病源猝魇者，屈也，谓梦里为鬼邪之，所魇屈也，人卧不寤，皆是魂魄外游，为他邪所
执录，
者，
本由
拘
人
不
魂
魄
暴
肘后疗猝魇寐不寤方。
卧忽不寤，勿以火照之，杀人，但痛啮其脚踵，及足KT 趾甲际，而多唾其面则觉也。
又方
皂荚末，以竹筒吹两鼻孔中即起，三两日犹可吹之也。
又方
以笔毛刺两鼻孔，男左女右，展转进之取起也。（集验同）
又方
捣薤取汁，吹两鼻孔，冬日取韭，绞汁灌口。（集验仲景文仲备急同）
又方
以芦管吹两耳，并取其人发一七茎作绳，纳鼻孔中，割雄鸡冠取血，以管吹喉咽中，大
良。（并出第一卷中）
集验疗猝魇方。
以盐汤饮之，多少在意，并啮其足大趾爪际，痛啮之即起也。（肘后文仲备急同）
又方
以其人置地，取利刀画从肩起男左女右，画地令周遍讫，以刀锋刺病患鼻下人中，令入
一分
当肩
又方
雄黄细筛，管吹两鼻孔中佳。（并出第一卷中）
崔氏主猝魇方。
以甑带左索缚其肘后，男左女右，用余犹急绞之，又缚床脚，乃诘问其故。（肘后古
今
崔氏云，疗猝狂鬼语方，以甑带急令缚两手大指，便灸左右胁下，屈肘头尖，各七壮，
须
文仲疗猝魇方。
令一人坐头边守，一人于户外呼病患姓名，坐人应曰在，便苏活也。（肘后同）
又人喜魇及恶梦者方。（以下并辟魇方）
取烧死人灰着履中，令枕之。
又方
带雄黄，男左女右也。
又方
枕麝香一分于头边佳，又灌香少许。
又方
以虎头为枕佳。
又方
取雄黄如枣核，系左腋下，令人终生不魇也。（集验范汪同）
又方
作犀角枕佳。
又方
青木香纳枕中，并带之亦佳。（并出第一卷中）
千金小定心汤，疗虚羸，心气惊弱多魇方。
茯神（四分一本作茯苓） 甘草 芍药 干姜 大枣（十五枚擘） 远志（去心） 人
参
上八味切，以水八升，煮取三升，分三服，日三。忌如常法。
又大定心汤，疗心气虚悸，恍惚多忘，或梦寤惊魇，志少不足方。
人参 茯苓 茯神 远志（去心） 赤石脂 龙骨 干姜 当归 甘草（炙） 白
术芍药 大枣 桂心 防风 紫菀（各二两）
上十五味切，以水一斗二升，煮取三升半，分为五服日三夜二。忌如常法。
千金翼疗猝魇不觉方。
灸两足大趾聚毛中二十一壮。（范汪同出第二十七卷中）
备急疗猝魇不寤方。
末灶下黄土，或雄黄桂心末亦得。
右以芦管吹入两鼻孔中。（文仲同出第一卷中）
病源猝魇，屈也，谓梦里为鬼邪之，所魇屈也，人卧不寤，皆是魂魄外游，为他邪所执录，本由魂魄暴拘。
《肘后方》治疗猝魇、睡眠中突然不醒的方子：
睡觉时忽然不醒，不要用火照他，否则会死人，只要用力咬他的脚后跟，以及足小趾指甲边缘，并且多向他的脸上吐唾沫，他就会醒来。
另一个方子：
用皂荚末，用竹筒吹入两个鼻孔中，人就会苏醒，三两天内还可以再吹。
又一个方子：
用笔毛刺两个鼻孔，男性刺左边，女性刺右边，反复进退刺激以使其苏醒。（《集验方》相同）
又一个方子：
捣碎薤白取汁液，吹入两个鼻孔，冬天取韭菜，绞取汁液灌入口中。（《集验方》、《文仲方》、《备急方》相同）
又一个方子：
用芦管吹入两个耳朵，并取此人头发七根搓成绳，塞入鼻孔中，割取雄鸡冠血，用管子吹入咽喉中，效果很好。（均出自第一卷）
《集验方》治疗猝魇的方子：
喝盐汤，多少随人意，同时咬其足大趾指甲边缘，用力咬它就会苏醒。（《肘后方》、《文仲方》、《备急方》相同）
又一个方子：
将患者放在地上，取锋利的刀从肩膀开始画线，男性向左，女性向右，画满周身，然后用刀锋刺患者鼻下的人中穴，进针一分，应当对准肩膀方向。
又一个方子：
雄黄细筛，用管子吹入两个鼻孔中较好。（均出自第一卷）
崔氏主治猝魇的方子：
用蒸笼带左边的绳子绑住患者的手肘后方，男性绑左手，女性绑右手，剩下的部分还要紧紧绞紧，又绑住床脚，然后盘问其中的缘故。（《肘后方》、《古今录验》相同）
崔氏说，治疗猝然发狂、胡言乱语的方子，用蒸笼带迅速绑住两手的大拇指，然后在左右胁下艾灸，弯曲手臂至肘尖，各灸七壮。
文仲治疗猝魇的方子：
让一个人坐在头边守护，一个人在门外呼喊患者的姓名，守床的人应答“在”，患者就会苏醒过来。（与《肘后方》相同）
另外有人喜欢做魇梦及恶梦的方子。（以下均为辟除魇梦的方子）
取烧死人的灰放在鞋子里，让它枕着。
又一个方子：
佩戴雄黄，男性戴左边，女性戴右边。
又一个方子：
在一分麝香旁边枕着头比较好，再灌少许香气。
又一个方子：
用虎头做枕头比较好。
又一个方子：
取像枣核大小的雄黄，系在左腋下，让人终生不做魇梦。（《集验方》、《范汪方》相同）
又一个方子：
用犀角做枕头比较好。
又一个方子：
青木香放入枕中，佩戴它也很好。（均出自第一卷）
《千金方》小定心汤，治疗身体虚弱消瘦、心气惊弱多魇的方子：
茯神（四分，有的版本作茯苓）、甘草、芍药、干姜、大枣（十五枚掰开）、远志（去心）、人参。
以上八味药切碎，用水八升，煮取三升，分三次服用，每天三次。禁忌如常规方法。
又大定心汤，治疗心气虚悸、恍惚多忘，或梦中惊醒魇魅，意志不足少的方子：
人参、茯苓、茯神、远志（去心）、赤石脂、龙骨、干姜、当归、甘草（炙）、白术、芍药、大枣、桂心、防风、紫菀（各二两）。
以上十五味药切碎，用水一斗二升，煮取三升半，分为五次服用，白天三次，晚上两次。禁忌如常规方法。
The etiology of sudden nightmare (Cu Yan) involves constriction, meaning being oppressed by evil spirits in dreams. When a person lies down and does not wake up, it is because the Hun and Po souls wander outside and are seized by other evils, originally due to the sudden constraint of the Hun and Po souls.
*Zhouhou Beiji Fang* (Emergency Prescriptions Kept Up My Sleeve) for treating sudden nightmare and sudden unresponsiveness during sleep:
If one suddenly falls into a deep sleep and cannot wake up, do not shine a fire on them, as this may cause death. Instead, bite their heel forcefully, as well as the area near the nail of the little toe, and spit frequently on their face; they will then awaken.
Another prescription:
Use powder of *Gleditsiae Sinensis Fructus* (Zaojiao), blow it into both nostrils using a bamboo tube to induce awakening. It can still be used within three or two days.
Another prescription:
Poke both nostrils with a brush hair. For males, use the left side; for females, the right side. Move it back and forth to induce awakening. (Same as *Jiyan Fang*)
Another prescription:
Crush *Allium macrostemon Bulbus* (Xie) to extract juice and blow it into both nostrils. In winter, take *Allium tuberosum Seed* (Jiu), wring out the juice, and pour it into the mouth. (Same as *Jiyan Fang*, *Wenzhong Fang*, *Beiji Fang*)
Another prescription:
Blow into both ears using a reed tube. Also, take seven hairs from the patient, twist them into a rope, insert them into the nostrils, cut the comb of a rooster to obtain blood, and blow the blood into the throat/pharynx using a tube. This is highly effective. (All from Volume 1)
*Jiyan Fang* (Collected Proven Prescriptions) for treating sudden nightmare:
Drink salt water, the amount depending on preference. Also bite the area near the nail of the big toe. Biting it forcefully will cause awakening. (Same as *Zhouhou Fang*, *Wenzhong Fang*, *Beiji Fang*)
Another prescription:
Place the patient on the ground. Take a sharp knife and draw lines starting from the shoulder. For males, draw to the left; for females, to the right. Complete the circle around the body. Then, prick the Renzhong (GV26) point below the nose with the knife edge, inserting about one fen, aiming towards the shoulder.
Another prescription:
Sift fine powder of *Realgar* (Xionghuang) and blow it into both nostrils using a tube. This is preferable. (All from Volume 1)
Cui Shi's main prescription for sudden nightmare:
Tie the patient's elbow posteriorly using the left cord of a steamer belt. For males, tie the left arm; for females, the right arm. Twist the remaining part tightly. Also tie the bed leg, and then interrogate the situation. (Same as *Zhouhou Fang*, *Gujin Luyian*)
Cui Shi stated that for treating sudden mania and ghostly speech:
Tie the thumbs of both hands tightly with a steamer belt. Then moxa the areas under the left and right ribs. Bend the elbows so the tip touches, and apply seven moxa cones at each spot.
Wenzhong's prescription for treating sudden nightmare:
Have one person sit by the head to guard, and another person call the patient's name from outside the door. The guardian should answer "Here," and the patient will revive. (Same as *Zhouhou Fang*)
Additionally, prescriptions for those prone to nightmares and bad dreams. (The following are all prescriptions to ward off nightmares.)
Take ash from a burned corpse, place it in a shoe, and use it as a pillow.
Another prescription:
Wear Realgar (*Xionghuang*). Males wear it on the left; females on the right.
Another prescription:
It is good to place one fen of *Moschus* (Shexiang) beside the head as a pillow, and also ingest a small amount of the fragrance.
Another prescription:
Using a tiger head as a pillow is good.
Another prescription:
Take Realgar (*Xionghuang*) the size of a jujube pit, tie it under the left armpit, and the person will never suffer from nightmares in their lifetime. (Same as *Jiyan Fang*, *Fanwang Fang*)
Another prescription:
Using a rhinoceros horn as a pillow is good.
Another prescription:
Place *Aucklandiae Radix* (Qingmuxiang) in the pillow; wearing it is also good. (All from Volume 1)
*Qianjin Fang* Xiao Dingxin Tang (Minor Heart-Calming Decoction), for treating emaciation due to deficiency, frightful weakness of Heart Qi, and frequent nightmares:
*Soporiae Dioscoreae Hypoglaucae Rhizoma* (Fushen) (4 fen, some versions say *Poria* [Fuling]), *Glycyrrhizae Radix et Rhizoma* (Gancao), *Paeoniae Radix Alba* (Shaoyao), *Zingiberis Rhizoma* (Ganjiang), *Jujubae Fructus* (Dazao) (15 pieces, split), *Polygalae Radix* (Yuanzhi) (remove heart), *Panax Ginseng Radix* (Renshen).
Cut the above eight herbs. Boil in 8 sheng of water until 3 sheng remain. Divide into three doses, taken three times daily. Observe usual dietary restrictions.
Also, Da Dingxin Tang (Major Heart-Calming Decoction), for treating palpitations due to Heart Qi deficiency, mental confusion, forgetfulness, or waking from dreams with fright/nightmares, and lack of willpower:
*Panax Ginseng Radix* (Renshen), *Poria* (Fuling), *Soporiae Dioscoreae Hypoglaucae Rhizoma* (Fushen), *Polygalae Radix* (Yuanzhi) (remove heart), *Lapis Kaolinites Rubra* (Chishizhi), *Os Draconis* (Longgu), *Zingiberis Rhizoma* (Ganjiang), *Angelicae Sinensis Radix* (Danggui), *Glycyrrhizae Radix et Rhizoma* (Gancao) (roasted), *Atractylodis Macrocephalae Rhizoma* (Baizhu), *Paeoniae Radix Alba* (Shaoyao), *Jujubae Fructus* (Dazao), *Cinnamomi Ramulus* (Guixin), *Saposhnikoviae Radix* (Fangfeng), *Asterae Radix* (Ziwan) (each 2 liang).
Cut the above fifteen herbs. Boil in 12 dou of water until 3.5 sheng remain. Divide into five doses: three during the day, two at night. Observe usual dietary restrictions.
*Qianjin Yifang* for treating sudden nightmare with unawareness:
Moxa twenty-one cones at the hairy center of both big toes. (Same as *Fanwang Fang*, from Volume 27)
*Beiji Fang* for treating sudden nightmare with unresponsiveness:
Powdered yellow earth from the stove bottom, or powder of Realgar (*Xionghuang*) and Cinnamon Twig (*Guixin*), are acceptable.
Blow the powder into both nostrils using a reed tube. (Same as *Wenzhong Fang*, from Volume 1)