凡人猝然昏倒,迷而不悟,喉中有痰,人以为风也,谁知是气虚乎?若作风治,未有不死者。盖因平日不慎女
色,精亏以致气虚,又加不慎起居,而有似乎风者,其实非风也。方用∶
人参(一两) 黄 (一两) 白术(一两) 茯苓(五钱) 半夏(三钱) 白芥子(三钱) 菖蒲(二钱) 附
子(一钱)
水煎服。
此方补气而不治风,消痰而不耗气,一剂神定,二剂痰清,三剂痊愈。
此症有肾中之水虚,而不上交于心者;又有肝气燥,不能生心之火者;此皆阴虚,而能令人猝倒者也。方用再
苏丹∶
熟地(二两) 山萸(一两) 元参(一两) 柴胡(一钱) 麦冬(一两) 五味子(一两) 茯苓(一两) 菖
蒲(一钱) 白芥子(三钱)
水煎服。
此方补肾水,滋肺气,安心通窍,泻火散痰,实有神功。一方茯苓为五钱,十剂可愈。
人有心中火虚,不能下交于肾而猝倒者,阳虚也。方用全生汤∶
人参(一两) 白术(一两) 茯神(五钱) 甘草(一钱) 生半夏(三钱) 生枣仁(一两) 附子(三钱)
水煎服。
药下喉则痰静而气出矣。连服数剂,则安然如故。
又有胃热,不能安心之火而猝倒者,亦阳虚也。方用∶
人参(一两) 元参(一两) 生石膏(五钱) 天花粉(五钱) 麦冬(三钱) 菖蒲(一钱)
水煎服。
一剂心定,二剂火清,三剂痊愈。
In cases where a person suddenly faints, loses consciousness, and has phlegm rattling in the throat, people generally attribute it to Wind (Zheng Feng, stroke). However, who would suspect that this is actually due to Qi Deficiency? If treated as Wind, death is inevitable. This occurs because of improper sexual conduct in daily life, leading to Essence depletion and subsequent Qi deficiency. Coupled with irregular living habits, symptoms resembling Wind appear, but it is not truly Wind. The prescription is as follows:
Ren Shen (Ginseng Radix) (1 liang), Huang Qi (Astragali Radix) (1 liang), Bai Zhu (Atractylodis Rhizoma) (1 liang), Fu Ling (Poria) (5 qian), Ban Xia (Pinelliae Rhizoma) (3 qian), Bai Jie Zi (Sinapis Semen) (3 qian), Chang Pu (Acori Tatarinowii Rhizoma) (2 qian), Fu Zi (Aconiti Lateralis Radix Praeparata) (1 qian).
Decoct in water and take orally.
This formula tonifies Qi without treating Wind, resolves Phlegm without consuming Qi. After one dose, the spirit settles; after two doses, the Phlegm clears; after three doses, recovery is complete.
This syndrome may involve Kidney Water Deficiency failing to ascend and communicate with the Heart, or Liver Qi Dryness failing to generate Heart Fire. All these are Yin Deficiencies capable of causing sudden fainting. The prescription is named Zai Su Dan:
Shu Di Huang (Rehmanniae Radix Praeparata) (2 liang), Shan Yu Rou (Corni Fructus) (1 liang), Yuan Shen (Scrophulariae Radix) (1 liang), Chai Hu (Bupleuri Radix) (1 qian), Mai Dong (Ophiopogonis Radix) (1 liang), Wu Wei Zi (Schisandrae Fructus) (1 liang), Fu Ling (Poria) (1 liang), Chang Pu (Acori Tatarinowii Rhizoma) (1 qian), Bai Jie Zi (Sinapis Semen) (3 qian).
Decoct in water and take orally.
This formula tonifies Kidney Water, nourishes Lung Qi, calms the Spirit, opens orifices, clears Heat, and disperses Phlegm, demonstrating miraculous efficacy. In an alternative version, use 5 qian of Fu Ling; ten doses will effect a cure.
There are cases where Heart Fire is deficient and fails to descend to communicate with the Kidney, resulting in sudden fainting; this is Yang Deficiency. The prescription is Quan Sheng Tang:
Ren Shen (Ginseng Radix) (1 liang), Bai Zhu (Atractylodis Rhizoma) (1 liang), Fu Shen (Poria with Hostwood) (5 qian), Gan Cao (Glycyrrhizae Radix et Rhizoma) (1 qian), Sheng Ban Xia (Pinelliae Rhizoma) (3 qian), Sheng Zao Ren (Ziziphi Spinosomi Semen) (1 liang), Fu Zi (Aconiti Lateralis Radix Praeparata) (3 qian).
Decoct in water and take orally.
Upon swallowing the medicine, the Phlegm subsides and Qi flows smoothly. Continuous administration for several doses restores normal health.
There are also cases caused by Stomach Heat preventing the Heart Fire from settling, leading to sudden fainting; this is also considered Yang Deficiency (in the context of the text's specific pathology). The prescription is as follows:
Ren Shen (Ginseng Radix) (1 liang), Yuan Shen (Scrophulariae Radix) (1 liang), Sheng Shi Gao (Gypsum Fibrosum) (5 qian), Tian Hua Fen (Trichosanthis Radix) (5 qian), Mai Dong (Ophiopogonis Radix) (3 qian), Chang Pu (Acori Tatarinowii Rhizoma) (1 qian).
Decoct in water and take orally.
After one dose, the Heart settles; after two doses, the Heat clears; after three doses, recovery is complete.