救卒死而壮热者，方用矾石半斤，以水一斗半煮消，以浸脚令没踝。
〔世〕惊怖死者，以温酒灌之。
〔丹〕痰中后，心下迷闷汪洋，食少倦怠。
白术（二钱半） 川芎（半钱） 苍术 半夏 茯苓（各一钱） 姜（三片） 水煎服。
四六嫂，因食生菜青梅，痰发昏冒不知人，口渴脉滑，今已能言，但说心下痞痛乏力。
陈皮 白术（各一钱） 苍术（半钱） 滑石（一钱半） 木香（三分） 甘草（炙，些少）
半夏（七分半） 水煎服。
妇人三十余岁，因产后能食，半月后，忽头晕仆不知人，醒后至今食少。
白术（二钱） 川芎 黄芩 茯苓（各一钱） 姜（三片）
上煎取三之一，下保和丸三十粒。
〔《本》〕世言气中者，虽不见于方书，然暴喜伤阳，暴怒伤阴，忧愁拂意，气多厥逆，往
往多得此疾，便觉涎潮昏塞，牙关紧急。若概作中风候用药，非止不相当，多致杀人。元 庚午，
母氏亲遭此祸，至今饮恨。母氏平时食素，气血羸弱，因先子捐馆忧恼，忽一日气厥，牙禁涎潮，
一里医便作中风，以大通丸三粒下之，大下数行，一夕卒，予尝痛恨。每见此症，急化苏合香丸
灌之便醒，然后随其寒热虚实而调理之，无不愈者。
经云∶无故而喑，脉来乍大乍小、乍短乍长者为祟，滑者鬼疰，紧而急者遁尸。
〔《素》〕脉至如喘，名曰暴厥。暴厥者，不知与人言。（大奇论）脉浮而散者为 仆。（王注云∶
浮为虚，散为不足。脉要精微论）
急虚身中卒至，五脏绝闭，脉道不通，气不往来，譬于堕溺，不可为期，其脉绝不来。若人
一息五六至，其形肉不脱，真藏虽不见，犹死也。（玉机真藏论）
〔无〕中暑脉阳弱阴虚，微迟似芤。
〔《脉》〕问曰∶妇人病如癫疾郁冒，一日二十余发，师脉之，反言带下，皆如师言，其
脉何类？何以别之？师曰∶寸口脉濡而紧，濡则阳气微，紧则荣中寒，阳微卫气虚，血竭凝寒，
阴阳不和，邪气舍于荣卫。疾起年少时经水来以合房室，移时过度，精感命门开，经下血虚，
百脉皆张，中极感阳动，微风激成寒，因虚舍荣卫，令积于丹田，发动上冲，奔在胸膈，津液掩
口入，涎唾涌溢出，眩冒状如厥，气冲髀里热，粗医名为癫，灸之因大剧。问妇人病苦，气上
冲胸，眩冒，吐涎沫，髀里气冲热，师脉之，不名带下，其脉何类？何以别之？师曰∶寸口脉沉
而微，沉则胃气伏，微则荣气绝，阳伏则为疹，阴绝则为亡血，病当小便不利，津液闭塞。今
反小便通，微汗出，沉变为寒，咳逆呕沫，其肺成痿，津液竭少，亡血损经络，因寒为血厥，
手足苦痹，气从丹田起，上至胸胁，沉寒怫郁于上，胸中窒塞，气历阳部，面翕翕如醉，形体似
肥。此乃浮虚，医反下之长针，复重虚荣卫，久发眩冒，故知为血厥也。
〔仲〕问曰∶寸口脉沉大而滑，沉则为实，滑则为气，实气相搏，血气入脏即死，入腑即愈，
此为卒厥，何谓也？师曰∶唇青身冷，为入脏即死，如身温和汗自出，为入腑即愈。
〔《脉》〕人病尸厥，呼之不应，脉伏者死，脉大反小者死。卒中恶，腹大四肢满，脉大而
缓者生，紧大而浮者死，紧细而微者亦生。
救治突然死亡且身体壮热的人，方剂使用矾石半斤，用水一斗半煮至溶解，将脚浸入药液中，使药液没过脚踝。
〔世〕因惊恐而死亡的人，用温酒灌服。
〔丹〕痰证发作后，心下感到迷闷如水浸般不适，食欲减退，身体倦怠。
白术（二钱半） 川芎（半钱） 苍术 半夏 茯苓（各一钱） 生姜（三片） 水煎服。
四六嫂，因为吃了生菜和青梅，导致痰症发作，昏冒不知人事，口渴，脉象滑，现在已经能说话，但诉说心下痞塞疼痛、乏力。
陈皮 白术（各一钱） 苍术（半钱） 滑石（一钱半） 木香（三分） 甘草（炙，少许）
半夏（七分半） 水煎服。
三十多岁的妇人，因为产后食欲旺盛，半个月后，忽然头晕跌倒不知人事，醒来后至今食欲不振。
白术（二钱） 川芎 黄芩 茯苓（各一钱） 生姜（三片）
以上药材煎取三分之一药汁，送服保和丸三十粒。
〔《本草》〕世人所说的“气中”，虽然未在方书中见到记载，然而暴喜损伤阳气，暴怒损伤阴血，忧愁失意，气机多发生厥逆，往往容易得此病，便觉得涎沫上涌、昏塞，牙关紧急。如果一概当作中风候证用药，不仅不对症，还多会导致死亡。元朝庚午年，我的母亲亲身遭遇此祸，至今心中含恨。母亲平时吃素，气血虚弱，因为先父去世忧恼，忽然一日发生气厥，牙关紧闭、涎沫上涌，一位乡医便当作中风，用大通丸三粒让她泻下，大泻数次，当晚就去世了，我曾对此深感痛恨。每次见到这种病症，急忙化开苏合香丸灌服便能苏醒，然后根据寒热虚实的不同进行调理，没有不痊愈的。
经文说：无故失音，脉象忽大忽小、忽短忽长的，是鬼祟作怪；脉滑的是鬼疰；脉紧而急的是遁尸。
〔《素问》〕脉象急促如喘息状，名叫暴厥。暴厥的人，不能与人交谈。（出自《大奇论》）脉浮而散的，会发生仆倒。（王冰注云：浮为虚，散为不足。出自《脉要精微论》）
急虚之体突然受邪，五脏闭塞，脉道不通，气机不再往来，如同坠落溺水，无法预测预后，其脉绝不来。如果人一息脉搏跳动五六次，形体肌肉没有脱陷，真脏脉虽未出现，也是死证。（出自《玉机真藏论》）
〔《脉经》〕问：妇人患病像癫疾郁冒，一天发作二十多次，医生诊脉，反而说是带下病，结果都像医生所说，她的脉象是什么样的？如何区别？医生说：寸口脉濡而紧，濡则阳气微弱，紧则营分有寒，阳气微弱则卫气虚，血液枯竭凝滞于寒，阴阳不和，邪气居于营卫之间。疾病起于年少时月经来潮期间行房事，时间过长过度，精气感召命门开启，经血下行导致血虚，百脉皆张，中极穴感受阳气扰动，微风激发成寒，因虚而客舍于营卫，致使积结于丹田，发动上冲，奔突在胸膈，津液掩蔽口入，涎唾涌出溢出，眩晕冒昧状如厥逆，气冲大腿内侧发热，粗俗的医生命名为癫，施灸后病情加重。问妇人病痛，气上冲胸，眩晕冒昧，吐涎沫，大腿内侧气冲发热，医生诊脉，不诊断为带下，她的脉象是什么样的？如何区别？医生说：寸口脉沉而微，沉则胃气潜伏，微则营气衰竭，阳伏则为疹，阴绝则为亡血，病应当小便不利，津液闭塞。现在反而小便通利，微微出汗，沉变为寒，咳逆呕沫，肺成为痿证，津液枯竭减少，亡血损伤经络，因寒导致血厥，手足苦于痹阻，气从丹田升起，上至胸胁，沉寒怫郁于上，胸中窒塞，气经过阳部，面部红赤如醉，形体看似肥胖。这是浮虚之脉，医生反而用长针攻下，又重复损伤营卫，久发眩晕冒昧，所以知道是血厥。
〔仲景〕问：寸口脉沉大而滑，沉则为实，滑则为气，实与气相互搏结，血气入脏即死，入腑即愈，这叫卒厥，是什么意思？医生说：嘴唇青紫、身体寒冷，是入脏即死；如果身体温和、汗自出，是入腑即愈。
〔《脉经》〕人患尸厥，呼叫不应，脉伏匿的会死，脉大反而小的会死。卒中恶气，腹部胀大四肢满闷，脉大而缓的会生，紧大而浮的会死，紧细而微的也会生。
To treat sudden death accompanied by intense heat, the prescription uses half a jin of Alum (Fan Shi), boiled in one dan and a half of water until dissolved. Soak the feet in the solution up to the ankles.
[Shi] For those who died due to fright, administer warm wine.
[Dan] After an attack of Phlegm (Tan) syndrome, there is a sense of confusion and oppression in the epigastrium as if immersed in water, decreased appetite, and fatigue.
Bai Zhu (Atractylodis Rhizoma, 2 qian 1/2), Chuan Xiong (Ligustici Rhizoma et Radix, 0.5 qian), Cang Zhu (Atractylodis Rhizoma), Ban Xia (Pinelliae Rhizoma), Fu Ling (Poria, each 1 qian), Sheng Jiang (Zingiberis Rhizoma Recens, 3 slices). Decoct in water and take orally.
Si Liu Sao, after consuming raw vegetables and green plums, suffered from a Phlegm attack causing coma and unconsciousness, thirst, and a slippery pulse. She can now speak but complains of epigastric fullness, pain, and weakness.
Chen Pi (Citri Reticulatae Pericarpium, each 1 qian), Bai Zhu (Atractylodis Rhizoma, 1 qian), Cang Zhu (Atractylodis Rhizoma, 0.5 qian), Hua Shi (Talcum, 1 qian 1/2), Mu Xiang (Aucklandiae Radix, 3 fen), Zhi Gan Cao (Glycyrrhizae Radix et Rhizoma Preparatum cum Melle, a little), Ban Xia (Pinelliae Rhizoma, 0.75 qian). Decoct in water and take orally.
A woman in her thirties, having had a robust appetite postpartum, suddenly experienced dizziness, fell, and became unconscious half a month later. Since waking, she has had a poor appetite.
Bai Zhu (Atractylodis Rhizoma, 2 qian), Chuan Xiong (Ligustici Rhizoma et Radix), Huang Qin (Scutellariae Radix), Fu Ling (Poria, each 1 qian), Sheng Jiang (Zingiberis Rhizoma Recens, 3 slices).
Decoct the above herbs to obtain one-third of the original volume. Administer with thirty pills of Bao He Wan (Preserve Harmony Pill).
[Ben Cao] The condition known as "Qi Zhong" (Stroke of Qi) mentioned by laypeople is not found in medical texts. However, excessive joy injures Yang, excessive anger injures Yin, and sorrow or frustration often leads to Qi Jue (Reversal of Qi). Patients typically experience surging saliva, stupor, obstruction, and lockjaw. If treated indiscriminately as Feng Zheng (Wind Syndrome), it is not only inappropriate but often fatal. In the Gengwu year of the Yuan dynasty, my mother suffered this affliction, leaving me with lasting regret. My mother usually ate a vegetarian diet and had weak Qi and Blood. Following the grief of my father's death, she suddenly suffered Qi Jue with lockjaw and salivary overflow. A local physician diagnosed it as Wind Stroke and administered three pills of Da Tong Wan (Great Unblocking Pill) to induce purgation. After several severe purges, she died that night. I deeply lamented this. Whenever I encounter such cases, I urgently prepare Su He Xiang Wan (Styrax Pill) for administration, which restores consciousness. Subsequently, regulating based on Cold, Heat, Deficiency, and Excess invariably leads to recovery.
The Classics state: Sudden aphonia without cause, with a pulse that fluctuates between large and small, short and long, indicates Gui Chuang (Ghost Affliction); a slippery pulse indicates Gui Zhu (Ghost Transmission); a tight and rapid pulse indicates Dun Shi (Escaping Corpse).
[Su Wen] A pulse that is rapid like panting is named Bao Jue (Sudden Reversal). Those with Bao Jue cannot speak with others. (From *Da Qi Lun*) A floating and scattered pulse indicates collapse. (Wang Bing notes: Floating indicates Deficiency, Scattered indicates insufficiency. From *Mai Yao Jing Wei Lun*)
In cases of sudden collapse due to extreme deficiency where pathogenic factors strike abruptly, the five Zang organs close, the pulse channels become blocked, and Qi ceases to circulate. This is akin to falling into drowning; prognosis is unpredictable, and the pulse may cease entirely. If the pulse beats five or six times per breath, yet the flesh has not wasted away, even if the True Zang pulse is not visible, it is still a death sign. (From *Yu Ji Zhen Zang Lun*)
[Wu] The pulse for Zhong Shu (Heat Stroke) is weak at the Yang position and indicates Yin Deficiency; it is slightly slow and resembles a Kou pulse (Hollow pulse).
[Mai Jing] Question: A woman suffers from symptoms resembling Dian Ji (Mania-Depression) and Yu Mao (Stagnant Dizziness), occurring more than twenty times a day. The physician diagnoses a Dai Xia (Leukorrhea) condition, which proves correct. What does her pulse resemble? How to differentiate? Answer: The Cun Kou pulse is Ru (Soggy) and Jin (Tight). Ru indicates slight Yang Qi deficiency; Jin indicates Cold in the Ying (Nutritive) level. Yang deficiency leads to Wei (Defensive) Qi deficiency; blood exhaustion and stagnation create Cold. Yin-Yang disharmony allows pathogenic factors to lodge in Ying and Wei. The disease originated when she engaged in intercourse during menstruation in her youth, overexerting herself. Essence stimulated the Ming Men (Gate of Life) to open, menstrual blood flowed causing Blood Deficiency, and all vessels dilated. The Zhong Ji point felt Yang movement; slight wind triggered Cold. Due to deficiency, pathogens lodged in Ying and Wei, accumulating in the Dan Tian. Upon activation, Qi rushed upward to the chest and diaphragm. Body fluids covered the mouth, causing saliva to surge and overflow. Dizziness and stupor resembled Jue. Qi rushing into the thighs caused heat. Crude physicians named it Dian (Mania), and moxibustion aggravated it.
Question: A woman suffers from Qi rushing to the chest, dizziness, vomiting of saliva, and heat in the thighs. The physician does not diagnose Dai Xia. What is the pulse? How to differentiate? Answer: The Cun Kou pulse is Chen (Deep) and Wei (Fine). Chen indicates latent Stomach Qi; Wei indicates exhausted Ying Qi. Yang latency causes rashes; Yin exhaustion causes Blood loss. The disease should present with difficult urination and closed body fluids. Now, urine flows freely, slight sweating occurs, Chen transforms into Cold, coughing and vomiting of foam occur, the Lung becomes Fei (Flaccidity), body fluids are depleted, Blood loss damages meridians. Due to Cold, Blood Jue (Reversal) occurs, causing bi-syndrome in hands and feet. Qi rises from the Dan Tian to the chest and hypochondrium. Deep Cold stagnates above, causing chest oppression. Qi passes through Yang regions, causing the face to appear flushed as if drunk, and the body appears fat. This is a Fu Xu (Floating and Deficient) pulse. Physicians incorrectly used long needles to purge, further damaging Ying and Wei. Long-standing dizziness confirms Blood Jue.
[Zhong Jing] Question: The Cun Kou pulse is Chen (Deep) and Da (Large) and Hua (Slippery). Chen indicates Excess; Hua indicates Qi. When Excess and Qi contend, if Blood and Qi enter the Zang organs, death ensues; if they enter the Fu organs, recovery occurs. This is called Cu Jue (Sudden Reversal). What does this mean? Answer: Blue lips and cold body indicate entry into Zang organs leading to death. Warm body and spontaneous sweating indicate entry into Fu organs leading to recovery.
[Mai Jing] In patients with Shi Jue (Corpse Reversal) who do not respond to calls, a hidden pulse indicates death, while a pulse that is large but becomes smaller also indicates death. In sudden attacks of Evil Qi, if the abdomen is distended and limbs full, a large and slow pulse indicates survival; a tight, large, and floating pulse indicates death; a tight, fine, and minute pulse also indicates survival.