客忤者，中恶之类也，多于道门门外得之，令人心腹绞痛胀满，气冲心胸，不即治，亦
杀人，救之方。
灸鼻人中三十壮，令切鼻柱下也，以水渍粳米，取汁一二升，饮之。口已噤者，以物强
发之。
又方 捣墨，水和，服一钱匕。
又方 以铜器若瓦器，贮热汤，器着腹上；转冷者，撤去衣，器亲肉；大冷者，易以热
汤，取愈则止。
又方 以三重衣着腹上，铜器着衣上，稍稍，少许茅于器中烧之，茅尽益之，勿顿多也
，取愈乃止。
又方 以绳横度其人口，以度其脐，去四面各一处，灸各三壮，令四火俱起，瘥。
又方 横度口中，折之令上，头着心下，灸下头五壮。
又方 真丹方寸匕，蜜三合，和服。口噤者，折齿下之。
扁鹊治忤有救卒符并服盐汤法，恐非庸世所能，故不载。而此病即今人所谓中恶者，与
卒死鬼击亦相类，为治皆参取而用之已死者。
捣生菖蒲根，绞取汁，含之，立瘥。
卒忤，停尸不能言者。桔梗（烧）二枚，末之，服。
又方 末细辛、桂，分等，纳口中。
又方 鸡冠血和真珠，丸如小豆，纳口中，与三四枚，瘥。
若卒口噤不开者。末生附子，置管中，吹纳舌下，即瘥矣。
又方 人血和真珠，如梧桐子大，二丸，折齿纳喉中，令下。
华佗卒中恶、短气欲死。灸足两拇指上甲后聚毛中，各十四壮，即愈。未瘥，又灸十四
壮。前救卒死方，三七壮，已有其法。
又张仲景诸要方 麻黄四两，杏仁七十枚，甘草一两。以水八升，煮取三升，分令咽之
。通治诸感忤。
又方 韭根一把，乌梅二十个，茱萸半斤。以水一斗煮之，以病患栉纳中三沸，栉浮者
生，沉者死。煮得三升，与饮之。
又方 桂一两，生姜三两，栀子十四枚，豉五合。捣，以酒三升，搅，微煮之，味出去
滓，顿服取瘥。
飞尸走马汤 巴豆二枚，杏仁二枚。合绵缠椎，令碎，着热汤二合中，指捻令汁出，便
与饮之，炊间顿下饮，瘥。小量之，通治诸飞尸鬼击。
又有诸丸散，并在备急药中。客者，客也；忤者，犯也，谓客气犯人也。此盖恶气，治
之多愈，虽是气来鬼鬼毒厉之气，忽逢触之其衰歇，故不能如自然恶气治之，入身而侵克脏
腑经络，瘥后，犹宜更为治，以消其余势，不尔，亟终为患，令有时辄发。
附方
《外台秘要》治卒客忤，停尸不能言。细辛、桂心，等分，纳口中。
又方 烧桔梗二两，末。米饮服，仍吞麝香如大豆许，佳。
《广利方》治卒中客忤垂死。麝香一钱。重研，和醋二合，服之，即瘥。
Ke Wu (Sudden Invasion by Alien Qi), belonging to the category of Zhong E (Sudden Attack by Evil Qi), is often contracted suddenly outside on roads or near doors. It causes severe colicky pain and distension in the heart and abdomen, with rebellious Qi rushing to the chest and heart. If not treated immediately, it can be fatal. The following are methods for rescue.
Apply moxibustion to Renzhong (GV26, Philtrum) thirty moxa cones, ensuring the moxa is applied close to the base of the nasal column. Soak Oryza sativa var. japonica (Jingmi, glutinous rice) in cold water, extract one to two sheng of the juice, and have the patient drink it. If the patient has trismus (lockjaw), use an instrument to forcibly open the mouth.
Another prescription: Grind inkstone soot, mix with water, and administer one qianbi (a small measuring spoon) orally.
Another method: Fill a copper or earthenware vessel with hot water and place it on the abdomen. If it cools down, remove clothing so the vessel touches the skin directly. If it becomes very cold, replace with fresh hot water until recovery.
Another method: Place three layers of clothing on the abdomen, put a copper vessel on top of the clothes, and burn a small amount of cogon grass (Imperata cylindrica, Maocao) inside the vessel. Add more grass as needed when it burns out, but do not add too much at once. Stop when recovered.
Another method: Measure the width of the patient's mouth horizontally with a rope, and use this measurement to mark points around the umbilicus (one point above, below, left, and right). Apply three moxa cones to each point, igniting all four fires simultaneously to achieve cure.
Another method: Measure the mouth width horizontally, fold it in half, place one end at the epigastrium (heart area), and apply five moxa cones to the other end.
Another method: Mix Cinnabar (Zhendan, Zhu Sha) one cunbi with honey three he, and take orally. If there is trismus, pry the teeth open to administer the medicine.
Bian Que had methods for treating Ke Wu involving emergency talismans and drinking salt soup, which are likely beyond the capability of ordinary people, so they are not recorded here. This disease is what modern people call Zhong E (Sudden Attack by Evil Qi), similar to sudden death or Gui Ji (Ghost Strike). Treatments for these conditions are often used interchangeably. For those already deceased...
Crush fresh Acorus tatarinowii (Changpu, Rhizoma Acori Tatarinowii) root, squeeze out the juice, and hold it in the mouth for immediate cure.
For sudden Ke Wu where the body is stiff and unable to speak: Burn two pieces of Platycodon grandiflorus (Jiegeng, Radix Platycodonis), grind into powder, and take orally.
Another method: Equal parts of Powdered Asarum europaeum (Xixin, Herba Asari) and Cinnamomum cassia (Gui, Cortex Cinnamomi), place in the mouth.
Another method: Mix chicken comb blood with Pearl Zhenzhu (Zhenzhu, Margarita), form pills the size of mung beans, place in the mouth, administering three or four pills for cure.
If sudden trismus occurs: Powder raw Aconitum carmichaelii (Fuzi, Radix Aconiti Lateralis Preparata), place in a tube, and blow the powder under the tongue for immediate cure.
Another method: Mix human blood with Pearl, form pills the size of Sophora japonica seeds, administer two pills by prying teeth open and placing them in the throat to swallow.
Hua Tuo treated cases of sudden Zhong E with shortness of breath approaching death. Apply fourteen moxa cones to the hair tufts behind the nails of both big toes. Cure is immediate. If not cured, apply another fourteen cones. The previous method for sudden death involved thirty-seven cones, which is already documented.
Also from Zhang Zhongjing's essential prescriptions: Ephedrae Herba (Mahuang, 麻黄) four liang, Armeniacae Semen Amarum (Xingren, 杏仁) seventy seeds, Glycyrrhizae Radix et Rhizoma (Gancao, 甘草) one liang. Boil in eight sheng of water until three sheng remain. Divide and have the patient swallow gradually. This treats various forms of Gan Wu (Invasion by Alien Qi).
Another method: One handful of Allium tuberosum (Jiu Gen, Root of Chinese Chive), twenty Strychnos nux-vomica? No, Wumei (Wumei, Fructus Mume/Prunus mume), and half a jin of Zanthoxylum bungeanum (Zhuyu, Fructus Zanthoxyli). Boil in ten dou of water. Insert the patient's comb into the boiling liquid three times until it boils over. If the comb floats, the patient lives; if it sinks, the patient dies. Boil until three sheng remain and give to the patient to drink.
Another method: Cinnamomum cassia (Guizhi, Ramulus Cinnamomi) one liang, Zingiberis Rhizoma (Shengjiang, Rhizoma Zingiberis) three liang, Gardeniae Fructus (Zhizi, Fructus Gardeniae) fourteen seeds, Fermented Soybean (Douchi, Semen Sojae Praeparatum) five he. Crush, stir with three sheng of wine, simmer slightly, remove dregs, and take in one dose for cure.
Fei Shi Zou Ma Tang (Flying Corpse Running Horse Decoction): Crotonis Fructus (Badou, Semen Crotonis) two seeds, Armeniacae Semen Amarum (Xingren, 杏仁) two seeds. Wrap in cotton cloth, crush until broken, place in two he of hot water, and squeeze with fingers to extract juice. Administer immediately. Bowel movement should occur shortly after ingestion, leading to cure. Take in small doses; this treats various Fei Shi (Flying Corpse) and Gui Ji (Ghost Strike) conditions.
Various pills and powders are also included in the Emergency Medicines section. "Ke" refers to alien qi; "Wu" refers to invasion, meaning alien qi invades the person. This is generally evil qi. Treatment often leads to recovery. Although this qi comes like a ghostly poison or harsh pathogen, sudden contact causes it to weaken and cease, so it does not act like natural evil qi that enters the body and attacks zang-fu organs and meridians. After recovery, further treatment is advisable to eliminate residual pathogenic factors; otherwise, it may become a chronic issue causing recurrent episodes.
Supplementary Prescriptions
*Waitai Miyao* treats sudden Ke Wu with stiff body and inability to speak: Equal parts of Asarum europaeum (Xixin, Herba Asari) and Cinnamomum cassia (Guixin, Cortex Cinnamomi), place in the mouth.
Another method: Burn two liang of Platycodon grandiflorus (Jiegeng, Radix Platycodonis), grind into powder. Take with rice water. Swallow musk the size of a soybean for better effect.
*Guangli Fang* treats sudden Ke Wu approaching death: Musk (Shexiang, Moschus) one qian. Grind finely, mix with two he of vinegar, and take orally for immediate cure.