诸中，谓中风、中寒、中暑、中湿、中气、中食、中恶也。皆卒然仆倒，昏不
知人。若痰涎壅盛，咽喉作声，证在危急。但见闭证，（牙关紧闭，两手握固是也。）不见脱证
者，（详下。）不论何中，且先与治痰通关，并可用麻油、姜汁、竹沥调苏和丸。虚寒
者，三生饮加人参、竹沥、姜汁，抉开口灌之，如抉不开，则令人含药口内，
以竹管吹入其鼻，自能下咽。二药必是闭非脱者方可用。若止中血脉，不入脏腑，
亦勿轻用，恐引邪入内。且先用通关散；细辛、皂角、菖蒲为末，（或加南星、生半夏、薄
荷末。）吹鼻，得嚏则苏。又痰壅宜吐，急救，稀涎散∶猪牙皂角，肥实不蛀者四挺，
去黑皮，晋矾光明者一两，为细末，轻者五分，重者七分，温水调灌。又碧霞丹∶
拣好石绿研，水飞再研，取二、三钱，同冰片三、四豆许，研匀，以生薄荷汁、温
酒调服。二药不大呕吐，但微微令涎自口角流出即苏。又本门方载此二方，与此大
同小异，酌轻重用之。无汗表实，三圣散；有汗里实，巴矾丸，皆吐药也。若见口
开（心绝）、手撒（脾绝）、眼合（肝绝）、遗尿（肾绝）、声如鼾（肺绝），此为脱症，不治。然五症不全见者，
速灸脐下（气海穴），服参 膏，亦有生者。切忌苏合、牛黄等丸。（牛黄丸见中风。）发直吐沫，
摇头上撺，面赤如 或赤黑，汗缀如珠，皆不治。诸中，或未苏或已苏，或初病或
久病，忽吐出紫红色者，死。卒中，眼上戴不能视者，灸第二第五椎骨上各七壮，
一齐下火，炷如半枣核大。涎涎潮卒，则当扶入暖室中正坐，沃醋炭火
内，当面熏之，气入鼻内良久，涎之聚于心者，自收归旧处，立苏。不可令吃一滴
汤水，恐涎系于心络，不能去，必成废人。
卒仆，六脉多沉伏，（邪滞于里，气不外达也。）亦有洪盛者，（暴仆时多沉伏，苏醒时即转洪盛矣。）
浮缓吉，坚大急疾凶。浮进为寒。虚大为暑，不当暑（言非暑月）。则为虚浮涩，为
湿。浮大为风。浮数无力亦为风。微而数，沉而迟，皆气中。风应人迎，气应气口，
洪数为火，滑为痰。更当察时月气候，及其人之起居饮食，参以显证，以定病之主名。
诸中，是指中风、中寒、中暑、中湿、中气、中食、中恶这七种病证。它们都表现为突然仆倒，昏迷不省人事。如果痰涎壅盛，咽喉间发出声响，病情处于危急状态。只要见到闭证（表现为牙关紧闭，两手握固），而未见脱证（详见下文）的，无论属于哪种“中”，都应先给予治疗痰浊、开通关窍的方法，并可用麻油、姜汁、竹沥调服苏和丸。对于虚寒体质者，可用三生饮加入人参、竹沥、姜汁，撬开口腔灌服；如果撬不开口，则让人将药含在口中，用竹管吹入鼻腔，药物自然能咽下。这两种方剂必须确认是闭证而非脱证方可使用。如果只是邪气中于血脉，未深入脏腑，也不要轻易使用，恐怕会引邪入内。此时应先用通关散：将细辛、皂角、石菖蒲研为粉末（也可加入天南星、生半夏、薄荷粉），吹入鼻中，引起喷嚏后患者即可苏醒。另外，痰浊壅盛宜用涌吐法急救，方用稀涎散：选取肥大无虫蛀的猪牙皂角四挺，去掉黑皮，光明纯净的白矾一两，研为细末，轻症用五分，重症用七分，温水调匀灌服。还有碧霞丹：挑选优质的石绿研磨，用水飞法再研，取二至三钱，同冰片三四粒豆大小的量，研匀，用新鲜薄荷汁、温酒调服。这两味药不一定引起剧烈呕吐，只需微微让涎液从口角流出，患者即可苏醒。本门其他医书中也记载了这两个方子，与此大同小异，可根据病情轻重斟酌使用。无汗且表实者，用三圣散；有汗且里实者，用巴矾丸，这些都是涌吐药。如果见到口开（心气绝）、手撒（脾气绝）、眼合（肝气绝）、遗尿（肾气绝）、声音如鼾（肺气绝），这属于脱证，难以治愈。然而如果上述五种症状不全见，迅速灸脐下的气海穴，服用参膏，也有存活的可能。切忌使用苏合香丸、牛黄丸等（牛黄丸见中风篇）。如果出现头发直竖、吐沫、摇头上窜、面色赤红或赤黑、汗出如珠，都是不治之症。各种“中”证，无论是尚未苏醒或已经苏醒，无论是初病还是久病，忽然吐出紫红色血液的，预后不良致死。猝然仆倒，眼睛上翻不能视物者，灸第二椎骨和第五椎骨上方各七壮，同时点火，艾炷大小如半颗枣核。痰涎如潮水般涌起时，应将患者扶入温暖的房间正中坐好，将醋倒在炭火上，对着面部熏蒸，热气进入鼻腔良久，积聚在心部的痰涎自然会收回原位，立即苏醒。不可让患者喝一滴汤水，恐怕痰涎系于心络，无法去除，必然成为废人。
猝然仆倒时，六脉多呈沉伏象（因邪气阻滞于体内，气机不能外达所致），也有呈现洪盛脉的（猝然仆倒时多为沉伏，苏醒后即转为洪盛）。脉浮缓为吉，脉坚大急疾为凶。脉浮进提示为寒证。脉虚大提示为暑证，若非暑月出现，则为虚浮涩脉，主湿证。脉浮大主风证。脉浮数无力也主风证。脉微而数，或沉而迟，皆属中气。风邪致病应察人迎脉，气滞致病应察气口脉，脉洪数为火证，脉滑为痰证。更应当观察时令气候，以及患者的起居饮食情况，结合明显的症状表现，来确定疾病的主要名称。
Zhong (Stroke-like syndromes) refers to seven conditions: Zhong Feng (Wind Stroke), Zhong Han (Cold Strike), Zhong Shu (Heat Stroke), Zhong Shi (Dampness Strike), Zhong Qi (Qi Strike), Zhong Shi (Food Strike), and Zhong E (Evil Strike). All of these present with sudden collapse and unconsciousness. If phlegm-saliva is abundant and sounds are heard in the throat, the condition is critical. As long as Bi Syndrome (Closed Syndrome, characterized by clenched jaw and tightly grasping hands) is observed without Tuo Syndrome (Open Syndrome/Exhaustion Syndrome, detailed below), regardless of which type of "Zhong" it is, treatment should first focus on resolving phlegm and opening the orifices. Suhe Wan (Styrax Pill) can be administered mixed with sesame oil, ginger juice, and bamboo sap. For those with deficiency-cold constitution, Sansheng Yin (Three Lives Decoction) added with Ginseng Radix et Rhizoma (Renshen), bamboo sap, and ginger juice should be forced into the mouth after prying it open; if the mouth cannot be pried open, have someone hold the medicine in their mouth and blow it into the nose via a bamboo tube, allowing it to be swallowed naturally. These two prescriptions must only be used for Bi Syndrome, not Tuo Syndrome. If the pathogen has only affected the vessels and meridians and has not entered the zang-fu organs, do not use them lightly, lest it draw the pathogen inward. Instead, use Tongguan San (Orifice-Opening Powder) first: powder prepared from Asarum Root (Xixin), Gleditsia Sinensis Fruit (Zaogao), and Acorus Tatarinowii Rhizome (Changpu) (optionally adding Pinellia Ternata Rhizome processed with alum (Nanxing), Raw Pinellia Rhizome (Sheng Banxia), and Mint Herb (Bohe)), blown into the nose to induce sneezing, upon which the patient will recover. Additionally, for phlegm obstruction requiring emergency emesis, Xixian San (Saliva-Clarifying Powder) is used: select four thick, sound, non-borer Gleditsia Sinensis Pods (Zaogao), remove the black skin, and mix with one tael of pure Alum (Fan) ground into fine powder. Use 5 fen for mild cases and 7 fen for severe cases, mixed with warm water and administered. Another prescription is Bixia Dan (Emerald Pill): grind high-quality Malachite (Shilu) using the water-trituration method, take 2-3 qian, mix evenly with 3-4 bean-sized pieces of Borneol (Bingpian), and administer mixed with fresh Mint Juice and warm wine. These two medicines do not necessarily cause violent vomiting; recovery occurs once saliva trickles slightly from the corners of the mouth. Other texts within this school record these two formulas with minor variations; choose based on severity. For exterior excess with no sweating, use Sansheng San (Three Saints Powder); for interior excess with sweating, use Bafan Wan (Barley-Alum Pill); both are emetic agents. If one observes an open mouth (indicating Heart Qi exhaustion), relaxed hands (Spleen Qi exhaustion), closed eyes (Liver Qi exhaustion), urinary incontinence (Kidney Qi exhaustion), or snoring sounds (Lung Qi exhaustion), this constitutes Tuo Syndrome (Exhaustion Syndrome), which is untreatable. However, if these five signs are not all present, moxibustion at Qihai (CV-6) below the umbilicus combined with Shen Gao (Ginseng Paste) may result in survival. Strictly avoid Suhe Xiang Wan (Styrax Pill) and Niuhuang Wan (Calculus Bovis Pill). (Niuhuang Wan is discussed under Wind Stroke). Conditions such as straightened hair, foaming at the mouth, head shaking and upward thrusting, red or dark-red/black complexion, and beads of sweat like pearls are all untreatable. For any "Zhong" syndrome, whether the patient has not yet recovered consciousness or has already recovered, whether in the early or late stage of illness, sudden vomiting of purple-red blood indicates death. In sudden collapse with eyes rolling upward and inability to see, moxa cones half the size of a jujube pit are applied to the areas above the second and fifth thoracic vertebrae simultaneously. When saliva surges suddenly, support the patient to sit upright in a warm room. Pour vinegar onto charcoal fire and fumigate the face; after the vapor enters the nose for a while, the phlegm gathered in the heart will return to its proper place, and the patient will recover immediately. Do not allow the patient to drink a single drop of soup or water, lest the phlegm remain attached to the heart collaterals, resulting in permanent disability.
In sudden collapse, the six pulses are mostly Chen (Deep) and Fu (Hidden) (due to pathogenic stagnation inside preventing Qi from reaching the exterior), though some may appear Hong (Surging). (During sudden collapse, pulses are often Deep/Hidden; upon recovery, they turn Surging). Floating and Slow pulses are auspicious; firm, large, rapid, and urgent pulses are ominous. A floating pulse advancing suggests Cold. A deficient and large pulse suggests Summerheat; if not occurring in summer months, a floating, deficient, choppy pulse indicates Dampness. A large floating pulse indicates Wind. A floating and rapid but weak pulse also indicates Wind. A faint and rapid pulse, or deep and slow pulse, both indicate Qi Strike. Wind pathogens correspond to the Renying (ST-9) pulse; Qi stagnation corresponds to the Qikou (LU-9) pulse. A surging and rapid pulse indicates Fire; a slippery pulse indicates Phlegm. One must further observe the seasonal climate, as well as the patient's daily routine and diet, combining these with obvious clinical manifestations to determine the primary name of the disease.