夫飞尸者,游走皮肤,穿脏腑,每发刺痛,变作无常。遁尸者,附骨入肉,攻凿血
脉,每发不可得近,见尸丧闻哀哭便发。风尸者,淫濯四肢,不知痛之所在,每发昏沉,
得风雪便作。沉尸者,缠骨结脏,冲心胁,每发绞切,遇寒冷便作。注尸者,举身沉重,精
神错乱,常觉昏发,每节气至变,辄成大恶。皆宜用忍冬叶锉数斛,煮令浓,取汁煎之,服
如鸡子大,日三服。
人平居无疾苦,忽如死人,身不动摇,默默不知人,目闭不能开,口噤不能言,或微
知人,恶闻人声,但如眩冒,移时方寤。此由汗过多,血少,气并于血,阳独上而不下,
气壅塞而不行,故身如死。气过血还,阴阳复通,故移时方寤。名曰郁冒,亦名血厥,妇
人多有之。宜服白薇汤。仓公散。
丹溪云∶凡人忽手足逆冷,肌肤起如米粒,头面青黑,精神恍惚,或错言妄语,或
牙关紧急,或昏寐仆倒,吊死问丧,入庙登墓,多有此病。先以苏合香丸灌之,次服调
气散、(杂病中气。)平胃散。(杂病中食。)《玉机微义》云∶卒厥飞尸,客忤鬼击,口噤,用
麻黄汤。(伤寒太阳。)寒厥表热里寒,则下利清谷,食入则吐,脉沉,手足冷,用四逆汤。(伤
寒厥。)热厥腹满,身重难转,面垢谵语,遗溺,手足厥冷,自汗,脉沉滑,用白虎汤。(杂病发
热。)锦衣杨永兴举家避眚,有仆沉醉失避者,既而神思昏昧,遍身青伤,各煎金银藤
(即忍冬叶。)汤灌之愈。一妇人忽昏愦发谵语,自云∶为前谋赖某人银两,某神责我,将你
起解往城隍理问,两脚踝、膝、臀处皆青肿,痛不可忍,口称苦楚。次日方苏,痛尚不止,
用金银藤两许,水煎服即愈。一妇人入古墓,患前证,以紫金锭磨汁灌之即苏。通政
余子华、太常汪用之,皆因往吊而卒死丧家,想即是证也。太乙神精丹(方见杂病谵妄。)苏
合香丸(方见杂病卒中。)雄朱散(方见杂病谵妄。)
白薇汤
白薇 当归(各一两) 人参(半两) 甘草(二钱半)
上 咀,每服五钱,水二盏,煎至一盏,温服。
仓公散 治卒鬼击、鬼疰、鬼刺,心腹如刺,下血,即死不知人,及卧魇齿脚趾不
觉者,并诸毒瓦斯等疾。
瓜蒂末(《九 卫生方》无瓜蒂末,有皂角末。)
藜芦末 雄黄(研) 矾石( 研,各等分)
上为细末,研停,用少许吹入鼻中,得嚏气通便活。未嚏再吹,以得嚏为度。此药能起
死人,恐皂角者为正。
补遗内鼻散 治尸厥脉动而无气,气闭不通,静而若死,名卒厥。
石菖蒲(去毛,为末)
上每用二字,内鼻中吹之令入,仍以桂末安舌下。
硫黄散 治尸厥奄然死去,四肢厥冷,不省人事,腹中气走如雷鸣。
焰硝(半两) 硫黄(一两)
上细研,分三服,酒调灌下,如人行五里,又进一服。不过三服即苏。
飞尸,其邪气游走于皮肤之间,穿透脏腑,每次发作时感到刺痛,病情变化无常。遁尸,邪气附着于骨骼肌肉之中,攻冲血脉,每次发作时旁人不敢靠近,一旦见到丧葬或听到哀哭之声便会诱发。风尸,邪气浸淫四肢,使人不知疼痛的具体位置,每次发作时头昏沉,遇到风雪天气就会发作。沉尸,邪气缠绕骨骼结聚于脏腑,冲击心胁部位,每次发作时感觉绞痛,遇到寒冷天气就会发作。注尸,全身沉重,精神错乱,经常感到昏沉欲发,每逢节气交替变化时,往往引发严重的病症。以上五种尸病,都适宜使用忍冬叶切碎数斛,煮至浓稠,取汁液煎制成丸剂,每次服用如鸡蛋大小的量,每日三次服用。
人在平时没有疾病痛苦,突然像死人一样,身体不摇动,沉默不语且不知人事,眼睛闭合无法睁开,牙关紧闭不能说话,或者稍微知道一点人事,但厌恶听到人声,只是感觉像眩晕昏冒,过了一段时间才苏醒。这是由于汗出过多,导致血虚,气并入了血中,阳气独自上浮而不能下行,气机壅塞不通畅,所以身体像死了一样。当气机过后血液回流,阴阳重新通畅,所以过一段时间才苏醒。这种病名叫郁冒,也叫血厥,妇女中多见。适宜服用白薇汤、仓公散。
朱丹溪说:凡人突然手足逆冷,肌肤起如米粒状,头面青黑,精神恍惚,或者胡言乱语,或者牙关紧急,或者昏睡仆倒,在吊丧问疾、进入庙宇登上坟墓等场合,多有此病。先用苏合香丸灌服,其次服用调气散(见杂病篇气证)、平胃散(见杂病篇食积)。《玉机微义》说:卒厥、飞尸、客忤、鬼击,出现牙关紧闭症状的,用麻黄汤(伤寒太阳经证)。寒厥表现为表热里寒,则下利清谷,食物入口即吐,脉象沉,手足冰冷,用四逆汤(伤寒厥证)。热厥表现为腹部胀满,身体沉重难以转动,面色垢浊谵语,遗尿,手足厥冷,自汗,脉象沉滑,用白虎汤(杂病发热证)。锦衣卫杨永兴全家躲避灾祸,有一个仆人因醉酒未能躲避,随后神志昏昧,遍身出现青紫伤痕,各煎金银藤(即忍冬叶)汤灌服而愈。一个妇人突然昏迷胡言乱语,自己说:“因为之前谋赖了某人的银两,神明责备我,要抓我去城隍庙审问”,两脚踝、膝盖、臀部处皆青肿,疼痛难忍,口中叫苦。第二天才苏醒,疼痛仍未停止,用金银藤约二两,水煎服即愈。另一个妇人进入古墓,患上述病症,用紫金锭磨汁灌服即苏醒。通政使余子华、太常寺卿汪用之,都是因为去吊唁而死丧之家,想必就是这类病症。太乙神精丹(方剂见杂病谵妄篇)、苏合香丸(方剂见杂病卒中篇)、雄朱散(方剂见杂病谵妄篇)。
白薇汤
处方:白薇、当归(各一两),人参(半两),甘草(二钱半)。
制法:将药材切碎,每次服用五钱,加水两盏,煎至一盏,温服。
仓公散 治疗突然被鬼击、鬼注、鬼刺,心腹如针刺般疼痛,便血,随即死亡不知人事,以及睡觉梦魇、脚趾牙齿不觉痛者,以及各种毒瓦斯等疾病。
处方:瓜蒂末(《九卫生方》无瓜蒂末,有皂角末),藜芦末,雄黄(研细),矾石(研细,各等分)。
制法:上药研为细末,混合均匀,取少许吹入鼻中,引起喷嚏通气后大便通畅即可苏醒。未打喷嚏可再吹,以引起喷嚏为度。此药能救活死人,恐怕用皂角末的是正确的。
补遗内鼻散 治疗尸厥脉动而无气息,气闭不通,安静得像死人一样,名叫卒厥。
处方:石菖蒲(去毛,研为末)。
用法:每次用二字量的药粉,吹入鼻中令其进入,同时将桂末放在舌下。
硫黄散 治疗尸厥突然死去,四肢厥冷,不省人事,腹中气走如雷鸣。
处方:焰硝(半两),硫黄(一两)。
制法:上药细研,分三次服用,用酒调匀灌下,如人行走五里的时间,再进一服。不超过三服即可苏醒。
Fei Shi (Flying Corpse) refers to pathogenic factors that wander through the skin and penetrate the Zang-Fu organs. Each attack causes stabbing pain, and the condition changes unpredictably. Dun Shi (Lurking Corpse) attaches to bones and muscles, attacking blood vessels. During attacks, others dare not approach; it is triggered upon seeing funerals or hearing mourning cries. Feng Shi (Wind Corpse) invades the four limbs, causing loss of sensation regarding the location of pain. Attacks are characterized by drowsiness and are triggered by wind and snow. Chen Shi (Sinking Corpse) entangles bones and knots in the Zang-Fu organs, rushing against the heart and hypochondrium. Attacks feel like twisting pain and are triggered by cold weather. Zhu Shi (Poured Corpse) presents with heaviness of the whole body, mental confusion, and frequent drowsiness. It often worsens significantly during solar term transitions. All five types of Shi diseases are suitable for treatment using Honeysuckle Leaf (Jinyinhua Ye), chopped and boiled in large quantities to extract a concentrated juice, which is then processed into pills. Each dose should be the size of a chicken egg, taken three times daily.
A person who is usually healthy may suddenly appear dead: the body does not move, they remain silent and unconscious, eyes closed and unable to open, jaw clenched and unable to speak. Or they may have slight awareness but dislike hearing voices, feeling merely dizzy and confused, only waking up after some time. This is caused by excessive sweating leading to blood deficiency, where Qi merges into the Blood, Yang floats upward alone without descending, and Qi becomes stagnant and obstructed, making the body appear lifeless. When Qi moves and Blood returns, Yin and Yang reconnect, allowing recovery after some time. This condition is named Yu Mao (Depression and Dizziness), also known as Xue Jue (Blood Syncope), and is common in women. Baiwei Tang (White Anemone Decoction) and Cang Gong San (Cang Gong Powder) are appropriate.
Zhu Danxi stated: When people suddenly experience cold extremities, skin raised like millet grains, cyanosis of the head and face, mental confusion, delirious speech, locked jaw, or sudden collapse into coma, especially when attending funerals, entering temples, or visiting tombs, this disease often occurs. First, administer Suhexiang Wan (Styrax Pill). Then, treat with Tiaoqi San (Qi-Regulating Powder) [for Qi disorders] or Pingwei San (Peaceful Stomach Powder) [for Food Retention]. *Yuji Wei Yi* states: For sudden syncope, Fei Shi, Ke Wu (Guest Malevolence), Gui Ji (Ghost Strike), presenting with locked jaw, use Mahuang Tang (Ephedra Decoction) [for Taiyang Syndrome]. For Han Jue (Cold Syncope) with exterior heat and interior cold, presenting with diarrhea of undigested food, vomiting upon eating, deep pulse, and cold extremities, use Sini Tang (Frigid Extremities Decoction) [for Cold Jue]. For Re Jue (Heat Syncope) with abdominal fullness, heavy body difficult to turn, foul complexion, delirium, urinary incontinence, cold extremities, spontaneous sweating, and deep slippery pulse, use Baihu Tang (White Tiger Decoction) [for Heat Disorders].
Yang Yongxing of the Jin Yi Wei (Embroidered Uniform Guard) family was avoiding disaster; a servant who missed it due to drunkenness subsequently became mentally obscure with widespread bruising. He was cured by administering Jinyin Teng (Honeysuckle Vine) decoction. A woman suddenly fell into a stupor and spoke deliriously, claiming she was being taken to the City God Temple for judgment because she had previously defrauded someone of silver and was being blamed by deities. Her ankles, knees, and buttocks were swollen and blue, unbearable in pain. She woke the next day, but pain persisted. She was cured by taking approximately two liang of Jinyin Teng decocted in water. Another woman entered an ancient tomb and suffered from the same symptoms; she revived immediately after having Zijin Ding (Purple Gold Pellet) ground into juice and administered. Yu Zihua, Commissioner of Communications, and Wang Yongzhi, Grand Secretary of the Court of Imperial Sacrifices, both died after visiting mourning households, likely suffering from this condition. Taiyi Shenjing Dan (Great One Spirit Essence Pill) [see Delirium], Suhexiang Wan [see Stroke], and Xiong Zhu San [see Delirium] are relevant formulas.
Baiwei Tang (White Anemone Decoction)
Ingredients: Baiwei (Radix Cynanchi Atrati), Danggui (Radix Angelicae Sinensis) (each 1 liang); Renshen (Radix Ginseng) (0.5 liang); Gancao (Radix Glycyrrhizae) (2.5 qian).
Preparation: Coarsely crush the herbs. Take 5 qian per dose, add 2 cups of water, boil down to 1 cup, and take warm.
Cang Gong San (Cang Gong Powder)
Indications: Sudden Gui Ji (Ghost Strike), Gui Zhu (Ghost Infestation), Gui Ci (Ghost Pierce), causing stabbing pain in the heart and abdomen, hematochezia, immediate death with unconsciousness, sleep paralysis, or insensitivity of toes and teeth; also various toxic vapors.
Ingredients: Gouti Mo (Powder of Cucumis Melo Seed), Lilü Mo (Powder of Veratri Viridis Rhizoma), Xionghuang (Realgar), Fanshi (Alumen) (all finely powdered, equal parts). Note: *Jiu Weisheng Fang* omits Gouti Mo and includes Zaojiao Mo (Powder of Gleditsiae Sinensis Fructus).
Preparation: Grind all ingredients into a fine powder and mix thoroughly. Blow a small amount into the nose. Inducing sneezing will clear the airways and bowel movement, reviving the patient. If no sneeze occurs, blow again until sneezing happens. This medicine can revive the seemingly dead; using Zaojiao Mo is considered more correct.
Buyi Neibi San (Supplemental Nasal Powder)
Indications: Shi Jue (Corpse Syncope) with palpable pulse but no breath, Qi obstruction, quiet appearance resembling death, also called Zu Jue (Sudden Syncope).
Ingredients: Shichangpu (Rhizoma Acori Tatarinowii) (dehairy, powdered).
Usage: Use a quantity equivalent to "two characters" (approx. 2 grams) of powder, blow into the nose. Place Guimo (Cortex Cinnamomi) powder under the tongue simultaneously.
Liuhuang San (Sulfur Powder)
Indications: Shi Jue (Corpse Syncope) with sudden death-like state, cold extremities, unconsciousness, and rumbling gas in the abdomen.
Ingredients: Yanxiao (Natrii Nitras), Liuhuang (Sulfur) (0.5 liang and 1 liang respectively).
Preparation: Finely grind and divide into three doses. Mix with wine and administer. After the distance a person walks in five li, administer another dose. Recovery usually occurs within three doses.