痧症药宜冷服。盖昏迷不醒，乃痧之热毒攻心，故心不能自主而昏迷。冷药入口，从膈间
顺流而下，则热毒在胸臆者，随药而消，故旋清醒，即尚昏迷，必有食积、血痰阻塞，再按脉症
用药，开导攻下，未有不醒者，兹特举用药之一隅，以俟神而明之者。用荆、防之类，从表而散；
用青、陈二皮，从中而消；用枳实、大黄之类，从大便而下；用木通、泽泻之类，从小便而行；
用楂、芽、卜子之类，所以
治其食之阻；用银花、红花之类，所以治其血之壅；（银花治血未解。）用槟榔、蓬术之类，所以治
其积之滞。
忌热汤、热酒、粥汤、米食诸物，犯之轻者必重，重者立毙。
痧后略松觉饿，骤进饮食即复，忍耐一二日，乃可万全。
《痧胀玉衡》书言治痧甚精详，第其中尽有过拘泥之处，即如风劳臌隔等杂症，皆以痧论，
则所见无非痧者有是理乎。兹特择其中大纲紧要数条，诠次而注释之，而治痧之大法亦尽于此矣。
锦再志。
其症痰涎壅盛，气急发喘，喉声如锯，痛似喉鹅，但喉鹅喉内肿胀，此则无之。又形似急喉
风，但喉风痛而不移，此则痛无定处。且喉鹅无痧筋，（解见前。）此有痧筋。根据前刺法刺之，
服吹方开后择用之。
冰硼散 治痧症咽喉肿痛。
天竺黄 硼砂（各二钱） 朱砂 冰片（各二分） 元明粉（八厘）
共为细末，瓷瓶贮，蜡封口。（出气难用。）患者吹喉中。
救苦丹 治痧气郁闷之剂。
枳实 萝卜子（各一两） 乌药 连翘（各八钱） 郁金（二钱）
共末，清茶稍冷下。
荆芥银花汤 此治血滞之剂。
荆芥 银花 红花 茜草 丹皮 赤芍（各一钱） 白蒺藜（去刺，研末，八分） 乌药（五
分） 香附（三分，捣）
水二盅，煎七分，微温服。
附治诸痧痛方 井水、河水各半和服。泥浆水澄清服。白糖和梅水服。晚蚕沙末，白滚汤候
冷调服。以上治痧症无食积阻滞者。
吐法 治新食阻住痧毒，明矾四分，白汤一碗，候冷化服。又方∶食盐一撮，白汤一碗，候
冷和服。二方必多饮方吐，少则不效。（按∶白矾稍多些亦可。）
痧症的药物应当冷服。因为昏迷不醒，是痧的热毒攻心所致，所以心脏不能自主控制意识而导致昏迷。冷的药物入口后，顺着膈肌向下流动，那么停留在胸臆部位的热毒，就会随着药物的作用而消散，因此患者很快就能清醒；如果仍然昏迷，必定是有食积、血痰阻塞了气机，再根据脉象和症状用药，采用开导或攻下的方法，没有不苏醒的。这里特别列举用药的一个方面，以等待那些神妙通达的人去领悟。使用荆芥、防风之类的药物，从体表发散；使用青皮、陈皮这两种皮类药材，从中焦消除积滞；使用枳实、大黄之类的药物，从大便排出；使用木通、泽泻之类的药物，从小便引导排泄；使用山楂、麦芽、萝卜子之类的药物，用来治疗食物阻滞；使用金银花、红花之类的药物，用来治疗血液壅滞；（金银花能治疗血分热邪未解的情况。）使用槟榔、蓬莪术之类的药物，用来治疗积滞停滞。
忌讳喝热汤、热酒、粥汤、米食等物品，触犯这些禁忌，轻的病证一定会加重，重的病证会立即死亡。
痧症过后稍微缓解感到饥饿时，突然进食饮食就会复发，忍耐一两天，才可以万无一失。
《痧胀玉衡》这本书论述治疗痧症非常精详，只是其中尽有过于拘泥的地方，就像风劳臌隔等杂症，都按照痧症来论治，那么所见到的无非都是痧症，有这样的道理吗？这里特别选择其中大纲紧要的几条，编排次序并加以注释，那么治疗痧症的大法也就全部包含在这里了。锦再记述。
这种病症表现为痰涎壅盛，气急发喘，喉咙发出像拉锯一样的声音，疼痛类似喉鹅（一种咽喉疾病），但是喉鹅在喉内有肿胀，而这种病症没有肿胀。又形状类似急喉风（急性喉风），但喉风疼痛位置固定不移，而这种病症疼痛没有固定位置。而且喉鹅没有痧筋（解释见前文），这种病症有痧筋。根据前面的刺法进行针刺，服用吹方（外用吹喉药方）中后面列出的方剂择一使用。
冰硼散 治疗痧症引起的咽喉肿痛。
天竺黄 硼砂（各二钱） 朱砂 冰片（各二分） 元明粉（八厘）
共同研磨成细末，用瓷瓶储存，蜡封口。（用于呼吸不畅的情况。）让患者吹入喉中。
救苦丹 治疗痧气郁闷的药剂。
枳实 萝卜子（各一两） 乌药 连翘（各八钱） 郁金（二钱）
共同研成粉末，用清茶稍凉后送服。
荆芥银花汤 这是治疗血滞的药剂。
荆芥 银花 红花 茜草 丹皮 赤芍（各一钱） 白蒺藜（去掉刺，研磨成末，八分） 乌药（五分） 香附（三分，捣碎）
水两盅，煎至七分，微温服用。
附：治疗各种痧痛的方子 井水、河水各一半混合服用。泥浆水澄清后服用。白糖和梅水混合服用。晚蚕沙粉末，用白开水候冷调匀服用。以上用于治疗痧症没有食积阻滞的情况。
吐法 治疗新近食物阻住痧毒，明矾四分，白开水一碗，候冷化开后服用。另一个方子：食盐一撮，白开水一碗，候冷混合服用。这两个方子必须多喝才能呕吐，喝少了就没有效果。（按：白矾稍微多一点也可以。）
The medicines for Sha syndrome should be taken cold. The reason for coma and unresponsiveness is that the heat-toxin of Sha attacks the Heart, causing the Heart to lose its ability to govern consciousness, resulting in coma. When cold medicine enters the mouth and flows smoothly down through the diaphragm, the heat-toxin residing in the chest and epigastrium dissipates along with the action of the medicine, so the patient regains consciousness quickly. If coma persists, it must be due to food retention or blood-phlegm obstruction; in such cases, medication should be administered based on pulse and symptoms, employing methods to open blockages or purge downward, without fail leading to recovery. Here, a specific aspect of medication usage is presented, awaiting those with divine insight to understand it further. Use herbs like Jingjie (Schizonepetae Herba) and Fangfeng (Saposhnikoviae Radix) to disperse from the exterior; use Qingpi (Aurantii Fructus Immaturus Pericarpium) and Chenpi (Aurantii Fructus Ripens Pericarpium) to resolve stagnation in the middle jiao; use Zhishi (Aurantii Fructus Immaturus) and Dahuang (Rhei Radix et Rhizoma) to purge via the large intestine; use Mutong (Akebiae Caulis) and Zexie (Alismatis Rhizoma) to promote urination; use Zhangsha (Crataegi Fructus), Maiya (Hordei Fructus Germinatus), and Luobozhongzi (Raphani Semen) to treat food obstruction; use Yinhua (Lonicerae Japonicae Flos) and Honghua (Carthami Flos) to treat blood stasis; (Yinhua treats unresolved heat in the blood level.) Use Binglang (Arecae Semen) and Pengzhu (Curcumae Rhizoma) to treat accumulation and stagnation.
Avoid hot soups, hot wine, porridge soup, rice foods, and other similar items. Violating these prohibitions will cause mild cases to become severe, and severe cases to die immediately.
After Sha syndrome subsides slightly, if hunger is felt, sudden intake of food will cause recurrence. Endure for one or two days before eating to ensure complete safety.
The book *Shazhang Yuheng* discusses the treatment of Sha syndrome with great precision and detail, yet there are parts that are overly rigid. For instance, miscellaneous diseases such as Feng (Wind), Lao (Consumption), Gu (Distension), and Ge (Regurgitation/Obstruction) are all treated as Sha syndrome. Is it logical that everything observed is merely Sha? Here, only the major and critical principles are selected, arranged in order, and annotated, thereby encompassing the general methods for treating Sha syndrome. Recorded by Jin Zai.
The symptoms include abundant phlegm-saliva, rapid breathing and wheezing, a sawing sound in the throat, and pain resembling Hou'e (Goose Throat, a type of throat disease). However, unlike Hou'e which presents with swelling inside the throat, this condition lacks such swelling. It also resembles Ji Houfeng (Acute Wind-Throat), but while Houfeng pain is fixed in location, the pain here is not fixed. Furthermore, Hou'e does not present with Sha veins (explained previously), whereas this condition does. Apply the pricking method described earlier, and choose one of the blowing formulas listed subsequently for application.
Bingpeng San (Ice and Borax Powder) Treats throat swelling and pain caused by Sha syndrome.
Tianzhuhuang (Calamistris Reliquia) [2 qian], Pingsha (Borax) [2 qian], Zhusha (Cinnabaris) [2 fen], Bingpian (Borneolum Syntheticum) [2 fen, Yuanmingfen (Natrii Sulfas) [8 li].
Grind together into a fine powder, store in a porcelain bottle, and seal with wax. (For use when breathing is difficult.) Blow the powder into the patient's throat.
Jiuku Dan (Pill for Saving from Suffering) A formula for treating Sha Qi depression and stifling.
Zhishi (Aurantii Fructus Immaturus) [1 liang], Luobozhongzi (Raphani Semen) [1 liang], Wuyao (Linderae Radix) [8 qian], Lianqiao (Forsythiae Fructus) [8 qian], Yujin (Curcumae Longae Rhizoma) [2 qian].
Grind into powder, take with clear tea that has cooled slightly.
Jingjie Yinhua Tang (Schizonepeta and Honeysuckle Decoction) This is a formula for treating blood stasis.
Jingjie (Schizonepetae Herba), Yinhua (Lonicerae Japonicae Flos), Honghua (Carthami Flos), Qiancao (Rubiae Cordifoliae Radix et Rhizoma), Danpi (Moutan Cortex), Chishao (Paeoniae Radix Rubra) [each 1 qian], Baijili (Tribuli Fructus) (remove spines, grind to powder) [8 fen], Wuyao (Linderae Radix) [5 fen], Xiangfu (Cyperi Rhizoma) (crushed) [3 fen].
Add two cups of water, decoct until seven-tenths remain, and take warm.
Appendix: Formulas for Treating Various Sha Pains
Mix half well-water and half river-water, and drink. Drink clarified mud-water. Mix white sugar with plum juice. Take powder of Can Sha (Bombyx Batryticatus) mixed with boiled water after cooling. The above are used for Sha syndrome without food retention or obstruction.
Emetic Method
For treating new food blocking Sha toxin: Mingfan (Alumen) [4 fen], dissolve in one bowl of plain water, cool, and drink. Another prescription: Salt [a pinch], mix with one bowl of plain water, cool, and drink. Both prescriptions require drinking a large amount to induce vomiting; taking less will be ineffective. (Note: Using slightly more Alumen is also acceptable.)