矾石半筋,以水一斗半煮消,以渍脚令没踝。
【注】
厥而身壮热者,阳厥府病也,外以矾水浸脚,盖以厥起于下,而收摄阳气也。
【集注】
程林曰:厥阳独行,故卒死而壮热。岐伯曰:血之与气,并走于上则为大厥,厥则暴
死。矾石,收摄药也,以之浸足,而收敛其厥逆之气。
灸手足两爪后,十四壮了,饮以五毒诸膏散。(有巴豆者)
【注】
卒死张口反折者,用灸以通阳气,但饮以五毒诸膏方。
马屎一升,水三斗,煮取二斗,以洗之,又取牛洞(稀粪也)一升,温酒灌口中,灸
心下一寸、脐上三寸、脐下四寸,各一百壮差。
【注】
尸厥目闭,口张失便,反张,四肢不收,阴厥藏病也。有如是之证者,用骑牛临面之
法,正所以厌邪也。薤汁灌耳,皂角吹鼻,皆通其诸窍,而闭塞者可通也。灸手足甲
后,以通外阳也。马屎取吐之法,灸中脘、关元,以通内阳之法也。
狗屎一丸,绞取汁,灌之。无湿者,水煮干者取汁。
【方解】
凡屎皆发阳气,用狗屎亦取发阳气也。
麻黄(去节)三两 杏仁(去皮、尖)七十个 甘草(炙)一两
右三味,以水八升,煮取三升,去滓,分令咽之,通治诸感忤。
【注】
中恶客忤,便闭里实者,仲景用备急丸,可知无汗表实者,不当用备急丸通里,当用
还魂汤以通表也。通里者,抑诸阴气也;通表者,扶诸阳气也。昧者不知,以麻黄为
入太阳发汗之药,抑知不温覆取汗,则为入太阴通阳之药也,阳气通动,魂可还矣。
又方:
韭根一把 乌梅二七个 吴茱萸(炒)半筋
右三味,以水一斗煮之;以病人栉,内中三沸,栉浮者生,沉者死;煮取三升,去滓
,分饮之。
【方解】
韭根、吴茱萸、乌梅之治,亦收阳气法也。浮为阳,沉为阴,阳生阴死义也。
救自缢死,旦至暮虽已冷,必可治;暮至旦小,难也。恐此当言分气盛故也。然夏
时夜短于昼,又热,犹应可治。又云:心下若微温者,一日以上,犹可治之方。
徐徐抱解,不得截绳,上下安被卧之,一人以脚踏其两肩,手少挽其发,常弦弦勿纵
之;一人以手按揉胸上,数动之;一人摩捋臂胫屈伸之。若已僵,但渐渐强屈之,并
按其腹,如此一炊顷,气从口出,呼吸,眼开,而犹引按莫置,亦勿苦劳之,须臾,
可少桂汤及粥清含之,令濡喉,渐渐能咽,及稍止,更令两人,以两管吹其两耳朵,
此法最善,无不活者。
【注】
旦至暮阳气有余,阳主生,故虽已冷必可治也。暮至旦,阴气有余,阴主死,故稍难
也。自缢之人,必可治者,恐此当有言语忿争,气盛不散,故可治也。暮至旦,固难
治;然遇夏时夜短于昼又热,皆阳气有余,犹应可治。又云:心下若微温者,虽一日
以上,犹可治之。观此谆谆告切,仲景仁心,惟恐人畏其繁琐而不治也。此法尝试之
,十全八、九,始知言果不谬。弦弦,犹言紧紧也。揉胸按腹,摩臂胫屈伸之,皆引
导其气之法也。
凡中暍死,不可使得冷,得冷便死,疗之方
屈草带绕暍人脐,使三两人溺其中令温。亦可用热泥和屈草,亦可扣瓦□底按及车缸
,以着暍人,取令溺须得流去,此谓道路穷卒无汤,当令溺其中,欲使多人溺,取令
温,若汤便可与之,不可泥及车缸,恐此物冷,暍既在夏月,得热泥土暖车缸,亦可
用也。
【注】
中暑卒死之人,不可置放阴凉之处,恐其闭热在内,犹被冻之人,不可沃以热汤,恐
其闭寒在内,反为大害也。
矾石半筋,用一斗半水煮沸使其溶解,用来浸泡双脚,使水面没过脚踝。
【注】
四肢厥冷且身体壮热的人,属于阳厥腑病。外用矾水浸脚,是因为厥证起于下部,此法可以收敛摄纳阳气。
【集注】
程林说:厥阳独自上行,所以突然死亡且身体壮热。岐伯说:血与气一起向上冲逆,就会发生大厥,厥则暴死。矾石是收敛摄纳的药物,用它浸足,可以收敛其厥逆之气。
骑牛临面(一种急救体位或动作),捣取薤白汁液灌入耳中,将皂荚粉吹入鼻中,立即见效。
灸手足两爪后角各十四壮,然后服用五毒诸膏散。(其中含有巴豆)
【注】
突然死亡、张口且角弓反张的人,用艾灸来通调阳气,但需配合服用五毒诸膏方。
马屎一升,加水三斗,煮取二斗药液,用来清洗患者身体;又取牛稀粪一升,用温酒灌入口中;再灸心下一寸、脐上三寸、脐下四寸,每穴各一百壮,病即可痊愈。
【注】
尸厥表现为眼睛闭合,口张大便失禁,角弓反张,四肢松弛不收,属于阴厥脏病。有这些症状的人,采用“骑牛临面”的方法,正是为了镇压邪气。薤汁灌耳,皂角吹鼻,都是为了开通各种孔窍,闭塞的孔窍得以通畅。灸手足指甲后方,是为了通达外部的阳气。马屎用于催吐,灸中脘、关元穴,是为了通达内部的阳气。
狗屎一丸,绞取汁液,灌入患者口中。如果没有湿狗屎,就用水煮干狗屎取汁。
【方解】
凡是粪便都能发散阳气,使用狗屎也是取其发散阳气的作用。
麻黄(去节)三两 杏仁(去皮、尖)七十个 甘草(炙)一两
以上三味药,用水八升,煮取三升药液,去掉药渣,分次让患者咽下,通用治疗各种客忤之症。
【注】
中恶客忤,导致便秘里实者,张仲景使用备急丸;可知无汗表实者,不应当用备急丸通利里实,而应当用还魂汤以通达表阳。通利里实,是抑制诸阴气;通达表阳,是扶持诸阳气。愚昧的人不知道,认为麻黄只是进入太阳经发汗的药物,岂不知如果不温覆取汗,它就是进入太阴经通阳的药物,阳气通畅发动,神魂就可以回归了。
又一方:
韭根一把 乌梅二十七个 吴茱萸(炒)半筋
以上三味药,用水一斗煮之;用病人的梳子放入药液中煮三沸,梳子浮起来的病人能活,沉下去的病人会死;煮取三升药液,去掉药渣,分次饮用。
【方解】
韭根、吴茱萸、乌梅的治疗作用,也是收敛阳气的方法。浮代表阳,沉代表阴,这是阳生阴死的道理。
救自缢死,从早晨到晚上即使身体已经变冷,也必定可以救治;从晚上到早晨虽然时间较短,却难以救治。恐怕这是因为此时阳气盛衰的缘故。然而夏季夜晚短于白天,天气又热,仍然应该可以救治。又说:如果心下部位还有微温,即使超过一天,也有可治的方法。
慢慢解开束缚,不得截断绳索,上下安放被褥让其平卧;一人用脚踏住患者的两肩,手轻轻拉扯头发,要紧紧拉住不要松劲;一人用手按压揉动胸部,多次运动;一人按摩捋顺手臂和小腿,屈伸肢体。如果身体已经僵硬,就渐渐强行屈伸,并按压腹部,这样大约一顿饭的时间,气从口出,开始呼吸,眼睛睁开,但仍要牵引按压不要放开,也不要过于劳累患者,片刻之后,可以给少量桂枝汤及米粥清含在口中,令咽喉湿润,渐渐能够吞咽,等到稍止,再叫两个人,用两根管子吹其双耳,这个方法最好,没有不能救活的。
【注】
从早晨到晚上阳气有余,阳主生,所以即使身体已冷也必定可以救治。从晚上到早晨阴气有余,阴主死,所以稍微难治。自缢之人必定可治的情况,恐怕是因为当时言语忿争,气盛不散,所以可以救治。从晚上到早晨固然难治;但如果遇到夏季夜晚短于白天且天气炎热,都是阳气有余,仍然应该可以救治。又说:如果心下还有微温,即使超过一天,也可以救治。看这里谆谆告诫急切之情,张仲景仁爱之心,惟恐人们畏惧繁琐而不进行治疗。此法尝试过,十人可救活八九人,才知道这话果然不谬。“弦弦”,就是紧紧的意思。揉胸按腹,按摩臂胫屈伸,都是引导气机的方法。
凡中暑卒死之人,不可让他接触冷气,接触到冷气就会死亡,治疗方法如下:
用草带环绕中暑者的肚脐,让两三人在其中小便使其变暖。也可以用热泥土混合草带,或者扣住瓦罐底部及车缸,放在中暑者身上,取尿必须让它流走,这叫道路穷尽突然没有热水时,应当让人在其中小便,想要让多人小便,取尿使其变暖,如果有热水就可以给他喝,不可以用泥及车缸,恐怕这些东西凉,中暑既发生在夏季,用热泥土暖车缸,也可以使用。
【注】
中暑突然死亡的人,不可放置在阴凉之处,恐怕其闭热在内,就像受冻的人,不可浇以热汤,恐怕其闭寒在内,反而造成大害。
Alum (Mingfan, 明矾) half jin, boiled in one and a half dou of water until dissolved, used to soak the feet until the water covers the ankles.
[Note]
Patients with cold limbs (Jue, 厥) and high fever belong to Yang Jue Fu disease (Yang Jue Fu Bing, 阳厥府病). Soaking the feet in alum water externally is because Jue originates from the lower body; this method helps to consolidate and grasp the Yang Qi (Yang Qi, 阳气).
[Collected Notes]
Cheng Lin said: When rebellious Yang (Jue Yang, 厥阳) moves alone upwards, sudden death occurs accompanied by high fever. Qibo said: When Blood (Xue, 血) and Qi (Qi, 气) rush together upwards, it results in Great Jue (Da Jue, 大厥), leading to sudden death. Alum is an astringent and consolidating herb; soaking the feet in it can restrain the rebellious Qi.
Adopt the posture/action "Riding a Cow Facing the Face" (Qiniu Linmian, 骑牛临面), crush Scallion White (Xie, 薤) to extract juice and instill into the ears, blow Soap Pod powder (Zaogao, 皂角) into the nose; immediate effect is expected.
Moxibustion on the four corners behind the fingernails and toenails, fourteen moxa cones per point, followed by administration of Wudu Zhugaosan (Five Poisons Various Ointment Powders, 五毒诸膏散) (which contains Croton Seed, Badou, 巴豆).
[Note]
For sudden death with open mouth and opisthotonos (Fanzhe, 反折), use moxibustion to unblock Yang Qi, but must also administer Wudu Zhugao Fang (Five Poisons Ointment Formula, 五毒诸膏方).
One sheng of horse manure, boiled in three dou of water to obtain two dou of liquid, used to wash the patient's body; take one sheng of cow dung (thin feces), mix with warm wine, and pour into the mouth; moxibustion at one cun below the heart, three cun above the navel, and four cun below the navel, one hundred cones per point, will cure the condition.
[Note]
Shi Jue (Corpse Jue, 尸厥) presents with closed eyes, open mouth with loss of bowel control, opisthotonos, and flaccid limbs that cannot be moved; this belongs to Yin Jue Zang disease (Yin Jue Zang Bing, 阴厥藏病). For such symptoms, the "Riding a Cow Facing the Face" method is used to suppress evil pathogens. Instilling Scallion White juice into the ears and blowing Soap Pod powder into the nose opens all orifices, allowing blocked passages to become patent. Moxibustion behind the nails unblocks external Yang Qi. Horse manure induces vomiting; moxibustion at Zhongwan (CV12) and Guanyuan (CV4) unblocks internal Yang Qi.
One pill of dog feces, crushed to extract juice, and administered orally. If fresh feces are unavailable, boil dry feces in water to extract the juice.
[Formula Analysis]
All feces have the property of dispersing Yang Qi; using dog feces also aims to disperse Yang Qi.
Ephedrae Herba (Mahuang, 麻黄) [devoid of nodes] 3 liang, Semen Armeniacae Amarum (Xingren, 杏仁) [devoid of skin and tips] 70 pieces, Glycyrrhizae Radix et Rhizoma (Gancao, 甘草) [roasted] 1 liang.
These three ingredients are boiled in eight sheng of water to obtain three sheng of decoction. Strain the dregs, and allow the patient to swallow the liquid in divided doses. This formula treats various cases of Ke Wu (Guest Malevolence, 客忤).
[Note]
In cases of Zhong E (Poisoning by Evil Qi, 中恶) and Ke Wu causing constipation and interior excess, Zhang Zhongjing uses Beiji Wan (Emergency Rescue Pill, 备急丸). It follows that for exterior excess without sweating, Beiji Wan should not be used to purge the interior; instead, Huanhun Tang (Return Soul Decoction, 还魂汤) should be used to unblock the exterior Yang. Purging the interior suppresses Yin Qi; unblocking the exterior supports Yang Qi. Ignorant practitioners mistakenly believe Mahuang only induces sweating in the Taiyang channel; they fail to realize that if applied without warming coverings to induce sweat, it enters the Taiyin channel to unblock Yang. Once Yang Qi flows freely, the Hun (Soul) returns.
Another Formula:
Leek Roots (Jiu Gen, 韭根) one handful, Chinese Plum Fruit (Wumei, 乌梅) 27 pieces, Evodiae Fructus (Wuzhuyu, 吴茱萸) [stir-fried] half jin.
Boil these three ingredients in one dou of water. Place the patient's comb into the boiling liquid for three boils. If the comb floats, the patient will survive; if it sinks, the patient will die. Boil down to three sheng, strain, and drink in divided doses.
[Formula Analysis]
The treatment using Leek Roots, Evodiae Fructus, and Chinese Plum Fruit is also a method to gather and consolidate Yang Qi. Floating represents Yang, sinking represents Yin; this illustrates the principle that when Yang generates, Yin dies.
To rescue someone who has died from hanging: If the time elapsed is from morning to evening, even if the body is cold, treatment is definitely effective; if from evening to morning, although the duration is short, it is difficult to treat. This is likely due to the abundance or deficiency of Qi at those times. However, in summer, nights are shorter than days and it is hot, so treatment should still be effective. It is also stated that if the epigastrium remains slightly warm, treatment is possible even after more than a day.
Slowly untie the person; do not cut the rope. Lay them flat on bedding placed above and below. One person stands on their shoulders, gently pulling their hair tightly without letting go. Another person presses and kneads the chest, moving it repeatedly. A third person massages the arms and legs, flexing and extending them. If the body is stiff, gradually force flexion and extension while pressing the abdomen. After about the time it takes to cook a meal, breath may return from the mouth, respiration resumes, and eyes open. Continue traction and pressure without releasing, but avoid exhausting the patient. Shortly after, give a small amount of Guizhi Tang (Cinnamon Twig Decoction, 桂枝汤) or thin rice gruel to moisten the throat, allowing gradual swallowing. Once stabilized, have two people use tubes to blow air into both ears. This method is most effective and rarely fails.
[Note]
From morning to evening, Yang Qi is abundant; since Yang governs life, treatment is effective even if the body is cold. From evening to morning, Yin Qi is abundant; since Yin governs death, treatment is difficult. Cases of hanging that are curable often involve prior anger or conflict where Qi was vigorous and not dispersed. Although evening-to-morning cases are difficult, summer conditions (short nights, heat) imply abundant Yang, making treatment viable. The statement about slight warmth in the epigastrium indicates that even after a day, treatment is possible. Zhang Zhongjing’s earnest warnings reflect his benevolent heart, fearing people might abandon treatment due to its complexity. Clinical trials show an 80-90% success rate, proving these words true. "Xianxian" means tightly. Kneading the chest, pressing the abdomen, and massaging/extending limbs are methods to guide Qi.
For sudden death from Heatstroke (Yi, 暍): Do not expose the patient to cold; exposure to cold causes death. Treatment method:
Wrap a grass belt around the umbilicus of the heatstroke victim. Have two or three persons urinate into the center to generate warmth. Alternatively, mix hot mud with grass strips, or place heated tile bottoms or chariot wheels against the patient. Urine must flow away. This method is for situations where no hot water is available on the road. To generate warmth, multiple persons may urinate. If hot water is available, use it instead of mud or chariot wheels, as these objects are cold. In summer, heating mud or chariot wheels makes them usable.
[Note]
Patients dying suddenly from heatstroke should not be placed in cool places, as this traps heat inside. Similarly, frostbite victims should not be poured with hot water, as this traps cold inside, causing greater harm.