此由气壅逆而然，非不足而欲脱也。按其胸，即眉为之皱；按其腹，即体为之举。询其由，因日间烦冗，无暇
吃饭，至晚陪客毕，即病发。曰∶饥极过饱，此食中也。昏愦不语，脉伏，皆饮食填塞清道所致。四肢不举，
经谓土太过之病也。初时一吐即已，今已三日，上中下俱受病，当吐下消导并行，以分杀其势。乃先以生姜淡盐汤探
之，涌痰涎汤水数碗，少顷，神思少清。诊之，寸关逼逼而来，又以棱、莪、槟、枳、橘、曲、木香、白豆蔻仁、
莱菔子煎送润字丸五钱，下三四行，势大减。再诊，关尺俱见，且沉实有力，第胸腹按之犹痛，再以前方煎送
润字丸二钱。四日后，方与稀粥，改用二陈，少佐归、芍以养荣血，参、术以扶胃气，木香、蔻仁以宽其未尽
之痞，旬日而安。
陆肖愚治潘碧泉之妻，年近五旬，因大怒后，忽然倒仆，牙关紧急。脉之，两寸关滑大，两尺沉无。以稀
涎散齐水调，撬牙灌之，吐痰盆许，少顷而苏，第人事尚未清爽。再诊，寸关稍平，两尺已起。以二陈加贝母、
黄连、香附、数剂而安。
陆祖愚治郁仲开，劳心之后，复感怒气，清晨篦头未毕，忽然昏晕，四肢厥逆，口目不闭，喉声如锯，二
便不利。脉之，左三部弦滑而数，右三部沉实有力。此痰厥也。先用牛黄丸姜汤化开，加牛黄一分，连灌四五
丸，再用陈皮、贝母、花粉、胆星、黄芩、黄连、枳实、栝蒌、前胡、桔梗、皂荚、姜汁、竹沥顿服，涌去稠
痰二三碗。前方去皂荚、陈皮，加青皮，二剂行二次，其老痰俱从便出，症顿减。后用健脾清火养血消痰之剂，
调理而安。
郑显夫，年六十余，因大怒，遂昏仆，四肢不用。余以怒则火起于肝，以致手足厥阴二经之气闭而不行，
故神昏无知。怒甚则伤其筋络，弛纵不收，故手足不用。急以连、柏泻其上逆之火，香附降其肝气，一二日神
智渐清。后以调气血、壮筋骨之剂补之，数日而安。（《药要或问》、《医说续编》。）
朱丹溪治吕宗信，有积块，足冷至膝。用大承气汤加减下之，其块厥皆愈。（积块易知，足冷为实热
之厥，人或未知。入厥门。）
吴洋治里人病，归自浙，四肢厥冷，六脉若无，尸寝旬余，水浆不入，众医以为死矣。洋至曰∶此热厥也。
乃就浴室贮盘水，水皆新汲，架板片，卧病患于其上，以青布 四体，挹水沃之，即以水蘸病者唇，病者欲得
水甚，遂尽其量而饮之，乃瘥。（《太函集》。）
吴桥过章祁，有人遮道告曰∶汪一洋，年五十余，溲血后发热，毕召诸医。或以为伤寒，剂以发散；或以
为痢后虚损，剂以补中。久之，谵语昏迷，四肢厥冷，盖不食者旬日矣。其家绝望以待尽，愿一诊之。吴曰∶
此热厥也，吾能活之。予以石膏黄连汤，一服而苏。再而间，五服而愈。（同上。）
魏玉横曰∶鲍渌饮妹病厥，昏不知人，目闭鼻煽，年寿环口皆青，手足时时抽掣，自夜分至巳牌，汤水不
入。脉之，大小无伦次，谓此肺金大虚，肝火上逆，火极似风之候，唯独参汤可愈，他药不必受也。参已煎，
或沮之，遂不敢与。一医用菖蒲、远志以开心气，茯神、枣仁以安神，麦冬、贝母以清痰，辰砂、铁锈水以镇
坠。奈药从左灌入，即从右流出，绝不下咽，群视束手。时已过晡，再视之，则面额间渐变黑色，令急灌参汤
犹可活。乃以茶匙注之，至六七匙，喉间 然有声，已下咽矣。察其牙关渐开，再以米饮一盏和参汤灌下，遂
目开身动，面额青黑之气豁然消去。徐饮薄粥一瓯，起坐而愈。后尝复厥，但不甚，唯与地黄、沙参、麦冬、
杞子即瘥。
顾氏女，年十六， 有疮，三阴之病其素也。以岁暮劳于女工，胁痛发，咳嗽吐痰。一医与广、牛、荆、
防、香、砂、枳、桔等三四剂，觉中脘有物如拳上顶，食不能下。又一老医，谓此痰也，其盛盈斗，必须去乃
已。其方与前方同，增苍术、浓朴、竹沥、姜汁，服二剂，病益剧。延治，开岁之二日也。比至，则日死矣，
无庸诊也。询死几时？曰∶天黎明，忽目闭口张，挺卧僵直，呼唤不应，汤水不入。询其胸腹如何？其母按之，
曰∶犹暖。遂入诊，已无脉，面死白杀青，牙龈迸紫血，亦已凝冱。令曳其四肢，尚软。谓本属元虚，劳役而
病，误行燥散，伤其肺金，致肝木挟痰食上逆。又加酷暴之品，遂令水涸木枯而厥冒。第痰食之厥，可一吐而
醒，此阴亡阳越之厥，惟有令魂升魄降而已。今生气未绝，姑以熟地二两，杞子一两，沙参、麦冬各五钱，急
煎徐灌，但虑其不下咽耳，下咽即活。乃如言，次日延诊，告以初时药不能下，以簪撬灌，久之入咽有声，今
起坐耳。前方减半，入蒌仁二钱，八剂全愈。后数年出嫁，不得于姑，胁痛不卧，一医令以木香为末调服，姑
不许服，竟一厥而终。
黄锦芳治李某，四肢厥逆，怦怦恶寒，肌冷如冰。黄视其面虽惨淡，而内实烦满；脉虽沉伏，而肝脉有力。
此热厥也，用黄芩一钱，黄连五分，柴胡八分，枳壳八分，浓朴一钱，大黄二钱，乌梅一个，青皮五分，槟榔
八分，细辛二分，服后厥回，通身大热，改用平药而愈。
这是由于气机壅滞逆乱所致，并非正气不足而欲脱失。按压其胸部，患者眉头就会皱起；按压其腹部，身体就会因疼痛而挺举起来。询问发病原因，是因为白天事务繁杂，无暇吃饭，直到晚上陪完客人后，病就发作了。说：极度饥饿后暴饮暴食，这是食积中阻。神志昏沉不能言语，脉象伏匿，都是饮食填塞清窍通道所致。四肢不能活动，经文中称为土气太过之病。起初用催吐法一次即可痊愈，如今已过了三天，上、中、下三焦都受到病邪影响，应当采用涌吐与泻下消导并行的方法，以分头削弱病势。于是先用生姜淡盐汤探吐，涌出痰涎和汤水数碗，片刻之后，神思稍微清醒。诊察脉象，寸部和关部脉搏急促有力，又用莪术、蓬莪术、槟榔、枳实、橘皮、神曲、木香、白豆蔻仁、莱菔子煎汤送服润字丸五钱，排出三四次大便，病势大减。再次诊察，关部和尺部脉象均显现，且沉取坚实有力，只是胸腹按压时仍然疼痛，再用前方煎汤送服润字丸二钱。四天后，才给予稀粥，改用二陈汤，稍加当归、白芍以滋养营血，人参、白术以扶助胃气，木香、豆蔻仁以宽理未尽的痞满，十日后病情安定。
陆肖愚治疗潘碧泉的妻子，年龄近五十岁，因为大怒之后，突然跌倒仆地，牙关紧闭紧急。诊脉，两手寸部和关部脉象滑大，两尺部脉象沉伏无根。用稀涎散调和水浆，撬开牙齿灌入，吐出约一盆痰涎，片刻后苏醒，只是人事尚未完全清爽。再次诊察，寸关脉稍平，两尺脉已起。用二陈汤加贝母、黄连、香附，服用数剂后病情安定。
陆祖愚治疗郁仲开，在劳心之后，又感受怒气，清晨梳头未毕，突然昏晕，四肢厥冷，口眼张开闭合不全，喉间痰声如锯，大小便不通利。诊脉，左手三部脉弦滑而数，右手三部脉沉实有力。这是痰厥。先用牛黄丸化姜汤冲开，加入牛黄一分，连续灌服四五丸，再用陈皮、贝母、天花粉、胆南星、黄芩、黄连、枳实、瓜蒌、前胡、桔梗、皂荚、姜汁、竹沥顿服，涌出稠痰二三碗。前方去掉皂荚、陈皮，加入青皮，服用两剂排便两次，老痰全部从大便排出，症状顿时减轻。后用健脾清火养血消痰的方剂调理而安。
郑显夫，六十多岁，因为大怒，随即昏倒仆地，四肢不能活动。我认为怒则火起于肝，导致手足厥阴二经之气闭阻而不运行，所以神志昏迷无知。怒甚则损伤筋络，松弛纵缓不收，所以手足不能活动。急用黄连、黄柏泻其上逆之火，香附降其肝气，一二日后神智逐渐清醒。后用调和气血、强壮筋骨的方剂补益，数日后病情安定。（出自《药要或问》、《医说续编》。）
朱丹溪治疗吕宗信，体内有积块，脚冷至膝盖。用大承气汤加减攻下，积块和厥冷都痊愈了。（积块容易知晓，脚冷属于实热之厥，人们往往不知道。归入厥门。）
吴洋治疗同乡人的病，从浙江归来，四肢厥冷，六脉似无，像尸体一样躺卧十多天，水浆不进，众医生认为已经死亡。吴洋到达后说：这是热厥。于是在浴室放置盛水的盘子，水都是新汲的，架上木板片，让病人躺在上面，用青布擦拭四肢，舀水浇淋，同时用水沾湿病人的嘴唇，病人非常想喝水，于是喝尽了水量，病就好了。（出自《太函集》。）
吴桥经过章祁，有人拦路告诉他说：汪一洋，五十多岁，尿血后发热，召集各位医生诊治。有的认为是伤寒，用发散药剂；有的认为是痢疾后的虚损，用补中益气药剂。时间久了，出现谵语昏迷，四肢厥冷，大概已经有十天不进食了。家属绝望等待死亡，希望吴桥诊断一下。吴桥说：这是热厥，我能救活他。给予石膏黄连汤，一服药后苏醒。再过几天，服用五剂后痊愈。（同上。）
魏玉横说：鲍渌饮的妹妹患厥证，昏迷不知人，眼睛闭合，鼻翼煽动，鼻子周围及口唇四周发青，手脚时时抽搐掣动，从半夜到巳牌时间，汤水无法进入。诊脉，脉象大小无序，说是肺金大虚，肝火上逆，火极似风的征候，只有人参汤可以治愈，其他药物不必服用。人参已经煎好，有人阻止，于是不敢给病人服用。一个医生用石菖蒲、远志来开心气，茯神、枣仁来安神，麦冬、贝母来清痰，辰砂、铁锈水来镇坠。无奈药从左嘴角灌入，即从右嘴角流出，绝不下咽，众人看着束手无策。时间已过傍晚，再去看时，则面额间逐渐变成黑色，命令急灌人参汤还可以救活。于是用茶匙注入，到了六七匙，喉间发出吞咽的声音，已经下咽了。观察其牙关逐渐张开，再用米汤一盏和人参汤灌下，于是眼睛睁开身体动弹，面额青黑之气豁然消散。慢慢喝下一瓯薄粥，起身坐好而痊愈。后来曾经复发厥证，但不严重，只用地黄、沙参、麦冬、枸杞子即痊愈。
顾氏女儿，十六岁，素有疮疾，是三阴病的体质。因为年底忙于女红，胁痛发作，咳嗽吐痰。一个医生用广藿香、牛膝、荆芥、防风、香附、砂仁、枳壳、桔梗等药三四剂，感觉中脘有物如拳头向上顶撞，食物不能下咽。另一个老医生说，这是痰邪，其盛盈斗，必须去除才能停止。其方与前一方相同，增加苍术、厚朴、竹沥、姜汁，服用两剂，病情更加严重。延请诊治时，已是新年的第二天。等到时，病人已经死了，无需诊察。询问死了几时？回答说：天亮时，突然眼睛闭合嘴巴张开，挺直僵卧，呼唤不应，汤水不入。询问胸腹情况如何？其母亲按压后说：还是温暖的。于是进去诊察，已经没有脉象，面色死白泛青，牙龈迸出紫血，也已经凝固冻结。拉扯其四肢，尚且柔软。说是本来属于元气虚弱，劳累致病，误用燥散药物，损伤肺金，导致肝木挟带痰食上逆。又加上酷烈暴戾的药物，致使水涸木枯而发生厥冒。只是痰食之厥，可以一吐而醒，这是阴亡阳越之厥，只有令魂升魄降而已。现在生气未绝，姑且用熟地黄二两，枸杞子一两，沙参、麦冬各五钱，急煎慢慢灌下，只担心其不下咽，下咽即活。于是照此办理，次日去诊察，告知起初药不能下，用簪子撬开灌入，久之入咽有声，现在能起坐。前方减半，加入瓜蒌仁二钱，八剂后全愈。几年后出嫁，不得婆婆欢心，胁痛不卧，一个医生令用木香为末调服，婆婆不允许服用，最终一厥而终。
黄锦芳治疗李某，四肢厥逆，怦怦恶寒，肌肤冷如冰。黄锦芳看其面色虽然惨淡，但内部实则烦闷胀满；脉象虽然沉伏，但肝脉有力。这是热厥，用黄芩一钱，黄连五分，柴胡八分，枳壳八分，厚朴一钱，大黄二钱，乌梅一个，青皮五分，槟榔八分，细辛二分，服用后厥逆回返，通身大热，改用平和药物而痊愈。
This condition arises from qi stagnation and rebellion, not from deficiency leading to collapse. Pressing the chest causes the patient to frown; pressing the abdomen causes the body to stiffen in pain. Inquiry reveals that due to a busy day with no time to eat, the illness erupted after entertaining guests late at night. The cause is extreme hunger followed by overeating, resulting in food retention in the middle jiao. Confusion and inability to speak, along with a hidden pulse (Fuchi Mai), are caused by dietary accumulation blocking the clear orifices. Inability to move the limbs corresponds to the classic description of excessive Earth qi. Initially, one emesis would have sufficed; now that three days have passed, the upper, middle, and lower jiao are all affected. One should employ simultaneous emesis and purgation with digestive agents to divide and reduce the pathogenic force. Thus, ginger light salt water was used to induce vomiting, expelling several bowls of phlegm and fluid. Shortly after, mental clarity slightly improved. Pulse diagnosis revealed rapid and forceful pulses at the Cun (inch) and Guan (bar) positions. A decoction of Ezhu (Curcuma zedoaria Rhizome), E Zhu (Curcuma phaeocaulis Rhizome), Binglang (Areca Seed), Zhishi (Immature Bitter Orange), Juhong (Aged Tangerine Peel), Shenqu (Medicated Leaven), Muxiang (Costus Root), Baiddoukou Ren (White Cardamom Seed), and Laifuzi (Radish Seed) was prepared to deliver five qian of Runzi Wan. After three or four bowel movements, the condition significantly subsided. Re-examination showed Guan and Chi (cubit) pulses present, deep and forceful, though tenderness remained upon abdominal palpation. Two qian of Runzi Wan were administered again with the previous decoction. Four days later, thin rice gruel was introduced, and Erchen Tang (Two-Cured Decoction) was prescribed with minor additions of Danggui (Angelica Sinensis Radix) and Shaoyao (Peony Root) to nourish Ying blood, Renshen (Ginseng Radix) and Baizhu (Atractylodes Macrocephala Rhizome) to support Stomach Qi, and Muxiang and Doukou Ren to resolve residual fullness. Peace was restored within ten days.
Lu Xiaoyu treated the wife of Pan Biquan, nearly fifty years old. Following severe anger, she suddenly collapsed with clenched jaw. Pulse diagnosis revealed slippery and large pulses at both Cun and Guan positions, while Chi pulses were deep and absent. Xixian San (Thin Saliva Powder) mixed with water was administered via forced ingestion after prying open the teeth, expelling approximately one basin of phlegm. She revived shortly after, though consciousness remained unclear. Re-palpation showed slightly normalized Cun/Guan pulses and rising Chi pulses. Erchen Tang (Two-Cured Decoction) added with Beimu (Fritillaria Bulb), Huanglian (Coptis Rhizome), and Xiangfu (Cyperus Rhizome) was given for several doses, resulting in recovery.
Lu Zuyu treated Yu Zhongkai. After mental exertion compounded by anger, he suddenly fainted while combing his hair in the morning. Symptoms included limb coldness, open eyes and mouth, sawing-like throat sounds, and urinary/fecal retention. Pulse diagnosis: left three positions were wiry, slippery, and rapid; right three positions were deep, solid, and forceful. This is Phlegm Jue (Phlegm Cold Extremities). Niuhuang Wan (Calculus Bovis Pill) dissolved in ginger juice, with an additional 1 fen of Niuhuang (Calculus Bovis), was administered continuously (4-5 pills). Subsequently, Chenpi (Aged Tangerine Peel), Beimu (Fritillaria Bulb), Huafen (Trichosanthes Root), Danning (Arisaema Cum Bile), Huangqin (Scutellaria Root), Huanglian (Coptis Rhizome), Zhishi (Immature Bitter Orange), Gualou (Trichosanthes Fruit), Qianhu (Peucedanum Root), Jiegeng (Platycodon Root), Zhaojia (Soap Pod), Jiangzhi (Ginger Juice), and Zhuli (Bamboo Sap) were taken as a single dose to induce vomiting of thick phlegm (2-3 bowls). Soap pod and Chenpi were removed from the formula, adding Qingpi (Green Tangerine Peel). After two doses and two bowel movements, old phlegm was expelled via stool, and symptoms markedly decreased. Thereafter, formulas for strengthening Spleen, clearing fire, nourishing blood, and resolving phlegm were used for regulation.
Zheng Xianfu, over sixty, fainted and became immobile following severe anger. I reasoned that anger generates fire in the Liver, causing closure of Qi flow in the Foot Jueyin and Foot Shaoyin meridians, leading to unconsciousness. Severe anger damages sinews, causing flaccidity and loss of motor function. Urgently, Huanglian (Coptis Rhizome) and Huangbai (Phellodendron Bark) were used to drain rebellious fire, and Xiangfu (Cyperus Rhizome) to subdue Liver Qi. Consciousness gradually cleared within one to two days. Subsequently, tonics harmonizing Qi and Blood and strengthening sinews and bones were administered, leading to recovery in a few days. (From *Yaoyao Huowen*, *Yishuo Xubian*.)
Zhu Danxi treated Lv Zongxin, who had abdominal masses and cold feet extending to the knees. Da Chengqi Tang (Major Order the Qi Decoction) modified was used for purgation, curing both the masses and the cold extremities. (Masses are easily identified; foot coldness indicates Heat Jue, often misunderstood. Filed under Jue category.)
Wu Yang treated a fellow townsman returning from Zhejiang with cold extremities, imperceptible pulses, lying motionless for over ten days without intake of fluids or food. Physicians deemed him dead. Wu Yang diagnosed Heat Jue (Heat Cold Extremities). He placed a basin of fresh water in a bathhouse, set a board over it, and laid the patient on top. Using a blue cloth, he wiped the limbs and splashed water on them, also wetting the patient's lips. Thirsty for water, the patient drank the entire amount and recovered. (From *Taihan Ji*.)
Passing through Zhangqi, Wu Qiao was stopped by someone reporting on Wang Yiyang, over fifty, who developed fever after hematuria. Various physicians treated him for Taiyang disease (with diaphoretic agents) or post-dysentery deficiency (with Spleen-tonifying agents). Prolonged treatment led to delirium, coma, and cold extremities after ten days of fasting. Desperate family sought Wu Qiao's opinion. Wu Qiao stated this was Heat Jue and could be cured. Shigao Huanglian Tang (Gypsum and Coptis Decoction) was given; the patient revived after one dose and recovered after five doses over subsequent days. (Same source.)
Wei Yuheng stated: The sister of Bao Luyin suffered from Jue, unconscious, eyes closed, nasal flaring, cyanosis around the nose and mouth, and intermittent limb convulsions from midnight until Si hour (9-11 AM), unable to take fluids. Pulses were irregular. I diagnosed severe Lung Metal deficiency with rebellious Liver Fire, where extreme heat mimics wind. Only Renshen Tang (Ginseng Decoction) could cure this; other medicines were useless. Although Ginseng was boiled, others dissuaded its use. Another physician prescribed Shichangpu (Acorus Rhizome), Yuanzhi (Polygala Root) to open the orifices, Fushen (Poria with Hostwood), Zaoren (Ziziphus Seed) to calm the spirit, Maidong (Ophiopogon Tuber), Beimu (Fritillaria Bulb) to clear phlegm, and Chensha (Cinnabar), Iron Rust Water to anchor. However, medicine poured into the left mouth corner flowed out the right, never swallowing. Helpless, we waited until dusk. Upon re-examination, the forehead turned black. Urgent Renshen Tang administration was still viable. Administered via teaspoon, after 6-7 teaspoons, swallowing sounds were heard. As the jaw relaxed, rice water mixed with Ginseng Tang was given. Eyes opened, body moved, and cyanosis vanished. Thin porridge was slowly consumed, and the patient sat up and recovered. Later recurrences were mild, cured by Dihuang (Rehmannia Root), Shashen (Glehnia Root), Maidong (Ophiopogon Tuber), and Gouqi (Goji Berry).
The daughter of the Gu family, sixteen, with a history of sores and Yin-deficiency constitution, developed hypochondriac pain and cough with sputum due to labor at year-end. One physician prescribed Guanghuoxiang (Patchouli), Niuxi (Achyranthes Root), Jingjie (Schizonepeta Spike), Fangfeng (Saposhnikovia Root), Xiangfu (Cyperus Rhizome), Sharen (Amomum Fruit), Zhike (Bitter Orange), Jiegeng (Platycodon Root) for three to four doses. She felt a mass like a fist pressing upward in the Zhongwan area, preventing food intake. An older physician attributed this to excessive phlegm requiring removal. The formula was similar but added Cangzhu (Atractylodes Lancea Rhizome), Houpo (Magnolia Bark), Zhuli (Bamboo Sap), and Jiangzhi (Ginger Juice). After two doses, the condition worsened. Treatment was sought on the second day of the new year. By arrival, the patient had died at dawn, presenting with closed eyes, open mouth, rigid posture, unresponsiveness, and inability to swallow. Abdomen was still warm. Pulse was absent, complexion pale-green, gums bleeding purple clotted blood. Limbs were soft. Diagnosis: Original Qi deficiency exacerbated by labor, mistreated with drying/dispersing herbs damaging Lung Metal, causing Liver Wood to carry phlegm/food upward. Harsh drugs depleted Yin and dried Wood, leading to Yin collapse and Yang floating. Unlike Phlegm-Food Jue which responds to emesis, this Yin-collapse Jue requires restoring Soul and Spirit. Vitality remained. Immediate prescription: Shudi (Prepared Rehmannia Root) 2 liang, Gouqi (Goji Berry) 1 liang, Shashen (Glehnia Root) and Maidong (Ophiopogon Tuber) 5 qian each. Rapidly boiled and slowly administered. Fear of non-swallowing was mitigated by using a hairpin to assist ingestion. Swallowing sounds confirmed success. Next day, patient could sit up. Formula halved, plus Gualou Ren (Trichosanthes Seed) 2 qian, eight doses resulted in full recovery. Years later, upon marriage, conflict with mother-in-law caused hypochondriac pain. A physician recommended Muxiang (Costus Root) powder. Mother-in-law forbade it. Patient died from a sudden Jue episode.
Huang Jinfang treated Li Mou with cold extremities, shivering chills, and icy skin. Though facial expression was bleak, internal sensation was irritability and fullness; pulse was deep/hidden but Liver pulse was forceful. Diagnosed as Heat Jue. Prescription: Huangqin (Scutellaria Root) 1 qian, Huanglian (Coptis Rhizome) 0.5 qian, Chaihu (Bupleurum Root) 0.8 qian, Zhike (Bitter Orange) 0.8 qian, Houpo (Magnolia Bark) 1 qian, Dahuang (Rhubarb Root) 2 qian, Wumei (Mume Fruit) 1 piece, Qingpi (Green Tangerine Peel) 0.5 qian, Binglang (Areca Seed) 0.8 qian, Xixin (Asarum Root) 0.2 qian. After administration, cold extremities reversed, whole body became hot, and mild medications completed the cure.