痧毒冲心，发晕闷地，似中暑中风，实时而毙。此痧之急者，如略有苏醒，扶起放痧，
不愈，审脉服药施疗。若不醒，扶不能起，必辨症的确，用药数剂灌醒，扶起放痧，再为调
治。
一五旬外女人，目闭牙紧，冷至肩膀，但胸腹微暖，六脉毫无，间忽睁目苦叫数声，灌
药亦稍受，如此三日，医用乌药顺气散、牛黄丸罔效。予为刺十指，血紫黑相间，投涤痧丸
，一脉呻吟，再服脉起，或云是 症，用他药，脉伏，病如初，又来索丸，与之，人渐醒，
脉复起，投石二方、石一方而愈。
倏忽昏迷不醒，或痰喘眼吊，形如小儿落弓症。此暗痧难识，必审脉辨症，再看身体凉
热，唇舌润燥何如。然后治之（丝五、六、七）。
一人发热口渴，昏迷不醒，两目上翻，六脉微细而伏，用石二方、砂仁汤冷下而苏，扶
起放痧，用石七方，痧尚未尽，又用丝五方加银花、丹参、山楂而痊。
一人时常身热微渴，煎滚茶饮之，倏然沉重昏迷，左尺沉细，动止不匀，右寸浮而芤。
此肾虚而痧犯之，肾水之痧，逆行于肺，故痰气壅盛而发晕也。用丝六方加牛膝、贝母和童
便饮，更用丝七方而醒，然后扶起放痧。愈。
默默不语，语亦无声，此乃痧气壅盛，热痰上升，阻逆气管，咽喉闭塞而热。宜先放痧
，审肺、肾、脾三经脉，次推详余经。（丝八）
一女，日为后母所詈，痧胀烦闷昏沉，左关有力，右脉沉伏，语无声，乃伤气痧也。煎
陈香圆一个，微冷冻饮料，稍有声，次日左关弦长而动，盖因怒伤肝，痧气犹阻肝经之故。刺腿
弯三针，血如注，又刺顶心、肾、指十余针，乃用丝二方与丝八方加延胡、香附，微温服，
乃痊。
Sha toxin rushing to the heart causes dizziness, fainting, and sudden collapse, resembling heatstroke or wind-stroke (Zhong Feng), leading to immediate death if not treated promptly. This is an acute Sha syndrome. If there is any sign of revival, the patient should be assisted to sit up for bloodletting (Fang Sha). If not cured, carefully examine the pulse, differentiate the syndrome, and administer medication. If the patient is completely unconscious and cannot be assisted to sit up, the syndrome must be accurately differentiated, and several doses of medicine should be administered via force-feeding to revive them, followed by assisting them to sit up for bloodletting, and then further regulation and treatment.
A woman over fifty years old had her eyes closed and teeth clenched, with coldness extending to the shoulders, while the chest and abdomen remained slightly warm. Her six pulses were imperceptible, yet she occasionally opened her eyes and cried out in pain for a few times. She could barely accept force-fed medicine. This condition persisted for three days. Physicians used Wuyao Shunqi San (Wu Yao Qi-Moving Powder) and Niuhuang Wan (Calculus Bovis Pill) without effect. I pricked her ten fingertips, from which purple-black blood flowed. After administering Dish Sha Wan (Sha-Cleansing Pill), she began to groan. After taking another dose, her pulse returned. Some suggested it was another syndrome; using other medicines caused the pulse to become hidden, and the illness reverted to its initial state. The family came again to request the pill. I gave it to her, and she gradually revived, her pulse reappearing. Subsequently, Shi's Formula No. 2 and Shi's Formula No. 1 were administered, leading to recovery.
Sudden coma and unconsciousness, or accompanied by phlegm-wheezing and upward deviation of the eyes, resembles the "Luo Gong" (drooping bow) syndrome in children. This hidden Sha syndrome is difficult to identify. One must carefully examine the pulse, differentiate the syndrome, observe the body's temperature (hot or cold), and assess the moisture or dryness of the lips and tongue. Then, proceed with treatment (refer to Si Formula No. 5, 6, 7).
One patient presented with fever, thirst, coma, upward deviation of the eyes, and fine, hidden six pulses. Shi's Formula No. 2 and Amomum Villosum Decoction (Sharen Tang) administered coldly revived him. He was assisted to sit up for bloodletting. Shi's Formula No. 7 was used. Since the Sha toxin was not fully cleared, Si Formula No. 5 plus Ephedrae Herba (Mahuang), Salviae Miltiorrhizae Radix et Rhizoma (Danshen), and Crataegi Fructus (Shanzha) was administered, resulting in recovery.
One patient often suffered from slight fever and thirst, preferring boiling hot tea. Suddenly, he felt heavy and fell into a coma. His left Chi pulse was deep and fine, with irregular rhythm; his right Cun pulse was floating and hollow (Kou). This indicates Kidney deficiency invaded by Sha toxin, specifically Kidney Water Sha, which rebels upwards to the Lung, causing excessive phlegm and qi stagnation leading to dizziness. Si Formula No. 6 plus Achyranthis Bidentatae Radix (Niuxi) and Fritillariae Thunbergii Bulbus (Beimu), drunk with Child's Urine (Tongbian), was used. Then, Si Formula No. 7 was administered to revive him, followed by bloodletting after assistance to sit up. Recovery ensued.
Silence without speech, or speech without sound, results from Sha qi stagnation and excessive heat-phlegm rising, obstructing the airway, causing throat closure and heat sensation. Bloodletting should be performed first. Carefully examine the pulses of the Lung, Kidney, and Spleen meridians, then meticulously investigate other meridians (refer to Si Formula No. 8).
A female patient was scolded daily by her stepmother, suffering from Sha distension, irritability, and coma. Her left Guan pulse was forceful, while the right pulses were deep and hidden. Her speech was silent. This is Qi-injuring Sha. A dried Tangerine Peel (Chen Xiangyuan) was decocted, cooled slightly, and drunk. Her voice returned slightly. The next day, her left Guan pulse became wiry, long, and active. This was due to anger injuring the Liver, leaving Sha qi obstructing the Liver meridian. Three needles were inserted into the popliteal fossa (Leg Bend), causing profuse bleeding. Over ten needles were inserted into the vertex (Dingxin), Kidney reflex area, and fingers. Then, Si Formula No. 2 combined with Si Formula No. 8 plus Corydalis Rhizoma (Yanhu) and Cyperi Rhizoma (Xiangfu) was administered lukewarm, resulting in recovery.