病源夏月炎热，人多冒涉途路，热毒入内，与五脏相并，客邪炽盛，郁瘀不宣，致阴气
猝绝，阳气暴壅，经络不通，故奄然闷绝，谓之 也，然此乃外邪所击，真脏未坏，若遇便
疗救
得宣
（并出第二十三卷中）
肘后夏月中热 死，凡中 死，不可使得冷，得冷便死，疗之方。
以屈革带绕 人脐，使三四人尿其中，令温，亦可用泥土屈草，亦可扣瓦碗底若脱车
以着
人尿
泥暖
又方
灸两乳头各七壮。（千金同）
又方
取道中热尘土，以积 人心下，多为佳，少冷即易，通气也。（千金同）
又方
捣菖蒲汁饮之一二升。
又凡此疗自经溺 之法，并出自张仲景为之，其意理殊绝，殆非常情所及，亦非本草之
所能开悟，实拯救人之大术矣，伤寒家别复有 病，在上仲景论中，非此遇热之 。（文仲
同出
千金疗热 方。
可饮热汤，亦可用少干姜橘皮甘草煮饮之，稍稍咽，勿顿使饱，但以热土及热灰土壅其
上佳。（古今录验同）
文仲疗夏月 死方。
浓煮蓼汁，灌三升，不瘥更灌之。（肘后千金同）
古今录验疗热 方。
令人口嘘心前令暖，易人为之。（肘后同）
病源人为水所投溺，水从孔窍入，灌注腑脏，其气壅闭，故死，早拯救得出，即泄沥其
水，令气血得通，便得活，又云，经半日及一日犹可疗，气若已绝，心下暖者亦可活。（出
第二
肘后疗溺死一宿者，尚可活方。
以皂荚末，绵裹纳下部中，须臾出水则活。（古今录验同）
又方
倒悬解衣，挑去脐中垢，极吹两耳，即活。（集验千金短剧文仲备急同）
又方
倒悬死人，以好酒灌鼻中，立活。（千金备急文仲古今录验同）
又方
取瓮倾之，以死者伏瓮上，令口临瓮口，燃以芦火二七把，烧瓮中当死人心下，令烟出
，小入死者鼻口中，鼻口中水出尽则活，芦尽更益为之，取活而止，常以手候死人身及瓮，
勿令
乃以
湿即
短剧疗溺死若身尚暖者方。
取灶中灰两石余以埋人，从头至足，水出七孔即活。（备急千金肘后同）
又方
便脱取暖釜覆之，取溺人伏上，腹中出水便活也。（肘后同并出第十卷中）
千金疗落水死方。
以灶中灰布地，令浓五寸，以甑侧着灰上，合死人于甑上，使头小垂下，炒盐二方寸
匕，纳管中，吹下孔中，即当吐水，水下，因去甑，以死人着灰中拥身，使出鼻口，即活矣
又方
掘地作坑，中熬灰数斛，纳坑中下死人覆灰，湿彻即易之，勿令灰热烙爆人，冷即易之
，半日即活。
备急疗溺死方。
屈死人两脚着人肩上，以死人背向生人，背负持走，吐出水，便活。（肘后云亦治冻死
千金肘后文仲集验短剧古今录验同出第八卷中）
【病因】夏季天气炎热，人们多在路上行走，热毒侵入体内，与五脏相合，外邪炽盛，郁结瘀滞不得宣散，导致阴气突然断绝，阳气暴然壅塞，经络不通，因此突然昏厥不省人事，这被称为“中热死”（暑厥）。然而这是由外邪冲击所致，真脏之气并未败坏，如果遇到及时救治，使气机得以宣通……（出自第二十三卷）
《肘后备急方》治疗夏季中暑而死的方法。凡是因中暑而死的人，不可让他接触冷物，接触冷物就会死亡。治疗方法如下：
用弯曲的革带绕在病人的肚脐上，让三四个人往里面撒尿，使其保持温暖；也可以用泥土和弯曲的草垫在下面保暖；还可以扣住瓦碗底部或脱下的车轮，放在病人肚脐处，用人尿浸湿泥土使其变暖。
又一方：
灸两侧乳头各七壮。（《千金方》相同）
又一方：
取道路中被烈日晒热的尘土，堆积在心下部位，越多越好，如果变冷了就要更换，以通气为目的。（《千金方》相同）
又一方：
捣碎石菖蒲取汁，给病人服用一二升。
以上这些治疗中暑而死的办法，都出自张仲景所制定的方法，其意理精妙绝伦，几乎不是常情所能理解的，也不是本草书所能开导领悟的，这确实是拯救生命的大法术啊。伤寒家中另有“寒厥”病，在上古时期张仲景的论述中有记载，并非这种因遇热而导致的“中热死”。（文仲相同，出自《千金方》治疗热厥方）
可以饮用热汤，也可以用少量的干姜、橘皮、甘草煮水饮用，慢慢咽下，不要一次性喝饱，最好用热土及热灰土覆盖在病人身上为佳。（《古今录验》相同）
文仲治疗夏季中暑而死的方法。
将蓼汁浓煮后，灌服三升，如果不愈再灌服。（《肘后方》《千金方》相同）
《古今录验》治疗热厥的方法。
让病人对着心前部呵气使其变暖，换人轮流进行。（《肘后方》相同）
病因是被人水所投掷溺亡，水从孔窍进入，灌注到腑脏，气机壅闭，所以死亡。如果早点拯救出来，沥干水分，使气血通畅，就能存活。又说，经过半天及一天仍然可以治疗，如果气息已经断绝，但心下尚暖的也可以存活。（出自第二卷）
《肘后方》治疗溺死一夜的人，尚可存活的方子。
用皂荚末，用绵布包裹纳入下部（肛门）中，片刻后出水则活。（《古今录验》相同）
又一方：
倒悬解开衣服，挑去肚脐中的污垢，用力吹两耳，即可存活。（《集验方》《千金方》《短剧方》《文仲》《备急方》相同）
又一方：
倒悬死人，用好酒灌入鼻中，立刻存活。（《千金方》《备急方》《文仲》《古今录验》相同）
又一方：
取一口大瓮将其倒置，让死者伏在瓮口上，使口对着瓮口，点燃芦草二七把（十四把），烧瓮中对应死者心下的位置，使烟冒出，少量进入死者的鼻口中，鼻口中的水流尽则活，芦草烧完再增加，直到救活为止。经常用手触摸死者和瓮身，不要让瓮身太湿，湿了就更换。
《短剧方》治疗溺死若身体尚暖的方法。
取灶中的灰两石多用来埋人，从头到足全部覆盖，水从七窍流出即活。（《备急千金方》《肘后方》相同）
又一方：
便脱下取暖用的釜（锅）倒扣在地上，让溺死者伏在上面，腹中的水流出便活。（《肘后方》相同，并出第十卷）
《千金方》治疗落水死的方法。
用灶中的灰铺在地上，厚五寸，将甑（蒸具）侧放在灰上，将死人合在甑上，使头稍微垂下，取炒盐二方寸匕，纳入管中，吹入孔中，应当会吐出积水，水下之后，撤去甑，将死人放入灰中拥裹身体，使鼻口的水排出，即活。
又一方：
掘地作坑，在坑中熬制数斛灰，将死人放入坑中覆盖灰，灰湿透了就更换，不要让灰太热烫伤人体，冷了就要更换，半天即可存活。
《备急方》治疗溺死的方法。
弯曲死人的两脚放在活人的肩上，让死人的背对着活人，背着活人奔跑，吐出积水，便活。（《肘后方》说也治冻死，《千金方》《肘后方》《文仲》《集验方》《短剧方》《古今录验》相同，出第八卷）
[Pathogenesis] In summer, when the weather is hot, people often travel on roads. Heat-toxin enters the interior and combines with the five Zang organs. The pathogenic factors from outside are vigorous and excessive, leading to stagnation and blood stasis that cannot be dispersed. This causes a sudden termination of Yin Qi and a violent congestion of Yang Qi, resulting in blocked meridians and collaterals. Consequently, the patient suddenly faints and becomes unconscious, which is called "Zhong Re Si" (Heat Stroke Death / Sunstroke Collapse). However, this is caused by the attack of external pathogens, and the true Zang Qi has not been destroyed. If timely rescue is provided, allowing the Qi mechanism to be unblocked... (From Volume 23)
*Zhouhou Beiji Fang* (Emergency Prescriptions Kept in the Sleeve) methods for treating death due to heat stroke in summer. For those who die from heat stroke, they must not be allowed to come into contact with cold; contact with cold will cause death. Treatment methods include:
Wrap a curved leather belt around the patient's umbilicus. Have three or four persons urinate into it to keep it warm. Alternatively, use mud and bent grass as a cushion for warmth. One can also place a inverted clay bowl bottom or a removed chariot wheel on the patient's umbilicus, moistening the mud with human urine to make it warm.
Another prescription:
Moxibustion on both nipples, seven moxa cones each. (Same as *Qianjin Fang*)
Another prescription:
Take dust heated by the sun on the road, pile it over the heart region (Xin Xia), more is better. Replace if it cools down, aiming to promote the flow of Qi. (Same as *Qianjin Fang*)
Another prescription:
Crush Calamus Rhizome (Shi Chang Pu) to extract juice, and administer one to two sheng to the patient.
All these treatments for heat stroke death originate from methods established by Zhang Zhongjing. Their principles are profound and extraordinary, hardly understandable by common sense, and beyond what Materia Medica texts can enlighten upon. They are truly great arts for saving lives. In the field of Cold Damage (Shang Han), there is another condition called "Han Jue" (Cold Reversal/Cold Extremities), discussed by Zhang Zhongjing in ancient times, which is distinct from this "Zhong Re Si" (Heat Stroke Death) caused by exposure to heat. (Wen Zhong agrees, from *Qianjin Fang* treating Heat Jue prescriptions.)
The patient may drink hot water decoction. Alternatively, boil small amounts of Dried Ginger (Gan Jiang), Tangerine Peel (Ju Pi), and Licorice Root (Gan Cao) to make a decoction. Swallow it slowly, do not drink until full. It is best to cover the patient with hot earth and hot ash soil. (Same as *Gu Jin Lu Yan*)
Wen Zhong's method for treating summer heat stroke death.
Boil Polygonum Multiflorum Vine Juice (Liao Zhi) thickly, and instill three sheng. If not recovered, instill again. (Same as *Zhouhou Fang* and *Qianjin Fang*)
*Gu Jin Lu Yan* method for treating Heat Jue.
Have the person breathe onto the anterior chest to warm it up, rotating persons to do so. (Same as *Zhouhou Fang*)
Pathogenesis: When a person is thrown into water and drowns, water enters through the orifices and floods the Fu organs, causing Qi blockage, leading to death. If rescued early, drain the water to allow Qi and Blood to circulate, and life can be restored. It is also stated that even after half a day or one day, treatment is still possible. If vital Qi has ceased but the epigastrium remains warm, survival is still possible. (From Volume 2)
*Zhouhou Fang* method for treating drowning victims who have been dead for a night, yet may still survive.
Take powder of Gleditsia Sinensis Fruit (Zao Jiao Mo), wrap it in silk, and insert it into the lower orifice (anus). After a short while, if water comes out, the patient will live. (Same as *Gu Jin Lu Yan*)
Another prescription:
Hang the body upside down and undress. Pick out dirt from the umbilicus. Blow forcefully into both ears. The patient will live. (Same as *Ji Yan Fang*, *Qianjin Fang*, *Duan Ju Fang*, *Wen Zhong*, *Bei Ji Fang*)
Another prescription:
Hang the deceased upside down. Instill good wine into the nose. Immediate recovery occurs. (Same as *Qianjin Fang*, *Bei Ji Fang*, *Wen Zhong*, *Gu Jin Lu Yan*)
Another prescription:
Take a large earthenware jar and invert it. Place the deceased prone over the mouth of the jar, aligning the mouth with the jar's opening. Burn fourteen bundles of reed fire under the part of the jar corresponding to the deceased's heart, causing smoke to rise slightly into the deceased's nose and mouth. When water flows out from the nose and mouth, the patient lives. Add more reeds when exhausted, continuing until revival. Frequently check the body and the jar with hands; do not let the jar become too wet, replace if wet.
*Duan Ju Fang* method for treating drowning where the body is still warm.
Take more than two dan of ash from the stove to bury the person, covering from head to toe. When water flows out from the seven orifices, the patient lives. (Same as *Bei Ji Qian Jin Fang* and *Zhouhou Fang*)
Another prescription:
Remove a heating pot (Fu) and invert it on the ground. Place the drowning victim prone on top of it. When water drains from the abdomen, the patient lives. (Same as *Zhouhou Fang*, also from Volume 10)
*Qianjin Fang* method for treating death by falling into water.
Spread ash from the stove on the ground, thickness of five cun. Place a steamer basket (Zeng) on its side on the ash. Place the deceased on the steamer, with the head slightly hanging down. Take two fang cun bi of fried salt, put it in a tube, and blow it into the orifice. The patient should vomit water. Once water drains, remove the steamer, place the deceased in the ash to wrap the body, and expel water from the nose and mouth. The patient will live.
Another prescription:
Dig a pit, roast several hu of ash in the pit. Place the deceased in the pit and cover with ash. Replace the ash when it becomes wet. Do not let the ash be too hot to scald the body; replace when it cools. Revival occurs within half a day.
*Bei Ji Fang* method for treating drowning.
Bend the deceased's legs and place them on the shoulders of a living person. Position the deceased's back against the living person. Carry and run with the deceased. When water is vomited out, the patient lives. (*Zhouhou Fang* notes this also treats freezing to death. Same as *Qianjin Fang*, *Zhouhou Fang*, *Wen Zhong*, *Ji Yan Fang*, *Duan Ju Fang*, *Gu Jin Lu Yan*, from Volume 8)