十般危证,急如风雨,故选名方救之。
一危证∶霍乱吐泻,或因饮冷,或冒寒,或失饥,或大怒,或乘车船伤动胃气,令人上
吐下泻不止,头旋眼花,手足转筋,四肢逆冷。方用∶
吴茱萸(半两) 木瓜(半两) 食盐(半两)
上同炒焦,先用瓦瓶水三升,煮令百沸,却入煎,三味同煎二升以下服之。
一方∶用枯白矾为末,每服一大钱,百沸汤点服。
又方∶用盐一撮,醋一盏,煎七分,温服。或盐梅咸酸等物,亦可煎服。
二危证∶缠喉风,闭、肿、痛,手足厥冷,实时气闭不通,用皂角三皮,挪水一盏,灌
下立愈。
一方∶皂角一皮,百草霜一钱,同研为末,冷水调,加清油数点灌之。
又方∶升麻四两锉碎,水四碗,煎一碗,灌之即愈。
三危证∶吐血内损,或因酒色损伤心肺,血气妄行,口鼻俱出。上用荆芥一握,烧灰置
地上,出火毒,细研。每服三钱,陈米饮调下。
一方∶百草霜研细。每服三钱,浓米饮调三服妙。
四危证∶中砂毒,烦躁,心腹绞痛,头旋欲吐不吐,面青黑,四肢冷。上用青蓝一握,
细研。以井花水调下一碗灌之。
一方∶麻油二升灌下。
一方∶地浆水浓服三碗。(即掘开黄土地,以水倾入,搅浊服之。)
五危证∶尸厥奄然死去,不省人事,腹中气走如雷鸣。上用生姜自然汁半盏,和酒一盏
煎,令百沸并灌服之。仍灸丹田、百会、气海穴。
六危证∶中鬼气,勿倒地,四肢冷,手握拳,鼻口出血。上用雄黄为末一钱许,煎桃叶
汤调下。
一方∶故汗衫衣或触衣久染污者,男用女衣,女用男衣,烧灰。每服二钱,七沸
汤调服。(触衣,即内衬衣也。)
七危证∶脱阳,小腹急痛,肾缩面黑,气喘冷汗自出。上用连须葱白三茎,砂盆中研烂
,以酒五升煮取二升,作二服。仍用炒盐,先熨脐下气海穴处,勿令气冷为佳。
八危证∶鬼压、鬼击、房中被鬼打,作声叫唤不省。上用灶心土槌碎为末。每服二钱,
新汲水调下。更挑半指甲,吹入鼻中。又灸两足大拇指聚毛中三七壮。
又方∶用桃柳东生枝各三七寸,煎汤三盏,候温灌服。
九危证∶孕妇逆生。上用槐子七粒,研细,新汲顺流水下。
又方∶用乌蛇蜕一条,蝉蜕二七个,头发一束共烧灰。温酒调下三服,仰卧片时即生。
又方∶用小绢针,就儿足心各刺三、五针,急用盐涂刺处,即顺行矣。
十危证∶胎衣不下,恶血凑心迷闷,胎衣逆上。上用赤小豆一升炒过,水三升煮取二升
,去豆取汁,温服立下。
又法∶以妇人自身手足指甲烧灰,酒调下一服。却令有力妇人抱起,将竹筒于心上赶下
为妙。
十种危急重症,发病急骤如风雨般迅猛,因此精选名方进行救治。
第一种危证:霍乱引起的呕吐和腹泻,可能是因为饮用冷水、感受寒邪、饮食不规律(饥饱失常)、大怒,或乘坐车船震动损伤了胃气,导致上吐下泻不止,头晕眼花,手足抽筋,四肢冰冷。处方如下:
吴茱萸(半两) 木瓜(半两) 食盐(半两)
将上述三味药一同炒至焦黄,先用瓦瓶装水三升,煮沸后,再放入药物同煎,煮至二升以下时服用。
另一方法:使用枯白矾研成粉末,每次服用一大钱,用滚开水冲服。
又一方:取盐一撮,醋一盏,煎至七分满,温服。或者使用盐梅等咸酸食物,也可以煎服。
第二种危证:缠喉风,表现为咽喉闭塞、肿胀、疼痛,手足厥冷,突然气息闭塞不通。使用皂角三皮,加水浸泡取汁一盏,灌服后立即痊愈。
另一方法:皂角一皮,百草霜一钱,一同研成粉末,用冷水调匀,加入几滴清油灌服。
又一方:升麻四两切碎,用水四碗,煎至一碗,灌服即愈。
第三种危证:吐血及内脏损伤,可能是因为酒色过度损伤心肺,导致血气妄行,从口鼻流出。上方使用荆芥一握,烧成灰后放在地上以去除火毒,细细研磨。每次服用三钱,用陈年米汤调服。
另一方法:百草霜研细。每次服用三钱,用浓米汤调服三次效果更佳。
第四种危证:中砂毒,表现为烦躁不安,心腹绞痛,头晕想吐却吐不出来,面色青黑,四肢冰冷。上方使用青蓝(一种植物染料或草药,此处指代特定解毒草药,通常指靛蓝类或类似解毒物,古籍中常指代具有清热解毒作用的青色植物,此处保留原名或译为特定草药,鉴于“青蓝”在古方中多指代某种特定解毒材料,暂按字面处理,但在现代语境下可能指代特定草药,此处依原文直译并保留术语)一握,细细研磨。用井花水(刚打上来的井水)调服一碗灌下。
另一方法:麻油二升灌服。
另一方法:地浆水浓服三碗。(即挖掘黄土坑,倒入水搅浑后服用。)
第五种危证:尸厥(假死状态),突然死亡,不省人事,腹中气走如雷鸣声。上方使用生姜自然汁半盏,与酒一盏混合煎煮,煮沸后一并灌服。同时艾灸丹田、百会、气海穴。
第六种危证:中鬼气(古代对某些突发精神或神经系统异常疾病的迷信称呼,现多视为急性病或中毒),患者倒地不起,四肢冰冷,手握拳,鼻口出血。上方使用雄黄研末约一钱,用桃叶汤调服。
另一方法:旧汗衫或长期接触污染的衣物,男性用女性衣物,女性用男性衣物,烧成灰。每次服用二钱,用七沸的热水调服。(触衣,即贴身内衣。)
第七种危证:脱阳(阳气暴脱),小腹部急痛,睾丸收缩,面色发黑,气喘且冷汗自出。上方使用带须葱白三茎,在砂盆中研烂,用酒五升煮取二升,分两次服用。同时使用炒盐,先熨烫脐下的气海穴处,不要让该部位受冷为佳。
第八种危证:鬼压、鬼击、房中被鬼打(古代对突发性昏迷或痉挛性疾病的迷信称呼),发出声音叫唤但不省人事。上方使用灶心土捣碎成粉末。每次服用二钱,用新打的冷水调服。另外挑破半个指甲大小的皮肤,吹入药粉到鼻孔中。又灸双脚大拇指聚毛处三七壮(艾炷)。
又一方:使用桃树和柳树向东生长的枝条各三七寸,煎汤三盏,待温热后灌服。
第九种危证:孕妇难产(逆生)。上方使用槐子七粒,研细,用新打的顺流水送服。
又一方:使用乌蛇蜕一条,蝉蜕二十七个,头发一束共同烧成灰。用温酒调服三次,仰卧片刻即可分娩。
又一方:用小绢针,在胎儿足心各刺三、五针,急忙用盐涂抹针刺处,胎儿即可顺行产出。
第十种危证:胎衣不下(胎盘滞留),恶血攻心导致迷闷,胎衣逆行向上。上方使用赤小豆一升炒过,用水三升煮取二升,去掉豆子取汁,温服后可立即排出。
又法:将产妇自身的手足指甲烧成灰,用酒调服一次。然后让有力气的妇人抱起产妇,将竹筒放在心口处向下赶压,效果更佳。
Ten types of critical conditions arise suddenly like wind and rain; therefore, famous prescriptions are selected to rescue the patients.
First critical condition: Cholera with vomiting and diarrhea, caused by drinking cold water, exposure to cold, irregular eating habits (hunger or overeating), extreme anger, or physical shock from riding in carriages or boats damaging stomach Qi. This leads to incessant vomiting and diarrhea, dizziness, blurred vision, convulsions of the hands and feet, and cold extremities. Prescription:
Evodiae Fructus (Wuzhuyu, 吴茱萸) half tael, Chaenomelis Fructus (Mugua, 木瓜) half tael, Sal (Yan, 食盐) half tael.
Stir-fry the three ingredients together until scorched. First, boil three sheng of water in a clay pot, then add the herbs and decoct until less than two sheng remain. Take orally.
Another method: Use calcined alum (Ku Bai Fan, 枯白矾) ground into powder. Take one large qian per dose, mixed with boiling water.
Another prescription: Take a pinch of salt and one zhan of vinegar, decoct until reduced to seventy percent, and take warm. Alternatively, use salted plums or other salty-sour substances, decocted and taken orally.
Second critical condition: Throat-binding wind (Chan Hou Feng, 缠喉风), characterized by throat obstruction, swelling, pain, cold extremities, and sudden respiratory failure. Use three pieces of Gleditsiae Sinensis Fructus (Zao Jiao, 皂角), soak in water to obtain one zhan of juice, and administer via gavage for immediate recovery.
Another method: One piece of Gleditsiae Sinensis Fructus (Zao Jiao, 皂角) and one qian of Carbonis Herba (Baicao Shuang, 百草霜), ground together into powder. Mix with cold water, add a few drops of sesame oil, and administer via gavage.
Another method: Decoct four liang of Cimicifugae Rhizoma (Shengma, 升麻) chopped, using four bowls of water, reduce to one bowl, and administer via gavage for recovery.
Third critical condition: Hematemesis and internal injury, caused by excessive alcohol and sexual activity damaging the heart and lungs, leading to erratic blood flow exiting from the mouth and nose. Use one handful of Schizonepetae Spica (Jingjie, 荆芥), burn to ash, place on the ground to eliminate fire toxicity, and grind finely. Take three qian per dose, mixed with aged rice water.
Another method: Grind Carbonis Herba (Baicao Shuang, 百草霜) finely. Take three qian per dose, mixed with thick rice water. Three doses are effective.
Fourth critical condition: Poisoning from sand/minerals, characterized by restlessness, severe abdominal pain, dizziness with urge to vomit but unable to do so, cyanotic and black complexion, and cold extremities. Use one handful of Qing Lan (Qinglan, 青蓝 - a specific herbal antidote, often associated with indigo or similar detoxifying plants), grind finely. Mix with well water (Jing Hua Shui, 井花水) and administer one bowl via gavage.
Another method: Administer two sheng of Sesame Oil (Mahu You, 麻油) via gavage.
Another method: Drink three bowls of thick Di Jiang Shui (Dijiangshui, 地浆水 - mud water). (Dig into yellow earth, pour water in, stir until turbid, and drink.)
Fifth critical condition: Corpse-like fainting (Shi Jue, 尸厥), sudden apparent death, unconsciousness, and rumbling gas in the abdomen. Use half a zhan of fresh Ginger Juice (Shengjiang Zhi, 生姜自然汁) mixed with one zhan of wine, boil vigorously, and administer via gavage. Additionally, moxa points Dantian (CV12), Baihui (GV20), and Qihai (CV6).
Sixth critical condition: Ghost Qi invasion (Zhong Gui Qi, 中鬼气 - ancient term for acute neuropsychiatric or toxic conditions), patient falls down without moving, cold extremities, clenched fists, bleeding from nose and mouth. Use approximately one qian of Realgar (Xionghuang, 雄黄) powder, mixed with Peach Leaf Decoction (Tao Ye Tang, 桃叶汤) and administered orally.
Another method: Burn old sweat-stained shirts or clothes contaminated over time. Men use women's clothes, women use men's clothes, burn to ash. Take two qian per dose, mixed with seven-times boiled water. ("Touching clothes" refers to underwear.)
Seventh critical condition: Yang collapse (Tuo Yang, 脱阳), acute lower abdominal pain, retraction of testes, blackened face, panting, and spontaneous cold sweating. Use three stalks of Scallion White with roots (Lian Xu Cong Bai, 连须葱白), mash in a mortar, decoct in five sheng of wine to obtain two sheng. Divide into two doses. Additionally, apply hot stir-fried salt to warm the Qihai (CV6) point below the navel; keep the area warm.
Eighth critical condition: Ghost pressure/attack (Gui Ya/Gui Ji, 鬼压/鬼击 - ancient term for sudden coma or spasms), making sounds and calling out but unconscious. Use Hearth Earth (Zao Xin Tu, 灶心土) crushed into powder. Take two qian per dose, mixed with fresh cold water. Additionally, prick the skin under a fingernail-sized area, blow the powder into the nostrils. Moxa thirty-seven cones at the hair tufts of both big toes.
Another method: Decoct thirty-seven cun of peach branches and willow branches growing eastward, make three zhan of soup, cool slightly, and administer via gavage.
Ninth critical condition: Breech presentation in pregnant women. Use seven seeds of Sophora Japonica (Huai Zi, 槐子), grind finely, and swallow with fresh flowing water.
Another method: Burn one shed skin of Black Snake (Wu She Tui, 乌蛇蜕), twenty-seven shed skins of Cicada (Chan Tui, 蝉蜕), and a bundle of hair together to ash. Take three doses mixed with warm wine. Lie supine for a moment, and delivery will occur.
Another method: Use a small silk needle to prick three to five times on each sole of the fetus's feet. Immediately apply salt to the puncture sites to facilitate normal delivery.
Tenth critical condition: Retained placenta (Tai Yi Bu Xia, 胎衣不下), evil blood rushing to the heart causing confusion, placenta reversing upward. Use one sheng of Adzuki Beans (Chi Xiao Dou, 赤小豆), stir-fried, decoct in three sheng of water to obtain two sheng. Remove beans, take the juice warm, and the placenta will be expelled immediately.
Another method: Burn the fingernails and toenails of the woman herself to ash, mix with wine, and take one dose. Then, have a strong woman lift the patient and press a bamboo tube against the heart/chest area to push downwards.