病源尸厥者,阴气逆也,此由阳脉猝下坠,阴脉猝上升,阴阳离居,营卫不通,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,
沉
正
俱
张仲景云,尸厥脉动而无气,气闭不通,故静而死也,治方。
菖蒲屑纳鼻两孔中吹之,令人以桂屑着舌下。
又方
取左角发方寸匕烧末,酒和灌令入喉,立起。
肘后方。
白马尾二七茎,白马前脚甲二枚,烧之以苦酒丸如小豆大,开口吞二丸,须臾服一丸
又方
灸鼻人中七壮,又灸阴囊下,去下部一寸,百壮,若妇人灸两乳中,又云爪刺人中良久
,又针人中至齿,立起,此扁鹊法。
又方
以绳围其臂脘,男左女右,绳从大椎上度,下行脊上,灸绳头尽处五十壮,活,此是扁
鹊法。
又方
熨其两胁下,取炷中墨如弹丸大,浆和饮之,更以管吹耳中,令三四人更互吹之。
又方
以小管吹鼻孔,梁上尘如豆大着中吹之,令入。
又方
针百会,当鼻中入发际五寸许,针入三分,补之,针足大趾甲下肉侧,去甲三分,又针
足中趾甲上各三分,大趾之肉去端韭叶许,又针手少阴锐骨之端各一分。
又方
灸膻中季肋间二七壮也。(肘后惟云灸膻中集验同并出第一卷中)
千金论曰,风寒之气客于脏间,滞而不能发,故喑不能言,及喉痹失声,皆风邪所为也
,入脏皆能杀人,凡尸厥如死,脉动如故,此阳脉下坠,阴脉上争,气闭故也,疗方。
灸百会百壮,针入三分补之。
又方
针足中趾头,去甲如韭叶,并刺足大趾甲下内侧,去甲三分。
崔氏论曰,凡尸厥为病,脉动而形,无所知,阳脉下坠,阴脉上争,营卫不通,其状如
死,而犹微有息,其息不常,人乃不知,欲殡殓者,疗之方。
急可以芦管吹其两耳,极尽以气吹之,立起,若人气极,可易人吹之。(出第四卷中)
病源:所谓尸厥,是阴气逆乱所致。这是由于阳脉突然下陷,阴脉突然上逆,导致阴阳分离,营卫之气不通,真气厥乱,外邪趁机侵袭。其症状表现为形体如同死亡,但仍有微弱的呼吸且不规则,脉搏尚存跳动而形体无知觉。若贴近其耳倾听,可听到类似呼啸的声音。
张仲景说:尸厥患者脉搏跳动但没有气息,因气机闭塞不通,所以呈现静止如死的状态。治疗方剂如下:
将石菖蒲的碎屑纳入鼻孔中吹入,让人将肉桂的碎屑置于舌下。
又一方:
取左侧头角处的头发一立方寸大小,烧成灰烬,用酒调和灌入咽喉,患者立即苏醒。出自《肘后备急方》。
取白马尾巴毛十四根,白马前脚甲两片,烧制成丸,大小如小豆,张开嘴吞服两丸,片刻后再服一丸。
又一方:
在鼻唇沟的人中穴施灸七壮;又在阴囊下方、距离下部一寸处施灸一百壮;若是女性,则灸两乳中间。又说可用指甲重掐人中穴良久;或者针刺人中穴至牙齿深度,患者立即苏醒,这是扁鹊的方法。
又一方:
用绳子环绕患者的手臂腕部,男性绕左手,女性绕右手,绳子从大椎穴上方经过,沿脊柱下行,在绳子末端尽头处施灸五十壮,患者复活,这也是扁鹊的方法。
又一方:
熨烫其两侧胁下部位。取艾炷燃烧后的黑色灰烬,大小如弹丸,用米汤调和饮下,再用细管向耳中吹气,让三四个人轮流吹气。
又一方:
用细管向鼻孔吹气,将房梁上的灰尘如豆子大小吹入鼻中,令其进入。
又一方:
针刺百会穴,位置在鼻尖直上入发际五寸左右,进针三分,采用补法;针刺足大趾甲下内侧肌肉处,距离指甲三分;又针刺足中趾甲上各三分,足大趾的肉端留韭菜叶宽许不刺;又针刺手少阴心经锐骨之端(神门穴),各进针一分。
又一方:
在膻中穴与季肋之间施灸十四壮。(《肘后备急方》只说灸膻中,《集验方》相同,均出自第一卷)
《千金方》论述说:风寒之气客居于脏腑之间,停滞而不能发散,所以导致失音不能说话,以及喉痹失声,这都是风邪所为。邪气入脏都能致人死亡。凡是尸厥表现为如死一般,但脉搏跳动如常,这是因为阳脉下陷,阴脉上争,气机闭塞所致。治疗方剂如下:
在百会穴施灸一百壮,进针三分并采用补法。
又一方:
针刺足中趾头,距离指甲如韭菜叶宽处,并刺足大趾甲下内侧,距离指甲三分。
崔氏论述说:凡是尸厥这种病,脉搏跳动而形体无知觉,阳脉下陷,阴脉上争,营卫不通,症状表现如同死亡,但仍有微弱且不规律的呼吸,人们往往不知道,想要殡葬殓葬的患者,可用以下方法救治。
急忙用芦管向双耳吹气,尽力用气吹入,患者立即苏醒。如果吹气者气息耗尽,可换人继续吹。(出自第四卷)
Etiology: "Shi Jue" (Corpse-like Coma) is caused by the rebellion of Yin Qi. This occurs when Yang meridians suddenly sink and Yin meridians suddenly rise, leading to the separation of Yin and Yang, obstruction of Ying (Nutritive) and Wei (Defensive) Qi, disorder of True Qi, and invasion by pathogenic factors. The presentation resembles death, yet there remains faint, irregular respiration; the pulse is still palpable while the body is insensible. Listening closely to the ear reveals a sound resembling whistling.
Zhang Zhongjing stated: In Shi Jue, the pulse beats but there is no breath; due to the closure of Qi mechanism, the patient appears static and dead. Treatment formulas are as follows:
Blow crushed powder of Rhizoma Acori Tatarinowii (Changpu, 石菖蒲) into both nostrils. Place fragments of Cinnamon Twig (Guizhi, 桂枝) under the tongue.
Another formula:
Take one cubic cun of hair from the left corner of the head, burn it to ash, mix with wine, and pour into the throat. The patient will revive immediately. From *Zhouhou Beiji Fang* (Emergency Prescriptions Kept Up the Sleeve).
Take fourteen stalks of white horse tail hair and two plates of white horse foreleg claws. Burn them and form pills the size of small beans. Swallow two pills with the mouth open, and take one pill after a short while.
Another formula:
Moxibustion on Renzhong (GV26, 人中), seven moxa cones. Also, moxibustion on the area below the scrotum, one cun from the lower part, one hundred moxa cones. For women, moxa between the two breasts. It is also said to press deeply on Renzhong (GV26) with fingernails for a long time, or needle Renzhong (GV26) to the depth of the teeth; the patient revives immediately. This is the method of Bian Que.
Another formula:
Encircle the patient's arm at the wrist with a rope. For men, use the left hand; for women, the right hand. Measure the rope from above Dazhui (GV14, 大椎), down along the spine. Moxa fifty cones at the end of the rope. The patient revives. This is also the method of Bian Que.
Another formula:
Apply hot compress (warming therapy) to both hypochondriac regions. Take soot from the center of the moxa cone, the size of a bean, mix with rice vinegar/water, and drink. Then blow air into the ears using a tube, having three or four people take turns blowing.
Another formula:
Use a small tube to blow dust from the roof beams, the size of a bean, into the nostrils, ensuring it enters.
Another formula:
Needle Baihui (GV20, 百会), located approximately five cun anterior hairline from the nose tip. Insert needle three fen, apply tonification technique. Needle the medial side of the nail bed of the great toe, three fen from the nail. Also needle the dorsal aspect of the middle toe nail, three fen each. Do not needle the fleshy end of the great toe (leave a width of a leek leaf). Also needle the end of the sharp bone of the Hand Shaoyin meridian (Shenmen, HT7, 神门), one fen each.
Another formula:
Moxa fourteen cones in the interval between Shanzhong (CV17, 膻中) and the costal margin. (*Zhouhou Beiji Fang* only mentions moxa on Shanzhong (CV17); *Jiyan Fang* is the same; both cited from Volume I).
*Qianjin Yaofang* discusses: Wind-cold pathogens lodge between the Zang organs, stagnating and unable to disperse, causing aphonia (loss of voice) and throat bi (obstruction) with loss of voice, all caused by wind pathogens. Pathogens entering the Zang can be fatal. In cases of Shi Jue resembling death where the pulse remains normal, it is due to the sinking of Yang meridians, rising of Yin meridians, and closure of Qi mechanism. Treatment formulas are as follows:
Moxa Baihui (GV20) one hundred cones. Needle insert three fen, apply tonification.
Another formula:
Needle the tip of the middle toe, distance from the nail like a leek leaf. Also prick the medial side under the nail of the great toe, three fen from the nail.
Cui Shi discussed: In cases of Shi Jue, the pulse beats while the body is insensible; Yang meridians sink, Yin meridians rise, Ying and Wei Qi are obstructed. The condition resembles death, yet there is faint, irregular respiration which people often overlook, leading to premature burial preparations. To treat such patients:
Urgently blow air into both ears using a reed tube, exhaling fully to revive the patient immediately. If the blower exhausts their breath, another person should take over. (Cited from Volume IV)