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Summerheat reversal

暑厥 〔暑厥〕shǔ jué

An orifice block due to summerheat-heat and characterized by sudden oppression and collapse, inability to recognize people, generalized heat, slight sweating, reversal cold of the limbs, panting, loss of speech, slightly clenched jaws, and soggy surging or slippery rapid pulse. Summerheat reversal is similar to wind stroke except for the absence of deviated eyes and mouth.

Medicinal therapy: Open the orifices with aroma; drain heat and clear the heart. Take care to avoid excessive use of cold medicinals. Appropriate formulas include Storax Pill (苏合香丸 sū hé xiāng wán) or Return Again Elixir (来复丹 lái fù dān) poured into the mouth with garlic water. Garlic can also be stuffed into the nose. When the patient has regained consciousness, treatment can be given to eliminate summerheat and regulate the origin (support right).

Acumoxatherapy: Base treatment mainly on GV, HT, PC, and LI. GV-20 (Hundred Convergences, 百会 bǎi huì), GV-26 (Water Trough, 水沟 shuǐ gōu), HT-7 (Spirit Gate, 神门 shén mén), LI-4 (Union Valley, 合谷 hé gǔ), PC-9 (Central Hub, 中冲 zhōng chōng), PC-3 (Marsh at the Bend, 曲泽 qū zé), and BL-40 (Bend Center, 委中 wěi zhōng). For high fever, add LI-11 (Pool at the Bend, 曲池 qū chí), GV-14 (Great Hammer, 大椎 dà zhuī), and PC-8 (Palace of Toil, 劳宫 láo gōng), needling with drainage. Prick Ten Diffusing Points (十宣 shí xuān) to bleed.

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