍实者，宜从子和之法吐下之。虚甚者，惟宜随其所因而调理
之可也。（《微义》）
《伤寒》之厥，辨在邪气，故寒厥宜温，热厥可攻也。《内经》之厥，重在元气，故热厥当补阴，寒厥
当补阳也。二者之治，不可不察。（《景岳》）
厥有多端，须分阴阳虚实。如未厥前吐泻不渴，身凉蜷卧，及已发而脉迟，口出涎沫者，阴厥也。如未厥
前便秘溺涩，口渴身热烦躁，及已发而脉数大，口中反干燥者，阳厥也。若厥而口噤牙闭者，实厥也。厥而口
张自汗者，虚厥也。（《汇补》）
阳厥即热厥，其证四肢厥逆，身热面赤，唇燥大渴，口干舌苔，目闭或不闭，小便赤涩短少，大便燥结，
忌升发、补敛、燥热辛温，宜下、清热、甘寒、苦寒、咸寒。阴厥即寒厥，其证四肢厥逆，身冷面青蜷卧，手
指爪青黯，腹痛大便溏，或完谷不化，小便自利，不渴，不省人事，忌下、破气、苦寒、咸寒、酸寒，宜
补气、温中、甘温、辛热。（《本草经疏》）
病由气闭肝逆 或曰∶前之论厥有六（按∶所谓六者，系寒、热、痰、气、蛔、血），致厥之因可
能悉否？答曰∶厥症不止于六者，其常也。致厥之因，因于气闭，而一时诸
经之脉，内外陡闭不通。何也？营者营于中，卫者卫于外，
今营气反拒绝于外，卫气反隔闭于中，所以内格外拒，上下不通，故肢体僵卧，手足厥逆，六脉沉伏，厥之大
义如此。诸厥之为病，虽四肢厥逆，少刻阴退阳回，气脉一通即愈。不若诸虚之症，手足冷厥，脉微欲绝，汗
出如雨，痰声如锯，此皆临危之绝症。（《百问》）
先生于是症，独重在肝。盖肝者将军之官，善干他脏者也。要知肝气一逆，则诸气皆逆，气逆则痰生，遂
火沸风旋，神迷魂荡，无所不至矣。（《临证指南》邵新甫）
脉候 涩则无血，厥寒为甚，尺微无阴，下痢逆冷。热厥脉伏，时或而数，便秘必难，治不可错。（
《崔氏脉诀》）
厥逆之脉多于沉伏者。但沉迟散为之寒，沉伏而数为之热，浮而无力者是气虚，洪滑有力属顽痰，沉滑
身冷者难治。（《玉案》）
辨异 （轻重）卒中之脉，由气虚欲脱，有浮洪、搏急、缓滑、弦紧之脉候。诸厥之脉，由气闭不
通，则沉伏涩脱或沉弦微滑之分别也。卒中之症，面赤肢温，息粗鼻鼾，体和顺而不象病形。诸厥之症，面青
口噤，四肢厥冷，肢体僵强，奄奄一息，如死状也。（《百问》）
古人又有尸厥、痰厥、风厥、寒厥、痉、 、痫、角弓反张皆似厥，极惊人，极难辨，识得真，勿惊忙，
候脉息面色，看清动作厥状而治之。大指掐拳内凶，掐拳外轻。脉大浮洪有力易醒，脉细沉伏数急不连贯凶，
面青、环口青、唇白、鼻青孔黑、人中吊危。此论极为秘要。（《尊生书》）
诸厥总略（附治方） 有涎如拽锯声在咽喉中为痰厥，手足搐搦者为风厥，因醉而得之为酒厥，
暴怒而得之为气厥。凡尸厥、痿厥、风厥、气厥、酒厥，可一涌而醒，次服降心
火，益肾水，通血和气之药，使粥食调养，无不瘥者。若其
余诸厥，仿此行之。慎勿当疑似之间，便作风气，相去邈矣。（《事亲》）
若伤寒手足厥逆，昏不知人，邪正已极，温下之间，稍或迟缓，祸不旋踵。或汗不解，暴衄不知人而厥，
或杂病得吐衄血而厥，不知人者，一二日或三日必间，间则为愈矣。盖阴气尚实，必身不热，热则不厥，厥则
为血温身热主死矣。暴气厥而形实者，七情所致，痰饮内郁而厥，或半日或一二时必间。形虚而气逆甚者，
多致不救。此又可见气血为厥，阴阳暴逆之甚也，故不可断作风治。（《微义》）
厥有七症，寒、热、痰、气、食、尸、蛔，七者是也。（《司命》）
苏合香丸，治卒暴厥不知人，未辨风痰气厥，宜与此膏，化浓汤灌之，醒后却议脉证用药。（《微义》）
（按∶此门别无通治之方，仍附于此。）
气厥（宜与《诸气》门气中参看）（气虚厥）脉至如喘，名曰气厥，气厥者不知与人言（《素问》、
《甲乙》作暴厥）。（《脉经》）
仁宗最宠贵妃，一日食次，忽仆倒，遍身卒冷。急奏帝。上乃急召孙、杜。既至奏曰∶不妨，此乃气
厥尔，少顷，吐即复苏也。御坐良久，果吐而苏。上问因何而得。二人并奏曰∶此贵妃方食，因忧怨气上，
遂与食相并，故如此者。吐即气透，故复苏也。上问妃，有何事如此。妃对曰∶陛下无嗣，臣外家不能为陛下
生皇嗣，所以自怨，气忽上逆，而至惊动圣驾。上叹曰∶朕亦自责，乃劳汝致病耶。因嘉奖孙、杜之能，良久
曰∶医道如此，岂非良医也耶。（《纲目》引孙）（按∶楼氏谓上暴厥不知人不治自愈，举经文“气复反
则生”以征之。）
气厥之证有二，以气虚气实皆能厥也。气虚卒倒者，必其形气索然，色清白，身微冷，脉微弱，此气脱证
也，宜参、 、归、术、地黄、枸杞、大补元煎之属，甚者以回阳饮、独参汤之类主之。（按∶《医方考》
曰∶行立之间，暴眩仆绝，喉无痰声，身无邪热者，阴虚阳暴绝也，独参汤主之。即此证也。）气实而厥者，
其形气愤然勃然，脉沉弦而滑，胸膈喘满，此气逆证也，经曰大怒则形气绝而血菀于上，即此类也，
治宜以四磨饮或八味顺气散、苏合香丸之类，先顺其气，然后随其虚实而调理之。又若因怒伤气，逆气旋去
而真气受损者，气本不实也，再若素多忧郁恐畏而气怯气陷者，其虚尤可知也，若以此类而用行气开滞等
剂则误矣。（《景岳》）
尸厥（附治方） （按∶尸厥一证，《肘后》间之中恶客忤，而《巢源》收在中恶诸候中，并似以尸
为尸注之尸；然考经文曰其状若尸，考之《扁鹊传》实系阳实犯阴之证，而未见鬼邪恶气为其所因，
故今列于气厥之后。《扁仓传汇考》更有详说，宜并考。）
（原书此处有缺）
煎令百沸，并灌两服，亦根据前法用灸也。（《家宝》）
二十四味流气饮和苏合香丸。
尸厥者，破阴绝阳，形静如死。医者不知针石，宜此二方主之，使其气血流动，阳无绝络，阴无破纽，
则亦五会之针、五分之熨、八减之剂尔。（《方考》）
血厥（附治方） 人平居无疾苦，忽如死人，身不动摇，默默不知人，目闭不能开，口噤不能言，或
微知人，恶闻人声，但如眩冒，移时方寤。此由已汗过多，血少气并于血，阳独上而不下，气壅塞而不行，
故身如死。气过血还，阴阳复通，故移时方寤。名曰郁冒，亦名血厥，妇人多有之，宜
白薇汤、仓公散。（《本事》）
白薇汤。
白薇 当归（洗去芦薄切焙干秤各一两） 人参（去芦半两） 甘草（一分炙）
上粗末，每服五钱，水二盏，煎至一盏，去滓温服。
仓公散
瓜蒂 藜芦 雄黄（水飞） 矾石（ ）
上各等分，细末，少许吹入鼻中。（并同上）
有血厥者，因而吐衄过多，上竭下厥，先致足冷，有如水洗，冷过腰膝，入腹即死，此血竭而作厥也。
皆由阳气妄行于上，阴血无所根据附，气血相离，不居本位，宁有不死之理乎。（《绳墨》）
血厥之证有二，以血脱、血逆皆能厥也。血脱者，如大崩大吐，或产血尽脱，则气亦随之而脱，故致卒仆暴
死。宜先掐人中，或烧醋炭以收其气，急用人参一二两煎汤灌之，但使气不尽脱，必渐苏矣。然后因其寒热，
徐为调理，此所谓血脱益气也。若不知此而但用血分等药，则几微之气忽而散失，阴无所主，无生机矣。
其或有用寒凉以止血者，必致败绝阳气，适足以速其死耳。血逆者，即经所云血之与气并走于上之谓，又曰
大怒则形气绝而血菀于上之类也。夫血因气逆，必须先理其气，气行则血无不行也。俟血行气舒，然
后随证调理。（《景岳》）
痰厥（宜与《痰涎》门相参） 厥有涎潮，如拽锯声在咽中，为痰厥。先用瓜蒂散或人参芦煎汤
探吐，随用导痰汤加竹沥、姜汁。（《统旨》）
痰厥，昏迷不醒，稀涎散、导痰汤。（《指掌》）
痰厥者，卒中昏倒，不知人事。急灌苏合香丸、滚痰丸，
或用吐法，随服二陈加胆星、僵蚕、白附子、竹沥开痰顺气药。（《司命》）
痰厥，痰涎壅盛，必吐之。稀涎散。或碧霞散，拣上好石绿研细，水飞再研，取二三钱，同冰片三四豆
许研匀，以鲜薄花汁合温酒调下，不大呕吐，但口角涎流出自醒。若见虚症，遗尿自汗，不可吐，速随虚治。
（《六要》）
不因恚怒，忽然气闷痰升，肢冷吐涎，喉中有声，为之痰厥，脉必沉滑，宜导痰顺气。又气实多怒之人，
忽大叫发厥者，乃痰闭于上，火起于下，先行探吐，后用导痰。（《汇补》）
痰厥者。乃寒痰迷闷。四肢逆冷。宜姜附汤。以生附代热附。（《丹溪心法·附录》）
痰厥之证，凡一时痰涎雍塞，气闭昏愦，药食俱不能通，必先宜或吐或开以治其标，此不得不先救其急
也。但觉痰气稍开，盒饭治其病本。如因火生痰者，宜清之降之。因风寒生痰者，宜散之温之。因湿生痰者，
宜燥之利之。因脾虚生痰者，自宜补脾。因肾虚生痰者，自宜补肾。此痰之不必治也，但治其所以痰而痰自
清矣。然犹有不可治痰者，恐愈攻愈虚而痰必愈甚也。（《景岳》）
食厥（宜与伤食门相参） 食厥必因饮食而起，痰裹食物，妨碍升降，关格不通。急用吐法，食
出乃苏，随进顺气消导药，研保和丸（用山楂、神曲、半、茯、陈、卜、连翘、麦芽）和末饮之，大率与干霍
乱相似。（《司命》）
【背景信息】
书名：杂病广要 作者：日本·丹波元坚撰 朝代：清 章节：厥(1/2) 类别：综合
【原文翻译】
黄帝、岐伯（轩岐）所说的“厥”，热厥是体内有热，体表症状也表现为热；寒厥是体内有寒，体表症状也表现为寒。张仲景所说的“厥”，其体表症状必定是寒，但体内却有寒证和热证之分，这是两者的不同之处。到了后世，人们将突然昏倒、晕厥的各种疾病都统称为“厥”，这又是一种不同的说法。对于黄帝、岐伯所论述的“厥”，很少有人能深入阐述其含义；而张仲景关于“厥”的论述，前人已经将其归纳在《伤寒论》中，因此本文所列举的内容，多为后世的“厥”，当然也涉及寒证和热证两种情况。
名义：“厥”，是指逆乱之气从下部向上逆行，进入心部和胁部。（出自《释名》）
所谓“厥”，就是逆乱的意思，指阴阳二气突然衰败断绝，违背了正常的规律。（出自《诸病源候论》，按语：这种说法不够恰当。）
现在的人又把忽然昏倒、不省人事的情况称为“厥”。（出自《医学准绳六要》）
总说：厥逆之证，属于危重病症。大概“厥”意为穷尽，“逆”意为混乱，即气血败坏紊乱的意思（按语：这种说法不对）。所以《黄帝内经》特别重视并详细论述它，例如说“卒厥”、“暴厥”，都是厥逆的总称。如说“寒厥”、“热厥”，是区分厥逆的阴阳属性。如说“连经”、“连脏”，是讨论厥逆的预后生死。再者，对于各经络脏腑的辨别，也已经很详细了。另外，近代还有气厥、血厥、酒厥、脏厥、蛔厥等证候，也无非是基于《内经》的理论。观察《内经》中的各种论述已经非常明确，为何后人仍然不能明察，凡是遇到这种证候，就全部认为是中风，竟然不知道厥逆是什么病而一概按照中风治疗，危害之大没有比这更严重的了。（出自《景岳全书》）
阳厥与阴厥：狂风暴雨般的热浪，云物飞扬，早晨昏暗傍晚晴朗，夜间炎热白天寒冷，该冷的时候不冷，该下雨的时候不下雨，水源枯竭土壤崩坏。常年大旱，草木枯萎，江河干涸，这是天地的“阳厥”。人体出现突然壅塞阻滞，忽然气喘急促，四肢松弛无力无法收持，大小便不通利，耳聋目盲，咽喉干燥口舌焦枯，舌上生疮，鼻流清涕，脸颊发红心烦意乱，头晕脑胀沉重，眼球似火燃烧，全身像火烧一样，平时做不到的事突然能做，平时不想做的事突然想做，登高唱歌大笑，脱掉衣服奔跑，胡言乱语妄动，不分亲疏远近，烦躁不安没有限度，不停地喝水，胸膈部膨胀，腹部和胁肋部满闷，背部生疽肉烂，烦渴溃散消中症，食物不进胃，水液不穿肠，突然肿胀暴满，呼叫昏冒，不省人事，疼痛不知部位，这是人的“阳厥”。阳厥的脉象，轻取重按都有力的为吉可生，脉绝的为凶必死。飞霜走雹，早晚云雾弥漫，云雨飘忽不定，风露寒冷，该热的时候不热，还没到寒冷时候却先冷，时令阴雨连绵，田野泉水涌出，山崩地裂，土壤崩坏河水泛滥，月亮晦暗太阳昏暗，这是天地的“阴厥”。人体突然失音发冷，全身拘急僵硬，四肢蜷缩挛急，嘴唇发青面色黑，眼睛直视口噤不开，心腹胀满疼痛，头部下巴摇动鼓荡，腰脚沉重，语言謇涩不利，上吐下泻，身体左右麻木不仁，大小便通畅（注：此处原文可能有误或特指某种状态，通常厥证二便不利，但依原文直译），呕吐酸水，悲伤忧愁凄惨，喜怒无常，这是人的“阴厥”。阴厥的脉象，轻取弱、重按大的为吉可生。轻取重按都绝的为凶必死，全身冰冷、额头出汗自出的也为凶必死。阴厥之病，超过三天就不要治疗了。（出自《中藏经》，按语：这里所说的“厥”是另一种含义，所以单独列为一条。）
寒热虚实：经典理论就是这样（按语：以上记载的是《素问·厥论》的文字），虽然粗略分为六经，但殊不出寒证和热证两种病因之外，想要寻求完备的治疗，应当逐一阐明。寒厥多因房事过度耗损精气，导致阳气衰弱阴气盛。热厥多因醉酒饱食后行房，精液亏虚则热邪内入，导致阴虚阳盛。考察厥的成因，大多是因为不胜克制其所胜之气，气机不得运行，遂致逆乱。如肾移寒于脾，则是水气乘袭土气，水气不行，便形成寒厥。如心移热于肾，则是火气乘袭水气，火气不行，便形成热厥。六经都是如此，可以依次论述。所谓抓住要领，一句话就能终结道理（按语：以下论述尸厥，收录在后面）。寒证用热法，热证用寒法，闭阻则通利，正如经文所说“盛则泻之，虚则补之，不盛不虚以经取之”，其宗旨是一致的。经文中多次提到醉酒是热厥的原因，学者不可拘泥于此，因为伤寒和温病都有热厥，张仲景所说的“热深厥亦深”，圣人的用意是认为酒能引发全身血脉发热，所以举这个例子罢了，不可不知道。（出自《三因极一病证方论》）
“厥”就是逆乱。指阴气侵凌阳气，阴气居于下部，阳气居于上部，阳气虚弱则阴气实盛，实盛则阴气过盛，阴气上乘于阳位，卫气因此发生厥逆，失去正常规律，所以寒气从背部升起，手足寒冷逆冷，这是因为阴气过盛。（出自《诸病源候论》）
厥证的寒热，也有阴阳虚实的不同，如形体气息稍实的人，适宜采用张子和的方法进行吐下治疗。虚损严重的，只适宜根据病因进行调理即可。（出自《此事难知·微义》）
《伤寒论》中的厥，辨析重点在于邪气，所以寒厥宜用温法，热厥可用攻下法。《黄帝内经》中的厥，重在元气，所以热厥应当补阴，寒厥应当补阳。这两种治法，不可不仔细考察。（出自《景岳全书》）
厥证有多种，必须分辨阴阳虚实。如在未发生厥逆前，有呕吐腹泻但不口渴，身体凉爽蜷卧，以及发作时脉迟，口中流出涎沫的，是阴厥。如在未发生厥逆前，便秘尿涩，口渴身热烦躁，以及发作时脉数大，口中反而干燥的，是阳厥。如果厥逆且牙关紧闭咬合的，是实厥。如果厥逆且口开自汗的，是虚厥。（出自《医宗必读·汇补》）
阳厥即热厥，其症状为四肢厥逆，身体发热面赤，嘴唇干燥大渴，口干舌苔燥，眼睛闭合或不闭合，小便赤涩短少，大便燥结，忌用升发、补敛、燥热辛温的药物，适宜用攻下、清热、甘寒、苦寒、咸寒的药物。阴厥即寒厥，其症状为四肢厥逆，身体寒冷面青蜷卧，手指指甲青黯，腹痛大便溏泄，或完谷不化，小便自利，不口渴，不省人事，忌用攻下、破气、苦寒、咸寒、酸寒的药物，适宜用补气、温中、甘温、辛热的药物。（出自《本草经疏》）
病由气闭肝逆：有人问：前面的论述中有六种厥（按语：所谓六种，指寒、热、痰、气、蛔、血），导致厥的原因能包括所有吗？回答说：厥症不止这六种，这是常理。导致厥的原因，在于气机闭塞，一时之间各经脉内外突然闭塞不通。为什么呢？营气行于内，卫气行于外，如今营气反而被拒绝于外，卫气反而被隔闭于中，所以内格外拒，上下不通，因此肢体僵卧，手足厥逆，六脉沉伏，这就是厥的大致含义。各种厥病，虽然四肢厥逆，但片刻之后阴退阳回，气脉一通就会痊愈。不像各种虚损之症，手足冷厥，脉微欲绝，汗出如雨，痰声如锯，这些都是临危的绝症。（出自《医门棒喝·百问》）
先生（邵新甫）对此症，唯独重视肝脏。因为肝是将军之官，善于干扰其他脏腑。要知道肝气一旦逆乱，则诸气皆逆，气逆则生痰，于是火沸风旋，神志昏迷魂魄动荡，无所不至矣。（出自《临证指南医案》邵新甫评注）
脉候：脉涩则无血，厥寒尤为严重，尺脉微弱表示无阴，伴有下痢逆冷。热厥脉伏，时而数急，便秘必然困难，治疗不可出错。（出自《崔氏脉诀》）
厥逆的脉象多沉伏。但沉迟散乱的属于寒证，沉伏而数的属于热证，浮而无力的是气虚，洪滑有力的是顽痰，沉滑而身冷的难治。（出自《玉案》）
辨异（轻重）：中风的脉象，因气虚欲脱，有浮洪、搏急、缓滑、弦紧等脉候。各种厥证的脉象，因气闭不通，则有沉伏涩脱或沉弦微滑的区别。中风的症状，面赤肢温，呼吸粗重鼻鼾，身体柔和顺适而不像重病样子。各种厥证的症狀，面青口噤，四肢厥冷，肢体僵硬强直，气息奄奄，如同死状。（出自《医门棒喝·百问》）
古人又有尸厥、痰厥、风厥、寒厥、痉病、痫病、角弓反张等，都像厥证，极其惊人，极难辨别，识别真切，不要惊慌忙乱，需候察脉息面色，看清动作厥状而治疗。大拇指掐拳内（劳宫穴附近）凶险，掐拳外较轻。脉大浮洪有力的易醒，脉细沉伏数急不连贯的凶险，面青、环口青、唇白、鼻孔黑、人中纹吊起危殆。此论极为秘要。（出自《寿世保元·尊生书》）
诸厥总略（附治方）：喉中有如拉锯声的涎沫为痰厥，手足搐搦的为风厥，因醉酒得的为酒厥，因暴怒得的为气厥。凡是尸厥、痿厥、风厥、气厥、酒厥，可以用涌吐法使其苏醒，随后服用降心火、益肾水、通血和气的药物，配合粥食调养，没有不好的。其余各种厥证，仿照此法施行。千万不要在疑似之间，就当作风气治疗，相差太远了。（出自《石室秘录·事亲》）
如果是伤寒导致的手足厥逆，昏不知人，邪正交争已至极点，在温法和下法之间选择，稍有迟缓，灾祸立刻降临。或者发汗不解，突然鼻衄不知人而厥，或者杂病出现吐血衄血而厥，不知人的，一二日或三日会间歇缓解，间歇则为愈。因为阴气尚实，身体一定不热，如果热则不厥，厥逆且身体温热的主死。突然的气厥而形体实的，是七情所致，痰饮内郁而厥，或者半天或一两个时辰会间歇缓解。形体虚而气逆严重的，多导致不治。这又可见气血为厥，阴阳暴逆的严重性，所以不可断定为风气治疗。（出自《此事难知·微义》）
厥有七种症状：寒、热、痰、气、食、尸、蛔，这七种就是。（出自《医门法律·司命》）
苏合香丸，治疗突然暴厥不知人，尚未分辨是风、痰、气厥，适宜给予此膏，用浓汤化开灌服，醒后再根据脉证用药。（出自《此事难知·微义》，按语：此门没有其他通治的方子，仍附在此处。）
气厥（宜与《诸气》门气中参看）（气虚厥）：脉象急促如喘，名叫气厥，气厥者不知与人说话（《素问》、《甲乙经》作暴厥）。（出自《脉经》）
宋仁宗最宠爱的贵妃，有一天吃饭时，忽然仆倒在地，全身突然变冷。急忙奏报皇帝。皇上紧急召见孙兆、杜某。二人到达后奏道：“不妨事，这是气厥，一会儿吐出来就会复苏。”过了很久，果然吐出后复苏。皇上问是什么原因导致的。二人一起奏道：“这位贵妃正在进食，因为忧怨之气上逆，于是与食物相并，所以这样。吐出来气就透达，所以复苏。”皇上问妃子，有什么事如此。妃子回答说：“陛下没有子嗣，臣的外家不能为陛下生皇嗣，所以自我怨恨，气忽然上逆，以至于惊动圣驾。”皇上叹息道：“朕也自责，竟劳累你致病吗。”于是嘉奖孙、杜二人的才能，过了很久说：“医道如此，难道不是良医吗？”（出自《本草纲目》引孙兆事，按语：楼氏认为皇上突发暴厥不知人不治自愈，引用经文“气复反则生”来验证。）
气厥之证有两种，气虚和气实都能导致厥。气虚突然跌倒的，一定形体气息索然，面色清白，身体微冷，脉微弱，这是气脱证，适宜用人参、[缺字]、当归、白术、地黄、枸杞、大补元煎之类的药，严重的用回阳饮、独参汤之类主治。（按语：《医方考》说：行走站立之间，突然眩晕仆倒昏迷，喉间无痰声，身体无邪热的，是阴虚阳暴绝，独参汤主治。就是此证。）气实而厥的，其形气愤愤勃发，脉沉弦而滑，胸膈喘满，这是气逆证，经文说大怒则形气绝而血郁积于上，就是此类，治疗适宜用四磨饮或八味顺气散、苏合香丸之类，先顺其气，然后根据其虚实进行调理。又如因为愤怒伤气，逆气散去而真气受损，气本就不充实，又如平素多忧郁恐惧而气怯气陷的，其虚损尤其可知，如果用这类行气开滞的药剂就错了。（出自《景岳全书》）
尸厥（附治方）（按语：尸厥一证，《肘后备急方》间有中恶客忤，而《诸病源候论》收录在中恶诸候中，都似乎把“尸”理解为尸注的尸；然而考证经文说其状若尸，考证《扁鹊传》实际是阳实犯阴之证，并未见鬼邪恶气作为原因，所以现在列在气厥之后。《扁仓传汇考》有更详细的说法，宜一并考证。）
（原书此处有缺）
煎至沸腾，分两次灌服，也根据前法使用艾灸。（出自《家宝》）
二十四味流气饮和苏合香丸。
尸厥者，破阴绝阳，形体静止如死。医生不懂针石，适宜用这两个方子主治，使气血流动，阳气不绝络，阴气不破纽，也就是五会之针、五分之熨、八减之剂罢了。（出自《医方考》）
血厥（附治方）：人平时没有病痛，忽然像死人一样，身体不动摇，默默不知人，眼睛闭合不能睁开，牙关紧闭不能说话，或者稍微知道人声，厌恶听到人声，只是像眩晕昏冒，过了一会儿才苏醒。这是由于出汗过多，血少气并于血，阳气独上而不下，气壅塞而不行，所以身体像死了一样。气过血还，阴阳重新通达，所以过了一会儿才苏醒。名叫郁冒，也叫血厥，妇人多有此病，适宜用白薇汤、仓公散。（出自《太平惠民和剂局方·本事方》）
白薇汤。
白薇、当归（洗去芦头薄切焙干秤量各一两）、人参（去芦半两）、甘草（一分炙）
以上粗末，每次服五钱，水二盏，煎至一盏，去渣温服。
仓公散
瓜蒂、藜芦、雄黄（水飞）、矾石（煅）
以上各等分，细末，少许吹入鼻中。（同上）
有血厥者，因为吐血衄血过多，上竭下厥，先导致足冷，像水洗一样，冷过腰膝，入腹即死，这是血竭而作厥。都是因为阳气妄行于上，阴血无所依附，气血分离，不居本位，哪有不死之理呢？（出自《慎柔五书·绳墨》）
血厥之证有两种，血脱和血逆都能导致厥。血脱者，如大崩大吐，或生产时血尽脱，则气也随之而脱，所以导致突然仆倒暴死。适宜先掐人中，或烧醋炭以收敛其气，紧急用人参一二两煎汤灌之，只要使气不尽脱，必然逐渐苏醒。然后根据寒热，慢慢调理，这就是所谓的“血脱益气”。如果不知道这一点而只用血分药，则几微之气忽然散失，阴无所主，就没有生机了。或者有用寒凉药止血的，必然导致败绝阳气，恰好加速死亡罢了。血逆者，即经文所说的血与气并走于上，又说大怒则形气绝而血郁积于上等类。因为血随气逆，必须先理气，气行则血无不行。等到血行气舒，然后随证调理。（出自《景岳全书》）
痰厥（宜与《痰涎》门相参）：厥证有涎潮，如拉锯声在咽中，为痰厥。先用瓜蒂散或人参芦煎汤探吐，随后用导痰汤加竹沥、姜汁。（出自《医宗金鉴·统旨》）
痰厥者，卒中昏倒，不知人事。急灌苏合香丸、滚痰丸，或用吐法，随后服二陈汤加胆星、僵蚕、白附子、竹沥开痰顺气药。（出自《医门法律·司命》）
痰厥，痰涎壅盛，必须吐之。稀涎散。或碧霞散，拣选上好石绿研细，水飞再研，取二三钱，同冰片三四豆许研匀，用鲜薄花汁合温酒调下，不大呕吐，但口角涎流出自然苏醒。如果见到虚症，遗尿自汗，不可吐，速随虚证治疗。（出自《医宗金鉴·六要》）
不因愤怒，忽然气闷痰升，肢冷吐涎，喉中有声，为之痰厥，脉必沉滑，适宜导痰顺气。又是气实多怒之人，忽然大叫发厥的，乃痰闭于上，火起于下，先行探吐，后用导痰。（出自《医宗必读·汇补》）
痰厥者。乃寒痰迷闷。四肢逆冷。适宜姜附汤。以生附子代替熟附子。（出自《丹溪心法·附录》）
痰厥之证，凡一时痰涎壅塞，气闭昏愦，药食俱不能通，必须先宜或吐或开以治其标，这是不得不先救其急。但觉得痰气稍开，盒饭（应为“便”之误）治其病本。如因火生痰者，宜清之降之。因风寒生痰者，宜散之温之。因湿生痰者，宜燥之利之。因脾虚生痰者，自宜补脾。因肾虚生痰者，自宜补肾。这是不必直接治痰，但治其所以生痰的原因而痰自清了。然而还有不可治痰的，恐怕愈攻愈虚而痰必愈甚。（出自《景岳全书》）
食厥（宜与伤食门相参）：食厥必因饮食而起，痰裹食物，妨碍升降，关格不通。急用吐法，食出乃苏，随后进顺气消导药，研保和丸（用山楂、神曲、半夏、茯苓、陈皮、萝卜子、连翘、麦芽）和末饮之，大体与干霍乱相似。（出自《医门法律·司命》）
Background Information:
Book: Zabing Guangyao (Comprehensive Requirements for Miscellaneous Diseases)
Author: Tanba Genken (Japanese)
Dynasty: Qing Dynasty
Chapter: Jue (Cold Extremities/Fainting) (1/2)
Category: Comprehensive
Translation:
The "Jue" (rebellious Qi/cold extremities) mentioned by Huangdi and Qibo (Xuanqi) refers to conditions where, in Heat Jue, internal heat is accompanied by external heat symptoms; in Cold Jue, internal cold is accompanied by external cold symptoms. The "Jue" mentioned by Zhang Zhongjing refers to conditions where the external symptoms are necessarily cold, but internally there may be either Cold or Heat patterns; this is the difference between them. Later generations generally named various diseases characterized by sudden fainting and loss of consciousness as "Jue," which is yet another variation. Few can elaborate on the meaning of Xuanqi's Jue; the predecessors have already extracted Zhang Zhongjing's discussion of Jue into the *Shanghan Lun* (Treatise on Cold Damage). Therefore, what is cited here mostly refers to later generations' concept of Jue, although it does cover both Cold and Heat patterns.
Etymology: "Jue" refers to rebellious Qi rising from the lower body upwards, entering the heart and hypochondrium. (*Shiming*)
"Jue" means rebellion/reversal, referring to the sudden decline and severance of Yin and Yang Qi, deviating from normal limits. (*Zhubing Yuanhou Lun*) [Note: This explanation is considered inadequate.]
Modern people also call sudden fainting and loss of consciousness "Jue." (*Yixue Zhunsheng*)
General Discussion:
Jue-ni (Rebellious Cold Extremities) is a critical condition. Generally, "Jue" implies exhaustion, and "Ni" implies chaos, referring to the deterioration and disorder of Qi and Blood. [Note: This view is incorrect.] Therefore, the *Neijing* (Inner Canon) emphasizes and details it extensively. For example, "Cu Jue" (Sudden Jue) and "Bao Jue" (Violent Jue) are general terms for Jue-ni. "Han Jue" (Cold Jue) and "Re Jue" (Heat Jue) distinguish the Yin and Yang of Jue-ni. "Lian Jing" (Connecting Meridians) and "Lian Zang" (Connecting Organs) discuss the prognosis of life and death in Jue-ni. Furthermore, the differentiation of various meridians and organs is already detailed. Additionally, recent times have seen patterns such as Qi Jue, Blood Jue, Wine Jue, Zang Jue, and Ascaris Jue, all of which are based on the principles of the Classics. Observing the discussions in the *Neijing*, they are extremely clear. Why can later scholars still not discern them? Whenever encountering this pattern, they mistakenly identify it as Stroke (Zhong Feng), failing to recognize what Jue-ni actually is, and treating it uniformly as Stroke. What harm could be greater than this? (*Jingyue Quanshu*)
Yang Jue and Yin Jue:
Violent storms and intense heat, flying clouds and objects, morning darkness and evening clarity, night heat and day cold, cold when it should not be cold, rain when it should not rain, water exhausted and soil crumbling. Prolonged drought, withered grass and trees, dried-up rivers, this is the Heaven and Earth's Yang Jue. Sudden obstruction, panting and shortness of breath, limbs unable to hold themselves, dysfunction of the Fu organs, deafness and blindness, dry throat and scorched mouth, sores on the tongue, runny nose, red cheeks and vexation, dizziness and heavy head, eyes burning like fire, body feeling like burning, doing things previously impossible, wanting things previously unwanted, climbing high singing and laughing, discarding clothes and running wildly, delirious speech, inability to distinguish relatives from strangers, extreme restlessness, unceasing thirst, chest and diaphragm distension, abdominal and hypochondriac fullness, back carbuncles and rotting flesh, vexation, ulceration, Xiao Zhong (Wasting and Thirsting), food not entering the stomach, water not passing through the intestines, sudden swelling and fullness, shouting and fainting, loss of consciousness, pain without location, this is Human Yang Jue. In Yang Jue, if the pulse is forceful upon light and heavy pressure, survival is possible; if the pulse is absent, death ensues. Flying frost and hail, morning and evening mist, drifting clouds and rain, cold wind and dew, hot when it should not be hot, cold before the time comes, prolonged seasonal rains, springs emerging in fields, mountain collapses and earth cracks, soil crumbling and rivers overflowing, moon darkening and sun dimming, this is Heaven and Earth's Yin Jue. Sudden aphonia and chilling cold, whole-body stiffness, curled and contracted limbs, blue lips and black face, staring eyes and locked jaw, abdominal fullness and pain, shaking head and chin, heavy waist and legs, slurred speech, vomiting and diarrhea, numbness on left and right sides, free urination and defecation, vomiting acid fluids, sorrow and misery, unpredictable anger and joy, this is Human Yin Jue. In Yin Jue, if the pulse is weak on light pressure and large on heavy pressure, survival is possible. If absent on both pressures, death ensues. Whole-body coldness with spontaneous sweating on the forehead also indicates death. Yin Jue lasting more than three days should not be treated. (*Zhongzang Jing*) [Note: This refers to a different meaning, hence listed separately.]
Cold, Heat, Deficiency, and Excess:
The classics state thus [Note: Above cites text from *Suwen: Jue Lun*]. Although roughly divided into the Six Stages, it fundamentally stems from Cold or Heat etiologies. To seek comprehensive treatment, one must clarify them sequentially. Cold Jue often results from excessive sexual activity depleting Essence, leading to Yang deficiency and Yin excess. Heat Jue often results from intercourse after drunkenness and overeating; Essence deficiency allows Heat to enter, leading to Yin deficiency and Yang excess. Examining the causes of Jue, they often arise from one element overcoming its conquered element, causing Qi stagnation and rebellion. For instance, Kidney transferring Cold to Spleen means Water overcoming Earth; if Water fails to flow, Cold Jue forms. Heart transferring Heat to Kidney means Fire overcoming Water; if Fire fails to flow, Heat Jue forms. This applies to all Six Stages and can be discussed sequentially. Grasping the essence, one word suffices. [Note: Below discusses Shi Jue, recorded later.] Cold requires Heat therapy, Heat requires Cold therapy, obstruction requires unblocking. As the classics say: "Excess, drain it; Deficiency, tonify it; Neither excess nor deficiency, treat via the meridian." The principle is the same. The classics cite frequent drunkenness as a cause of Heat Jue; students should not be rigidly bound by this, as both Shanghan (Cold Damage) and Wenbing (Warm Diseases) present Heat Jue. Zhang Zhongjing's statement "the deeper the heat, the deeper the Jue" uses alcohol as an example because it can induce heat in all vessels. This must be understood. (*Sanyin Fang*)
"Jue" is rebellion. It refers to Yin Qi attacking Yang Qi. Yin resides below, Yang resides above. When Yang is deficient, Yin becomes excessive. Excessive Yin attacks Yang, causing Wei Qi (Defensive Qi) to rebel and deviate from normal limits. Thus, cold arises from the back, and hands and feet become cold and reversed due to Yin excess. (*Zhubing Yuanhou Lun*)
Jue patterns vary in Cold, Heat, Yin, Yang, Deficiency, and Excess. For those with slightly robust constitution and Qi, Hezi's methods of emesis and purgation are suitable. For severe deficiency, regulation according to the etiology is appropriate. (*Weiyi*)
In *Shanghan Lun*, Jue is differentiated by pathogenic factors; thus, Cold Jue warrants warming, and Heat Jue warrants purging. In the *Neijing*, Jue focuses on Yuan Qi (Primal Qi); thus, Heat Jue requires nourishing Yin, and Cold Jue requires tonifying Yang. These two treatments must be carefully distinguished. (*Jingyue Quanshu*)
Jue has many types; one must distinguish Yin/Yang and Deficiency/Excess. Before Jue onset, if there is vomiting/diarrhea without thirst, cool body, and curling up, and upon onset, slow pulse and salivation, it is Yin Jue. Before onset, if there is constipation, difficult urination, thirst, fever, irritability, and upon onset, rapid/large pulse and dry mouth, it is Yang Jue. If Jue presents with locked jaw, it is Excess Jue. If Jue presents with open mouth and spontaneous sweating, it is Deficiency Jue. (*Huibu*)
Yang Jue is Heat Jue. Symptoms include cold extremities, fever, red face, dry lips/thirst, dry tongue coating, closed or open eyes, scanty dark urine, dry stool. Avoid ascending, astringent, drying, warm, and acrid-warm herbs. Use purgatives, clearing-heat, sweet-cold, bitter-cold, and salty-cold herbs. Yin Jue is Cold Jue. Symptoms include cold extremities, cold body, blue face, curling up, cyanotic fingers/nails, abdominal pain, loose stools or undigested food, free urination, no thirst, unconsciousness. Avoid purgatives, Qi-breaking, bitter-cold, salty-cold, and sour-cold herbs. Use Qi-tonifying, middle-warming, sweet-warm, and acrid-hot herbs. (*Bencao Jingshu*)
Pathogenesis involves Qi closure and Liver rebellion: One might ask: The previous discussion mentions six types of Jue (Cold, Heat, Phlegm, Qi, Ascaris, Blood). Do these cover all causes? Answer: Jue is not limited to these six; that is the norm. The cause of Jue lies in Qi closure, causing sudden blockage of all meridians internally and externally. Ying Qi (Nutritive Qi) circulates inside, Wei Qi circulates outside. Now Ying Qi is rejected externally, and Wei Qi is blocked internally. Thus, inner gridlock and outer rejection occur, upper and lower communication ceases, leading to stiff lying, cold extremities, and deep-hidden pulses. This is the general meaning of Jue. Various Jue diseases, though presenting with cold extremities, recover quickly once Yin retreats, Yang returns, and Qi flows. Unlike deficiency diseases where cold extremities, thready pulse, profuse sweat, and saw-like phlegm sounds indicate terminal crisis. (*Baiwen*)
Mr. Shao Xinpu emphasizes the Liver in this disease. The Liver is the General, prone to interfering with other organs. Once Liver Qi rebels, all Qi rebels. Qi rebellion generates Phlegm, leading to boiling Fire and whirling Wind, confusing the Spirit and dissipating the Soul. (*Linzheng Zhinan*)
Pulse Diagnosis:
Choppy pulse indicates blood deficiency, severe cold Jue. Thin Chi pulse indicates Yin deficiency, with dysentery and cold extremities. Heat Jue pulse is hidden, sometimes rapid; constipation makes treatment difficult. (*Cui Shi Maijue*)
Jue-ni pulses are mostly deep and hidden. Deep-slow-scattered indicates Cold; deep-hidden-rapid indicates Heat; floating-weak indicates Qi deficiency; surging-sliding-forceful indicates stubborn Phlegm; deep-sliding with cold body is hard to treat. (*Yu An*)
Differentiation (Severity):
Stroke pulses result from Qi deficiency approaching collapse: floating-surge, pounding-rapid, slow-smooth, string-tight. Jue pulses result from Qi blockage: deep-hidden-choppy-abandoned or deep-string-thin-smooth. Stroke symptoms: red face, warm limbs, coarse breathing, snoring, relaxed body. Jue symptoms: blue face, locked jaw, cold extremities, stiff limbs, faint breath, resembling death. (*Baiwen*)
Ancients also described Shi Jue (Corpse Jue), Tan Jue (Phlegm Jue), Feng Jue (Wind Jue), Han Jue (Cold Jue), Spasm, Epilepsy, and Opisthotonos, all resembling Jue, shocking and hard to differentiate. Identify accurately, do not panic. Observe pulse, complexion, movements. Pressing the inner fist is ominous; pressing the outer fist is mild. Large-floating-forceful pulse wakes easily; thin-deep-hidden-rapid-disconnected pulse is ominous. Blue face, perioral blue, white lips, black nostrils, inverted Philtrum are critical. This theory is highly secret. (*Zunsheng Shu*)
Summary of All Jue (With Formulas):
Phlegm sound like sawing in throat is Tan Jue; limb convulsions are Feng Jue; caused by drunkenness is Jiu Jue; caused by rage is Qi Jue. Shi Jue, Wei Jue, Feng Jue, Qi Jue, Jiu Jue can be awakened by emesis, followed by herbs lowering Heart Fire, benefiting Kidney Water, and harmonizing Blood/Qi, plus dietary care. Others follow this. Do not mistake for Wind-Qi. (*Shiqin*)
If Shanghan causes cold extremities and unconsciousness, with extreme pathogen vs. righteous Qi conflict, hesitation between warming and purging brings disaster. Or sweating fails, sudden epistaxis leads to Jue. Or miscellaneous diseases with hematemesis/epistaxis lead to Jue. Unconsciousness resolves in 1-3 days. If Yin Qi is substantial, body is not hot; if hot, no Jue. Jue with warm body indicates death. Sudden Qi Jue with robust form is due to Seven Emotions, internal Phlegm-Fluid retention. Resolves in hours. Robust form with severe Qi rebellion is often fatal. This shows Qi/Blood Jue and violent Yin/Yang rebellion; do not treat as Wind. (*Weiyi*)
Seven Types of Jue: Cold, Heat, Phlegm, Qi, Food, Corpse, Ascaris. (*Siming*)
Suhe Xiang Wan treats sudden Jue with unconsciousness, before distinguishing Wind/Phlegm/Qi. Administer paste in thick decoction. After waking, treat based on pulse/symptoms. (*Weiyi*) [Note: No universal formula for this section, attached here.]
Qi Jue (See *Zhu Qi* section): (Qi Deficiency Jue) Pulse急促如喘 (rapid like panting) is named Qi Jue; patient cannot speak. (*Maijing*, citing *Suwen*/*Jiayi*)
Emperor Renzong's favorite Concubine fainted while eating, body suddenly cold. Emperor summoned Sun and Du. They said: "No danger, this is Qi Jue. Vomiting will restore consciousness." Later she vomited and recovered. Emperor asked cause. They replied: "She was eating,憂怨 qi rose with food. Vomiting released the Qi." Concubine explained: "No heir, my family blamed myself, Qi rebelled." Emperor praised their skill. (*Gangmu*, citing Sun) [Note: Lou notes spontaneous recovery confirms "Qi returning brings life."]
Two types of Qi Jue: Deficiency and Excess.
Qi Deficiency sudden collapse: exhausted form, pale/clear face, slight cold, weak pulse. Qi Collapse syndrome. Use Renshen, Danggui, Baizhu, Dihuang, Gouqi, Dabu Yuanjian. Severe cases: Huiyang Yin, Dushen Tang. [Note: *Yifang Kao*: Sudden fainting without phlegm sound or heat is Yin deficiency with Yang collapse; Dushen Tang.]
Qi Excess Jue: angry form, deep-string-slippery pulse, chest oppression. Qi Rebellion syndrome. "Great anger causes Qi/Blood to rise." Use Simo Yin, Bawei Shunqi San, Suhe Xiang Wan. First smooth Qi, then regulate. Anger damaging Qi or chronic depression causing Qi sinking requires tonification, not Qi-moving herbs. (*Jingyue Quanshu*)
Shi Jue (Corpse Jue) (With Formula): [Note: *Zhouhou* links to Evil Invasion; *Chaoyuan* to Middle Evil. Text says "like corpse." *Bianque Zhuan* attributes to Yang invading Yin, not ghosts. Listed after Qi Jue.]
[Text missing]
Boil and administer twice, also apply moxibustion. (*Jiabao*)
Ershisiwei Liuqi Yin and Suhe Xiang Wan.
Shi Jue breaks Yin and severs Yang, body still as dead. Doctors unaware of acupuncture should use these two formulas to move Qi/Blood, preventing Yang severance and Yin rupture. Equivalent to Wuhui acupuncture and warming therapies. (*Fangkao*)
Blood Jue (With Formula):
Healthy person suddenly dies-like, motionless, silent, eyes closed, jaw locked, or slightly aware but hates noise, dizzy/faint, recovers after time. Caused by excessive sweating, blood deficiency, Qi merging with Blood, Yang rising alone, Qi blockage. Body feels dead. Qi passes, Blood returns, Yin/Yang reconnect, recovery occurs. Named Yumao or Blood Jue, common in women. Use Baiwei Tang, Cangong San. (*Benshi Fang*)
Baiwei Tang:
Baiwei, Danggui (washed, sliced, dried, 1 liang each), Renshen (0.5 liang), Gancao (1 fen, roasted).
Coarse powder. 5 qian per dose, 2 zhan water, boil to 1 zhan, strain, warm drink.
Cangong San:
Gua Di, Li Lu, Xiong Huang (water-ground), Fan Shi (calcined).
Equal parts, fine powder. Blow small amount into nose. (*Same source*)
Blood Jue from excessive bleeding: Upper exhaustion, lower Jue, feet cold like washing, cold past waist/knees, fatal if entering abdomen. Blood exhaustion causes Jue. Yang wanders up, Yin Blood has no root, Qi/Blood separate. Death inevitable. (*Shengmo*)
Two types of Blood Jue: Blood Loss and Blood Rebellion.
Blood Loss: Massive hemorrhage/vomiting/postpartum blood loss. Qi follows Blood loss, sudden collapse/death. Pinch Renzhong, burn vinegar charcoal to gather Qi. Urgently give 1-2 liang Renshen decoction. If Qi not fully lost, recovery likely. Then regulate by Cold/Heat. This is "Tonify Qi for Blood Loss." Do not just use Blood herbs, or remaining Qi scatters. Cold hemostatics destroy Yang, accelerating death.
Blood Rebellion: Qi and Blood rushing up together. "Great anger causes Qi/Blood to rise." Must regulate Qi first. Once Qi moves, Blood moves. Then treat symptoms. (*Jingyue Quanshu*)
Tan Jue (Phlegm Jue) (See *Tan Xian* section):
Phlegm tide with sawing sound in throat is Tan Jue. First Guati San or Renshen Lu decoction for emesis, then Daotan Tang with Zhuli and Jiangzhi. (*Tongzhi*)
Tan Jue, coma: Xixian San, Daotan Tang. (*Zhang*)
Tan Jue, sudden collapse: Urgent Suhe Xiang Wan, Untan Wan, or emesis, then Erchen Tang with Danxing, Jiangcan, Fuzi, Zhuli. (*Siming*)
Tan Jue, abundant phlegm: Must emesis. Xixian San. Or Bixia San (Shilu + Bingpian) with flower juice/warm wine. Saliva flows from corner of mouth, patient wakes. If deficiency signs (incontinence, sweat), do not emesis, treat deficiency. (*Liuyao*)
Sudden Qi oppression/phlegm rise without anger, cold limbs, salivation, throat sound, deep-slippery pulse: Guide Phlegm and smooth Qi. Angry person shouting and fainting: Phlegm blocking above, Fire rising below. Emesis first, then Daotan. (*Huibu*)
Tan Jue from Cold Phlegm confusion, cold limbs: Jiangfu Tang (use raw Fuzi). (*Danxi Xinfa*)
Tan Jue, acute phlegm blockage, unconscious, unable to take meds/food: Treat branch first (emesis/opening). Once phlegm clears, treat root. Fire-phlegm: Clear/Descend. Wind-Cold-phlegm: Disperse/Warm. Damp-phlegm: Dry/Drain. Spleen-deficiency-phlegm: Tonify Spleen. Kidney-deficiency-phlegm: Tonify Kidney. Treating the cause clears phlegm. Do not attack phlegm excessively in weakness. (*Jingyue Quanshu*)
Shi Jue (Food Jue) (See *Shangshi* section):
Caused by diet, Phlegm trapping food, obstructing ascent/descent. Urgent emesis. Recovery after food expulsion. Follow with Qi-smoothing and digestion-promoting herbs. Baohe Wan (Shanzha, Shenqu, Banxia, Fuling, Chenpi, Boluozhi, Lianqiao, Maiya) powder. Similar to Gan Huoluan. (*Siming*)