论曰∶若暴厥卒然不知人事，身脉皆动，其状如尸，听其耳中，如循啸声，股间暖，由
邪气折于手足少阴、太阴、足阳明之络，五络俱竭，肾气微，少精血，奔气促迫，上入胸膈
宗气反聚，血结心下，阳气下堕，阴气卒上而不交，阴阳离居。身温而汗出，气复，反则
青身冷，此为入脏即死，谓之尸厥。先以竹管吹左耳，极三度，又吹右耳如前，灸熨、斗
两胁，以石菖蒲末着舌下及吹鼻中。又刺足大指内侧，爪甲去端如韭叶，入一分，留三呼
谓隐白穴也，出之。又刺足心涌泉穴，如上法。又刺足中指爪上，令破，如上法，谓厉兑
也。又刺手大指内侧，去端如韭叶。又刺手心主，谓中冲穴也。又刺掌后锐骨之端，谓神
穴也。又剔取头左角之发，烧灰，酒服方寸匕，不能饮，灌之后，宜太乙神精丹。
太乙神精丹（方缺。）
若居常无苦，忽然如死，身不动，默默不知人，目闭不能开，口噤不能语，又或似有知
而恶闻人声，或但如眩冒，移时乃寤，此由亡汗过多，血少，气并血中，气血争，阴阳乱，
气过血还则阴阳复通，而人乃寤，谓之郁冒、血厥，此证多生妇人，男子亦有之，白微汤、
仓公散主之。
白薇汤
白薇（一两） 当归（一两） 人参（半两）
上为散。每服五钱，水二盏，煎至一盏，去滓温服。
仓公散
瓜蒂 藜芦 雄黄（研） 矾石（火 一伏时，研）
上等分为末。以豆许吹鼻内，醒为度。
若卒然昏冒无所知，或妄言语，此由暴惊，心无所倚，神无所归，久不治，阴阳相并，
或阴气并阳，阳气并阴，令人九窍闭塞，状类尸厥，菖蒲散主之。
菖蒲散
石菖蒲（一两） 麝香（一钱，研）
上为细末。酒调服二钱，或饮亦得。
若忽然螈 目不能语，喉中有声，大便不通，胸满欲呕，或恶人声，闻人声则
惊，或时叫，此得之暴惊，气积而不散，伏痰聚于中脘，湿渍于脾，久而脾气既耗，
之，则风动四末，宜先吐之，以胜金丸，次宜玉壶丸，以大便利即止，有热则脉洪数
郁于心，铁粉丸主之。
胜金丸（方缺。）
玉壶丸（方缺。）
铁粉丸
铁粉（二两） 朱砂（一两，研） 牛黄（研） 天竺黄（研） 铅霜（研，各半两） 天
南星
上为末，姜汁煮糊为丸，如梧桐子大。生姜汤下五丸。
若素无疾，而暴得螈 ，发讫即如常，经隔月日又复如前，由阴阳失其常度，气血
相并也，此谓之痫，宜龙齿丸、乌鸦散、独活汤主之。
龙齿丸
牛黄（研） 麝香（研，各半钱） 羚羊角（锉） 龙齿 龙骨 羊齿（火 赤，各一
分） 朱
砂（研，半两） 蛇退（炒） 白僵蚕（炒，各一分）
上为末，炼蜜和丸，如梧桐子大。饮下五丸，临卧服。
乌鸦散
腊月乌鸦一个，去足嘴大翅，用麝香一钱，填口内，以好纸通裹了，再用盐纸和泥团了
候干，炭火烧，烟尽取出为末，更入麝香一钱，研和。饮调方寸匕，日二服。
独活汤
独活（一两） 细辛（去苗，一分） 僵蚕（炒，半两） 牡丹皮（三分） 防己（半
两） 紫菀
（去苗，一分）
上为散。每服五钱，水二盏，煎至一盏，去滓温服。
若病患喜怒不常，独闭户牖而处，恶闻人声者，盖阳气常动，因暴折而难决，肝胆气郁
而不伸，故令喜怒，谓之阳厥，宜铁落饮，无食肉，及菖蒲散。
铁落饮（方缺。）
菖蒲散（见前。）
若言语不避亲疏，或弃衣而走，登高而歌，此思虑用心太过，神散不藏，又或悲哭，忽
忽不乐，神有余则笑，为狂，胜金丸主之。神不足则悲，露朱丹主之。
胜金丸（方缺。）
露朱丹
好朱砂（一两，碎）
上用真琉璃器盛之，露四十九夜，阴雨不算数。研细，入牛黄半钱，研和，滴熟蜜珠子
丸如梧桐子大。空心人参汤下一粒。
若肿首，头重足不能行，发则 仆，此太阳厥也，乌头汤主之。
乌头汤（见前眩晕门。）
若喜怒嗌痛，不肉食，气奔走上，刺足下中央之脉，血出而止。
Discourse states: If sudden syncope occurs, with instantaneous loss of consciousness, body pulses moving, the condition resembling a corpse, hearing a whistling sound in the ears, warmth between the thighs, this is due to pathogenic qi obstructing the collaterals of the Hand-Shaoyin Heart Meridian, Foot-Shaoyin Kidney Meridian, Hand-Taiyin Lung Meridian, Foot-Taiyin Spleen Meridian, and Foot-Yangming Stomach Meridian. The Qi and Blood of these five collaterals are exhausted, Kidney Qi is weak, Jing-Blood (Essence and Blood) is insufficient, rushing Qi presses urgently upwards into the chest and diaphragm, Zong Qi (Pectoral Qi) gathers inversely, blood coagulates below the heart, Yang Qi sinks downwards, Yin Qi suddenly rises without interacting with Yang, leading to the separation of Yin and Yang. The body is warm with sweating; if Qi recovers, there is improvement; conversely, the whole body turns cyanotic and cold. This indicates disease entering the Zang organs leads to death, known as Corpse Syncope (Shi Jue). First, blow air into the left ear using a bamboo tube three times, then do the same for the right ear. Apply moxibustion and hot compresses to both hypochondriac regions. Place powder of Acorus Tatarinowii Rhizome (Shichangpu, 石菖蒲) under the tongue and insufflate it into the nose. Also, puncture the medial side of the big toe, at a distance from the nail edge like the width of a leek leaf, insert one fen deep, retain the needle for three breaths; this acupoint is Yinbai (SP1), then withdraw. Puncture Yongquan (KI1) on the sole of the foot, using the above method. Puncture the upper part of the nail on the middle toe, causing bleeding, using the above method; this acupoint is Lidui (ST45). Puncture the medial side of the hand big toe (thumb), at a distance from the nail edge like the width of a leek leaf. Puncture Zhongchong (PC9) of the Hand-Jueyin Pericardium Meridian. Puncture Shenmen (HT7) at the end of the ulnar styloid process on the wrist. Cut hair from the left corner of the head, burn to ash, take with wine in a dose of one cun bi (approx. 3-5 grams); if unable to drink wine, administer by force, followed by Taiyi Shenyang Dan.
Taiyi Shenyang Dan (Formula missing.)
If there is no usual discomfort, but suddenly appearing dead, body motionless, silent and unaware, eyes closed unable to open, jaw clenched unable to speak, or seemingly conscious but averse to human voices, or merely feeling dizzy and faint, waking up after a while, this is due to excessive sweating depleting fluids, low blood volume, Qi merging into Blood, struggle between Qi and Blood, chaos of Yin and Yang. When Qi passes and Blood returns, Yin and Yang reconnect, and the person wakes up. This is called Yu Mao (Depression and Dizziness) or Blood Syncope (Xue Jue). This syndrome often occurs in women, but men can also have it. Baowei Tang and Cang Gong San are the primary treatments.
Baowei Tang
Bletilla Rhizome (Baowei, 白薇) (one liang) Angelica Sinensis Root (Danggui, 当归) (one liang) Ginseng Root (Renshen, 人参) (half liang)
Grind the above into a powder. Take five qian per dose, add two zhan of water, decoct to one zhan, remove dregs, and take warm.
Cang Gong San
Momordica Seed (Gua Di, 瓜蒂) Veratrum Nipponicum Rhizome (Li Lu, 藜芦) Realgar (Xiong Huang, 雄黄) (ground) Alum (Fan Shi, 矾石) (calcined for one fu shi, ground)
Grind the above equally into powder. Insufflate a bean-sized amount into the nose until awakening.
If sudden confusion and unconsciousness occur, or delirious speech, this is due to sudden fright, Heart Spirit having no support, Shen (Spirit) having no residence. If untreated for long, Yin and Yang contend with each other; either Yin Qi merges with Yang or Yang Qi merges with Yin, causing blockage of the nine orifices, resembling Corpse Syncope. Changpu San is the primary treatment.
Changpu San
Acorus Tatarinowii Rhizome (Shichangpu, 石菖蒲) (one liang) Moschus (Shexiang, 麝香) (one qian, ground)
Grind the above into fine powder. Mix with wine and take two qian, or take with water.
If sudden convulsions occur, eyes unable to move or speak, phlegm-rattle in the throat, constipation, chest fullness with desire to vomit, aversion to human voices, startling upon hearing voices, or occasional shouting, this results from sudden fright causing Qi accumulation without dispersal. Hidden Phlegm gathers in the Middle Jiao, dampness soaks the Spleen. Over time, Spleen Qi is depleted, wind moves in the four extremities. It is appropriate to first induce vomiting with Sheng Jin Wan, followed by Yuhu Wan. Stop when stool is unblocked. If heat signs are present, the pulse is surging and rapid, heat stagnates in the Heart. Tie Fen Wan is the primary treatment.
Sheng Jin Wan (Formula missing.)
Yuhu Wan (Formula missing.)
Tie Fen Wan
Iron Powder (Tie Fen, 铁粉) (two liang) Cinnabar (Zhusha, 朱砂) (one liang, ground) Calculated Bovis Calculus (Niuhuang, 牛黄) (ground) Calculated Bamboo Concretion (Tianzhuhuang, 天竺黄) (ground) Lead Frost (Qianshuang, 铅霜) (ground, half liang each) Pinellia Ternata Tuber (Tiannanxing, 天南星)
Grind the above into powder, make pills with ginger juice paste, size of Sophora japonica seeds. Take five pills with Ginger Decoction.
If previously healthy but suddenly experiencing convulsions, returning to normal after cessation, recurring after months or days, this is due to Yin and Yang losing their normal rhythm and Qi and Blood merging. This is called Epilepsy (Xian). Longchi Wan, Wuya San, and Duhuo Tang are the primary treatments.
Longchi Wan
Calculated Bovis Calculus (Niuhuang, 牛黄) (ground) Moschus (Shexiang, 麝香) (ground, half qian each) Saiga Antelope Horn (Lingyangjiao, 羚羊角) (shredded) Dragon Teeth (Longchi, 龙齿) Fossilized Bone (Longgu, 龙骨) Sheep Tooth (Yangchi, 羊齿) (calcined red, one fen each) Cinnabar (Zhusha, 朱砂) (ground, half liang) Snake Molt (She Tui, 蛇退) (stir-fried) Bombyx Batryticatus (Baijiangcan, 白僵蚕) (stir-fried, one fen each)
Grind the above into powder, mix with refined honey to make pills, size of Sophora japonica seeds. Take five pills with water, before bed.
Wuya San
One crow from the twelfth lunar month, remove feet, beak, and large wings. Fill mouth with one qian of Moschus (Shexiang, 麝香), wrap tightly in good paper, then coat with salt mud. Dry, burn with charcoal until smoke disappears, take out and grind to powder. Add another one qian of Moschus (Shexiang, 麝香), grind and mix. Take one cun bi mixed with water, twice daily.
Duhuo Tang
Angelica Pubescens Root (Duhuo, 独活) (one liang) Asarum Root (Xixin, 细辛) (remove radix, one fen) Bombyx Batryticatus (Baijiangcan, 白僵蚕) (stir-fried, half liang) Moutan Cortex (Mudanpi, 牡丹皮) (three fen) Podocarpus Root Bark (Fangji, 防己) (half liang) Aster Tataricus Root (Ziwan, 紫菀) (remove radix, one fen)
Grind the above into powder. Take five qian per dose, add two zhan of water, decoct to one zhan, remove dregs, and take warm.
If the patient exhibits irregular joy and anger, stays alone behind closed doors, and is averse to human voices, this is because Yang Qi is constantly active but suddenly frustrated and difficult to resolve. Liver and Gallbladder Qi is stagnant and cannot extend, causing irregular emotions. This is called Yang Jue (Yang Syncope). Tie Luo Yin is suitable; avoid meat, and use Changpu San.
Tie Luo Yin (Formula missing.)
Changpu San (See above.)
If speech ignores kinship distinctions, or discards clothes and runs, climbs high and sings, this is due to excessive mental effort causing dispersion of Shen (Spirit) which fails to store. Or perhaps weeping, feeling absent-minded and unhappy. Excess of Shen leads to laughter, known as Mania (Kuang). Sheng Jin Wan is the primary treatment. Deficiency of Shen leads to sorrow. Lulu Zhu Dan is the primary treatment.
Sheng Jin Wan (Formula missing.)
Lulu Zhu Dan
Good Cinnabar (Zhusha, 朱砂) (one liang, crushed)
Place the above in a genuine glass vessel, expose to dew for forty-nine nights (rainy days do not count). Grind finely, add half qian of Calculated Bovis Calculus (Niuhuang, 牛黄), grind and mix. Add cooked honey to make pills, size of Sophora japonica seeds. Take one pill on an empty stomach with Ginseng Decoction.
If the head swells, feels heavy, legs cannot walk, and collapses during attacks, this is Taiyang Jue (Taiyang Syncope). Wutou Tang is the primary treatment.
Wutou Tang (See Xuan Yun section.)
If there is joy/anger accompanied by sore throat, aversion to meat/fish, Qi rushing upwards, puncture the central vessels of the sole of the foot until bleeding stops.