痧毒冲心，发晕闷，倒地。一似中暑中风，人不知觉，实时而毙，此痧之急者，如略有苏醒，扶起放痧，不愈，审
脉服药施治。如发晕不醒，扶之不能起，必须审脉辨症的确，果系何因，先用药数剂灌醒，然后扶起放痧，渐为调治。
治验∶
一汪君美内室，六月间，发晕昏迷。延余诊之，两寸芤而散，余脉如常，但重按之，时见歇指，此暑热秽气触犯心
经之痧也。扶之不起，先用宝花散，薄荷汤并藿香汤冷服。稍醒扶起，刺出毒血三针，不愈。用沉香阿魏丸、薄荷汤微
冷冻饮料之，渐安。后用四物汤调理而愈。
倏忽昏迷不醒，或痰喘不已，眼目上吊，形如小儿落弓之症。此暗痧难识，必须审脉辨症，的是痧毒，看其身体凉
热，唇舌润燥何如，然后治之。
治验∶
一盛洪烈子，九月间，发热口渴，昏闷不醒，两目上翻。延余诊视，六脉微细而伏，先用宝花散加砂仁汤，冷下而
苏，扶起放痧十二针，去紫黑毒血，用救苦丹并细辛大黄丸加砂仁汤稍冷下，又用防风散痧汤加金银花、丹参、山楂、
卜子而痊。
一陈公玉，八月间，时常身热，口中微渴，煎滚茶饮之，倏然沉重，昏迷不醒。余诊之，左尺沉细，动止不匀，右
寸脉浮而芤，此肾虚而痧犯之。肾水之痧，逆行干母肺金，故痰气壅盛而发晕也。用独活红花汤入贝母、牛膝同煎，加
童便饮之，更进圆红散而醒，然后扶起放痧，二日后，痧气清，用补中益气汤、六味地黄丸，调理而痊。
痧毒上冲于心，导致头晕闷胀，患者倒地。症状看似中暑或中风，人失去知觉，随即死亡，这是痧症中急重的情况；如果患者尚有一丝苏醒迹象，将其扶起并施行放痧疗法，若病情未愈，需仔细诊察脉象、辨别症状后服药治疗。如果出现头晕且无法苏醒，扶持不起，必须准确诊脉辨证，明确病因，先用药剂灌服使其苏醒，然后再扶起施行放痧，随后逐渐进行调理治疗。
治验案例：
有一位汪君美的内室（妻子），在六月间发病，出现头晕昏迷。请我诊治，发现其两寸脉芤而散乱，其余脉象如常，但重按时，时常出现间歇性的歇止脉，这是暑热秽气触犯心经所致的痧症。患者被扶起时身体无力，先用宝花散，配合薄荷汤和藿香汤冷服。患者稍醒后被扶起，针刺放出毒血三针，但病情未愈。改用沉香阿魏丸，用微冷冻的薄荷汤送服，病情逐渐安定。之后用四物汤调理而痊愈。
突然昏迷不醒，或者痰喘不止，眼目上吊，形态如同小儿“落弓”病症。这是暗痧，难以识别，必须仔细诊脉辨证，确认为痧毒后，观察其身体凉热、唇舌润燥等情况，然后进行治疗。
治验案例：
盛洪烈的儿子，在九月间，发热口渴，昏闷不醒，两眼上翻。请我诊治，六脉微细而伏匿，先用宝花散加砂仁汤，冷服后苏醒，扶起施行放痧十二针，排出紫黑色的毒血，再用救苦丹并细辛大黄丸加砂仁汤稍冷服下，又用防风散痧汤加金银花、丹参、山楂、萝卜子而痊愈。
陈公玉，在八月间，时常身体发热，口中微渴，饮用煎滚的茶水后，突然感到沉重，昏迷不醒。我诊察他的脉象，左尺脉沉细，跳动节律不齐，右寸脉浮而芤，这是肾虚而痧邪侵犯所致。肾水之痧，逆行干扰母脏肺金，所以痰气壅盛而发晕。用独活红花汤入贝母、牛膝同煎，加入童便饮用，再进服圆红散而苏醒，然后扶起施行放痧，两天后，痧气清除，用补中益气汤、六味地黄丸调理而痊愈。
Sha poison rushes to the heart, causing dizziness and stifling sensation, leading to collapse. The presentation resembles heatstroke or wind-stroke (Zhong Feng), with loss of consciousness and sudden death; this is an acute and severe case of Sha syndrome. If there is a slight sign of recovery, lift the patient and perform bloodletting (Fang Sha); if not cured, carefully examine the pulse and differentiate symptoms before administering medication. If dizziness occurs without regaining consciousness and the patient cannot be lifted, it is essential to accurately diagnose the pulse and differentiate symptoms to determine the cause. First, administer several doses of medicine via gavage to restore consciousness, then lift the patient for bloodletting, followed by gradual regulation and treatment.
Case Record 1:
The wife of Mr. Wang Junmei fell ill in June with dizziness and coma. Upon consultation, her Cun pulses on both sides were hollow (Kou) and scattered, while other pulses were normal. However, upon deep pressure, intermittent pauses (Xie Zhi) were occasionally observed. This was Sha syndrome caused by summer-heat, turbid qi, and foul pathogens invading the Heart Meridian. The patient could not be supported upright. Initially, Baohua San (Precious Flower Powder) was administered cold with Bohe Tang (Mint Decoction) and Huoxiang Tang (Agastache Decoction). After slightly regaining consciousness, she was supported upright, and three needles were used to prick and release toxic blood. The condition did not improve. Chenxiangawei Wan (Aucklandia and Asafoetida Pill) was then given with slightly chilled Mint Decoction, leading to gradual stabilization. Subsequently, Siwu Tang (Four Substance Decoction) was used for regulation, resulting in recovery.
Sudden coma without awakening, or incessant phlegm-wheezing, with eyes rolling upward, resembling the pediatric condition known as "Luo Gong" (falling bow). This is hidden Sha syndrome, which is difficult to identify. It requires careful pulse examination and symptom differentiation to confirm Sha poison. Observe the body's temperature (coolness or heat) and the moisture/dryness of the lips and tongue before treatment.
Case Record 2:
The son of Sheng Honglie presented in September with fever, thirst, stupor, and inability to wake up, along with upward deviation of the eyes. Upon consultation, all six pulses were faint, fine, and concealed (Fu). Baohua San plus Sharen Tang (Amomum Decoction) was administered cold, restoring consciousness. Twelve needle pricks were performed for bloodletting after supporting the patient, releasing dark purple-black toxic blood. Jiuku Dan (Pain-Relieving Pellet) and Xixin Dahuang Wan (Asarum and Rhubarb Pill) plus Sharen Tang were administered at a slightly cool temperature. Finally, Fangfeng San Sha Tang (Saposhnikovia Detoxifying Sha Decoction) added with Jinyinhua (Lonicerae Japonicae Flos), Danshen (Salviae Miltiorrhizae Radix et Rhizoma), Shanzha (Crataegi Fructus), and Buluobozi (Raphani Semen) led to recovery.
Chen Gongyu presented in August with frequent low-grade fever and mild oral thirst. After drinking boiling tea water, he suddenly felt heavy and fell into a coma. Upon consultation, the Chi pulse on the left side was deep and fine, with irregular rhythm. The Cun pulse on the right side was floating and hollow. This indicated Kidney deficiency complicated by Sha invasion. Sha of the Kidney Water pathogen reversely interfering with the Mother organ, Lung Metal, causes excessive phlegm and qi stagnation leading to dizziness. Duohuo Honghua Tang (Angelica Pubescens and Carthamus Decoction) was decocted with Beimu (Fritillariae Bulbus) and Niuxi (Achyranthis Bidentatae Radix), mixed with Tongbian (Child Urine) for ingestion. Yuanhong San (Round Red Powder) was advanced to restore consciousness. Then, bloodletting was performed after supporting the patient. Two days later, after the Sha qi cleared, Buzhong Yiqi Tang (Middle-Warding Qi-Supplementing Decoction) and Liuwei Dihuang Wan (Six-Ingredient Rehmannia Pill) were used for regulation, resulting in recovery.