(案以下三篇。魏尤并不载。)
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) 大腹槟榔(四枚并皮子用) 陈皮(五分
)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。(〔原注〕疑非仲景方。)
〔鉴〕此方证不属。不释。
案程不载此方。盖为宋人所附也。
长服诃黎勒丸方(〔原注〕疑非仲景方。)
诃黎勒(赵有煨字) 陈皮 浓朴(各三两)
上三味。末之。炼蜜丸如梧子大。酒饮服二十丸。加至三十丸。
〔程〕二味破气行气之剂。不可长服。宜审之。
案本草云。诃黎勒。破胸膈结气。
三物备急丸方(〔原注〕见千金。司空裴秀为散用。亦可。先和成汁。乃倾口中。
令从齿间得入。至良验。○千金云。张仲景三物备急丸。司空裴秀为散用。治心腹诸卒暴
百病方。先和上。有口已噤可四字。外台古今诸家丸方门同。)
大黄(一两) 干姜(一两) 巴豆(一两去皮心熬外研如脂○外外台作别○沈脂作泥)
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。蜜和丸亦佳。密器中贮之。莫令歇。○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。以暖水若酒。服大豆许三四丸。或不下。捧头起。灌令下咽。须臾当瘥。如
未瘥更与三丸。当腹中鸣。即吐下便瘥。若口噤。亦须折齿灌之。(歇下。徐沈并千金。
有气字。程本金鉴。歇。作泄。)
〔鉴〕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之法为良。李 云。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。
案停尸无考。盖是即遁尸。巢源云。遁尸者。言其停遁在人肌肉血脉之间。瘥后复发。停遁不消。故
谓之遁尸也。
千金月令抵圣备急丸。主干霍乱。心腹百病。疰痛等方。
即本方。丸如绿豆大。每服空心服三丸。快利为度。
外台许仁则巴豆等三味丸。疗干霍。心腹胀满。搅刺疼
痛。手足逆冷。甚者流汗如水。大小便不通。求吐不出。求痢不下。须臾不救。便有性命之虑。
巴豆(一百枚熬去心皮) 干姜(三两崔氏以芒硝五两代与千金同) 大黄(五两)
上药。先捣干姜大黄为散。后别捣巴豆如膏。和前二味。同捣令调。细下蜜丸。以饮下。初服三丸。
如梧子大。服讫数 。用令转动。速下利。良久不觉。则以热饮投之良。
又古今录验。三味备急散。本疗卒死感忤。宫泰以疗人卒上气。呼吸气不得下喘逆。瘥
后已为常用方。(出食饮水上气方。)
即本方。合捣下筛。服半钱匕。得吐下则愈。
又古今录验。司空三物备急散。疗卒死及感忤。口噤不开者。(即本方。出卒死。)
又崔氏备急散。疗卒中恶。心痛胀满。欲吐短气方。
大黄(二两) 桂心(四分) 巴豆(一分去皮熬研)
上三味。捣筛为散。取一钱匕。以汤七合和服。当吐下。
即愈。甚妙。(肘后千金。治遁尸尸疰。心腹刺痛。不可忍方。三味酢和如泥。敷病上。)
千金翼。解散雷氏千金丸。
即本方。去干姜。加硝石。炼蜜和丸。如小豆许。饮服一丸。日二。以利为度。
圣惠方备急丸。治霍乱心腹疰痛。冷气筑心。即本方。
又治因食热饱。及饮冷水过多。上攻肺脏。喘急不已。
即本方。用巴豆一分。余同。
又治干霍乱心腹 痛。气短急。四体闷。不吐利。烦 难忍。此名干霍乱。斯须不救。即杀人。急治方。
即本方。加吴茱萸一两。(用干姜三分。大黄一两。巴豆三枚。)上件药捣罗为末。入巴豆。令匀。炼
蜜和捣一二百。丸如梧桐子大。每服以粥饮下十五丸。须臾更以热茶投之。当吐利。即瘥。
圣济总录。备急丸。治霍乱卒暴心腹痛。(即本方。)
十便良方。返魂丹。治肠内一切卒暴百病。(同上)
全生指迷论云。若寒热如疟。不以时度。肠满膨 。起则头晕。大便不通。或时腹痛。胸膈痞闷。此
由宿谷停留不化。结于肠间。气道不舒。阴阳反乱。宜备急丸。(同上。出幼幼新书。疟疾寒热交作门。)
本事方。治痼冷在肠胃间。连年腹痛泄泻。休作无时。服诸热药不效。宜先取去。然后调治。易瘥。不
可畏虚以养病也。宜温脾汤。(即千金方。温脾汤。去人参。加浓朴桂枝。)不要晚食。分
三服。温服自夜至晓。令尽。不快。食前更以干姜丸佐之。
即本方。加人参各等分。
上炼蜜为丸。如梧子大。服前汤时。用汤吞下一丸。米饮亦得。
御药院方。备急丸。治积聚头痛。
即本方。丸如豌豆大。米饮下一丸。羸人服半丸绿豆大。以大便利为度。
澹寮集验方云。曾有妇人。热而大便秘。脉实。子死腹中。已致昏不知人。医用备急丸。胎下人活。
李氏脾胃论。备急丹。(主疗分量。同千金等。)妇人有孕。不可
服。如所伤饮食。在胸膈间。兀兀欲吐。反复闷乱。以物探吐去之。
李氏辨惑论云。易张先生。又名独行丸。乃急剂也。又云。名备急大黄丸。
程氏医学心悟云。独行丸。治中食至甚。胸高满闷。吐法不效。须用此药攻之。若昏晕不醒。四肢僵硬。
但心头温者。抉齿灌之。(即本方。三味各一钱。)研细。姜汁为丸。如黄豆大。
每服五七丸。用姜汤化下。若服后泻不止者。用冷粥汤饮之。即止。
治伤寒令愈不复。紫石寒食散方(〔原注〕见千金翼○案千金翼云。
张仲景紫石寒食散方。又巢源寒食散发候云。仲景经有紫石英方。盖指此方。)
紫石英 白石英 赤石脂 钟乳(研炼○赵研作碓) 栝蒌根 防
风桔梗 文蛤 鬼臼(各十分) 太一余粮(十分烧) 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。(千金翼。有人参一两。为十四味。服下。有三字。)
〔鉴〕方未详。不释。
救卒死方。(肘后。冠张仲景诸要方六字。千金治卒魇死。)薤捣汁。灌鼻
中。(千金。捣韭汁。灌鼻孔中。剧者灌两耳。注。张仲景云。灌口中。)
〔鉴〕卒然昏死。皆尸蹶也。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。亦通窍喷嚏之意也。
又方 雄鸡冠。割取血。管吹内鼻中。(肘后。雄上。有丹字。) 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。(肘后。肝。作冠。恐非。)大豆二七粒。以
鸡子白。并酒和。尽以吞之。
〔鉴〕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。
肘后云。凡卒死中恶。及尸蹶。皆天地及人身自然阴阳之气。忽有乖离痞隔。上下不通。偏竭所致。故
虽涉死境。犹可治而生。缘气未都竭也。当尔之时。兼有鬼神于其间。故亦可以符术而获济者。
巢源云。卒死者。由三虚。而遇贼风所为也。三虚。谓乘年之衰一也。乘月之空二也。失时之和三也。人
有此三虚。而为贼风所伤。使阴阳偏竭于内。则阳气阻隔于外。二气拥闭。故暴绝如死也。若腑脏气未绝者。
良久乃苏。然亦有挟鬼神之气。而卒死者。皆有顷邪退乃活也。
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。
〔程〕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。矾石收涩药也。以之浸足。而收敛其厥逆之气。
救卒死而目闭方。(肘后同。外台引备急。)骑牛临面。捣薤汁灌耳中。吹皂荚末鼻中。立效。
〔程〕按葛洪肘后方。治卒魇不寤。以青牛蹄或马蹄。临人头上。即活。则骑牛临面。系厌恶驱邪
法也。目闭者。邪气内着也。灌薤汁。以辟邪安魂。吹皂荚。以取嚏开窍。
救卒死而张口反折者方。(肘后外台。口。引备急作目。)灸手足两
爪后。十四壮了。饮以五毒诸膏散。(〔原注〕有巴豆者。○外台。爪下。有各字。注四字为原文。肘后同。)
〔程〕灸手足两爪后。当是灸两手足爪后。其文则顺。以十爪甲为十二经之终始。灸之以接引阳气。而
回卒死。此恶气中于太阳。令卒死而开口反张也。五毒诸膏散。方未见。
案肘后卒死门云。有三物备急丸散。及裴公膏。救卒死尤良。裴氏五毒神膏。见于百病备急散膏。无巴
豆。而千金。加巴豆莽草薤白。为裴公八毒膏。所谓五毒诸膏散。盖此类也。五毒。周礼郑注。石胆丹砂
雄黄矾石磁石。今考五毒膏八毒膏。但用丹砂雄黄耳。其余并他品。而为五味八味也。
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(〔原注〕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。(洗之。外台。作洗足。)
〔程〕卒死而四肢不收者。无阳以行四末也。失便者。正气衰微。不能约束便溺也。物之臭者。皆能
解毒杀邪。故以牛马粪。及后条狗粪治之。心下一寸。当是上脘穴。脐上三
寸。当是中脘穴。脐下四寸。当是关元穴。灸之以复三焦之阳。而回其垂绝之气。
救小儿卒死。而吐利。不知是何病方。狗屎一丸。绞取
汁。以灌之。无湿者。水煮干者取汁。(肘后用马屎。沈本。无干者二字。)
〔鉴〕凡屎皆发阳气。用狗屎。亦取发阳气也。
尸厥。脉动而无气。气闭不通。故静而死也。治方。(〔原注〕脉证见上卷○徐熔附遣云。见上卷。
即第三叶。问曰寸口脉沉大而卒厥证一条是也。案肘后外台。冠张仲景云四字。)菖蒲屑。内鼻两孔中吹之。令人以
桂屑着舌下。(肘后外台。舌下下。有又云扁鹊法。治楚王效九字。○案说苑。扁鹊治虢太
子尸厥。子明吹耳。三因方。名内鼻散。)
〔程〕甲乙经曰。尸厥者。死不知人。脉动如故。伤寒论曰。尸厥者。令人不仁。即气闭不通。静而死
之谓也。菖蒲内鼻中。以通其肺气。桂内舌下。以开其心窍。心肺开。则
上焦之阳自能开发。尸厥之疾可愈。
又方(外台宋本云。集验疗尸厥方。肘后千金文仲备急必效同。此本出素问。)剔取
左角发方寸。烧末酒和。灌令入喉。立起。(方寸。肘后。作方二寸。
外台宋本。作方寸匕。烧灰以酒和。剔。素问作 。音剃。同剃。韩非子。婴儿不剔首则腹痛。)
〔程〕内经曰。邪客于手足少阴太阴。足阳明之络。此五络。皆会于耳中。上络左角。五络皆竭。令
人身脉皆动。而形无知也。其状若尸。或曰尸厥。以竹管吹其两耳。 其左角之发。方一寸。燔治。饮
以美酒一杯。不能饮者灌之。立已。(见缪刺论。)今仲景亦剔左角之发治者。以左角为阳气之所在。
五络之所绕。五络皆竭。故剔其五络之血余以治之。和以酒灌者。助药力而行气血也。
肘后云尸厥之病。卒死而脉犹动。听其耳中。循循如啸声。而股间暖是也。耳中虽然啸声。而脉动者。故
当以尸蹶救之。巢源云。尸厥者。阴气逆也。此由阳脉卒下坠。阴脉卒上升。阴阳离合。荣卫不通。真气厥
乱。客邪乘之。其状如死。犹微有息而不常。脉尚动而形无知也。听其耳内。循
循有如啸之声。而股间暖者是也。
救卒死客忤死。还魂汤主之。方。(肘后无方名。冠张仲景诸要方六
字。三因名追魂汤。〔原注〕千金方云。主卒忤鬼击。飞尸。诸奄忽。气绝无复觉。或已无
脉。口噤拗不开。去齿下汤。汤下口不下者。分病患发左右。捉 肩引之。药下。复增取
一升。须臾立愈。○案千金无脉。作死一字。无拗字。捉 。作捉踏。取下有尽字。)
麻黄(三两去节一方四两○肘后千金翼用四两) 杏仁(去皮尖七十个) 甘草(一两炙〔原注〕
千金。用桂心二两。○案外台。引肘后。疗中恶短气欲绝方。用桂心二两。今本肘后。不用桂。)
上三味。以水八升。煮取三升。去滓。分令咽之。通治
诸感忤。(外台。引肘后云。通疗诸昏客忤良。集验。张文仲备急同。)
〔徐〕凡卒死及客忤死。总是正不胜邪。故阳气骤闭而死。肺朝百脉为一身之宗。麻黄杏仁。利肺
通阳之君药。合炙甘以调中。故为救卒死主方。名曰还魂汤。着其功也。
〔鉴〕中
(按:以下三篇,魏氏《脉经》与尤氏《金匮要略心典》均未收录。)
退五脏虚热。四时加减柴胡饮子方。
(冬季三个月加入)柴胡(八分) 白术(八分) 大腹槟榔(四枚,连皮带核使用) 陈皮(五分) 生姜(五分) 桔梗(七分) (春季三个月加入枳实,减去白术,共六味药) (夏季三个月加入生姜(三分)、枳实(五分)、甘草(三分),共八味药) (秋季三个月加入陈皮(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。每帖再分为三小帖。每小帖用水一升,煮取七合,温服。将药渣合并,作为一服,再次煎煮。总共得到四服。(〔原注〕怀疑不是张仲景的方剂。)
〔鉴〕此方的证候不符,不予解释。
案:程氏未收录此方,大概是宋人附加的。
长服诃黎勒丸方(〔原注〕怀疑不是张仲景的方剂。)
诃黎勒(赵开美本有“煨”字) 陈皮 浓朴(各三两)
以上三味药,研成细末。用炼蜜制成梧桐子大小的丸剂。酒送服二十丸,加量至三十丸。
〔程〕这是两味破气行气的药剂,不可长期服用,应当审慎。
案:《本草》记载,诃黎勒能破除胸膈间的结气。
三物备急丸方(〔原注〕见于《千金方》。司空裴秀将其改为散剂使用也可以。先调和成汁,然后倾入口中,让药液从齿缝间流入,效果极好。○《千金方》说:张仲景的三物备急丸,司空裴秀改为散剂使用,治疗心腹各种突发暴病。先将药物调和,若有口噤不开的情况,可加“已”字。外台、古今诸家丸方门内容相同。)
大黄(一两) 干姜(一两) 巴豆(一两,去皮去心,熬制后研磨如脂状○外台作“别”,沈本作“泥”)
以上药物都必须精新。先捣碎大黄、干姜为末,再将巴豆研入其中,共同捣治一千杵。做成散剂。用蜜和丸也很好。密封容器中储存,不要让药效散发。○主治心腹各种突发暴病。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,用温水或酒,送服大豆大小的三四丸。如果咽不下去,托起患者头部,灌令咽下。片刻之后应当痊愈。如果未愈,再给三丸。腹部鸣响,即吐泻后即可痊愈。如果口噤,也必须撬开牙齿灌药。(歇字下,徐沈本及《千金方》有“气”字。程本金鉴,“歇”作“泄”。)
〔鉴〕方名“备急”,是为了防备突然发生的腹满腹急痛,以及中恶客忤、噤闭卒死等情况。如果口噤也必须撬牙灌药,是担心人不急救就会死亡的意思。然而不如后人用管吹入鼻的方法好。李珣说:人突然得病欲死者,都是感受了毒厉邪阴不正之气所致。这三味药相互配合,能荡涤邪气、安定正气。或吐或下,使秽气上下分消,确实足以备一时急需。
案:“停尸”无从考证,大概即是“遁尸”。巢元方说:遁尸,是说它停留隐匿在人的肌肉血脉之间,病愈后复发,停留隐匿不消,所以叫遁尸。
《千金月令》抵圣备急丸,主要治疗干霍乱、心腹百病、疰痛等方。
就是本方,丸如绿豆大。每次空腹服三丸,以快利为度。
《外台秘要》许仁则巴豆等三味丸,治疗干霍乱,心腹胀满,搅刺疼痛,手足逆冷,严重到流汗如水,大小便不通,想吐吐不出,想拉拉不下,片刻不救,便有性命之忧。
巴豆(一百枚,熬去心皮) 干姜(三两,崔氏用芒硝五两代替,与《千金方》同) 大黄(五两)
以上药物,先捣干姜、大黄为散,后单独捣巴豆如膏状,与前两味混合,共同捣匀。细细加入蜜丸,用饮送服。初服三丸,如梧桐子大。服完后多次走动,促使迅速下利。很久没感觉,则用热饮投之良效。
又《古今录验》,三味备急散,原本治疗卒死感忤,宫泰用它治疗人突然上气,呼吸气不得下喘逆,病愈后已成为常用方。(出自食饮水上气方。)
就是本方,合捣过筛。服半钱匕,得吐下则愈。
又《古今录验》,司空三物备急散,治疗卒死及感忤,口噤不开者。(即本方,出自卒死。)
又崔氏备急散,治疗卒中恶,心痛胀满,欲吐短气方。
大黄(二两) 桂心(四分) 巴豆(一分,去皮熬研)
以上三味,捣筛为散。取一钱匕,用汤七合调和服下。应当吐下。
即愈,甚妙。(《肘后方》《千金方》,治疗遁尸尸疰,心腹刺痛,不可忍受方。三味醋和如泥,敷于病处。)
《千金翼》,解散雷氏千金丸。
就是本方,去掉干姜,加硝石,炼蜜和丸,如小豆许。饮服一丸,每日二次,以利为度。
《圣惠方》备急丸,治疗霍乱心腹疰痛,冷气筑心。即本方。
又治疗因吃热饱,及饮冷水过多,上攻肺脏,喘急不已。
即本方,用巴豆一分,其余同。
又治疗干霍乱心腹痛,气短急,四体闷,不吐利,烦闷难忍。此名干霍乱,斯须不救,即杀人。急治方。
即本方,加吴茱萸一两。(用干姜三分,大黄一两,巴豆三枚。)以上药物捣罗为末,加入巴豆,令均匀。炼蜜和捣一二百下,丸如梧桐子大。每服以粥饮下十五丸,片刻后再以热茶投之。当吐利,即瘥。
《圣济总录》,备急丸,治疗霍乱卒暴心腹痛。(即本方。)
《十便良方》,返魂丹,治疗肠内一切卒暴百病。(同上)
《全生指迷论》说:如果寒热如疟,不以时度,肠满膨脹,起则头晕,大便不通,或时腹痛,胸膈痞闷。这是由于宿谷停留不化,结于肠间,气道不舒,阴阳反乱。宜用备急丸。(同上。出自《幼幼新书》,疟疾寒热交作门。)
《本事方》,治疗痼冷在肠胃间,连年腹痛泄泻,休作无时。服诸热药不效。宜先取去,然后调治。易瘥。不可畏虚以养病也。宜温脾汤。(即《千金方》温脾汤,去人参,加浓朴桂枝。)不要晚食,分三服,温服自夜至晓,令尽。不快,食前更以干姜丸佐之。
即本方,加人参各等分。
以上炼蜜为丸,如梧子大。服前汤时,用汤吞下一丸,米饮亦得。
《御药院方》,备急丸,治疗积聚头痛。
即本方,丸如豌豆大。米饮下一丸,羸人服半丸绿豆大,以大便利为度。
《澹寮集验方》说:曾有妇人,热而大便秘,脉实,子死腹中,已致昏不知人。医用备急丸,胎下人活。
李氏《脾胃论》,备急丹。(主疗分量,同《千金方》等。)妇人有孕,不可服。如所伤饮食,在胸膈间,兀兀欲吐,反复闷乱。以物探吐去之。
李氏《辨惑论》说:易张先生,又名独行丸,乃急剂也。又说:名备急大黄丸。
程氏《医学心悟》说:独行丸,治疗中食至甚,胸高满闷,吐法不效。须用此药攻之。若昏晕不醒,四肢僵硬,但心头温者,抉齿灌之。(即本方,三味各一钱。)研细,姜汁为丸,如黄豆大。每服五七丸,用姜汤化下。若服后泻不止者,用冷粥汤饮之,即止。
治伤寒令愈不复。紫石寒食散方(〔原注〕见《千金翼》○案《千金翼》说:张仲景紫石寒食散方。又巢元方《寒食散发候》说:仲景经有紫石英方,大概指此方。)
紫石英 白石英 赤石脂 钟乳(研炼○赵开美本研作碓) 栝蒌根 防风 桔梗 文蛤 鬼臼(各十分) 太一余粮(十分,烧) 干姜 附子(炮去皮) 桂枝(去皮,各四分)
以上十三味,杵为散。酒服方寸匕。(《千金翼》有人参一两,为十四味。服下有“三”字。)
〔鉴〕方义未详,不予解释。
救卒死方。(《肘后方》,冠张仲景诸要方六字。《千金方》治卒魇死。)薤捣汁,灌鼻中。(《千金方》,捣韭汁,灌鼻孔中。剧者灌两耳。注:张仲景说:灌口中。)
〔鉴〕卒然昏死,皆尸蹶也。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,亦通窍喷嚏之意也。
又方 雄鸡冠,割取血,管吹内鼻中。(《肘后方》,雄上有“丹”字。) 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。(《肘后方》,肝作冠,恐非。)大豆二七粒,以鸡子白,并酒和,尽以吞之。
〔鉴〕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。
《肘后方》说:凡卒死中恶,及尸蹶,皆天地及人身自然阴阳之气,忽有乖离痞隔,上下不通,偏竭所致。故虽涉死境,犹可治而生。缘气未都竭也。当尔之时,兼有鬼神于其间,故亦可以符术而获济者。
巢元方说:卒死者,由三虚,而遇贼风所为也。三虚,谓乘年之衰一也。乘月之空二也。失时之和三也。人有此三虚,而为贼风所伤,使阴阳偏竭于内,则阳气阻隔于外,二气拥闭,故暴绝如死也。若腑脏气未绝者,良久乃苏。然亦有挟鬼神之气,而卒死者,皆有顷邪退乃活也。
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。
〔程〕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。矾石收涩药也。以之浸足,而收敛其厥逆之气。
救卒死而目闭方。(《肘后方》同。《外台》引备急。)骑牛临面,捣薤汁灌耳中。吹皂荚末鼻中,立效。
〔程〕按葛洪《肘后方》,治卒魇不寤,以青牛蹄或马蹄,临人头上,即活。则骑牛临面,系厌恶驱邪法也。目闭者,邪气内着也。灌薤汁,以辟邪安魂。吹皂荚,以取嚏开窍。
救卒死而张口反折者方。(《肘后》《外台》,口,引备急作目。)灸手足两爪后,十四壮了,饮以五毒诸膏散。(〔原注〕有巴豆者。○《外台》,爪下,有“各”字。注四字为原文。《肘后》同。)
〔程〕灸手足两爪后,当是灸两手足爪后,其文则顺。以十爪甲为十二经之终始,灸之以接引阳气,而回卒死。此恶气中于太阳,令卒死而开口反张也。五毒诸膏散,方未见。
案《肘后》卒死门说:有三物备急丸散,及裴公膏,救卒死尤良。裴氏五毒神膏,见于百病备急散膏,无巴豆,而《千金方》加巴豆莽草薤白,为裴公八毒膏。所谓五毒诸膏散,盖此类也。五毒,《周礼》郑注:石胆丹砂雄黄矾石磁石。今考五毒膏八毒膏,但用丹砂雄黄耳。其余并他品,而为五味八味也。
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(〔原注〕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。(洗之,《外台》作洗足。)
〔程〕卒死而四肢不收者,无阳以行四末也。失便者,正气衰微,不能约束便溺也。物之臭者,皆能解毒杀邪。故以牛马粪,及后条狗粪治之。心下一寸,当是上脘穴。脐上三寸,当是中脘穴。脐下四寸,当是关元穴。灸之以复三焦之阳,而回其垂绝之气。
救小儿卒死,而吐利,不知是何病方。狗屎一丸,绞取汁,以灌之。无湿者,水煮干者取汁。(《肘后》用马屎,沈本,无干者二字。)
〔鉴〕凡屎皆发阳气,用狗屎,亦取发阳气也。
尸厥。脉动而无气,气闭不通,故静而死也。治方。(〔原注〕脉证见上卷○徐熔附遣云:见上卷,即第三叶。问曰:寸口脉沉大而卒厥证一条是也。案《肘后》《外台》,冠张仲景云四字。)菖蒲屑,内鼻两孔中吹之。令人以桂屑着舌下。(《肘后》《外台》,舌下下,有“又云扁鹊法,治楚王效”九字。○案《说苑》,扁鹊治虢太子尸厥,子明吹耳。《三因方》,名内鼻散。)
〔程〕《甲乙经》曰:尸厥者,死不知人。脉动如故。《伤寒论》曰:尸厥者,令人不仁。即气闭不通,静而死之谓也。菖蒲内鼻中,以通其肺气。桂内舌下,以开其心窍。心肺开,则上焦之阳自能开发,尸厥之疾可愈。
又方(《外台》宋本云:集验疗尸厥方。《肘后》《千金》《文仲》《备急必效》同。此本出《素问》。)剔取左角发方寸,烧末,酒和,灌令入喉,立起。(方寸,《肘后》作方二寸。《外台》宋本作方寸匕。烧灰以酒和。剔,《素问》作“剃”,音剃,同剃。《韩非子》:婴儿不剔首则腹痛。)
〔程〕《内经》曰:邪客于手足少阴太阴,足阳明之络。此五络,皆会于耳中,上络左角。五络皆竭,令人身脉皆动,而形无知也。其状若尸,或曰尸厥。以竹管吹其两耳,剃其左角之发,方一寸,燔治,饮以美酒一杯,不能饮者灌之,立已。(见《缪刺论》。)今仲景亦剔左角之发治者,以左角为阳气之所在,五络之所绕。五络皆竭,故剔其五络之血余以治之。和以酒灌者,助药力而行气血也。
《肘后方》云尸厥之病,卒死而脉犹动,听其耳中,循循如啸声,而股间暖是也。耳中虽然啸声,而脉动者,故当以尸蹶救之。巢元方云:尸厥者,阴气逆也。此由阳脉卒下坠,阴脉卒上升,阴阳离合,荣卫不通,真气厥乱,客邪乘之。其状如死,犹微有息而不常。脉尚动而形无知也。听其耳内,循循有如啸之声,而股间暖者是也。
救卒死客忤死,还魂汤主之。方。(《肘后》无方名,冠张仲景诸要方六字。《三因方》名追魂汤。〔原注〕《千金方》云:主卒忤鬼击,飞尸,诸奄忽,气绝无复觉。或已无脉,口噤拗不开,去齿下汤,汤下口不下者,分病患发左右,捉肩引之,药下,复增取一升,须臾立愈。○案《千金方》无脉,作死一字。无拗字。捉,作捉踏。取下有尽字。)
麻黄(三两,去节,一方四两○《肘后》《千金翼》用四两) 杏仁(去皮尖,七十个) 甘草(一两,炙〔原注〕《千金方》,用桂心二两。○案《外台》引《肘后》,疗中恶短气欲绝方,用桂心二两。今本《肘后》,不用桂。)
以上三味,以水八升,煮取三升,去滓,分令咽之。通治诸感忤。(《外台》引《肘后》云:通疗诸昏客忤良。《集验》,张文仲备急同。)
〔徐〕凡卒死及客忤死,总是正不胜邪,故阳气骤闭而死。肺朝百脉为一身之宗。麻黄杏仁,利肺通阳之君药。合炙甘以调中。故为救卒死主方。名曰还魂汤,着其功也。
〔鉴〕中
(Commentary: The following three sections are not recorded in Wei's *Mai Jing* or You's *Jin Gui Yao Lue Xin Dian*.)
**Formula for Reducing Deficient Heat of the Five Zang Organs: Four-Season Modified Chai Hu Yin Zi Formula**
*(Added during the three winter months)* Chai Hu (Bupleuri Radix, 8 fen), Bai Zhu (Atractylodis Macrocephalae Rhizoma, 8 fen), Da Fu Bing Lang (Arecae Pericarpium, 4 pieces, used with peel and seed), Chen Pi (Citri Reticulatae Pericarpium, 5 fen), Sheng Jiang (Zingiberis Rhizoma Recens, 5 fen), Jie Geng (Platycodonis Radix, 7 fen). *(Added during the three spring months)* Zhi Shi (Aurantii Fructus Immaturus, replace Bai Zhu, total six herbs). *(Added during the three summer months)* Sheng Jiang (Zingiberis Rhizoma Recens, 3 fen), Zhi Shi (Aurantii Fructus Immaturus, 5 fen), Gan Cao (Glycyrrhizae Radix et Rhizoma, 3 fen, total eight herbs). *(Added during the three autumn months)* Chen Pi (Citri Reticulatae Pericarpium, 3 fen, total six herbs).
Crush each set of herbs. Divide into three doses (tie). For one dose, use three sheng of water, decoct to obtain two sheng. Take warm in three divided doses. Administer one dose every time a person walks four or five li. If there is stagnation in the four limbs, add a small amount of Gan Cao. Divide each tie into three smaller portions. For each small portion, use one sheng of water, decoct to obtain seven ge, and take warm. Combine the dregs as one dose, decoct again. In total, obtain four doses. ([Original Note] Suspected not to be a formula by Zhang Zhongjing.)
*[Jian]* The syndrome indicated by this formula does not match; it is not explained.
*Case:* Cheng did not record this formula, likely added by Song dynasty authors.
**Formula for Long-term Consumption of He Li Le Wan**
([Original Note] Suspected not to be a formula by Zhang Zhongjing.)
He Li Le (Terminalia Chebulae Fructus, Zhao Kai Mei edition has "roasted" character), Chen Pi (Citri Reticulatae Pericarpium), Hou Po (Magnoliae Officinalis Cortex, each 3 liang).
Grind the above three herbs into powder. Mix with refined honey to make pills the size of mulberry seeds. Take 20 pills with wine, increasing to 30 pills.
*[Cheng]* These are agents that break and move Qi; they should not be taken long-term. Caution is advised.
*Case:* *Ben Cao* states that He Li Le breaks stagnant Qi in the chest and diaphragm.
**San Wu Bei Ji Wan (Three-Item Emergency Preparedness Pill)**
([Original Note] Found in *Qian Jin Fang*. Pei Xiu, Grand Commandant, used it as a powder; this is also acceptable. First mix into a juice, then pour into the mouth, allowing it to enter between the teeth. Highly effective. ○ *Qian Jin Fang* says: Zhang Zhongjing's San Wu Bei Ji Wan, Grand Commandant Pei Xiu used it as a powder to treat various sudden abdominal diseases. First mix the drugs; if the mouth is locked, add the character "already". Same content in *Wai Tai*, *Gu Jin*, and other families' pill formulas section.)
Da Huang (Rhei Radix et Rhizoma, 1 liang), Gan Jiang (Zingiberis Rhizoma, 1 liang), Ba Dou (Crotonis Fructus, 1 liang, peeled, core removed, roasted, ground like fat ○ *Wai Tai* makes "separate", Shen ben makes "paste").
The above drugs must be fine and fresh. First grind Da Huang and Gan Jiang into powder, then grind Ba Dou into it, and process together for one thousand pestles. Make into a powder. Mixing with honey to make pills is also good. Store in a sealed container to prevent loss of potency. ○ Mainly treats various sudden abdominal diseases. If struck by evil guest qi, with abdominal distension and fullness, sudden pain like needle pricking, shortness of breath, and locked jaw, or sudden death from retained corpse qi, take 3-4 pills the size of soybeans with warm water or wine. If unable to swallow, support the head and force down. It should recover shortly. If not recovered, give another 3 pills. Bowel sounds will occur, followed by vomiting or purging, leading to recovery. If the jaw is locked, teeth must be pried open to administer. (Under "Xie", Xu and Shen editions and *Qian Jin Fang* have the character "Qi". Cheng Ben and *Jin Jian*, "Xie" is written as "Xie" [leak].)
*[Jian]* The name "Bei Ji" (Emergency Preparedness) refers to preparing for sudden abdominal fullness and acute pain, as well as sudden death from locked jaw due to evil guest qi. Prying teeth to administer medicine implies that without urgent rescue, death will ensue. However, the later method of blowing medicine into the nose via a tube is superior. Li Xun said: Sudden fatal illness is caused by toxic, evil, yin, and abnormal qi. These three herbs work together to purge evil and stabilize righteousness, causing vomiting or purging to eliminate turbid qi from above and below. Indeed sufficient for emergency needs.
*Case:* "Ting Shi" (Retained Corpse Qi) cannot be verified, likely referring to "Dun Shi" (Escaping Corpse Qi). Chao Yuan Fang says: Dun Shi refers to its hiding within muscles and blood vessels, recurring after recovery, hence called Dun Shi.
*Qian Jin Yue Ling* Di Sheng Bei Ji Wan mainly treats Gan Huo Luan (Dry Cholera), abdominal diseases, and Zhu Tong (Fixed Pain).
It is this formula, made into pills the size of mung beans. Take 3 pills on an empty stomach, until brisk evacuation occurs.
*Wai Tai Mi Yao* Xu Ren Ze's Ba Dou Three-Item Pill treats Dry Cholera, abdominal distension and fullness, twisting stabbing pain, cold extremities, severe sweating like water, obstruction of urination and defecation, inability to vomit or purge, which can be fatal if not treated promptly.
Ba Dou (100 pieces, roasted, peeled, core removed), Gan Jiang (Zingiberis Rhizoma, 3 liang, Cui Shi uses Mang Xiao 5 liang instead, same as *Qian Jin*), Da Huang (Rhei Radix et Rhizoma, 5 liang).
First grind Gan Jiang and Da Huang into powder, then separately grind Ba Dou into paste. Mix with the previous two powders and grind evenly. Make fine honey pills. Take with drink. Initial dose 3 pills, size of mulberry seeds. After taking, walk around frequently to promote rapid purging. If no effect after a while, hot drink is beneficial.
Also *Gu Jin Lu Yan*, Three-Item Bei Ji Powder, originally for sudden death from shock, Gong Tai used it for sudden upper Qi rebellion, dyspnea. It became a common formula after recovery. (From Food/Drink Upper Qi Formula.)
It is this formula, ground and sifted. Take half a qian bi, cure upon vomiting or purging.
Also *Gu Jin Lu Yan*, Grand Commandant Three-Item Bei Ji Powder, treats sudden death and shock, locked jaw. (This formula, from Sudden Death.)
Also Cui Shi's Bei Ji Powder, treats stroke evil, heart pain and distension, desire to vomit, shortness of breath.
Da Huang (2 liang), Gui Xin (Cinnamomi Ramulus, 4 fen), Ba Crotonis Fructus (1 fen, peeled, roasted, ground).
Grind the three into powder. Take one qian bi, mix with 7 ge of decoction. Should cause vomiting and purging.
Immediately cured, very excellent. (*Zhou Hou*, *Qian Jin*, treat Dun Shi/Shi Zhu, unbearable heart/abdominal stabbing pain. Mix three with vinegar into paste, apply to lesion.)
*Qian Jin Yi*, Jie San Lei Shi Qian Jin Wan.
This formula, remove Gan Jiang, add Xiao Shi (Natrii Sulfas), mix with honey into pills the size of adzuki beans. Take one pill with drink, twice daily, until purging occurs.
*Sheng Hui Fang* Bei Ji Wan, treats Huo Luan abdominal fixed pain, cold qi attacking heart. This formula.
Also treats excessive hot food intake or excessive cold water drinking, attacking Lung, causing relentless asthma.
This formula, use 1 fen Ba Dou, rest same.
Also treats Dry Huo Luan abdominal pain, shortness of breath, heavy limbs, no vomiting/purging, unbearable irritability. Named Dry Huo Luan, fatal if not treated immediately. Urgent treatment formula.
This formula, add Wu Zhu Yu (Evodiae Fructus, 1 liang). (Use Gan Jiang 3 fen, Da Huang 1 liang, Ba Dou 3 pieces). Grind ingredients into powder, mix Ba Dou evenly. Honey pills size of mulberry seeds. Take 15 pills with gruel drink, follow with hot tea soon after. Vomiting/purging should occur, leading to recovery.
*Sheng Ji Zong Lu* Bei Ji Wan, treats sudden Huo Luan abdominal pain. (This formula.)
*Shi Bian Liang Fang* Fan Hun Dan, treats all sudden intestinal diseases. (Same as above.)
*Quan Sheng Zhi Mi Lun* states: If chills and fever resemble malaria irregularly, abdominal distension, dizziness upon standing, constipation, intermittent abdominal pain, chest/diaphragm stuffiness. This is due to undigested food stagnating in intestines, blocking Qi flow, reversing Yin/Yang. Use Bei Ji Wan. (Same as above, from *You You Xin Shu*, Malaria Chills/Fever section.)
*Ben Shi Fang* treats chronic cold in intestines/stomach, chronic abdominal pain/diarrhea, intermittent, unresponsive to hot medicines. Must first expel, then regulate. Easy to cure. Do not fear deficiency and nourish disease. Use Wen Pi Tang. (This is *Qian Jin Fang* Wen Pi Tang, remove Ren Shen, add Hou Po, Gui Zhi.) Do not eat late, divide into three doses, take warm from night to morning, finish completely. If not brisk, take Gan Jiang Wan before meals as aid.
This formula, add Ren Shen (Panacis Ginseng Radix) equal parts.
Honey pills size of mulberry seeds. When taking the decoction, swallow one pill with decoction, or rice drink.
*Yu Yao Yuan Fang* Bei Ji Wan, treats accumulation headache.
This formula, pills size of pea. One pill with rice drink, thin people take half-pill size of mung bean, until brisk bowel movement.
*Dan Liao Ji Yan Fang* states: A woman had heat, constipation, excess pulse, dead fetus in uterus, unconscious. Doctor used Bei Ji Wan, fetus expelled, patient lived.
Li Shi *Pi Wei Lun*, Bei Ji Dan. (Dosage same as *Qian Jin*). Pregnant women should not take. If damaged food is in chest/diaphragm, nauseous, restless. Induce vomiting to remove.
Li Shi *Bian Huo Lun* states: Dr. Yi Zhang, also named Du Xing Wan, is an emergency agent. Also named Bei Ji Da Huang Wan.
Cheng Shi *Yi Xue Xin Wu* states: Du Xing Wan treats severe food stagnation, high/full chest, vomiting ineffective. Must use this to attack. If unconscious, stiff limbs, but heart warm, pry teeth and administer. (This formula, three herbs 1 qian each.) Grind fine, ginger juice pills size of soybean. Take 5-7 pills, dissolve with ginger decoction. If diarrhea persists, drink cold gruel water to stop.
**To Treat Shang Han so it heals and does not recur: Zi Shi Han Shi San (Purple Stone Cold Food Powder)**
([Original Note] Found in *Qian Jin Yi* ○ Case *Qian Jin Yi* says: Zhang Zhongjing's Zi Shi Han Shi San. Also Chao Yuan Fang *Han Shi Fa San Hou* says: Zhong Jing classics have Zi Shi Ying formula, likely referring to this.)
Zi Shi Ying (Fluoritum, 10 parts), Bai Shi Ying (Quartzum Album, 10 parts), Chi Shi Zhi (Kaolin, 10 parts), Zhong Ru (Stalactitum, refined ○ Zhao ben "grind" as "pestle"), Gua Lou Gen (Trichosanthis Radix, 10 parts), Fang Feng (Saposhnikoviae Radix, 10 parts), Jie Geng (Platycodonis Radix, 10 parts), Wen Ge (Clam Shell, 10 parts), Gui Jiu (Podophylli Fructus, 10 parts), Tai Yi Yu Liang (Attapulgite, 10 parts, calcined), Gan Jiang (Zingiberis Rhizoma, 4 fen), Fu Zi (Aconiti Lateralis Radix Praeparata, peeled, roasted, 4 fen), Gui Zhi (Cinnamomi Ramulus, peeled, 4 fen).
Thirteen herbs, crush into powder. Take one fang cun bi with wine. (*Qian Jin Yi* has Ren Shen 1 liang, making 14 herbs. Under "take" there is character "three".)
*[Jian]* Formula meaning unclear, not explained.
**Rescue Sudden Death Formula**
(*Zhou Hou*, prefixed with "Zhang Zhongjing Important Formulas" six characters. *Qian Jin* treats sudden nightmare death.) Scallion white (Xie) crushed for juice, instill into nose. (*Qian Jin*, crush leek juice, instill into nostrils. Severe cases into both ears. Note: Zhang Zhongjing says: instill into mouth.)
*[Jian]* Sudden coma is all Shi Jue (Corpse Revulsion). Xie Bai resembles garlic but smaller, Northerners call it Small Root Vegetable, Southerners call it Diao Qiao. Its taste is very pungent. Crushed juice into nose aims to open orifices and induce sneezing.
Another Formula: Rooster comb, cut to get blood, blow into nose via tube. (*Zhou Hou*, "Dan" character after "Rooster"). Pig lard, size of chicken egg, vinegar 1 sheng, boil and instill into throat. Chicken liver and blood, smear on face, surround with ash, immediate rise. (*Zhou Hou*, liver as comb, likely incorrect). Soybeans 14 pieces, mix with egg white and wine, swallow all.
*[Jian]* Rooster comb blood, liver, egg white, pig lard, soybeans, wine/vinegar are all using Yang substances to overcome Yin maleficence. Blowing into nose means holding rooster blood or hot wine in healthy person's mouth, inserting reed/pen tube into patient's nostril, blowing air to carry medicine down. Medicine swallows naturally, Qi opens, jaw unlocks.
*Zhou Hou* says: All sudden death, evil strike, and Shi Jue are caused by sudden disconnection of natural Yin/Yang Qi of heaven/body, blockage, uneven exhaustion. Though near death, can be treated and saved because Qi is not fully exhausted. At that time, ghosts/spirits intervene, so talismans/techniques can also help.
Chao Yuan Fang says: Sudden death is caused by Three Deficiencies meeting thief wind. Three Deficiencies: Year decline, Month emptiness, Season imbalance. With these three, thief wind damages, causing internal Yin/Yang exhaustion, external Yang blockage, two Qi closed, thus sudden death-like state. If organ Qi not extinct, revive after long time. Some involve ghost/spirit Qi, revive after evil retreats.
**Rescue Sudden Death with High Fever Formula**
Fan Shi (Alumen, 8 liang), water 15 sheng, boil until dissolved, soak feet up to ankles.
*[Cheng]* Ju Yang (Rebellant Yang) travels alone, causing sudden death with high fever. Qi Bo said: Blood and Qi rushing upward causes Great Jue. Jue leads to sudden death. Fan Shi is an astringent. Soaking feet收敛s the rebellant Qi.
**Rescue Sudden Death with Closed Eyes Formula**
(*Zhou Hou* same. *Wai Tai* cites Bei Ji). Ride cow facing face, crush scallion juice into ears. Blow Soap Pod powder into nose, immediate effect.
*[Cheng]* Ge Hong's *Zhou Hou* treats sudden nightmare unconsciousness by placing green ox hooves or horse hooves on head, revives. Riding cow is repelling evil method. Closed eyes mean evil qi internal fixation. Scallion juice repels evil/calms soul. Soap pod induces sneezing/opening orifices.
**Rescue Sudden Death with Open Mouth and Opisthotonos Formula**
(*Zhou Hou* *Wai Tai*, "mouth" cited from Bei Ji as "eye"). Moxa behind nails of hands and feet, 14 moxa cones. Drink Wu Du various plaster powders. ([Original Note] Contains Ba Dou. ○ *Wai Tai*, under "nails" has "each". Note four characters are original text. *Zhou Hou* same.)
*[Cheng]* Moxa behind hand/foot nails should be moxa behind ten nail beds. Text flows better. Ten nail beds are ends/beginnings of twelve meridians. Moxa connects Yang Qi to reverse sudden death. Evil qi strikes Tai Yang, causing sudden death with open mouth/opisthotonos. Wu Du plaster powder formula unseen.
*Case* *Zhou Hou* Sudden Death section says: San Wu Bei Ji powder and Pei Gong Plaster save sudden death excellently. Pei Shi Wu Du Divine Plaster seen in Hundred Diseases Emergency Plaster, no Ba Dou. *Qian Jin* adds Ba Dou, Mang Cao, Xie Bai to make Pei Gong Ba Du Plaster. Wu Du various plasters are likely this type. Wu Du, *Zhou Li* Zheng Zhu: Shi Dan, Dan Sha, Xiong Huang, Fan Shi, Ci Shi. Examining Wu Du/Ba Du plasters, only use Dan Sha, Xiong Huang. Others combined make five/eight flavors.
**Rescue Sudden Death with Flaccid Limbs and Incontinence Formula**
Horse dung 1 sheng, water 3 dou, boil to 2 dou, wash with it. Also take Niu Dong (Cow dung, [Original Note] loose stool) 1 sheng, warm wine instill into mouth. Moxa 1 cun below heart, 3 cun above navel, 4 cun below navel, 100 cones each, cured. (Wash, *Wai Tai* makes wash feet.)
*[Cheng]* Sudden death with flaccid limbs lacks Yang to move extremities. Incontinence means righteous Qi weak, unable to control urine/feces. Smelly things detoxify/kill evil. Hence cow/horse/dog dung used. 1 cun below heart is Shang Wan acupoint. 3 cun above navel is Zhong Wan acupoint. 4 cun below navel is Guan Yuan acupoint. Moxa restores San Jiao Yang and saves dying Qi.
**Rescue Infant Sudden Death with Vomiting/Diarrhea, Unknown Disease Formula**
Dog feces one pill, squeeze juice, instill. If no wet feces, boil dry ones to get juice. (*Zhou Hou* uses horse feces, Shen ben lacks "dry" character.)
*[Jian]* All feces generate Yang Qi. Using dog feces also aims to generate Yang Qi.
**Shi Jue (Corpse Revulsion)**
Pulse moves but no Qi, Qi blocked, thus quiet death. Treatment Formula. ([Original Note] Pulse/syndrome see Vol 1 ○ Xu Rong note: See Vol 1, page 3. Question: Cun Kou pulse deep large and sudden Jue syndrome item is this. Case *Zhou Hou* *Wai Tai*, prefixed "Zhang Zhongjing says" four characters.) Shi Pu (Rhizoma Acori Tatarinowii) powder, blow into two nasal cavities. Have person place Gui (Cinnamon Twig) powder under tongue. (*Zhou Hou* *Wai Tai*, under "under tongue" has "also says Bian Que method, treat King of Chu Xiao" nine characters. ○ Case *Shuo Yuan*, Bian Que treats Prince of Guo Shi Jue, Zi Ming blows ears. *San Yin Fang*, names Nei Bi San.)
*[Cheng]* *Jia Yi Jing* says: Shi Jue, dead unaware. Pulse moves as usual. *Shang Han Lun* says: Shi Jue makes person insensible. Qi blocked, quiet death. Shi Pu in nose opens Lung Qi. Gui under tongue opens Heart orifice. Heart/Lung open, Upper Jiao Yang develops, Shi Jue cured.
Another Formula (*Wai Tai* Song ben says: Ji Yan treats Shi Jue formula. *Zhou Hou* *Qian Jin* *Wen Zhong* *Bei Ji Bi Xiao* same. Originates from *Su Wen*.) Shave left corner hair square inch, burn to ash, mix with wine, instill into throat, immediate rise. (Square inch, *Zhou Hou* makes square 2 inches. *Wai Tai* Song ben makes fang cun bi. Burn ash mix wine. Shave, *Su Wen* makes "Ti", sound Ti, same shave. *Han Fei Zi*: Infant not shaving head causes abdominal pain.)
*[Cheng]* *Nei Jing* says: Evil enters collaterals of Hand/Foot Shao Yin/Tai Yin, Foot Yang Ming. These five collaterals meet in ear, connect to left corner. Five collaterals exhausted, body pulses move, form unaware. Looks like corpse, or called Shi Jue. Blow bamboo tube into two ears, shave left corner hair square inch, burn/process, drink cup of good wine, force if unable to drink, immediate cure. (See Miao Ci Lun). Now Zhong Jing also shaves left corner hair to treat, because left corner is where Yang Qi resides, surrounded by five collaterals. Five collaterals exhausted, thus shave blood remnant of five collaterals to treat. Mix with wine to assist medicine power and move Qi/Blood.
*Zhou Hou* says Shi Jue disease, sudden death but pulse still moves, listen to ear, humming like whistling sound, and thigh warm is it. Although ear whistles, pulse moves, thus should save with Shi Jue method. Chao Yuan Fang says: Shi Jue is Yin Qi rebellion. Yang meridians suddenly drop, Yin meridians suddenly rise, Yin/Yang separate, Ying/Wei not connected, True Qi chaotic, guest evil attacks. Looks like dead, slight irregular breath. Pulse moves, form unaware. Listen to ear humming, thigh warm is it.
**Rescue Sudden Death/Evil Guest Death, Huan Hun Tang (Return Soul Decoction) is Main Formula**
(*Zhou Hou* no formula name, prefixed "Zhang Zhongjing Important Formulas" six characters. *San Yin* names Zhui Hun Tang. [Original Note] *Qian Jin Fang* says: Mainly sudden shock, ghost strike, flying corpse, sudden fainting, Qi absent no sensation. Or no pulse, locked jaw cannot pry, remove teeth, pour decoction. If decoction doesn't go down, part patient's hair left/right, hold shoulder pull, medicine goes down, add 1 sheng, soon cured. ○ Case *Qian Jin* "no pulse" makes "dead" character. No "ao" character. Hold, makes hold step. Down has "finish" character.)
Ma Huang (Ephedrae Herba, 3 liang, remove joints, one side 4 liang ○ *Zhou Hou* *Qian Jin Yi* use 4 liang), Xing Ren (Pruni Armeniaci Semen, remove skin/point, 70 pieces), Gan Cao (Glycyrrhizae Radix et Rhizoma, 1 liang, roasted [Original Note] *Qian Jin* uses Gui Xin 2 liang. ○ Case *Wai Tai* cites *Zhou Hou*, treat evil shortness of breath about to die formula, uses Gui Xin 2 liang. Current *Zhou Hou* no Gui.)
Three herbs, water 8 sheng, boil to 3 sheng, remove dregs, divide and swallow. Generally treats all shock. (*Wai Tai* cites *Zhou Hou* says: Generally treats all confused evil guest shock excellent. *Ji Yan*, Zhang Wenzhong Bei Ji same.)
*[Xu]* All sudden death and evil guest death are righteous failing to overcome evil, thus Yang Qi suddenly blocked and dies. Lung governs all meridians, ancestor of body. Ma Huang and Xing Ren are chief herbs benefiting Lung and connecting Yang. Combined with roasted Gan Cao to harmonize Middle. Thus main formula for saving sudden death. Named Huan Hun Tang, highlighting its merit.
*[Jian]* Middle...