有伤食，痛连胸膈，痞闷不通，手足逆冷，尺脉全无者，此即中食之症。若忽然厥逆，口不能言，肢不能举
者，名曰食厥。若作中风中气治之，死可立待。宜先以盐吐之，再行消食导气之药。（《集解》）
给谏晏怀泉夫人，先患胸腹痛，次日卒然晕倒，手足厥逆，时有医者以牛黄丸磨就将服矣。余诊之，
六脉皆伏，惟气口稍动，此食满胸中，阴阳痞膈，升降不通，故脉伏而气口独见也。取陈皮、砂仁各一两，姜
八钱，盐三钱，煎汤，以指探吐，得宿食五六碗，六脉尽见矣。左关弦大，胸腹痛甚，知为大怒所伤也。以
木香、青皮、橘红、白术、香附煎成与服，两剂痛止。更以四君子加木香、乌药，调理十余日方瘥。此食中
兼气中。（《必读》）
酒厥（宜与《伤酒》门相参）酒厥之证，即经所云热厥之属也。又经云酒风者，亦此类也。凡纵饮
无节之人，多有此病。方其气血正盛，力能胜之，不知酒害之何有。及其将衰，则酒之侮人，斯可畏耳。酒病
极多，莫知所出。其为酒厥，则全似中风，轻者犹自知人，重者卒尔运倒，忽然昏愦，或躁烦，或不语，或
痰涎如涌，或气喘发热，或咳嗽，或吐血，但察其大便干燥，脉实喜冷者，此湿热上壅之证，宜以抽薪饮（方
附见《痹》门）之类，疾降其火。火之甚者，仍以梨浆饮、绿豆饮之属，更迭进之，以解其毒。此证大忌辛
燥等物，务使湿热渐退，神气稍复，然后用补阴等剂以善其后。其有大便不实，或无火证，而脉见缓弱者，则
不宜清火，但以六君子汤之类主之。若因酒伤阴，以致脾肾两虚而为厥脱者，非速救本源，终无济也。凡患
此者，宜终身忌酒，勿使沾唇可也。若不知戒，再犯必难为矣。（《景岳》）
色厥 色厥之证有二∶一曰暴脱，一曰动血也。凡色厥之暴脱者，必以其人本虚，偶因奇遇而悉
力勉为者有之。或因相慕日久而纵竭情欲者亦有之，故于事后，则气随精去而暴脱不返。宜急掐人中，仍令阴
人搂定，用口相对，务使暖气嘘通以接其气，勿令放脱以保其神，随速用独参汤灌之，
或速灸气海数十壮，以复阳气，庶可挽回。第以临时慌张，焉知料理，故每致不救。然此以即病者言，所见诚
不多也。其有不即病而病此者则甚多也，又何以言之？以其精去于频而气脱于渐，故每于房欲二三日之后，方见
此证。第因其病不在即，故不以此为病，兼之人多讳此，而不知中年之后，多有因此而病者，是皆所谓色厥
也。奈时师不能察，而每以中风毙之耳。凡治此者，单宜培补命门。（按∶《石室秘 》曰∶人有小解之时，
忽然昏眩而倒者，亦阴阳之气脱也。此症多得之入内过于纵欲，即景岳所谓不即病而病此者也。拟
有逢土丹，用参、附、术、菖蒲、半夏、生枣仁。）又色厥之动血者，以其血气并走于上，亦血厥之属也。但
与大怒血逆者不同，而治法亦有所异。盖此因欲火上炎，故血随气上，必其情欲动极而欲不能遂者有之，或借
曲以强遏郁火者亦有之。其证则忽尔暴吐，或鼻衄不能禁止，或厥逆，或汗出，或气喘，或咳嗽，此皆以
阴火上冲而然。凡治此者，必先制火以抑其势。其有阴竭于下，火不归源，别无烦热脉证，而血厥不止垂危
者，非镇阴煎（用熟地、牛膝、泽泻、炙甘、桂、附）必不能救，待其势定，然后因证酌治之。（《景岳》）
男女交接过度，真气大脱，昏迷不醒，俱勿放开，须两阴交合，待气自苏。若就开合，必死难救，至慎
至慎。（《原病集》）（按原有《脱阳》门，其所载系《卫生家宝》伤寒阴证脱阳证治附有此言。考《家
宝》治方，用葱白、附子、白术、干姜、木香、五味。《经验良方》收之于华陀《肘后》仓卒十病中，而删
去伤寒阴证四字。《袖珍方》引之。《得效方》亦同，收在《虚损》中，名以大固阳汤，然犹未
言为此证。盖医书有此证创自唐氏，其谓为脱阳亦出自唐氏，
而彼方实足以治此证，故《救急选方》亦举之《脱阳》中。《家宝》方说载在《伤寒》中，宜参。）
凡男妇交感而死，在男子名曰脱阳，在女子名曰脱阴。男子虽死，阳事犹然不委；女子虽死，阴器
犹然不闭。有梦中脱死者，其阳必举，阴必泄，尸容有喜笑，为可辨也。皆在不救。（《方考》）
久旷之人，或纵欲之人，与女交合，泄而不止，谓之走阳。其女须抱定，勿使阴茎出户，急呵热气于
口中，以指捻住尾闾即救矣。若女人惊而脱去者，十有九死，亟以童女接气，灌以大剂独参汤，亦有活者。
（《必读》）（按∶《石室》曰∶苟能以独参汤数两急煎之，内可加附子一钱，乘热灌之，亦有已死重生者。）
有因饮食停滞导致的病症，疼痛牵连胸膈部位，出现痞塞闷胀、气机不通的症状，手足逆冷，尺部脉搏完全摸不到，这就是“中食”的证候。如果是突然发生四肢厥冷，口不能说话，肢体不能抬举的，称为“食厥”。如果将其当作中风或中气来治疗，死亡很快就会到来。应当先用盐汤催吐，然后再服用消食导气的药物。（《集解》）
给事中晏怀泉的夫人，先前患有胸腹疼痛，第二天突然晕倒，手足厥冷，当时有医生准备将牛黄丸磨碎给她服用。我诊察她的脉象，六部脉都伏匿不见，只有气口（右寸关尺中的右手脉，主脾胃/肺）稍微有搏动，这是食物积满胸中，导致阴阳之气痞塞阻隔，升降功能失常，所以脉象伏匿而唯独气口脉显现。取陈皮、砂仁各一两，生姜八钱，食盐三钱，煎成汤剂，用手指探喉催吐，吐出宿食五六碗，六部脉象全部显现出来。左关脉弦大，胸腹疼痛剧烈，判断是因为大怒伤肝所致。用木香、青皮、橘红、白术、香附煎服，两剂后疼痛停止。再改用四君子汤加入木香、乌药，调理十多天才痊愈。这是食厥兼夹气厥。（《必读》）
酒厥（应与《伤酒》章节参考对照）酒厥的证候，就是医经中所说的热厥的一类。医经又所说的“酒风”，也属于这一类。凡是放纵饮酒没有节制的人，大多会有这种病。当人体气血正旺盛时，体力能够承受酒力，不知道酒有什么危害。等到身体机能逐渐衰退时，酒对人体的侵害，就令人畏惧了。酒的致病非常多，不知其源头何在。至于酒厥，症状完全像中风，轻者还能清醒自知，重者突然晕倒，忽然昏迷不醒，或者烦躁不安，或者沉默不语，或者痰涎涌出，或者气喘发热，或者咳嗽，或者吐血，只要观察到大便干燥，脉象实大而喜冷饮的，这是湿热上壅的证候，适宜用抽薪饮（方剂附见于《痹》门）之类，迅速降泄火邪。火邪严重的，仍以梨浆饮、绿豆饮之类，交替服用，以解除其毒害。此证最忌辛温燥热等物，务必使湿热逐渐消退，神气稍复，然后用补阴等方剂善后调理。如果有大便稀溏，或者没有火邪证候，而脉象缓弱的，就不宜清火，主要以六君子汤之类为主治。如果是因饮酒损伤阴液，导致脾肾两虚而发生厥脱的，不迅速挽救本源，终究无济于事。凡是患此病的人，应当终身戒酒，不要沾唇为宜。如果不知道戒除，再次犯病就难以救治了。（《景岳》）
色厥 色厥的证候有两种：一是暴脱，二是动血。凡是色厥中的暴脱证，必定是因为患者本身体质虚弱，偶然因为意外情况而竭力勉为其难，或者有因相互爱慕日久而纵情竭尽情欲的，所以在事后，气随精液外泄而暴脱无法收回。应当立即掐按人中穴，仍让女性抱住固定，用口对口相对，务必使暖气嘘通以接续其气，不要让气息散脱以保全其神，随即迅速灌服独参汤，或者迅速艾灸气海穴数十壮，以恢复阳气，或许可以挽回生命。只是由于临时慌张，哪里知道妥善料理，所以每每导致无法救治。然而这是指发病即时的情况，所见确实不多。那些不是即时发病而是过后才发病的则很多，为什么这样说呢？因为精气在频繁房事中流失，元气是逐渐脱失的，所以往往在房事二三天之后，才见到这种证候。只因为病不在即时发作，所以人们不把它当作疾病看待，加上人多忌讳此事，而不知道中年以后，多有因此患病的人，这都称为色厥。无奈当时的医生不能明察，每每将其误诊为中风致死。凡治疗此病，单宜培补命门。（按：《石室秘录》说：有人在小便时，忽然昏眩而跌倒的，也是阴阳之气脱失。此症多得之于入内过于纵欲，就是张景岳所说的不即时发病而过后发病的情况。拟定了逢土丹，用人参、附子、白术、石菖蒲、半夏、生酸枣仁。）另外色厥中的动血证，是因为血气并走于上部，也属于血厥的一类。但与大怒导致血气上逆的不同，治疗方法也有所差异。这是因为欲火上炎，所以血随气上，必定有情欲激动至极而欲望未能满足的，或者有借酒来强行遏制郁火的。其证候则是忽然暴吐，或者鼻出血不能禁止，或者四肢厥冷，或者出汗，或者气喘，或者咳嗽，这都是因为阴火上冲所致。凡治疗此病，必须先制伏火邪以抑制其势头。如果有阴液枯竭于下，火不归源，没有其他烦热脉证，而血厥不止且垂危的，不用镇阴煎（用熟地黄、牛膝、泽泻、炙甘草、肉桂、附子）一定不能救活，待其势头稳定后，然后根据证候斟酌治疗。（《景岳》）
男女交合过度，真气大量脱失，昏迷不醒，都不要松开，必须保持两阴交合状态，等待气机自然苏醒。如果就分开结合，必然死亡难以救治，千万谨慎，千万谨慎。（《原病集》）（按：原有《脱阳》门，其中记载的是《卫生家宝》伤寒阴证脱阳证治附有此言。考证《家宝》的治疗方剂，用葱白、附子、白术、干姜、木香、五味子。《经验良方》将其收录在华佗《肘后》仓卒十病中，而删去了伤寒阴证四字。《袖珍方》引用它。《得效方》也相同，收录在《虚损》中，命名为大固阳汤，然而仍未说明是为治疗此证。大概医书中对此证的创立出自唐氏，称其为脱阳也出自唐氏，而他的方剂确实足以治疗此证，所以《救急选方》也将其举在《脱阳》中。《家宝》方论记载在《伤寒》中，宜参考。）
凡是男女交感而死，在男子称为脱阳，在女子称为脱阴。男子虽然死了，生殖器仍然勃起不萎；女子虽然死了，外阴仍然不闭合。有梦中遗精而死的，其阴茎必定举起，阴液必定泄出，尸体面容带有喜笑表情，可以辨别。这些都在不可救治之列。（《方考》）
长期禁欲之人，或纵欲之人，与女子交合，射精不止，称为走阳。此时女子须抱紧固定，不让阴茎退出阴道，急忙向口中呵热气，用手指捻住尾闾穴即可救治。如果女人受惊而挣脱离去，十有九死，亟需用童女对接气息，灌服大剂量独参汤，也有救活的。（《必读》）（按：《石室秘录》说：如果能用独参汤数两紧急煎煮，内可加入附子一钱，趁热灌服，也有已死复生的案例。）
There are cases of food stagnation where pain radiates to the chest and diaphragm, accompanied by a sensation of fullness and oppression with blocked qi mechanism, cold extremities, and an absent radial pulse at the Cun position (尺脉). This is known as "Zhong Shi" (Food Stroke). If sudden cold extremities occur, along with the inability to speak or move the limbs, it is named "Shi Jue" (Food Syncope). If treated as Wind-Stroke or Qi-Stagnation, death will follow immediately. One should first induce vomiting with salt water, then administer herbs that digest food and guide out stagnant qi. (Jie Jie)
The wife of Censor Yan Huaiquan previously suffered from chest and abdominal pain. The next day, she suddenly fainted with cold extremities. A physician was about to grind Niuhuang Wan (Calculus Bovis Pill) for her to take. Upon examination, I found all six pulses hidden (Fu Mai), except for the Qi Kou pulse (the pulse at the right cun-guan-chi positions, reflecting Lung/Stomach condition) which showed slight movement. This indicated food accumulation in the chest causing blockage of Yin and Yang, leading to failure of ascending and descending functions, hence the hidden pulses with only the Qi Kou visible. I prescribed Chenpi (Citri Reticulatae Pericarpium) and Sharen (Amomi Fructus Rotundus), each one liang, Ginger eight qian, and Salt three qian, decocted in water. After inducing vomiting by stimulating the throat, five to six bowls of retained food were expelled, and all six pulses became palpable. The Zuo Guan (left guan) pulse was wiry and large, and chest/abdominal pain was severe, indicating injury from extreme anger. I prescribed Muxiang (Aucklandiae Radix), Qingpi (Citri Reticulatae Pericarpium Viride), Juhong (Citri Reticulatae Pericarpium Rubrum), Baizhu (Atractylodis Macrocephalae Rhizoma), and Xiangfu (Cyperi Rhizoma) decocted together. After two doses, the pain ceased. Subsequently, Sijunzi Tang (Four Gentlemen Decoction) with added Muxiang and Wuyao (Linderae Radix) was used for regulation over ten days until recovery. This was Food Syncope combined with Qi Syncope. (Bidu)
Jiu Jue (Wine Syncope) (Refer to the section on Shang Jiu/Wine Injury). The syndrome of Jiu Jue belongs to the category of Re Jue (Heat Syncope) described in the classics. The "Jiu Feng" (Wind of Wine) mentioned in the classics also falls into this category. People who drink excessively without restraint often suffer from this disease. When their qi and blood are vigorous, they can withstand the alcohol and do not perceive its harm. However, when their vitality declines, the damaging effect of wine becomes terrifying. Alcohol causes many diseases, but its origins vary. Jiu Jue resembles Wind-Stroke completely. In mild cases, the patient remains conscious; in severe cases, they suddenly faint and fall into deep coma, may be restless and irritable, mute, have profuse phlegm, experience panting and fever, cough, or hematemesis. If the stool is dry, the pulse is excess and rapid, and the patient prefers cold drinks, this is a syndrome of Damp-Heat obstructing upwards. It is appropriate to use Chouxin Yin (Fire-Draining Decoction - formula attached to the Bi/Gibi section) to rapidly descend the fire. For severe fire, Lijiang Yin (Pear Juice Drink) or Ludou Yin (Mung Bean Drink) can be alternated to resolve toxicity. This syndrome strictly prohibits acrid and drying substances. One must ensure damp-heat gradually recedes and spirit/qi slightly recovers before using Yin-nourishing formulas for aftercare. If there is loose stool, no signs of fire, and a slow/weak pulse, clearing fire is inappropriate; instead, Liujunzi Tang (Six Gentlemen Decoction) should be the primary treatment. If yin is damaged by alcohol, leading to deficiency of both Spleen and Kidney resulting in syncope/collapse, saving the root source quickly is essential, otherwise it is futile. Patients should abstain from alcohol for life. If they fail to戒 (restrain) themselves and relapse, it will be difficult to treat. (Jingyue)
Se Jue (Sexual Syncope) There are two types of Se Jue: one is sudden collapse (Baotuo), and the other is bleeding due to sexual activity (Dongxue). Sudden collapse in Se Jue occurs because the person is originally deficient, and either exerted themselves excessively during an unexpected encounter or indulged in lust after long-term mutual affection. Consequently, after intercourse, qi follows the essence outwards, leading to sudden collapse that cannot return. Immediate pressure on Renzhong (GV26) is required. The female partner should hold the patient firmly, mouth-to-mouth resuscitation should be performed to transmit warm air and reconnect the qi, preventing qi dispersion to preserve the shen (spirit). Immediately administer Duchang Tang (Single Ginseng Decoction) or moxa Qihai (CV6) dozens of times to restore yang qi, hoping to save the life. However, panic at the moment often leads to improper handling and failure to rescue. This refers to immediate onset; such cases are rare. Many more cases do not manifest immediately but appear later. Why? Because essence is lost frequently, and qi depletes gradually. Thus, symptoms often appear two or three days after intercourse. Because the illness is not immediate, people do not recognize it as a disease. Moreover, people hide this secret, unaware that many after middle age fall ill due to this, which is called Se Jue. Unfortunately, contemporary physicians fail to diagnose it correctly and often misdiagnose it as Wind-Stroke, leading to death. Treatment should focus solely on tonifying the Mingmen (Gate of Life). (Note: Shishi Milu states: Some people suddenly feel dizzy and fall during urination, which is also due to the collapse of yin and yang qi. This results from excessive lust, similar to Jingyue's description of delayed-onset Se Jue. A formula, Fengtu Dan, is proposed using Renshen (Ginseng Radix et Rhizoma), Fuzi (Aconiti Lateralis Radix Praeparata), Baizhu (Atractylodis Macrocephalae Rhizoma), Changpu (Acori Tatarinowii Rhizoma), Banxia (Pinelliae Rhizoma), and Sheng Zaoren (Ziziphi Spinosae Semen).) The other type, bleeding Se Jue, occurs because blood and qi rush upwards simultaneously, belonging to the category of Blood Syncope. It differs from blood reversal caused by extreme anger, and thus the treatment differs. This is due to desire-fire flaring up, causing blood to follow qi upwards. It happens when desire is intense but unfulfilled, or when liquor is used to suppress suppressed fire. Symptoms include sudden hematemesis, uncontrollable epistaxis, cold extremities, sweating, panting, or coughing, all caused by Yin-fire rushing upward. Treatment must first control the fire to suppress its momentum. If yin is exhausted below, fire does not return to its source, without other heat signs/pulses, and blood syncope is critical and persistent, only Zhenyin Jian (Yin-Suppressing Decoction - using Shudihuang (Rehmanniae Radix Praeparata), Niuxi (Achyranthis Bidentatae Radix), Zexie (Alismatis Rhizoma), Zhigancao (Glycyrrhizae Radix et Rhizoma Praeparata), Rougui (Cinnamomi Cortex), and Fuzi (Aconiti Lateralis Radix Praeparata)) can save the patient. Once stabilized, treat according to specific symptoms. (Jingyue)
If excessive sexual intercourse leads to massive loss of true qi and unconsciousness, do not separate the partners. Maintain genital contact until qi naturally recovers. Separating them immediately will lead to certain death. Be extremely cautious. (Yuanbing Ji) (Note: The original "Tuo Yang" section cites Wei Sheng Jia Bao regarding Cold Syndrome Tuo Yang treatment. The formula uses Congbai (Allii Tuberosi Bulbus), Fuzi (Aconiti Lateralis Radix Praeparata), Baizhu (Atractylodis Macrocephalae Rhizoma), Ganjiang (Zingiberis Rhizoma), Muxiang (Aucklandiae Radix), and Wuwei Zi (Schisandrae Chinensis Fructus). Jingyan Liangfang included it in Hua Tuo's Zhouhou Fang emergency list, removing "Cold Syndrome". Xiuzhen Fang cited it. Dexiao Fang included it in Deficiency sections as Da Gu Yang Tang, though not explicitly linked to this syndrome. The creation of this syndrome description and the name "Tuo Yang" is attributed to Tang Shi. His formula effectively treats this, so Jiujixuanfang included it in Tuo Yang. Wei Sheng Jia Bao's theory is in Shanghan, refer to it.)
Death resulting from sexual intercourse is called Tuo Yang (Yang Collapse) in men and Tuo Yin (Yin Collapse) in women. Even if a man dies, his penis remains erect. Even if a woman dies, her vulva remains open. Death during dreams with emission involves an erect penis and seminal discharge, and the corpse may show a smiling expression, which helps distinguish it. All these cases are incurable. (Fangkao)
In men who have been abstinent for a long time or those who indulge excessively, prolonged ejaculation during intercourse is called "Zou Yang" (Running Yang). The female partner must hold him tightly, ensuring the penis does not withdraw. Quickly blow warm air into his mouth and press the Weilü point (near the coccyx) with fingers to rescue. If the woman escapes in fright, nine out of ten die. Urgently connect breath with a virgin girl and administer a large dose of Duchang Tang (Single Ginseng Decoction); survival is possible. (Bidu) (Note: Shishi Milu states: If Duchang Tang is brewed urgently in large quantities, with one qian of Fuzi (Aconiti Lateralis Radix Praeparata) added and given hot, even those already dead may revive.)