（附∶捏结喉法、明矾汤、麝香香油灌法）
点天突穴以治痰厥，善针灸者，大抵知之。而愚临证体验，尤曲尽点法之妙。穴在结喉（颈间高骨）下宛
宛中。点时屈手大指（指甲长须剪之）以指甲贴喉，指端着穴，直向下用力（勿斜向里），其气即通。指端，
当一起一点，令痰活动，兼频频挠动其指端，令喉痒作嗽，其痰即出。
一妇人，年二十许。数日之前，觉胸中不舒，一日忽然昏昏似睡，半日不醒。适愚自他处归，过其村。
病家见愚喜甚，急求延医。其脉沉迟，兼有闭塞之象。唇 动。凡唇动者，为有痰之征。脉象，当系寒痰壅滞
上焦过甚。遂令人扶之坐，以大指点其天突穴，俾其喉痒作嗽。约点半点钟，咳嗽十余次，吐出凉痰一碗，始
能言语。又用干姜六钱，煎汤饮下而愈。
岁在甲寅，客居大名之金滩镇。时当孟春，天寒，雨且雪，一兵士衣装尽湿，因冻甚，不能行步，其伙舁
之至镇，昏不知人。呼之不应，用火烘之，且置于温暖之处，经宿未醒。闻愚在镇，曾用点天突穴法，治愈一
人，求为延医。见其僵卧不动，呼吸全无。按其脉，仿佛若动。以手掩其口鼻，每至呼吸之顷，微觉有热，知犹
可救。遂令人扶起俾坐，冶以点天突穴之法，兼捏其结喉。约两点钟，咳嗽二十余次，共吐凉痰碗半，始能呻
吟。亦饮以干姜而愈。
【捏结喉法】得之沧州友人张××，其令人喉痒作嗽之力尤速。欲习其法者，可先自捏其结喉，如
何捏法即可作嗽，则得其法矣。然当气塞不通时。以手点其天突穴，其气即通。捏结喉，必痒嗽吐痰后，其气
乃通。故二法宜相辅并用也。
按∶西人谓，冻死者若近火，则寒气内迫，难救。宜置寒冷室中，或树阴无风处，将衣服脱除，用雪团
或冷水，周身摩擦；或将身置冷水中，周身摩擦。及四肢渐次柔软，行人工呼吸法，此时摩擦，更不宜间断。
迨患者自能呼吸，先被以薄衾，继用稍浓之被，渐移入暖室。
按∶此法必周身血肉，冻至冰凝，呼吸全无者，方宜用之。若冻犹不至若是之剧，用其法者又宜斟酌变通。
究之其法虽善，若果有寒痰杜塞，必兼用点天突穴，捏结喉法，方能挽救。人工呼吸法，即患者呼吸全无，
以法复其呼吸之谓也。其法，先将患者仰卧，俾其头及胸稍高。启其口，将舌周遭缠以细布条，紧结之，防
舌退缩，及口之收闭。救护者跪于头之旁，以两手握患者之两肘，上提过头，俾空气流入肺中，以助其吸后，
须臾，将两肘放下，紧压于胸胁之际，以助其呼（助其呼时更有人以两手心按其胸及心窝更佳）。如此往复，
行至患者自能呼吸而止。此为救急之良方，凡呼吸暴停者，皆可用此方救之。
【明矾汤】生白矾，长于治顽痰热痰，急证用之，诚有捷效。惟凉痰凝滞者，断不可用。一妇人，年二
十余。因悲泣过度，痰涎杜塞胃口，其胃气蓄极上逆，连连干呕。形状又似呃逆，气至咽喉不能上达。剧时，
浑身抖战，自掇其发，有危在顷刻之状。医者，用生姜自然汁灌之，益似不能容受。愚诊视之，其脉左手沉濡，
右三部皆无。然就其不受生姜观之，仍当是热痰杜塞，其脉象如此者，痰多能瘀脉也。且其面有红光，亦系热
证。遂用生白矾二钱，化水俾饮之，即愈。此方愚用之屡次，审知其非寒痰
杜塞，皆可随手奏效。即痰厥至垂危者，亦能救愈。
【麝香香油灌法】严用和云∶“中风不醒者，麝香清油灌之。”曾治一人，年二十余。因夫妻反目，身
躯忽然后挺，牙关紧闭，口出涎沫。及愚诊视，已阅三点钟矣。其脉闭塞不全，先用痧药吹鼻，得嚏气通，
忽言甚渴。及询之，仍昏昏如故，惟牙关微开，可以进药。因忆严用和麝香清油灌法，虽治中风不醒，若治痰
厥不醒，亦当有效。况此证形状，未必非内风掀动。遂用香油二两炖热，调麝香一分，灌之即醒。
又∶硼砂四钱化水，治痰厥可代白矾，较白矾尤稳妥。若治寒痰杜塞，用胡椒三钱捣碎，煎汤灌之，
可代生姜自然汁，与干姜汤。
附录∶
沧县董××来函∶
朱姓妇，产后旬余，甚平顺。适伊芳弟来视，午后食煮包一大碗，伊芳弟去后，竟猝然昏倒，四肢抽搐，
不省人事。延为诊视，六脉皆伏。当系产后五内空虚，骤而饱食填息，胸中大气不能宣通，诸气亦因之闭塞，
故现此证。取药不及，急用点天突穴及捏结喉法，又用针刺十宣及少商穴，须臾咳吐稠痰若干，气顺腹响，微
汗而愈。
(Attached: Method of Pinching the Adam's Apple, Mingfan Decoction, Method of Administering Musk and Sesame Oil)
Using finger-pointing on the Tiantu acupoint to treat Phlegm-Jue (syncope due to phlegm obstruction), those skilled in acupuncture and moxibustion generally know this. However, through my clinical experience, I have particularly mastered the subtleties of the pointing method. The acupoint is located in the depression below the Jiehou (Adam's apple/high bone of the neck). When pointing, bend the thumb (nails must be trimmed short), press the nail against the throat, place the fingertip on the acupoint, and apply force straight downward (do not angle inward); the Qi will then flow freely. The fingertip should move up and down rhythmically to mobilize the phlegm, while frequently flicking the fingertip to induce a tickling sensation in the throat and coughing, allowing the phlegm to be expelled.
A woman, about twenty years old. A few days prior, she felt discomfort in her chest. One day, she suddenly fell into a deep stupor resembling sleep, remaining unconscious for half a day. Fortunately, I was returning from elsewhere and passed through her village. Her family was overjoyed to see me and urgently requested medical attention. Her pulse was deep and slow, with signs of obstruction. Her lips were quivering. Quivering lips are a sign of phlegm. Based on the pulse, it was likely that Cold-Phlegm (Cold Phlegm) was excessively stagnant in the Upper Jiao (Upper Burner). I had someone help her sit up and used my thumb to point at her Tiantu acupoint to induce throat tickling and coughing. After about half an hour, she coughed more than ten times and vomited a bowl of cold phlegm, after which she could speak. She was then given a decoction of six qian of Ganjiang (Dried Ginger) and recovered.
In the year Jiayin, I was residing as a guest in Jintan Town, Daming Prefecture. It was early spring, cold weather, raining and snowing. A soldier’s clothes and shoes were completely soaked. Due to severe freezing, he could not walk, so his comrades carried him to town. He was unconscious and unresponsive. They warmed him with fire and placed him in a warm spot, but he remained unconscious overnight. Hearing that I had cured someone using the Tiantu pointing method, they asked me to treat him. He lay stiffly motionless with no respiration. His pulse seemed faintly palpable. Covering his mouth and nose, I felt slight warmth during each respiratory attempt, indicating he could still be saved. I had someone help him sit up, applied the Tiantu pointing method, and pinched his Adam's apple. After about two hours, he coughed more than twenty times and vomited half a bowl of cold phlegm, beginning to groan. He was also given Ganjiang (Dried Ginger) and recovered.
[Method of Pinching the Adam's Apple] This method was obtained from my friend Zhang XX in Cangzhou; its ability to induce throat tickling and coughing is particularly rapid. Those wishing to learn it can first pinch their own Adam's apple to determine how to elicit a cough, thereby mastering the technique. However, when Qi is blocked and cannot flow, pressing the Tiantu acupoint allows Qi to flow immediately. Pinching the Adam's apple only clears the Qi after tickling, coughing, and expectoration occur. Therefore, these two methods should be used together.
Note: Western medicine holds that if a person frozen to death is brought near fire, the cold energy presses inward, making rescue difficult. It is advisable to place them in a cold room or a shaded, windless area under a tree, remove their clothes, and rub their entire body with snowballs or cold water; or submerge them in cold water and rub their body. Once the limbs gradually become soft, perform artificial respiration, ensuring the rubbing does not interrupt. When the patient resumes breathing spontaneously, cover them first with a thin quilt, then with a thicker one, and gradually move them into a warm room.
Note: This method is suitable only when the flesh and blood of the entire body are frozen solid and respiration has ceased. If the freezing is not so severe, practitioners should exercise discretion and adapt the method. Nevertheless, although this method is good, if there is indeed blockage by Cold-Phlegm (Cold Phlegm), one must combine it with Tiantu pointing and Adam's apple pinching to effect a rescue. Artificial respiration refers to restoring respiration in patients who have completely stopped breathing. The method involves laying the patient supine with the head and chest slightly elevated. Open the mouth, wrap a thin cloth strip around the tongue, and tie it tightly to prevent tongue retraction and mouth closure. The rescuer kneels beside the head, grasps both elbows of the patient, lifts them overhead to allow air to enter the lungs (aiding inhalation), and after a moment, lowers the elbows to press firmly against the chest and ribs (aiding exhalation; it is better if another person presses the chest and epigastrium with palms during exhalation). Repeat this cycle until the patient breathes spontaneously. This is an excellent emergency remedy applicable to any case of sudden respiratory arrest.
[Mingfan Decoction] Sheng Bai Fan (Raw Alum) is effective for treating stubborn Phlegm-Heat (Phlegm-Heat Syndrome) and acute conditions, yielding rapid results. However, it is absolutely contraindicated for Cold-Phlegm stagnation. A woman in her twenties, due to excessive grief and weeping, had saliva and phlegm blocking the stomach opening. Her Stomach Qi accumulated excessively and rebelled upward, causing continuous dry heaving. Her condition resembled hiccups, with Qi reaching the throat but unable to ascend. During severe episodes, her whole body trembled, and she pulled her hair, appearing critically ill. The physician administered fresh ginger juice, which she seemed unable to tolerate. Upon examination, her left wrist pulse was deep and soggy, while the right three positions were imperceptible. However, considering her rejection of ginger, it was still likely Heat-Phlegm (Heat Phlegm) obstruction. Such a pulse indicates that excessive phlegm obstructs the pulse vessels. Furthermore, the redness on her face indicated a heat syndrome. I used two qian of Sheng Bai Fan (Raw Alum) dissolved in water for her to drink, resulting in immediate recovery. I have used this formula many times; whenever it is confirmed that the obstruction is not Cold-Phlegm (Cold Phlegm), it yields prompt results. Even in critical cases of Phlegm-Jue (syncope due to phlegm obstruction), it can save lives.
[Musk and Sesame Oil Administration Method] Yan Yonghe stated: "For stroke patients who are unconscious, administer musk and clear oil." I once treated a man in his twenties. Following a marital dispute, his body suddenly arched backward, his jaw clenched shut, and saliva dribbled from his mouth. By the time I examined him, three hours had passed. His pulse was partially obstructed. I first blew Sha Medicine (Sha Yao) into his nose; after sneezing, his Qi flowed, and he suddenly expressed intense thirst. Upon inquiry, he remained confused, but his jaw was slightly open, allowing medication. Recalling Yan Yonghe’s method of administering musk and clear oil for unconscious stroke, I reasoned it would also be effective for unconscious Phlegm-Jue (syncope due to phlegm obstruction). Moreover, this presentation might well be caused by internal Wind stirring. I heated two liang of sesame oil, mixed in one fen of Moschus (Musk), and administered it orally, leading to immediate awakening.
Additionally: Borax (Pengsha) four qian dissolved in water can replace alum for treating Phlegm-Jue (syncope due to phlegm obstruction) and is safer than alum. For Cold-Phlegm (Cold Phlegm) blockage, three qian of crushed Piper Longum (Hu Jiao) decocted in water and administered orally can replace fresh ginger juice or Ganjiang Tang (Dried Ginger Decoction).
Appendix:
Letter from Dong XX of Cang County:
Mrs. Zhu, more than ten days postpartum, had been recovering smoothly. Her brother visited her in the afternoon, and she ate a large bowl of boiled steamed buns. After her brother left, she suddenly collapsed, convulsed, and lost consciousness. I was called to examine her. All six pulses were hidden. This was likely due to emptiness of the five zang organs postpartum, followed by sudden overeating which filled the chest, preventing the circulation of the Great Qi (Zong Qi) and causing obstruction of all Qi movements. Medication was unavailable, so I urgently applied the Tiantu pointing method and Adam's apple pinching method, and punctured the Shi Xuan (Ten Extremities) acupoints and Shang Shang acupoint. Shortly after, she coughed up considerable amounts of thick phlegm, her Qi smoothed, her abdomen made sounds, and she broke into a slight sweat, recovering fully.