退五脏虚热，四时加减柴胡饮子方
冬三月加∶柴胡（八分） 白术（八分） 陈皮（五分） 大腹槟榔（并皮子者四枚） 生
姜（五分） 桔梗（七分）
春三月加∶枳实；减∶白术（共六味）
夏三月加∶生姜（三分） 枳实（五分） 甘草（三分，共八味）
秋三月加∶陈皮（三分，共六味）
上各 咀，分为三帖，一帖以水三升，煮取二升，分温三服。如人行四五里，进一服。
如四体壅，添甘草少许，每帖分作三小帖，每小帖以水一升，煮取七合，温服，再合滓为
一服，重煮，都成四服（疑非仲景方。）
【按】此方证不属，不释。
长服诃黎勒丸方
诃黎勒 陈皮 浓朴（各三两）
上三味，末之，炼蜜丸，如桐子大，酒饮眼二十丸，加至三十丸。
【按】此方当在前篇“谷气之实也”之下。
三物备急丸方
大黄（一两） 干姜（一两） 巴豆（去皮心，熬，外研如脂，一两）
上药各须精新，先捣大黄、干姜为末，研巴豆内中，合治一千杵，用为散，蜜
和丸，亦加密器中贮之，莫令泄气。主心腹诸卒暴百病，若中恶客忤，心腹胀满，卒痛
如锥刺，气急口噤，停尸卒死者，以暖水苦酒服大豆许三四丸，或不下，捧头起，灌令下咽，须臾
当差；如未差，更与三丸，当腹中鸣，即吐下，便差；若口噤，亦须折齿灌之。
【方解】方名备急者，以备暴然诸腹满、腹急痛及中恶客忤、噤闭卒死者也。若口噤
亦须折齿灌之，是恐人不急救则死之义，然不如后人管吹入鼻中之法为良。
【集解】李 曰∶人卒得病欲死者，皆感毒厉邪阴不正之气而然。三物相须，能荡邪
安正，或吐或下，使秽气上下分消，诚足备一时急需也。
治伤寒令愈不复，紫石寒食散方
紫石英 白石英 赤石脂 钟乳（碓炼） 栝萎根 防风 桔梗 文蛤 鬼臼（各十分）
太乙余粮（烧，十分） 干姜 附子（炮，去皮，） 桂枝（去皮，各四分）
上十三味，杵为散，酒服方寸匕。
【按】方未详，不释。
尸厥，脉动而无气。气闭不通，故静而死也。治方∶
菖蒲屑内鼻两孔中，吹之；令人以桂屑着舌下。
【注】形如不病，人有气而脉动失常，名曰行尸。卒死不知人，无气而脉动如故，名
曰尸厥。尸厥乃正气暴然为邪气闭塞不通，故
静而似死。用菖蒲内鼻，桂着舌下，是通心神启阳气也。
又方∶
剔取左角发方寸，烧末，酒和，灌令入喉，立起。
【方解】菖蒲吹鼻，桂着舌下，而不愈者，则用此法，是以发乃血之余，血乃心所生，用
烧则发其阳，用酒则行气血。用本人者，喜一气相通也。
救卒死方
薤捣汁灌鼻中。
【方解】卒然昏死，皆尸厥也。薤白类蒜而小。北人谓之小根菜，南人谓之钓乔是也。
其味极辛，捣汁灌鼻，亦通窍取嚏之意也。
又方∶
雄鸡冠割取血，管吹内鼻中。
猪脂如鸡子大，苦酒一升，煮沸灌喉中。
鸡肝及血涂面上，以灰围四旁，立起。
大豆二七粒，以鸡子白并酒和，尽以吞之。
【方解】雄鸡冠血及肝、卵白、猪脂、大豆、酒、醋等物，无非用阳物以胜阴祟也。管
吹内鼻中，谓将鸡冠血或合热酒，含在不病患口内，以苇管或笔管插入病患鼻孔中，使
气连药吹之，其药自能下咽，气通噤自开也。
救卒死而壮热者方
矾石半斤，以水一斗半煮消，以渍脚，令没踝。
【注】厥而身壮热者，阳厥腑病也，外以矾水浸脚，盖以厥起于下，而收摄阳气也。
【集注】程林曰∶厥阳独行，故卒死而壮热。岐伯曰∶血之与气，并走于上则为大厥，
厥则暴死。矾石，收摄药也，以之浸足，而收敛其厥逆之气。
救卒死而目闭者方
骑牛临面，捣薤汁灌耳中，吹皂荚鼻中，立效。
救卒死而张口反折者方
灸手足两爪后，十四壮了，饮以五毒诸膏散（有巴豆者。）
【注】卒死张口反折者，用灸以通阳气，但饮以五毒诸膏方。
救卒死而四肢不收、失便者方
马屎一升，水三斗，煮取二斗，以洗之；又取牛洞（稀粪也）一升，温酒灌口中；灸心下一
寸、脐上三寸、脐下四寸各一百壮，瘥。
【注】尸厥目闭，口张失便，反张，四肢不收，阴厥脏病也。有如是之证者，用骑牛
临面之法，正所以厌邪也。薤汁灌耳，皂角吹鼻，皆通其诸窍，而闭塞者可通也。灸手
足甲后，以通外阳法也。马屎取吐之法。灸中脘、关元，以通内阳之法也。
救小儿卒死而吐利，不知是何病方
狗屎一丸，绞取汁，灌之。无湿者，水煮干者取汁。
【方解】凡屎皆发阳气，用狗屎亦取发阳气也。
救卒死、客忤死，还魂汤主之。方∶
麻黄（去节，三两） 杏仁（去皮尖，七十个） 甘草（炙，一两）
上三味，以水八升，煮取三升，去滓，分令咽之，通治诸感忤。
【注】中恶客忤，便闭里实者，仲景用备急丸，可知无汗表实者，不当用备急丸通里，
当用还魂汤以通表也。通里者，抑诸阴气也；通表者，扶诸阳气也。昧者不知，以麻黄为
入太阳发汗之药，抑知不温覆取汗，则为入太阴通阳之药也，阳气通动，魂可还矣。
又方∶
韭根（一把） 乌梅（二七个） 吴茱萸（炒，半升）
上三味，以水一斗煮之，以病患栉内中三沸，栉浮者生，沉者死，煮取三升，云滓，
分饮之。
【方解】韭根、吴茱萸、乌梅之治，亦收阳气法也。浮为阳，沉为阴，阳生阴死义也。
救自缢死，旦至暮虽已冷，必可治；暮至旦，小难也。恐此当言分气盛故也。然夏
时夜短于昼，又热，犹应可治。又云∶心下若微温者，一日以上犹可治之。方∶
徐徐抱解，不得截绳。上下安被卧之，一人以脚踏其两肩，手少挽其发，常弦弦勿纵
之；一人以手按揉胸上，数动之；一人摩捋臂胫屈伸之。若已僵，但渐渐强屈之，并按
其腹。如此一炊顷，气从口出，呼吸，眼开，而犹引按莫置，亦勿苦劳之。须臾，可少桂
汤及粥清含之，令濡喉，渐渐能咽，及稍止，更令两人，以两管吹其两耳朵。此法最善，无
不活者。
【注】旦至暮，阳气有余，阳主生，故虽已冷必可治也。暮至旦，阴气有余，阴主死，
故稍难也。自缢之人，必可治者，恐此当有言语忿争，气盛不散，故可治也。暮至旦，固
难治；然遇夏时夜短于昼，又热，皆阳气有余，犹应可治。又云∶心下若微温者，虽一
日以上，犹可治之。观此谆谆告切，仲景仁心，惟恐人畏其繁琐而不治也。此法尝试之，
十全八九，始知言果不谬。弦弦，犹言紧紧也。揉胸按腹，摩臂胫屈伸之，皆引导其气
之法也。
凡中 死，不可使得冷，得冷便死。疗之方∶
屈草带绕 人脐，使三两人尿其中，令温。亦可用热泥和屈草，亦可扣瓦碗底，按及车缸，以
着人，取令尿须得流去。此谓道路穷，卒无汤。当令尿其中，欲使多人尿，
取令温，若汤便可与之，不可泥及车缸，恐此物冷。 既在夏月，得热泥上、暖车缸，亦
可用也。
【注】中暑卒死之人，不可置放阴凉之处，恐其闭热在内，犹被冻之人，不可沃以热汤，
恐其闭寒在内，反为大害也。
救溺死方
取灶中灰二石余，以埋人从头至足，水出七孔即活。尝试蝇子落水而死者，用灶灰
埋之自活。
【集解】李 曰∶灶灰得火土相生之气，以埋人则外温卫气，而内渗水湿，故能使水
出七孔而活。
治坠马及一切筋骨损方
大黄（切，浸汤成汁，一两） 绯帛（烧灰，如手大） 乱发（烧灰用，如鸡子大） 久用炊
单布（烧灰，一尺） 败蒲（一握三寸） 桃仁（去皮尖，熬，四十九个） 甘草（炙，锉，如中
指节）
上七味，以童子小便，量多少，煎汤成，内酒一大盏，次下大黄，去滓，分温三服。先
锉败蒲席半领，煎汤浴，衣被盖覆，斯须通利数行，痛处立瘥。利及浴水赤，勿怪，即
瘀血也。
【注】外浴以散其瘀，内服以下其瘀，斯两得之矣。
【集注】徐彬曰∶从高坠下，法当救损伤筋骨为主。然顿跌之势，内外之血必无不瘀，
瘀不去，则气不行，气不行，则伤不愈，故以桃仁、大黄，逐瘀为主，绯帛红花之余，乱
发血之余，合童便以消瘀血。汤浴能活周身气血，然筋骨瘀血必有热气滞郁，故以炊单
布受气最多而易消者，以散滞通气，从其类也。加少炙甘草，补中以和诸药也。
冬季三个月增加：柴胡（八分） 白术（八分） 陈皮（五分） 大腹槟榔（连同皮和核共四枚） 生姜（五分） 桔梗（七分）。
春季三个月增加：枳实；减少：白术（共六味药）。
夏季三个月增加：生姜（三分） 枳实（五分） 甘草（三分，共八味药）。
秋季三个月增加：陈皮（三分，共六味药）。
以上各药切碎，分为三帖。一帖用水三升，煮取二升，分三次温服。如人行走四五里的时间，服用一次。
如果四肢壅滞不适，添加少许甘草，每帖分为三个小帖。每个小帖用水一升，煮取七合，温服，再将药渣合并为一次服用，重新煎煮，总共成为四次服用（怀疑不是张仲景的方子）。
【按语】此方的证候不符，不予解释。
长服诃黎勒丸方
诃黎勒 陈皮 浓朴（各三两）
以上三味药，研成粉末，用炼蜜制成丸剂，大小如梧桐子，用酒送服二十丸，可加至三十丸。
【按语】此方应当放在前篇“谷气之实也”之下。
三物备急丸方
大黄（一两） 干姜（一两） 巴豆（去皮心，炒制，外研如脂状，一两）
以上药物都必须精选新鲜的，先捣碎大黄、干姜为粉末，将巴豆研入其中，混合捣治一千杵，做成散剂，再用蜜调和成丸，也要存放在密封容器中，不要让药气泄漏。主治心腹各种突然暴发的疾病，如果是中恶客忤，心腹胀满，突然疼痛如锥刺，气急口噤，停尸卒死者，用温水或苦酒送服大豆大小的三四丸，如果药不下咽，托起头部灌入使其咽下，片刻应当痊愈；如果未愈，再给三丸，应当听到腹中鸣响，随即呕吐或腹泻，病就好了；如果口噤，也必须撬开牙齿灌入。
【方解】方名“备急”，是为了防备突然发生的各种腹满、腹急痛以及中恶客忤、噤闭卒死等情况。如果口噤也必须撬牙灌药，这是恐怕人不急救就会死亡的意思，然而不如后人用管子吹入鼻中的方法好。
【集解】李珣说：人突然得病快要死亡的，都是感受了毒厉邪阴不正之气而导致的。这三味药相互配合，能荡涤邪气安定正气，或者通过呕吐或者通过腹泻，使秽气上下分消，确实足以备一时急需。
治伤寒令愈不复，紫石寒食散方
紫石英 白石英 赤石脂 钟乳（捣碎炼过） 栝萎根 防风 桔梗 文蛤 鬼臼（各十分）
太乙余粮（烧过，十分） 干姜 附子（炮制，去皮） 桂枝（去皮，各四分）
以上十三味药，捣碎成散剂，用酒送服一方寸匕。
【按语】方义不详，不予解释。
尸厥，脉动而无气。气闭不通，所以安静而死。治疗方：
菖蒲屑纳入鼻孔两孔中，吹入；让人把桂屑放在舌下。
【注】形体像没病，人有气但脉搏跳动失常，名叫行尸。突然死亡不知人事，没有气但脉搏跳动如故，名叫尸厥。尸厥是正气突然被邪气闭塞不通，所以安静而似死。用菖蒲纳鼻，桂放舌下，是通心神启阳气的方法。
又一方：
剔取左角头发一方寸，烧成粉末，用酒调和，灌入喉中，立即苏醒。
【方解】菖蒲吹鼻，桂放舌下，如果不愈，就用此法，因为头发是血的剩余，血由心生，用火烧则发散其阳，用酒则运行气血。使用本人的头发，是因为喜欢一气相通。
救卒死方
薤捣汁灌入鼻中。
【方解】突然昏死，都是尸厥。薤白类似蒜但较小。北方人叫它小根菜，南方人叫它钓乔。它的味道极辛，捣汁灌鼻，也是通窍取嚏的意思。
又一方：
割取雄鸡冠血，用管子吹入鼻中。
猪脂如鸡蛋大，苦酒一升，煮沸后灌入喉中。
鸡肝及血涂在脸上，周围用灰围住，立即苏醒。
大豆十四粒，用鸡蛋清并酒调和，全部吞下。
【方解】雄鸡冠血及肝、卵白、猪脂、大豆、酒、醋等物，无非是用阳性之物来战胜阴祟。用管子吹入鼻中，是说将鸡冠血或热酒含在不患病人口内，以苇管或笔管插入病患鼻孔中，使气息连着药吹进去，药自然能咽下，气通噤自开。
救卒死而壮热者方
矾石半斤，用水一斗半煮化，用来浸泡双脚，让水没过脚踝。
【注】厥逆而身体壮热的，是阳厥腑病，外用矾水浸脚，大概是因为厥逆起于下部，以此收敛摄纳阳气。
【集注】程林说：厥阳独行，所以突然死亡且壮热。岐伯说：血与气，一起向上走就是大厥，厥则暴死。矾石是收敛摄纳的药，用它浸足，来收敛厥逆之气。
救卒死而目闭者方
骑在牛背上面对患者面部，捣薤汁灌入耳中，吹皂荚粉入鼻中，立即见效。
救卒死而张口反折者方
灸手足两爪后各十四壮，饮用五毒诸膏散（含有巴豆的）。
【注】突然死亡张口反折的，用灸法以通阳气，但需饮用五毒诸膏方。
救卒死而四肢不收、失便者方
马屎一升，水三斗，煮取二斗，用来清洗身体；又取牛洞（稀粪）一升，温酒灌入口中；灸心下一寸、脐上三寸、脐下四寸各一百壮，痊愈。
【注】尸厥目闭，口张失禁，反张，四肢不收，是阴厥脏病。有这些症状的，用骑牛临面的方法，正是为了厌胜邪气。薤汁灌耳，皂角吹鼻，都是通利诸窍，闭塞者可通。灸手足甲后，是以通外阳的方法。马屎取吐之法。灸中脘、关元，是以通内阳的方法。
救小儿卒死而吐利，不知是何病方
狗屎一丸，绞取汁液，灌入。没有湿狗的，水煮干狗屎取汁。
【方解】凡是粪便都能发散阳气，用狗屎也是取发散阳气之意。
救卒死、客忤死，还魂汤主之。方：
麻黄（去节，三两） 杏仁（去皮尖，七十个） 甘草（炙，一两）
以上三味药，用水八升，煮取三升，去滓，分次让患者咽下，通治各种感忤。
【注】中恶客忤，便闭里实的，张仲景用备急丸，可知无汗表实的，不应当用备急丸通里，应当用还魂汤以通表。通里，是抑制诸阴气；通表，是扶持诸阳气。愚昧的人不知道，以为麻黄是入太阳经发汗的药，岂知如果不温覆取汗，则为入太阴经通阳的药，阳气通动，魂可还矣。
又一方：
韭根（一把） 乌梅（二十七个） 吴茱萸（炒，半升）
以上三味药，用水一斗煮之，将患者的梳子放入其中煮三沸，梳子浮起来的为生，沉下去的为死，煮取三升，去掉渣滓，分次饮用。
【方解】韭根、吴茱萸、乌梅的治疗，也是收摄阳气的方法。浮为阳，沉为阴，阳生阴死的道理。
救自缢死，早晨到晚上虽然已经冷，必定可以治；晚上到早晨，稍微难治。恐怕这是因为阳气盛的原因。然而夏天夜晚短于白天，又热，仍然应该可以治。又说：心下如果微温的，一天以上还可以治。方：
慢慢解开束缚，不得截断绳子。上下安放被子让其躺卧，一人用脚踏住其两肩，手轻轻拉扯其头发，要紧紧不要放松；一人用手按压揉搓胸部，多次动作；一人按摩捋顺手臂和小腿，屈伸肢体。如果已经僵硬，只是渐渐强行屈曲，并按摩腹部。这样一顿饭的时间，气从口出，呼吸，眼开，但仍然牵引按压不要放下，也不要过分劳累他。片刻，可以给少许桂枝汤及米粥清含在口中，润湿喉咙，渐渐能咽下，及稍止，再让两人，用两根管子吹其两耳朵。这个方法最好，没有不活的。
【注】早晨到晚上，阳气有余，阳主生，所以虽然已冷必定可治。晚上到早晨，阴气有余，阴主死，所以稍难。自缢之人，必定可治的，恐怕这是因为言语忿争，气盛不散，所以可治。晚上到早晨，固然难治；然而遇到夏天夜晚短于白天，又热，都是阳气有余，仍然应该可以治。又说：心下如果微温的，虽一天以上，还可以治。看这谆谆告诫急切之情，张仲景的仁心，惟恐人们畏惧繁琐而不治疗。此法尝试过，十全八九，才知道话果然不错。弦弦，犹言紧紧。揉胸按腹，摩臂胫屈伸，都是引导其气的方法。
凡中暑死，不可使得冷，得冷便死。疗之方：
屈草带绕病人脐，使两三人在其中尿，使其温热。也可以用热泥和屈草，也可以扣瓦碗底，按及车缸，以着人，取令尿须得流去。这叫道路穷困，突然没有热水。应当让尿在其中，想要多人尿，取令温热，如果有热水便可与之，不可用泥及车缸，恐怕这些东西冷。如果在夏月，得到热泥上、暖车缸，也可以使用。
【注】中暑卒死之人，不可放置阴凉之处，恐怕其闭热在内，犹如被冻之人，不可浇以热汤，恐怕其闭寒在内，反而为大害。
救溺死方
取灶中灰二石多，用来埋人从头至足，水从七孔流出即活。尝试蝇子落水而死，用灶灰埋之自己复活。
【集解】李珣说：灶灰得火土相生之气，用来埋人则外温卫气，而内渗水湿，所以能使水从七孔流出而活。
治坠马及一切筋骨损方
大黄（切，浸汤成汁，一两） 绯帛（烧灰，如手大） 乱发（烧灰用，如鸡子大） 久用炊单布（烧灰，一尺） 败蒲（一握三寸） 桃仁（去皮尖，熬，四十九个） 甘草（炙，锉，如中指节）
以上七味药，用童子小便，量多少，煎汤成，加入一大盏酒，其次下大黄，去滓，分三次温服。先锉败蒲席半领，煎汤洗浴，衣被盖覆，片刻通利数次，痛处立即痊愈。利及浴水变红，不要奇怪，即是瘀血。
【注】外浴以散其瘀，内服以下其瘀，两全其美。
【集注】徐彬说：从高坠落，法当救损伤筋骨为主。然而顿跌之势，内外之血必无不瘀，瘀不去，则气不行，气不行，则伤不愈，所以以桃仁、大黄，逐瘀为主，绯帛红花之余，乱发血之余，合童便以消瘀血。汤浴能活周身气血，然筋骨瘀血必有热气滞郁，所以以炊单布受气最多而易消者，以散滞通气，从其类也。加少炙甘草，补中以和诸药也。
Decoction of Bupleurum with Seasonal Modifications to Retreat Deficient Heat of the Five Zang Organs
During the three winter months, add: Chai Hu (Bupleuri Radix, 8 fen), Bai Zhu (Atractylodis Macrocephalae Rhizoma, 8 fen), Chen Pi (Citri Reticulatae Pericarpium, 5 fen), Da Fu Bing Lang (Arecae Cathayensis Pericarpium, including peel and seed, four pieces), Sheng Jiang (Zingiberis Rhizoma Recens, 5 fen), Jie Geng (Platycodonis Radix, 7 fen).
During the three spring months, add: Zhi Shi (Aurantii Fructus Immaturus); reduce: Bai Zhu (total six ingredients).
During the three summer months, add: Sheng Jiang (3 fen), Zhi Shi (5 fen), Gan Cao (Glycyrrhizae Radix et Rhizoma, 3 fen, total eight ingredients).
During the three autumn months, add: Chen Pi (3 fen, total six ingredients).
The above ingredients are each chopped, divided into three doses. One dose is boiled in three sheng of water to obtain two sheng, taken in three warm doses. Administer one dose at intervals equivalent to walking for four or five li.
If there is stagnation in the four limbs, add a small amount of Gan Cao. Divide each dose into three smaller doses. Each small dose is boiled in one sheng of water to obtain seven ge, taken warm. The dregs are then combined for another dose, re-boiled, resulting in a total of four doses (suspected not to be a formula by Zhang Zhongjing).
[Commentary] The syndrome indicated by this formula does not match; therefore, it is not explained.
Formula for Long-term Use of He Li Le Pills
He Li Le (Terminalia Chebulae Fructus), Chen Pi, Hou Po (Magnoliae Officinalis Cortex, each 3 liang).
The above three ingredients are powdered, mixed with refined honey to form pills the size of paulownia seeds. Take twenty pills with wine, increasing up to thirty pills.
[Commentary] This formula should have been placed under "Excess of Grain Qi" in the previous chapter.
San Wu Bei Ji Wan (Three-Ingredient Emergency Preparedness Pill)
Da Huang (Rhei Radix et Rhizoma, 1 liang), Gan Jiang (Zingiberis Rhizoma, 1 liang), Ba Dou (Crotonis Fructus, peeled and cored, roasted, ground externally to a paste-like consistency, 1 liang).
The above medicines must be fresh and pure. First, pound Da Huang and Gan Jiang into powder, then mix in the ground Ba Dou. Process together for one thousand pestle strikes. Use as a powder, or mix with honey to form pills. Store in a sealed container to prevent loss of potency. It treats sudden acute diseases of the heart and abdomen, such as being afflicted by evil influences or hostile spirits, abdominal distension and fullness, sudden pain like needle pricking, shortness of breath, locked jaw, or sudden death resembling corpse paralysis. Administer three or four pills (size of soybean) with warm water or sour vinegar. If unable to swallow, prop up the head and force the medicine down. Recovery should occur shortly. If not recovered, administer three more pills. Abdominal borborygmus will follow, leading to vomiting or purging, and recovery. If the jaw is locked, teeth must be pried open to administer the medicine.
[Explanation] The name "Bei Ji" (Emergency Preparedness) refers to preparing for sudden abdominal fullness, acute pain, affliction by evil influences, locked jaw, or sudden death. The instruction to pry open teeth if locked indicates the urgency to prevent death from lack of immediate rescue, though later methods of blowing medicine into the nose are considered superior.
[Collection of Explanations] Li Xun stated: Sudden fatal illnesses are caused by toxic, malignant, yin, and abnormal qi. These three ingredients work together to purge evil and stabilize righteous qi, inducing vomiting or purging to eliminate turbid qi from above and below, truly sufficient for emergencies.
Zi Shi Han Shi San (Purple Stone Cold Food Powder) to Treat Typhoid Fever Preventing Recurrence
Zi Shi Ying (Fluorite, 10 parts), Bai Shi Ying (White Fluorite, 10 parts), Chi Shi Zhi (Halloysit Rubrum, 10 parts), Zhong Ru (Stalactite, pounded and refined, 10 parts), Gua Lou Gen (Trichosanthis Radix, 10 parts), Fang Feng (Saposhnikoviae Radix, 10 parts), Jie Geng (10 parts), Wen Ge (Meretricis Concha, 10 parts), Gui Jiu (Podophylli Fructus, 10 parts), Tai Yi Yu Liang (Kaolin, burned, 10 parts), Gan Jiang (10 parts), Fu Zi (Aconiti Lateralis Radix Praeparata, processed, peeled, 4 parts), Gui Zhi (Cinnamomi Ramulus, peeled, 4 parts).
The above thirteen ingredients are pounded into a powder. Take one cun bi (square-inch measure) with wine.
[Commentary] The rationale of this formula is unclear; therefore, it is not explained.
Shi Jue (Corpse Coma), characterized by pulsating pulse but absence of vital qi. Qi blockage prevents flow, resulting in stillness and apparent death. Treatment formula:
Insert A Pu Xie (Rhizoma Acori Tatarinowii) powder into both nostrils and blow it in; place Gui Xie (Cinnamomi Ramulus powder) under the tongue.
[Note] When the body appears healthy but the pulse is irregular despite the presence of qi, it is called "Walking Corpse." Sudden death with unconsciousness, absence of qi, but persistent pulsating pulse is called "Shi Jue" (Corpse Coma). Shi Jue occurs when righteous qi is suddenly blocked by pathogenic qi, causing stillness resembling death. Inserting A Pu into the nose and placing Gui under the tongue opens the heart spirit and arouses yang qi.
Another Formula:
Take one square cun of hair from the left temple, burn it to ash, mix with wine, and pour into the throat. Immediate revival ensues.
[Explanation] If blowing A Pu into the nose and placing Gui under the tongue fails, this method is used. Hair is the surplus of blood, and blood is generated by the heart. Burning releases yang, and wine promotes blood and qi circulation. Using the patient's own hair ensures resonance of qi.
Rescue Formula for Sudden Death
Grind Xie (Allii Macrostemonis Bulbus) to extract juice and instill into the nose.
[Explanation] Sudden coma is essentially Shi Jue. Xie Bai resembles garlic but is smaller. Northerners call it "Xiao Gen Cai," Southerners call it "Diao Qiao." Its flavor is extremely pungent. Grinding and instilling into the nose aims to open orifices and induce sneezing.
Another Formula:
Cut blood from the comb of a rooster, use a tube to blow it into the nostrils.
Pig lard (size of an egg), bitter wine (Ku Jiu, 1 sheng), boil and pour into the throat.
Apply chicken liver and blood to the face, surround with ash, and immediate revival occurs.
Fourteen soybeans, mixed with egg white and wine, swallowed entirely.
[Explanation] Rooster comb blood, liver, egg white, pig lard, soybeans, wine, and vinegar are all yang substances used to overcome yin malevolence. Blowing into the nose involves holding the blood or warm wine in the mouth of a healthy person, inserting a reed or pen tube into the patient's nostril, and blowing air along with the medicine so it swallows naturally, opening the locked jaw through qi unblocking.
Rescue Formula for Sudden Death with High Fever
Fan Shi (Alumen, 0.5 jin). Boil in 1.5 dou of water until dissolved. Soak feet in the solution up to the ankles.
[Note] Coma with high fever is Yang Jue (Yang Reversal) involving the fu organs. Soaking feet in alum water helps collect and restrain yang qi, as reversal originates from the lower body.
[Collected Notes] Cheng Lin stated: Unrestrained jue-yang leads to sudden death and high fever. Qibo stated: When blood and qi rush upward together, it causes Great Jue, leading to sudden death. Alumen is an astringent agent; soaking feet with it收敛s the rebellious qi.
Rescue Formula for Sudden Death with Closed Eyes
Have someone ride a horse facing the patient's face. Grind Xie juice and instill into the ears. Blow Zao Jiao Fen (Gleditsiae Sinensis Spina powder) into the nose. Immediate effect.
Rescue Formula for Sudden Death with Open Mouth and Opisthotonos
Moxibustion on the posterior aspect of the nails of both hands and feet, fourteen moxa cones per site. Then drink Wu Du Zhu Gao San (Five-Toxin Various Ointment Powders, containing Ba Dou).
[Note] For sudden death with open mouth and opisthotonos, moxibustion is used to unblock yang qi, followed by drinking the Five-Toxin ointment powder.
Rescue Formula for Sudden Death with Flaccid Limbs and Incontinence
One sheng of horse manure, boiled in three dou of water to obtain two dou. Wash the body with this decoction. Also, take one sheng of cow dung (liquid feces), mix with warm wine, and pour into the mouth. Moxibustion on points Yiju (one cun below the heart center), Shenque (three cun above the umbilicus), and Guanyuan (four cun below the umbilicus), one hundred cones each. Recovery ensues.
[Note] Shi Jue with closed eyes, open mouth, incontinence, opisthotonos, and flaccid limbs is Yin Jue (Yin Reversal) involving the zang organs. The method of riding a horse facing the patient suppresses evil. Instilling Xie juice into ears and blowing Zao Jiao into nose opens the orifices. Moxibustion on the nails unblocks external yang. Horse manure induces vomiting. Moxibustion on Zhongwan and Guanyuan unblocks internal yang.
Rescue Formula for Children Sudden Death with Vomiting and Diarrhea of Unknown Cause
One pill of dog feces, squeeze out juice and administer. If dry feces are unavailable, boil in water to extract juice.
[Explanation] All feces can stimulate yang qi; using dog feces also aims to stimulate yang qi.
Huan Hun Tang (Return Soul Decoction) is the main formula for Sudden Death and Affliction by Hostile Spirits. Formula:
Ma Huang (Ephedrae Herba, nodes removed, 3 liang), Xing Ren (Armeniacae Semen Amarum, skin and tips removed, 70 seeds), Gan Cao (Glycyrrhizae Radix et Rhizoma, honey-fried, 1 liang).
The above three ingredients are boiled in eight sheng of water to obtain three sheng. Strain and allow the patient to swallow gradually. It treats all cases of affliction by hostile spirits.
[Note] For affliction by evil influences with constipation and interior excess, Zhang Zhongjing uses Bei Ji Wan. For exterior excess with no sweating, Bei Ji Wan should not be used to purge the interior; instead, Huan Hun Tang should be used to release the exterior. Purging the interior suppresses yin qi; releasing the exterior supports yang qi. Ignorant people believe Ma Huang only induces sweating in the Taiyang channel. They do not know that without covering for sweat, it enters the Taiyin channel to unblock yang. Once yang qi moves, the soul returns.
Another Formula:
Jiu Gen (Chinese Chive Root, one handful), Wu Mei (Mume Fructus, 27 seeds), Wu Zhu Yu (Evodiae Fructus, stir-fried, half sheng).
Boil these three ingredients in one dou of water. Place the patient's comb in the boiling liquid for three boils. If the comb floats, the patient lives; if it sinks, the patient dies. Boil down to three sheng, strain, and drink in portions.
[Explanation] The treatment with Jiu Gen, Wu Zhu Yu, and Wu Mei is also a method to gather yang qi. Floating represents yang, sinking represents yin, illustrating the principle that where yang grows, yin dies.
Rescue Formula for Hanging Death
Death by hanging from morning to evening, even if cold, can certainly be treated; from evening to morning, it is slightly difficult. This is likely due to the abundance of yang qi. However, in summer, nights are shorter than days and it is hot, so treatment should still be effective. It is also said that if the epigastrium is slightly warm, treatment is possible even after more than a day. Formula:
Slowly untie the victim; do not cut the rope. Lay the victim on bedding. One person steps on both shoulders, gently pulling the hair taut without relaxing. Another person presses and rubs the chest repeatedly. A third person massages and extends the arms and legs. If stiff, gradually force flexion and press the abdomen. After about the time it takes to cook a meal, qi exits the mouth, breathing resumes, and eyes open. Continue gentle pressure and do not exhaust the victim. Shortly after, offer small amounts of Gui Zhi Tang (Cinnamon Twig Decoction) or rice gruel to moisten the throat. As swallowing improves, have two people blow air into both ears using tubes. This method is most effective and rarely fails.
[Note] Morning to evening has abundant yang qi, which governs life, so treatment is effective even if cold. Evening to morning has abundant yin qi, which governs death, making it harder. Victims who can be saved likely died from anger where qi was abundant and not dispersed. Summer heat and short nights provide abundant yang, aiding recovery. If the epigastrium is warm, treatment is possible even after a day. Zhang Zhongjing's earnest warnings show his benevolence, fearing people might avoid treatment due to complexity. This method has an 80-90% success rate. "Xian Xian" means tight. Chest rubbing, abdominal pressing, and limb manipulation guide qi.
For Sudden Death from Heatstroke, Do Not Allow Cooling
Allowing cooling leads to death. Treatment Formula:
Wrap a bent grass belt around the navel. Have two or three persons urinate into it to generate warmth. Alternatively, use hot mud mixed with bent grass, or press a warm tile bowl bottom or warm axle against the body. Urine must flow away. This applies when hot water is unavailable. To warm urine, have multiple persons urinate. If hot water is available, use it; do not use mud or axles as they may be cold. In summer, hot mud or warm axles can be used.
[Note] Heatstroke victims should not be placed in cool places to avoid trapping heat inside, just as frozen victims should not be poured with hot water to avoid trapping cold inside, which would cause greater harm.
Rescue Formula for Drowning
Bury the victim from head to foot in over two dan of ashes from a stove. Water will exit from the seven orifices, and the victim revives. Experimentally, flies drowned in water revived when buried in stove ash.
[Collection of Explanations] Li Xun stated: Stove ash possesses the generative energy of fire and earth. Burying the victim warms the defensive qi externally and渗s water-dampness internally, allowing water to exit the orifices and restoring life.
Formula for Falling from Horses and All Bone and Tendon Injuries
Da Huang (Rhei Radix et Rhizoma, sliced, soaked in decoction to yield juice, 1 liang), Fei Bo (Red Silk, burned to ash, size of a hand), Luan Fa (Tangled Hair, burned to ash, size of an egg), Jiu Yong Chui Dan Bu (Old Cooking Cloth, burned to ash, one chi), Bai Pu (Decayed Cattail, one handful, three cun), Tao Ren (Persicae Semen, skin and tips removed, roasted, 49 seeds), Gan Cao (Glycyrrhizae Radix et Rhizoma, honey-fried, cut, size of middle finger joint).
The above seven ingredients are decocted in urine from a young boy (quantity adjusted). Add one large cup of wine, then add Da Huang. Strain and divide into three warm doses. First, decoct half a decayed cattail mat for bathing. Cover the patient with clothing and bedding. After a short while, several bowel movements will occur, and pain will immediately cease. Reddish discharge and bathwater are normal, indicating expelled blood stasis.
[Note] External bathing disperses stasis, while internal administration purges stasis, achieving both goals.
[Collected Notes] Xu Bin stated: For falls from height, treating bone and tendon injury is primary. However, trauma inevitably causes internal and external blood stasis. If stasis is not removed, qi cannot move, and injuries do not heal. Thus, Tao Ren and Da Huang are used primarily to expel stasis. Fei Bo (related to red flower) and Luan Fa (surplus of blood) combined with child's urine eliminate blood stasis. Bathing activates whole-body qi and blood. Since bone and tendon stasis involves stagnant heat, the old cooking cloth, which absorbs much qi and is easily dissolved, is used to dissipate stagnation and promote qi flow, following its nature. A small amount of honey-fried Gan Cao tonifies the middle and harmonizes the herbs.