刘太丞毗陵人有邻家朱三只有一子年三十一岁忽然卒死脉全无请太丞治之取齐州半夏细
末
一大豆许纳鼻中良久身微暖气更苏迤逦无事人问卒死太丞单方半夏如何活得死人答曰此南岳
魏夫人方出外台秘要
人路逢凄风苦雨繁霜大雪衣服沾濡冷气入脏致令阴气闭于内阳气绝于外荣卫结涩不复通
故致噤绝而死若早得救疗血温气通则生又云冻死一日犹可活过此则不可也
人为水所没水从孔窍入灌注脏腑其气壅闭故死若早拯救得出则泄沥其水令气得通便得活
也又云半日及一日犹可活气若已绝心上暖亦可治
人有不得志意者多生忿恨往往自缢若觉早虽已死徐徐捧下其阴阳经络虽暴壅闭而脏腑真
气未
尽所以犹可救若遽断其绳则气不能还不得生又云自旦及暮虽冷犹可活自暮至旦则难活此谓昼
则阳盛其气易通夜则阴盛其气难通又云夏热易治气虽断而心微温一日以上犹可活
暑月热倒人昏迷闷乱急扶在阴凉处切不可与冷冻饮料当以布巾衣物等蘸热汤覆脐下及气海间
续续
以汤淋布巾上令彻脐腹但暖则渐醒也如仓卒无汤处掬道上热土于脐端以多为佳冷则频换也后
与解暑毒药若才热倒便与冷冻饮料或用冷水淋之类即死旧有一法或道涂无汤去处即掬热土于脐上
仍拨开作窝子令众人旋溺于其中以代热汤亦可取效解暑用白虎汤竹叶石膏汤之类凡觉中暑急
嚼
生姜一大块冷水送下如已迷闷嚼大蒜一大瓣冷水送下如不能嚼即用水研灌之立醒路中仓卒无
水渴甚急嚼生葱二寸许和津同咽可抵饮水二升(集验方)
刘太丞在毗陵有一位邻居,名叫朱三,他只有一个儿子,年仅三十一岁,突然猝死,脉搏完全消失。于是请刘太丞诊治。刘太丞取齐州产的半夏,研成细末,取如大豆大小的一量,纳入患者鼻中。过了很久,身体微微有了暖气,患者便苏醒过来,随后便安然无事。有人问刘太丞:用单方半夏怎么能救活死人?刘太丞回答说:这是南岳魏夫人的方子,出自《外台秘要》。
人在路上遇到凄风苦雨、浓霜大雪,衣服被淋湿,冷气侵入脏腑,导致阴气闭塞于内,阳气断绝于外,营卫之气凝结涩滞,不再通畅,因此导致牙关紧闭而死亡。如果及早得到救治,血液温暖,气机通畅,就能存活。又说:冻死的人,一天之内还可以救活,超过这个时间就不行了。
人被水淹没,水从孔窍进入,灌注到脏腑,气机壅闭,所以死亡。如果及早拯救出来,将体内的水排出沥干,使气机能通畅,就可以存活。又说:半日及一日之内还可以救活,如果气已经断绝,但心口尚暖,也可以治疗。
有的人因为不得志,心中多生忿恨,往往上吊自杀。如果觉察得早,虽然已经死亡,应慢慢将其放下。其阴阳经络虽然暴然壅闭,但脏腑的真气尚未耗尽,所以还可以抢救。如果立即割断绳子,则气不能回归,就无法存活。又说:从早晨到傍晚,即使身体变冷,仍然可以救活;从傍晚到早晨,则难以救活。这是因为白天阳气旺盛,气机容易通畅;夜晚阴气旺盛,气机难以通畅。又说:夏天炎热时容易救治,即使气已断绝,只要心口微温,一天以上仍可救活。
暑月中暑昏倒的人,昏迷闷乱,应迅速扶至阴凉处,千万不可给予冷冻饮料。应用布巾、衣物等蘸取热汤,覆盖在脐下及气海穴之间,并不断用热汤淋浇布巾,使热力透达脐腹,只要感到温暖,人就会逐渐苏醒。如果在紧急情况下没有热水,可捧取路上的热土敷在脐端,以多为佳,若土凉了则频繁更换。之后服用解暑毒药(此处指解暑药物)。如果刚中暑就给予冷冻饮料,或用冷水淋浇之类,就会导致死亡。过去有一种方法,如果在道路途中没有热水,就捧取热土放在脐上,并拨开做成窝状,让众人轮流撒尿在其中,以此代替热汤,也可以取得疗效。解暑可用白虎汤、竹叶石膏汤之类的方剂。凡是觉得中暑,急忙嚼一大块生姜,用冷水送服;如果已经昏迷闷乱,嚼一大瓣大蒜,用冷水送服;如果不能咀嚼,就用水研磨后灌入,立刻就能苏醒。路途中紧急缺水,口渴严重时,急忙嚼两寸左右的生葱,连同唾液一起咽下,可以抵得上喝两升水。(出自《集验方》)
Liu Taicheng had a neighbor in Piling named Zhu San. Zhu San had only one son, aged thirty-one, who suddenly died with no detectable pulse. He invited Liu Taicheng to treat him. Liu Taicheng took Banxia (Pinelliae Rhizoma) from Qizhou, ground it into fine powder, took an amount the size of a soybean, and inserted it into the patient's nostril. After a long while, the body showed slight warmth, and the patient revived, subsequently recovering without issue. Someone asked Liu Taicheng: "How can a single herb formula using Banxia revive a dead person?" Liu Taicheng replied: "This is the formula of Lady Wei of Mount Nan, recorded in *Waitai Miyao*."
When people encounter biting winds, bitter rains, heavy frost, or great snow on the road, their clothes become soaked. Cold qi enters the Zang organs, causing Yin Qi to be closed inside and Yang Qi to be severed outside. Ying and Wei Qi (Nutritive and Defensive Qi) become knotted and stagnant, ceasing to circulate, leading to death by trismus (lockjaw). If treated early, when blood warms and Qi flows freely, life can be preserved. It is also said that those frozen to death can be revived within one day; beyond this, it is impossible.
When people are submerged in water, water enters through the orifices and floods the Zang organs, causing Qi obstruction, which leads to death. If rescued early and the water is drained, allowing Qi to flow freely, they can survive. It is also said that revival is possible within half a day to one day. Even if Qi has seemingly ceased, if the chest remains warm, treatment is still feasible.
Some individuals, frustrated and resentful due to unfulfilled ambitions, often commit suicide by hanging. If discovered early, even if already dead, lowering them slowly allows for rescue. Although the Yin and Yang meridians are abruptly obstructed, the True Qi of the Zang organs is not yet exhausted, so revival is possible. If the rope is cut immediately, Qi cannot return, and death ensues. It is also said that from dawn to dusk, revival is possible even if cold; from dusk to dawn, it is difficult. This is because Yang is abundant during the day, making Qi easier to restore, whereas Yin is abundant at night, making Qi harder to restore. It is also said that summer heatstroke is easier to treat; even if Qi has ceased, as long as the heart area remains slightly warm, revival is possible for more than a day.
For those fainting from summer heat, presenting with coma and confusion, quickly move them to a cool, shaded place. Do not give cold drinks. Apply cloth or clothing soaked in hot water to cover the area below the navel and Qihai (CV-6). Continuously pour hot water over the cloth to ensure warmth penetrates the abdomen. Once warm, the patient will gradually regain consciousness. In emergencies without hot water, scoop up hot earth from the road and apply it to the navel, using as much as possible; replace frequently if it cools. Afterwards, administer antipyretic/detoxifying herbs. If cold drinks are given immediately upon fainting, or if cold water is poured on the body, death will result. An old method states that if no hot water is available on the road, scoop hot earth onto the navel, form a depression, and have people urinate into it to substitute for hot water; this can also be effective. For heatstroke, formulas such as Baihu Tang (White Tiger Decoction) or Zhuye Shigao Tang (Bamboo Leaf and Gypsum Decoction) may be used. Upon feeling heatstroke, chew a large piece of fresh ginger and swallow with cold water. If comatose, chew a clove of garlic and swallow with cold water. If unable to chew, grind with water and instill; the patient will awaken immediately. In emergencies on the road with no water and extreme thirst, chew about two cun of raw scallion and swallow with saliva; this can substitute for drinking two sheng of water. (From *Jiyan Fang*)