中暑不省人事 急取灶内微热灰壅之,复以稍热水蘸手巾,熨肠胁间,良久即苏。切不可便与冷物吃。(《急救
方》)
中暑昏眩烦闷欲绝 取田中干泥,做一圈堆在病患肚上,使少壮人撒尿于泥圈肚脐中,片时即得生矣。苏后切
不可饮冷水及卧湿地,得冷即死。(《种福堂方》)
中暑大小便不通 田螺(三枚)捣烂,入青盐(三分)摊成膏,贴在脐下一寸即通。(同上)
绞肠痧 绞肠痧者,暑郁中焦,腹痛连心,上下攻绞,不得吐泻,或手足皆冷,乃肠绞缩腹,须臾杀人。急用
生熟水调白矾三钱,少顷探吐,去其暑毒即安。或刺委中穴及指爪甲,令出血。如胸背四肢发红点者,以菜油灯火遍
之。(《证治汇补》)
旅途中暑卒倒不省 (或稍省而不能运动者)当实时扶入阴凉干处,以布巾衣服等蘸热汤,覆脐下及丹田之上,
续以汤淋布帛上,令彻脐腹,但暖则渐苏也。如仓卒无汤处,掬道上热土于脐间,以多为贵,冷则频换。或道途无汤处,
即掬热土于脐上,仍拨开作孔,令众人遗尿其中、以代热汤,亦可取效。(《多能鄙事》)
中暑忽然不省人事 宜灸百会、中脘、三里、脾俞、合谷、人中、阴谷,三阴交斟酌用,或针亦可。(《刺灸要
诀》)
冒暑大热霍乱吐泻 百劳、委中、合谷、曲池、三里、十宣等穴,酌选针灸。(同上)
中热僵仆不醒 切勿移冷地,寒气一逼即死。须安置于近日暖处,取路上净热土,捏圆圈围脐上,令溺圈内,
或将日晒热瓦,熨其人心腹及脐下,气通则醒。(《严用和济生方》)
中暑导致神志昏迷不省人事:紧急取灶膛内微热的灰烬覆盖在患者身上,再用稍热水浸湿的手巾,熨烫患者的腹部和胁肋部位,过一段时间后患者即可苏醒。切不可立即给患者食用冷物。(《急救方》)
中暑出现昏眩、烦闷欲绝的症状:取田野中的干泥土,堆成一个圆圈放在患者肚子上,让身体强壮的人向泥圈内的肚脐处撒尿,片刻之后患者就能恢复生机。苏醒后绝对不可饮用冷水及躺在潮湿的地方,一旦受寒就会死亡。(《种福堂方》)
中暑导致大小便不通:取田螺(三枚)捣烂,加入青盐(三分),摊成膏状,贴在脐下一寸处,大小便即可通畅。(同上)
绞肠痧:所谓绞肠痧,是暑邪郁结在中焦,腹痛牵连心脏,上下攻冲绞动,无法通过呕吐或腹泻排出病邪,或者手足都发冷,这是肠道痉挛收缩所致,短时间内可致人死亡。紧急时用生水和熟水调和白矾三钱,过了一会儿探喉催吐,去除体内的暑毒症状即可缓解。或者针刺委中穴及手指脚趾甲边缘,令其出血。如果胸背四肢出现红色斑点,用菜油灯火遍燎患处。(《证治汇补》)
旅途中暑突然晕倒不省人事(或者稍微清醒但不能活动者):应当即时扶入阴凉干燥之处,用布巾衣服等蘸取热汤,覆盖在脐下及丹田之上,随后不断用热汤淋浇在布帛上,使热力透达脐腹,只要保持温暖,患者就会逐渐苏醒。如果在匆忙间没有热水的地方,就捧起道路上晒热的土放在脐间,以多为贵,变冷则频繁更换。或者在路途没有热水的情况下,即捧起热土放在脐上,仍然拨开中间做成孔洞,让众人向其中撒尿,以此代替热汤,也可以取得疗效。(《多能鄙事》)
中暑突然神志昏迷不省人事:适宜艾灸百会穴、中脘穴、足三里、脾俞穴、合谷穴、人中穴、阴谷穴,三阴交穴酌情使用,或者采用针刺也可。(《刺灸要诀》)
冒暑受热导致霍乱吐泻:选取百劳穴、委中穴、合谷穴、曲池穴、足三里、十宣穴等穴位,酌情选用针灸治疗。(同上)
中热导致僵直仆倒不醒:切勿移动到寒冷之地,寒气一侵袭就会死亡。必须安置在靠近温暖的地方,取路上干净的热土,捏成圆圈围在脐上,让人向圈内撒尿,或者将日晒热的瓦片,熨烫患者的心腹及脐下部位,气机通畅后就会醒来。(《严用和济生方》)
Heatstroke causing loss of consciousness: Immediately take slightly warm ashes from the stove and cover the patient with them. Then, dip a hand towel in lukewarm water and apply moxibustion-like heat (ironing) to the abdomen and hypochondriac region. After a while, the patient will regain consciousness. Do not give cold substances to eat or drink immediately. (*Ji Jiu Fang*)
Heatstroke causing dizziness, vertigo, restlessness, and impending death: Take dry mud from fields and pile it into a circle on the patient's abdomen. Have a robust person urinate into the center of the mud circle at the navel. The patient will recover life within a short time. After regaining consciousness, absolutely do not drink cold water or lie on damp ground; exposure to cold will result in death. (*Zhong Fu Tang Fang*)
Heatstroke causing obstruction of both urination and defecation: Mash three *Ciprae Shell* (Tianluo) and mix with 3 fen of *Green Salt* (Qingyan). Apply as a paste to the point 1 cun below the umbilicus. Urination and defecation will then become unobstructed. (Ibid.)
Cramping Intestinal Sha (Jiao Chang Sha): This condition is caused by summer-heat stagnating in the Middle Jiao, resulting in abdominal pain radiating to the heart, with attacking and cramping sensations up and down, inability to vomit or have diarrhea, or coldness in both hands and feet. It involves intestinal spasms and contraction, which can be fatal in an instant. Immediately prepare a mixture of raw and cooked water with 3 qian of *Alum* (Bai Fan). After a short while, induce vomiting to expel the summer-heat toxin, and the condition will stabilize. Alternatively, prick the *Weizhong* (BL40) acupoint and the nail beds of fingers and toes to allow bleeding. If red spots appear on the chest, back, and limbs, cauterize the areas using a lamp wick dipped in vegetable oil. (*Zheng Zhi Hui Bu*)
Sudden collapse and loss of consciousness due to heatstroke during travel (or slight recovery but inability to move): Immediately assist the patient to a cool, dry place. Soak cloth towels or garments in hot water and cover the area below the umbilicus and above the *Dantian*. Continuously pour hot water over the cloths to ensure heat penetrates the umbilical and abdominal regions. As long as warmth is maintained, the patient will gradually regain consciousness. If hot water is unavailable in an emergency, scoop up hot earth from the road and place it around the umbilicus; use as much as possible, replacing it frequently when it cools. Alternatively, if no hot water is available on the road, scoop hot earth onto the umbilicus, create a hole in the center, and have people urinate into it to substitute for hot water, which can also be effective. (*Duo Neng Bi Shi*)
Sudden loss of consciousness due to heatstroke: Moxibustion is suitable for *Baihui* (GV20), *Zhongwan* (CV12), *Zusanli* (ST36), *Pishu* (BL20), *Hegu* (LI4), *Renzhong* (GV26), and *Yingu* (KI10). Use *Sanyinjiao* (SP6) according to circumstances. Acupuncture may also be used. (*Ci Jiu Yao Jue*)
Summer-heat inducing Huoluan with vomiting and diarrhea: Selectively apply acupuncture or moxibustion to points such as *Bailao*, *Weizhong* (BL40), *Hegu* (LI4), *Quchi* (LI11), *Zusanli* (ST36), and *Shixuan* (EX-UE11). (Ibid.)
Stiff collapse and unconsciousness due to excessive heat: Do not move the patient to a cold location; exposure to cold qi will cause death. Place the patient near a warm area. Take clean, hot earth from the road, form a circle around the umbilicus, and have someone urinate into it. Alternatively, use roof tiles heated by the sun to apply heat (ironing) to the patient's chest, abdomen, and below the umbilicus. When the Qi flows freely, the patient will awaken. (*Yan Yonghe Ji Sheng Fang*)