夫飞尸者,游走皮肤,穿脏腑,每发刺痛,变作无常。遁尸者,附骨入肉,攻凿血
脉,每发不可得近,见尸丧闻哀哭便发。风尸者,淫濯四肢,不知痛之所在,每发昏沉,
得风雪便作。沉尸者,缠骨结脏,冲心胁,每发绞切,遇寒冷便作。注尸者,举身沉重,精
神错乱,常觉昏发,每节气至变,辄成大恶。皆宜用忍冬叶锉数斛,煮令浓,取汁煎之,服
如鸡子大,日三服。
人平居无疾苦,忽如死人,身不动摇,默默不知人,目闭不能开,口噤不能言,或微
知人,恶闻人声,但如眩冒,移时方寤。此由汗过多,血少,气并于血,阳独上而不下,
气壅塞而不行,故身如死。气过血还,阴阳复通,故移时方寤。名曰郁冒,亦名血厥,妇
人多有之。宜服白薇汤。仓公散。
丹溪云∶凡人忽手足逆冷,肌肤起如米粒,头面青黑,精神恍惚,或错言妄语,或
牙关紧急,或昏寐仆倒,吊死问丧,入庙登墓,多有此病。先以苏合香丸灌之,次服调
气散、(杂病中气。)平胃散。(杂病中食。)《玉机微义》云∶卒厥飞尸,客忤鬼击,口噤,用
麻黄汤。(伤寒太阳。)寒厥表热里寒,则下利清谷,食入则吐,脉沉,手足冷,用四逆汤。(伤
寒厥。)热厥腹满,身重难转,面垢谵语,遗溺,手足厥冷,自汗,脉沉滑,用白虎汤。(杂病发
热。)锦衣杨永兴举家避眚,有仆沉醉失避者,既而神思昏昧,遍身青伤,各煎金银藤
(即忍冬叶。)汤灌之愈。一妇人忽昏愦发谵语,自云∶为前谋赖某人银两,某神责我,将你
起解往城隍理问,两脚踝、膝、臀处皆青肿,痛不可忍,口称苦楚。次日方苏,痛尚不止,
用金银藤两许,水煎服即愈。一妇人入古墓,患前证,以紫金锭磨汁灌之即苏。通政
余子华、太常汪用之,皆因往吊而卒死丧家,想即是证也。太乙神精丹(方见杂病谵妄。)苏
合香丸(方见杂病卒中。)雄朱散(方见杂病谵妄。)
白薇汤
白薇 当归(各一两) 人参(半两) 甘草(二钱半)
上 咀,每服五钱,水二盏,煎至一盏,温服。
仓公散 治卒鬼击、鬼疰、鬼刺,心腹如刺,下血,即死不知人,及卧魇齿脚趾不
觉者,并诸毒瓦斯等疾。
瓜蒂末(《九 卫生方》无瓜蒂末,有皂角末。)
藜芦末 雄黄(研) 矾石( 研,各等分)
上为细末,研停,用少许吹入鼻中,得嚏气通便活。未嚏再吹,以得嚏为度。此药能起
死人,恐皂角者为正。
补遗内鼻散 治尸厥脉动而无气,气闭不通,静而若死,名卒厥。
石菖蒲(去毛,为末)
上每用二字,内鼻中吹之令入,仍以桂末安舌下。
硫黄散 治尸厥奄然死去,四肢厥冷,不省人事,腹中气走如雷鸣。
焰硝(半两) 硫黄(一两)
上细研,分三服,酒调灌下,如人行五里,又进一服。不过三服即苏。
飞尸,病邪游走于皮肤之间,深入脏腑,每次发作时感到刺痛,病情变化无常。遁尸,病邪附着于骨骼肌肉之中,侵蚀血脉,每次发作时让人无法靠近,一旦见到丧葬场景或听到哀哭之声便会诱发。风尸,病邪流注四肢,导致肢体麻木不知疼痛所在,每次发作时头昏沉,遇到风雪天气便会发作。沉尸,病邪缠绕骨骼结聚于内脏,冲击心胁部位,每次发作时感觉绞痛,遇到寒冷天气便会发作。注尸,全身沉重,精神错乱,经常感到昏沉欲发,每逢节气交替变化时,就会引发严重的病症。以上五种尸病都适宜使用忍冬叶切碎数斛,煮至浓稠,取汁液煎制成丸,每次服用如鸡蛋大小的药丸,每日三次服用。
人在平时没有疾病痛苦,突然像死人一样,身体不动,沉默不语不知人事,眼睛闭合不能睁开,牙关紧闭不能说话,或者稍微有点知觉,厌恶听到人声,只是感觉头晕目眩,过了一段时间才苏醒。这是由于出汗过多,血液亏少,气并入血中,阳气独盛向上而不能下行,气机壅塞不通畅,所以身体像死了一样。当气机过后血液回流,阴阳重新通畅,所以过一段时间才苏醒。这种病症名为郁冒,也叫做血厥,妇女中多见。适宜服用白薇汤、仓公散。
朱丹溪说:凡人突然手足逆冷,肌肤隆起如米粒状,头面青黑,精神恍惚,或者胡言乱语,或者牙关紧急,或者昏睡仆倒,在吊丧问疾、进入庙宇登上坟墓等场合,多有此病。先用苏合香丸灌服,其次服用调气散(见杂病篇的气证)、平胃散(见杂病篇的食积证)。《玉机微义》说:卒厥、飞尸、客忤、鬼击,出现牙关紧闭症状,用麻黄汤(见伤寒太阳病篇)。寒厥表现为表热里寒,则下利清谷,食物入口即吐,脉象沉,手足冰冷,用四逆汤(见伤寒厥证篇)。热厥表现为腹部胀满,身体沉重难以转动,面色垢浊谵语,遗尿,手足厥冷,自汗,脉象沉滑,用白虎汤(见杂病发热篇)。锦衣卫杨永兴全家躲避灾祸,有个仆人因醉酒未能躲避,随后神志昏昧,遍身出现青紫伤痕,各煎金银藤(即忍冬叶)汤灌服而愈。一个妇人突然昏愦发谵语,自称:“因为之前谋赖某人银两,某神责备我,将你押解去城隍处审理”,两脚踝、膝盖、臀部皆青肿,痛不可忍,口中叫苦。第二天才苏醒,疼痛仍未停止,用金银藤二两许,水煎服即愈。一个妇人进入古墓,患上述病症,用紫金锭磨汁灌服即苏醒。通政余子华、太常汪用之,都是因为去吊唁而死在丧家,想的应该就是这种病症。太乙神精丹(方剂见杂病谵妄篇)、苏合香丸(方剂见杂病卒中篇)、雄朱散(方剂见杂病谵妄篇)。
白薇汤
白薇、当归(各一两),人参(半两),甘草(二钱半)。
以上药材切碎,每次服用五钱,加水二盏,煎至一盏,温服。
仓公散 治疗突然被鬼击、鬼疰、鬼刺,心腹如针刺般疼痛,便血,立即死亡不知人事,以及睡觉魇寐牙齿脚趾不觉动者,以及各种毒瓦斯等疾病。
瓜蒂末(《九卫生方》无瓜蒂末,有皂角末)。
藜芦末、雄黄(研细)、矾石(研细,各等分)。
以上研为细末,搅拌均匀,取少许吹入鼻中,打喷嚏通气后大便通畅即可活命。未打喷嚏再吹,以能打喷嚏为度。此药能救活死人,恐怕用皂角末的是正确的。
补遗内鼻散 治疗尸厥脉动而无气息,气闭不通,安静得像死人,名为卒厥。
石菖蒲(去毛,研为末)。
每次用二字量的药粉,吹入鼻中令其进入,同时将桂末放在舌下。
硫黄散 治疗尸厥突然死去,四肢厥冷,不省人事,腹中气走如雷鸣。
焰硝(半两)、硫黄(一两)。
以上细细研磨,分三次服用,用酒调匀灌下,如人行走五里的时间,再进一服。不超过三服即可苏醒。
Fei Shi (Flying Corpse) refers to pathogenic factors wandering through the skin and penetrating the Zang-Fu organs. Each attack causes stabbing pain, with unpredictable changes. Dun Shi (Lurking Corpse) attaches to bones and muscles, attacking blood vessels. Attacks cannot be approached; they are triggered by seeing funerals or hearing crying. Feng Shi (Wind Corpse) flows into the four limbs, causing numbness where pain location is unknown. Attacks cause drowsiness and are triggered by wind and snow. Chen Shi (Sinking Corpse) entangles bones and knots in the viscera, rushing to the heart and hypochondrium. Attacks feel like twisting pain and are triggered by cold. Zhu Shi (Poured Corpse) causes whole-body heaviness, mental confusion, and frequent dizziness. Major exacerbations occur at solar term changes. All five types should be treated with Honeysuckle Leaf (Jinyinhua Ye, 忍冬叶), chopped and boiled in large quantities to make a concentrated decoction, processed into pills the size of a chicken egg, taken three times daily.
A person who is usually healthy suddenly appears dead: body motionless, silent and unaware, eyes closed and unable to open, jaw clenched and unable to speak, or slightly aware but averse to human voices, feeling only dizzy and confused, waking up after some time. This is caused by excessive sweating leading to blood deficiency, with Qi merging into Blood, Yang rising alone without descending, Qi stagnating and failing to circulate, thus the body appears dead. When Qi moves and Blood returns, Yin and Yang reconnect, hence waking up after some time. This condition is named Yu Mao (Depression Dizziness) or Xue Jue (Blood Syncope), common in women. Baiwei Tang (White Anemone Decoction) and Cang Gong San (Cang Gong Powder) are suitable.
Zhu Danxi said: When people suddenly have cold extremities, skin raised like millet grains, blue-black head and face, mental confusion, delirious speech, locked jaw, or fainting/collapse, especially when attending funerals, entering temples, or visiting tombs, this disease often occurs. First administer Suhexiang Wan (Styrax Pill), then treat with Tiaoqi San (Qi-Regulating Powder, see Miscellaneous Diseases - Qi disorders) and Pingwei San (Stomach-Pacifying Powder, see Miscellaneous Diseases - Food retention). *Yuji Wei Yi* states: For sudden syncope, Fei Shi, Ke Wu (Guest Malevolence), Gui Ji (Ghost Strike) with locked jaw, use Mahuang Tang (Ephedra Decoction, see Shanghan Taiyang chapter). For Han Jue (Cold Syncope) with exterior heat and interior cold, presenting with diarrhea of undigested food, vomiting upon eating, deep pulse, and cold extremities, use Sini Tang (Frigid Extremities Decoction, see Shanghan Jue chapter). For Re Jue (Heat Syncope) with abdominal fullness, heavy body difficult to turn, dirty complexion, delirium, urinary incontinence, cold extremities, spontaneous sweating, and deep slippery pulse, use Baihu Tang (White Tiger Decoction, see Miscellaneous Diseases - Fever chapter). Yang Yongxing of the Jin Yi Wei (Embroidered Uniform Guard) family was avoiding disaster; a servant got drunk and failed to hide. Later he became mentally dull with widespread bruising. Decoctions of Jinyin Teng (Honeysuckle Stem, i.e., Honeysuckle Leaf) were administered separately and he recovered. A woman suddenly became confused and delirious, claiming: "Because I previously defrauded someone of silver, a deity blames me and sends you to be tried by the City God." Her ankles, knees, and buttocks were swollen and blue, unbearable pain, crying out in suffering. She woke the next day, pain persisting. Two taels of Jinyin Teng were decocted in water and taken orally, resulting in recovery. Another woman entered an ancient tomb and suffered the same condition; Zijin Ding (Purple Gold Tablet) ground into juice was administered, and she revived. Tongzheng Yu Zihua and Taichang Wang Yongzhi both died while mourning at a funeral house; it is likely these cases refer to this syndrome. Taiyi Shenjing Dan (Formula see Miscellaneous Diseases - Delirium), Suhexiang Wan (Formula see Miscellaneous Diseases - Stroke), Xiong Zhu San (Formula see Miscellaneous Diseases - Delirium).
Baiwei Tang
Baiwei (Anemones Radix), Danggui (Angelicae Sinensis Radix) (each 1 liang); Renshen (Ginseng Radix) (0.5 liang); Gancao (Licorice Radix et Rhizoma) (2.5 qian).
Cut the herbs. Take 5 qian per dose, add 2 zhan of water, decoct to 1 zhan, take warm.
Cang Gong San Treats sudden Gui Ji (Ghost Strike), Gui Zhu (Ghost Infestation), Gui Ci (Ghost Stabbing), heart/abdomen pain like stabbing, hematochezia, immediate death with loss of consciousness, sleep paralysis with insensible teeth/toes, and various toxic gas diseases.
Gua Di (Thladianthae Fructus) powder (*Jiu Weisheng Fang* has no Gua Di powder, but has Zaojiao [Gleditsiae Sinensis Spina] powder).
Lilu (Veratrum Nigrum Rhizoma) powder, Xionghuang (Realgar), Fanshi (Alumen) (ground, equal parts).
Grind into fine powder, mix well. Blow a small amount into the nose. If sneezing occurs and bowels move, life is restored. If no sneeze, blow again until sneezing occurs. This medicine can revive the dead; perhaps Zaojiao is the correct ingredient.
Buyi Neibi San Supplemental Intranasal Powder Treats Shi Jue (Corpse Syncope) with pulsating pulse but no breath, Qi blockage, quiet as if dead, named Cu Jue (Sudden Syncope).
Shichangpu (Acori Tatarinowii Rhizoma) (remove hairs, grind to powder).
Use a quantity equivalent to two Chinese characters' weight, blow into the nose to enter, simultaneously place Guixin (Cinnamomi Cortex) powder under the tongue.
Liuhuang San Sulfur Powder Treats Shi Jue (Corpse Syncope) with sudden death, cold extremities, unconsciousness, and abdominal Qi moving like thunder rumbling.
Yanxiao (Natrii Nitras), Liuhuang (Sulfur).
Grind finely, divide into three doses. Mix with wine and administer. After walking five li, give another dose. Recovery occurs within three doses.