天下卒死之人甚多,其故不一。内中可救者,十之七八;不可救者,仅十之二三。唯一
时不
得良医,故皆枉死耳。夫人内外无病,饮食行动如常,而忽然死者,其脏腑经络本无受病之
处,卒然感犯外邪,如恶风、秽气、鬼邪、毒厉等物,闭寒气道,一时不能转动,则大气阻
绝,昏闷,迷惑,久而不通,则气愈聚愈塞,如系绳于颈,气绝则死矣。若医者,能知其所
犯何故,以法治之,通其气,驱其邪,则立愈矣。又有痰涎壅 塞,阻遏气道而卒死者,通
气降痰则苏,所谓痰厥之类是也。以前诸项,良医皆能治之,惟脏绝之症,则不治。其人或
劳心思虑,或酒不节,或房欲过度,或恼怒不常,五脏之内,精竭神衰,唯一线真元未断,
行动如常,偶有感触,其元气一时断绝,气脱神离,顷刻而死,既不可救,又不及救。此则
卒死之最急,而不可治者也。至于暴遇神鬼,适逢冤谴,此又怪异之事,不在疾病之类矣。
人之受邪也,必有受之之处,有以召之,则应者斯至矣。夫人精神完固,则外邪不敢犯
;惟
其所以御之之具有亏,则侮之者斯集。凡疾病有为鬼神所凭者。其愚鲁者,以为鬼神实能祸
人;其明理者,以为病情如此,必无鬼神。二者皆非也。夫鬼神,犹风寒暑湿之邪耳。卫气
虚,则受寒;荣气虚,则受热;神气虚,则受鬼。盖人之神属阳,阳衰,则鬼凭之。《内经
》有五脏之病,则现五色之鬼。《难经》云∶脱阳者见鬼。故经穴中有鬼床、鬼室等穴。此
诸穴者,皆赖神气以充塞之。若神气有亏,则鬼神得而凭之,犹之风寒之能伤人也。故治寒
者,壮其阳;治热者,养其阴;治鬼者,充其神而已。其或有因痰、因思、因惊者,则当求
其本而治之。故明理之士,必事事穷其故,乃能无所惑而有据,否则执一端之见,而昧事理
之实,均属愦愦矣。其外更有触犯鬼神之病,则祈祷可愈。至于冤谴之鬼,则有数端。有自
作之孽,深仇不可解者,有祖宗贻累者,有过误害人者,其事皆凿凿可征,似儒者所不道,
然见于经史,如公子彭生伯有之类甚多,目睹者亦不少。此则非药石祈祷所能免矣。
There are many people who die suddenly in the world, and their causes are not uniform. Among them, those who can be saved account for seven or eight tenths; those who cannot be saved account for only two or three tenths. It is merely that good physicians are unavailable at the critical moment, so they all die in vain. If a person has no internal or external disease, and eats, drinks, moves, and acts as usual, yet dies suddenly, it means their Zang-Fu organs (Zang-Fu organs) and meridians (meridians) originally had no site of pathology. They suddenly contracted exogenous pathogens (exogenous pathogens), such as malignant wind (malignant wind), foul air (foul air), demonic influences (demonic influences), or toxic plagues (toxic plagues). These closed the pathways against cold qi (cold qi), causing an immediate inability to circulate. Consequently, the Great Qi (Great Qi) was obstructed and cut off, leading to dizziness, confusion, and stupor. Over time, if the obstruction did not resolve, the qi would accumulate and block further, similar to having a rope tied around the neck; once the qi ceases, death ensues. If a physician can identify the specific cause of this contraction and treat it according to the method—unblocking the qi and driving out the pathogen—immediate recovery will occur. There are also cases where sudden death occurs due to phlegm-saliva (phlegm-saliva) accumulation blocking and obstructing the airway; restoring the flow of qi and descending the phlegm will lead to revival, which is what is referred to as Phlegm Jue (Phlegm Jue - syncope due to phlegm). All the aforementioned conditions can be treated by competent physicians; however, syndromes of Zang organ exhaustion (Zang organ exhaustion) are untreatable. Such individuals may have exhausted their essence and spirit through mental labor and overthinking, immoderate alcohol consumption, excessive sexual desire, or frequent anger. Within the five Zang organs, essence is depleted and spirit is weakened. Only a thread of True Yuan (True Yuan) remains unbroken, allowing them to move and act normally. However, upon occasional contact with stimuli, their Original Qi (Original Qi) may suddenly sever, leading to the escape of qi and separation of spirit, resulting in death within moments. This is the most urgent form of sudden death and is untreatable. As for encountering spirits or ghosts suddenly, or meeting with retribution from grievances, these are bizarre matters and do not fall under the category of diseases.
When a person contracts pathogens, there must be a site of reception, and factors that invite them will cause corresponding pathogens to arrive. If a person's spirit and mind are solid and complete, exogenous pathogens dare not invade; only when the capacity to defend against them is deficient will invading pathogens gather. In cases where illness appears to be possessed by spirits or ghosts: the ignorant believe that spirits and ghosts truly harm people; the rational believe that since the clinical presentation is as described, there are no spirits or ghosts. Both views are incorrect. Spirits and ghosts are merely like the pathogens of wind, cold, summer-heat, and dampness (wind, cold, summer-heat, and dampness). When Wei Qi (Wei Qi - defensive qi) is deficient, one contracts cold; when Ying Qi (Ying Qi - nutritive qi) is deficient, one contracts heat; when Shen Qi (Shen Qi - spirit qi) is deficient, one is affected by ghosts. Generally, human spirit belongs to Yang (Yang); when Yang declines, ghosts attach themselves. The *Nei Jing* (Inner Canon) states that when the five Zang organs are diseased, ghosts of five colors manifest. The *Nan Jing* (Classic of Difficult Issues) says: "Those who lose Yang see ghosts." Therefore, among the acupoints (acupoints), there are points named Guichuang (Ghost Bed) and Guishi (Ghost Chamber). These acupoints rely on the fullness of Shen Qi to function properly. If Shen Qi is deficient, spirits and ghosts can attach themselves, just as wind and cold can harm the body. Thus, treating cold involves strengthening Yang; treating heat involves nourishing Yin; treating ghost-related issues involves replenishing Shen. If the cause is phlegm, overthinking, or fright, one should seek the root cause and treat accordingly. Therefore, rational individuals must investigate the cause of every matter to remain free of doubt and well-founded; otherwise, adhering to a one-sided view while being ignorant of the reality of principles constitutes ignorance. Additionally, illnesses caused by offending spirits and ghosts can be cured through prayer. Regarding ghosts of grievance, there are several categories: those arising from self-inflicted calamities and irreconcilable deep hatreds; those stemming from ancestral burdens; and those resulting from accidental harm to others. These events are verifiable, though Confucian scholars may not discuss them. Nevertheless, they appear in historical classics, such as Gongzi Pengsheng and Boyou, and there are many witnesses. Such cases cannot be avoided by medicine or prayer alone.