（附∶捏结喉法、明矾汤、麝香香油灌法）
点天突穴以治痰厥，善针灸者，大抵知之。而愚临证体验，尤曲尽点法之妙。穴在结喉（颈间高骨）下宛
宛中。点时屈手大指（指甲长须剪之）以指甲贴喉，指端着穴，直向下用力（勿斜向里），其气即通。指端，
当一起一点，令痰活动，兼频频挠动其指端，令喉痒作嗽，其痰即出。
一妇人，年二十许。数日之前，觉胸中不舒，一日忽然昏昏似睡，半日不醒。适愚自他处归，过其村。
病家见愚喜甚，急求延医。其脉沉迟，兼有闭塞之象。唇 动。凡唇动者，为有痰之征。脉象，当系寒痰壅滞
上焦过甚。遂令人扶之坐，以大指点其天突穴，俾其喉痒作嗽。约点半点钟，咳嗽十余次，吐出凉痰一碗，始
能言语。又用干姜六钱，煎汤饮下而愈。
岁在甲寅，客居大名之金滩镇。时当孟春，天寒，雨且雪，一兵士衣装尽湿，因冻甚，不能行步，其伙舁
之至镇，昏不知人。呼之不应，用火烘之，且置于温暖之处，经宿未醒。闻愚在镇，曾用点天突穴法，治愈一
人，求为延医。见其僵卧不动，呼吸全无。按其脉，仿佛若动。以手掩其口鼻，每至呼吸之顷，微觉有热，知犹
可救。遂令人扶起俾坐，冶以点天突穴之法，兼捏其结喉。约两点钟，咳嗽二十余次，共吐凉痰碗半，始能呻
吟。亦饮以干姜而愈。
【捏结喉法】得之沧州友人张××，其令人喉痒作嗽之力尤速。欲习其法者，可先自捏其结喉，如
何捏法即可作嗽，则得其法矣。然当气塞不通时。以手点其天突穴，其气即通。捏结喉，必痒嗽吐痰后，其气
乃通。故二法宜相辅并用也。
按∶西人谓，冻死者若近火，则寒气内迫，难救。宜置寒冷室中，或树阴无风处，将衣服脱除，用雪团
或冷水，周身摩擦；或将身置冷水中，周身摩擦。及四肢渐次柔软，行人工呼吸法，此时摩擦，更不宜间断。
迨患者自能呼吸，先被以薄衾，继用稍浓之被，渐移入暖室。
按∶此法必周身血肉，冻至冰凝，呼吸全无者，方宜用之。若冻犹不至若是之剧，用其法者又宜斟酌变通。
究之其法虽善，若果有寒痰杜塞，必兼用点天突穴，捏结喉法，方能挽救。人工呼吸法，即患者呼吸全无，
以法复其呼吸之谓也。其法，先将患者仰卧，俾其头及胸稍高。启其口，将舌周遭缠以细布条，紧结之，防
舌退缩，及口之收闭。救护者跪于头之旁，以两手握患者之两肘，上提过头，俾空气流入肺中，以助其吸后，
须臾，将两肘放下，紧压于胸胁之际，以助其呼（助其呼时更有人以两手心按其胸及心窝更佳）。如此往复，
行至患者自能呼吸而止。此为救急之良方，凡呼吸暴停者，皆可用此方救之。
【明矾汤】生白矾，长于治顽痰热痰，急证用之，诚有捷效。惟凉痰凝滞者，断不可用。一妇人，年二
十余。因悲泣过度，痰涎杜塞胃口，其胃气蓄极上逆，连连干呕。形状又似呃逆，气至咽喉不能上达。剧时，
浑身抖战，自掇其发，有危在顷刻之状。医者，用生姜自然汁灌之，益似不能容受。愚诊视之，其脉左手沉濡，
右三部皆无。然就其不受生姜观之，仍当是热痰杜塞，其脉象如此者，痰多能瘀脉也。且其面有红光，亦系热
证。遂用生白矾二钱，化水俾饮之，即愈。此方愚用之屡次，审知其非寒痰
杜塞，皆可随手奏效。即痰厥至垂危者，亦能救愈。
【麝香香油灌法】严用和云∶“中风不醒者，麝香清油灌之。”曾治一人，年二十余。因夫妻反目，身
躯忽然后挺，牙关紧闭，口出涎沫。及愚诊视，已阅三点钟矣。其脉闭塞不全，先用痧药吹鼻，得嚏气通，
忽言甚渴。及询之，仍昏昏如故，惟牙关微开，可以进药。因忆严用和麝香清油灌法，虽治中风不醒，若治痰
厥不醒，亦当有效。况此证形状，未必非内风掀动。遂用香油二两炖热，调麝香一分，灌之即醒。
又∶硼砂四钱化水，治痰厥可代白矾，较白矾尤稳妥。若治寒痰杜塞，用胡椒三钱捣碎，煎汤灌之，
可代生姜自然汁，与干姜汤。
附录∶
沧县董××来函∶
朱姓妇，产后旬余，甚平顺。适伊芳弟来视，午后食煮包一大碗，伊芳弟去后，竟猝然昏倒，四肢抽搐，
不省人事。延为诊视，六脉皆伏。当系产后五内空虚，骤而饱食填息，胸中大气不能宣通，诸气亦因之闭塞，
故现此证。取药不及，急用点天突穴及捏结喉法，又用针刺十宣及少商穴，须臾咳吐稠痰若干，气顺腹响，微
汗而愈。
用指端点按天突穴来治疗痰厥，擅长针灸的人大抵都知道。但我经过临床体验，尤其深知点法中的精妙之处。该穴位位于结喉（颈部高骨）下方的凹陷处。点按时，弯曲手的大拇指（指甲需修剪短），让指甲贴着喉咙，用指腹接触穴位，垂直向下用力（不要斜向里侧），气息随即通畅。指腹应当一起一落地点按，使痰液松动，同时频繁轻微地拨动指腹，令患者喉咙发痒而咳嗽，痰液即可排出。
有一位妇女，二十岁上下。几天前，她觉得胸口不舒服，一天突然昏沉似睡，半天不醒。恰好我从别处回来，路过她的村庄。病人家属见到我非常高兴，急忙请我去看病。她的脉象沉迟，兼有闭塞之象。嘴唇颤动。凡是嘴唇颤动的，是有痰的征象。从脉象来看，应当是寒痰壅滞在上焦过于严重。于是让人扶她坐起，我用大拇指点按她的天突穴，让她喉咙发痒而咳嗽。大约点半点钟，咳嗽了十几次，吐出一碗凉痰，才能说话。又让她喝下煎好的干姜六钱，病就好了。
甲寅年，我客居大名府的金滩镇。当时正值初春，天气寒冷，下雨且下雪，一名士兵衣服鞋子全湿，因为冻得厉害，不能行走，他的同伴把他抬到镇上，昏迷不省人事。呼唤他不答应，用火烘烤他，并且放在温暖的地方，过了一夜还没醒。听说我在镇上，曾用点天突穴的方法治愈过一个人，便请求我去医治。见他僵硬躺着不动，呼吸全无。摸他的脉搏，仿佛还在跳动。用手掩住他的口鼻，每次到呼吸的时候，微微感觉到有热气，知道还可以救治。于是让人扶起让他坐好，采用点天突穴的方法，并捏他的结喉。大约两点钟，咳嗽二十多次，共吐出半碗凉痰，才开始呻吟。也给他喝了干姜汤而痊愈。
【捏结喉法】这个方法来自沧州的朋友张某某，它让人喉咙发痒咳嗽的速度特别快。想要学习这种方法的人，可以先自己捏自己的结喉，看怎样捏法能引起咳嗽，就掌握方法了。然而当气机堵塞不通时，用手点按天突穴，气息立即通畅。捏结喉，必须在痒咳吐痰之后，气息才通畅。所以这两种方法应该配合使用。
按语：西方人认为，冻死的人如果靠近火源，寒气会向内逼迫，难以救治。应该放置在寒冷的房间，或树荫无风处，脱去衣服，用雪团或冷水，全身摩擦；或将身体置于冷水中，全身摩擦。等到四肢逐渐柔软，进行人工呼吸法，此时摩擦更不应间断。等到患者自己能呼吸，先盖上薄被子，接着用稍厚的被子，逐渐移入温暖的房间。
按语：这种方法必须全身血肉冻至冰凝，呼吸全无的情况下才适宜使用。如果冻伤还不至于如此严重，使用这种方法的人又应该斟酌变通。总之，这种方法虽然好，但如果确实有寒痰堵塞，必须兼用点天突穴、捏结喉法，才能挽救。人工呼吸法，就是针对患者呼吸全无，用方法恢复其呼吸而言。具体方法是，先将患者仰卧，使其头部和胸部稍高。张开嘴，将舌头周围缠绕细布条，紧紧系住，防止舌头退缩及嘴巴闭合。救护者跪在头旁边，用两手握住患者的两肘，向上提过头顶，使空气流入肺中，以助吸气；过了一会儿，将两肘放下，紧压于胸胁之间，以助呼气（助呼气时，如果有人用双手掌心按压胸部和心窝更好）。这样反复进行，直到患者自己能呼吸为止。这是急救的好方法，凡是呼吸突然停止的，都可以用这个方法抢救。
【明矾汤】生白矾，长于治疗顽痰热痰，急症使用，确实有快速疗效。但是凉痰凝滞的情况，绝对不可使用。一位妇女，二十多岁。因为悲伤哭泣过度，痰涎堵塞胃口，胃气蓄积极盛而上逆，连连干呕。症状又像呃逆，气冲到咽喉不能上达。严重时，浑身颤抖，自己抓扯头发，有危在旦夕的样子。医生用生姜自然汁灌服，更加似乎不能承受。我诊视后，她的脉象左手沉濡，右三部皆无。但从她不接受生姜来看，仍然应当是热痰堵塞，出现这种脉象，是因为痰多阻滞脉道所致。而且她面部有红光，也是热证的表现。于是用生白矾二钱，化水让她喝下，立刻痊愈。这个方子我使用过多次，确认不是寒痰堵塞的，都能随手奏效。即使是痰厥到了垂危的地步，也能救活。
【麝香香油灌法】严用和说：“中风昏迷不醒的，用麝香清油灌服。”我曾治疗一个人，二十多岁。因为夫妻反目，身体突然向后挺伸，牙关紧闭，口出涎沫。等我诊视时，已经过了三个小时。他的脉象闭塞不全，先用痧药吹入鼻子，打了个喷嚏气息通畅，忽然说非常口渴。等询问他，仍然昏昏沉沉如故，只是牙关微开，可以进药。于是想起严用和的麝香清油灌法，虽然是治中风不醒，但治疗痰厥不醒，也应该有效。况且这个病症状，未必不是内风掀动所致。于是用香油二两炖热，调匀一分麝香，灌服后立即苏醒。
另外：硼砂四钱化水，治疗痰厥可以代替白矾，比白矾更加稳妥。如果是治疗寒痰堵塞，用胡椒三钱捣碎，煎汤灌服，可以代替生姜自然汁，以及干姜汤。
附录：
沧县董某某来信：
朱姓妇女，产后十多天，非常平顺。恰逢她弟弟来看望，下午吃了一大碗煮包子，她弟弟走后，竟然突然昏倒，四肢抽搐，不省人事。请我去诊视，六脉都伏匿不见。应当是产后五脏空虚，突然饱食填塞，胸中大气不能宣通，诸气也因此闭塞，所以出现这个症状。取药来不及，急忙用点天突穴及捏结喉法，又用针刺十宣穴及少商穴，一会儿咳吐稠痰若干，气顺腹部作响，微微出汗而痊愈。
(Attached: Method of Pinching the Adam's Apple, Mingfan Decoction, Method of Administering Musk and Sesame Oil)
Using finger-pointing on the Tiantu acupoint to treat Phlegm-Jue (syncope due to phlegm obstruction), those skilled in acupuncture and moxibustion generally know this. However, through my clinical experience, I have particularly mastered the subtleties of the pointing method. The acupoint is located in the depression below the Jiehou (Adam's apple/high bone of the neck). When pointing, bend the thumb (nails must be trimmed short), press the nail against the throat, place the fingertip on the acupoint, and apply force straight downward (do not angle inward); the Qi will then flow freely. The fingertip should move up and down rhythmically to mobilize the phlegm, while frequently flicking the fingertip to induce a tickling sensation in the throat and coughing, allowing the phlegm to be expelled.
A woman, about twenty years old. A few days prior, she felt discomfort in her chest. One day, she suddenly fell into a deep stupor resembling sleep, remaining unconscious for half a day. Fortunately, I was returning from elsewhere and passed through her village. Her family was overjoyed to see me and urgently requested medical attention. Her pulse was deep and slow, with signs of obstruction. Her lips were quivering. Quivering lips are a sign of phlegm. Based on the pulse, it was likely that Cold-Phlegm (Cold Phlegm) was excessively stagnant in the Upper Jiao (Upper Burner). I had someone help her sit up and used my thumb to point at her Tiantu acupoint to induce throat tickling and coughing. After about half an hour, she coughed more than ten times and vomited a bowl of cold phlegm, after which she could speak. She was then given a decoction of six qian of Ganjiang (Dried Ginger) and recovered.
In the year Jiayin, I was residing as a guest in Jintan Town, Daming Prefecture. It was early spring, cold weather, raining and snowing. A soldier’s clothes and shoes were completely soaked. Due to severe freezing, he could not walk, so his comrades carried him to town. He was unconscious and unresponsive. They warmed him with fire and placed him in a warm spot, but he remained unconscious overnight. Hearing that I had cured someone using the Tiantu pointing method, they asked me to treat him. He lay stiffly motionless with no respiration. His pulse seemed faintly palpable. Covering his mouth and nose, I felt slight warmth during each respiratory attempt, indicating he could still be saved. I had someone help him sit up, applied the Tiantu pointing method, and pinched his Adam's apple. After about two hours, he coughed more than twenty times and vomited half a bowl of cold phlegm, beginning to groan. He was also given Ganjiang (Dried Ginger) and recovered.
[Method of Pinching the Adam's Apple] This method was obtained from my friend Zhang XX in Cangzhou; its ability to induce throat tickling and coughing is particularly rapid. Those wishing to learn it can first pinch their own Adam's apple to determine how to elicit a cough, thereby mastering the technique. However, when Qi is blocked and cannot flow, pressing the Tiantu acupoint allows Qi to flow immediately. Pinching the Adam's apple only clears the Qi after tickling, coughing, and expectoration occur. Therefore, these two methods should be used together.
Note: Western medicine holds that if a person frozen to death is brought near fire, the cold energy presses inward, making rescue difficult. It is advisable to place them in a cold room or a shaded, windless area under a tree, remove their clothes, and rub their entire body with snowballs or cold water; or submerge them in cold water and rub their body. Once the limbs gradually become soft, perform artificial respiration, ensuring the rubbing does not interrupt. When the patient resumes breathing spontaneously, cover them first with a thin quilt, then with a thicker one, and gradually move them into a warm room.
Note: This method is suitable only when the flesh and blood of the entire body are frozen solid and respiration has ceased. If the freezing is not so severe, practitioners should exercise discretion and adapt the method. Nevertheless, although this method is good, if there is indeed blockage by Cold-Phlegm (Cold Phlegm), one must combine it with Tiantu pointing and Adam's apple pinching to effect a rescue. Artificial respiration refers to restoring respiration in patients who have completely stopped breathing. The method involves laying the patient supine with the head and chest slightly elevated. Open the mouth, wrap a thin cloth strip around the tongue, and tie it tightly to prevent tongue retraction and mouth closure. The rescuer kneels beside the head, grasps both elbows of the patient, lifts them overhead to allow air to enter the lungs (aiding inhalation), and after a moment, lowers the elbows to press firmly against the chest and ribs (aiding exhalation; it is better if another person presses the chest and epigastrium with palms during exhalation). Repeat this cycle until the patient breathes spontaneously. This is an excellent emergency remedy applicable to any case of sudden respiratory arrest.
[Mingfan Decoction] Sheng Bai Fan (Raw Alum) is effective for treating stubborn Phlegm-Heat (Phlegm-Heat Syndrome) and acute conditions, yielding rapid results. However, it is absolutely contraindicated for Cold-Phlegm stagnation. A woman in her twenties, due to excessive grief and weeping, had saliva and phlegm blocking the stomach opening. Her Stomach Qi accumulated excessively and rebelled upward, causing continuous dry heaving. Her condition resembled hiccups, with Qi reaching the throat but unable to ascend. During severe episodes, her whole body trembled, and she pulled her hair, appearing critically ill. The physician administered fresh ginger juice, which she seemed unable to tolerate. Upon examination, her left wrist pulse was deep and soggy, while the right three positions were imperceptible. However, considering her rejection of ginger, it was still likely Heat-Phlegm (Heat Phlegm) obstruction. Such a pulse indicates that excessive phlegm obstructs the pulse vessels. Furthermore, the redness on her face indicated a heat syndrome. I used two qian of Sheng Bai Fan (Raw Alum) dissolved in water for her to drink, resulting in immediate recovery. I have used this formula many times; whenever it is confirmed that the obstruction is not Cold-Phlegm (Cold Phlegm), it yields prompt results. Even in critical cases of Phlegm-Jue (syncope due to phlegm obstruction), it can save lives.
[Musk and Sesame Oil Administration Method] Yan Yonghe stated: "For stroke patients who are unconscious, administer musk and clear oil." I once treated a man in his twenties. Following a marital dispute, his body suddenly arched backward, his jaw clenched shut, and saliva dribbled from his mouth. By the time I examined him, three hours had passed. His pulse was partially obstructed. I first blew Sha Medicine (Sha Yao) into his nose; after sneezing, his Qi flowed, and he suddenly expressed intense thirst. Upon inquiry, he remained confused, but his jaw was slightly open, allowing medication. Recalling Yan Yonghe’s method of administering musk and clear oil for unconscious stroke, I reasoned it would also be effective for unconscious Phlegm-Jue (syncope due to phlegm obstruction). Moreover, this presentation might well be caused by internal Wind stirring. I heated two liang of sesame oil, mixed in one fen of Moschus (Musk), and administered it orally, leading to immediate awakening.
Additionally: Borax (Pengsha) four qian dissolved in water can replace alum for treating Phlegm-Jue (syncope due to phlegm obstruction) and is safer than alum. For Cold-Phlegm (Cold Phlegm) blockage, three qian of crushed Piper Longum (Hu Jiao) decocted in water and administered orally can replace fresh ginger juice or Ganjiang Tang (Dried Ginger Decoction).
Appendix:
Letter from Dong XX of Cang County:
Mrs. Zhu, more than ten days postpartum, had been recovering smoothly. Her brother visited her in the afternoon, and she ate a large bowl of boiled steamed buns. After her brother left, she suddenly collapsed, convulsed, and lost consciousness. I was called to examine her. All six pulses were hidden. This was likely due to emptiness of the five zang organs postpartum, followed by sudden overeating which filled the chest, preventing the circulation of the Great Qi (Zong Qi) and causing obstruction of all Qi movements. Medication was unavailable, so I urgently applied the Tiantu pointing method and Adam's apple pinching method, and punctured the Shi Xuan (Ten Extremities) acupoints and Shang Shang acupoint. Shortly after, she coughed up considerable amounts of thick phlegm, her Qi smoothed, her abdomen made sounds, and she broke into a slight sweat, recovering fully.