《病源论》云∶中恶者,是人精神衰弱,为鬼邪之气卒中之也。其状卒然心腹刺痛,闷
乱欲
《广济方》云∶卒中恶心腹刺痛去恶气方∶
麝香(一分,研) 生犀角(二分) 青木香(二分)
为散,空腹以熟水服方寸匕,立愈。
《范汪方》治卒死,及心痛腹满,魇忤中恶三物备急丸方∶
巴豆(一分,去心皮) 大黄(二分) 干姜(二分)
凡三物,共捣巴豆,冶合丸,以蜜丸如大豆,有急取二三丸,以水和服之。口噤者绞开
令药
又方∶取杯水,以刀三七刺中,饮之良。
《集略方》备急散,治卒中恶,心痛腹满,欲吐短气方∶
大黄(二两,金色者) 桂心(四分) 巴豆(一百枚)
凡三物,冶合下筛,取一钱,以水七合服之。
《千金方》治卒死中恶方∶
取牛马屎汁饮之,无新者,水和干者亦得。
又方∶葱心黄刺鼻孔中,血出愈。
又方∶灸两胁下。
又方∶灸胃脘十五壮。
《集验方》治中恶方∶
大豆二七枚,以鸡子中黄、白酒半升合和,顿服之。
又方∶用釜底墨、盐三指撮,和水服之。(《医门方》同之。)
又方∶以度度其两乳中央,屈之从乳头向后肋间,灸度头,随年壮。
又方∶灸胃脘五十壮。
《广利方》疗中恶客忤垂死方∶
麝香钱重,研,和醋二合服之,即瘥。
《葛氏方》华佗治卒中恶短气欲死者方∶
韭根(一把) 乌梅(十枚) 茱萸(半升)
以劳水一斗煮之,以病患栉纳中三沸,栉浮者生,沉者死。煮得三升饮之。
又方∶灸足两拇指上甲后丛毛中各十四壮即愈。
《新录方》治卒中恶方∶
豉(一升) 盐(七合) 水(四升)
煮取一升二合,分再服。
又方∶桃白皮,切,一升,水二升,煮取八合,一服之。
又方∶生菖蒲根,切,三升,捣绞取汁,服四五合。
又方∶酒服桃仁末方寸匕。李仁末亦佳。
又方∶伏龙肝末,水服二方寸匕。
又方∶取竹木中虫屎,水服方寸匕。
又方∶盐一升,水二升,煮临消二服,取吐。
According to *Zhu Bing Yuan Hou Lun* (Treatise on the Pathogenesis and Symptoms of All Diseases), Zhong'e (sudden attack by evil qi) occurs when a person's spirit is weak and is suddenly invaded by ghostly or evil qi. The condition presents with sudden stabbing pain in the heart and abdomen, chest oppression, mental confusion, and even syncope or impending death.
*Guangji Fang* (Broad Aid Prescriptions) records a formula for treating sudden onset of nausea, stabbing abdominal pain, and expelling evil qi:
Moschus (1 fen, ground) Rhinocerotis Cornu (2 fen) Lignum Aromaticum (2 fen)
Grind these into powder. Take one cun bi (a measure equivalent to a teaspoon) on an empty stomach with warm water. Recovery will be immediate.
*Fan Wang Fang* records the Sanwu Beijii Wan (Three-Ingredient Emergency Pill) for treating sudden death, as well as heart pain, abdominal fullness, sleep paralysis, or Zhong'e:
Crotonis Fructus (1 fen, remove heart and skin) Rhei Radix et Rhizoma (2 fen) Zingiberis Radix Preparata (2 fen)
Crush the Crotonis Fructus together with the other two ingredients, grind and mix, then form pills using honey, sized like soybeans. In emergencies, take 2–3 pills mixed with water. If the jaw is clenched, pry it open to administer the medicine.
Another prescription: Take a cup of water, pierce it 7 to 21 times with a knife, and drink it. This is effective.
The Beiji San (Emergency Powder) from *Jilue Fang* treats sudden Zhong'e, heart pain, abdominal fullness, desire to vomit, and shortness of breath:
Rhei Radix et Rhizoma (2 liang, preferably golden-colored) Cinnamomi Ramulus (4 fen) Crotonis Fructus (100 seeds)
Grind and sieve the three ingredients together. Take 1 qian (approx. 3-5g) and administer with 7 he (approx. 140ml) of water.
*Qianjin Fang* (Essential Prescriptions Worth a Thousand Gold) provides formulas for sudden death and Zhong'e:
Drink the juice from fresh cow or horse manure. If fresh manure is unavailable, mix dried manure with water and drink.
Another prescription: Insert the yellow center of a green onion into the nostril until bleeding occurs; this leads to recovery.
Another prescription: Moxibustion on both hypochondriac regions.
Another prescription: Moxibustion on the Weiwuan (epigastric region) for 15 moxa cones.
*Jiyan Fang* (Collected Verified Prescriptions) treats Zhong'e:
Take 14 Soybean seeds, mix with the yolk of one egg and half sheng (approx. 100ml) of white wine, and consume in one dose.
Another prescription: Use soot from the bottom of a cauldron and salt (amount held by three fingers), mix with water, and ingest. (*Yimen Fang* agrees with this.)
Another prescription: Measure the distance between the centers of the two breasts. Bend this length from the nipple backward toward the intercostal space. Apply moxibustion at the end of the string. The number of moxa cones should correspond to the patient's age.
Another prescription: Moxibustion on the Weiwuan (epigastric region) for 50 moxa cones.
*Guangli Fang* (Broad Benefit Prescriptions) treats Zhong'e and Ke Wu (intruding evil qi) in critical condition:
Moschus (weight of 1 qian), ground, mixed with 2 he (approx. 40ml) of vinegar, taken orally. Recovery follows immediately.
*Ge Shi Fang*, attributed to Hua Tuo, treats sudden Zhong'e with shortness of breath and impending death:
Allii Tuberosi Radix (1 bundle) Mume Fructus (10 pieces) Evodiae Fructus (half sheng, approx. 100ml)
Decoct in Lao Shui (labor water, water carried while walking) one dou (approx. 1 liter). Boil three times, inserting the patient's comb each time. If the comb floats, the patient lives; if it sinks, the patient dies. Decoct to obtain 3 sheng (approx. 600ml) and administer.
Another prescription: Moxibustion on the posterior hairy area behind the nail of both big toes, 14 cones on each side, leads to recovery.
*Xinlu Fang* (Newly Recorded Prescriptions) treats sudden Zhong'e:
Fermented Soybean (1 sheng, approx. 200g) Salt (7 he, approx. 140ml) Water (4 sheng, approx. 800ml)
Decoct to obtain 1.2 sheng (approx. 240ml). Divide into two doses.
Another prescription: Cut Pericarpium Nucleus Persicae (white bark layer) 1 sheng, add 2 sheng of water, decoct to obtain 0.8 sheng, take once.
Another prescription: Cut fresh Acori Tatarinowii Rhizoma 3 sheng, crush and squeeze out the juice, take 0.4–0.5 sheng.
Another prescription: Take Peach Kernel powder (one cun bi) with wine. Apricot Kernel powder is also good.
Another prescription: Take Longgu (dragon bone/Fulonggan, calcined stalagmitic earth) powder, take two cun bi with water.
Another prescription: Take insect frass from bamboo or wood, take one cun bi with water.
Another prescription: Salt 1 sheng, water 2 sheng. Decoct until nearly dry, divide into two doses, aiming to induce vomiting.