病源猝忤者，亦名客忤，谓邪客之气，猝犯忤人精神也，此是鬼疠之毒瓦斯，中恶之类也
，人有魂魄衰弱者，则为鬼气所犯忤，喜于道间门外得之，其状心腹绞痛胀满，气冲心胸，
或即
而瘥
肘后论曰，客者，客气也，忤者犯也，谓客气忽犯人也，此恶鬼毒疠之气，疗之多愈，
亦有侵克脏腑经络，虽瘥后犹宜治疗，以消余势，不尔终为人患，有时辄发。
又客忤死者，中恶之类也，喜于道间门外得之，令人心腹绞痛胀满，气冲心胸，不即疗
亦杀人方。
灸鼻下人中三十壮愈。（备急文仲同）
又方
以水渍粳米，取汁二升以饮之，口已噤者，以物强发之。
又方
以铜器瓦器盛热汤，器着腹上，冷者彻去衣，器衬肉，大冷者，易以热汤，取愈也。
又方
先以衣三重藉腹上，以铜器着衣上，取茅草于器中烧之，草尽再益，勿顿多也，取愈乃
止。（备急文仲同）
又方
以绳横其人口以度度脐四面各一处，灸三壮，令火俱起也。
又方
横度口，中折之，令上头着心下，灸下头五壮也。（并出第一卷中）
又疗客忤，心腹绞痛胀满，气冲心胸，烦躁壮热，或气闷绞刺，鬼魅之气未散方
麝香（一钱） 茯神 人参 天门冬（去心） 鬼臼 菖蒲（等分）
上六味，蜜丸如桐子，服十丸，日三。
文仲扁鹊疗客忤，有救卒死符，并服盐汤法，恐非庸世所能用，故不载，而此病即今人
所谓中恶者，与猝死鬼击亦相类焉，疗皆参取而用之，已死者方。
捣生菖蒲根，绞取汁，含之即愈。（备急肘后同）
又疗猝忤停尸，不能言者方。
烧桔梗二枚末，饮服之。
又方
细辛 桂心（各等分）
上二味纳口中。（肘后备急同）
又猝忤口噤不开者方。
生附子末置管中，吹纳舌下。（备急肘后同并出第一卷中）
千金疗客忤恶气方。
吞麝香如大豆立验。（出第五卷中）
千金翼客忤方。
灸间使七壮，又肩井百壮，又十指甲下各三壮。（出第二十七卷中）
According to the *Bingyuan* (Etiology and Pathogenesis), "Cu Wu" (Sudden Offense) is also known as "Ke Wu" (Guest Offense). It refers to evil qi suddenly invading a person's spirit. This is the toxic vapor of Gui Li (Ghost Pestilence), belonging to the category of Zhong E (Sudden Evil Invasion). Individuals with weak Hun and Po (Soul and Corporeal Soul) are prone to being offended by ghostly qi, often contracting this condition on roads or outside doors. The symptoms include severe cramping pain and distension in the heart and abdomen, with qi rushing to the chest and heart. If not treated immediately, it can be fatal.
The *Zhou Hou Bei Ji Fang* (Handbook of Prescriptions for Emergencies) states: "Ke" refers to guest qi; "Wu" means to offend or clash. It signifies that guest qi suddenly offends the person. This is the qi of evil ghosts, toxic pestilence, which usually heals upon treatment. However, if it invades the Zang-Fu organs and meridians, even after recovery, further treatment is advisable to eliminate residual pathogenic factors; otherwise, it may eventually become a recurring affliction.
Another form is death caused by Ke Wu, also categorized under Zhong E. It is commonly contracted on roads or outside doors, causing severe cramping pain and distension in the heart and abdomen, with qi rushing to the chest and heart. Failure to treat it immediately can lead to death.
Moxibustion at the Renzhong (GV26) acupoint, located below the nose, for thirty moxa cones (zhuang) leads to cure. (Consistent with *Wen Zhong's Emergency Formulas*).
Another prescription: Soak Jing Mi (Oryzae Semen, Rice) in water, extract two sheng (approx. 400ml) of the juice, and drink it. If the patient has trismus (lockjaw), forcibly open the mouth with an instrument to administer the medicine.
Another prescription: Fill a copper or ceramic vessel with hot water and place it on the abdomen. If the vessel cools down, remove it and strip the clothing so the vessel contacts the skin directly. If it becomes too cold, replace it with fresh hot water until cured.
Another prescription: First, place three layers of cloth over the abdomen, then place a copper vessel on top of the cloth. Burn mugwort grass (Mao Cao) inside the vessel. Add more grass when it burns out, but do not add too much at once. Continue until cured. (Consistent with *Wen Zhong's Emergency Formulas*).
Another prescription: Use a rope to measure the width of the patient's mouth horizontally. Use this measurement to mark four points around the umbilicus (one on each side front and back). Moxibustion of three zhuang at each point should be performed simultaneously.
Another prescription: Measure the mouth width horizontally, break the measuring tool in half. Place the upper end at the area below the heart (Xin Xia) and perform five zhuang of moxibustion at the lower end. (Both extracted from Volume I).
Another method for treating Ke Wu, characterized by severe cramping pain and distension in the heart and abdomen, qi rushing to the chest and heart, restlessness, high fever, or suffocating stabbing pain due to lingering ghostly qi:
She Xiang (Moschus, Musk) (1 qian / approx. 3-5g)
Fu Shen (Poria Cum Radix Pini)
Ren Shen (Ginseng Radix)
Tian Men Dong (Asparagi Radix) (remove heart)
Gui Jiu (Podophylli Fructus)
Chang Pu (Acori Tatarinowii Rhizoma) (equal parts)
Grind these six herbs into powder, mix with honey, and make pills the size of tung tree seeds. Take ten pills per dose, three times daily.
Wen Zhong and Bian Que had formulas for treating Ke Wu, including talismans for saving sudden death and methods for drinking salt water. These are likely beyond the capability of ordinary practitioners, so they are not recorded here. This disease corresponds to what modern people call "Zhong E" (Sudden Evil Invasion) and is similar to "Su Si" (Sudden Death) and "Gui Ji" (Ghost Strike). Treatments are adopted by reference. Below are formulas for patients who have already died.
Crush fresh Chang Pu (Acori Tatarinowii Rhizoma) root, squeeze out the juice, and hold it in the mouth for immediate cure. (Consistent with *Zhou Hou Bei Ji Fang*).
Another method for treating Su Wu (Sudden Offense) where the corpse is stagnant and unable to speak:
Burn two pieces of Jie Geng (Platycodonis Radix), grind into powder, and take with water.
Another prescription:
Xi Xin (Asari Radix et Rhizoma)
Gui Xin (Cinnamomi Cortex) (equal parts)
Place these two herbs into the mouth. (Consistent with *Zhou Hou Bei Ji Fang*).
Another method for treating Su Wu with trismus (lockjaw):
Place powder of Sheng Fu Zi (Aconiti Lateralis Radix Preparata - Raw) into a tube and insufflate it under the tongue. (Consistent with *Zhou Hou Bei Ji Fang*, both extracted from Volume I).
*Qian Jin Fang* (Essential Prescriptions Worth a Thousand Gold) method for treating Ke Wu and evil qi:
Swallow She Xiang (Moschus, Musk) the size of a soybean for immediate effect. (Extracted from Volume V).
*Qian Jin Yi Fang* (Supplement to Essential Prescriptions Worth a Thousand Gold) method for treating Ke Wu:
Moxibustion at Jianshi (PC4) for seven zhuang, then Jianjing (GB21) for one hundred zhuang, then three zhuang at each of the ten fingernail beds. (Extracted from Volume XXVII).