病源尸厥者，阴气逆也，此由阳脉猝下坠，阴脉猝上升，阴阳离居，营卫不通，真气厥
乱，客邪乘之，其状如死，犹微有息而不常，脉尚动而形无知也，听其耳内，循循有如啸之
声，
沉
正
俱
张仲景云，尸厥脉动而无气，气闭不通，故静而死也，治方。
菖蒲屑纳鼻两孔中吹之，令人以桂屑着舌下。
又方
取左角发方寸匕烧末，酒和灌令入喉，立起。
肘后方。
白马尾二七茎，白马前脚甲二枚，烧之以苦酒丸如小豆大，开口吞二丸，须臾服一丸
又方
灸鼻人中七壮，又灸阴囊下，去下部一寸，百壮，若妇人灸两乳中，又云爪刺人中良久
，又针人中至齿，立起，此扁鹊法。
又方
以绳围其臂脘，男左女右，绳从大椎上度，下行脊上，灸绳头尽处五十壮，活，此是扁
鹊法。
又方
熨其两胁下，取炷中墨如弹丸大，浆和饮之，更以管吹耳中，令三四人更互吹之。
又方
以小管吹鼻孔，梁上尘如豆大着中吹之，令入。
又方
针百会，当鼻中入发际五寸许，针入三分，补之，针足大趾甲下肉侧，去甲三分，又针
足中趾甲上各三分，大趾之肉去端韭叶许，又针手少阴锐骨之端各一分。
又方
灸膻中季肋间二七壮也。（肘后惟云灸膻中集验同并出第一卷中）
千金论曰，风寒之气客于脏间，滞而不能发，故喑不能言，及喉痹失声，皆风邪所为也
，入脏皆能杀人，凡尸厥如死，脉动如故，此阳脉下坠，阴脉上争，气闭故也，疗方。
灸百会百壮，针入三分补之。
又方
针足中趾头，去甲如韭叶，并刺足大趾甲下内侧，去甲三分。
崔氏论曰，凡尸厥为病，脉动而形，无所知，阳脉下坠，阴脉上争，营卫不通，其状如
死，而犹微有息，其息不常，人乃不知，欲殡殓者，疗之方。
急可以芦管吹其两耳，极尽以气吹之，立起，若人气极，可易人吹之。（出第四卷中）
Etiology: "Shi Jue" (Corpse-like Coma) is caused by the rebellion of Yin Qi. This occurs when Yang meridians suddenly sink and Yin meridians suddenly rise, leading to the separation of Yin and Yang, obstruction of Ying (Nutritive) and Wei (Defensive) Qi, disorder of True Qi, and invasion by pathogenic factors. The presentation resembles death, yet there remains faint, irregular respiration; the pulse is still palpable while the body is insensible. Listening closely to the ear reveals a sound resembling whistling.
Zhang Zhongjing stated: In Shi Jue, the pulse beats but there is no breath; due to the closure of Qi mechanism, the patient appears static and dead. Treatment formulas are as follows:
Blow crushed powder of Rhizoma Acori Tatarinowii (Changpu, 石菖蒲) into both nostrils. Place fragments of Cinnamon Twig (Guizhi, 桂枝) under the tongue.
Another formula:
Take one cubic cun of hair from the left corner of the head, burn it to ash, mix with wine, and pour into the throat. The patient will revive immediately. From *Zhouhou Beiji Fang* (Emergency Prescriptions Kept Up the Sleeve).
Take fourteen stalks of white horse tail hair and two plates of white horse foreleg claws. Burn them and form pills the size of small beans. Swallow two pills with the mouth open, and take one pill after a short while.
Another formula:
Moxibustion on Renzhong (GV26, 人中), seven moxa cones. Also, moxibustion on the area below the scrotum, one cun from the lower part, one hundred moxa cones. For women, moxa between the two breasts. It is also said to press deeply on Renzhong (GV26) with fingernails for a long time, or needle Renzhong (GV26) to the depth of the teeth; the patient revives immediately. This is the method of Bian Que.
Another formula:
Encircle the patient's arm at the wrist with a rope. For men, use the left hand; for women, the right hand. Measure the rope from above Dazhui (GV14, 大椎), down along the spine. Moxa fifty cones at the end of the rope. The patient revives. This is also the method of Bian Que.
Another formula:
Apply hot compress (warming therapy) to both hypochondriac regions. Take soot from the center of the moxa cone, the size of a bean, mix with rice vinegar/water, and drink. Then blow air into the ears using a tube, having three or four people take turns blowing.
Another formula:
Use a small tube to blow dust from the roof beams, the size of a bean, into the nostrils, ensuring it enters.
Another formula:
Needle Baihui (GV20, 百会), located approximately five cun anterior hairline from the nose tip. Insert needle three fen, apply tonification technique. Needle the medial side of the nail bed of the great toe, three fen from the nail. Also needle the dorsal aspect of the middle toe nail, three fen each. Do not needle the fleshy end of the great toe (leave a width of a leek leaf). Also needle the end of the sharp bone of the Hand Shaoyin meridian (Shenmen, HT7, 神门), one fen each.
Another formula:
Moxa fourteen cones in the interval between Shanzhong (CV17, 膻中) and the costal margin. (*Zhouhou Beiji Fang* only mentions moxa on Shanzhong (CV17); *Jiyan Fang* is the same; both cited from Volume I).
*Qianjin Yaofang* discusses: Wind-cold pathogens lodge between the Zang organs, stagnating and unable to disperse, causing aphonia (loss of voice) and throat bi (obstruction) with loss of voice, all caused by wind pathogens. Pathogens entering the Zang can be fatal. In cases of Shi Jue resembling death where the pulse remains normal, it is due to the sinking of Yang meridians, rising of Yin meridians, and closure of Qi mechanism. Treatment formulas are as follows:
Moxa Baihui (GV20) one hundred cones. Needle insert three fen, apply tonification.
Another formula:
Needle the tip of the middle toe, distance from the nail like a leek leaf. Also prick the medial side under the nail of the great toe, three fen from the nail.
Cui Shi discussed: In cases of Shi Jue, the pulse beats while the body is insensible; Yang meridians sink, Yin meridians rise, Ying and Wei Qi are obstructed. The condition resembles death, yet there is faint, irregular respiration which people often overlook, leading to premature burial preparations. To treat such patients:
Urgently blow air into both ears using a reed tube, exhaling fully to revive the patient immediately. If the blower exhausts their breath, another person should take over. (Cited from Volume IV)