卒中者，卒然不省人事，全如死尸，但气不绝，脉动如故，或脉无伦序，或乍大乍小，或
微细不绝，而心胸暖者是也。
〔仲〕尸蹶，脉动而无气，气闭不通，故静而死也。菖蒲屑纳鼻孔中吹之，令人以桂屑着舌下。
又方，剔取左角发方寸烧末，酒和灌之立起。（此即《内经》法也。详见后。）
〔《素》〕邪客于手足少阴太阴足阳明之络，此五络皆会于耳中，上络左角，五络俱竭，令
人身脉皆动，而形无知也，其状若尸，或曰尸厥，刺其足大指内侧爪甲上去端如韭叶，后刺足心，
后刺足中指爪甲上各一 ，后刺手大指内侧去端如韭叶，后刺手心主、少阴锐骨之端各一 ，
立已。不已，以竹管吹其两耳， 其左角之发方一寸燔，饮以美酒一杯，不能饮者灌之，立已。
（全文见缪刺论 ，音易。）
〔《玉》〕气昏晕∶夺命（在曲泽上针入三分，先补，候气回后泻，不可离手，忌灸，如不
苏取济中。）脐中（灸七壮，忌针。此二穴能起死回生。）
〔《摘》〕尸 ∶玉泉（八分，补十呼，得气即泻。） 隐白（三分，先补后泻，补生泻成，
更于两胁频频熨之。） 鬼击 支沟（二分，先补后泻，补生泻成。）三里（补十呼，泻五呼。
此二穴刺之气不至，无问其数。刺之气至，去之勿复刺。）中恶∶人中 中脘 气海
〔仲〕少阴脉不止，肾气微。少精血，奔气促迫，上入胸膈，宗气反聚，血结心下，阳气退下，
热归阴股，与阴相动，令人不仁，此为尸蹶。当刺期门、巨阙。恍惚尸蹶烦痛，中极及仆参主之。
〔《甲》〕尸蹶，死不知人，脉动如故，隐白及大敦主之。尸蹶暴死，金门主之。
〔孙〕仁宗最宠贵妃，一日食次，忽仆倒，遍身卒冷。急奏帝，上乃急召孙、杜。即至，奏曰∶
不妨，此乃气厥尔，少顷，吐即复苏也。御坐良久，果吐而苏。上问因何而得？二人并奏曰∶
此贵妃方食，因忧怨气上，遂与食相并，故如此者，吐即气透，故复苏也。上问妃，有何事如此。
妃对曰∶陛下无嗣，臣外家不能为陛下生皇嗣，所以自怨，气忽上逆，而至惊动圣驾。上叹曰∶朕
亦自责，乃劳汝致病耶。因嘉奖孙、杜之能，良久曰∶医道如此，岂非良医也耶。
上暴厥不知人，不治自愈。经云∶帝曰，厥或令入腹满，或令人暴不知人，或至半日，远至
一日，乃知人者，何也？岐伯曰∶阴气盛于上则下虚，下虚则腹胀满。阳气盛于上，则下气
重上而邪气逆，逆则阳气乱，阳气乱则不知人也。又云∶血之与气，并走于上则为大厥。厥则
暴死，气复反则生，不反则死者是也。
〔丹〕尝治一人，阴先亏而阳暴绝者。浦江郑兄，年近六十，豢养受用之人也。仲夏久患滞下，
而又犯房劳，忽一晚登厕间，两手疏散，两眼开而无光，尿自出，汗如雨，喉如锯，呼吸甚微，其
脉大而无伦次，无部位，可畏之甚。予适在彼，急令煎人参膏，且先与灸气海穴壮如小指大，
至八十壮，右手能动。又三壮，唇微动。参膏亦成，遂与一盏，至半夜后，尽三盏，眼能动。
尽二斤，方能言而索粥。五斤而痢止。至数十斤而安。
〔仲〕救卒死而四肢不收失便者方。
马屎一升，水三斗，煮取二斗以洗之，又取牛洞（稀粪也）一升，温酒灌口中，灸心下一寸，
脐上三寸，脐下四寸，各一壮瘥。
救卒死而张口反折者方。
灸手足两爪后十四壮，饮以五毒诸膏散。（方未考。）
救小儿卒死而吐利，不知是何病方。
狗屎一丸，绞取汁以灌之。无湿着，水煮干者取汁。
救卒死，客忤死，还魂汤主之。
麻黄（去节，三两） 杏仁（去皮尖，七十个） 炙甘草（一钱） 《千金》有桂（二两）
上三味，以水八升，煮取三升去渣，分令咽之，通治诸感忤。《千金方》云∶主卒忤鬼击飞
尸，诸奄忽气绝无复觉，或已无脉，口噤拗不开，去齿下汤。汤下口不下者，分病患发左右提
肩引之，药下复增服一升，须臾立苏。
〔《局》〕苏合香丸治卒中恶忤疰。
苏合香油（入安息香膏内） 薰陆香（另研） 龙脑（研，各一两） 青木香 白术 白檀香
丁香 朱砂（研，水飞） 沉香 香附（炒，去毛） 犀角（锯屑） 荜茇 安息香（另为末，
调无灰酒一升，熬膏） 麝香（研） 诃梨勒（煨取皮。各二两）
上为细末，入研药匀，用安息香膏，并炼白蜜和剂，每丸桐子大。清晨新汲水温冷，任意
化服四丸。老人小儿一丸，温酒化服亦得。用蜡纸裹一丸，如弹子大．缝袋带之。陈无择云∶病
自内作，不晓其名者，服之皆效。最治气厥气不和，吐利关格，甚有神效。
〔《肘》〕扁鹊∶中恶与卒死鬼击，亦相类为治，皆宜相参用之。已死。捣菖蒲生根，绞汁
灌之立瘥。
〔仲〕救卒死而目闭者，捣韭汁灌耳中，吹皂荚末鼻中效。
〔无〕治魇卒死，诸暴绝症，用半夏不拘多少，汤泡七次为末，每用少许，吹入鼻中，心头温
者可治。仓卒无方，急于人中穴及两脚大拇指离甲一韭叶许，各灸三五壮即活。
〔和〕一夫病痰厥不知人，牙关紧急，诸药不能下，候死而已。戴人见之，问侍病者，口中曾
有涎否？曰∶有。戴人先以防风、藜芦煎汤，调瓜蒂末灌之，口中不能下，乃取长蛤甲磨去刃，
以纸裹其尖，灌于右鼻窍中，
然下咽有声，复灌其左窍亦然。戴人曰∶可治矣。良久涎不出，遂以砒石一钱，又投之鼻中，
忽偃然仰面，似觉有痛，斯须吐秽及胶涎数升顿苏。砒亦寻常勿用，以其病大，非此莫能动。
然无瓜蒂亦不可使用，宜消息之。
凡卒中、尸厥、郁冒、中风、中暑之类，皆当发表也。仲景云∶郁冒欲解，必是大汗出。
还魂汤用麻黄、桂枝，清魂汤用荆芥，及诸卒中用皂角、半夏搐鼻取嚏，用藜芦、砒霜折齿取痰，
皆所以开发上焦，使表邪流通也。中暑忌冷水闭表，亦此意。
〔《本》〕解毒雄黄丸治卒中仆地，不知人事。（方见喉痹。）
〔仲〕三物备急丸
大黄 干姜 巴豆（各一两，去皮尖心外，熬研如脂）
上药各须精新，先捣大黄、干姜为末，研巴豆内中，合捣千杵，蜜和丸，器中贮之。主心腹
诸卒暴百病。若中恶客忤，心腹胀满，卒痛如锥刺，气急口噤，停尸卒死者，以热苦酒服大豆许
三四丸。或不下，捧头起灌令下咽，须臾当瘥。如未瘥，更与三丸，当腹中鸣，即吐下便瘥。
若口噤，亦须折齿灌之。
〔无〕中暑闷倒，急扶在阴凉处，切不可与冷水，当以布中衣物等蘸热汤，熨脐中及气海，
续以汤淋布上，令彻脐腹暖，即渐醒。如仓卒无汤处，掬道上热土于脐，以多为佳，冷即易之。
古法，道涂无汤，即掬热土于脐上，仍拨开作窝子，令人更溺于中以代汤。续与白虎、竹叶石
膏汤。凡觉中暑，急嚼生姜一大块，冷水送下。如已迷乱闷，嚼大蒜一大瓣，冷水送下。如不能
嚼，即用水研灌之醒。路中仓卒无水，渴甚，急嚼生葱二寸许，津同咽，可抵饮水二升。（中
暑之病即《内经》热至则瞀郁是也。）
大黄龙丸治中暑眩晕，昏不知人，或身热恶寒，头痛，状如伤寒，或往来寒热，渴甚，呕
吐泄泻。常服去暑毒，分阴阳。
硫黄 硝石（各一两） 雄黄（透明者） 白矾 滑石（各半两） 寒食面（四两）
上为末，滴水丸如桐子大。每服五丸至七丸，加至二十丸，新汲水下。昏塞不知人，则以井
水开口灌之。中暑忌冷。此药以冷水下之，乃热因寒用。
〔《本》〕又方 解一切暑毒，欲死者，便服之，立苏。
半夏（四两，醋一升半，煮尽焙干） 甘草（一两） 肉桂 赤茯苓（各半两） 白茯苓（一两）
上为末，用生姜汁，面糊丸如桐子大。每服五十丸，热水下。予夏日登途，常蓄此药于箧
笥中，防诸缓急，及仆价门，每日一服，无伏暑之疾，奇验不一。
〔《山》〕中暑发昏。以新汲水滴两乳，以扇扇之。重者以地浆灌之则醒，若与水饮则死。
〔仲〕诸乘寒者，则为厥，郁冒不仁，以胃无谷气，脾不通，口急不能言，战而栗也。
〔无〕附子理中汤 治五脏中寒口噤，四肢强直，失音不语。昔有武士守边，大雪出帐外，
忽然晕倒，时灌以此药两剂遂醒。
大附子（炮，去皮脐） 人参 干姜（炮） 甘草（炙） 白术（各等分）
上锉为散，每服四大钱，水一盏半，煎七分去滓，空心服。口噤则斡开灌之。
干姜附子汤 治中寒卒然晕倒，或吐逆涎沫如暗风，手脚挛搐，口噤，四肢厥冷，或复躁热。
（方见伤寒。）
〔世〕治冻死法。四肢直，口噤，只有微气者。
用大釜炒灰令暖，以囊盛熨心上，冷即易之，目开气出，然后以粥清稍稍进之。若不先温
其心，便将火灸，则冷气与火争，必死矣。
〔垣〕疮疡郁冒，俗呼昏迷，慎不可下，汗之则愈。（此因出脓血至多而郁冒之也。）
〔仲〕郁冒欲解，必大汗出。
〔《本》〕人平居无疾，忽如死人，身不动摇，默默不知人，目闭不能开，口哑不能言，或微
知人，恶闻人
声，但如眩冒，移时方寤。此由汗过多，血少气并于血，阳独上而不下，气壅塞而不行，故身
如死。气过血还，阴阳复通，故移时方寤。名曰郁冒，亦名血厥，妇人多有之。宜白薇汤、仓公散。
白薇汤
白薇 当归（各一两） 人参（半两） 甘草（一分）
上粗末，每服五钱，水二盏煎一盏，去渣温服。
仓公散
藜芦 瓜蒂 雄黄 矾石（ ）
上等分，为细末，少许吹入鼻中。
〔《脉》〕问曰∶妇人病经水适下，而发其汗，则郁冒不知人，何也？师曰∶经水下，故为里
虚。而发其汗，则表亦虚。此为表里俱虚，故令郁冒也。
〔垣〕妇人半产误用寒凉药有损论治法妇人分娩，及半产漏下，昏冒不省，瞑目无所知觉，盖
因血暴亡。此有形血去之后，则心神无所养。心与包络者，君火相火也，得血则安，亡血则危。火
上炽，故令人昏冒。火乘肺，瞑目不省人事，是阴血暴亡，不能镇抚也。故血已亏损，往往用滑
石、甘草、石膏之类，乃辛甘大寒之药，能泻气中之热，是血亏泻气，乃阴亏泻阳，使二者俱伤，反
为不足。虚劳之病，昏迷不省者，上焦心肺之热也。此无形之热，用寒凉之药驱令下行。岂不知上焦
之病，悉属于表，乃阴证也，汗之则愈。今反下之，幸免不死，暴亏气血，生命岂能久活？又不
知《内经》有云∶病气不足，宜补不宜泻。瞑目合眼之病，悉属于阴，宜汗不宜下。又不知伤寒
郁冒，得汗则愈，是禁用寒凉药也。分娩半产，本气不病，是暴去有形之血，亡血补血，又何疑焉。
补血则神昌，常时血下降亡，今当补而升举之，心得血则能养神不昏矣。血暴降下，是秋冬之令大
旺，今举而升之以助其阳，则目张神不昏迷矣。今立一方，补血养血，生血益阳。以补手足厥阴
之不足，以全生活血汤主之。
全生活血汤诸阳既陷，何以知之，血下脱故也。
红花 蔓荆子 细辛（各五分） 生地（夏月倍加） 熟地（各一钱） 本 川芎（各一钱五分）
防风 羌活 独活 甘草（炙） 柴胡 葛根 归身（各二钱） 白芍药 升麻（各三钱）
上 咀，每服五钱，水煎去渣，食前稍热服。
当归附子汤治脐下冷痛，赤白带下。
当归（二分） 炒盐（三分） 蝎梢 升麻（各五钱） 甘草 柴胡（各七分） 黄柏（少许）
附子 干姜 良姜（各一钱）
上 咀，每服半两，水煎去渣，稍热服。或为细末，酒面糊丸亦可。
〔《斗》〕治妇人血风攻脑，痛旋闷绝，忽死倒地，不知人事者。用喝起草取其嫩心，不限多
少，阴干为末，以常酒服一大钱，不拘时候，其功大效。服之多达脑，盖善通顶门，今苍耳是也。
〔《大》〕治妊娠因外感风，如中风状，不知人。用熟艾为末，醋炒令极热，乘热以绢帛裹熨
脐下，良久开省。
奔豚气上冲咽喉，发作亦似死状，往来寒热是也。（治见积聚。）
卒中仆地，半身不遂者，为中风。（治见中风。）
卒中仆地，口吐涎沫者，为癫痫。（治见癫痫。）
运气郁冒有二∶
其一属热。经云∶少阴之复，郁冒不知人，恶寒振栗。又云∶少阳所至为瞀昧。又云∶诸热瞀 ，
皆属于火。治以咸寒是也。
其二属寒。经云∶岁火不及，寒乃大行，民病郁冒，蒙昧心痛。又太阳司天，与太阳之复，皆
病善悲眩仆。又阳明司天之政，四之气，寒雨降，病眩仆。治以甘热是也。
〔《山》〕中恶客忤卒死者，灸脐中百壮，以皂角末搐鼻，或研韭汁灌耳中。
〔仲〕救卒死。
韭根 乌梅（二七个） 吴茱萸（半升炒）
上三味，以水一斗煮之，以病栉内中三沸，栉浮者生，沉者死，煮取三升去滓，分饮之。
救卒死方
雄鸡冠割取血，以管吹纳鼻中。猪脂如鸡子大，苦酒一升，煮沸灌喉中。鸡肝及血涂面上，
以灰围四旁立起。大豆二七粒，以鸡子白并酒和，尽吞之。
Apoplexy refers to the sudden loss of consciousness, where the body appears completely like a corpse, yet breath remains and the pulse beats as usual, or the pulse is chaotic, fluctuating between large and small, or weak and fine but continuous, accompanied by warmth in the chest and heart region.
[Zhang Zhongjing] Corpse Jue (Shi Jue) is characterized by a beating pulse but absence of breath, with Qi blockage preventing circulation, resulting in a still appearance resembling death. One may insert powder of Rhizoma Acori Tatarinowii (Changpu, 石菖蒲) into the nostrils and blow it, while placing powder of Ramulus Cinnamomi (Guizhi, 桂枝) under the tongue. Another method involves cutting one square cun of hair from the left corner of the forehead, burning it to ash, mixing with wine, and administering orally for immediate revival. (This is the method from *Huangdi Neijing*. See later.)
[*Suwen*] When pathogenic factors invade the collaterals of the Hand-Shaoyin, Foot-Shaoyin, Hand-Taiyin, Foot-Taiyin, and Foot-Yangming meridians, these five collaterals converge in the ears and ascend to connect with the left frontal region. If the Qi and Blood of these five collaterals are exhausted, the vessels of the body may beat while the form remains insensible, appearing like a corpse, also called Corpse Jue. Acupuncture at the medial side of the big toe of the foot, one grain of rice width away from the nail edge, followed by the center of the sole, then the middle toe of the foot on the nail edge, then the medial side of the thumb of the hand, one grain of rice width away from the nail edge, and finally the tip of the radial styloid process of the Hand-Jueyin (Pericardium) and Hand-Shaoyin (Heart) meridians, will cure it immediately. If not cured, blow air into both ears using a bamboo tube, burn one square cun of hair from the left frontal region, drink a cup of fine wine, or force-feed if unable to drink, leading to immediate recovery. (Full text in *Miao Ci Lun*, pronounced "Yi".)
[*Yuji Zhenzang Lun*] Dizziness and fainting due to Qi: Duoming point (located above Quxue, insert needle 3 fen, tonify first, sedate after Qi returns, do not leave hand, moxibustion contraindicated; if no revival, take Jizhong point). Umbilicus (moxa 7 zhuang, acupuncture contraindicated. These two points can revive the dead.)
[*Zhenjiu Zhai Xuan*] Corpse Jue: Yuquan point (depth 8 fen, tonify 10呼, sedate upon Deqi). Yinbai point (depth 3 fen, tonify first then sedate; tonification generates Qi, sedation completes the action; frequently apply heat compress to both hypochondriac regions). Ghost Strike: Zhigou point (depth 2 fen, tonify first then sedate; tonification generates Qi, sedation completes the action). Sanli point (tonify 10呼, sedate 5呼. For these two points, if Qi does not arrive after needling, continue regardless of number; if Qi arrives, stop and do not needle again). Evil Invasion: Renzhong point, Zhongwan point, Qihai point.
[Zhang Zhongjing] If the Shaoyin pulse beats incessantly, it indicates weak Kidney Qi and scant Essence-Blood. The rushing Qi forces upward into the chest and diaphragm, causing Zong Qi to gather inversely, Blood to knot below the heart, Yang Qi to retreat downward, and Heat to return to the inner thighs, interacting with Yin, causing numbness and insensibility. This is Corpse Jue. One should needle Qimen point and Juque point. For symptoms of trance, Corpse Jue, irritability, and pain, Zhongji point and Pucan point are indicated.
[*Jia Yi Jing*] Corpse Jue, where the person is dead and unaware, but the pulse beats as usual, is treated by Yinbai point and Dadun point. Sudden death due to Corpse Jue is treated by Jinmen point.
[Sun Simiao] Emperor Renzong of Song favored his Imperial Concubine most. One day while eating, she suddenly collapsed, her whole body becoming cold instantly. He urgently reported to the Emperor, who summoned Sun Simiao and Du. Upon arrival, they reported: "No danger, this is merely Qi Jue. After a short while, vomiting will lead to revival." After some time, she indeed vomited and revived. The Emperor asked the cause. They replied: "The Concubine was eating when忧怨 Qi (Qi of sorrow and resentment) surged upward, stagnating with the food. Vomiting clears the Qi, hence revival." The Emperor asked the Concubine what caused this. She answered: "Your Majesty has no heir, and my family cannot produce an imperial heir for you, so I resent myself. My Qi suddenly reversed, startling Your Majesty." The Emperor sighed: "I blame myself too, causing you illness through labor." He praised Sun and Du's medical skill, saying long after: "Is this not the way of medicine? Are they not good physicians?"
The Emperor once suffered sudden Jue and lost consciousness, recovering without treatment. The Classic states: The Yellow Emperor asked, Jue sometimes causes abdominal fullness, sometimes sudden unconsciousness, lasting half a day to a day before recovery. Why? Qibo answered: Excess Yin Qi above leads to deficiency below; deficiency below causes abdominal fullness. Excess Yang Qi above causes lower Qi to rise repeatedly and pathogenic Qi to reverse; reversal leads to chaotic Yang Qi, and chaotic Yang Qi leads to unconsciousness. It also states: When Blood and Qi rush upward together, it is Great Jue. Jue leads to sudden death; if Qi returns, life is preserved; if not, death occurs.
[Zhu Danxi] Once treated a case where Yin was deficient first and Yang suddenly severed. Brother Zheng of Pujiang, nearly sixty years old, a man of leisure. In mid-summer, suffering from chronic dysentery, he engaged in sexual activity. Suddenly one night while using the toilet, his hands became flaccid, eyes open but devoid of spirit, urine incontinence, sweating profusely, rattling throat sounds, very faint breathing. His pulse was large and chaotic, without distinct position, extremely alarming. I happened to be there, ordered Ginseng Paste to be boiled, and first moxa Qihai point with moxa cones the size of a little finger, up to 80 zhuang, until the right hand moved. Three more zhuang, lips moved slightly. Ginseng paste was ready, gave one bowl. By midnight, after three bowls, eyes could move. After two jin, speech returned, requesting porridge. After five jin, dysentery stopped. After dozens of jin, full recovery.
[Zhang Zhongjing] Formula for saving sudden death with limbs unretractable and incontinence.
One sheng of horse dung, three dou of water, boil to two dou, use for washing. Also take one sheng of cow dung (thin feces), mix with warm wine, pour into mouth. Moxa one cun below the heart, three cun above umbilicus, four cun below umbilicus, one zhuang each, until cured.
Formula for saving sudden death with open mouth and opisthotonos.
Moxa fourteen zhuang behind the nails of hands and feet. Drink Wudu various ointment powders. (Formula unverified.)
Formula for saving sudden death in children with vomiting and diarrhea, unknown disease.
One pill of dog feces, squeeze juice and administer. If dry, boil in water and take juice.
For saving sudden death and Ke Wu death, Huanhun Tang (Return Soul Decoction) is indicated.
Ephedrae Herba (Mahuang, 麻黄) (remove nodes, 3 liang), Armeniacae Semen Amarum (Xingren, 杏仁) (remove skin and tips, 70 seeds), Glycyrrhizae Radix et Rhizoma Preparata (Zhigancao, 炙甘草) (1 qian). *Qianjin Fang* adds Cinnamomi Ramulus (Guizhi, 桂枝) (2 liang).
These three ingredients, boil in eight sheng of water to obtain three sheng, remove dregs, let patient swallow in divided doses. Treats all kinds of Ke Wu. *Qianjin Fang* says: Treats sudden Ke Wu, Ghost Strike, Flying Corpse, sudden Qi absence and loss of consciousness, or pulselessness, locked jaw unable to open. Remove teeth before administering decoction. If decoction cannot go down, part hair left and right, pull shoulders to extend neck, add one sheng more dose, revive shortly.
[*Ju Fang*] Suhexiang Wan (Styrax Pill) treats sudden stroke from Evil Ke Wu Zhu.
Suhexiang You (mixed into Anshixiang paste), Boswelliae Resina (Xunluxiang, 薰陆香) (separately ground), Borax (Longnao, 龙脑) (ground, 1 liang each), Aquilariae Lignum Resinatum (Qingmuxiang, 青木香), Atractylodis Macrocephalae Rhizoma (Baizhu, 白术), Santali Albi Lignum (Baitanxiang, 白檀香), Eugeniae Flos (Dingxiang, 丁香), Cinnabaris (Zhusha, 朱砂) (ground, water levigated), Aquilariae Lignum (Chenxiang, 沉香), Cyperi Rhizoma (Xiangfu, 香附) (stir-fried, remove hairs), Cornus Fructus (Xijiao, 犀角) (sawdust), Piperis Longi Fructus (Bibo, 荜茇), Anshixiang (Anshixiang, 安息香) (separately powdered, mixed with 1 sheng of non-gray wine, boiled to paste), Moschus (Shexiang, 麝香) (ground), Terminalia Chebulae Fructus (Helile, 诃梨勒) (roasted, use peel, 2 liang each).
Grind to fine powder, mix with ground drugs evenly, use Anshixiang paste and refined white honey to make pills, size of Sophora japonica seeds. Take four pills dissolved in fresh well water, hot or cold, on an empty stomach in the morning. Elderly and children take one pill, dissolved in warm wine. Wrap one pill in wax paper, size of a bullet, carry in a sewn bag. Chen Wuyue said: For diseases arising internally with unknown names, taking this is effective. Most effective for Qi Jue and Qi disharmony, vomiting, diarrhea, Guan Ge syndrome, with miraculous effects.
[*Zhou Hou Bei Ji Fang*] Bian Que: Zhong E (Evil Invasion), sudden death, and Ghost Strike are similar in treatment, refer to each other. For those already dead, crush fresh Rhizoma Acori Tatarinowii (Changpu, 石菖蒲), squeeze juice and administer, curing immediately.
[Zhang Zhongjing] To save sudden death with closed eyes, crush Allii Tuberosi Root (Jiu, 韭根) juice and pour into ears, blow Podis Fructus (Zaojiao, 皂角) powder into nose, effective.
[Chen Wuce] To treat Nightmare Sudden Death and various sudden collapse syndromes, use Pinelliae Rhizoma (Banxia, 半夏) unlimited amount, soak in boiling water seven times, powder. Use a small amount, blow into nose. If heart area is warm, treatable. In emergencies without formula, urgently moxa Renzhong point and both big toes one leek-leaf width from nail, 3-5 zhuang each, revive.
[He Jian/Zihehe] A patient had Phlegm Jue, unconscious, tight jaw, medicines could not enter, waiting for death. Dai Ren saw him, asked attendants: Was there saliva in the mouth? Answered: Yes. Dai Ren first decocted Saposhnikoviae Radix (Fangfeng, 防风) and Veratrum Nigrum (Lilu, 藜芦), mixed with Thladianthae Fructus (Goudi, 瓜蒂) powder to administer. Could not go down mouth, so took long clam shell, removed sharp edge, wrapped tip in paper, inserted into right nostril,
then swallowed with sound, repeated in left nostril. Dai Ren said: Can be treated. After a while, no saliva came out, so used Realgar (Pishi, 砒石) 1 qian, put into nose again. Suddenly lay supine, seemed to feel pain, shortly vomited foul matter and sticky saliva several sheng, instantly revived. Arsenic is usually avoided, but because the disease was severe, only this could move it. However, without Goudi, it cannot be used; judge carefully.
Generally, Apoplexy, Corpse Jue, Yu Mao (Depression and Vertigo), Stroke, Summerheat, etc., should all be treated by releasing the exterior. Zhang Zhongjing said: For Yu Mao to resolve, there must be heavy sweating.
Huanhun Tang uses Ephedrae Herba (Mahuang, 麻黄) and Cinnamomi Ramulus (Guizhi, 桂枝); Qinghun Tang uses Schizonepetae Herba (Jingjie, 荆芥); and for various apoplexies, use Podis Fructus (Zaojiao, 皂角) and Pinelliae Rhizoma (Banxia, 半夏) to induce sneezing by insufflating nose, use Veratrum Nigrum (Lilu, 藜芦) and Arsenic (Pishuang, 砒霜) to break teeth and extract phlegm. All these open the Upper Jiao to allow exterior pathogens to circulate. Summerheat contraindicates cold water closing the exterior, for the same reason.
[*Bencao*] Jiedu Xionghuang Wan (Detoxifying Realgar Pill) treats sudden collapse, unconsciousness. (Formula see Sore Throat.)
[Zhang Zhongjing] Sanwu Beiji Wan (Three-Ingredient Emergency Pill)
Rhei Radix et Rhizoma (Dahuang, 大黄), Zingiberis Rhizoma (Ganjiang, 干姜), Croci Fructus (Badou, 巴豆) (each 1 liang, remove skin, tip, heart, roast and grind to fat-like consistency).
Ingredients must be fresh. First grind Dahuang and Ganjiang to powder, mix in Badou, pound thousand times, mix with honey to make pills, store in vessel. Treats sudden acute diseases of Heart and Abdomen. If Zhong E/Ke Wu, abdominal distension, sudden pain like needle刺, urgent breathing, locked jaw, Stopping Corpse sudden death, take 3-4 pills the size of soybean with hot bitter wine. If not going down, lift head and pour down, should cure shortly. If not cured, give three more pills, abdomen will rumble, vomiting and purging will cure.
If locked jaw, must break teeth to administer.
[Chen Wuce] For summerheat fainting, urgently move to cool shade, absolutely do not give cold water. Use cloth or clothes dipped in hot water to compress Umbilicus and Qihai, continuously pour hot water over cloth to keep navel and abdomen warm, gradually wake. If no hot water available, scoop hot road soil onto navel, more is better, change when cold.
Ancient method: No hot water on road, scoop hot soil on navel, make a depression, have someone urinate into it to replace hot water. Then give Baihu Tang (White Tiger Decoction) or Zhuye Shigao Tang (Bamboo Leaf and Gypsum Decoction). Whenever feeling summerheat, urgently chew a large piece of fresh ginger, swallow with cold water. If confused and fainting, chew a large clove of garlic, swallow with cold water. If cannot chew, grind with water and pour to wake. On road without water, thirsty, urgently chew 2 cun raw scallion, swallow with saliva, equivalent to drinking two sheng of water. (Summerheat disease is Mao Yu (dizziness and depression) when Heat arrives, as per *Neijing*.)
Da Huanglong Wan (Great Yellow Dragon Pill) treats summerheat vertigo, unconsciousness, or fever with aversion to cold, headache, resembling Cold Damage, or alternating chills and fever, extreme thirst, vomiting, diarrhea. Regular use removes summerheat toxicity, separates Yin and Yang.
Realgar (Huangshi, 硫黄), Natrii Sulfas (Xiaoshi, 硝石) (each 1 liang), Transparent Realgar (Xionghuang, 雄黄), Alum (Baifan, 白矾), Talcum (Huashi, 滑石) (each 0.5 liang), Cold Food Flour (Hanshimian, 寒食面) (4 liang).
Grind to powder, drop water to make pills size of Sophora japonica seeds. Take 5-7 pills, increase to 20 pills, swallow with fresh well water. For unconsciousness, open mouth and pour well water. Summerheat contraindicates cold. This medicine taken with cold water is "Heat used via Cold" principle.
[*Bencao*] Another Formula: Detoxify all summerheat toxins, for those dying, take immediately, revive instantly.
Pinelliae Rhizoma (Banxia, 半夏) (4 liang, boil in 1.5 sheng vinegar until dry, bake dry), Glycyrrhizae Radix et Rhizoma (Gancao, 甘草) (1 liang), Cinnamomi Cortex (Rougui, 肉桂), Polyporus (Chifuling, 赤茯苓) (each 0.5 liang), Poria (Baifuling, 白茯苓) (1 liang).
Grind to powder, use fresh ginger juice and wheat flour paste to make pills size of Sophora japonica seeds. Take 50 pills, swallow with hot water. In summer travel, I always kept this medicine in my box to prevent emergencies and servant collapses. Taking one daily prevents latent summerheat disease, very effective.
[Li Dongyuan] Summerheat causing fainting. Drop fresh well water on both breasts, fan them. Severe cases, pour Dilution Earth Water (Dijiang, 地浆) to wake; giving water causes death.
[Zhang Zhongjing] Those affected by Cold become Jue, Yu Mao, insensibility, because Stomach lacks Grain Qi, Spleen does not circulate, mouth tight unable to speak, trembling and shivering.
[Chen Wuce] Fuzi Lizhong Tang (Aconite and Magnolia Bark Regulating Middle Decoction) treats Five Zang Cold invasion, locked jaw, limb rigidity, aphonia. Formerly a warrior guarding border, went out in heavy snow, suddenly fainted. Given two doses of this medicine, woke up.
Prepared Aconitum Lateralis Radix (Da Fuzi, 大附子) (prepared, remove skin and navel), Ginseng Radix (Renshen, 人参), Prepared Zingiberis Rhizoma (Ganjiang, 干姜), Prepared Glycyrrhizae Radix et Rhizoma (Zhigancao, 炙甘草), Atractylodis Macrocephalae Rhizoma (Baizhu, 白术) (equal parts).
Cut into pieces, make powder. Take 4 qian, boil in 1.5 sheng water to 0.7 sheng, remove dregs, take on empty stomach. If locked jaw, pry open and pour.
Ganjiang Fuzi Tang (Zingiber and Aconite Decoction) treats sudden fainting from Cold invasion, or vomiting saliva like hidden wind, limb spasms, locked jaw, cold limbs, or restlessness and heat. (Formula see Cold Damage.)
[World Method] Treatment for freezing to death. Limbs straight, locked jaw, only faint breath.
Use large cauldron to stir-fry ashes until warm, hold in bag to compress heart area, change when cold. When eyes open and breath comes, slowly advance thin porridge. If not warming heart first, directly applying fire moxa, Cold Qi competes with Fire, must die.
[Li Dongyuan] Chuangyang (Ulcer) Yu Mao, commonly called coma, strictly avoid purgatives, sweating cures it. (This is due to excessive pus and blood loss causing Yu Mao.)
[Zhang Zhongjing] For Yu Mao to resolve, there must be heavy sweating.
[*Bencao*] Person normally healthy, suddenly like dead person, body motionless, silently unaware, eyes closed unable to open, mute unable to speak, or slightly aware, dislikes hearing voices, only feels dizzy, wakes after some time. This is due to excessive sweating, scant Blood, Qi merging with Blood, Yang alone ascending not descending, Qi blocking and not circulating, thus body like dead. When Qi passes and Blood returns, Yin and Yang reconnect, thus waking after some time. Named Yu Mao, also named Blood Jue, common in women. Should use Baiwei Tang (Anemarrhenae Decoction) or Cang Gong San (Cang Gong Powder).
Baiwei Tang
Anemarrhenae Rhizoma (Baiwei, 白薇), Angelicae Sinensis Radix (Danggui, 当归) (each 1 liang), Ginseng Radix (Renshen, 人参) (0.5 liang), Glycyrrhizae Radix et Rhizoma (Gancao, 甘草) (1 fen).
Coarse powder, take 5 qian, boil in 2 zhan water to 1 zhan, remove dregs, take warm.
Cang Gong San
Veratrum Nigrum (Lilu, 藜芦), Thladianthae Fructus (Goudi, 瓜蒂), Realgar (Xionghuang, 雄黄), Alum (Fanshi, 矾石) ( ).
Equal parts, fine powder, small amount insufflate into nose.
[*Maiching*] Asked: Woman suffers menstruation flow, then induces sweating, leading to Yu Mao and unconsciousness. Why? Master said: Menstrual flow down means Interior deficiency. Inducing sweat means Exterior deficiency. Both Interior and Exterior deficient, thus causing Yu Mao.
[Li Dongyuan] Discussion on harm of mistakenly using Cold-Cooling medicines for women with spontaneous abortion. Women during delivery or spontaneous abortion with leakage, fainting and unconsciousness, eyes closed without perception, is due to sudden Blood loss. After有形 Blood (tangible Blood) leaves, Heart Spirit lacks nourishment. Heart and Pericardium are Ministerial Fire and Sovereign Fire; nourished by Blood are safe, losing Blood is dangerous. Fire blazing upward causes fainting. Fire attacking Lung, eyes closed unconscious, is sudden Yin Blood loss unable to calm. Thus, when Blood is deficient, often using Talcum (Huashi, 滑石), Glycyrrhizae Radix et Rhizoma (Gancao, 甘草), Gypsum Fibrosum (Shigao, 石膏) etc., which are pungent-sweet great cold medicines, clearing Heat in Qi, is draining Qi due to Blood deficiency, draining Yang due to Yin deficiency, injuring both, making them insufficient. Deficiency consumption disease, coma and unconsciousness, is Heat in Upper Jiao Heart and Lung. This formless Heat, using cold-cooling medicines to drive downward. Does one not know Upper Jiao diseases belong to Exterior, are Yin syndromes, sweating cures them? Now contrary purging, luckily avoiding death, violently depletes Qi and Blood, how can life last long? Also does not know *Neijing* says: Disease Qi insufficient, should tonify not purge. Eyes closed diseases all belong to Yin, should sweat not purge. Also does not know Cold Damage Yu Mao resolves with sweat, thus cold-cooling medicines are contraindicated. Delivery and spontaneous abortion, original Qi not diseased, is sudden loss of tangible Blood. Losing Blood, tonify Blood, what doubt? Tonifying Blood makes Spirit prosperous. Normally Blood descends and leaks, now should tonify and raise. Heart receiving Blood nourishes Spirit, not fainting. Blood suddenly descending is Autumn-Winter command vigorous, now raise and ascend to assist Yang, eyes open, Spirit not fainting. Now establish a formula, tonify Blood, nourish Blood, generate Blood, benefit Yang. To supplement deficiency of Hand-Jueyin and Foot-Jueyin, Quan Sheng Huoxue Tang (Life-Preserving Blood-Activating Decoction) is indicated.
Quan Sheng Huoxue Tang Since all Yang have sunk, how to know? Due to Blood loss downward.
Carthami Flos (Honghua, 红花), Viticis Fructus (Manjingzi, 蔓荆子), Asari Radix et Rhizoma (Xixin, 细辛) (each 5 fen), Rehmanniae Radix (Shengdi, 生地) (double in summer), Prepared Rehmanniae Radix (Shudi, 熟地) (each 1 qian), Ligusticum Chuanxiong Rhizoma (Chuanxiong, 川芎) (each 1.5 qian), Peucedani Radix (Benshen, 本), Saposhnikoviae Radix (Fangfeng, 防风), Notopterygii Rhizoma et Radix (Qianghuo, 羌活), Angelicae Pubescentis Radix (Duhuo, 独活), Prepared Glycyrrhizae Radix et Rhizoma (Zhigancao, 炙甘草), Bupleuri Radix (Chaihu, 柴胡), Puerariae Radix (Gegen, 葛根), Angelicae Sinensis Radix (Guishen, 归身) (each 2 qian), Paeoniae Radix Alba (Baishao, 白芍药), Cimicifugae Rhizoma (Shengma, 升麻) (each 3 qian).
Cut, take 5 qian, boil in water, remove dregs, take slightly warm before meal.
Danggui Fuzi Tang treats cold pain below umbilicus, red and white leukorrhea.
Angelicae Sinensis Radix (Danggui, 当归) (2 fen), Stir-fried Salt (Chaoyan, 炒盐) (3 fen), Scorpio Scorpion Tail (Xieshao, 蝎梢), Cimicifugae Rhizoma (Shengma, 升麻) (each 5 qian), Glycyrrhizae Radix et Rhizoma (Gancao, 甘草), Bupleuri Radix (Chaihu, 柴胡) (each 7 fen), Phellodendri Cortex (Huangbai, 黄柏) (small amount), Aconitum Lateralis Radix (Fuzi, 附子), Zingiberis Rhizoma (Ganjiang, 干姜), Galangal Rhizoma (Liangjiang, 良姜) (each 1 qian).
Cut, take 0.5 liang, boil in water, remove dregs, take slightly warm. Or powder, wine-wheat paste pills also acceptable.
[*Doumen Fang*] Treats women's Blood Wind attacking brain, pain turning to fainting, suddenly dying collapsing, unconscious. Use Caosu grass (Hecao Cao, 喝起草 - likely a local name, possibly referring to a specific herb like Celosia or similar, context suggests嫩心 tender heart), take tender heart, unlimited amount, dry in shade, powder. Take 1 qian with regular wine, any time, great effect. Reaches brain, opens top gate, currently known as Xanthium (Canger, 苍耳).
[*Daguan Bencao*] Treats pregnancy due to external Wind, resembling Stroke, unconscious. Use prepared Mugwort (Shuai Ai, 熟艾) powder, stir-fry with vinegar until very hot, wrap in silk, compress below umbilicus while hot, after long time recover consciousness.
Ben Tun Qi (Running Piglet Qi) rushing up to throat, attacks resembling death, alternating chills and fever. (Treatment see Accumulation.)
Sudden collapse, hemiplegia, is Stroke. (Treatment see Stroke.)
Sudden collapse, foaming at mouth, is Epilepsy. (Treatment see Epilepsy.)
Luck-related Yu Mao has two types:
One belongs to Heat. Classic says: Shaoyin recurrence, Yu Mao unconscious, aversion to cold, shivering. Also: Shaoyang arrival causes Mao Mei (dizziness and dimness). Also: All Heat Mao Yu belong to Fire. Treat with Salty-Cold.
Two belongs to Cold. Classic says: Year Fire insufficient, Cold prevails, people suffer Yu Mao, dullness, Heart pain. Also: Taiyang ruling Heaven, and Taiyang recurrence, all suffer sadness, dizziness, collapse. Also: Yangming ruling Heaven policy, fourth Qi, cold rain falls, disease dizziness, collapse. Treat with Sweet-Hot.
[Li Dongyuan] Zhong E/Ke Wu sudden death, moxa Umbilicus 100 zhuang, insufflate Podis Fructus (Zaojiao, 皂角) powder into nose, or crush Allii Tuberosi Root (Jiu, 韭根) juice pour into ears.
[Zhang Zhongjing] Save sudden death.
Allii Tuberosi Root (Jiu Gen, 韭根), Mume Fructus (Wumei, 乌梅) (27 seeds), Evodiae Fructus (Wuzhuyu, 吴茱萸) (half sheng, stir-fried).
These three, boil in one dou water, put sick comb in, boil three times. Comb floating means alive, sinking means dead. Boil to three sheng, remove dregs, divide and drink.
Save Sudden Death Formula
Cut rooster comb, take blood, blow into nose using tube. Pig lard size of chicken egg, bitter wine one sheng, boil, pour into throat. Rooster liver and blood smear on face, surround with ash to stand up. Soybeans 14 seeds, mix with egg white and wine, swallow all.