痧毒冲心，发晕闷，倒地。一似中暑中风，人不知觉，实时而毙，此痧之急者，如略有苏醒，扶起放痧，不愈，审
脉服药施治。如发晕不醒，扶之不能起，必须审脉辨症的确，果系何因，先用药数剂灌醒，然后扶起放痧，渐为调治。
治验∶
一汪君美内室，六月间，发晕昏迷。延余诊之，两寸芤而散，余脉如常，但重按之，时见歇指，此暑热秽气触犯心
经之痧也。扶之不起，先用宝花散，薄荷汤并藿香汤冷服。稍醒扶起，刺出毒血三针，不愈。用沉香阿魏丸、薄荷汤微
冷冻饮料之，渐安。后用四物汤调理而愈。
倏忽昏迷不醒，或痰喘不已，眼目上吊，形如小儿落弓之症。此暗痧难识，必须审脉辨症，的是痧毒，看其身体凉
热，唇舌润燥何如，然后治之。
治验∶
一盛洪烈子，九月间，发热口渴，昏闷不醒，两目上翻。延余诊视，六脉微细而伏，先用宝花散加砂仁汤，冷下而
苏，扶起放痧十二针，去紫黑毒血，用救苦丹并细辛大黄丸加砂仁汤稍冷下，又用防风散痧汤加金银花、丹参、山楂、
卜子而痊。
一陈公玉，八月间，时常身热，口中微渴，煎滚茶饮之，倏然沉重，昏迷不醒。余诊之，左尺沉细，动止不匀，右
寸脉浮而芤，此肾虚而痧犯之。肾水之痧，逆行干母肺金，故痰气壅盛而发晕也。用独活红花汤入贝母、牛膝同煎，加
童便饮之，更进圆红散而醒，然后扶起放痧，二日后，痧气清，用补中益气汤、六味地黄丸，调理而痊。
Sha poison rushes to the heart, causing dizziness and stifling sensation, leading to collapse. The presentation resembles heatstroke or wind-stroke (Zhong Feng), with loss of consciousness and sudden death; this is an acute and severe case of Sha syndrome. If there is a slight sign of recovery, lift the patient and perform bloodletting (Fang Sha); if not cured, carefully examine the pulse and differentiate symptoms before administering medication. If dizziness occurs without regaining consciousness and the patient cannot be lifted, it is essential to accurately diagnose the pulse and differentiate symptoms to determine the cause. First, administer several doses of medicine via gavage to restore consciousness, then lift the patient for bloodletting, followed by gradual regulation and treatment.
Case Record 1:
The wife of Mr. Wang Junmei fell ill in June with dizziness and coma. Upon consultation, her Cun pulses on both sides were hollow (Kou) and scattered, while other pulses were normal. However, upon deep pressure, intermittent pauses (Xie Zhi) were occasionally observed. This was Sha syndrome caused by summer-heat, turbid qi, and foul pathogens invading the Heart Meridian. The patient could not be supported upright. Initially, Baohua San (Precious Flower Powder) was administered cold with Bohe Tang (Mint Decoction) and Huoxiang Tang (Agastache Decoction). After slightly regaining consciousness, she was supported upright, and three needles were used to prick and release toxic blood. The condition did not improve. Chenxiangawei Wan (Aucklandia and Asafoetida Pill) was then given with slightly chilled Mint Decoction, leading to gradual stabilization. Subsequently, Siwu Tang (Four Substance Decoction) was used for regulation, resulting in recovery.
Sudden coma without awakening, or incessant phlegm-wheezing, with eyes rolling upward, resembling the pediatric condition known as "Luo Gong" (falling bow). This is hidden Sha syndrome, which is difficult to identify. It requires careful pulse examination and symptom differentiation to confirm Sha poison. Observe the body's temperature (coolness or heat) and the moisture/dryness of the lips and tongue before treatment.
Case Record 2:
The son of Sheng Honglie presented in September with fever, thirst, stupor, and inability to wake up, along with upward deviation of the eyes. Upon consultation, all six pulses were faint, fine, and concealed (Fu). Baohua San plus Sharen Tang (Amomum Decoction) was administered cold, restoring consciousness. Twelve needle pricks were performed for bloodletting after supporting the patient, releasing dark purple-black toxic blood. Jiuku Dan (Pain-Relieving Pellet) and Xixin Dahuang Wan (Asarum and Rhubarb Pill) plus Sharen Tang were administered at a slightly cool temperature. Finally, Fangfeng San Sha Tang (Saposhnikovia Detoxifying Sha Decoction) added with Jinyinhua (Lonicerae Japonicae Flos), Danshen (Salviae Miltiorrhizae Radix et Rhizoma), Shanzha (Crataegi Fructus), and Buluobozi (Raphani Semen) led to recovery.
Chen Gongyu presented in August with frequent low-grade fever and mild oral thirst. After drinking boiling tea water, he suddenly felt heavy and fell into a coma. Upon consultation, the Chi pulse on the left side was deep and fine, with irregular rhythm. The Cun pulse on the right side was floating and hollow. This indicated Kidney deficiency complicated by Sha invasion. Sha of the Kidney Water pathogen reversely interfering with the Mother organ, Lung Metal, causes excessive phlegm and qi stagnation leading to dizziness. Duohuo Honghua Tang (Angelica Pubescens and Carthamus Decoction) was decocted with Beimu (Fritillariae Bulbus) and Niuxi (Achyranthis Bidentatae Radix), mixed with Tongbian (Child Urine) for ingestion. Yuanhong San (Round Red Powder) was advanced to restore consciousness. Then, bloodletting was performed after supporting the patient. Two days later, after the Sha qi cleared, Buzhong Yiqi Tang (Middle-Warding Qi-Supplementing Decoction) and Liuwei Dihuang Wan (Six-Ingredient Rehmannia Pill) were used for regulation, resulting in recovery.