（本和剂局方）
白术 青木香 乌犀角 香附 丁香 朱砂 诃黎勒（煨） 白檀香 安息香（一名金银香另为末无灰酒熬膏） 麝
香（研） 荜茇 龙脑（即冰片） 苏合香油 沉香（各二两） 薰陆香（即乳香一两）
上为末。炼蜜丸。如芡实大。或如龙眼大。外以蜡包。临时切开取用。以姜汤。熟水酒。任下。
琥按上方。乃辛温走窜之剂。入阳明气分之药居多。方中药味。惟犀角性凉。兼走阳明血分。愚以中寒卒倒。不能
言语者。宜暂用之以开胸膈凝滞之气。待苏醒。即宜用他药也。
吴仁斋云。中寒者。寒邪直中三阴也。盖中寒比伤寒尤甚。若不急治。死在旦夕。如寒中太阴。则中脘疼痛。宜理
中汤。或藿香正气。加对理中汤主之。寒甚。脉沉细。足冷者。必加附子。若寒中少阴。则脐腹疼痛。宜五积散。加吴
茱萸主之。寒甚。脉沉。足冷者。宜四逆汤。加吴茱萸主之。若寒中厥阴。则少腹至阴疼痛。宜当归四逆汤。加吴茱萸。
甚者。必用附子倍之。如冷极唇青。厥逆无脉。囊缩者。仍用葱熨法。或吴茱萸炒熨法。并艾灸脐中。及气海关元。二
三十壮。最佳。取脉渐渐而来。手足温暖。乃可生也。如一时无药。急用凉水。搭手足四腕。视其青紫筋处。以三棱针
刺其血出。亦愈。或于十指尖出血。亦佳。或一味吴茱萸煎汤与之。亦可救也。
琥按上论云。寒中太阴。或藿香正气。加对理中汤主之。盖寒中太阴。脾与胃为表里。胃有寒食积滞。藿香正气。
宜对用也。又云。寒中少阴。宜五积散。加吴茱萸主之。方中用药冗杂。与少阴不相关涉。且无专主之味也。至其用凉
水搭手足四腕。以三棱针刺其血出。此惟阳证热厥。脉伏囊缩者宜之。如阴证厥逆。无脉囊缩者。亦用此法。是虚其虚
也。何悖谬之极邪。
（出自《和剂局方》）
白术、青木香、乌犀角、香附、丁香、朱砂、诃黎勒（煨制）、白檀香、安息香（又名金银香，另研为细末，用无灰酒熬成膏状）、麝香（研磨）、荜茇、龙脑（即冰片）、苏合香油、沉香（以上各二两）、薰陆香（即乳香，一两）。
以上药物研为细末。用炼蜜制成丸药，大小如芡实或龙眼核。外用蜡包裹，临时切开取用。服用时以姜汤、熟水或酒送服，任选其一。
王琥按：上述方剂，属于辛温走窜的药物组合。其中入阳明气分的药物居多。方中唯有犀角性凉，兼入阳明血分。我认为对于中寒导致突然昏倒、不能言语的患者，适宜暂时使用此方以开通胸膈间凝滞的气机。待患者苏醒后，就应当改用其他药物治疗。
吴仁斋说：所谓中寒，是指寒邪直接侵入三阴经。中寒比伤寒更为严重，如果不紧急治疗，患者可能在早晚之间死亡。如果寒邪侵犯太阴经，则出现中脘部疼痛，适宜使用理中汤，或者藿香正气散配合理中汤主治。如果寒邪极重，脉象沉细，足部发冷，必须加入附子。如果寒邪侵犯少阴经，则出现脐腹部疼痛，适宜使用五积散，加入吴茱萸主治。如果寒邪极重，脉象沉，足部发冷，适宜使用四逆汤，加入吴茱萸主治。如果寒邪侵犯厥阴经，则出现从少腹到阴部的疼痛，适宜使用当归四逆汤，加入吴茱萸。病情严重的，必须加倍使用附子。如果出现极度寒冷、嘴唇发青、四肢厥逆且无脉搏、阴囊收缩的情况，仍然使用葱熨法，或者将吴茱萸炒热后熨烫的方法，并艾灸神阙穴（脐中）以及气海、关元穴，灸二三十壮，效果最佳。等到脉搏渐渐恢复，手足温暖，才可以存活。如果一时没有药物，紧急时用凉水浸泡手足的四腕处，观察其青色或紫色的筋络，用三棱针刺破使其出血，也能治愈。或者刺十指尖使其出血，也很好。或者单味吴茱萸煎汤给患者服用，也可以急救。
王琥按：上述论述中说，寒邪侵犯太阴经，可以用藿香正气散配合理中汤主治。因为寒邪侵犯太阴经，脾与胃互为表里，如果胃中有寒食积滞，藿香正气散适宜配合使用。又说，寒邪侵犯少阴经，适宜使用五积散，加入吴茱萸主治。该方中的用药繁杂，与少阴经并不相关涉，而且没有专门针对的主药。至于使用凉水浸泡手足四腕，用三棱针刺破放血，这仅适用于阳证热厥、脉伏隐现、阴囊收缩的患者。如果是阴证厥逆、无脉搏、阴囊收缩的患者，也采用这种方法，这是使虚者更虚。多么荒谬至极啊！
(From *Heji Jufang*)
Baizhu (Atractylodis Macrocephalae Rhizoma), Qingmuxiang (Linderae Radix), Wuxijiao (Rhinocerotis Cornu, now prohibited/replaced by Tapir or Buffalo horn in practice, here translated as Rhinoceros Horn for historical accuracy), Xiangfu (Cyperi Rhizoma), Dingxiang (Caryophylli Flos), Zhusha (Cinnabaris), Helile (Terminaliae Chebulae Fructus, roasted), Baitanxiang (Santalum Album Lignum), Anshixiang (Styrax Resina, also known as Jinyinxiang; separately ground into powder and boiled into a paste with non-fermented wine), Shexiang (Moschus, ground), Bibo (Piperis Longi Fructus), Longnao (Borneolum Syntheticum, i.e., Ice Piece/Borneol), Suhe Xiangyou (Styrax Oil), Chenxiang (Aquilariae Lignum Resinatum) (each 2 liang), Xunluxiang (Olibanum, i.e., Ruxiang, 1 liang).
Grind the above ingredients into fine powder. Form pills using refined honey, sized like Euryale seed (Qianshi) or longan seed. Wrap externally with wax. Open temporarily when needed for use. Administer with ginger decoction, warm water, or wine, at one's discretion.
Wang Hu notes: The above prescription is an agent of acrid-warm nature that moves and penetrates. Most of its herbs enter the Yangming Qi level. Among the ingredients, only Xijiao (Rhinoceros Horn) is cool in nature and additionally enters the Yangming Blood level. I believe that for patients suffering from sudden collapse due to Cold invasion who are unable to speak, it is appropriate to use this formula temporarily to open the stagnation of Qi in the chest and diaphragm. Once the patient regains consciousness, other medications should be employed.
Wu Renzhai stated: "Zhonghan" (Cold Invasion) refers to Cold pathogens directly invading the Three Yin meridians. Zhonghan is more severe than Shanghan (Cold Damage). If not treated urgently, death may occur within a day or night. If Cold invades the Taiyin meridian, pain occurs in the Zhongwan region; Lizhong Tang (Regulate the Middle Decoction) or Huoxiang Zhengqi San (Agastache Powder to Rectify the Qi) combined with Lizhong Tang is indicated. If the Cold is severe, with a deep and fine pulse and cold feet, Fuzi (Aconiti Lateralis Radix Praeparata) must be added. If Cold invades the Shaoyin meridian, pain occurs around the umbilicus and abdomen; Wuji San (Five Accumulations Powder) combined with Wuzhuyu (Evodiae Fructus) is indicated. If the Cold is severe, with a deep pulse and cold feet, Sini Tang (Reverse the Collapse Decoction) combined with Wuzhuyu is indicated. If Cold invades the Jueyin meridian, pain extends from the lower abdomen to the genitalia; Danggui Sini Tang (Angelica Decoction to Nourish Blood and Unfreeze the Collaterals) combined with Wuzhuyu is indicated. In severe cases, Fuzi must be doubled. In cases of extreme cold, cyanotic lips, limb reversal (JueNi), absent pulse, and retracted testicles, the Congyi method (scallion moxibustion/ironing) or frying Wuzhuyu for ironing should still be used, along with moxibustion on Shenque (CV-8, Umbilicus), Qihai (CV-6), and Guanyuan (CV-4), 20-30 moxa cones, which is optimal. Recovery is possible when the pulse gradually returns and the limbs become warm. If no medicine is available at the moment, urgently soak the four wrists of the hands and feet in cool water. Observe the cyanotic or purple veins and puncture them with a three-edged needle to let blood out; this can also cure the condition. Alternatively, pricking the tips of the ten fingers to bleed is also good. Or, administering a decoction of single-ingredient Wuzhuyu can also serve as emergency rescue.
Wang Hu notes: Regarding the above discussion stating that for Cold invading Taiyin, Huoxiang Zhengqi San combined with Lizhong Tang is indicated: Since Cold invading Taiyin involves the Spleen and Stomach as interior-exterior pairs, if there is Cold food stagnation in the Stomach, Huoxiang Zhengqi San is suitable for combination. It also states that for Cold invading Shaoyin, Wuji San combined with Wuzhuyu is indicated. The medication in this formula is miscellaneous and irrelevant to the Shaoyin meridian, lacking a primary targeted ingredient. As for using cool water to soak the four wrists and puncturing with a three-edged needle to bleed, this is only suitable for Yang syndrome Heat JueNi with hidden pulse and retracted testicles. Applying this method to Yin syndrome JueNi with absent pulse and retracted testicles depletes the deficiency further. How extremely absurd and erroneous!