论猝倒 心伤暴亡 腹痛欲死 中恶 中痰 心疼
天师曰∶近治者，一时猝来之病而近治之也。如一时眼花猝倒，不省人事，一时心痛暴亡，一时腹
痛，手足青而欲死者是也。此等之症如风雨骤至，如骏马奔驰，不可一时止遏，不可少缓，须臾以治之
也。眼花猝倒，非中于恶，则中于痰。然中恶中痰，实可同治。盖正气之虚，而后可以中恶∶中气之馁，
而后可以痰迷，然则二症皆气虚之故。故补其气，而中气正气自回，或加以祛痰之品，逐邪之药，无有不
奏功顷刻者。方用人参三钱，白术五钱，附子一钱，半夏一钱，南星一钱，陈皮一钱，白薇一钱，水煎
服。（〔批〕消恶汤。）下喉即愈。此方妙在补气之药多于逐痰祛邪。中气健于中，邪气消于外，又何
惧痰之不速化哉。
心痛暴亡，非寒即火。治火之法，止消二味。用炒栀子五钱，白芍五钱，煎汤服之。（〔批〕自焚
急救汤。）下喉即愈。治寒之药，必须多加。方用人参三钱，白术五钱，肉桂一钱，附子一钱，甘草一钱，
白芍三钱；熟地一两，山茱萸四钱，
良姜一钱，水煎服，（〔批〕消冰散。）二方各有深意，前方因火盛而泻以肝木也，后方因大寒而补肾
气也，多寡不同，而奏功之神则一耳。
腹痛之症，一时痛极，甚至手足皆青，救若少迟，必致立亡。此肾经直中寒邪也。法当急温命门之
火，而佐热其心包之冷，使痛立除，而手足之青亦解。方用人参三钱，白术五钱，熟地五钱，附子一钱，
肉桂一钱，吴茱萸五分，干姜五分，水煎服即愈。（〔批〕救疼至圣丹。）此方之妙，补火于真阴之
中，祛寒于真阴之内，自然邪去而痛止，不致上犯心而中犯肝也。此近治之法，当于平日留心，不致临
症急遽，误人性命也。
华君曰∶余亦有传，但不同耳。中恶中痰方∶人参三钱，茯苓五钱，天南星三钱，附子一钱，虚人
多加人参至一两，水煎服即苏。（〔批〕解恶仙丹。）
心痛方∶治有火者神效，贯仲三钱，白芍三钱，栀子三钱，甘草二钱，水煎服。（〔批〕止痛仙丹。）
一剂即止痛。
[On Sudden Collapse, Sudden Death from Heart Injury, Agonizing Abdominal Pain, Evil Invasion, Phlegm Obstruction, and Heartache]
The Heavenly Master said: The so-called "Near Treatment Method" refers to the immediate treatment of sudden acute conditions. For example: sudden dizziness leading to collapse and loss of consciousness; sudden severe heart pain leading to sudden death; or sudden agonizing abdominal pain with cyanosis of the hands and feet, causing extreme suffering. These symptoms arrive as suddenly as wind and rain, and move swiftly like a galloping horse. They cannot be restrained for even a moment, nor can there be any delay; they must be treated immediately.
Sudden dizziness and collapse are caused either by evil invasion (Zhong E) or phlegm obstruction (Zhong Tan). However, these two conditions can actually be treated together. This is because only when the righteous Qi (Vital Energy) is deficient can one be invaded by evil; only when the Middle Qi (Central Vital Energy) is weak can one be confused by phlegm. Therefore, both conditions stem from Qi deficiency. Thus, by tonifying Qi, the righteous Qi will naturally return. One may also add herbs that resolve phlegm and drugs that expel pathogens, and all such prescriptions will yield results instantly. The prescription consists of Ren Shen (Ginseng Radix et Rhizoma) 3 qian, Bai Zhu (Atractylodis Macrocephalae Rhizoma) 5 qian, Fu Zi (Aconiti Lateralis Radix Praeparata) 1 qian, Ban Xia (Pinelliae Tuber) 1 qian, Nan Xing (Arisaematis Rhizoma) 1 qian, Chen Pi (Citri Reticulatae Pericarpium) 1 qian, and Bai Wei (Cynanchi Atrati Radix) 1 qian, decocted in water and taken orally. (Annotation: Named Xiao E Tang [Evil-Dispersing Decoction].) Recovery occurs upon ingestion. The brilliance of this formula lies in using more Qi-tonifying herbs than phlegm-resolving or pathogen-expelling ones. When the Middle Qi is strengthened within, the pathogenic factors dissipate without, making it unnecessary to worry about the rapid resolution of phlegm.
Sudden heart pain leading to death is either due to Cold or Fire. The method for treating Fire involves only two ingredients: Chao Zhi Zi (Fried Gardenia Fruit) 5 qian and Bai Shao (Paeoniae Radix Alba) 5 qian, decocted in water and taken orally. (Annotation: Named Zi Fen Ji Jiu Tang [Self-Burning Emergency Rescue Decoction].) Recovery occurs upon ingestion. For treating Cold, the dosage of medicinal materials must be increased significantly. The prescription consists of Ren Shen (Ginseng Radix et Rhizoma) 3 qian, Bai Zhu (Atractylodis Macrocephalae Rhizoma) 5 qian, Rou Gui (Cinnamomi Cortex) 1 qian, Fu Zi (Aconiti Lateralis Radix Praeparata) 1 qian, Gan Cao (Glycyrrhizae Radix et Rhizoma) 1 qian, Bai Shao (Paeoniae Radix Alba) 3 qian, Shu Di Huang (Rehmanniae Radix Praeparata) 1 liang, Shan Zhu Yu (Corni Fructus) 4 qian, and Liang Jiang (Galangal Rhizome) 1 qian, decocted in water and taken orally. (Annotation: Named Xiao Bing San [Ice-Melting Powder].) Both formulas have profound implications. The former treats excessive Fire by draining the Liver Wood, while the latter tonifies Kidney Qi to address severe Cold. Although the dosages differ, their miraculous efficacy is identical.
In cases of abdominal pain, if the pain becomes extreme at once, even turning the hands and feet blue, any delay in rescue will inevitably lead to immediate death. This is caused by direct invasion of Cold pathogens into the Kidney Meridian. The treatment method should urgently warm the Fire of the Ming Men (Gate of Life), and assist in warming the coldness of the Xin Bao (Pericardium), so that the pain is eliminated immediately and the cyanosis of the hands and feet resolves. The prescription consists of Ren Shen (Ginseng Radix et Rhizoma) 3 qian, Bai Zhu (Atractylodis Macrocephalae Rhizoma) 5 qian, Shu Di Huang (Rehmanniae Radix Praeparata) 5 qian, Fu Zi (Aconiti Lateralis Radix Praeparata) 1 qian, Rou Gui (Cinnamomi Cortex) 1 qian, Wu Zhu Yu (Evodiae Fructus) 5 fen, and Gan Jiang (Zingiberis Rhizoma) 5 fen, decocted in water and taken orally for recovery. (Annotation: Named Jiu Teng Zhi Sheng Dan [Supreme Holy Pill for Saving from Pain].) The brilliance of this formula lies in tonifying Fire within True Yin and dispelling Cold within True Yin. Naturally, the pathogens are expelled and the pain stops, preventing the condition from attacking the Heart upwards or the Liver centrally. This Near Treatment Method should be kept in mind during daily practice to avoid panic during emergencies, which could otherwise cost lives.
Master Hua said: I also have transmitted prescriptions, but they differ. For treating Evil Invasion and Phlegm Obstruction: Ren Shen (Ginseng Radix et Rhizoma) 3 qian, Fu Ling (Poria) 5 qian, Tian Nan Xing (Arisaematis Rhizoma) 3 qian, Fu Zi (Aconiti Lateralis Radix Praeparata) 1 qian. For patients with deficiency, increase Ren Shen (Ginseng Radix et Rhizoma) to 1 liang. Decoct in water and take orally for revival. (Annotation: Named Jie E Xian Dan [Evil-Resolving Immortal Pill].)
For treating Heartache: Highly effective for cases with Fire. Use Guan Zhong (Dryopteridis Crassirhizoma Rhizoma) 3 qian, Bai Shao (Paeoniae Radix Alba) 3 qian, Zhi Zi (Gardeniae Fructus) 3 qian, Gan Cao (Glycyrrhizae Radix et Rhizoma) 2 qian. Decoct in water and take orally. (Annotation: Named Zhi Tong Xian Dan [Pain-Relieving Immortal Pill].) Pain is relieved after one dose.